The Godfather of Surgery

The old director was sent to the operating room and moved to the operating table. Fatty Liang noticed that his heart rate was a little fast.

My vital signs were normal when I was admitted. My heart rate was only 75 beats/min. Now it has jumped to 116 beats/min. My preoperative examination was very good. I have no heart problems and no underlying diseases such as anemia. I did not take atropine in the ward before coming here. and anisodamine.

Why is the heart rate so fast?

Fatty Liang was worried about the interference when passing the bed, so he asked the old dean to rest for ten minutes. After ten minutes, the heart rate still fluctuated around 115 beats/min. Fatty Liang took an electrocardiogram and saw that the sinus heart rate was too fast, and there were no other problems. It was obviously caused by excessive tension.

''Old Dean, relax, don't be nervous, the surgery will be quick, don't worry!

Fatty Liang patted the old dean on the shoulder.

''It's okay, I'm very relaxed now and not nervous at all. Is there something wrong with my heart? If it doesn't work, push it back first. How many days will it take before the surgery? I'm not in a hurry.

The old dean's voice was loud, with an uncontrollable vibrato due to his obvious nervousness.

Cardiac color ultrasound, electrocardiogram, myocardial enzyme spectrum, etc. are basically all cardiac examinations for the elderly, and they are all normal.

Fatty Liang has never seen a 70-year-old with such a refreshing laboratory test report. Not to mention the heart, even the blood routine, biochemistry, liver and kidney function, etc., there is not an arrow or a colored word on it.

Doctor Li, it's rare that your old director has such good physical fitness. Fatty Liang said to Li Min gently.

Not only was the old dean very sharp, but Fatty Liang had just checked his teeth and saw that they were all in good shape, not loose or missing. The most difficult thing was that the gums were still in good condition.

''I'm usually in poor health, and this is all superficial.

The old dean immediately said loudly that Fatty Liang's voice was so small that he was almost whispering to Li Min, but he could actually hear it.

''It's just that the heart rate is a little faster. It's okay. It's just caused by nervousness. I'll just use some sedatives. Don't worry, old director, it won't affect the operation.

Fatty Liang comforted the old dean.

Everyone followed Li Min and called him the old dean.

Since there were no problems in various examinations and it was determined to be caused by stress, Fatty Liang began to prepare for anesthesia for the old dean. He unscrewed the three-way switch of the indwelling needle on the old dean's arm and prepared to push medicine into it and perform pre-anesthesia. Induced, the old dean said anxiously: Wait!

He didn't know why he had to wait, but he was a little scared when he thought that he wouldn't know anything after this injection.

I don't know anything about this, Xiao Lizi would use a knife on himself, it's scary to think about it.

Let's start! The old dean gritted his teeth, closed his eyes, and looked like he was ready to be slaughtered.

After tracheal intubation, general anesthesia, positioning, sterilized drapes, and surgery started soon.

Li Min was the chief surgeon, Zhang Lin Xiaowu served as his assistant, and Yang Ping just stood on the operating table in a surgical gown. Li Min completed the entire operation. He strictly followed the surgical steps and completed it step by step, carefully affecting the spinal cord and nerve roots. The protection was very good and the tumor was completely removed.

When the old dean woke up from anesthesia, his first words in a daze were: Little plum, why can't I move my legs?

The first thing he did when he woke up was to move his legs, but he didn't know that he couldn't move at all. What was going on? Could it be that he was paralyzed? In the blur, the old dean broke into a cold sweat.

Why are you nervous? It's not like you just woke up from anesthesia. Your brain can't control your limbs yet. You'll be fine later. Li Min comforted him.

Yeah?

The old dean moved his lower limbs again, especially the right lower limb. Indeed, he could move now, and he finally breathed a sigh of relief.

After being a doctor all his life, this was his first time on the operating table. The old director felt that this experience was like dying, and he was dying with fear.

Just after he breathed a sigh of relief, the old dean felt something was wrong again, because even if he could move, but obviously lacked strength, paralysis did not necessarily mean that he could not move at all. Even if he could move, but his muscle strength was not up to normal, it was still considered paralysis.

What's more, the sciatic nerve is composed of several nerve roots. Even if one is cut off, it will not be completely paralyzed, but will only partially affect the sensation or muscle strength.

The more the old dean thought about it, the more worried he became: Xiao Lizi, did the operation go well?

The old man had a lot to do. Li Min held his hand and said, It went very well. Your tumor has been completely removed and sent to the pathology department for medical examination. The nerve roots are well protected. Just put in twelve more Heart.

