Chapter 138 Awesome Novice

With the surprised and surprised gaze outside the door, Xu Ze naturally held the part that was about to be punctured with one hand, held the syringe in the other hand, and took five milliliters of lidocaine from the small medicine bottle in Director Qu's hand very steadily and accurately, and was about to start doing local anesthesia.

In Xu Ze's view, since Director Qu said he would let himself do it, then when there were only two people, Director Qu would of course be an assistant to assist him in doing this lumbar puncture, so there is no need to be too taboo about identity issues.

Zhang Qi was shocked that Director Qu did not do it himself and was an assistant to others. This was almost impossible in their opinion. As a director who was busy with department affairs and a nationally renowned expert, in addition to weekly rounds, generally, the patient has to be applied by ordinary doctors in charge of the patients before they take time out for consultation.

It is impossible to waste time and have such a minor operation in person. But today, Director Qu not only did it come, but he actually acted as an assistant to a new doctor, which makes people feel strange.

At that moment, Zhang Qi quickly put on a mask and hat and walked in, smiling at Director Qu, "Director, why don't you rest? I'll be an assistant to Dr. Xu."

Director Qu knew what Zhang Qi meant, chuckled and shook his head, and then continued to watch Xu Ze take action. He was no other than being the assistant, just to see Xu Ze's true ability, and of course he would not let others replace him.

Xu Ze didn't think so much at this time. He was doing his own surgery wholeheartedly, carefully piercing the syringe into the puncture point, injecting some anesthetics into the bottom layer of the skin, and then changing to vertical injection of the needle, carefully performing local infiltration anesthesia from the skin to the intervertebral ligament.

After lidocaine was completely injected into the ligament, Xu Ze took a breath and calmed down. He picked up the puncture needle about ten centimeters long, carefully used his left thumb to fix the puncture point skin with his two fingers, and held the puncture needle with his right hand vertically in the direction of the back, slowly punctured from the 3 and 4 lumbar penetration, and officially began to undergo lumbar puncture.

Seeing that Xu Ze had begun to pierce, a hint of curiosity flashed in Director Qu's eyes. At this time, he basically no longer doubted Xu Ze's ability, but was wondering whether Xu Ze could succeed in one go. If this could succeed in one go, it means that Xu Ze must have very rich experience in clinical practice and has strong theoretical skills. He can let Xu Ze do things in the future.

When Zhang Qi saw Director Qu refuse, he also looked carefully from the side. Looking at Xu Ze, who could make Director Qu pay so much attention, what is his hand in hand? It should be a silver-like wax-headed gun...

At this time, Xu Ze was a little nervous. Although it was a lot of cases that did not succeed at one time, and once or twice; Xu Ze still wanted to do it perfectly. When he was in the virtual space, he had done it many times and was familiar with the feel before he could succeed at one time. This time, in reality, he couldn't help but feel a little nervous.

While recalling the feeling of his hand when operating in the virtual space, Xu Ze slowly pushed the puncture needle forward with his feelings. When he pierced about 3 or 4 cm, Xu Ze's hand stumbled slightly and felt a little resistance. When he pushed forward gently, he quickly broke through. He couldn't help but frowned. This should be the breakthrough of the first ligament, and the next thing is the most critical. Whether it succeeds depends on the situation later.

After continuing to puncture for two centimeters, Xu Ze really felt the resistance again. This time the resistance was much greater. Xu Ze raised his eyebrows lightly, then sucked in a breath, held the puncture needle tightly, pushed forward, and felt as he was empty, and the resistance to the needle was obviously gone. Xu Ze breathed a sigh of relief, knowing that the puncture needle had successfully passed through the ligaments and dura mater, and it successfully reached the spinal canal.

Although it is estimated that it has reached the spinal canal, it is still impossible to be completely sure that the puncture will be successful. This must be counted by seeing cerebrospinal fluid.

Xu Ze let out a light breath and slowly pulled out the needle. Success or failure will be the first to beat again. If the cerebrospinal fluid is still not seen, then the puncture must be re-pierced.

However, it is obvious that Xu Ze's training in the virtual space is very effective. As the needle slowly withdraws, a drop of colorless transparent liquid drips out gently in the hopeful eyes of the three of them.

Seeing this transparent cerebrospinal fluid dripping, Xu Ze couldn't help but breathe a sigh of relief, while Director Qu and Zhang Qi on the side flashed with praise on their faces. Xu Ze was indeed good...

Xu Ze slowly pushed the needle back, temporarily stopped the cerebrospinal fluid from the syringe tube, then took out a pressure measuring tube from the waist piercing bag, carefully put the lower end of the pressure measuring tube into the syringe tube, and began to measure the intracranial pressure. This is also an important diagnostic method for lumbar piercing. Through pressure measurement, some intracranial high pressure can be eliminated.

