he sees your voice
Chapter 435 You Do The Surgery
Chapter 435 You Do The Surgery
Later, she checked and found that those materials were indeed the cases and surgical cases of the most authoritative doctors in the world, most of which were not published to the public. Among them, there were more than 30 materials about Dr. Smith's surgical plans, which were of great medical value.It is not uncommon for information not to be made public, otherwise there would be no such thing as a closed disciple.In many cases, there are also considerations in medical communication. The more experts are, the more peculiar their practices are. So it’s not that they don’t want to make it public, but they are just afraid of causing trouble. After all, not everyone will agree with the same treatment theory and plan.
These are treasures to Gu Chu, she applies what she has learned, and is diligent in pondering, so it is normal to win Gu Qimin's trust in her.
In this way, the operation was carried out quietly.
The patient did not use general anesthesia, and he must cooperate consciously for this operation.Therefore, most of the time, Gu Chu would go around and look at the patient's eyes to make sure his reaction was normal.
The operation went on for another half an hour, and when Gu Qimin's expression relaxed a little, suddenly, the monitor made a rapid sound, and the sound became sharper, and the patient's eyes wandered, and his hands and feet began to twitch.
"Oops!" Xiaoxiao frowned and said anxiously, "Quick, hemostat, gauze!"
Before Xiaoxiao finished speaking, Gu Chu had already handed it over.
Gu Qimin's expression also became ugly. Although most of his face was covered by a mask, he could still feel his nervousness.
"Director Gu, the patient's blood pressure has dropped!"
"The blood can't stop!"
"The patient's convulsions are getting worse!"
"Heart! It's getting weaker and weaker..."
The urgent voices in the operating room came and went, Gu Chu's breathing became rapid, and the sound of the monitor stimulated her nerves. She clutched the disinfection tray tightly, and her mind was full of the situation when her parents were pushed into the operating room. On that day, The medical staff were walking back and forth, and she saw blood on their white coats, large patches of blood...
"Xiao Chu, Gauze!" shouted with a smile.
Gu Chu immediately reacted and handed over the gauze.Xiaoxiao screamed again, "Do you want to perform a nerve line transection?"
This sentence was said to Gu Qiming.
"Yes, if the transection is not performed immediately at this time, the patient may go into shock and fall into a long-term coma, and may even be unable to wake up again."
"However, once the transection will injure the essence nerve, it is very dangerous."
"At least you can save your life." After all, Gu Qiming is an authority in this field, and he will always act decisively when encountering an emergency. "The risks in surgery are predictable by everyone. What we have to do is to minimize the risks, but In this situation, we can only choose the lesser of two evils."
Xiao Xiaoxiao stopped talking, at this time, she would often obey Gu Qimin's decision.
But Gu Chu, who was always silent, said, "I don't agree with crosscutting."
Xiaoxiao and Gu Qimin all turned to look at her, she was not in a good condition, her forehead was covered with sweat, and her face was pale.Xiao Xiaoxiao was taken aback, and stepped forward, "What's wrong with you?"
"You can't bypass the trochlear nerve, you have to put the catheter next to the trochlear nerve, and then operate." She ignored Xiaoxiao's concern, and focused all her attention on the adjustment of the plan.
"What?" Gu Qimin was taken aback, and then said, "You're joking! You also know how thin the trochlear nerve is, how could it be possible to put a catheter in the surrounding area?"
"If you don't do this, the patient will be disabled even if he is well."
"But you know that once the danger of the trochlear nerve is not bypassed, the patient is already bleeding. The trochlear nerve itself is not terrible. What is terrible is that it has complications. If there is a slight deviation in position, it will cause other diseases. Nerve cords and blood vessels rupture, and patients are at risk of brain death."
Xiaoxiao stepped forward to persuade Gu Chu, "Let's listen to Director Gu. Although the situation is urgent, he has experience."
"Director Gu's plan cannot be adopted." Gu Chu was short of breath, "It is risky to have the catheter inserted and then operated on, but it is definitely feasible."
"Gu Chu, you have to understand that there is no such thing as medically feasible!" Gu Qimin was also anxious, and shouted.
