Surgeons dressed as poor people in the Republic of China

"This is ectopic anesthesia. Has the hospital in Huaguo already applied it clinically?" Hope asked in surprise.

Ectopic anesthesia, that is, epidural anesthesia, even in their hospital is trying to promote it as a top anesthesia technique. At this time, the entire international anesthesia department has not established a separate discipline, even if it is one of the best in the world like Keston. There are not many full-time anesthesiologists in medical centers.

The theory of ectopic anesthesia has been valued by the medical community in the past few years, and it is something that very few large hospitals with top technology are trying to incorporate into the clinic. However, in the far east, in a hospital that has hardly been heard of, This technology has actually been routinized!

Looking at the way the nurses cooperated with Ye Yibai's operation very neatly without any doubts, Hope couldn't help but secretly startled.

This was a misunderstanding by Hope and the others. For the convenience of Ye Yibai, Tang Chuanfang provided him with old nurses who had cooperated with him last time. Anesthesia is no stranger.

"Basic anesthesia plus epidural nerve block anesthesia can minimize the side effects of patients after anesthesia, especially children and older people with weak metabolism. This anesthesia method is more suitable and less painful."

Ye Yibai threw the needle tube onto the treatment tray next to him, straightened up, "Well, it's done."

Push the person, pass the bed, fix the affected limb, spread the towel, and disinfect.

The shadowless lamp was turned on.

Zhang Hong's wound four years ago has hardly been treated. Although the surface has healed now, the surface is obviously uneven.

When the scalpel cut across the wound, Ye Yibai could clearly feel the blockage feeling different from cutting healthy skin.

With an incision of about 10 cm, the skin flap was smoothly freed from the predetermined osteotomy plane, and the joint capsule and flexor muscles were cut to expose the ankle joint.

Compared with neurosurgery, orthopedic surgery seems to be more open and closed, but in fact it is also a delicate operation. The bones are one centimeter long and one centimeter broken, and the angle is straight or bent by one degree, which can be clearly reflected in the postoperative life of the patient.

"This patient can really bear it?" After the periosteum was peeled off, the doctor who was helping Ye Yibai couldn't help but said.

Zhang Hong's lower third of the femur was severely deformed, and the severely deformed ankle joint had obviously compressed the surrounding tissues. Especially when walking, it was impossible to feel no pain, yet Zhang Hong endured it for four years.

"Chainsaw."

"Pull it out a little bit."

The electric saw makes an unpleasant sound. The surgical chainsaw at this time is not as small as the later generations, which requires doctors to be more careful and careful.

When the chainsaw touched the orthopedics department, it made a sound like grinding teeth, and the foreheads of several orthopedics department chiefs were covered with fine cold sweat. In the 30s, the development of orthopedics in Huaguo and even in the whole world was in a difficult initial stage.

Orthopedics is different from other departments. Most injuries in orthopedics are non-fatal, especially ordinary fractures and fractures. If you don’t have surgery, it may just be that you have limited mobility. Once you go to the operating table to expand the wound, the chance of wound infection increases instead. , In this era without antibiotics, increasing the chance of wound infection means increasing mortality. Between inconvenient movement and death, even doctors do not recommend surgery for patients.

In addition, Chinese medicine is very good at traumatology. For many minor ailments and pains, Chinese medicine for bruises is completely sufficient. Even for major bone injuries, there are many useful ointments that can help patients relieve pain.

Surgeons are trained. Without patients, there is no opportunity to practice. How can such a discipline develop.

There are many cases like Zhang Hong’s who did not treat the fracture in time. After the wound is completely healed, it is not life-threatening, but the mobility is limited. This kind of patient will not choose a second operation either because of economic reasons or because of ideas. This type of surgery is therefore extremely rare.

The two attending doctors fixed the wedge-shaped bone block drawn by Ye Yibai, and their hands were obviously shaking with the sawing of the electric saw. It's still great, change."

During the operation, Ye Yibai changed his usual gentle image, his cold eyes like a scalpel made the doctor in charge of fixing the bone even start to tremble.

The few foreign doctors who were discussing the condition did not show the slightest surprise on their faces. It is normal for the big doctor in the operating room to reprimand the young doctor. Which one of them did not have the experience of making a student cry, this one just Shaking and shaking, calm and calm can actually continue to work, but unfortunately... His superior doctor is obviously unwilling to give him another chance.

"Let me do it." Robert stepped forward, "I really dare not do this kind of osteotomy without anti-infective drugs. It is hard to say whether it will be cured or not. The chance of infection is too high for such a large wound." He couldn't help Exclaimed.

An expert can tell if there is one as soon as he makes a move. Robert holds the bone firmly with one hand like a pliers, and can even make subtle movement changes according to the angle of Ye Yibai's chainsaw to match the work of the chainsaw.

"Ziwu..." The chainsaw cut off the last node, retracted, lifted, the chainsaw and the bone were separated, and the sound of the chainsaw suddenly became lighter.

The little nurse quickly turned off the chainsaw switch, and a wedge-shaped bone was clipped onto the treatment tray very smoothly.