''Then why don't I have any strength in my legs? The old dean asked worriedly.

You haven't eaten normally for a few days, how can you get the strength? Eat more after the operation, and you will naturally have strength in a few days.

Li Min knew that the old director was worried that his operation would fail.

oh!

The old director had just freed himself from the fear of the operation, and immediately began to worry about his medical expenses. The expenses of such large provincial hospitals are generally more expensive, and he didn't know how much his medical insurance in another place could reimburse him.

Little plum?

What's the matter? Can you calm down for a while and have a good rest? Why are you always worried about this and that? You are an old doctor for decades.

''My surgery and medical expenses are not cheap, are they? Are all the medicines used domestically produced? Shouldn’t there be any imported drugs? Expensive medicines require the patient's signature. You didn't ask me to sign. If there are any expensive medicines, I won't accept the payment.

Why is this person who just woke up from anesthesia so awake? Fatty Liang looked confused.

''If you say you don't admit it, you won't admit it? Who said you have to sign for expensive medicines? While you are under anesthesia, you are not conscious at all and have no capacity for civil conduct. In order to save your life, we can make the decision for you. Li Min said.

''Little plum? What do you mean? When the old dean heard this, he wondered if he had really used some expensive medicine.

''Let's talk about it after we go back to the ward?

Tell me clearly now, what exactly is going on?

——

After returning to the ward, Li Min sat beside the bed and kept watch over the old dean, acting as his escort.

The old director performed the first operation, and Yang Ping also took the time to come down to see the old director. After a physical examination and confirmation that there was nothing wrong, Yang Ping returned to the operating room for the operation.

The old director was a little tired after the operation, and he didn't sleep well for many days, so he slept until the evening. The old dean woke up with no obvious pain and felt very comfortable. He had never felt so relaxed before. In fact, even when there was no pain before, he still felt a dull pain and numbness in some places. Anyway, it was always uncomfortable and very uncomfortable. It's just that he has great endurance and has become accustomed to it over the years.

The effect of the surgery was immediate. It was like the root of the disease was suddenly taken away. I have never felt comfortable in so many years. In fact, many diseases can be easily solved as long as they are treated according to regular treatment procedures. However, the vast majority of people do not follow the standardized procedures. Or it may not be until it is very serious that you are forced to follow the standardized diagnosis and treatment process.

The old dean was still concerned about the muscle strength of his lower limbs and tried to move his lower limbs. He could move normally. He asked Li Min to check his muscle strength and found that the muscle strength of his lower limbs was normal.

After this operation, the old dean finally confirmed that he was not paralyzed. It seemed that Xiao Lizi did have two brushes and could actually perform this kind of lumbar spine surgery. He did not send him to further training in vain, but after Xiao Lizi had such good skills, , will you change jobs? With such good skills, will you stay in the ravines? After all, people go to higher places and water flows to lower places.

However, Li Min is already the young doctor who has stayed in Guandu Town for the longest time, so it is difficult for him. If he can go to a good place in the future, the director will also be happy for Li Min.

''Old Dean, let me tell you, Professor Yang is a world-class surgeon. Any doctor here, as long as he is trained by Professor Yang, can be his own doctor in other hospitals. The hospital is definitely a great expert, needless to say deputy senior level, he can be a subject leader in any hospital in the world. Li Min said proudly.

So powerful? Who will guide you when you are studying here?

The old dean was lying on the bed, chatting with Li Min while resting.

Didn't I tell you on the phone? Fortunately, I am taught by Professor Yang himself. He is very strict, so I have made such rapid progress.

Li Min told the old dean about his further studies.

''I thought you were bragging. How could a great professor like Professor Yang take care of you personally?

Professor Yang is a very nice person. It was his opinion to bring you here for treatment. I just asked him for leave for a few days. After he understood the situation, he said he would bring you here for treatment.

Can I have some water now?

Why does the old dean think this general anesthesia is so relaxing?

''Yes, the one who will give you anesthesia is Dr. Liang. He is very good. As long as it is not an abdominal surgery, he will wake up quickly after general anesthesia and be able to eat and drink. We can eat normally later when we have lunch.

Li Min brought a glass of warm water and the old dean took a few sips. There was no feeling of vomiting. This level of anesthesia was indeed powerful.

No wonder Li Min wanted to come here for further study, but he was able to perform lumbar spine surgery just a short time ago. Even the director of orthopedics in a county hospital would have to consider this kind of surgery, let alone a doctor in a township hospital.

I'm a little hungry! Can I eat?

the old dean asked.

Can!

