Because the old dean's pain was too intense, and the pain sometimes killed people, Yang Ping did not delay and immediately sent a car to pick him up, and Li Min and Li Guodong went to Guandu Town in Beiqiao County with the car.

The provincial capital goes to Beiqiao County, almost 300 kilometers, and it takes more than six hours to go back and forth, and now it is only more than five o'clock, and it is estimated that it will return to the hospital at about 12 o'clock in the middle of the night.

Before leaving, Yang Ping told Li Guodong to bring some medicine, one each of ropivacaine and Deprosone, and when he arrived at Guandu Hospital, he immediately closed the sciatic nerve for the old dean, so that the pain could be relieved immediately, so that the old dean could come to Sanbo Hospital painlessly and comfortably.

Local occlusion, which is a very effective symptomatic treatment, especially suitable for primary hospitals, if well mastered, all kinds of joint pain, a needle effective.

Yang Ping has handed over various local closures to Dr. Li Min, including the local closure method for sciatic nerve pain, which Li Min has mastered proficiently.

The road was very smooth, at about 12 o'clock in the middle of the night, the old dean was taken to Sanbo Hospital, because Li Min had done a partial closure of the sciatic nerve for him, so the old dean was safe and sound, there was no pain, and he slept comfortably in the car.

So much so that when I arrived at Sanbo Hospital, the shaking of the stretcher woke up the old dean who was sleeping soundly, and the old dean said ignorantly: "Where is this?" ”

"This is Sanbo Hospital." Li Min said.

"Sanbo Hospital? What are you doing here? The old dean was a little confused for a moment.

Li Min said, "Didn't they take you to treat the disease?" Did you forget? ”

The old dean rubbed his eyes and wanted to get up: "It's no longer painful, it's better now, what kind of disease can you cure." ”

Li Min held him down: "That's the effect of partial blocking, and once the effect of the medicine is over, you have to roll on the ground again." ”

The old dean thought about it, it seems to be the case, when he came, Xiao Lizi gave a burst of partial closure injections, Xiao Lizi is quite promising, now even the local closure of the sciatic nerve will be played, and the old dean himself can only play a simple partial closure of superficial soft tissues.

Since he came, let's treat the disease honestly, it is rare for Xiao Lizi to have a filial piety, and he will be brought to Sanbo Hospital from afar.

In order to make a clear diagnosis as soon as possible, with the help of Yang Ping, even in the middle of the night, the old dean also completed an MRI examination, and the lumbar spine MRI showed that although the old dean also had a herniated disc in lumbar 4/5 and lumbar 5/sacral 1, it would not cause such severe pain.

On the MRI image of the lumbar spine, there is an abnormal signal in the anterior branch of the right lumbar 5 nerve root.

If in the past, Li Min would not have seen MRI at all, but now Li Min is different, through this period of time Yang Ping has cultivated hand-in-hand, Li Min has mastered the basic knowledge of X-ray, CT, MRI and color ultrasound, he saw this abnormal signal, and immediately made a judgment: schwannoma.

The symptoms of such severe right sciatic nerve pain in the lumbar spine are not caused by a herniated disc in the lumbar spine at all, but by a schwannoma of the left lumbar 5 nerve root.

The sciatic nerve is composed of the anterior branches of the nerve roots of L4, L5, Sacrium 1, Sacrium 2 and Sacrum 3, which is the thickest nerve in the human body.

Of course, the sciatic nerve travels in a long way, originating from the spinal cord in the lower back and passing through the lower back, buttocks, back of the thighs, posterolateral of the calves, and all the way to the feet, innervating skin sensation and muscle movement along the way.

Distal pain or numbness can also occur if compressed or stimulated in its path, such as in the piriformis muscle outlet of the buttocks, where the sciatic nerve tends to become entrapment.

In order to identify, the old director has also completed an MRI of the piriformis muscle outlet of the buttocks, and there is no sciatic nerve entrapment in this area.

''Schwannoma of the lumbar 5 nerve root?'' Li Min asked.

Yang Ping nodded: "So for the evaluation of patients with low back pain, X-rays are unreliable, X-rays can only see bones, and there is almost no ability to distinguish soft tissues, and the final identification still needs to rely on MRI, from the perspective of image performance, schwannoma is the most likely, if it is indeed schwannoma, it is benign." Yang Ping pointed to the MRI picture and said.

"No wonder the pain is so obvious, the straight leg raise test is negative."

Li Min couldn't help but feel a little regretful, if he had given the old director a detailed examination earlier, it would not have been painful for so many years, and he had been treated as a herniated lumbar disc for so many years.