"But Director Gu, don't you think my plan is the only feasible one?" Gu Chu became stubborn.
Xiao smiled and advised no one.
"Director Gu, the patient's condition is getting worse and worse, please make a decision quickly." The medical staff said anxiously.
Gu Qimin stared at Gu Chu, Gu Chu's eyes were firm and he never backed down.Gu Qimin also knew that there was no delay, so he took a deep breath and ordered, "Get off the catheter!"
Xiaoxiao was taken aback, and looked at Gu Qimin in astonishment.
This is a brand new gamble. Since Gu Qimin decided to use the catheter, it means that he is going to compete with the god of death just like Gu Chu.Gu Chu didn't have time to be excited and grateful, and immediately prepared a catheter and went forward.The trochlear nerve is the fourth pair of nerve lines in the brain. The motor nerve, numbered IV, is the thinnest nerve in the cranial nerve.It is the most strenuous work to avoid the thinnest nerves in the catheterization, not to mention the side surgery.
Gu Chu handed the catheter to Gu Qimin, but he didn't answer it, and shouted in a rough voice, "You insert the catheter yourself!"
"What?" Gu Chu was startled, without even thinking about it, "No, I can't do it..."
"You!" Gu Qimin stared at her angrily.
Xiao Xiaoxiao reacted immediately, stepped forward and said to Gu Chu, "You can do it!"
"I... really can't."
"What nonsense? If you delay for a few more seconds, the patient will die!" Gu Qimin was so anxious that he even said such words.
Gu Chu had no choice but to bite the bullet.
This is a job that requires cooperation. Xiao Xiaoxiao is mainly responsible for hemostasis. Gu Qimin has to observe possible dangers at any time. Gu Chu holds the catheter in his hand and stares at the monitor. After taking a deep breath, he slowly inserts the catheter into the patient's body. Affected intracranial.
Blood stained her gloves, and as soon as her fingers touched the intracranial tissue, her stomach turned upside down.
But she still forcibly held back the desire to vomit, and kept admonishing herself to concentrate, to concentrate!Finally, the catheter was stretched in, and the slender tube pierced through the thin membrane like a nerve thread, and blood smeared out, her fingers paused, but Gu Qimin ordered in a deep voice, "Go on, don't stop!" !"
Naturally, Gu Chu didn't dare to stop, not because of Gu Qimin, but because he wanted to save patients.She took a deep breath again, exhaled slowly, and continued to penetrate the catheter. Gu Qiming stared at the situation in the brain with nervous and cautious eyes.Gu Chu couldn't see his expression, so he concentrated on avoiding the trochlear nerve, and only heard the medical staff say, "The patient's blood pressure hasn't dropped anymore!"
She finally breathed a sigh of relief and the catheter was inserted safely.
But the next job is even more difficult. Although there is only one knife, if the knife is shifted by a little bit, it will lead to a more dangerous situation.Just as Gu Chu was about to hand it over to Xiaoxiao, he heard Gu Qimin say, "You installed the catheter, and you are the best at determining the distance of the nerve line, so you do the surgery!"
Gu Qimin's decision frightened Gu Chu, she was stunned, and after a few seconds, she thought that there must be something wrong with her ears, Ke Xiaoxiao immediately handed her a scalpel, which was very natural.Only then did she realize that it wasn't a hearing problem, she turned her head to look at Gu Qimin, and murmured, "Director Gu, I..."
"What's the matter? Can't you remove the brain abscess?" Gu Qimin looked serious, "You got a perfect score in the mock exam last time!"
"That, that's a mock exam... Director, I can't do it." The mock exam is not a real person, even if she holds a scalpel, she doesn't have a lot of psychological pressure, but this time, Gu Qimin actually asked her to operate the patient's brain. Knife, she felt that this was simply impossible.
More importantly, there are rules and regulations in the hospital, and there are different levels of surgery. The surgery that Gu Qimin asked her to perform now can be regarded as a second-level surgery. She is an intern, so she is not qualified to perform this surgery at all. Once implemented, Gu Qimin violated the regulations and made decisions without asking the hospital for instructions, and might even be complained by the patient's family, which would be very troublesome.
