Surgeons dressed as poor people in the Republic of China

In the afternoon, the large conference room in the temporary rescue center of Jihe Hospital was extremely lively.

Surgeons from various hospitals in Shanghai gathered together to discuss the replantation of the amputated palm in the morning.

"Severed fingers, severed palms, and severed wrists are generally these three methods, and the methods are similar. Among them, the most difficult and most critical is the anastomosis of blood vessels and nerves."

There is no blackboard in the large conference room downstairs. Richard and others specially moved a large blackboard down from the second floor. The chalk touched the blackboard and made a "creaking" sound. "Vascular anastomoses are usually performed under a surgical magnifying glass. Doctors need to be familiar with the delicate operation under the microscope."

"Surgical operations from rough to fine are inevitable in the development of medicine. Compared with the most basic debridement and suturing, precise repair and replacement should be the direction of our future efforts. Take the blood vessels in the replantation of severed limbs as an example."

Dr. Ye persuaded Robert to write on the blackboard again, and blood vessels and sutures appeared vividly on the blackboard.

"The blood vessel suture can be anastomosed with two fixed points or three fixed points. Generally, the boundary is 4 mm. If it is less than 4 mm, use intermittent sutures, and if it is larger than [-] mm, use continuous sutures. If there is a large difference in the diameter of the distal and proximal blood vessels, the smaller diameter Cut an oblique angle, and then perform an anastomosis, maybe the blood vessels are intussusceptible, and the small-diameter blood vessels are directly inserted into the large-caliber blood vessels to trap them." Ye Yibai made a movement of wrapping his left hand around his right hand.

Russling discussions immediately came to mind in the conference room. The big doctors have done many more operations than Ye Yibai. Of course, they have also been involved in repairs. The sutures are performed according to the experience of the respective doctors. There is almost no summary of the fine repair, let alone Ye Yibai's summary method that is accurate to the millimeter.

Large blood vessels cover small blood vessels, such as expansion intussusception, direct intussusception, and opening an opening directly on the wall of a large blood vessel to anastomose the small blood vessels. Among the big doctors present, none of them have tried that. It must be false, but in this era when surgery is basically suture and removal, too few cases and statistical data make it difficult for fine suture to form a solid theoretical basis.

None of them could speak it out at the meeting as an empirical conclusion with such confidence and confidence as Ye Yibai.

Is this a newborn calf not afraid of tigers?Some great doctors can't help but have such thoughts in their minds.

However, without waiting for them to ask questions, Ye Yibai continued: "If the patient has too many vascular defects and cannot be directly anastomosed, then an autologous vein graft can be chosen."

Robert and Bonn had heard that Ye Yibai had completed a bypass transplant operation in Hangzhou, connecting the useless great saphenous vein to the femoro-popliteal artery, allowing it to replace the blocked femoro-popliteal artery to supply blood to the legs .

As for the replantation of severed limbs, Ye Yibai once again put forward this theory. Although transplantation and replacement are only veins replacing arteries, all the doctors present are great doctors who have been working in surgery for a long time. , Then other operations are also possible.

Surgery is a science related to life. Practitioners are always in awe of it. Its development is like the growth of an electrician. At the beginning, it only dared to repair what was broken carefully. Without tools and replacement wires, it was helpless. However, an experienced electrician cuts a section from the side without replacing the contribution, and shortens both sides a little, and it can still be powered on as usual.

And what Ye Yibai is conveying to these great doctors is this concept. We need to be in awe of life, but at the same time, we can give full play to our subjective initiative as much as possible in the operation. , Recover blood, all roads lead to Rome, if one road is blocked, you can connect another one, at most, the road will be detoured and blocked, but you can still reach the end in the end.

"The ratio of arteriovenous anastomosis is at least 1:2. Of course, if there is more time, we can anastomose more dorsal finger veins. If the reflux number is good, the chance of postoperative limb swelling will be reduced accordingly."

Ye Yibai seems to have returned to the time when he shared cases with colleagues in medical forums in his previous life. The large conference room was filled with the top group of surgeons in Shanghai and even in China.

Although they lagged behind Ye Yibai in many medical concepts due to the reasons of the times, their experience for so many years was not in vain, and Ye Yibai was also very surprised by the ideas put forward by many great doctors.

Everyone came and went, pouring out all the confusion and experience they encountered in the process of practicing medicine, and the atmosphere became extremely lively. From the simple replantation learning sharing session to the medical seminar, when Qiao Na knocked on the door and came in Reminder that when it was time to get off work, all the people in white coats still looked unfinished.