At this time, Yu Shuilian's husband happened to bring two meals to Li Min.

Little Lizi, you said that I have been in pain for so many years, but I never thought it was this disease. I always thought it was lumbar disc herniation. If I had known it was this disease, I still have been in pain for so many years. People from all over the world have spread this news. Isn’t it embarrassing?”

The lunch box was placed on the dining table, and the old dean stared at the opposite wall with confused eyes.

Little plum!

The old dean suddenly shouted.

Li Min responded, thinking that the old dean was not feeling well.

You have to have a political understanding of this matter. When you go back, don't say that the doctor who came to the provincial capital can see it right away. Just say that this disease is a difficult and complicated disease. After coming to the provincial capital, the doctor spent several days studying it. An expert and professor spent a lot of effort to figure out the condition, or you could simply say it was lumbar disc herniation, and the surgery was to remove the nucleus pulposus of the lumbar disc. The old dean looked worried.

Reputation is a lifelong reputation. After working in Guandu Town for a lifetime, he has won the recognition and respect of the villagers. In the eyes of the villagers, the old dean is the reincarnation of Hua Tuo.

This matter is a big deal. If the villagers know that the old director misdiagnosed his illness, where will they lose their face?

Li Min looked at the old dean's thinking, and felt funny in his heart that the old man was so face-saving.

No, we will have to take the medical records back for reimbursement. Others can see the diagnosis and can only say that it is a difficult and complicated disease. The old dean was still thinking.

Don't worry, I will follow your advice and add that, old dean, you will analyze it yourself with experts from the provincial capital, so that you can get a clear diagnosis. If you hadn't done it yourself, this matter would have gone through several rounds. I can't figure it out so quickly. Li Min started to open the lunch box.

That's not okay, that's so embarrassing.

Okay, then I'll just say it took the experts a few days.

Actually, you can add this sentence to reflect the harmony of the doctor-patient relationship, right?

Yes, if I add this, you should finish your meal first.

In this way, he could come back and save his decades-old reputation. The old dean was very happy and started eating immediately.

The old dean originally retired at the age of sixty, but no one wanted to stay in a remote mountainous area like Guandu Town, so the Health Bureau had to re-employ the old dean, and then let him continue to serve as the dean as acting dean. The old dean He is also happy with this. He has been working here and has feelings for this place.

He has been in the rehired position for ten years and is now in his 70s.

The old dean's appetite has always been very good, and the root cause of his back pain has been eliminated, so he is very happy. After finishing a box lunch, he still feels that it is not enough.

Xiao Lizi, why are the lunch boxes in your hospital so small?

The old dean said.

Li Min looked at the empty lunch box: What? You haven't eaten enough yet? I see that you have just had surgery, and I think you must have a bad appetite, so--

How can you be full with such a small amount of food? People in the city are not in good health and have little appetite. The old dean was a little dissatisfied.

Would you like another one?

Have another one.

Li Min called Yu Shuilian's bakery directly and asked them to send another lunch box.

Does the food taste okay?

“It tastes really good.”

After dinner, the old dean began to think about the matter again. The key was how to smooth things over, and never get involved. He thought it would be best to spend a few days in the hospital, think about it, form a formal draft, and then give the draft to Li Ming takes a look and makes sure this kid knows what he's doing.

Xiao Lizi, your level of sealing the needle is really high. Can you teach me when you have time?

At the age of the old director, he has no chance to learn how to perform surgery, but he can still learn to perform closed injections. This thing is very practical, especially in grassroots hospitals, and can relieve pain in time.

As long as I know how to do it, when I finish my studies and go back, you can always drink tea and live your retirement life, and you will be asked to take some kind of blocking injection. Your eyesight is not good, and your hands are not accurate. If this injection is given, it will be wrong. It’s troublesome if it’s deep or deep, and the buttocks are rich in blood vessels anyway.”

Li Min was always so naughty when talking to the old dean.

You kid, are you still hiding it? The old dean was dissatisfied.

I'm telling the truth. When I go back, do you think you will still be the dean? I want to be the dean! I have been interested in you as the dean for a long time.

Li Min said seriously.

The old dean sighed: If this is the case, I will be happy in my heart. I have mentioned it to the organization several times, but it has always been rejected because of your qualifications. When you go back to study this time, you can perform a few operations to show your strength. There’s nothing to say from above, then I can really retire.”

Since Li Min said this, it means that this boy has no plans to leave for the time being, which is a good thing. It is a good thing because there will be a good doctor in this mountain in the future. It is not a good thing. He feels a little indebted to Li Min.