She absolutely can't handle this scalpel. Xiao Xiaoxiao has been in the hospital for so many years, and as Gu Qimin's most capable assistant, Ye can only perform third-level operations.
Seeing her hesitation, Xiao Xiaoxiao lowered her voice and said, "Xiao Chu, you must pass this level."
"This doesn't comply with the regulations..." Gu Chu whispered eagerly.
But this was still heard by Gu Qimin. He looked at the patient's status data, turned his head and said to Gu Chu, "What time is it now? There are not enough manpower, what rules are you giving me? People are dying and obey the rules." You can live? You inserted the catheter. You know better than the two of us the feel of the nerve line and the incision site. What are you waiting for? Are you going to let the patient lie down or delay the orthopedic surgery? ?”
The patient has already had bone lesions due to long-term complications. After undergoing neurosurgery, he will observe for some time before intervening in orthopedic surgery. Therefore, if they delay time, the time for orthopedic surgery will also have to be postponed.
Gu Chu held the scalpel tightly.
"Xiao Chu, even the director has said that, why are you still hesitating? The director and I must always pay attention to the condition of the patient after you have the knife, and we will rescue it in time if there is a problem, so you must take up the operation Knife, don't forget, we even adopted your plan for this operation, and you know the patient's condition better than anyone else." Xiao Xiao said with a smile, but she knew in her heart that Gu Qimin had violated the regulations, but the current situation It is indeed special, it seems that Gu Qimin is ready to be punished.
The monitor beeped again.
"The patient's blood pressure is lowered!"
"Gu Chu, perform the operation." Gu Qimin ordered.
Gu Chu knew that she couldn't wait any longer. In fact, when she put the catheter in the patient herself, she had a vague premonition that she was going to pick up the scalpel tonight. Gu Qimin and Xiao Xiaoxiao were right. She knew the situation of the catheter position just now. .Picking up the scalpel and stepping forward, the medical staff pulled the microscope closer.She took a deep breath and found the right position, as long as the blade was gently lowered.
(End of this chapter)
Later, she checked and found that those materials were indeed the cases and surgical cases of the most authoritative doctors in the world, most of which were not published to the public. Among them, there were more than 30 materials about Dr. Smith's surgical plans, which were of great medical value.It is not uncommon for information not to be made public, otherwise there would be no such thing as a closed disciple.In many cases, there are also considerations in medical communication. The more experts are, the more peculiar their practices are. So it’s not that they don’t want to make it public, but they are just afraid of causing trouble. After all, not everyone will agree with the same treatment theory and plan.
These are treasures to Gu Chu, she applies what she has learned, and is diligent in pondering, so it is normal to win Gu Qimin's trust in her.
In this way, the operation was carried out quietly.
The patient did not use general anesthesia, and he must cooperate consciously for this operation.Therefore, most of the time, Gu Chu would go around and look at the patient's eyes to make sure his reaction was normal.
The operation went on for another half an hour, and when Gu Qimin's expression relaxed a little, suddenly, the monitor made a rapid sound, and the sound became sharper, and the patient's eyes wandered, and his hands and feet began to twitch.
"Oops!" Xiaoxiao frowned and said anxiously, "Quick, hemostat, gauze!"
Before Xiaoxiao finished speaking, Gu Chu had already handed it over.
Gu Qimin's expression also became ugly. Although most of his face was covered by a mask, he could still feel his nervousness.
"Director Gu, the patient's blood pressure has dropped!"
"The blood can't stop!"
"The patient's convulsions are getting worse!"
"Heart! It's getting weaker and weaker..."
The urgent voices in the operating room came and went, Gu Chu's breathing became rapid, and the sound of the monitor stimulated her nerves. She clutched the disinfection tray tightly, and her mind was full of the situation when her parents were pushed into the operating room. On that day, The medical staff were walking back and forth, and she saw blood on their white coats, large patches of blood...
"Xiao Chu, Gauze!" shouted with a smile.
Gu Chu immediately reacted and handed over the gauze.Xiaoxiao screamed again, "Do you want to perform a nerve line transection?"
