Dr. Chung’s 90s

Chapter 193 Bifrontal Extended Osteotomy

Zhong Yu glanced at them and said in a gentle voice: "You guys should sit down first and then talk."

Cai Yizhong also knew that he had been too excited just now. After he calmed down, he apologized:
"Dean, I'm not questioning your ability, I just think there's no need to take risks."

Guo Pengfei sneered: "Do you still think they are poor? If the patient's family can pay a huge amount of medical expenses, do you think it is worth taking the risk?"

Cai Yizhong paid him no attention and instead turned to Zhong Yu and said sincerely:
"Our hospital is essentially aiming to make a profit. Even if I really think so, there is nothing wrong with it."

Guo Pengfei frowned and said: "If the president ignored the situation at that time, what would others think of our hospital if word spread?"

Cai Yizhong said helplessly: "If the dean provides free assistance every time he encounters such a thing, will more patients follow suit? Some who can obviously afford the fee want to freeload and take advantage. How can we prevent this in the future? Li Jiajia shouldn’t have charged any fees at that time.”

Guo Pengfei disagreed: "Making money is indeed very important, but we can't lose our humanity because of this. Besides, the hospital's income is not low, so there is no need to worry too much."

Zhong Yu saw that the two of them were arguing first, and said helplessly: "I have already agreed to accept the patient, it is better to go back on my word."

She looked at Cai Yizhong and said: "It's not free assistance as you think. The patient's family now has no money to pay on credit. I asked her to write an IOU before the operation, so the problems you are worried about are not problems. Even Li Jiajia is doing it in her own way. When it comes to paying medical bills, as the dean, I will consider the interests of all staff, so you don’t have to worry about this.”

Guo Pengfei said with a smile: "This is good. We don't have to risk death and don't save the patient, and the hospital doesn't suffer any losses."

Cai Yizhong was still not optimistic. He said in a low voice: "Don't overestimate human nature. She has written an IOU, but if the child is cured, she takes the child and slaps her butt and leaves. Where will you find her? If the child is not cured, Well, not only will she not pay back the medical bills, but she might even squander some of our money. These are lessons learned from the past. "

Cai Yizhong is far more realistic than Guo Pengfei. Zhong Yu is willing to listen to their opinions, not to ask for their consent. No one can change what she has already decided.

Zhong Yu said sternly: "I am mentally prepared for the situation you mentioned. I hope everyone can focus more on the study of medical records. I will not let you down in terms of management. Now I want to hear your thoughts. How much is known about synostosis.”

Guo Pengfei frowned and said, "I only know that the occurrence of craniosynostosis may be related to genetic abnormalities."

Zhong Yu looked at Cai Yizhong again, wanting to hear his opinion. Cai Yizhong said expressionlessly:
"In patients with craniosynostosis, one or more cranial sutures have been closed at birth or shortly after birth. Not only do they have abnormal forehead and skull shapes, but in more severe cases, the brain development of children will be subject to certain restrictions."

Zhong Yu nodded and said: "You are both right, so early surgical treatment is extremely necessary. The purpose of surgery is not only to improve the shape of the skull as soon as possible, but also to promptly relieve the pressure on brain development caused by premature closure of cranial sutures."

In fact, apart from those external factors, Cai Yizhong was still very interested in studying the medical records. He thought for a moment, but still had no clue about the surgical plan.

"I don't know where to start with this operation. If I'm not careful, the patient's life will be in danger..."

Before he finished speaking, Sun Wenhui knocked on the door. She stood at the door and raised her voice:
"Dean, the patient's examination report is out. Can I show it to you now?"

Zhong Yu immediately stood up and replied: "Bring it over now and show it to me."

Sun Wenhui knew she was in a hurry, so she trotted in. Zhong Yu took the various inspection reports and couldn't wait to read them. After a while, she said:
"The CT scan of the child with brachycephaly showed lateral ventricular hypertrophy and no papilledema. The situation is not too bad."

Cai Yizhong and Guo Pengfei also breathed a sigh of relief, and Zhong Yu continued:
"The child with brachycephaly has a flat forehead on both sides, and the horizontal cranial diameter of the retruded head is shorter than that of normal children of the same age... So I considered using bifrontal expansion osteotomy to treat craniosynostosis in young children."

Cai Yizhong couldn't wait to ask: "Biforehead extended osteotomy? How to operate it specifically?"

