godfather of surgery

Chapter 1127 Little Senior Sister

Sisi lives in the institute's own small ICU. It is small in terms of the number of beds, not the medical equipment. The medical equipment here is complete and all of them are of the highest quality.

Since the institute had its own independent small ICU, the ICU center of Sanbo Hospital has been feeling uncomfortable. They took the opportunity to send doctors here to learn and get some cases. In the past, patients like this were walking paper cases. One case was a case report. A certain number of cases would be a high-level SCI paper. Suddenly, there were fewer high-level papers. No one could adapt.

Sure enough, Sisi's brain edema continued to worsen after the operation, and the defect area of ​​the scalp closure had grown larger. If the foramen magnum craniectomy had not been performed for decompression, Sisi would probably be in emergency treatment now. The success rate of rescue for this type of brainstem herniation is very low.

Now, as long as the edema of the brain tissue does not exceed the tolerance limit of the current surgical plan, Sisi's life will not be in danger for the time being. If it exceeds the limit of the current surgery, she will have to undergo another surgery using the extremely dangerous re-expansion decompression technique.

In treating Sisi's condition, Yang Ping benefited from his own calm judgment. Now, after being tempered in the system space, Yang Ping has become extraordinarily calm and rational. Each of his choices is not based on emotion, but a careful weighing of the patient's interests. After weighing the pros and cons, he will do his best on things that are beneficial to the patient and decisively give up things that are not beneficial to the patient. In a sense, he is a "profit-seeking" doctor, and the profit here refers to the patient's interests, which are beneficial to the patient's condition.

The internal fixation material used in Sisi's surgery is titanium alloy. Titanium alloy is a non-magnetic metal and can be used for magnetic resonance imaging. However, the metal will interfere with the image and produce certain artifacts. Although there are certain technologies that can reduce the impact of artifacts, they cannot be completely eliminated.

In order to observe the changes in the MRI edema shadow of Sisi's intracranial tumor, Yang Ping decided to use MRI for monitoring after the operation. There is no need to worry about certain interference, as he can observe the area without interference and judge the overall change trend through local observation.

On the fifth day, Sisi's brain edema began to subside. Yang Ping performed surgery to protect Sisi for five days. These five days were the most dangerous time. Without the protection of the surgery, there was no doubt that Sisi would have died of brain herniation. Looking back now, the decisive surgery at that time was so wise.

The bone flap removed during Sisi's operation also became the subject of research in the laboratory. They conducted various measurements and found that the calcium and moisture content of the bone flap were very well maintained, with very little difference from when it was separated from the human body. The bone did not undergo rapid necrosis due to ischemia outside the body, especially the edges did not cause necrotic absorption.

It seems that the "bone nourishing technique" that these researchers have come up with in their spare time is quite good. It can preserve a piece of bone tissue in vitro just like living bone tissue. However, this is time-limited and cannot be preserved permanently. The current nutrient solution can be preserved for at least six months. After the improvement of the nutrient solution, this time can be extended. Even six months can do a lot of things.

After the brain edema passed its peak, it slowly began to subside, and the expanded brain tissue also began to shrink slowly. The previous concern that the brain tissue volume would not shrink after the edema subsided did not occur. It turned out that no fibrosis occurred after the tumor cells were absorbed. It seems that the process of cell death, disintegration, absorption, and then replacement by normal cells is relatively continuous, with a better natural rhythm, leaving no window time for fibrosis.

Sometimes the prediction is pessimistic, but the outcome is optimistic, and sometimes the prediction is optimistic, but the outcome is pessimistic. There will be more or less some gap between the actual situation and the prediction. No matter how many factors are considered in the prediction, it is impossible to be completely consistent with the actual situation.

Two weeks later, Sisi's brain tissue completely shrank back to its normal size. It could shrink naturally without removing part of the brain tissue to meet the shrinkage needs. Sisi is so smart. It would be a pity if she was left with sequelae due to the removal of part of the brain tissue. Yang Ping even wanted to take her in as an apprentice to learn medicine.

Yang Ping is serious about his apprentice Sisi. This girl has first-rate IQ and psychological quality. She has experienced the torture of illness and rebirth from the ashes. Her understanding of life is more thorough than that of ordinary people. Such a person can be called a perfect doctor seedling.

During the second operation, Sisi used the original bone flap to cover it back, which fit perfectly and avoided the use of titanium alloy patches. Although titanium alloy patches are not a problem and can remain in the head for a lifetime, it is always better to use one's own bone tissue to fill the gap than titanium alloy.

On the second day after the second surgery, the first thing Sisi asked when she woke up was, "My brain tissue wasn't removed, was it?"

"No." Yang Ping assured her.

The doctors and nurses who were following Yang Ping on her ward rounds burst into laughter. The lovely little girl was not worried about anything else but whether her brain tissue was intact.

After hearing Yang Ping's answer, Sisi felt relieved. She was most worried that the sequelae left after the removal of her brain tissue would prevent her from studying medicine in the future. Not being able to study medicine was unacceptable to her. "Why don't you worry about whether you can survive, but only worry about whether your IQ has decreased? Survival comes first, then IQ." A doctor deliberately teased her.

She retorted on the spot: "The fact that I can ask questions proves that I am alive. If I am dead, how can I have the chance to care about my IQ? When I have the chance to care about my IQ, it means that I am alive."

The logic is clear and there is nothing wrong with it.

"Pooh, pooh, pooh! What do you mean by losing your life? Say something auspicious." A nurse in the ICU immediately stopped Sisi.

Sisi disagreed: "Doctors should be objective. We are just discussing medical issues objectively and don't shy away from life and death."

"You got into the role pretty quickly. Now you think of yourself as a doctor?" Song Zimo laughed at him.

Sisi said: "You have to start learning medicine from childhood. You don't understand. Where are my test results? Let me see if there is anything abnormal."

The nurse had no choice but to get the medical records folder.

"You won't refuse to be my student just because I had surgery on my head, right?" Sisi touched her head which was still bandaged.

"We have made an agreement, but you still don't believe me." Yang Ping assured her.

"Hmph, with so many people testifying, you can't go back on your word. I am your student and you are my teacher. No matter how smart I am, you can't give up on me as your student. When we made a pinky promise, I became his disciple and he also accepted me as his student. I also bought milk tea for the professor, and that cup of milk tea was the tea for him to become his disciple. You have to testify for me, and he can't go back on his word." Sisi said to the older brothers and sisters around her.

"Well, you see, now that so many people are testifying for you, you don't have to worry." Yang Ping couldn't do anything to her.

"Professor, this is the first disciple you have publicly accepted, right?" Song Zimo said.

"From the perspective of time, it seems that I have formally become your disciple." Yang Ping said after thinking for a while.

"Little Senior Sister? No way?"

Song Zimo realized that he shouldn't have said that. So, even he became her junior fellow apprentice? Because all the doctors who were receiving guidance from Professor Yang, including him and Xu Zhiliang, did not have a legal or ceremonial apprenticeship, but Sisi did. She had a cup of apprenticeship milk tea, which was recognized by Professor Yang.

Sisi sat on the bed with a proud look on her face: "You are all junior brothers, and I am the senior sister. None of you have officially become your disciples, only I have officially become your disciple, so I am the well-deserved senior sister. Haha, now I officially declare that I am the senior sister."