Chapter 125
Chapter 125
After working the night shift for a whole day, Ye Yibai rested in the dormitory all morning. He is young and has a strong recovery ability. After a few hours of sleep, the exhaustion all over his body disappeared.
Ye Yibai turned his head and looked at the alarm clock on the table, it was time for lunch.
So he got up and washed his face, and walked downstairs to the cafeteria.
When they reached the stairs on the first floor, they happened to meet Richard and Wang Mao, greeted them, and the three of them walked towards the cafeteria together.
"Did the patient regain consciousness this morning?" Ye Yibai asked as he walked.
Richard nodded, "Consciousness has recovered, but the state is not very good, because he has been taking meth and secobarbital for many years, and has serious drug dependence, so he tried morphine, and it was mixed with alcohol that led to this time. Big fit."
"Her tongue was bitten by herself during yesterday's epileptic seizure, and she doesn't speak much now. I suspect that she has a tendency to depression. She looks straight at people, but has no focus." Richard said.
"Contact Nerves in the afternoon and show her. Anyway, your friend has paid enough for medical expenses." Ye Yibai laughed.
Richard couldn't help covering his face when he heard the words, "You don't know, after being made such a fuss by them, almost the whole hospital now knows that I am a frequent visitor to the bar. They said that the two surgeons in the ambulance center, Dr. Ye and Dr. Richard, one Clean and self-disciplined, with a partner, even children are unwilling to coax, a lingering in the flowers, indulging in nightclubs, and being with friends every day, you didn't see the way Catherine looked at me today."
While the two were talking, Dr. Green and Dr. Catherine just walked towards each other.
Catherine saw Richard snort coldly, and quickly walked sideways.
Richard: ...
Doctor Ye suppressed a smile and patted Richard on the shoulder, "It's okay, just explain."
Ever since Richard connected with Catherine at night and they rescued the child and the pregnant woman together, the relationship between Catherine and Richard has grown by leaps and bounds, and they only had to pierce the window paper to announce that they were together.
It's just that Richard has a lot of criminal records and is unstable. Catherine has some scruples. Now it's all right. Once this incident comes out, the window paper has been upgraded to glass, and Dr. Richard can only hope for luck.
After the meal, Ye Yibai walked around the ward area as usual. Little Lisa has not yet recovered from the blow of a broken relationship. Cuomo's hand is recovering well. Having fun in bitterness, Mr. Mark, who had undergone surgery three times in ten days, can already be discharged from the hospital. When he saw Ye Yibai, his stomach would subconsciously throb, which is the sequelae of half numbness.
As for Wei Rulan, that's right, the patient with epileptic seizures was called Wei Rulan, because when Wei Rulan was being treated, Ye Yibai and Richard were going through the handover procedures, and Ye Yibai's handover form had not yet been signed, so according to Jihe According to the rules, this Miss Wei can be regarded as Ye Yibai's patient.
"Doctor Ye."
"Doctor Carter."
"Where's the patient?"
"You come with me."
In 1933, the development of neurology was still in its infancy, and Dr. Carter was very interested in epilepsy, stroke, hemiplegia and other diseases that were definitely within the scope of neurology.
When Ye Yibai and Carter walked to Wei Rulan's hospital bed, Lily was frowning and talking to her.
"Miss Wei, I don't care why you are in poor health, but you can't be irresponsible for your health. During the attack yesterday, Dr. Ye broke your sternum to save you. If it happens again, I'm afraid it won't be the same. A broken sternum is as simple as that!"
Nurse Lily held the medicine in her hand, put one hand on her waist, and with the words she said, she looked like a vicious and threatening villain.
Wei Rulan was leaning against the bed, her head was turned sideways, her eyes were always looking out of the window, she was expressionless, as if nothing around her existed, combined with her elegant temperament and the royal blue cheongsam, she seemed as light as a chrysanthemum the taste of.
It is said that people should not be judged by their appearance, and it is true. From the appearance alone, it is impossible to tell that such a person is addicted to narcotics or even touches morphine.
"She doesn't take medicine?" Ye Yibai asked after taking a look at the untouched medicine in Lili's hand.
Lily turned her head when she heard the sound, and nodded helplessly at Ye Yibai, "I don't know if it's because of the injured tongue, this Miss Wei hasn't said a word all morning, she just stares at the window in a daze, Look, you haven't even touched your meal."
