Chapter 26: If you are knocked out, you will have surgery

Speaking of which, Master Xu made Ye Nan a small move, intending to drive Ye Nan, who was in trouble, out of the Second Affiliated Hospital. However, what he didn't know was that it was not easy to have Professor Huang behind Ye Nan and wanted to drive Ye Nan out! Master Xu was also too proud!

The next day, Vice President Xu raised this question at the hospital meeting. Because Ye Nan's behavior did not comply with the guidelines of a doctor, it had seriously hindered the development of the daily work of the hospital. It was recommended that the hospital expel such unqualified doctors.

Originally, if Vice President Xu asked this, it would generally be approved as long as there was no big problem. However, the "North Normal University Hijacking Case" by Ye Nan has a great impact. Not everyone is not interested in this entertainment news like Vice President Xu. There are still a few who have expressed concern about this matter. After all, the protagonist is a doctor from this hospital, so he still knows more about this matter!

But they also regard this as a small thing. Although there are many reporters waiting at the hospital gate every day, it really hinders the hospital work, and it seems that it is a bit over the words.

Although they didn't know why Vice President Xu asked for the expulsion of a doctor for this little thing, they would not jump out to oppose Vice President Xu's opinions for the sake of a small doctor.

Although Vice President Xu has just been transferred to the Second Affiliated Hospital for only two years, it is said that he is very energetic in the above, so there is no need to offend him for this little thing.

Seeing that no one at the council meeting opposed it, the president Hong Lang, who was sitting at the front of the conference table, planned to speak out and say that the proposal was passed.

However, this matter was still not smooth and Ye Nan got out. After all, there was a director Wu of the Medical Department who was familiar with Ye Nan at the hospital meeting. Director Wu is also a good man. Although he has a good impression of Ye Nan, he usually cannot object!

But this time, he had to step out of opposing this matter. Seeing that President Hong was about to make a conclusion, he quickly coughed and signaled that he had something to say.

The members of the Council Affairs Conference turned their heads curiously to look at Director Wu, and thought to himself why this old guy changed his gender today and planned to get into a slap. Could it be that Ye Nan still has something to do with him?

Everyone thought that this was possible. After all, all the new doctors need to pass his level. The hospital's entry indicators have been quite strict recently. Ye Nan has just arrived recently, so it is not surprising that he has something to do with him!

Looking at the doubtful and curious eyes of his colleagues and Vice President Xu, Director Wu cleared his throat and smiled faintly: "I think it's better to be cautious about this matter. After all, there is no definite evidence to prove that Dr. Ye violates the hospital system and there is no medical error. Only a few reporters were guarding at the hospital door, so it is impossible to conclude that Dr. Ye has already hindered the normal work of the hospital! So I think we should not be too hasty..."

Hearing Director Wu's words, the members of the Council Affairs Conference muttered in their hearts. This statement is correct, but it is strange that you, the old fox, jumped out to object to this matter today. If you brought Ye Nan in, you still have to give this face. As long as Vice President Xu has no objection, let's put the matter down!

Vice President Xu was also very surprised and said to himself: "If this is really the person arranged by Director Wu, he still has to give some face. Otherwise, he would make a notice and criticize Ye Nan, and order him to give him a one-month holiday and watch the results!"

Director Wu knew that these people had misunderstood now, so he quickly smiled bitterly and said, "Don't think about it. This Ye Nan was not brought in by me. He was Huang Siping's proud disciple. He arranged it in! If Ye Nan was fired, I'm afraid that all the people in our Council will be pointed at the nose and scolded!"

"Huang Siping?" The people present were shocked. They remembered that three months ago, the Council Meeting approved a salary increase report for a certain psychiatric doctor proposed by Huang Siping. It seemed that the name was Ye Nan! But Ye Nan ran to the emergency department and everyone really didn't remember it.

The old man Huang is an old thorn that cannot be touched, and he has always been extremely protective of his shortcomings. If he really makes the old man angry, he dares to point at Dean Hong's nose and scold him. Few people at the Council Affairs Conference are willing to provoke him!

