Chapter Twenty-Six: Surgery After Knocking Out
It is said that this Xu Dagongzi slightly yin Ye Nan, intending to drive Ye Nan, who was in the way, out of the Second Affiliated Hospital. However, what he didn't know was that with Professor Huang behind Ye Nan, he wanted to drive Ye Nan out, and this matter was not so easy! This Xu Dagongzi was also proud too early!
Second, Vice President Xu raised this issue at the hospital affairs meeting, saying that Ye Nan's behavior did not conform to the standards of a doctor and had seriously hindered the development of the hospital's regular work, and suggested that the hospital should dismiss such an unqualified doctor.
Originally, if Vice President Xu proposed this matter, it would generally be passed as long as there were no big problems. But about Ye Nan's "Shida hijacking case" this time, it is really a big impact, not everyone is not interested in this kind of entertainment news like Vice President Xu, there are still a few who have expressed concern about this matter, after all, the protagonist is a doctor in this hospital, and he still knows more about this matter!
It's just that they also regard this as a small thing, although there are a lot of reporters waiting at the entrance of the hospital every day, but it really hinders the work of the hospital, and what lacks the quality of a doctor, which seems to be a bit excessive.
Although I don't know why Vice President Xu would directly ask for the dismissal of a doctor for this trivial matter. However, they will not jump out against Vice President Xu's opinion for the sake of a small doctor.
Although Vice President Xu has only been transferred to the Second Affiliated Hospital for two years, it is said that he has some energy above, and there is no need to offend him for this trivial matter.
Seeing that several people at the council meeting did not object, Dean Hong Lang, who was sitting at the front of the conference table, was about to speak to indicate that the bill had passed.
After all, there is still a director of the medical department who is familiar with Ye Nan at the hospital affairs meeting, and this Director Wu is also a good person, although he has a good impression of Ye Nan, a young man, but he is generally unlikely to jump out against it!
But this time, he had to jump out to oppose this matter, and seeing that Dean Hong was about to make up his mind, he quickly coughed and signaled that he had something to say.
The members of the academy meeting all turned their heads to look at Director Wu with some curiosity, and secretly said How did this old boy change his surname today, and he planned to insert a leg, could it be that this Ye Nan still has something to do with him?
Everyone thought about it, this is also possible, after all, all new doctors need to pass his level, and the indicators for entering the hospital have been very strict recently, and this Ye Nan has only come in for a short time, so it is not surprising that it may really have something to do with him!
Looking at the puzzled and curious eyes of his colleagues and Vice President Xu, Director Wu cleared his throat and said with a faint smile: "I think it's better to be cautious about this matter, after all, there is no definite evidence to prove that Dr. Ye has violated the hospital's system, and there has been no medical error; only a few reporters are guarding the gate of the hospital, and this cannot be concluded that Dr. Ye has hindered the normal work of the hospital! So I think we should not be too hasty......
Hearing Director Wu's words, the members of the academy meeting all muttered in their hearts, this statement is true, but today how could you, an old fox, jump out to oppose this matter, it is strange, if this Ye Nan was brought in by you, this face still has to be given, as long as Vice President Xu has no opinion, let's put this matter aside!
Vice Dean Xu was also very strange, and said secretly: "If this is really the person who is arranged by Director Wu, he still has to give some face, otherwise he will make a notice to criticize this Ye Nan, and order him to take a month's long vacation, and then watch the after-effects!"
Director Wu knew that these people had been misunderstood now, so he hurriedly smiled bitterly and said: "Don't think about it, I didn't get this Ye Nan in, he is Huang Siping's proud disciple, and he arranged to come in! If Ye Nan is expelled, I'm afraid that all the people in our academy council will be scolded by him!"
"Huang Siping?" Several people present were all taken aback, and then they remembered that three months ago, the hospital council approved a report submitted by Huang Siping on a salary increase for a certain doctor in the psychiatric department, as if his name was Ye Nan!
That old man Huang is an old thorn that can't be touched, and he has always been extremely protective. In case he really provoked that old man, he dared to point at Dean Hong's nose and scold, but few people in the academy council were willing to provoke him!
At this time, even Vice President Xu was stunned, and he didn't expect that Ye Nan was Old Man Huang's person. Although he has only been in the Second Affiliated Hospital for two years, he also knows a little bit about the old boy's power, when he first came to the hospital to take office, he went to the psychiatric department to have a look, and sent a few words as an expert, but at that time, the old man Huang was extremely faceless to say a few words!