Zhong Yu said solemnly: "The fronto-orbital belt is formed and moved forward through the coronal incision of the scalp, and multiple frontal and parietal skull osteotomies are spliced ​​to expand the anterior cranial concave and improve the skull appearance."

Although they are not as powerful as Zhong Yu, they are not ignorant. Guo Pengfei said excitedly: "Dean, I will come to help. I am very interested in this operation."

Cai Yizhong couldn't help but pour cold water on him and said: "Can you keep up with the dean's pace? Don't affect the progress of the child's surgery just because of you. Can you take this responsibility?"

Guo Pengfei said unconvinced: "This is not the first time I have helped the dean. Don't try to bluff me. There is no negotiation this time."

In order to prevent the two of them from continuing to quarrel, Zhong Yu immediately decided:
"Let Guo Pengfei help me this time. Dr. Cai, please help me prepare the surgical materials. After I design the surgical plan, I will arrange the surgery as soon as possible. You two can go out and do your work if you have nothing to do."

It's not easy to argue in the office, so the two of them had another quarrel after they came out.

After Zheng Jun on the other end stalked Chu Jianwen, she finally looked good.

Zheng Jun was quite smart and knew how to save the country through curves, so he went to the dessert shop downstairs to buy some pastries and share them with everyone.

After all, people are short-tongued and soft-handed. In line with the principle of trying to persuade peace but not division, everyone started to say good things to Zheng Jun again.

Chen Zhaodi was the first to speak: "Jianwen, you see how nice Dr. Zheng is. If you break up with him at this time, wouldn't you be benefiting others in vain?"

Sun Wenhui nodded hurriedly and lowered her voice: "There are a lot of thoughtful little girls out there, but you shamelessly stick to Qiao's family. I guess that intern must have a poor family background."

Chen Zhaodi rolled her eyes and said: "This has nothing to do with her family background. It's purely a matter of her character. Anyway, you can't choose this time even if you break up. If the intern knows about it, he will definitely be more motivated."

Zheng Jun stood aside and listened like a prisoner. He couldn't laugh or cry and said: "Dear nurses and sisters, I really have nothing to do with the intern. My contact with her is purely work-related."

There was still no smile on Chu Jianwen's face, but she looked worried. She and Zheng Jun hadn't gone on a date recently, so her parents knew about the conflict.

She deliberately acted coquettishly and said she wanted to break up with Zheng Jun. She thought her parents would go along with her wishes, but instead of following her, her parents scolded her and said their marriage was over. After passing the Ming Road, the two families have reached an agreement, and the marriage will definitely be concluded. Chu Jianwen was confused at the time. She didn't understand why the marriage involved an agreement between the two families when it was clearly a matter between her and Zheng Jun.

The words were meant unintentionally, but after hearing what her parents said, the idea of ​​breaking up became stronger. She cried and told her mother that Zheng Jun was half-hearted and hooking up with the intern behind her back.

As a result, her mother pulled her into the room and told her earnestly that men were essentially the same thing. She also said that they didn't have to worry about their occasional cheating, and that as long as her mother's family didn't ruin her status, she would always be as stable as a rock.

Chu Jianwen was dumbfounded at the time. This theory was completely different from what she expected. She didn't even know how to reply to her mother.

She seemed to have grown up overnight. She thought she was lucky. Her parents loved her, her brother and her sister-in-law pampered her, but in the end she still had to sacrifice her marriage for the so-called family.

Although Zheng Jun made jokes with others, he always paid attention to Chu Jianwen's condition. He had been with Chu Jianwen for so long and knew her character very well.

She has always been simple and direct, and her eyes always have a smile, but now the smile is gone, and there is always a sense of sadness in her eyes.

Zheng Jun was a little flustered. He didn't care about the others. He took Chu Jianwen's hand and said, "Shall we go somewhere else to talk?"

Chu Jianwen raised her head and glanced at him, but did not refuse. She said hello to everyone, and then took Zheng Jun to the empty office downstairs.

When she arrived at the office, she didn't speak, and only looked out the window with empty eyes. Zheng Jun was frightened by her appearance, and he asked cautiously:
"Jianwen, what's wrong with you? Are you still angry with me? I have no personal contact with that intern, and I no longer take her with me. If you mind such a thing, I will resolutely put an end to it in the future. You believe me!"

Chu Jianwen was not stupid. She could see Zheng Jun's sincerity, but she couldn't get over the hurdle in her heart. She asked in a low voice:
"Do you really love me and want to marry me?"

