Krafft's Anomaly Notes

Chapter 304 The second time

Everyone in the church bid farewell to Kraft who took away the patient, and offered to provide a carriage to facilitate the transfer. They also said that they would wait patiently for the patient's family members who arrived and inform them of their whereabouts.

In fact, they were not that concerned about the follow-up. The important point was that the church had handed over the treatment of the injured to a well-known doctor.

As for the specific treatment the patient will receive, that is the doctor’s business and has nothing to do with the church.

Symbolically, they still sent a monk to ensure participation.

Brother Vardin volunteered for this spot. He was a little worried or very sure that others would not be willing to let the patient be taken away after knowing the treatment method that was about to be carried out.

Even the monk who unfortunately fell from his horse during the rainy night attack and was treated by Kraft would feel palpitations afterwards when he touched the small triangular depression on the top of his head.

The bone was collected and a double-winged amulet was carved as a memorial of his survival and proof of his divine favor, which he hoped would continue to accompany him throughout his life.

Craft had no objection to the patient's giving partial credit to his Heavenly Father, nor did he feel that it was a slight on his own work.

To some extent, he even agreed with this view.

With the current equipment and sterile conditions, if you can successfully complete the craniotomy operation without infection or excessive bleeding or exudation, it would be a conservative statement to say that God bless you. You can definitely consider competing for God's Choice, or at least pass the audition.

Therefore, Kraft is actually reluctant to engage in this type of surgery unless it is absolutely necessary.

After exploration through special means, he excluded patients whose compression was not severe, active bleeding had stopped, and vital signs were still stable.

This can be kept for further observation. If it goes well, a small amount of hematoma will be slowly absorbed over a long period of time. There may be some sequelae, but it is better than risking your life on the operating table.

What's left are the patients that have to be dealt with.

While making preoperative preparations, an informed consent form that had been drawn up on weekdays had been filled out, and the family members who were waiting to arrive were informed of the condition and obtained consent before starting work.

Fortunately, the family members of the Cheyne-Standard respiratory patient arrived first.

Unfortunately, the patient's brother, who was about the same age, didn't quite understand what the doctor meant.

Although Kraft used the most vivid analogies possible to describe the patient's current condition, the dangers, and why surgical treatment was the best option, the family members still asked in confusion when his brother would wake up.

"He may never wake up." The doctor had to take a more straightforward statement. "Even if I use my method, there is a high probability that he will die within a few days or simply during the treatment. The chances are pretty good." slim.”

"You can choose to let him suffer less pain and leave in a more dignified way; or you can gamble on a 1/10 chance of survival."

"You said you want to open your head... but doesn't that mean you're dead?" This man who runs a small business doesn't know anything about medicine, and he can see that something is wrong with his brother, but if someone randomly jumps out on the street and does that to him, Say, you will definitely get a beating.

"As long as the things inside are not hurt, he is just missing a piece of his skull. We need an opening to remove the blood clot." Kraft repeated the principle of the operation again, not even mentioning bloodletting.

"Just like the doctor usually removes blood congestion to treat your disease, but this time it's from the brain."

"Is this the only way to treat it?" The patient's brother still had some luck.

"You can also expect miracles to happen." To be honest, the idea of ​​"it's best to just forget it" started to appear in my mind.

This kind of operation is currently very difficult, and the benefits obtained are relatively limited. It is also easily misunderstood and can cause a series of troubles. It is purely a loss-making operation, but it is his profession to provide options with the highest theoretical benefits.

"You should think about it, it's best to hurry up." After saying this, he left. The family members could think about it again, but he had to go to the back to make preparations. As long as the other party signed, it could be started as soon as possible.

When Kraft washed his hands, laid out the last piece of equipment, and was waiting, thinking that he might not have to do anything, Cupp came to inform the family of the agreement to sign.

Now things are much simpler, all you have to worry about is the operation.

The patient was carried onto the stage by David and his assistants, and the area of ​​the hematoma had already been drawn. Compared with the first craniotomy subject, this patient's condition was obviously more serious. The unstable vital signs were caused by some serious brain herniation.

A hernia can simply be understood as tissue pushing through some gaps into places where it shouldn't go.

This situation is not caused by direct injury, but by an excessively large hematoma that breaks the intracranial pressure balance, causing the brain tissue to be compressed and displaced. It would be better if the pressure was even.

