Chapter 72: Patients with cerebrospinal fluid leaks

When Cheng Yuan came out of the consultation room, his face was depressed.

He walked with a vague footstep, as if he had been drained of his energy.

When Chu Jianwen came to find Zhong Yu, he met him head-on, and looked at him curiously.

It wasn't until she couldn't see the figure that she withdrew her gaze.

Turning his head to see the door of the consultation room open, he walked directly inside, and when he saw Zhong Yu, he asked with a big grin:

"What's wrong with your classmate? It's like falling out of love, and you're rejected? ”

Zhong Yu was sorting out the medical equipment, and said casually:

"How can you decide that I rejected him, not that he gave up on me?"

Chu Jianwen was taken aback, and exclaimed with an exaggerated expression:

"No, it won't! No way? The way he looked at you, we outsiders could see that there was no reason to give up on you so easily. ”

Although Zhong Yu has no love for Cheng Yuan, he can understand his choice intellectually, but he is still a little lost emotionally.

At this moment, she had the desire to talk to others, so she simply said without concealing it:

"The love for so many years may be true, but it is also true that the choice is not firm, who can say anything about feelings?"

Chu Jianwen walked to her side and sat down, and comforted her:

"This shows that he still doesn't like you enough, if you like it, you should try your best to be with you, don't worry about those who don't matter, turn your grief and anger into appetite, I recently found a very distinctive barbecue restaurant, you go with me."

Zhong Yu knew from the last time they had supper together, this girl was a foodie, she smiled and said, "It's okay to go, you have to treat yourself!"

Chu Jianwen raised his head, and said heroically like an upstart:

"That's a must, hurry up and change your clothes and go, you don't have a shift in the afternoon, right?"

Zhong Yu shook his head, "There is nothing to do in the department today, and tomorrow morning there will be a consultation in the neurosurgery department calling me to help." ”

Chu Jianwen stretched out his thumb and praised: "Doctor Zhong, you can do it, the neurosurgery department has actually asked you for help, what you want to eat today, there is no limit!"

Zhong Yu figured out her personality and was not polite to her.

"Then your wallet is going to bleed heavily today, don't feel distressed when you pay the bill."

Chu Jianwen's face didn't matter, she was a well-known moonlight clan in the hospital, and she didn't know how to write the word distressed.

The two cleaned the consultation room before leaving hand in arm.

Chu Jianwen drove Zhong Yu to the city center, and there happened to be a welfare lottery opposite the parking lot.

Zhong Yu suddenly popped up a set of winning numbers in her mind, and she didn't know when she saw the winning information, in this parallel time and space, this set of numbers may not be able to win the lottery.

But the time and place are favorable, and she is not short of the few dollars to buy lottery tickets, so she dragged Chu Jianwen inside.

Chu Jianwen's eyes widened, and he said in astonishment:

"Doctor Zhong~ You still have this opportunistic hobby, and you have a wide way to make a fortune?"

Zhong Yu said with a smile: "I don't have a good relationship, God may give me financial luck to compensate, how can I know if I don't try."

Chu Jianwen complained ruthlessly: "I believe you are a ghost~ However, how can I have the opportunity to achieve financial freedom, I will also buy it."

Zhong Yu likes such friends who are not disappointing, after the two enter the store, they meet in front of the counter and lie down together to write numbers, and from time to time they discuss hotly.

Coming out of the store, Chu Jianwen solemnly put the lottery ticket into the pocket on her chest, and she said in a chattering voice:

"Put the lottery ticket on my chest, so that the God of Wealth can feel my full sincerity, so that his old man's fingers leak a little, and I will not worry about eating and drinking."

Zhong Yu shook his head and smiled, "Okay~ Before the God of Wealth favors you, you have to invite me to dinner first, haven't you arrived at the barbecue restaurant yet?" ”

Chu Jianwen raised his hand all the time, "Oh~ That's it, their beef quality is good, and the seafood tastes amazing, you can definitely like it." ”

The two of them didn't walk a few steps to the barbecue restaurant, and as soon as they entered, a waiter in black uniforms greeted them warmly, led them to their seats, and then brought the menu to them to order.

Chu Jianwen flipped through the menu and asked as if unintentionally: "Little brother~ Isn't your boss in the store today?"

The waiter brother smiled and said, "Our boss went to pick up the ingredients, and he will be back in a while."

Chu Jianwen was happy, pointed to the signature dishes on the menu, and said briskly:

"Bring you all these delicious foods, and get me some more lettuce."

The little brother smiled and nodded in agreement, and after he left, Zhong Yu smiled and said:

"You don't mean to be drunk, so you can't be the boss of someone else, right?"

Chu Jianwen scalded the tableware with boiling water, and said stiffly:

"Nonsense, I just purely appreciate the boss's face, and I definitely don't have dirty thoughts."

Zhong Yu reminded: "There are a lot of people in Jinyu who are ruined on the outside, and you can play and make trouble, but don't put yourself in it."

Chu Jianwen said confidently: "I have already investigated the boss's bottom, and I have been addicted to it, and I have no other thoughts."

