"Doctor, I'm just here to find out." Seeing Liu Ziang's cold attitude, the middle-aged man in gold-rimmed glasses couldn't help but speak.

He also felt unlucky, and was pushed out by the platform to deal with this matter, this kind of thing, within the platform, no matter what it looks like, it will always lose money, and the platform's reputation will be affected, it can be said that no matter which management it is, it doesn't want to deal with such a thing.

Seeing the appearance of the middle-aged man with gold wire glasses, Liu Ziang didn't say anything, although he had a lot of opinions about this middle-aged man with gold wire glasses, he couldn't say anything more, otherwise, it would be troublesome to the patient's family, after all, it would involve compensation and other things, all of which had to deal with this middle-aged man with gold wire glasses.

After coming out of the ward, Zhao Heng saw Liu Ziang's appearance and couldn't help but say, "Senior, this kind of thing is also very common, but this time it was encountered by this patient." ”

"I know, you don't have to comfort me, I just feel a little blocked in my heart." Liu Ziang waved his hand and said, he couldn't be clearer about the truth, he just felt that everyone in the world was suffering from what happened to this takeaway brother!

Liu Ziang's appearance is not at all like the free and easy Liu Ziang that Zhao Heng knew before, but everyone has their own soft place in their hearts, maybe Liu Ziang, who looks free and easy, has also experienced something before?

"But speaking of which, this patient is also considered very lucky." Zhao Heng said again. If you are unlucky, you won't be able to meet doctors like Zhao Heng and Liu Ziang, this time, to be honest, if there is no media intervention that Zhao Heng is looking for, there is a high probability that the platform will not give any additional compensation to the takeaway brother.

The tendency of capital is not subject to human will, and anything controlled by capital will inevitably develop to the extent that it is enough to be hung on the street lamp, which is a principle that has long been put forward by human sociology, and it has been developing in this way in reality.

Half an hour later. In the operating room. At this moment, the operation was ready, Zhao Heng did anesthesia first, the instrument nurse was Sun Li, and the two resident doctors led by Liu Ziang of the Department of Brain Surgery.

Liu Ziang's strong Ding is too affordable, Zhao Heng not only has to anesthetize the patient, but also has to undergo surgery later, which can be regarded as a multi-talent.

Ruan Liuzheng saw that Zhao Heng was very familiar with anesthesia, and then he remembered that Zhao Heng was the deputy director of the anesthesia and perioperative center, and this anesthesia was his job, but because other aspects were too prominent, people unconsciously ignored Zhao Heng's own job.

However, even if it is anesthesia, to the extent of Zhao Heng, it is enough to eat for a lifetime.

"What should I pay attention to when anesthetizing patients with severe head injury?" While Zhao Heng was operating, he asked Ruan Liuzheng who was standing next to him and observing carefully.

As a doctor in an anesthesia center, anesthesia is the basic skill and the ability to eat, which is naturally to be proficient.

But at the very least, in the anesthesia center, being able to do anesthesia and being able to do anesthesia is a very basic requirement.

"First of all, it is necessary to induce quickly, give anesthetic drugs with a short half-life, and have a strong sedative and analgesic effect. Secondly, it is necessary not to increase intracranial pressure and cerebral metabolism, not to affect cerebral blood flow, to ensure cerebral perfusion pressure, not to affect the blood-brain barrier function, and no neurotoxicity. Finally, it should be noted that the dose of the drug is relatively mild for respiratory depression, and resuscitation should be as rapid as possible after stopping the drug. To Zhao Heng's surprise, Ruan Liuzheng only thought about it a little and said it fluently.

"Yes, I worked hard." Zhao Heng nodded, very satisfied, even if he is a professional anesthesiologist, although he can answer these anesthesia points, he may not be able to answer them so completely and comprehensively.

This shows that since Ruan Liuzheng came to the anesthesia center, he has been studying the basic skills of the doctors in the anesthesiology center - anesthesia with all his heart, and this attitude of serious study is still very good.

Seeing Zhao Heng's satisfied appearance, Ruan Liuzheng was also relieved, since he came to the anesthesia center, in fact, many advanced training, training and intern doctors have seen Zhao Heng treat many patients with incurable diseases, and they do not realize that the main job of the anesthesia center is to do anesthesia, anesthesia and intensive postoperative care, which is the main and core business of the anesthesia center.