This sentence was said to Gu Qiming.
"Yes, if the transection is not performed immediately at this time, the patient may go into shock and fall into a long-term coma, and may even be unable to wake up again."
"However, once the transection will injure the essence nerve, it is very dangerous."
"At least you can save your life." After all, Gu Qiming is an authority in this field, and he will always act decisively when encountering an emergency. "The risks in surgery are predictable by everyone. What we have to do is to minimize the risks, but In this situation, we can only choose the lesser of two evils."
Xiao Xiaoxiao stopped talking, at this time, she would often obey Gu Qimin's decision.
But Gu Chu, who was always silent, said, "I don't agree with crosscutting."
Xiaoxiao and Gu Qimin all turned to look at her, she was not in a good condition, her forehead was covered with sweat, and her face was pale.Xiao Xiaoxiao was taken aback, and stepped forward, "What's wrong with you?"
"You can't bypass the trochlear nerve, you have to put the catheter next to the trochlear nerve, and then operate." She ignored Xiaoxiao's concern, and focused all her attention on the adjustment of the plan.
"What?" Gu Qimin was taken aback, and then said, "You're joking! You also know how thin the trochlear nerve is, how could it be possible to put a catheter in the surrounding area?"
"If you don't do this, the patient will be disabled even if he is well."
"But you know that once the danger of the trochlear nerve is not bypassed, the patient is already bleeding. The trochlear nerve itself is not terrible. What is terrible is that it has complications. If there is a slight deviation in position, it will cause other diseases. Nerve cords and blood vessels rupture, and patients are at risk of brain death."
Xiaoxiao stepped forward to persuade Gu Chu, "Let's listen to Director Gu. Although the situation is urgent, he has experience."
"Director Gu's plan cannot be adopted." Gu Chu was short of breath, "It is risky to have the catheter inserted and then operated on, but it is definitely feasible."
"Gu Chu, you have to understand that there is no such thing as medically feasible!" Gu Qimin was also anxious, and shouted.
"But Director Gu, don't you think my plan is the only feasible one?" Gu Chu became stubborn.
Xiao smiled and advised no one.
"Director Gu, the patient's condition is getting worse and worse, please make a decision quickly." The medical staff said anxiously.
Gu Qimin stared at Gu Chu, Gu Chu's eyes were firm and he never backed down.Gu Qimin also knew that there was no delay, so he took a deep breath and ordered, "Get off the catheter!"
Xiaoxiao was taken aback, and looked at Gu Qimin in astonishment.
This is a brand new gamble. Since Gu Qimin decided to use the catheter, it means that he is going to compete with the god of death just like Gu Chu.Gu Chu didn't have time to be excited and grateful, and immediately prepared a catheter and went forward.The trochlear nerve is the fourth pair of nerve lines in the brain. The motor nerve, numbered IV, is the thinnest nerve in the cranial nerve.It is the most strenuous work to avoid the thinnest nerves in the catheterization, not to mention the side surgery.
Gu Chu handed the catheter to Gu Qimin, but he didn't answer it, and shouted in a rough voice, "You insert the catheter yourself!"
"What?" Gu Chu was startled, without even thinking about it, "No, I can't do it..."
"You!" Gu Qimin stared at her angrily.
Xiao Xiaoxiao reacted immediately, stepped forward and said to Gu Chu, "You can do it!"
"I... really can't."
"What nonsense? If you delay for a few more seconds, the patient will die!" Gu Qimin was so anxious that he even said such words.
Gu Chu had no choice but to bite the bullet.
This is a job that requires cooperation. Xiao Xiaoxiao is mainly responsible for hemostasis. Gu Qimin has to observe possible dangers at any time. Gu Chu holds the catheter in his hand and stares at the monitor. After taking a deep breath, he slowly inserts the catheter into the patient's body. Affected intracranial.
Blood stained her gloves, and as soon as her fingers touched the intracranial tissue, her stomach turned upside down.