"Actually, I think this model is good. We can get together every once in a while. At our stage, in Huaguo dialect, it is difficult to make progress behind closed doors." Dr. Duran said.

As soon as these words came out, many white coats resonated.

"That's right, once every three months or half a year. I think the results of our discussion this afternoon are comparable to my one-year operation."

Lin Tongsheng and other Huaguo doctors also blushed slightly on their faces. He exhaled lightly and sighed: "It's hearty, I didn't expect that medical practitioners like me can also experience the joy of bosom friend .”

"What Boya Ziqi, stomatology?" Dr. Michelle, who was sitting opposite Lin Tongsheng, asked doubtfully.

Lin Tongsheng: ...

"Kabed, what do you say?" Duran looked at Dean Kabed.

Duran is the vice president of St. Mary's Hospital, and he also has an honorary title in the French Concession Ministry of Industry. Although this group of white coats does not participate in specific affairs, if they really speak together, their strength is definitely not weak.

"A medical seminar? That's a good idea, so let's discuss it?"

The leaders of several hospitals began to discuss the matter of the medical seminar. Hearing the suggestions put forward, Dr. Ye couldn't help showing a gentle smile on his face. It's been a long time since the medical forum.

When the discussion was almost over, Ye Yibai and Richard walked out from the back door of the meeting room.

The two of them were discussing Lisa's facial skin graft surgery that was going to be performed tomorrow. When they reached the nurse's desk, they saw little nurse Lily lying on the nurse's desk and crying for more than an hour. Yes, we all cried and hiccupped.

Richard's heart overflowed immediately, "Oh, Lily, what happened?"

Lily, who was lying on the table, raised her head when she heard the words, "Hi~ Doctor Ye, Doctor Richard, hi~"

"Okok, speak slowly, don't worry? How about I get you a glass of water?" Richard was taken aback by Lily's red and swollen eyes and her hiccup.

Lily looked at the two of them and said, "It's Lisa, hiccup~ She heard that Dr. Ye is doing replantation of amputated limbs, let me push her out to have a look, hiccup~, pass by those on duty Hiccup~, little Lisa heard about Mrs. Thomas..."

"It's all my fault, if I don't push her out, little Lisa won't hear about this, hiccup~, it's all my fault." Lily sobbed again as she spoke.

Ye Yibai and Richard looked at each other, and both could see the seriousness in each other's eyes.

"Then little Lisa now? Alone in the ward?" Ye Yibai asked with a frown.

Lily shook her head, "The head nurse is there, she said I can only cry and get in the way, so she kicked me out, hiccup~"

Hearing this, Ye Yibai walked quickly towards Little Lisa's ward. Richard also wanted to follow, but he seemed to have thought of something. He stopped and took out a handkerchief from the pocket of his white coat, "Wipe it, there is still Don't blame yourself too much, it will happen sooner or later, it just happened to be met by you."

After speaking, he quickly followed Ye Yibai's back.

Ye Yibai walked quickly to the door of Little Lisa's ward. The ward was very quiet, without the screaming and crying that he had imagined, but Ye Yibai didn't feel relieved at all.

He pursed his lips tightly and quickly knocked on the door. Jona's voice came from the room, "Come in."

Ye Yibai opened the door and entered.

The room was very quiet. Qiao Na stood not far from the hospital bed, looking at the little girl lying on the bed and looking sideways out of the window.

"She has been so quiet since she found out about Mrs. Thomas, and I dare not leave, for fear that she will do something stupid." Qiao Na whispered in Ye Yibo's ear.

Ye Yibai nodded, and when he was pondering over his words and hesitating how to speak, little Lisa turned her head, looked at Ye Yibai, and asked in a very calm tone: "Doctor Ye, are you The last person to see my mother, right?"

"Yes, I was the last to see her."

Ye Yibai also looked at Little Lisa calmly. This little girl seemed to have matured all of a sudden. Seeing such gazes, all the words of comfort and avoidance in Ye Yibai's mind disappeared from his mouth.

He can probably face this girl with an equal and sincere attitude instead of treating her like a child.

"Can Mom still talk at that time? Did she say anything?" Lisa stared at Ye Yibai, her breathing seemed a little short.

Ye Yibai walked to Lisa's hospital bed, "I'm sorry, when I entered, Mrs. Thomas was not breathing, but her blood was still hot, she should have just left not long ago."

