The surgery itself isn't too difficult, and it's not too difficult – at least it's much simpler than aortic replacement.

Since ultrasound showed that Wang Li's vertebral artery already had a protrusion, this surgery could not be solved by endovascular intervention with less damage. Together, the two departments of vascular surgery and spine surgery took responsibility for the operation.

And Sun Lien continued to go back to work after Wang Li's diagnosis was confirmed - today is a night shift, and the work in the emergency department will be over for several hours.

The number of outpatient visits in the evening is still not too small. I don't know how many cross talk actors came in the waiting area outside today, but when Sun Lien was in the consultation room, he could still occasionally hear the laughter from outside - this kind of movement is very rare in the emergency hall.

finally stayed up until the end of work hours, and Sun Lien slipped into the emergency hall without saying a word, wanting to see which cross talk actor was performing now.

"I told you yesterday that I can't yawn......" In the emergency hall, two big brothers with Northeast accents who looked a little tiger were chatting, and one of them complained to the big brother next door, "Why did you yawn hard after taking sleeping pills today?"

"I'm fucking sleepy when I drink, and you don't know!" the other big brother widened his eyes angrily, "Then you have to pull me to drink!"

"Where can I eat skewers without drinking?" The eldest brother who couldn't yawn looked taken for granted, "If you don't drink when you eat skewers, you can eat leather shoes." ”

The two Northeast brothers who have a good relationship with each other raise the bar, and the effect is indeed not much different from cross talk. And Sun Lien happened to see the head of the eldest brother who couldn't yawn, and immediately understood what was going on here.

There is a line of words on the eldest brother's head that is very conspicuous, "mandibular joint ligament injury". And looking at the rest of the time, this symptom has lasted for more than ten days.

After the eldest brother, who couldn't drink, raised the bar a few times, his face suddenly changed and he was about to twist his face, but his movements were still a little slower - after a huge yawn, he suddenly scolded angrily, "!"

Then the eldest brother, who couldn't yawn, also changed his face greatly, and he pinched himself several times in a row, but he still couldn't hold back, and at the same time yawned heavily.

Then the mouth kept open, and it couldn't be closed.

Silenced laughter began to ring out again. The eldest brother, who couldn't keep his mouth shut, glared at his old friend on the side angrily, then stood up familiarly and walked to the side of Dr. Cao Yanhua, who was already laughing and began to cover his stomach. Reach out and point to your cheeks, and then have a resolute expression of "you do it".

Dr. Cao took a pair of latex gloves from the nurses' station and put them on, then twisted his eldest brother's chin and gently pushed it back into place, and then smiled, "Big brother, otherwise I'll fix it for you with a bandage." You've dislocated four times this time—you'll have to pay four times for four manual resets. ”

"You wrapped my mouth around me, I can't even talk back when he scolds me!" The eldest brother held his chin and said in a voice of gritted teeth, "Isn't this Wang Ba calf still waiting to see the doctor, I left him and left, isn't this authentic!"

"I just twisted my foot and went back to lie down for two days. The eldest brother, who couldn't drink, covered his mouth and shouted, "You dragged me to the hospital!"

"You came out with me to drink and twisted your foot, I let you jump home, your daughter-in-law can't think that her man was taken by the rabbit?"

The laughter around them rose again. The two eldest brothers looked quite proud, and the two arched their hands to the four sides, and the eldest brother holding his chin shouted, "Old and young masters, we are still a little quieter—otherwise the little nurse will be unhappy for a while, and give us two more slaps, then I will have to pay again." ”

The price of a manual reset is 120 yuan. The eldest brother obviously accompanied his friend to see a doctor, but when he turned left and right, his friend's foot had not been looked at by the doctor, so he paid the treatment fee three times. And now I have to hold my chin in both hands to do it for the fourth time. This kind of living scene, Sun Lien has never seen it in his life anyway.

"Are you off work?" Dr. Cao Yanhua wiped his tears from laughter, beckoned to Sun Lien happily, and then lowered his voice and said, "This night shift is so exciting—I've never seen such a fun two Northeast people in my life." ”

"That's because the Northeast people in the Spring Festival Gala are generally three together. Sun Lien calmly complained and asked, "This habitually dislocated eldest brother is not registered?"

"It doesn't matter to him — he just can't keep his mouth shut. The corners of Cao Yanhua's mouth twitched upwards again, he quickly rubbed his already sore face, and then said, "I have palpated it before, and there is no bone problem, it should be a habitual dislocation." It's not a big problem, but to cure it, you have to use a knife on your face. Of course he wasn't very happy. ”

Habitual dislocation itself is not much of a threat to a person, and a dislocation of the lower jaw is even less harmful. Although the ligaments of the lower jaw will become more laxity in one dislocation after another, after all, it will not pose any life-threatening to the patient. More likely it is that it will bring inconvenience to patients in life.

In the most severe cases, habitual dislocation of the jaw may cause the patient to dislocate both when eating slightly harder foods. This has a big impact on quality of life. The procedure is a little more complicated – it involves cutting off a portion of the patient's ligaments and additional reinforcement of the joint capsule.

Sun Lien himself has little contact with the doctors of oral and maxillofacial surgery, and he does not know much about this professional surgery. But one thing is for sure – as long as ligaments are involved, none of the surgeries are easy to do. In addition, as a traumatic treatment, it is inevitable that the original body will be damaged during the operation. The nerves of the human face are dense, and if they are damaged due to various reasons during surgery, it will naturally lead to very serious consequences.

In order to deal with joint problems, whether it is cost-effective to end up with facial paralysis or not, everyone has a different answer to this question. But regardless of whether the big brother who is now holding his chin is willing to take this risk - this is not an emergency surgery that should be dealt with.

If it is not life-threatening, the surgery will be performed electively. And the better prepared the doctors, the more likely the surgery will be successful. Anyway, the patient's symptoms are already so severe that they will definitely dislocate with a yawn, so the longer the operation is prepared, the better.

"I've already made an appointment for him to be hospitalized outside the mouth and jaw, but I don't know when he will be able to vacate the bed over there. Dr. Cao Yanhua stretched, looked at the sky outside, and suggested, "You don't have a date at night, do you?"