After dinner, Qi Yue took Yan'er over here for further inspection.
Ah Ru habitually picked up a pen and paper and took notes. Ah Hao and Que Zhi also came over and listened carefully.
It was not the first time for Chang Chunlan and her daughter to be watched by so many people, but it was different from the past. The expressions of these people watching their daughter were so focused, without any curiosity, disgust or malicious excitement.
"...For this kind of disease, the best time for surgery is when you are a few months old, because one operation cannot do it well, and you have to have two or three repairs with age." Qi Yue took off his gloves and held Yan'er's hands.
Holding him in his arms to comfort him, he said to Aru and others.
"So Madam, what do you need? Can you do it now?" Aru asked.
Qi Yue was silent for a moment.
Chang Chunlan's heart immediately rose to her throat and she looked at Qi Yue nervously.
"It's possible, but there are still problems, such as anesthesia, anti-infection, and assistants," Qi Yue said.
Aru felt a little ashamed, remembering that Qi Yue was basically the one responsible for the two operations, and she still couldn't overcome the fear of seeing blood and internal organs.
Qi Yue said and stood up.
"Let's go to Qian Jin Tang. Doctor Liu and I will have a good discussion." She smiled.
When they went out, they met the housekeeper who had returned from a long journey.
"Young Madam, I'm back from Liu's house." He saluted Qi Yue respectfully.
"Oh, what do you say?" Qi Yue stopped and asked with some interest.
The housekeeper held up his hat, which was stained with morning frost, with a bit of pride.
"What else can I say? In front of me, Mrs. Liu severely punished those women." He laughed.
This is the first time in his life that he can straighten his back and speak in someone else's house. It feels so good.
"I asked Mr. Liu about what the Marquis said, and Mr. Liu's expression changed at that time." The housekeeper continued, "He actually said that since the Marquis feels that the eldest lady is being treated harshly by them, then let the eldest lady live in our house.
.”
Sure enough, Qi Yue snorted.
"Then just stay here, who is afraid of whom?" she said.
The housekeeper chuckled.
"That's what I said too." He said with a bit of pride.
"Leave it like this for now, wait until Yan'er is cured, and then settle the accounts with the old guy." Qi Yue said, waving his hand to the butler, "Go, thank you, go and answer the Marquis."
The housekeeper responded cheerfully and left happily.
Ignoring these matters at home, Qi Yue came to Qianjin Hall and told Liu Pucheng about the harelip.
"It is said in the Treatise on the Causes and Symptoms of Diseases that people are born with missing lips, which look like the lips of a rabbit, so they are called rabbit missing lips." Liu Pucheng said, "It is because of eating rabbit meat."
Qi Yue laughed.
"No, it has nothing to do with rabbits." She smiled, "This is a disease caused by genetic mutation."
"Gene?" Liu Pucheng asked puzzledly.
Genes are hard to explain, Qi Yue rubbed her hands and smiled.
"There are many causes, such as drugs and the environment, but no matter which cause, it must have nothing to do with rabbits," she said.
Liu Pucheng nodded and breathed a sigh of relief.
"Does that mean pregnant women can still eat rabbit meat?" he asked.
Qi Yue nodded.
"As for repairs, there are records in the Jin Dynasty. They cut off the flesh to mend it, and they ate porridge for a hundred days without saying a word or laughing. But there are not many people who have seen it with their own eyes." Liu Pucheng continued, his face could not hide his excitement, "Young madam, you can do it.
?”
"Of course, it's not a difficult operation." Qi Yue nodded and smiled, "It's just that the child was delayed for too long, and the medicine..."
When she said this, she saw Liu Pucheng smiling and smiled too.
"Okay, no problem, I plan to do this surgery." Qi Yue said with a smile.
Liu Pucheng was naturally very interested in this kind of surgery and quickly asked her what she needed to prepare.
"Yan'er's cleft lip is a complete cleft on one side. Although it does not reach the bottom of the nose, the upper lip is cleft. The operation takes a long time, the wound is large, and there will be a lot of bleeding. The child's body is underdeveloped, and I am not sure about postoperative infection."
Qi Yue frowned and said.
"Those are no problem. The disinfectant and anti-inflammatory decoction used by Orion last time for debridement, I have prepared it again these days. The combination of rhubarb, skullcap, cork, gardenia, and silver flower has the best effect in debridement and disinfection." Liu Pucheng
said.
Qi Yue breathed a sigh of relief. She was 100% confident about Liu Pucheng's medicine.
"Then there is only one important question left." Qi Yue said.
"Mrs. Qi, tell me." Liu Pucheng said.
"Anesthesia issue." Qi Yue said, taking out a piece of paper and writing down, "Yan'er is six years old. Anesthesia for children is different from anesthesia for adults."
Liu Pucheng twisted his beard and was very puzzled by this statement.
"Is anesthesia divided between adults and children?" he asked.
"I don't know whether Chinese medicine is different, but Western medicine...oh, the medicines my master used, have great restrictions." Qi Yue said, while briefly talking to him about the issue of children's anesthesia.
Liu Pucheng seemed to understand, but he nodded.
"Okay, I'll look into this some more," he said.
"Then I'll thank you, Teacher." Qi Yue said.
Liu Pucheng nodded.
"Oh, by the way, this surgery requires very precision. Every step is related to the plastic surgery effect after the surgery, so hook sutures and so on are not something I can complete alone." Qi Yue said, rubbing his hands with some regret.
"What's more, I've never had this kind of surgery before..."
Never done it?
Liu Pucheng pondered for a moment.
"Although I haven't done it before, can you do it, Mrs. Qi?" he asked.
Qi Yue smiled.
"Yes, I can." She nodded and said confidently.
