Looking at the husband and wife who looked at them at the same time, Li Xiyang was amused and speechless.

This Director Xu has sold himself!

However, it is the doctor's duty to explain the facts to the patient's family.

And he is the main surgeon of this operation, so it is very reasonable for him to answer.

So Li Xiyang told the husband and wife about the entire operation process and the problems they would face.

After listening, the two couples looked at each other.

All of them were full of sadness.

"Doctor, why do you want us to do multiple-choice questions again, they are all my children, how can I bear ......?"

Regarding the reaction of the two, Li Xiyang was not very surprised.

Imagine having parents choose which child has the better chance of development, and no matter how they choose, they will both feel guilty when facing another child who is stunted in the future.

Xu Menghua comforted, "Mr. Wang, Mrs. Wang, I understand your feelings very well, but now is the best solution to save the two children." ”

The man looked up at Li Xiyang, "Do you really have to make a choice?" ”

Li Xiyang said, "There is no craniotomy yet, so the above problems may not necessarily occur, now it is better to prevent the problem than to prevent it, if it happens during the operation, we must always make a choice, right?" ”

"Doctor, I beg you." When the woman heard this, she knelt down directly.

Li Xiyang hurriedly stepped forward to help him, and said, "Family, I promise you that even if there is no equal distribution, the IQ of the other child will not be affected." ”

"Really?"

The woman looked up, her eyes full of hope.

Seeing Li Xiyang nodding, the husband on the side seemed to have made up his mind and said, "Then it's up to the doctor to decide, as long as we can save the two children, we will listen to you." ”

The husband and wife went to dozens of hospitals during this time and experienced disappointment after disappointment.

Only here, is heard that it can be operated.

And the doctors really respect their ideas and explain them patiently.

Men choose unconditional trust at the moment.

"Doctor, it's up to you!"

Li Xiyang looked at the man, and was a little moved in his heart.

Nothing is more touching for a doctor than the trust of a patient.

After that, Director Xu informed the patient's family of the method of surgery, possible risks, etc.

After all, the risk of craniotomy is too great, and there are many postoperative complications, each of which has happened before, and it is a bloody lesson, which must be explained one by one.

After listening, the couple did not hesitate and directly signed the consent form for the operation.

On the other side, Li Xiyang and Dong Lin had already prepared in advance in the operating room.

Dong Lin was always a little uneasy, "Doctor Li, is there really no need to contact the Department of Brain Surgery and Cardiothoracic Surgery?" ”

This is a super-large surgery for conjoined separation!

Li Xiyang shook his head, "Today I will only do strip skull separation, and I will do it alone." ”

"That's... All right! ”

Seeing that Li Xiyang was so confident, Dong Lin instantly relaxed a lot.

For this guy, it seems that there is never an end in sight to him.

Doing craniotomy in the obstetrics and gynecology operating room, I'm afraid I can't find a second person who is so crazy except for Li Xiyang.

But Director Xu believed him,

Of course, I believe it too!

Dong Lin secretly glanced at Li Xiyang, and she didn't know when she became a little fan girl.

Li Xiyang didn't know what Dong Lin was thinking, and at the moment he was engrossed in preparing the surgical items.

Because it was a craniotomy in the obstetrics and gynecology operating room, the instrument nurse looked a little rusty.

Li Xiyang had to go into battle in person, and he couldn't afford to miss a little.

Conventional items: caesarean kits, clothing bags, brain surgical instruments, forceps jars...

Disposable items: double-click electrocoagulation, irrigator, scalp clip, pediatric sleeve needle, 11 # 22 # blade, cerebral surgical membrane, brain cotton, bone wax...

Special items: screwdrivers, titanium mesh, titanium nails.

Intraoperative supplies: antibiotics, epinephrine hydrochloride, 3% hydrogen peroxide...

The preparations here are almost complete, and Xu Menghua just pushed the baby in.

Looking at the two poor little lives, everyone sighed.

Li Xiyang stood in the position of the chief surgeon and said, "Intravenous inhalation compound anesthesia, pay attention to the dosage." ”

The anesthesiologist who was waiting on the side immediately walked onto the operating table.

The use of resting compound anesthesia can avoid the pain of simple intramuscular injection or venipuncture, and at the same time, it can also avoid the large dose of anesthetic gas that causes breathing and dry mouth and nose, and even mental trauma.

It is the most suitable anesthesia for infant surgery.

Soon, the anesthesia was done.

Li Xiyang nodded, "The operation begins!" ”

Conventional disinfection towel...

5ml syringe incision subcutaneous injection of normal saline...

22# blade original incision approach to cut the skin...

Scalp clip to stop bleeding...

Li Xiyang's hand speed was extremely fast, and it took less than two minutes from the beginning of anesthesia to the incision of the scalp.

The eyes of everyone watching widened.