As the pressure measuring tube was wrapped, the cerebrospinal fluid scale displayed in the pressure measuring tube slowly rose, gradually stopping at the 150 mm water column. Xu Ze also felt relieved. The normal value was 180, and it was only 150 now. It seems that the intracranial pressure has not increased. There should be no other intracranial or cerebrospinal fluid lesions. This time, the diagnosis of Guillenbarre syndrome is more confident.

After measuring the pressure, Xu Ze carefully took off the pressure measuring tube, then inserted the needle into the needle tube to block the cerebrospinal fluid so that it no longer flowed out; then reached out and took out three test tubes from the waist piercing bag, preparing to leave the cerebrospinal fluid specimen for testing.

Carefully line up the test tubes in their hands in a row in their right hand and place them under the patient's spinal syringe. Then gently hold the needle in his left hand and carefully pull it out at a slow speed. As the needle in his mouth exits the needle, the colorless and transparent cerebrospinal fluid slowly drips from the needle into the test tube in Xu Ze's hand.

When the three test tubes in his hand were dripped with a small tube of cerebrospinal fluid, Xu Ze quickly pressed the needle with his left finger to prevent the cerebrospinal fluid from flowing out for the time being. Then he placed the test tube in his hand into the treatment plate aside. Then he inserted the needle into the needle tube to block the cerebrospinal fluid so that it no longer flowed out.

Everything was done, so Xu Ze reached out and quickly pulled out the puncture needle, sealed the needle hole with a piece of gauze, and then changed the patient's position from the side to the flat. After asking the patient that he had no special discomfort, he told him to lie flat on the pillow for four hours before sitting up, then packed up the surgical instruments, took three test tubes filled with cerebrospinal fluid, and left the ward with Director Qu and the other three.

When he returned to the office, Director Qu quickly issued the test form, handed it to the nurse with three test tubes, and asked them to send it to the laboratory for testing immediately.

Seeing Director Qu so cautiously, Zhang Qi couldn't help but ask curiously: "Director, is there anything wrong with this patient?"

"Well... When Xu Ze went to see the patient just now, he discovered some abnormalities. After detailed analysis, we considered that this patient may not be just myasthenia gravis, but a newly discovered disease recently, so it must be confirmed as soon as possible to avoid delaying the patient's treatment!" Director Qu nodded and looked at Zhang Qi.

"The newly discovered disease? Did Xu Ze see it?" Zhang Qi couldn't help but say in surprise when he heard Director Qu's words.

"Yes... Xu Ze is a young man with a wide range of knowledge and has a very in-depth research on some new diseases. If he hadn't discovered an abnormality this time, I wouldn't have thought of this!" Director Qu said with a smile.

It was almost twelve o'clock. Qian Xuebin pushed open the door and walked in, smiling at Director Qu and said, "Director, you get off work... I've had dinner!"

Seeing that Qian Xuebin came in, Director Qu waved and said, "Xiao Qian, come here!"

Seeing Director Qu's face full of solemnity, Qian Xuebin couldn't help but feel his heart thumped, then walked over with a smile and said, "Director, what's the matter?"

Director Qu nodded and signaled him to sit down, then handed the medical record at hand to Qian Xuebin and said, "Xiao Qian, you need to rewrite this medical record. I went to see this patient just now and found some abnormalities. It may not be a simple myasthenia gravis, but may be a newly discovered disease called Guillinbare syndrome!"

"I will find out the information for you later. You can ask the patient's medical history again, then do a physical examination carefully, and then write down the medical history and some subtle physical examinations in detail. Don't have any more problems, do you understand?" Director Qu explained cautiously and sternly.

After hearing Director Qu's words of criticism, Qian Xuebin's face suddenly became obscene. Although being criticized by the director was not too embarrassing, Qian Xuebin still felt that his face was hot when he was criticized in front of other doctors.

Although I don’t know what was wrong with my medical record, Qian Xuebin still hurriedly nodded humbly and said seriously: “Okay, Director, I will conduct a comprehensive consultation and physical examination of the patient again, and there will be no more omissions!”

"Well... let's go now. Xu Ze and I have already done lumbar pants on the patient and are waiting for the test results to come out. You should first ask for your medical history and after the physical examination, I will find the information for you!" Director Qu nodded, then stood up and went to his director's office.

After Director Qu left, Qian Xuebin began to analyze this matter. His physical examination should have always been good, and there are generally no big problems in asking about medical history. So where will the problem lie?

Qian Xuebin thought about it, and suddenly remembered the strange and seemingly unrelated medical history that Xu Ze asked when he went to see the patient two hours ago. He immediately felt a sudden turn and thought it was not good, but I was afraid that something was wrong here.

Xu Ze was afraid that he had seen some problems, but he did not say anything. Instead, he talked directly to the director, causing himself to be criticized by the director...
Chapter completed!