Liu Pucheng also laughed.
"Then this won't be a problem, I can be your assistant." Liu Pucheng said.
Qi Yue nodded.
"Okay." She smiled, "Thank you again, teacher."
"What the hell, how many people want to see it in person but haven't had the chance yet." Liu Pucheng shook his head and smiled, "This is my blessing."
Speaking of this, Qi Yue's eyes lit up.
"Speaking of it, this is a good clinical learning opportunity. When the time comes, let the disciples follow it and watch it," she said.
Liu Pucheng hesitated.
"Is this, is this okay? Will it not affect the operation?" he asked.
Although Qianjintang mainly diagnoses and treats wounds caused by knife and axe, and the disciples have all seen blood, the visual stimulation of flesh and blood is different from the visual stimulation of actively cutting the skin with a knife. Thinking of Hu San's reaction when he performed the surgery on the prefect.
, it can be known that there will definitely be a lot of panicked disciples at that time, in case it affects the interference operation...
"This is indeed a problem, but they must adapt to it. We will have to do a lot of surgeries in the future. It is impossible not to participate because of fear." Qi Yue said, "In fact, it is very simple. Just watch more and do more to overcome the psychological barriers and you will be fine.
, I was also very embarrassed when I took my first anatomy class..."
"Anatomy class?" Liu Pucheng asked, catching the unfamiliar word in her words.
"That's right..." Qi Yue thought for a while and said, "It's just using corpses to get familiar with the human body, organs, etc."
Liu Pucheng looked at her with a shocked expression.
Isn't this kind of thing difficult to accept for the ancients where the deceased was the most important person?
"You really practice like this?" Liu Pucheng suddenly lowered his voice and asked, while making a cutting gesture.
Qi Yue nodded and smiled dryly.
No one is born with this….
"Actually, it's not just surgery. What a doctor must do is to be familiar with the human body's internal organs, skin, blood vessels, etc. It's all in the books. The most important thing is to be intuitive..." She also lowered her voice and said, "So... you have to... you
got it."
Liu Pucheng looked at her and nodded.
Do you really understand? Qi Yue was a little surprised.
"If we talk about this exercise." Liu Pucheng pondered for a moment and whispered, "I can find a place."
Qi Yue's eyes widened, right? Not only do you understand, but you also...
"Do you also have a source of corpses?" she asked in a low voice with a bit of excitement.
Liu Pucheng looked at her and nodded, and Qi Yue's eyes shone instantly.
"Great, so I can schedule anatomy lessons!" she said.
Liu Pucheng hissed at her and looked around cautiously.
Although there is, it must not be made public. Qi Yue understood, nodded, and made a gesture of silence.
"Let me ask and see how it goes." Liu Pucheng lowered his voice and said.
Qi Yue nodded.
"As soon as possible, I can give a demonstration of cleft lip and palate surgery first." She lowered her voice and said, "We can get familiar with each other and cooperate, and at the same time, let the disciples be mentally prepared."
Liu Pucheng nodded.
"Master, you can go to class." Hu San poked his head in from outside and said.
The expressions on the two masters in the room were a bit strange.
"Master, what are you talking about?" he asked curiously.
"Talk too much." Liu Pucheng said, looking at Qi Yue and remembering the discussion among his disciples yesterday, "What are you going to teach me today? The art of bringing the dead back to life?"
Qi Yue laughed.
"No, it's artificial respiration and heart massage." She smiled.
These disciples are too exaggerated, and they even have the art of resurrecting the dead, but in terms of the title, it can indeed be regarded as the art of resurrecting the dead.
"Yes, this is very important in emergency rescue. Sometimes it can really bring someone back to life," she said.
"Then I'll go and listen too." Liu Pucheng hurriedly picked up a pen and paper and said.
"There are two types of artificial respiration, namely mouth-to-mouth and mouth-to-nose..."
"..Aru, please come and demonstrate..."
Seeing Aru lying on the mat prepared in advance, the disciples crowded over, fearing that they could not see clearly.
Qi Yue knelt down on one knee, explaining and demonstrating at the same time. Seeing her leaning over and talking to Aru, the disciples looked shocked.
When Qi Yue said that sentence and everyone practiced it, they became even more confused.
"...Don't move, don't move anyone, don't mess around..." Hu San jumped out, like a hen guarding its chicks, blocking Aru on the ground, looking at the disciples with some warning.
Qi Yue laughed, and Aru also sat up, staring at Hu San with a red face.
"You pair up and practice with each other, practicing your techniques first," Qi Yue said.
Hu San's face turned red.
"That's it." He touched his head and smiled sheepishly, "It scared me to death..."
In addition to being frightened, there seemed to be some regret on his face.
"It seems that I have to make a dummy." Qi Yue said to Liu Pucheng, "This will be very convenient and it will be convenient for me to explain."
"Like the bronze figure in my house?" Liu Pucheng asked.
"No, it needs to be life-size. As for the material, let's use wood." Qi Yue said.
"Master, leave it to me," Hu San said.
Qi Yue nodded. All the equipment so far has been left to Hu Sanlai. This young man does not have any talent in medicine, but he has a flexible mind and a strong ability to conceive.
"We are going to repeat what we learned today in this section. You can take advantage of the break to practice more. We who study medicine have no shortcuts. We just need to watch more and practice more." Qi Yue clapped his hands and ended today's lecture.
"Thank you, Master, for your teaching."
Seeing the disciples in the room saluting in unison, Qi Yue smiled sheepishly, and the fear of loneliness and isolation caused by different time and space in her heart was greatly alleviated.
In fact, no matter ancient or modern times, as long as you know what you want to do, you can live a good life.*** (To be continued)