Even Vice President Xu was stunned. He didn't expect that Ye Nan was the man of Old Man Huang. Although he had only been in the Second Affiliated Hospital for two years, he knew a little bit about the old man's power. When he first came to the hospital to take office, he went to the psychiatric department to check it out and said a few words as an expert. At that time, Old Man Huang was very disrespectful to him! It made him very difficult for him to step down!

Unexpectedly, this matter was actually involved with Old Man Huang. He really didn't want to mess with him, but he just said everything and suddenly he was about to shrink back. This face would be too bad! Vice President Xu looked at the other people at the hospital meeting with a headache.

But I found that everyone was looking at him and waiting to see what he meant. After all, this was raised by him. If he insisted, if he really messed with Old Man Huang, they would push the blame to him!

Vice President Xu is really a headache now. Although everyone knows that Old Man Huang is not easy to mess with, if he takes back his words like this, he will not be able to bear the face.

Vice President Xu measured it a little, and felt that according to what he thought just now, he would give Ye Nan some punishment. This would not offend the old man Huang too much, but also save his face! No matter how he said that he was also the vice president, I would not have come to trouble myself for this matter!

He coughed twice and said with a smile: "Indeed, my proposal was a little bit sloppy. Besides, the old man Huang still needs to give him some face. Let's just say that, and give him a criticism. At the same time, in order not to hinder the daily work of the hospital, he was ordered to take a long vacation and return to the hospital to work after the matter was calmed down!"

Everyone looked at me, and I looked at you, and said to myself: "Vice Dean Xu, you are really brave. You dare to mess with that old man Huang, but I am afraid that this matter will not end at that time!"

However, these people are all old-fashioned people. Since Vice President Xu has said this, of course he will not remind him of Old Man Huang's power again.

Vice President Xu relies on his own background and is a character walking sideways in the hospital. Many people laughed in their hearts and planned to see a small joke then!

In this way, the matter of Ye Nan being criticized was decided, and the Ministry of Medical Affairs will issue a notice tomorrow.

Ye Nan, who was working at this time, had no idea that his efforts in work were easily rejected by a few people!

At this time, he was having a headache for this patient, and he also had a headache... Of course, the patient had a headache more than him!

The patient held his head, moaned constantly on the bed, and vomited constantly. Several people next to him wiping tears and persuaded: "Miao Sheng, just listen to the doctor, do this waist puncture. If you don't do this waist puncture, the doctor will not be sure what disease you have, so you can't stop your headache!"

But when a few people persuaded him, the young man on the bed hugged his head and shouted loudly: "If I don't do it, I just don't do it. The needle that is so big will definitely hurt, and I won't stab me to death!"

Ye Nan sighed and said to himself: "Why is such a big person still afraid of injections? He really makes people laugh to death!"

When Ye Nan talked about this, he found it funny. He just started working in the morning and asked the ambulance to bring the patient. The family said that it was mainly because he had a cold two days ago. After taking the medicine for a few days, the effect was not good. The doctor asked him to get an injection, but he just didn't take it because he was afraid of getting an injection since he was a child.

So I kept taking medicine, but today I had a cold and headache, I had a fever, and I couldn't stop vomiting. Then my family forced him to the hospital!

After listening to the family’s condition introduction, Ye Nan felt a little clear-headed after reading this behavior. It was very likely that the cold caused viral encephalitis, so the patient would have such severe headaches, fever, and this kind of ejaculation vomiting!

Next, Ye Nan carefully checked that the patient's throat was slightly red, his tonsils were not big, and no abnormalities were found in the heart and lungs; nervous system examination, both pupils were large and round, which were sensitive to light reflexes and had a sense of resistance to the neck. Brookingsky signs and Kruger signs were both negative; and the body temperature was 395 °C;

Basically, if you consider the diagnosis of viral encephalitis, you can rule out the possibility of cerebral hemorrhage, but you only need to undergo a lumbar puncture and cerebrospinal fluid to confirm and assist in the treatment.

However, the patient was extremely resistant to various injections. Even the infusion injections on his hands was persuaded by several people, so the nurse was asked to get the injection into it.

Hearing that Ye Nan needed to use a large needle to insert it into his back and spine, and some cerebrospinal fluid was still needed, he refused now.