After the scalp was incised, Li Xiyang immediately began to stop the bleeding.

The most dangerous aspect of this surgery is the blood loss during the operation, which must be minimized as much as possible.

When the bleeding was stopped, Li Xiyang began to cut open the subcutaneous muscle tissue layer by layer, and finally opened the flap to expose the skull underneath.

Electric drill!

Li Xiyang took the electric drill and carefully made an opening in the skull.

Milling cutter!

The milling cutter opened the skull, and Xu Menghua and several people had never seen it before.

Fortunately, Li Xiyang explained in advance, otherwise Xu Menghua would have been so frightened that he would have stopped.

Generally, the best choice for craniotomy is an electric cutter, even if it is a milling cutter, it must be an electric milling cutter.

But Li Xiyang chose a manual milling cutter!

It's not that a manual milling cutter can't open a skull, but it's too risky.

On the one hand, this thing is tired to use, and on the other hand, it is very slow.

Of course, the most important point is that the strength and skill of the surgeon are not up to par.

Therefore, in order to maximize the success rate of surgery, brain surgeons generally choose electrosurgical surgery.

As for Li Xiyang's choice of manual milling cutter, it is because the nerves in the baby's skull are fragile, and the use of electric knives will cause damage to the nerves.

That's why he used a manual milling cutter.

But because of this, Xu Menghua and Dong Lin saw Li Xiyang's knife skills.

The two of them glanced at each other, unable to hide the shock in their hearts.

Soon after, the baby's skull was cut open and the underlying dura mater was exposed to the surgical field.

At this point, the strip skull is half removed.

This is followed by the separation of soft tissues.

Li Xiyang slowly cut open the hard dura mater, revealing the brain in the skull.

It can be clearly seen that the two brains are growing next to each other, but they are not connected together, and there is a possibility of separation.

Li Xiyang carefully separated the surrounding brain tissue, which requires extremely delicate operations, and once other nerve structures are accidentally touched, it is likely to bring irreversible trauma.

So this step also lasted for two hours.

In the middle, Dong Lin personally helped Li Xiyang wipe his sweat several times,

Finally, all the operations are complete,

Li Xiyang also took a deep breath.

But at this moment, the anesthesiologist suddenly shouted, "Oh no, the baby has lost too much blood!" ”

The anesthesiologist monitors the baby's vital signs throughout the process, and immediately alerts him if he finds a problem.

Excessive blood loss!

Xu Menghua's face on the side changed, "Hurry up and give the patient a blood transfusion!" ”

"Oh oh oh!"

The little nurse hurried to get the blood bag that had been brought into the operating room in advance.

But Li Xiyang stopped at this time, "Don't have a blood transfusion yet!" ”

Everyone was stunned, why?

Li Xiyang said quickly, "Replace the blood with saline coolant." ”

There was no time to explain, Li Xiyang said to Dong Lin in a deep voice, "Inject salt water coolant immediately." ”

Dong Lin looked at Xu Menghua, but still quickly injected the patient with saline coolant.

In any case, the surgeon in the operating room has the sole right to speak.

Seeing that Dong Lin had already injected the patient with saline coolant, Li Xiyang said to the nurse, "Prepare for a blood transfusion." ”

Then, in the confusion of everyone, he slowly explained, "If you transfuse blood first, the baby's life may not be able to wait for the blood to flow to the brain, and the best way is to immediately lower the patient's body temperature and slow down the blood flow, which can reduce the amount of bleeding." ”

Only then did a few people understand.

Xu Menghua nodded secretly, glad that she chose Li Xiyang's plan, and she was not disappointed.

The baby is over the danger, and the operation continues.

After another half an hour, Li Xiyang completed a strip skull resection.

"Yes, when the baby is awake, according to the 3D printed model, an extracorporeal stretching device that matches the contour of the baby's head can be designed and produced, and the skull can be pulled at a speed of 2.1 mm per day to stimulate the growth of the skull and soft tissues."

"In a month, I will have a soft tissue resection!"

Xu Menghua nodded, and she could arrange the rest.

In order to reassure the family, Li Xiyang returned to the ward together and explained some postoperative care points.

Then I went back to the emergency room.

……

Back in the emergency department, Li Xiyang went to the clinic first.

Seeing that Qian Min was seeing a gastroenteritis patient, from the consultation to the diagnosis, everything was going well, so Li Xiyang was relieved to hand it over to her.

I went back to the office to sort out the cases left over from yesterday.

Because Li Xiyang spends his time in surgery every day, he has a lot more cases to supplement than other doctors.

Two cases have just been completed here, and Yu Bing has come in.

Yu Bing is the second batch of emergency doctors to come in after Dou Wenhua, and he has been in Renhe for three months.

The person is said to be good, but because Li Xiyang is soaked in the operating room all day, the two don't have much intersection.