You can easily investigate the background of the family, and the Chu family is not simple, so Zhong Yu will not say more, and turn his head to appreciate the decoration style of the store.

Probably because of the coastal cities, the culture here is mixed, the traditional culture is well inherited, and the Western culture is also admired.

Except for the local dialect that Zhong Yu didn't understand a little, the rest of the adaptation was good.

It's not the peak dining season yet, and there aren't many customers in the store, so the food is served quickly.

The waiter grilled all kinds of ingredients on the charcoal fire, and it was very appetizing to watch.

Chu Jianwen took a piece of roasted beef tongue and put it in his mouth, and said with satisfaction:

"These things are what people eat, and the food in the cafeteria is hard to swallow~"

It's not as exaggerated as she said, Zhong Yu is used to eating in the cafeteria, and he doesn't feel too much.

Chu Jianwen wrapped a piece of meat with lettuce and put it in his mouth, and said vaguely:

"It's a pity that you don't drink, otherwise we will have a drink, and then it will be pleasant."

Zhong Yu put a small plum blossom octopus in his mouth and slowly chewed the deliciousness of the food.

After swallowing, he said, "I think it's good to drink some juice."

Chu Jianwen is not picky.

"If you like, when are you going to go back to Haishi? If you want me to say, you might as well jump ship directly to the General Hospital of the Military Region, the development of Haishi is limited, and you will stay there to succumb to your talents. ”

Zhong Yu's hand was stunned, and she hadn't considered this problem for the time being.

Leaving Nanshan Hospital, she had the strength to join the General Hospital of the Military Region, but she chose Nanshan Hospital by herself, and she didn't stay long before leaving, and she always felt that it was not suitable.

She frowned and said truthfully:

"I went to Nanshan Hospital for less than a year, so I picked my son and left, which is a bit unauthentic."

Chu Jianwen said with a smile: "People go to high places, water flows to low places, the cases you come into contact with in Nanshan Hospital and the ones you come into contact with in the military hospital are not of the same magnitude, even if it is simply for the improvement of professional skills, you have to choose a higher platform for development."

Chu Jianwen's words are not untargeted, and Zhong Yu himself understands it in his heart.

"There's no hurry about this, even if I want to leave, I have to wait for a doctor on the side of Nanshan Hospital, and how my mother and my brother will settle down is a problem."

Chu Jianwen knew that she was dragging her family with her, not that she could leave.

"Don't dare to say anything else, come here, your brother can go to any school he wants, I can handle this for you."

Zhong Yu smiled and nodded, "Don't worry, I'll discuss with them then." ”

asked her mother and younger brother to promise to come to Guangzhou to live with her, Zhong Yu really didn't know this sure.

Chu Jianwen knew that she had no other thoughts at the moment, so she simply changed the topic and said something else.

"Do you know who the god of neurosurgery in our hospital is?"

Zhong Yu shook her head blankly, she didn't even recognize the plastic surgeons, how could she know the gods of neurosurgery.

Chu Jianwen said mysteriously:

"The god of neurosurgery is Chief Physician Ji Xueli, don't look at his age, he has cured a lot of incurable diseases, he has also served on the front-line battlefield, although his temperament is a little colder, but his ability is really outstanding."

Zhong Yu thought of tomorrow's consultation, and couldn't help asking, "Then what should I pay attention to when I go to the neurosurgery consultation?"

Chu Jianwen snapped his fingers, "Na~ I'll ask the right person if you ask this, I have interned with Ji Dashen later, and I must not talk nonsense when I contact him for work, and besides, he is afraid of noise and hates to talk about gossip in the operating room, in short, it is right to cooperate with him, do more things and talk less." ”

Zhong Yu made an OK gesture, anyway, she didn't know anyone well, so she couldn't ask for too much nonsense.

The two of them ordered a lot of dishes, and they unconsciously consumed most of them while eating and chatting.

Zhong Yu drank lemonade from a cup, and when he raised his eyes, he saw an elegant-looking and handsome man, who was walking over with a tray, and he bowed politely to Zhong Yu first.

Then bent down to put the tray down, Chu Jianwen hurriedly put down the chopsticks, and said familiarly:

"Boss Yang is really a nobleman, and it's not easy to see you."

Yang Zheng smiled with a tolerant face, he sat next to Chu Jianwen, and said in a warm voice:

"This salmon was just delivered, and it is of high quality, so it should be considered as an atonement for your sins."

Chu Jianwen nodded and accepted it, and said without hesitation: "For the sake of your sincerity, I will forgive you this time."

Zhong Yu sat aside and listened quietly, these two people didn't look like the relationship between the boss and the customer, but they didn't ask too much.

Chu Jianwen chatted with Boss Yang for a while, and then remembered to introduce the two to each other.

When Yang Zheng heard that Zhong Yu was a surgeon, he also specially asked her questions in several professional fields.

Zhong Yu explained to him very patiently, if it wasn't for the clerk looking for him, I was afraid that he would not leave.

When Yang Zheng left, Chu Jianwen smiled and said, "How is it, is he good-looking?"

Zhong Yu nodded, the appearance alone is indeed good.