When Ye Nan asked his family to sign the lumbar puncture agreement form to perform lumbar puncture, he saw the large puncture needle in Ye Nan's hand. The young man refused to cooperate and resisted resolutely, and even three or four family members could not catch him!

Now Ye Nan was holding the needle in his hand and standing aside. He had a headache... He thought this was a must-do, but if he didn't do it, it would be very likely that the patient would have a big problem!

Because if the puncture diagnosis is not done immediately, some drugs will not be easy to use. If not, not only will the patient's headache not be relieved, but it may also worsen the patient's condition;

The risk of brain disease is quite high, because the patient's intracranial pressure is not measured and relieved by lumbar puncture. If the intracranial pressure suddenly increases, it is very likely that the patient will have brain hernia. Once a brain hernia occurs, the mortality rate will reach more than 70%, and the patient will be extremely dangerous.

Seeing several family members persuading helplessly, the patient was still unmoved, and even if he had a split headache, he would not agree to the operation!

Seeing this situation, Ye Nan reluctantly dropped the puncture needle in his hand, waved to the patient's father, and signaled him to come to the office!

The patient's father trotted and followed Ye Nan into the office and said anxiously: "Doctor, what should I do? I'm afraid he can't do this. Can I stop doing this?"

Ye Nan sighed inwardly. It seemed that this young man's unique personality was spoiled by his family. Even at this time, he was still bargaining with the doctor for his child's pain!

However, he still has to say what he should say. Ye Nan shook his head gently and looked at the other party and said seriously: "You must be clear that if your son does not undergo this operation, then we may not be able to estimate and control his condition, and in serious cases, life may even be in danger. So, my opinion is that it must be done!"

After saying that, he changed his mind and gave the other party some room: "Of course, if you don't want to do it, then you must sign the word "rejecting surgery". And if something goes wrong with your son, you will be fully responsible!"

After hearing Ye Nan's words, the poor father thought for a while before he understood what Ye Nan meant: If he didn't do it, his son might die!

He turned his head, as if he had heard his son's moans with headaches, and finally gritted his teeth and made a decision. He did not dare to bet on his son's life just because his son was afraid of getting an injection!

But he still said with a look of indefense: "Doctor, of course we hope to do it. The problem is that he refuses. He is stronger than me, so we can't do anything to him! Doctor, can you give him hypnosis medicine?"

"Uh..." Ye Nan was really stunned. Apart from mentally ill, he had not forced the use of hypnotics to such a big person because he had to undergo such a minor surgery!

Ye Nan thought about it and the situation is not too clear now. If you use hypnotics, it will probably affect the condition. However, if the patient is not allowed to fall asleep, this operation will not be done, which is a troublesome thing!

Ye Nan thought about it and it seemed that he had to find a solution for himself. If he didn't have to force himself, he would be afraid that he would not be able to handle this matter. He smiled at the patient's father and said, "It is best not to use hypnosis pills in your son's situation, but I can think of a solution for you! It just needs your consent!"

Ye Nan walked back to the ward with a worried patient's father, kicked everyone out, and stood in front of the patient's bed with a smile on his face.

Seeing Ye Nan coming, the patient didn't care about the headache and threw the pillow on his bed and shouted angrily: "Don't touch me, if you dare to give me an injection, I will fight you!"

Seeing that the young man in this little overlord mode seemed to have no desire for his own life, Ye Nan sighed helplessly, reached out to gently catch the thrown pillow, took a step forward, and gently slashed the young man's neck with a knife.

The young man was stunned after being hit by Ye Nan's hand knife, then fell back gently and fainted smoothly!

Although the father next to him was prepared, he still stared at Ye Nan and said worriedly: "Doctor, my Miao Sheng is fine!"

Ye Nan smiled and shook his head and said, "It's okay, it's just a temporary fainting. I can wake him up after I finish the operation. Don't worry!"

After knocking the patient out of sight, Ye Nan called the nurse and took a new waist piercing bag. He seized the time and prepared to start the operation.

The patient's father was also taken out of the ward. While the nurse was preparing the last surgical supplies, she secretly drew a forbidden talisman in the air with her left hand, and then carefully placed it at the patient's seal hall, pouring the spiritual power of the Taoist talisman into the hidden god platform in the purple palace, so that the patient's spiritual consciousness was completely sealed, and she was not afraid that he would wake up halfway.