I didn't expect this matter to be involved with Old Man Huang, and I really didn't want to provoke him, but I just sent out my own words, and I wanted to suddenly shrink back, and this face would not be gone! Vice President Xu looked at the other people in the college meeting with a headache.
found that everyone was looking at him, waiting to see what he meant, after all, he brought it up, if he insisted, he would really provoke Old Man Huang at that time, and they would all push the responsibility on themselves!
Vice President Xu really has a headache now, although everyone knows that this old man Huang is not easy to mess with, but if he wants to take his words back like this, he can't hang on his face.
Vice President Xu weighed it slightly, and felt that it was better to punish Na Ye Nan a little bit according to what he had just thought, so that he would not offend the old man Huang too much, and also save his face!
He coughed twice and said with a smile: "Indeed, my proposal just now was a little hasty, and besides, the old man Huang still needs to give him some face, so let's give a notice of criticism, and at the same time, in order not to hinder the normal work of the hospital, order him to take a long vacation, and then go back to work in the hospital after this matter subsides!"
Everyone, look at me, I'll look at you, and said secretly: "Vice President Xu, you are really bold, you dare to provoke that old man Huang, I'm afraid that this matter will not end well!"
However, these people are all old fritters, and since Vice President Xu has said so, of course he will not remind him of Old Man Huang's awesomeness.
This Vice President Xu relies on his background is not small, and he can be regarded as a character who walks sideways in the hospital, and many people laugh secretly in their hearts, planning to watch a little joke when the time comes!
In this way, Ye Nan's criticism was decided, and the Ministry of Medical Affairs will issue a notice tomorrow.
At this time, Ye Nan, who was at work, didn't know that his efforts at work were easily rejected by a few people!
At this time, he was having a headache with this patient, and the patient had a headache, and he had a headache...... Of course, the patient has a worse headache than he does!
The patient held his head, moaned incessantly on the bed, and vomited incessantly, and several people next to him wiped their tears and persuaded: "Miao Sheng, you just listen to the doctor's words, do this lumbar puncture, if you don't do this lumbar puncture, the doctor can't be sure what kind of disease you are, and you can't stop your headache!"
But being persuaded by a few people, the young man on the bed shouted loudly while holding his head: "I don't do it, I just don't do it, no matter how big the needle is, it will definitely hurt, and you can't stab me to death!"
Ye Nan sighed and said secretly: "How can such a big person be afraid of injections, he really laughs to death!"
Speaking of this, Ye Nan felt funny, just went to work in the morning, and asked the ambulance to send this patient, I heard the family say that the main thing is that two days ago, he had a cold, and the effect has not been good after taking medicine for a few days, and the doctor asked him to take injections, but he just didn't shoot, because he was afraid of injections since he was a child.
So I have been staying up by taking medicine, but today, the cold and headache are getting worse and worse, and I have a fever and vomiting, so my family forcibly sent him to the hospital!
Ye Nan listened to the introduction of the family's condition, and looked at this performance again, and had some bottom in his heart, it is very likely that the cold caused the viral encephalitis, so the patient will have such a severe headache and fever, accompanied by this kind of vomiting with a squirting surname!
Next, Ye Nan carefully examined, the patient's pharynx was slightly red, the tonsils were not large, and no abnormalities were found in the heart and lungs; neurological examination, the double pupils were equal to large and equal circles, sensitive to light reflex, and the neck was resistant, Brudzinski's sign and Kruger's sign were all Yin, and the body temperature was 39.5 °C; basically, the diagnosis of viral encephalitis can be ruled out, and possible surnames such as cerebral hemorrhage can be ruled out, but it is necessary to do a lumbar puncture, and cerebrospinal fluid is extracted to confirm the diagnosis and assist in treatment.
However, the patient was extremely resistant to all kinds of injections, and even the infusion needle in his hand was persuaded by several people before the nurse let it in.
And when he heard that Ye Nan needed to use a big needle to insert it into his back spine, and what cerebrospinal fluid had to be pumped out, he refused to do so.