"I didn't even hear you." Lisa's eyes dimmed when she heard this.

"No, I heard it." Ye Yibai said softly: "The human body can speak. When I entered, Mrs. Thomas hugged you tightly. She curled up to protect you in her arms. In the end, they didn't let go, so when we finally carried you out, we had to forcibly break Mrs. Thomas's hand away."

"Once a person stops breathing, her body will slowly become stiff, so I'm sorry that I hurt Mrs. Thomas in the end." Ye Yibai said.

Little Lisa stared at Ye Yibai with red eyes, "Did you break mother's hand?"

Dr. Ye did not explain that it was actually the hand of the policeman. He nodded and said again: "Sorry."

"You are such a bad person!" Little Lisa's voice became sharp.

Ye Yibai still had that gentle expression, "I'm sorry, when I got into the car and saw your mother's appearance, I think the last words she said to me were, please, save my child, I am willing to help you He gave everything, including his life."

"So, even if I do it all over again, I will still make this choice, and I'm sorry."

Little Lisa looked at Ye Yibai and sniffed.

Doctor Ye handed her a towel from the side.

Little Lisa stared at him without blinking. After about a minute, she said with red eyes, "I can't move my hands."

A smile appeared on the corner of Ye Yibai's mouth, and he helped little Lisa twist her nose with a towel.

The moment the wet touch of the towel touched her face, little Lisa finally couldn't hold back her emotions and burst into tears.

"Mom! Mom! I don't have a mother!"

The crying of the little girl spread from the intensive care unit to the corridor, but Qiao Na and Ye Yibai in the room were relieved, and it was enough to cry.

Little Lisa continued to cry for more than half an hour, until she burped like Lily before she calmed down.

"Actually... Actually, I guessed it a little bit. If my mother wakes up, it is impossible not to see me for so long, and my father has visited me so many times. I never mentioned my mother, but I thought that my mother may have fallen asleep. , just like me a few days ago, but I didn't expect, I didn't expect..."

Heavy blowing of the nose.

Ye Yibai took the towel and twisted the little girl's nose again.

"Doctor Ye, where is my mother now?"

"The funeral home closest to Consulate Road, her farewell ceremony will be three days later."

"I'm going to see her off!" The little girl used an affirmative sentence.

Little Lisa is now on the ninth day after the operation. It stands to reason that after such a major operation, and her current state, it is not suitable for her to leave the hospital.

Seeing Ye Yibai frowning, little Lisa suddenly became nervous, "Doctor Ye, Doctor Ye, please."

Ye Yibai sighed softly, "After the facial skin grafting operation is postponed, I will check your basic physical signs in three days. If the data is normal, I will sign your leave slip."

Hearing this, little Lisa softened the lines on her face, "Thank you, Dr. Ye."

Seeing Ye Yibai looking at her in surprise, little Lisa curled her lips and muttered: "I said it on behalf of my mother, thank you for saving her daughter, her daughter is fine now."

"Then also say to Mrs. Thomas for me, her daughter is brave and wonderful, thank her for at least keeping me from watching two lives die before my eyes."

Little Lisa got under the quilt, expressing that she wanted to see off the guests, Ye Yibai also stood up very understandingly, and finally wiped little Lisa's face with a towel.

When Ye Yibai put the towel back on the bedside table, little Lisa suddenly turned her head and looked at the towel on the bedside table.

This is the towel she used to wash her face with! !Is this the one who just blew his nose? ?

Little Lisa on the hospital bed immediately showed a loveless expression. Sure enough, only her mother is good in the world. Whether it is her father or Dr. Ye, they can always do everything with a towel...

"Let the nurse's desk pay more attention. The little girl has a changeable mind. Take care of her these few days. If you have any questions, call my office." Ye Yibai came out of Lisa's ward and said to Qiao Na.

Jona nodded, "Don't worry, I will tell the nurse desk, and I will keep an eye on it myself."

"Oh, by the way, Dr. Ye, at noon, Dr. Bonn put a stack of books on the nurse's desk, and said what school exam is the day after tomorrow? You should know. He highlighted the key points for you, so you can read it quickly."

When Qiao Na repeated this passage, the expression on her face was also a bit wrong, Dr. Ye?The head of the surgical team of the Temporary Rescue Center, the exam?Can these words be put together?

The gentle expression on Dr. Ye's face gradually became stiff, yes, it's late May, and the make-up exam promised by Professor Bonn when I transferred to the department is coming...