"I don't need to talk about the rest of the matter, the old dean's illness will be handed over to you, you can handle it, right?" Yang Ping asked Li Min.

Surgery is the only treatment, and with Li Min's current level, there is no problem at all.

This is a simple lumbar spine tumor surgery, Li Min felt that he could also complete this operation, and heard Yang Ping say that he would hand over this operation to himself, he was very happy, and he had a great sense of accomplishment, he could actually operate on the old dean.

In this way, I reported my learning progress to the old dean, showing that I was studying hard, and the old dean was not as important as the white dean.

"You need to be patient with this surgery, and on the premise of protecting the spinal cord and nerve roots, the tumor must be removed. Yang Ping confessed to Li Min.

"Well, I must be careful." Li Min was a little excited.

Now that the results of the examination have come out, Yang Ping took Li Min to explain his condition to the old dean, the old dean is lying on the bed resting, and there is a hanging bottle of rehydration hanging next to the bed, it may be that he has not slept for the past few days, and the old dean is sleeping very soundly now.

"Why don't you let him rest for a few hours tonight and have another operation tomorrow morning?" If the pain recurs, should I add an additional needle to seal it? Li Min saw that the old dean was sleeping so soundly, it was really hard to disturb him.

Yang Ping agreed with Li Min's opinion: "I haven't eaten anything for a few days, wait and pay attention to the balance of water and electrolytes, make up the fluid tonight, and operate tomorrow morning." ”

At this time, the old dean woke up, he rubbed his eyes in a daze, and saw that the doctors in front of him were Professor Yang and Xiao Lizi.

"Professor Yang, look, it's so troublesome for you, our Xiao Li is already troublesome enough for you to study here, and I'm going to trouble you again now, I'm so embarrassed." The old dean got up and leaned back on the head of the bed.

Yang Ping and Li Min helped him to lean a little straighter, Yang Ping said: "You should rest well when you are old, don't get up, the results of the examination have come out, it is not a herniated lumbar disc, it is a schwannoma of the 5 nerve roots in the lumbar 5, this disease must be operated, we plan to give you surgery tomorrow morning, you sleep well at night, don't eat, don't drink water, we will operate tomorrow morning." ”

"Schwannoma? Not a herniated lumbar disc? Aren't you saying it's capsized in the gutter? ”

The old dean sighed, he has been a herniated lumbar disc, he is still a doctor, and he has been wronged for so many years, he is really embarrassed.

Li Min said to the old dean: "This disease must be operated on, and there is no other way. ”

The old dean nodded: "Let's operate on it, this operation still has to go into the spinal canal and use a knife on the nerve root." ”

Yang Ping said to him again: "Then we won't disturb your rest, we will come to see you tomorrow morning, and Dr. Li Min will operate for you tomorrow." ”

It was just fine, but as soon as he said this, the old dean's heart suddenly jumped violently, Li Ming, this kid can do this kind of surgery?

Immediately, the old dean cast a suspicious look at Li Min.

In the old dean's impression, Li Min can only do some simple surgeries, such as appendicitis, cesarean section, debridement and suture, etc., this kind of lumbar spine surgery into the spinal canal, not to mention Li Min, the old dean himself has never done it.

The old dean knows that lumbar spine surgery is a major operation, and if you are not careful, you can paralyze people.

"Xiao Li?"

The old dean asked uncertainly.

"Yes, I'll give you the main surgery tomorrow, don't worry."

Li Min said happily that he thought the old dean was a surprise, and he was surprised that he could perform such a high-level operation, so he was full of confidence.

This is not a joke, it won't be Li Min's own initiative, he usually has nothing to say to Li Min, as a son, he didn't offend this kid, he wouldn't seize this opportunity to practice himself, right?

"Little plums? Are you using me to practice your hands? ”

The old dean asked cautiously.

The old dean's cautious tone, Li Ming felt funny in his heart, because the old dean is usually more optimistic, he has always looked like an old naughty boy, and often jokes with others, Li Min is joking with the old dean now.

"Old Dean! I've been here for so long, and I haven't had a chance to do it, so you have to give me this opportunity to learn? Li Min followed his words.

Sure enough, the old dean's heart was cold.

This kid is really using his own hands, so let's go! Let him practice his hands.

"Why don't you treat conservatively first? I think it's easy now, anyway, I've survived it for so many years, and if I stand up again, it's really not okay to say it? I'm afraid my body can't withstand this knife. The old dean felt that there was still a glimmer of life.

