Surgeons dressed as poor people in the Republic of China

Chapter 157

There was an eerie silence in the operating room.

Wei Rulan froze in place, her brain...would she lose her mind?A wave of coolness rushed straight to the bottom of my heart from Tianling Gai, and all the grief, resentment, resentment, spring sorrow, and autumn in the weekdays were gone.

It is said that when people are at the critical point of life and death, they will have a great understanding and let all love, hatred and infatuation go with the wind. Wei Rulan feels that she is not yet at the critical point of life and death, and the deep-rooted hatred like a swamp in her mind does not seem to exist. Yep, my mind is more relaxed than ever before.

"Brain... will it fall?" She repeated Lily's words with some hesitation.

A look of embarrassment appeared on the faces of all the white coats. For medical staff other than Ye Yibai, communicating directly with patients during such a major operation is still an extremely novel thing.

It’s not uncommon for you to sterilize, sew a skin, and sometimes chat with a patient, but you dig out their stomachs, open their brains, and joke with them, which is a bit of a test of the mentality of both parties. .

Ye Yibai coughed dryly to hide the embarrassment on his face. Lily was indeed young and lacked experience. How could she say such things in front of the patient and aggravate the panic of the patient.

"Ms. Wei, don't be afraid. This is the reason for the wake-up during the operation I mentioned to you. It is also the reason for keeping you awake before the last examination. We need to accurately locate the epilepsy focus and preserve your healthy brain tissue as much as possible, so I need you to cooperate with us in a waking state, the operation is going smoothly, please rest assured."

Ye Yibai's words made Wei Rulan's tense nerves relax a little bit, she moved a little uneasily, the pink temporal region swayed with her movements, which made the hearts of all the white coats beside the operating table tremble. Get up, don't move!Brains will drop!Ah bah, it's the brain that can shake!

"Ms. Wei, we need to conduct a hyperventilation induction test later. The process lasts about 5 minutes. During this period, you need to take deep breaths, 1-20 times per minute, and Lily will guide you."

"Okay, Doctor Ye." Wei Rulan couldn't feel the pain, but the occasional pulling sensation from the retractor still made her scalp numb. Combined with what the little nurse in front of her said would lose her mind, there was something in her mind. Numerous bloody scenes flashed past.

"Lily."

Lily also knew that she had said something wrong just now, so she anxiously made amends, stretched out her right hand from behind the disinfectant towel, and gestured OK to the white coats.

While looking at her watch, she raised her head and said to Wei Rulan: "Ms. Wei, let's start now, come on, do it with me, inhale... exhale."

"Inhale again...inhale to the top and exhale."

"Correct."

Deep breathing is a whole body exercise, and deep breathing will naturally make the temporal region tremble, so the white coats looked at the pink temporal region, shaking, shaking, shaking.

Five minutes later, Dr. Carter nodded to Ye Yibai.

"Ms. Wei, it's ok. We will continue the operation when the results of the electrocorticogram come out. If the epilepsy focus is close to the functional area, then we will need your immediate response in the awake state. In other words, I may perform the operation on the side. , you need to make actions like sticking out your tongue, talking, and blinking according to the instructions of our medical staff to ensure that the operation will not cause damage to your functional areas."

Ye Yibai quickly took out the cortical electrodes and deep electrodes from Wei Rulan's temporal region while speaking.

Wei Rulan could feel very clearly that something lightly touched her head, again and again, no, it didn't seem to be her head, then...was it inside her head?

The blood on Wei Rulan's face faded away.

Lily has been observing Wei Rulan's reaction, and when she saw this, she hurriedly said loudly: "Doctor, the patient's condition is not right!"

Ye Yibai paused when he pulled out the deep electrode, and looked at the monitor subconsciously. The heartbeat and pulse were a little fast, but this was normal. It would be strange if the heartbeat and pulse of most people awake and open the craniotomy are still the same as normal.

"The patient's face suddenly turned pale." Lily said.

On the operating table, every small detail of the patient cannot be ignored. Even though the monitor showed that the basic vital signs were normal, Ye Yibai still asked, "Ms. Wei, what's wrong with you?"

Wei Rulan panted lightly, bit her lower lip tightly, opened her mouth, and remained silent for about ten seconds before trembling: "I... am a little scared."

Her head was covered tightly with a sterile towel, and she didn't dare to move. She could clearly feel the doctor's hand touching her own brain tissue on the side of her head. Wei Rulan, who dared to swallow sleeping pills and calmly died, faced the In this situation, I can't help but feel a feeling called fear and dread.

It was as if he had become a fish on a chopping board, ready to be killed by anyone.

Dr. Ye can understand the uneasiness and fear of patients who are awakened during the operation. Later generations will provide special pre-operative psychological counseling after the patient is determined to be awakened during the operation. Even so, many people remain behind. Mental problems, not to mention Wei Rulan is a sensitive and thoughtful temperament.

"Ms. Wei, don't worry, I will explain every step of the operation to you later, we are not performing an operation now, I just take back the electrodes placed in your brain, this will not cause any damage to you. "

Ye Yibai quickly pulled out the fast and deep electrode, and the moment the deep electrode was pulled out, Wei Rulan's body trembled visibly.Dr. Carter had already taken out the film from the oscilloscope camera of the EEG machine just after the hyperventilation test, and hurried out of the operating room.