I thought the time required for this operation was not very certain. If the puncture was smooth, it would be more than ten minutes. If the puncture was not smooth, it might require multiple repeated punctures, which would take a relatively long time.

If the patient wakes up during the operation, it will be in great trouble. So Ye Nan gave the patient such a forbidden talisman to ensure that everything is foolproof.

After doing everything, the nurse was still cleaning the items. Knowing that the other party had not noticed his little movement, he was relieved to place the patient who had fallen asleep for surgery.

Ye Nan carefully arranged it to lie on the side on the bed, making his back perpendicular to the bed surface, flexed his head to the front of the chest, hugged his knees with both hands and pressed against the abdomen, making the torso arched. This way, the width of the intervertebral space can be increased and the needle can be facilitated.

Ye Nan used his fingers to gesture with his fingers, using the intersection of the iliac bones on both sides of the waist and the midline of the spine on the back of the spine, and selected the space between the spinous processes of the 3rd to 4th lumbar vertebrae as the puncture point. He began to pick up the complex iodine cotton swab handed over by the nurse to disinfect.

According to the rules, the disinfection range is controlled to a diameter of fifteen centimeters, and then a pair of sterile gloves are taken and worn neatly with standard techniques.

After everything was ready, the nurse was prompted to open the outer layer of the waist pants, then unpack the inner layer by himself, take out the disinfectant towel, and then draw the 2% lidocaine handed over by the nurse with a syringe. From the puncture point, carefully perform local infiltration anesthesia layer by layer from the skin to the intervertebral ligament.

Although the patient's spiritual consciousness has been sealed by Ye Nan's forbidden talisman, Ye Nan still has to pretend to inject anesthetics into the patient, so as not to let the nurse discover the abnormalities of the patient!

Then, pick up the puncture needle about ten centimeters long, carefully use the thumb of the left hand to fix the puncture point with two fingers, and hold the puncture needle with the right hand vertically to penetrate slowly from the 3 to 4 lumbar penis.

When it was about 5 or 6 cm pierced like this, Ye Nan didn't feel a clear sense of breakthrough. He frowned slightly and thought, "This patient who is sleeping and doesn't know how to cooperate is really tricky to do this. This time the position must be not arranged properly, so there was a slight deviation in the place where the needle was inserted, and it was not possible to penetrate it smoothly!"

Ye Nan frowned his delicate eyebrows. Knowing that this time it was not successful, the nurse next to him quickly carefully adjusted the patient's position so that Ye Nan could get the needle again.

Ye Nan smiled and nodded to the nurse, slowly retreated the needle, and then carefully repositioned it with his fingers, and then slowly penetrated the needle along the lumbar intervertebral space.

This time, he was lucky. After piercing 4 to 6cm, he felt that his hands were empty and the resistance to entering the needle had obviously disappeared. Ye Nan breathed a sigh of relief and knew that the puncture needle had successfully passed through the ligaments and dura mater and reached the spinal canal.

Although I guess I have reached the spinal canal, I still cannot be completely sure that the puncture will be successful. This must be counted by seeing cerebrospinal fluid!

Ye Nan let out a sigh of relief and slowly pulled out the needle. Success or failure will be defeated again. If the cerebrospinal fluid is still not seen, then the puncture must be re-pierced.

However, it was obvious that Ye Nan was lucky this time. As the needle slowly retreated, a drop of colorless transparent liquid dripped out gently.

Speaking of this hand knife, Tiannan has been terrified for a long time. As early as this time last year, Ye Nan had this fantasy. He was also a patient at that time, and he did not follow the doctor's advice at all. His family had no choice but to do anything about him. At that time, Tiannan really wanted to give him such a hand knife, and then force his waist piercing after being knocked out! But Tiannan just dared to think about it at that time. If he really dared to do it, hehe, I was afraid that after the operation, no matter whether it succeeded or failed, the hospital would have to prescribe me, so Tiannan himself yced this time!

In fact, when talking about that incident, Tiannan was really nervous, and he didn't have the surgery in the end. After asking his family to sign the document, he took the courage to treat the patient for a week.
Chapter completed!