Chu Jianwen looked proud, "He is not an embroidered pillow, in addition to being the owner of this shop, he is also very good at drawing." ”

Zhong Yu was a little surprised, "Do you really want to develop a relationship with him?" ”

Chu Jianwen was not shy at all, she said generously:

"He's still in the testing period, and he has to look at his character again to decide."

This girl is also cautious, Zhong Yu doesn't have to worry about reminding her.

When they came out of the barbecue restaurant, their stomachs were enlarged, and they walked around for a while before they felt comfortable, and Zhong Yu simply stopped eating at night.

Early the next morning, Zhong Yu checked the room, changed the medicine for Cheng Ye and Patient No. 10, and went to the neurosurgery department to participate in the consultation.

So far, she has not figured out the location of the hospital, so she can only follow the signs and look around, and it took a long time to find the meeting room of the neurosurgery department.

By the time she had passed, everyone else had arrived.

Zhong Yu was a little embarrassed to explain to Ji Xueli on the main seat.

"I'm sorry, Director Ji! I wasn't very familiar with the location of the hospital, so I was late. ”

Ji Xueli pushed the glasses on the bridge of his nose, glanced at Zhong Yu sharply, bowed slightly, and motioned for her to take a seat.

After sitting down, Zhong Yu breathed a sigh of relief, Director Ji's eyes were really stressful.

The doctors who came to the consultation were all the best in the hospital.

Because they are military doctors, they all sit extremely upright.

Zhong Yu also subconsciously straightened her waist, she didn't know most of the people around her, but everyone was quite friendly to her, and they all smiled at her to show friendship.

Ji Xueli still looked unsmiling, and he said in a clear voice:

"Recently, the department has sent a new patient with frontal orbital injury with cerebrospinal fluid leakage who has undergone surgical treatment, and I want to discuss the surgical plan with you, and you can look at the medical records first."

While he was talking, someone started handing out medical records.

Although Zhong Yu specializes in plastic surgery, it doesn't mean that she doesn't understand neurosurgery, after all, she has also gone to neurosurgery for an internship, and since Director Ji called her, it must have his intentions.

Zhong Yu lowered his head and looked at the relevant medical records carefully, if he could let them come for a consultation, the situation must be very complicated.

The bony anatomy of the frontal orbital region is complex and is formed by the frontal bone, frontal sinus, orbital bone, ethmoid ethmoid sinus, and sphenoid sphenoid sinus.

Direct force on this site can easily cause injury to ethmoid ethmoid sinuses and sphenoid sphenoid sinuses, and the opening of the sinuses after fracture injury can easily cause infection and cerebrospinal fluid leakage.

Frontal orbital injuries are complicated and complicated by surgical treatment, and the problem is indeed a bit tricky.

Ji Xueli raised his wrist and looked at his watch, and when he saw that the time was about the same, he asked:

"If you have any opinions, you can say them and discuss them."

Dr. Mo of the Department of Neurosurgery was the first to speak, advocating the use of periskull flaps to repair anterior basilar skull fractures because they are easily accessible, rarely require additional incisions, and quickly integrate into surrounding tissues.

Some advocate the use of endoscopic surgery, while others advocate craniotomy.

In short, each has its own reasons, and for a while, the conference room was constantly talking.

Zhong Yu was as quiet as a chicken, silently listening to everyone's arguments without saying a word.

Ji Xueli frowned slightly, he had expected all the plans mentioned by everyone present, but they all had varying degrees of flaws.

Turning his head, he saw Zhong Yu looking like an outsider, his eyes narrowed slightly, and he raised his voice slightly and said:

"I wonder if Dr. Zhong has any other dissenting opinions?"

Zhong Yu was caught off guard and was named, she looked at Ji Xueli a little confused, fortunately she already had a draft in her heart, and after being dazed for a second, she stood up and said slowly:

"The success of endoscopic skull base reconstruction techniques depends largely on the efficacy of CSF leaks. Cerebrospinal fluid leaks, whether spontaneous or traumatic, were previously repaired with free grafts. Despite the use of multi-layered closure techniques, the use of cell-free tissue transplantation often leads to unacceptable postoperative complications, including postoperative cerebrospinal fluid leakage, infection, encephalocele, seizures, and even death. ”

As soon as Zhong Yu's words came out, the room was quiet, and what she said was a reality that everyone did not want to face.

Ji Xueli also agreed with her words, nodded and motioned for her to continue.

Zhong Yu glanced at Ji Xueli, and then said seriously:

"Whether it's craniotomy or endoscopic surgery, the use of pedunculated vascular tissue flaps for skull base reconstruction appears to be more advantageous."

Ji Xueli shook the pen for a moment, his face was unprecedentedly solemn, and he asked solemnly: "How can you see it?"

Zhong Yu was not stunned at all, and still said calmly:

"In order to solve the above problems, I have used a pedunculated nasal septal flap in clinical practice, which has made a breakthrough in reducing cerebrospinal fluid leakage and significantly reducing the incidence of postoperative complications."

Her remarks were loud and loud, causing everyone to talk about it.