Therefore, Ruan Liuzheng still worked hard in anesthesia, and now he can answer Zhao Heng's question so fluently.

After a while, Zhao Heng looked at the life monitor, which showed that the patient's breathing, heartbeat and carbon dioxide content had reached the standard of surgery, so he stood up and changed into a surgical gown under the greeting of the instrument nurse Sun Li.

"Junior brother, what do you think about this patient's surgical incision?" Liu Ziang, who had already put on a surgical gown, said to Zhao Heng for his opinion.

If it were someone else, Liu Ziang would naturally not ask for opinions so deliberately, after all, his own opinions are already the most professional.

But Zhao Heng is here, so Liu Ziang wants to ask Zhao Heng's opinion, and verify the two phases, if the opinions of the two sides are more consistent, it means that the surgical plan should be able to achieve the best state.

This also fully shows that in Liu Ziang's heart, Zhao Heng is an existence of the same level as him, and this recognition, in the entire Oriental Hospital, it is estimated that only Zhao Heng can get it.

"Perform the sigmoid posterior condyle, brainstem safety area, olive area approach, left posterior auricular incision type C, and perform intraoperative MEP, SEP, and sublingual electromyography monitoring." Zhao Heng thought for a while and said his opinion, which was a comprehensive opinion that combined brain surgery and anesthesiology.

This posterior sigmoid sinus approach craniotomy is to open the bone flap of the posterior condylar approach of the sigmoid sinus, expose the sigmoid sinus and the foramen magnum, grind out the lateral edge of the foramen magnum, including the condyle fossa, and expose the cisterna oblongata oblongata around the olive nucleus extensively, and the dura mater is cut along the sigmoid sinus, and the incision extends downward through the foramen magnum.

This surgical method is a relatively difficult craniotomy method in brain surgery, because such an incision craniotomy directly exposes the brainstem and medulla oblongata, and if you are not careful, it will cause very serious consequences.

After the release of cerebrocelebris medullary fluid from the cistern oblongata oblongata, it is necessary to carefully dissect the cranial nerves, choroid plexus, PICA, and vertebral arteries, and carefully observe the lateral part of the medulla, and pay attention to protecting the posterior cranial nerves, PICA, and the piercing leading to the medulla.

"Well, that's what I thought." Liu Ziang nodded very appreciatively, Zhao Heng's opinion, and what he thought, can be said to be highly consistent, which can be regarded as the hero's vision.

"Let's get started." Liu Ziang looked at the instrument nurse Sun Li and said slowly. The operation officially began, and the atmosphere in the operating room became very solemn and quiet, as if a needle was dropped, and only the life monitor was issued in the operating room

The sound of "dripping", and the use of a skull drill to open the skull

"Inspection" sound. After the skull was opened, Zhao Heng and Liu Ziang, the two of them were even more engrossed, combing the anatomical structure little by little, it can be said that in the brainstem area surgery, the space available for operation is basically millimeter-level, that is to say, in the process of surgical operation, the hands can not have an error of more than millimeters, otherwise the important cranial nerve will be damaged.

Moreover, such a delicate and tiny operation will continue until the end of the operation, which is expected to take about three hours at the earliest.

Maintaining a state of full concentration is very tiring, many surgeons, after an operation, it is sweaty, that is very tiring, sometimes, a major operation, for the surgeon, no less than a marathon long-distance run.

Zhao Heng and Liu Ziang are doing surgery, the rest of the people in the operating room, looking at the operation of the two, are basically in a very shocking state, this kind of precision, light and fast and accurate surgical operation, it looks very artistic and mechanical beauty, it can be said that as long as it is a very high level of surgeons, its operation looks very good, all of them are like flowing water.

In one word, it's smooth, very smooth. Surgery is like this, whether it is smooth or not is the biggest indicator to test the level of a surgeon.

Only a high level of understanding of the anatomical position, as well as a high degree of confidence in the operation, can achieve the level of smoothness.

Ruan Liuzheng, who was standing on the sidelines and watching, was even more shocked in his heart, if he could reach half of the surgical level of the two people in front of him, it would be enough to eat for a lifetime.