But the problem is that the brain is not a homogeneous mass of slime. It is actually an interconnected chamber separated by the tentorium cerebri and the falx cerebri structure. It can be imagined as a room divided into several small compartments by partitions.

Under the action of pressure, things in one compartment are squeezed into another compartment. Due to the limited size of the outlet, only part of the tissue is squeezed through. This small piece of stuff just protrudes and presses on other parts.

When you are unlucky, this part will be the medulla oblongata that controls life activities, which manifests as respiratory depression, which is Cheyne-Stokes breathing.

In order to achieve a better decompression effect, in addition to removing the hematoma, this time a larger surgical scope is required to remove a larger bone flap, which of course means a greater chance of infection.

Thanks to the fact that the clinic still regularly renews its ether reserves even though it is not used in large quantities, it is sufficient to allow the surgery to be performed under general anesthesia.

Kupp watched the blade draw an elliptical arc on the smooth scalp, like cutting through the strong fur covering the back of a bowl. This thing must be very tough, because you can see that the metacarpal bones on the back of Kraft's hand are protruding. .

The next step is to literally lift off the skin flap along with the thin muscle underneath.

Thanks to the improvement of Xiguo's equipment, it is now possible to use a small flat-headed clip to hold the incisal edge of the scalp and press the superficial temporal artery to stop bleeding, instead of roughly relying on a heated thick needle to scorch the bleeding point.

The hand that pressed to stop the bleeding was kindly provided by David. Coop was responsible for grabbing the vascular clamp clamping the scalp, and the other hand provided light for Kraft to hold up the reflector.

Then there are some sterile versions of carpentry work. In the absence of a surgical electric drill, it is still too time-intensive to use a small chisel to knock off a large piece of skull. It requires courage, carefulness, quick and steady hands.

Once raw, twice cooked. After the last experience, Kraft felt that he was quite adaptable to this operation and found a sense of rhythm in the banging sound.

Of course, it would be better if there was a genius who could come up with a drill in the era of no electricity. In the early days of dentistry, pedal-powered dental drills appeared, which sacrificed the brain cells of the craftsmen. Perhaps this was not an insurmountable technical difficulty.

About half an hour after the operation, he had already cut out two-thirds of the expected circumference of the opening. If nothing went wrong, he should be able to decompress, clean up congestion, and close the wound as soon as possible within ten minutes.

David seemed to be numb. The most blood these eyes had seen in more than thirty years was the blood oozing from the needle hole of the chest. Now he was hesitating whether to look away or not. Such a rare opportunity to visit was too rare.

Despite the compression to stop the bleeding, a small amount of red still seeped from the edge to the exposed surface of the white bone shell, which needed to be wiped off repeatedly with cotton balls. The shocking sight made him start to shake a little unconsciously.

Kraft didn't pay much attention to this at first, until he noticed that the field suddenly began to shake. He raised his head slightly to try to switch hands with Coop and David, who had better arm strength.

However, before he could say anything, he realized that it wasn't just the small area in front of him that was shaking.

It's not obvious what's lying flat, but the taller glass bottle seems to be swinging from side to side in slight increments. Next to him, Kupp increased the strength of his stabilizing arm. It seemed that he also felt the change, but thought that he was not holding it firmly.

"Don't move!" Kraft suddenly stopped what he was doing and quickly pulled off a piece of sterile cotton cloth to block the surgical area. "Don't panic, we only have two floors and they can't collapse!"

The two were confused, with an obvious feeling of dizziness and shaking vision.

Long bottles, tall shelves, and even wooden pillars swayed, and the sound of shattering utensils and delayed screams came from outside, followed by chaotic footsteps and more screams from the crowd.

"Don't move!" Kraft's roar covered the noise, bringing his frightened consciousness back to the stage.

He kept holding the cotton cloth flat with both hands to cover the little dust falling from above during the vibration, until the power coming from the underground subsided.

"Ask someone to come in and hold up this piece of cloth, and we'll continue."

Recommended book "The Old Objects I Repaired Became Perfect" is a new book by the author of "Isn't It That Difficult to Open a Hospital in Another World"! ()
Another note: The May Day holiday is here. Be sure to pay attention to your physical condition and eat properly when you go out. I hope you won’t see you in the emergency room.