When Ye Nan asked his family to sign the surgical consent form for this lumbar puncture and came to do a lumbar puncture for him, he saw the large puncture needle in Ye Nan's hand, and this young man refused to cooperate, and resolutely resisted, and three or four family members couldn't catch it!
Now let Ye Nan hold the needle in his hand and stand aside, it was really a headache...... I think this is a must-do, if I don't do it, it is very likely to cause big problems for the patient!
If you don't use it, not only the patient's headache can not be relieved, but it may also lead to the aggravation of the patient's condition; the risk of the sick brain is quite high, because if the intracranial pressure is not measured and relieved by lumbar puncture, in case of a sudden increase in intracranial pressure, then it is very likely that the patient has brain herniation, once there is brain herniation, the mortality rate will reach more than 70%, and the patient will be extremely dangerous.
Seeing a few family members helplessly persuading on the side, the patient was still unmoved, even if he had a splitting headache, he did not agree to the operation!
Seeing this situation, Ye Nan reluctantly dropped the puncture needle in his hand, beckoned to the patient's father, and motioned for him to come to the office!
The patient's father followed Ye Nan into the office at a trot, and said anxiously: "Doctor, what can I do about this! He looks like this, I'm afraid he can't do it, can he not do it?"
Ye Nan sighed secretly, it seems that this young man's unambiguous surname is spoiled by his family, and even at this time, he is still afraid of the child's pain, and he is bargaining with the doctor!
Ye Nan shook his head lightly, looked at the other party and said solemnly: "You have to know that if your son doesn't have this operation, then our condition may not be able to be estimated and controlled, and it may even be life-threatening in serious cases." So, my opinion is that it has to be done!"
After that, he turned his head again, giving the other party some leeway: "Of course, if you don't want to do it, then you have to sign this refusal to operate, and if something happens to your son, you have to take full responsibility yourself!"
Hearing Ye Nan's words, the poor father was stunned for a while, and then understood what Ye Nan meant: If you don't do it, your son may die!
He tilted his head sideways, as if listening to his son's moaning of headache, and finally gritted his teeth and made a decision, he didn't dare to bet on his son's surname because his son was afraid of injections!
It's just that he still can't bear to say: "Doctor, of course we want to do it, but the problem is that he refuses, his strength is greater than mine, and we can't do anything about him! Doctor, can you give him hypnotic medicine?"
"Uh......" Ye Nan was really stunned, except for the mentally ill, he hadn't forced the use of hypnotic drugs on such a big person because he had to do such a minor operation!
Ye Nan thought about it, the situation is not too clear now, if you use hypnotics, I am afraid that it will affect the condition. But if you don't let the patient fall asleep, this operation really can't be done, and this is a troublesome thing!
Ye Nan thought about it, it seemed that he still had to find a way to solve it himself, and he was afraid that he wouldn't be able to handle it, so he smiled at the patient's father and said, "It's best not to use hypnotic drugs in your son's situation, but I can help you think of a solution!"
Ye Nan walked back to the ward with the patient's father with a worried face, kicked everyone else out, and stood in front of the patient's bed with a smile on his face.
Seeing that Ye Nan was coming, the patient didn't care about the headache, and threw the pillow on his bed desperately, while shouting angrily: "Don't touch me, if you dare to give me an injection, Lao Tzu will fight with you!"
Seeing this kind of young man in the little overlord mode, it seems that he doesn't even want his own life, Ye Nan sighed helplessly, reached out and gently caught the pillow that was thrown over, stepped forward, and gently slashed the little young man with a knife.
The young man was stunned for a moment when he received Ye Nan's hand knife, and then fell back lightly and fainted smoothly!
The father on the side, although he had already prepared in his heart, saw that his son fainted like this, and still stared at Ye Nan and said worriedly: "Doctor, my Miao Sheng is fine!"
Ye Nan smiled and shook his head: "It's okay, it's just that he fainted temporarily, and I can wake him up when I finish the operation, don't worry!"
After fainting the patient, Ye Nan called the nurse to bring a new lumbar puncture bag, and hurried up to start the operation.
Invited the patient's father out of the ward, while the nurse was making the final preparations for the surgical supplies, he secretly drew a forbidden talisman with his left hand, and then carefully placed it in the patient's seal hall, and poured the spiritual power of the Dao talisman into the Tibetan God Platform in the Purple Mansion, so as to completely seal the patient's divine consciousness, and he was not afraid of waking up halfway.