In major hospitals, it can definitely become the mainstay of surgery. Finally, the operation was carried out to the most critical part, removing the bleeding from the brainstem and repairing the damaged part of the brainstem.

For this part of the operation, it is very critical, this brain stem area, equivalent to the CPU of the computer, in the case of the CPU does not stop running, to repair a little bit, this difficulty, can be imagined.

At this moment, the surgical precision required is even more than the millimeter level, and there are very few people who can be sure to do such precision surgery in the huge Oriental Hospital.

After doing this, an hour and a half has passed, and Zhao Heng still doesn't feel anything, after all, his physical fitness is extremely strong, but Liu Ziang has already shown some fatigue, and his head is constantly sweating.

"Senior, take a break for ten minutes." Zhao Heng saw that Liu Ziang was a little tired, and couldn't help but say.

"Okay." Liu Ziang nodded, this kind of high-intensity, highly concentrated surgery, generally speaking, after about an hour, you need to take a break to allow the state of the chief surgeon to recover.

During the interval between sitting down and resting, Liu Ziang couldn't help but say to Zhao Heng: "Junior brother, it's good to be young." Although he is only in his thirties, in terms of physical strength, he is obviously inferior to Zhao Heng.

Just look at Zhao Heng, it has been more than an hour since this kind of ultra-high-intensity surgery, and he is still calm and relaxed, and he looks the same as at the beginning, such a physical quality can be said to be the most suitable for a dry surgeon.

"In order to become a good surgeon, in addition to superb skills, physical strength and body are also very important, and you must exercise in your spare time." Taking this opportunity, Liu Ziang also educated the two resident doctors outside the brain.

"Director, we have no time to exercise in this work." A resident doctor said with a bitter face.

The intensity of the work of the Department of Surgery of Dongfang Hospital is not something that ordinary people can imagine, many times, 12 hours and 24 hours of continuous rotation, it is commonplace, after such a long time of high-intensity work, when I return home, I am afraid that I can fall asleep with a pillow, where is there any extra energy to exercise deeply.

"Then why do you think Director Zhao's health is so good?" Liu Ziang smiled and said.

"Speaking of which, junior brother, your physical fitness is indeed a bit outrageous, is there any secret recipe?" After a pause, Liu Ziang asked Zhao Heng again.

"The secret ingredient? Some. Zhao Heng said with a slight smile.

"Huh? Let's hear it. Liu Ziang asked with a very interested look. Several other people also pricked up their ears, all wanting to hear what the [secret recipe] Zhao Heng was going to say.

"The secret recipe is to go to bed late and get up late without exercising, eat more fatty meat and watch more girls." Zhao Heng smiled and said teasingly.

As soon as these words came out, several young people who were usually surfing at high intensity all laughed. The atmosphere in the operating room was also relaxed a lot.

"The rest is okay to say, this depends on the girl's words, it does have an effect." Liu Ziang also said seriously.

As soon as Liu Ziang finished speaking, the air in the operating room became happy, and several resident doctors were still muttering something that they couldn't understand if he said something like "the surgeon's joke is also a joke" and "I can't say what he said".

In fact, in the operating room, surgeons and instrument nurses love to joke, after all, the pressure of surgery is very great, in order to relax and relieve pressure, it is natural to make some meat and vegetarian jokes.

Of course, Liu Ziang and Zhao Heng belong to the kind of people who can joke, but they are not too colorful, unlike some surgeons, who are heavy jokes when they open and close their mouths.

For example, Zhao Heng has heard one that is very classic. Doctor: Help me wipe my sweat. Traveling Nurse: Where?

Doctor: Wipe your forehead first, and then wipe the rest of the table. After a while, the rest time passed, and Zhao Heng and Liu Ziang started the operation again.

It wasn't until an hour had passed that Liu Ziang breathed a sigh of relief and said to Zhao Heng: "Senior brother, I am fortunate to have you this time, otherwise, I am afraid that I will not be able to take it alone." ”

"Just wait for a late night snack, and the big meal will be counted." Zhao Heng glanced at Liu Ziang and said.

"Okay, whatever you say is what you say." Liu Ziang rarely did not refute and said, on such a big night, he could put down his rest time to accompany him to do such a time-consuming and laborious ultra-difficult operation, it can be said that Zhao Heng, a junior brother, really didn't say anything to him.