Zhang Hong’s fracture four years ago has not been professionally treated, so there is still a lot of scar tissue in the old wound that needs to be cleaned up, but this kind of tissue cleaning is not worth mentioning compared to osteotomy. His hands were as dexterous as his own.

"Steel needle."

"rinse."

The operation time passed by every minute and every second, Zhao Chun and others waited anxiously at the door of the operating room. When it was close to noon, Su Zhengyang and people from the Hangzhou Police Department also arrived. They came here nominally as the leader of Zhang Hong Condolences, but Zhao Chun knew in his heart that if it wasn't for his nephew and his powerful friend, how could Su Zhengyang, a powerful figure in Hangzhou, come to the hospital to care about the operation of an ordinary forensic doctor.

The appearance of Su Zhengyang made Zhao Chun's family's last worry disappear. With the personal visit and assurance of this big boss, Zhang Hong can spend these months of recuperation after surgery with peace of mind, without worrying about work and livelihood. question.

While Zhao Chun thanked repeatedly, her gratitude to Ye Yibai's family grew stronger. Thinking of her nephew's entrustment yesterday, she made up her mind to take good care of her sister-in-law and niece.

"Zhang Hong, Zhang Hong. Doctor Ye, he's awake!" The nurse shouted.

Ye Yibai took off his surgical gown, and discussed Zhang Hong's postoperative medication with several foreign colleagues in English. Of course, the most important thing was the usage and dosage of sulfonamide. Several colleagues said sorry, and walked quickly to the recovery area.

Just as Zhang Hong woke up from his lethargy, his consciousness slowly regained consciousness, but the nerve anesthesia had not yet passed, and he found that his lower limbs were completely unconscious. When the pre-operative nurse's pre-operative notification of the risks was heard, Zhang Hong's face A look of fear and fear was evident.

Ye Yibai has done clinical practice for so many years, and being a famous doctor at home and abroad requires more than just technology. A good surgeon requires technology to be the most basic, but humanistic care for patients is also indispensable. In his previous life, Ye Yibai and several colleagues went to the psychology department for half a month to study the psychology of patients.

For example, patients who wake up from this kind of anesthesia are conscious first but their bodies are still not in control. This situation seems to be common sense for many medical staff. Those who are introverted and honest don't dare to ask, they will scare themselves.

Ye Yibai walked quickly to Zhang Hong's side and held Zhang Hong's icy hand, "Uncle, the operation is over and the operation was successful. You have not passed the anesthesia yet, so you can't move yet. After a while the anesthesia passes." You can move."

Seeing his familiar relatives, Zhang Hong felt the warmth from his palms. His uneasiness and apprehension slowly dissipated. He nodded, with a smile on his face.

"Doctor Ye performed the operation himself. What are you worried about?" The little nurse next to him put in a smile while tidying up the things.

Ye Yibai smiled, not caring about the obvious flattery of these little girls, he patted the back of Zhang Hong's hand, "Go to sleep first, after the anesthesia passes, I'm afraid you won't be able to fall asleep."

Seeing Zhang Hong obediently and slowly closing his eyes, Ye Yibai turned around and said to the two little doctors who had changed their clothes, "Push it out."

"The door is open, open." Zhang Su'e had the experience of accompanying the operation. Knowing that the thing called the operating light at the door of the operating room was off, the person could be pushed out. Since the operating light was off, she has not blinked her eyes. Staring at the door of the operating room, he stood up suddenly when he heard the sound of the wheel of the cart touching the ground.

Zhang Hong was pushed out by nurses and doctors, and Zhao Chun and the others hurried forward.

"Bai'er, no, where is Dr. Ye?" Zhang Su'e stepped forward, first carefully sizing up her younger brother, she looked good when she saw her, and was about to raise her head to ask about the operation of her son, but found that Ye Yibai did not follow Zhang Hong's hospital bed. Come out together, so she asked quickly.

"Doctor Ye is talking to those foreign doctors. They should come out soon. Just wait for a while." No matter what era, those who can become doctors are those with extremely high education and IQ. It was impossible to guess the relationship between Zhang Su'e and Ye Yibai, so the answer was very respectful.

Zhang Su'e enjoyed the little doctors' respect for her very much. She smiled and said in Hangcheng dialect: "You have worked hard. If it is a big festival, I will help Bai'er to help his uncle operate. I will talk to Dean Tang carefully. Say thank you, I will ask Bai Er to invite you to dinner later."

The two attending doctors waved their hands again and again, remembering the scene of Dr. Ye's black face in the operating room, they looked at each other guilty, and firmly rejected the temptation to eat with Daniel.

"According to our clinical experience, the drug will be completely metabolized in the body in about 12 hours, so once every 12 hours, half a bottle at a time, for two consecutive days, can generally be controlled."

"Of course, very welcome."

Ye Yibai and Hope came out of the operating room while they were talking, just in time to hear Zhang Su'e's promise to the two little doctors, he chuckled lightly, and said, "Since my mother said it, then I won't be a guest. Don’t invite me, I didn’t have lunch at noon, let’s go to the small restaurant across the street to have a meal together, just wait for the surgery review, there are not many opportunities for orthopedic surgery, so you have to find out if you encounter one, so that you can make progress. .”

Two little doctors: ...