Seeing the other party come in, Li Xiyang also said hello politely.

Unexpectedly, the other party walked directly towards him, "That... Dr. Lee, are you busy? ”

Li Xiyang smiled, "I'm not busy, is there something going on?" ”

Yu Bing smiled and said, "That's the case, I have a patient over there, and I'm a little unsure, so..."

Li Xiyang nodded briskly, "Then let's take a look." ”

"Okay, that's really troublesome Dr. Li!"

On the way to the ward, Yu Bing probably talked about the patient's condition

"Patient Ma Baoguo, male, 52 years old, with no obvious past medical history, suddenly fainted five hours ago, accompanied by abdominal pain and diarrhea.

There were no pathological abnormalities in routine examination, electrocardiogram, electroencephalogram, and stool tests. ”

Li Xiyang nodded after hearing this.

There are many reasons for fainting, but these basic tests have ruled out almost all conditions that may cause syncope.

No wonder the remaining soldiers said that they couldn't get it.

Li Xiyang didn't dare to say that he was 100% sure, but people put down their faces to get rid of themselves, and if they said something more modest, it would be too hypocritical.

It's better to go and see the situation directly.

Soon, the two arrived at the hospital room.

"2 beds of that!"

Yu Bing pointed to the bed close to the inside, Li Xiyang nodded, and walked directly to him.

The patient is awake at the moment, sitting on the bed and scrolling through his phone.

"Mr. Ma, how do you feel?"

Li Xiyang spoke, and Ma Baoguo put down his phone and looked over.

Seeing that Yu Bing was also beside him, he smiled and said, "It's okay doctor, I'm fine." ”

Very good?

Li Xiyang looked back at Yu Bing, didn't he say that he had been in a coma before?

Yu Bing whispered, "Doctor Li, don't believe him, this guy can't speak!" ”

Li Xiyang was stunned, and he didn't speak?

What does that mean?

Seeing that Yu Bing is not easy to explain at the moment, Li Xiyang has to examine the patient first.

Suddenly, I noticed that the other person's cheeks were unusually red.

Li Xiyang asked, "Do you have a fever?" ”

Ma Baoguo smiled, "Little doctor, I'm a great qigong achievement, and my blood is at the top, so it's not a fever!" ”

Qigong?

Li Xiyang was stunned.

The remaining soldiers on the side gave a 'look' of 'look at it'.

Obviously, this man had said such things before.

Li Xiyang smiled and asked, "Mr. Ma, which qigong are you practicing?" ”

"Ma Jiabei!"

"Why, you want to learn too? Hehe, for the sake of the two of us, how about I charge you 20% off the tuition, the annual fee is 18,888! ”

"How's that, cheap?"

Li Xiyang smiled, this person is still a class seller.

Seeing that Li Xiyang didn't speak, Ma Baoguo said again, "If you don't like qigong, I will also have nine whips, Baguazhang, count you cheaper, do you want to learn?" ”

Li Xiyang waved his hand, "No matter what you learn, you have to take care of your illness first, right?" You untie your collar first, and I'll listen! ”

"Don't worry, don't worry, I'm a great achieve..."

Ma Baoguo still wanted to be poor, and Yu Bing scolded reluctantly, "Do you check it or not, if you don't check it, I'll discharge you first!" ”

Ma Baoguo pursed his lips, and then quieted down.

Li Xiyang put the stethoscope on the patient's chest and stopped for a while.

The light screen in front of him flickered.

[Duodenum: It's over, why did this thing get bigger again, you guys hurry up and think of a way]

[Kidney: It's hopeless, this old thing knows every day that it's blind, what bullshit qigong, what red child reincarnates]

[Heart: I see that he is a bad old man who engages in pyramid schemes]

[Duodenum: Woo woo, this thing is bursting for a while, I can't absorb the whole thing for me, I've let him dilute it so many times, why doesn't he know how to pay attention to it]

[Brain: It's really bad luck to put this thing on the stall]

Seeing the conversation of the organs, Li Xiyang raised his head and asked, "Mr. Ma, didn't your face always be so red before?" ”

Ma Baoguo smiled, "The doctor has good eyesight, I only started to pour red light into my face after the day of the completion of qigong." ”

He said this with a proud smile on his face.

And Yu Bing on the side had his eyes lit up after hearing Li Xiyang's question.

"Dr. Li, do you think he ate something unclean..."

Before he spoke, he heard Ma Baoguo dissatisfied, "Who, who eats something unclean?" I'm just practicing too much, and my blood is not going well..."

Ma Baoguo Balabala, a whole bunch.

Li Xiyang simply ignored him, but beckoned to Yu Bing, "You come and listen." ”

Yu Bing took the stethoscope and listened, "I'll go, the bowel sounds are so active!" ”