Yang Ping said clearly: "There is no conservative treatment for this disease, and at this point, if you want to cure it without pain, you must treat it surgically." ”

It seems that you can't escape if you want to, you are already meat on the chopping board, Xiao Lizi, can you do it, don't get paralyzed, there is no place to say it then.

As soon as he thought of Xiao Lizi's spinal surgery, the old dean sighed in his heart.

The old dean is still clear about these things, and the old dean also studied in the county hospital, so it would be good to be able to come on stage and pull the hook, how can there be any opportunity to be the main knife.

The old dean had no choice but to bite the bullet and say, "Okay, I'll give you practice." ”

Usually Li Ming is still more serious and down-to-earth, unlike the other two boys in Guandu Hospital, who are hairy, if it were those two boys, the old dean would go home on crutches now.

"Don't worry! Li Min can completely perform this operation, and he will definitely make the operation beautiful. Yang Ping gave confidence to the old dean.

"Well, I'm sure I'm relieved."

The old dean said inconsistently, his mouth was relaxed, but his heart was actually panicked.

Li Min's business level is good, and this kid studies very hard, but after all, the grassroots doctor is a grassroots doctor, Li Min is a few pounds and a few taels, his old dean can not know, how long has it been, how can he be the main surgeon of this kind of surgery, and besides, in this kind of provincial doctor training, how can there be any opportunity to be the main surgeon, it is all miscellaneous and hook.

After Yang Ping and Li Min left, the old dean asked for two sleeping pills, otherwise how could he fall asleep.

This kid's appendicitis was taught by himself, how long has he been here, and now he is the main surgeon for lumbar spine surgery, and no one can sleep.

The next morning, the nurse inserted the urine catheter into the old dean, but the old dean refused, an old doctor who often performs obstetrics and gynecology surgeries, actually refused to allow the nurse to insert the urinary catheter, and finally Li Min inserted the urinary catheter with his hands.

"You've been doing obstetrics and gynecology surgery for decades, why are nurses shy to intubate?" Li Min usually has a good relationship with the old dean, so he has no scruples when he speaks.

The old dean said seriously: "Can that be the same?" I was a doctor then, and now I'm a patient. Xiao Lizi, there are no outsiders now, I said can you really do lumbar spine surgery, you must not force it, I know that you have a good heart, it is all for my good, my old man's body is still strong, this leg will be used for a few years, you have to steady, don't shake your hands. ”

''Look at what you said, whose hands do you say are willing, and can you control the shaking of your hands?'' Li Min said while collecting the catheterization package.

"Little Lizi, your hands must be steady!" The old dean took Li Min's hand.

"Old dean, don't worry, Professor Yang has taught me a lot of things, this kind of operation is a piece of cake, not to mention my current level, not long after I came here, the experimental pigs I just did were running all over the ground."

You rabbit cub, you confessed to yourself, you haven't done this surgery on people, you have only made a comparison on pigs.

"You've had this surgery?"

"Of course I did."

"I mean, in people, not pigs."

"I've done it in people."

Nonsense! Asking him is also in vain.

What doctor would honestly say to his first surgery patient: I haven't had this surgery, you are my first surgery. The patient was not too scared to be discharged from the hospital.

''First surgery, send the patient!'' ”

The nurse's urging sounded outside the door.

The flat car pushed the old dean to the operating room, this kind of scene the old dean has seen for decades, and now it is his turn to lie on it, and the chief surgeon is still a novice, how can this heart always go up and down.

Forget it, it's not easy for Xiao Lizi, doctors, there is always a process of growth, everyone is unwilling to be the first, so who will be the first, Xiao Lizi is also excusable, it is definitely not easy for a raw person to start, this acquaintance is easy to start.

Thinking like this, the old dean felt a lot calmer in his heart, and the realm pattern also came up instantly.

Li Min also followed the nurse to send the old dean to the operating room, and the old dean kept talking to him.

"Xiao Lizi, if you see that schwannoma during the operation, it is more difficult to cut, if it really doesn't work, give up, we won't force it!"

"Little plum! Be sure to see your nerves clearly, don't panic, keep your brain clear, I usually teach you to be bold and careful, your heart must be very careful, but you can't be too bold. ”

"Old Dean! Don't worry, don't be nervous. ”

"Of course I'm at ease, but how can I be at ease? Where am I nervous? Am I not very relaxed? I'm just chatting with you, I haven't seen each other for so many days, can't we chat? ”

''Little plum, your hands must be steady!'' ”

(End of chapter)