But she still forcibly held back the desire to vomit, and kept admonishing herself to concentrate, to concentrate!Finally, the catheter was stretched in, and the slender tube pierced through the thin membrane like a nerve thread, and blood smeared out, her fingers paused, but Gu Qimin ordered in a deep voice, "Go on, don't stop!" !"
Naturally, Gu Chu didn't dare to stop, not because of Gu Qimin, but because he wanted to save patients.She took a deep breath again, exhaled slowly, and continued to penetrate the catheter. Gu Qiming stared at the situation in the brain with nervous and cautious eyes.Gu Chu couldn't see his expression, so he concentrated on avoiding the trochlear nerve, and only heard the medical staff say, "The patient's blood pressure hasn't dropped anymore!"
She finally breathed a sigh of relief and the catheter was inserted safely.
But the next job is even more difficult. Although there is only one knife, if the knife is shifted by a little bit, it will lead to a more dangerous situation.Just as Gu Chu was about to hand it over to Xiaoxiao, he heard Gu Qimin say, "You installed the catheter, and you are the best at determining the distance of the nerve line, so you do the surgery!"
Gu Qimin's decision frightened Gu Chu, she was stunned, and after a few seconds, she thought that there must be something wrong with her ears, Ke Xiaoxiao immediately handed her a scalpel, which was very natural.Only then did she realize that it wasn't a hearing problem, she turned her head to look at Gu Qimin, and murmured, "Director Gu, I..."
"What's the matter? Can't you remove the brain abscess?" Gu Qimin looked serious, "You got a perfect score in the mock exam last time!"
"That, that's a mock exam... Director, I can't do it." The mock exam is not a real person, even if she holds a scalpel, she doesn't have a lot of psychological pressure, but this time, Gu Qimin actually asked her to operate the patient's brain. Knife, she felt that this was simply impossible.
More importantly, there are rules and regulations in the hospital, and there are different levels of surgery. The surgery that Gu Qimin asked her to perform now can be regarded as a second-level surgery. She is an intern, so she is not qualified to perform this surgery at all. Once implemented, Gu Qimin violated the regulations and made decisions without asking the hospital for instructions, and might even be complained by the patient's family, which would be very troublesome.
She absolutely can't handle this scalpel. Xiao Xiaoxiao has been in the hospital for so many years, and as Gu Qimin's most capable assistant, Ye can only perform third-level operations.
Seeing her hesitation, Xiao Xiaoxiao lowered her voice and said, "Xiao Chu, you must pass this level."
"This doesn't comply with the regulations..." Gu Chu whispered eagerly.
But this was still heard by Gu Qimin. He looked at the patient's status data, turned his head and said to Gu Chu, "What time is it now? There are not enough manpower, what rules are you giving me? People are dying and obey the rules." You can live? You inserted the catheter. You know better than the two of us the feel of the nerve line and the incision site. What are you waiting for? Are you going to let the patient lie down or delay the orthopedic surgery? ?”
The patient has already had bone lesions due to long-term complications. After undergoing neurosurgery, he will observe for some time before intervening in orthopedic surgery. Therefore, if they delay time, the time for orthopedic surgery will also have to be postponed.
Gu Chu held the scalpel tightly.
"Xiao Chu, even the director has said that, why are you still hesitating? The director and I must always pay attention to the condition of the patient after you have the knife, and we will rescue it in time if there is a problem, so you must take up the operation Knife, don't forget, we even adopted your plan for this operation, and you know the patient's condition better than anyone else." Xiao Xiao said with a smile, but she knew in her heart that Gu Qimin had violated the regulations, but the current situation It is indeed special, it seems that Gu Qimin is ready to be punished.
The monitor beeped again.
"The patient's blood pressure is lowered!"
"Gu Chu, perform the operation." Gu Qimin ordered.
Gu Chu knew that she couldn't wait any longer. In fact, when she put the catheter in the patient herself, she had a vague premonition that she was going to pick up the scalpel tonight. Gu Qimin and Xiao Xiaoxiao were right. She knew the situation of the catheter position just now. .Picking up the scalpel and stepping forward, the medical staff pulled the microscope closer.She took a deep breath and found the right position, as long as the blade was gently lowered.
(End of this chapter)
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