About 10 minutes later, Dr. Carter appeared at the door of the operating room with an excited face, because after leaving the operating room, the whole body must be disinfected again before entering. Dr. Carter did not want to waste time, so he brought the results of the electroencephalogram first. He pasted the photos and the results written on paper on the glass at the door of the operating room.

Ye Yibai stepped forward quickly, he quickly scanned the photos and Carter's conclusion, with a smile on his face, "Ms. Wei, you are very lucky, the epileptic focus is in the medial temporal lobe, we can only remove the hippocampus and amygdala. "

The hippocampal amygdala is generally responsible for the short-term memory and emotional regulation of the human body. It is not considered the main functional area during the operation. Ye Yibai walked back to the operating table and said to Henry: "The patient can rest."

"Ms. Wei, go to sleep later, when you wake up, our operation will be over." Ye Yibai said softly.

Wei Rulan gave a soft "hmm" and at the same time breathed a sigh of relief. If she really needed to be awake and cooperate the whole time, she probably wouldn't be able to bear it.

Five minutes later, the anesthesia took effect slowly, and Lily crawled out from under the operating table beating her almost numb calf. She collapsed beside her and then quickly walked back behind Qiao Na.

"Knife."

With the precise positioning of the electrocorticogram, the surgical target is very obvious.

Gently cut open the arachnoid between the optic nerve and internal carotid artery with a scalpel, "suction."

Dr. Ye gently raised the scalpel and signaled Wang Mao to suck the cerebrospinal fluid.

"Let go of this side, be gentle." Ye Yibai said to Billy who was holding the retractor.

Billy nodded and lightened his strength appropriately.

"The distribution of nerves and arteries here is very dense, so you have to be extra careful when you move. Can you recognize these nerves and arteries?" Ye Yibai asked while moving.

Intraoperative assessment!

The two little doctors who kept taking notes were shocked for a moment, and subconsciously straightened their backs. Seeing Ye Yibai's glance, the two little doctors moved two steps, walked across to Ye Yibai, and carefully observed the operation. Nerves and arteries in the wild.

Then they deeply realized the gap between books and practice. What kind of artery is this?

"Er... well, arteries..."

Wang Mao gave the two of them a sympathetic look. Fortunately, he has already obtained his doctor's license and is a qualified doctor. For the sake of this certificate, Dr. Ye will not give him questions anytime and anywhere.

Dr. Wang glanced at the surgical field. Is this the oculomotor nerve or the optic nerve? There are also these arteries, the premembranous artery and the uncinate artery. And what kind of artery is this, the communicating artery?

After confirming that he could not give the answer very accurately, Dr. Wang silently lowered his eyelids and held the aspirator more steadily. It is normal. They are studying neurology, and I am not...

Ye Yibai slowly separated the Sylvian fissure and followed the internal carotid artery to the middle cerebral artery, all the while being very careful.

"It was the oculomotor nerve and anterior choroidal artery just now, and now it is the internal carotid artery and the middle cerebral artery." Dr. Ye looked at the distressed appearance of the two young doctors, and said in a deep voice: "The knowledge of brain structure is something neurology must master. You need to keep in mind the basic knowledge of every artery and every important nerve, this is the most basic."

The two little doctors blushed, "I'm sorry, Doctor Ye, we will definitely remember it next time, we must remember it!"

Gently incise the arachnoid between the temporal lobe and the fronto-orbital area, "retract. Irrigate."

Seeing that Ye Yibai's operating table was lifted, Billy and Wang Mao immediately took their positions and started traction, irrigation and suction.

The arachnoid between the temporal lobe and the fronto-orbital area is retracted, and the parahippocampus is exposed.

"attractor"

After confirming the structure of the hippocampus head, Ye Yibai used a suction device to separate the amygdala in front, and at the same time cut off the blood supply from the posterior temporal artery to the hippocampus and parahippocampal gyrus, and ligated it.Ye Yibai's movements were gentle but quick, and the two little doctors didn't even have time to record, he was already proceeding to the next step.

The tweezers holding the hippocampal head and amygdala made a crisp sound when they touched the treatment plate. Dr. Ye reset Wei Rulan's temporal lobe. Because only the inner hippocampal amygdala was removed, the operation was almost invisible from the outside. any trace.

At this time, the operation had lasted four hours and 10 minutes, which was more than 10 minutes than Ye Yibai and Wei Rulan's family said.

But the operation was not over yet. After removing the hippocampus and amygdala, they had to wake up Wei Rulan a second time, and at the same time check the electrocorticographic performance after the removal.

"Henry, reduce the dose."

"Okay, Doctor Ye."

Dr. Carter has re-sterilized and entered the operating room. He watched the clock on the wall of the operating room pass by, and his heartbeat was also very fast. He knew that the critical time to see if the operation would be successful was coming. .

15 minutes later

"Lily, try to wake up."

Lily nodded, and got under the operating bed under the sterile towel again.

"Ms. Wei, Ms. Wei Rulan, can you hear me?"

The author has something to say: Wei Rulan: Can I do it, I will come for a second time...