Chapter 701 Brain surgery while awake

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 Arriving at the door of the operating room, Liu Maqiao saw the lawyer.

"Are you the lawyer Lu who is preparing to file a lawsuit? You are shameless! If you have a conscience, you should advise the patient's family not to be so evil and dark!"

Liu Muqiao gritted his teeth and said.

"Uh... you can refuse to operate on the patient!"

The lawyer was preparing to argue, but unexpectedly, Liu Maqiao didn't mean it at all. He walked while talking and had already entered the doctor's door.

Liu Muqiao could not refuse to perform surgery on others. It was his duty to save lives and heal the wounded. Besides, he was only prepared to file a lawsuit in the event of a medical accident.

Liu Muqiao didn't think he was very noble. He was very angry and really wanted to refuse the surgery.

However, after he washed his hands and put on surgical gown, the unhappiness he just felt disappeared.

Today is an operation while the patient is awake.

Liu Muqiao doesn't like this kind of surgery.

Too cruel.

Under local anesthesia of the scalp, the patient is awake and needs to make a sound every few minutes. If it had been anyone else, he would have been scared to death even before the operation.

Liu Muqiao decided to let the patient sleep for a while, and then wake him up when he needs to speak after the craniotomy.

The best way is to use agarwood resin.

Liu Muqiao has used it countless times. Now, he can accurately grasp the dosage and control the time, with an error of no more than 5 minutes.

After Liu Miqiao performed this anesthesia, Zhu Yaguang was so surprised that he didn't speak for a long time.

This is the most incredible thing he has ever seen, bar none.

How is this done?

Just put your hand in front of the patient's eyes and shake it, and the patient will feel as if he is under general anesthesia.

Of course he has to ask.

Liu Muqiao only said vaguely: "Do you believe in hypnosis?"

"Hypnotism? Are you hypnotizing?"

Liu Muqiao did not give a direct answer.

He doesn't know if there is hypnosis.

If there is, it belongs to psychiatry, not neurology.

"Let's stop talking when we start the operation," Liu Maqiao said.

"Do we still need to perform local anesthesia on the head?" the anesthesiologist asked quickly.

"Yes, my anesthesia is only effective for half an hour." Liu Miqiao only gave half an hour's dose. After half an hour, the patient needs to wake up and cooperate with the doctor.

Although there are many studies on the functional areas of the human brain, there are still differences between individuals.

During the operation, if the doctor wants to protect the patient's functions, he must continue tentatively.

The language center, body movement center, etc. all require the patient's cooperation to remove the tumor without damaging the important centers.

Liu Muqiao understands the brain much better than ordinary doctors, so his patients stay awake for a shorter period of time, which is about half an hour.

Half an hour is too cruel.

Liu Muqiao plans to control it within 20 minutes.

While operating a knife on someone's brain, he asked the patient to perform various actions. Liu Maqiao could imagine that this kind of thought was very bad.

Zhu Yaguang and the others often performed this kind of surgery in the past. The longest time they kept the patient awake was 4 hours.

"20 minutes, half an hour at most, we can't let others hold on for so long." Liu Maqiao said to Zhu Yaguang and others.

The skull is open.

This skull must be kept and placed in disinfectant, and it must be put back in the future.

The next step requires the patient’s cooperation.

"Wake up." the anesthesiologist reported.

The patient woke up within the expected time.

"Wang Dahu, if you cooperate with me and don't say anything, does it hurt?" Liu Muqiao asked.

"It doesn't hurt."

"Okay."

Liu Muqiao tested several more areas, and the patients cooperated very well.

Brain tissue is composed of nerve cells, nerve fibers and glial cells. The strange thing is that there are no nerve endings for pain and touch. Therefore, when a knife or pliers is used in the brain tissue, the patient will not feel any pain or sensation.

The operation continues inside.

"That's it. You can go to sleep." After Liu Muqiao said that, he asked the patient to smell the horsetail near the nose.

The patient fell into a deep sleep.

It became a teaching surgery again, with Liu Maqiao explaining and operating at the same time.

Zhu Yaguang himself is a very good surgeon, and he is a good surgeon at the Neuropsychiatric Hospital of Shanghai Medical University. After performing several operations with Liu Miqiao, he discovered his own shortcomings.

There are two main shortcomings. First, it is not standardized enough. Some basic operations have not been strictly trained in the past, and the movements are somewhat out of shape.

Second, the surgical path in the past was too wide.

To remove the tumor from the middle of the brain tissue, there must be a path. In the past, the paths they opened were relatively large.

After watching several surgeries performed by Liu Miqiao, he found that the path Liu Miqiao opened was much smaller.

This is a very important question.

There is no doubt that the longer the path, the greater the damage.

Later, he asked Liu Miqiao to explain the operation while he was doing it.

Liu Muqiao was very happy.

When the patient is awake, he cannot explain, and being overheard by the patient will be a lifelong shadow.

"Attention, I am starting to separate now."

Liu Miqiao reminded Zhu Yaguang and others that this step is a critical step. Many surgeries fail because the separation is not clean and eventually local recurrence occurs.

Liu Muqiao talked while doing it.

Zhu Yaguang and others have gained a lot.

Zhu Yaguang has gained a lot from every operation. If he keeps doing this, he will be able to surpass the big bosses at Shanghai Medical University Neuropsychiatric Hospital in less than half a year.

Tell me how happy he is.

I have a house, a car, and money...

The key is that the technology is there!

It was really the right decision to come to Antai Hospital.

The 60 beds in the three departments of neurosurgery managed by Zhu Yaguang are full. He is now looking for extra beds. He told Liu Miqiao that his target number of beds is 100.

The number of patients in the other two departments of neurosurgery is also around 60. It seems that the development of the neuropsychiatric center has exceeded expectations.

The key is that the development of neurosurgery is quite unexpected.

The 180 beds are already full.

The operation lasted four and a half hours.

Since most of the operations were performed under a microscope, even Liu Miqiao felt a little tired after a few hours, and it took a long time for his eyes to adjust.

"This operation should be said to be relatively perfect. Except for some damage to the language function, other functions are well preserved." Zhu Yaguang said.

"Did you know that their family members are preparing to file a lawsuit?" Liu Miqiao said.

"Knowing a little bit, they should thank us for such a good ending," Zhu Yaguang said.

Liu Muqiao laughed and said: "Thank you? Haha, you are overthinking."

After saying that, he handed over the finishing work to Zhu Yaguang, got off the operating table, washed his hands, and took off his clothes. He looked at the time and saw that he had just enough time to arrive at the acupuncture and massage department.

No matter how busy he is, Liu Muqiao will insist on completing the treatment of 10 patients every day.

Recently, Qin Meixiang has been more careful in screening patients, and the quality of the patients has improved. Nine out of 10 cases were typical lumbar and cervical spondylosis.

The more typical Liu Muqiao is, the more popularity he will gain.


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