If the puncture is not smooth, it may take more than 10 minutes, but if the puncture is not smooth, it may require multiple repeats, which can take a long time.
If the patient wakes up during the operation, it will be a big problem. That's why Ye Nancai gave the patient such a forbidden talisman to ensure that nothing went wrong.
After doing everything, I saw that the nurse was still cleaning up the items, and knowing that the other party did not notice his small movements, I was relieved to set up the position of the patient who had fallen asleep for surgery.
Ye Nan carefully placed him on his side on the bed, so that his back was perpendicular to the bed, his head was bent forward and his chest was bent, and his hands and knees were close to his abdomen, so that his torso was arched. This increases the width of the intervertebral space and makes it easier for you to insert the needle.
Ye Nan used the fingers of both hands to compare the intersection of the iliac bones on both sides of the waist and the midline of the posterior spine, and selected the spinous process space of the 3rd ~ 4th lumbar vertebra as the puncture point. He began to pick up the complexed iodine swab handed over by the nurse and disinfect it.
As a rule, the disinfection range is controlled to 15 cm in diameter, and then a pair of sterile gloves are taken and put on neatly and in a standard manner.
After preparing everything, he motioned to the nurse to open the outer package of the lumbar puncture bag, then uncovered the inner layer by himself, took out the sterilized hole towel, and then extracted the 2% lidocaine handed by the nurse with a syringe, and carefully performed local infiltration anesthesia from the puncture point from the skin to the intervertebral ligaments layer by layer.
Although the patient's consciousness has been sealed by Ye Nan's forbidden talisman, Ye Nan still has to pretend to inject anesthetic into the patient, so as not to let the nurse find out that the patient is abnormal!.
Then, pick up the puncture needle about ten centimeters long, carefully fix the skin of the puncture point with the thumb and two fingers of the left hand, and hold the puncture needle in the right hand in the direction of the vertical back, slowly piercing from the 3~4 lumbar vertebrae.
When it was about 5 or 6 centimeters pierced like this, Ye Nan didn't feel an obvious sense of breakthrough, his brows furrowed slightly, and he said: "This kind of patient who is sleepy and doesn't know how to cooperate, it's really tricky to do this, this time it must be in a bad position, so there is a slight deviation in the place where the needle is inserted, and the needle cannot be penetrated smoothly!"
Seeing that Ye Nan furrowed his delicate eyebrows, knowing that this time it was not successful, the nurse next to him hurriedly and carefully straightened the patient's position so that Ye Nan could re-insert the needle.
Ye Nan smiled at the nurse and nodded, slowly withdrew the needle, and then carefully repositioned it with his fingers, and then slowly inserted the needle again along the lumbar interstral space.
This time I was lucky, after piercing 4~6cm, I felt that my hand was empty, and the resistance to needle entry disappeared obviously, Ye Nan breathed a sigh of relief, knowing that the puncture needle had successfully passed through the ligament and dura, and successfully reached the spinal canal.
Although it is estimated that it has reached the spinal canal, it is still not completely certain that the puncture will be successful, and this must be seen cerebrospinal fluid to count!
Ye Nan exhaled lightly, slowly pulled out the needle, and the success or failure was once again lifted, if the cerebrospinal fluid was still not seen, then it had to be re-punctured again.
However, it was obvious that Ye Nan was lucky this time, and as the needles slowly withdrew, a drop of colorless transparent liquid gently dripped out
Speaking of this hand knife, Tiannan himself has been infatuated for a long time, as early as this time last year, Ye Nan had this fantasy, at that time was also a patient, specializing in messing around, not obeying the doctor's instructions at all, and the family had no way to take him, at that time Tiannan really wanted to give him such a hand knife, and then forcibly carry out waist puncture after being stunned! But at that time, Tiannan just dared to think about it, if he really dared to do it, hehe was only afraid that after the operation, no matter whether it succeeded or failed, the hospital would have to open it, so this time Tiannan himself was so yy!
In fact, talking about that incident, it really made Tiannan nervous, and in the end he still didn't have the operation, so he quickly asked the family to sign it, and then he was brave enough to treat this patient for a week.
I was worried all day that week, for fear that something would go wrong, but I was lucky, fortunately there was nothing abnormal, and I was finally relieved that the patient was successfully discharged from the hospital
(To be continued)