Zheng Jun nodded without hesitation and said sincerely: "Actually, I fell in love with you long before you confessed your love to me. I was afraid that I would scare you if I acted rashly, so I kept waiting for the opportunity."

The expression on Chu Jianwen's face did not change at all, and she said, "Then you chose me because I am a good match for you, and the Chu family's power can be combined with that of the Zheng family?"

Zheng Jun's expression changed slightly. He was the only one who knew how innocent Chu Jianwen was. He didn't want to see her disturbed by these messy things.

He sighed and said helplessly: "Did your family say something to you?"

Chu Jianwen nodded without concealment and mocked:
"My mother said that whether I want it or not, our marriage is a done deal. I don't understand, shouldn't marriage be between the two of us?"

Zheng Jun held her cold hand and said distressedly: "Don't listen to your mother's nonsense. I want to marry you because I love you. It just happens that our two families can take this opportunity to join forces. I I know that many families like ours have political marriages, but we are not. If I really sacrificed for the family, I could choose a stronger supporter. Moreover, I work in a hospital, and fighting with those powers has nothing to do with it. Relationship, as for the parents..."

Chu Jianwen still stared at him, wanting to see what else he could say. He smiled slightly and said: "What they think is their business. If you don't like living with them after marriage, we can buy a house." Live alone, I have enough ability to make you live a good life, you don’t have to worry.”

Chu Jianwen still had him in her heart, and was moved by his words. She asked again:
"You really didn't stay with me because of your family background?"

Zheng Jun held her in his arms distressedly and emphasized again and again:
"That's not the case. I am with you because I love you. It has nothing to do with anyone or anything. Our love is not the result of weighing the pros and cons."

Chu Jianwen believed what Zheng Jun said at this moment. She sadly discovered that she actually had no ability to resist the family's arrangements. The only thing to be thankful for was that Zheng Jun was the person she wanted to marry.

Chu Jianwen was not stupid. At this point, there was no room for change. She had to hold Zheng Jun in her hand no matter what.

She treated Zheng Jun both softly and hardly, and after receiving a lot of guarantees, she willingly revealed the matter.

Zheng Jun was satisfied after coaxing people, and it was only at this time that he paid attention to the affairs of He Yuemei's mother and son. He was already close to his colleagues in the hospital, so it was easy to find out some information.

After learning that Zhong Yu was going to perform a craniotomy to repair the patient, he was so excited that he insisted on coming to observe and learn.

Zhong Yu focused all his attention on designing the surgical plan and agreed to his request without giving it much thought. Anyway, this was not his first time observing.

Zhong Yu spent two days preparing without sleep and food. Finally, after making sufficient preoperative preparations, the operation officially began.

Guo Pengfei stood firmly in the position of first aid. No matter how unhappy Cai Yizhong was, Chu Jianwen took the lead in anesthetizing the child.

After the anesthesia takes effect, Zhong Yu first makes a coronal incision on the scalp. She separates the scalp flap from the galea layer of the scalp to the orbital and ear planes on both sides, incises the periosteum, peels off and lifts the periosteal flap to the temporal fossa on both sides, and exposes the entire skull.

The root of the nose is exposed by subperiosteal dissection, and then the supraorbital neurovascular bundles on both sides are released to expose the bilateral supraorbital walls and outer rim of the orbit.

Zhong Yu started by designing the supraorbital, forehead, parietal, and temporal osteotomy lines, and then designed a frontal bone plate with good curvature and appropriate width in the entire exposed skull area to reconstruct the ideal forehead shape.

Then came the craniotomy. She very calmly used the skull knife to open the skull according to the designed line, and removed the cut skull plate outside the dura mater. Osteotomy was performed transversely on the bilateral supraorbital wall and nasal root, while maintaining the integrity and good curvature of the fronto-orbital belt and frontal bone plate.

Then she performed skull shaping and expansion of the cranial cavity. She cut the removed skull plate into pieces, perfectly maintaining the curvature and integrity of the frontal bone plate, so that the two formed a suitable frontonasal angle and forehead curvature and then fixed them. .

Finally, the remaining skull plate is divided into pieces and fixed in the gap between the top and temporal parts of the skull to maintain an appropriate gap at the top of the skull to prevent recurrence.

She did not panic at all during the entire operation, but on the contrary, the onlookers were so intimidated that they did not dare to breathe.

After the entire operation was completed, their tense nerves completely relaxed.