Liu Muqiao had just finished an operation and was about to return to his dormitory when the door opened again.
"The director said, don't leave. Another bleeding patient has arrived and needs emergency surgery." The resident doctor held a puncture kit in his hand.
The intensive care unit has been adjusted and has been increased to 30 beds. Every puncture patient will be transferred to the general ward or the hospital's intensive care unit after three days.
The patient came in.
Liu Muqiao picked up the CT scan and looked at it seriously.
This is the most critical step.
Once you see clearly, you will have a clear three-dimensional image in your mind, and there will be no possibility of puncture failure.
"Brother Zou, come here." Liu Miqiao should have called Dr. Zou, teacher, but Zhao Yilin made it clear that Dr. Zou was Liu Miqiao's apprentice, which made it awkward. In the end, the two of them discussed it and treated each other as brothers.
Dr. Zou said excitedly: "Okay, this is the tenth one I've made. I'll treat you to a late night snack later."
"This is a bit difficult. Inserting the needle according to the old method will damage some visual nerve fibers. I am considering inserting the needle from the temporal lobe." Liu Miqiao is still looking at the CT film.
"From the temporal lobe?" Dr. Zou was slightly surprised. He had never tried it before.
"Turn off the air conditioner." Liu Maqiao turned around and said to nurse Wang Yi.
He needs absolute silence.
When Dr. Zou inserts the needle, Liu Miqiao has to listen. He has to concentrate highly and listen to the subtle sound of Dr. Zou inserting the needle. This kind of sound cannot even be heard by Dr. Zou.
Liu Muqiao Neng.
However, there is indeed no sound, but he can, or in other words, can sense it.
This is what the master-level piercing skill looks like when it reaches its peak.
Liu Muqiao has punctured more than 10,000 times - including venipuncture, and he has completed all the training required for the master level.
Dr. Zou is ready.
"Is it okay?"
Liu Miqiao approached the patient's head and nodded.
After piercing the dura mater, Dr. Zou slowly advanced, and his hand has now basically reached a stable entry-level level.
"Stop!"
Liu Muqiao gave a light drink.
"There are blood vessels in front, very thin blood vessels. Do you feel that the fluctuations have increased?"
Dr. Zou was attentive and confused for a long time, "Yes, I feel it."
"Okay, move slightly to the left, okay, let's insert the needle."
The puncture needle was slowly advanced again.
"Stop. Feel it. Now you are entering the nerve nucleus. When you pierce the neuron cells, there will be a slight explosion feeling. Please feel it carefully."
Dr. Zou's expression became more serious. As he advanced, he changed from solemn to disappointed to happy, "Oh oh oh, I feel it."
"You have a pretty good talent." Liu Maqiao expressed his sincere appreciation.
Suddenly I felt a sense of disappointment.
Arrived at destination.
Dr. Zou already has a lot of experience in what to do next, Liu Maqiao only needs to watch from the sidelines.
From now on, for hematomas of more than 40 milliliters and regular locations, Liu Miqiao will hardly need to do anything, and Dr. Zou will handle them.
This is both Liu Muqiao’s idea and Zhao Yilin’s idea.
Recently, lower-level hospitals or neighboring units usually transfer patients with small hematoma to Antai Hospital. This is a kind of trust and responsibility.
Trust is trust in Antai Hospital. So far, no puncture patient has died. Especially for puncture of small hematoma, not only has the complications been greatly reduced, but the hospitalization time has also been shortened by two-thirds.
In order to be responsible for patients, many hospitals are willing to transfer patients to Antai Hospital.
However, there is a condition that other hospitals must survive. They require that patients be transferred back during their recovery period.
Zhao Yilin is eager to do so.
He was worried that there was no bed space. If he were not afraid that the patient would be in danger during transfer, he would have wished to transfer him back on the same day.
This trend is obvious.
When minimally invasive surgery was launched for almost a month, the number of surgeries performed by the Department of Neurology per day reached 7. And most of them were small hematomas.
Small hematomas are not considered emergencies and can be elective. However, Zhao Yilin does not want to wait. Usually when the patient arrives and the necessary examinations are completed, he will arrange for a quick operation.
Liu Muqiao is relatively passive. Generally, except from 8 am to 12 o'clock in the morning, he may be recruited by Zhao Yilin at any time.
Therefore, it is a pity that Liu Miqiao did not learn a lot during his internship in pediatrics.
From now on, I have to go back to the drawing board when I have time.
Cleaning the hematoma went smoothly. Dr. Zou flushed out a hundred milliliters of fluid without saying a word. According to the principles of neurology, do not overdo it. Therefore, after the blood color faded, the operation was basically over.
"Brother, what you just taught me feels like a new world. Being able to feel the pulse of arteries and feel the nuclei of nerves is a qualitative breakthrough for me."
Liu Miqiao smiled and said, "I suggest you get in touch with the slaughterhouse and get a few fresh pig brains every day to practice acupuncture. Although you can't feel the blood vessels, you can feel the difference between nerve fibers and nerve nuclei."
"Hey, this is a good idea. I will go to the slaughterhouse to contact you tomorrow."
Zhao Yilin came in.
"You did 7 exercises today, are you tired?"
"It's okay." Liu Maqiao said.
He now has six Huiqi Pills, only two of which he has used, and there are four left. He is reluctant to use them. Although he sometimes gets up in the middle of the night, he is still young and can stop as long as he can.
"Dr. Zou, did you do this today?"
"Yes, Director, I gained a lot today. I can feel blood vessels and nerve nuclei."
"No way? So magical?"
"Really, Liu Muqiao told me a secret. Use fresh pig brains to practice. This method must be good. I am going to practice with three thousand pig brains."
Zhao Yilin chuckled and said, "Okay, the cost of buying pig brains will be reimbursed by the department."
He is indeed happy. Once Dr. Zou is good at practicing, he will no longer have 7 patients a day, but maybe 17.
Haha, Sima Lin Yi, by then, you will be nothing in my eyes!
"Oh, by the way, I'm here to inform you, Liu Muqiao, that there will be a biopsy tomorrow. In the morning, you and Teacher A Ling will take a leave and someone will come to visit." Zhao Yilin turned to Liu Muqiao and said.
Now, the Department of Neurology is preparing to launch a brain tissue biopsy project that is not guided by CT. As a scientific research topic, the hospital has organized several people to evaluate it.
This project is very risky and controversial. If it is carried out without authorization, it will be very troublesome if something goes wrong.
Liu Muqiao hummed.
He has done four of them so far, with a 100% success rate.
However, four, the number of specimens is too small to explain the problem at all.
"You should go to bed early tonight and keep your eyesight. You must be in good condition tomorrow. Song Baibai, do you know him? You should have met him during the last consultation in the Department of Neurosurgery. He is a famous biopsy expert in the province. So far,
His biopsy success rate reached 98.7%. He is tomorrow's examiner."
"Oh, Song Baibai, I know, he seems to be a little hostile to me." Liu Muqiao said.
"It's normal."
"I understand too."
"He immediately rose to the top, and he will definitely take over as the director of neurosurgery. Since we launched minimally invasive puncture technology, the number of patients in neurosurgery has shrunk by 20%. In the past, many patients with severe bleeding were admitted to their department. You robbed them
Food. This is also a reason."
Liu Muqiao pushed up his glasses, touched the tip of his nose, and smiled slightly.
"Ignore them! Take other people's path and leave others with no way to go. After three months, the situation will be clearer. Maybe their neurosurgery department will thank us."
This chapter has been completed!