"Origins?"

"Thirty years ago, Lin Yin was a sophomore at the University of Medicine, and he was very familiar with many old professors. Later, he did not become a doctor, but returned to Laoyu Mountain to inherit his father's business and became a Taoist priest. ”

After all, he had studied medical medicine, and some sick people went to Laoyu Mountain to burn incense and ask for peace, so Lin Daoshi introduced him to several affiliated hospitals of the Medical University to find specialist doctors.

It became the rule to come and go. Just now I saw a person wearing a Taoist robe coming over, and I thought it was a patient who had encountered an emergency department in Laoyu Mountain. I'm still wondering, how come they even have an ambulance, can they make so much money as a Taoist priest?!"

"A misunderstanding. ”

Wu Mian didn't explain too much, he was not interested in Wei Dabao's origin at all, and he didn't think he was troublesome enough?

"Crown Shao...... Mr. Wu, what are you going to do for the surgery?"

"If the patient is very complicated, I will do spinal endoscopy under interventional guidance and make two clips. ”

Professor Sun didn't say much, the diagnosis and treatment of this disease are clearly written in the book, and the specific operation depends on the patient's condition. Even if you memorize what is written in the book, the operation may not be done.

Surgery is an empirical discipline and a handiwork, and no one can practice without enough cases.

Chatting briefly all the way, it was more about Chu Zhixi and Professor Sun talking about the patient's previous physical examination and judgment. Because he was not very familiar with Wu Mian, Professor Sun didn't ask much.

......

......

In the demonstration room, doctors from the Department of Neurointerventional Medicine and the Department of Neurosurgery of the Second Hospital of the Medical University were watching the operation intently.

The patient was a carefully selected patient with a relatively simple type 1 spinal arteriovenous malformation. Although it is relatively simple, the operation is not something that the Second Hospital of the Provincial Medical University can take.

Neurointerventional surgery has been carried out in China for about 20 years, and the original landmark watershed operation in neurosurgery - intracranial aneurysm resection has been taken down by interventional surgery, and the difficulty has been reduced by exponential orders.

But there are not many surgeries involving the spine, and this time the Second Hospital of the Medical University is also for learning, establishing contact with the imperial capital, and if you start business in the future, once there is something, someone can always ask for advice.

All the preoperative examinations have been completed, and there should be no problem with the operation, but Professor Hou encountered an unexpected situation after taking the stage.

Patients who were judged to be type I before surgery had an abnormality after the imaging - two very thin, twisted arteries were found underneath the originally simple dural arteriovenous fistula, forming a hidden arteriovenous fistula.

If you find something abnormal, you have to do it head-on. The operation, which was supposed to end in 2 hours, was forced to end for 8 hours.

The hidden artery is too thin, and Professor Hou keeps doing superselection, but the guidewire can't get in at all. If you ignore these two hidden arteries, the surgery is basically nothing.

However, there is no way to over-select the intervention means, and this is not the imperial capital, so there is no way to directly find a neurosurgeon to save the table.

The Department of Spine Surgery of the Second Hospital of the Medical University is done by the Department of Orthopedics, and the content is only in the lumbar intervertebral disc, etc., and no one is sure that the surgery involving arteriovenous malformation can be taken down.

So, Professor Hou sat on wax. He can only wear a lead coat, and he is over-selected again and again.

Even he was ready to do the operation, so he directly admitted his intention to return to the imperial capital.

After another attempt, the guidewire slipped sideways at the bifurcation of the blood vessels, and the narrowed hidden arterial branch could not be over-selected at all.

"Forget it. Professor Hou sighed, he suppressed the anger in his heart. If the operation didn't go well, you can't vent your anger on others.

Once some bad typhoon practitioners encounter problems, they will immediately get angry, all kinds of wrestling, and all kinds of fancy swearing.

Hou Jingru is not this kind of person, but he still has anger, and he really can't trust these doctors in grassroots hospitals in the future, and he repeatedly admonished himself in his heart. Yes, in Hou Jingru's eyes, the Affiliated Hospital of the Provincial Medical University is a grassroots hospital.

I can't figure out what else they can do before the surgery.

But the anger was already uncontrollable, and everything in front of him, including the nurse who came in in a lead suit, looked so obstructive to Hou Jingru.

Hou Jingru felt that the lead clothes on his body were getting heavier and heavier, and the lead skirt also had a tendency to fall off, and the lead mirrors he wore were full of water droplets, blocking his vision.

Everything is so irritating, everything is like dry wood added to the fire, Hou Jingru took a deep breath, suppressed his tiredness and irritability, he turned around and walked out of the operating room, and said in a deep voice, "Rest for 5 minutes and try again." ”

There was silence in the operating room and operation room, and everyone present knew that the operation was not going well, and the surgeon was in a bad mood.

The head nurse of the operating room carried a white bench, waited for Hou Jingru to come out, and put it in a comfortable place as soon as possible, so that Hou Jingru could sit down and rest for a while.

There was nothing to find fault with, Hou Jingru sat on the stool, praying that the last time he would have better luck. I looked up at the time, it was already half past eight in the evening, and the booked plane would definitely not be able to catch up, and the "consultation fee" had to be refunded to the patient's family.

This time, he ran out of the flying knife and stole the chicken and rice, why bother.

Carrying dozens of pounds of lead clothes, the construction site moved bricks for more than 8 hours, and I got up early today and arrived home at noon tomorrow...... Hou Jingru's heart was extremely hot.

However, he has not lost his mind, and it is a reputation to go out for surgery. Gentle and elegant, this is Hou Jingru's character design all along, and the character design cannot collapse.

Taking a deep breath again, Hou Jingru was ready to calm down, and went on stage to make one last attempt.

Just as he was about to close his eyes and recuperate, out of the corner of his eye, he saw a flat cart pushing a semi-recumbent patient inside.

"Our hospital is also very busy, and there is an emergency department at this time. Hou Jingru tried to calm down and said with a slight smile.

"Emergency patients sent from Bajingzi Township below. The director said.

"Go to the hybrid operating room inside?

Director Liao of the Department of Neurosurgery of the Second Hospital of ...... Medical University was stunned for a moment, hesitated again and again, and did not answer.

"Huh?" Hou Jingru heard Director Liao's hesitation and hummed suspiciously.

Director Liao stubbornly said, "An emergency patient suspected of neuraxial arteriovenous malformation with bleeding should have a contrast examination. ”

Hou Jingru's brows furrowed.

You can do a great job and invite me here! This is on purpose?! Thinking of this, all kinds of dirty things naturally came up like a tide.

Although this possibility is not very likely, emergency bleeding can be done, which proves that this high-end surgery has been carried out in the second hospital of the medical university for a long time. What did you say beforehand and yourself?

Hou Jingru's face became more and more ugly.