Dr. Ye frowned. Although Ye Yibai sometimes got angry with the junior doctor, he was always gentle with the patients. After all, the patients themselves were already suffering from illnesses. As a doctor, he tried his best to be psychologically Provide comfort to patients.
But this is only limited to patients who respect their own lives. Ye Yibai doesn't like this kind of patients who don't even care about their own lives. He has seen too many patients and families struggling for a chance of survival. Those who cherish are easily dissatisfied.
It's just that doctors cannot choose patients, nor can they substitute emotions into medical work.
"Miss Wei, epileptic seizures are not very comfortable, you still need to take medicine, otherwise you will be the only one suffering." Ye Yibai said.
Wei Rulan still looked dead, looking sideways out of the window, motionless.
Ye Yibai looked at her for a minute in front of the hospital bed, and seeing that she didn't respond, he turned to Lili and said, "It's okay, take the medicine back, I'll prescribe the medicine in the injection later."
Lily shrugged, and reluctantly took the medicine back, she said to Ye Yibai: "I didn't ask about the past medical history, but the X-rays taken in the morning came out." As she spoke, she took out an X-ray from under Wei Rulan's bed. The piece comes.
Ye Yibai took it, lifted it up and looked at the light source, the rib displacement is not serious, just need bandages to fix it, external application and internal administration will do.
"Got it, go get busy."
Lily nodded and greeted Dr. Carter before leaving quickly.
Ye Yibai looked at Carter, "Doctor Carter, this Ms. Wei had a generalized tonic clonic seizure at 10 o'clock in the morning. According to the companion who sent her here, she had three seizures, each lasting more than [-] minutes, and the last one lasted even longer. For more than half an hour, the trigger was probably excessive morphine intake and alcohol."
Carter also frowned. The patient did not cooperate and could not ask about the past medical history, which was very difficult.
"Ma'am, can we have a chat?" Dr. Carter asked in Mandarin Chinese. These old doctors have been in China for a while, and their oral English is very good.
Seeing that Wei Rulan didn't respond for a long time, Dr. Carter spread his hands helplessly, "Dr. Ye, I can only prescribe some medicine for you. If it doesn't happen frequently, it should be controlled with medicine. In Ms. Wei's case, the effect of a single medicine has weakened." , you can choose to combine drugs.”
At this time, the EEG machine has not yet been officially launched, and the EEG theory proposed by Hans Bellu is also considered by most scholars to be an artifact. Therefore, neurologists' judgments on epilepsy mainly come from the dictation of patients and family members and doctors. Judgment of the patient's past medical history.
Ye Yibai nodded, "Please take this trip, we will continue to do our work on the patient's side, since we have come to the hospital, we must give the best treatment we can."
Dr. Carter glanced at Wei Rulan and gave Ye Yibai a sympathetic look, "Of course, if the patient is willing to cooperate, please feel free to contact me."
Ye Yibai nodded, and the two were about to say goodbye when Ye Yibai suddenly remembered something and asked, "Doctor Carter, how much do you know about EEG?"
Ye Yibai remembered that the world's first mass-produced EEG machine was launched by the Glass Company of the United States, but before that, there should have been non-mass-produced laboratory models.
EEG is of great significance to neurological diseases, such as epilepsy. Even in later generations, EEG still plays an irreplaceable role in the location of epilepsy-induced epilepsy, especially in primary epilepsy without obvious imaging changes. EEG is almost the most accurate examination method.
Hearing this, Carter looked at Ye Yibai in surprise, with a hint of appreciation in his eyes at the same time, "I heard from Dr. Bonn that you are almost a general practitioner. So does neurology."
"No, Dr. Carter, you're amazing. I'm just from the perspective of a surgeon. The EEG can locate the epilepsy zone, which makes it possible to treat epilepsy with surgery. You know, epilepsy is a disease that can be treated with Drug control is good, but some drugs cannot be controlled, affecting normal life, the most important thing is the impact of hereditary epilepsy on infants and young children, mental retardation, ruining a lifetime."
Seeing Wei Rulan, Ye Yibai suddenly remembered the EEG. In this era of slow and lagging information dissemination, it is much more convenient to directly ask experts in related fields than to check the information by himself.
He didn't notice that when he mentioned the influence of hereditary epilepsy on infants, Wei Rulan, who had been looking out the window, turned her head suddenly as if awakened by something, and stared at Ye with an indescribable gaze. Yibo and Carter.
"Sure enough, you are a genius surgeon, and you can think of this. Indeed, the electroencephalogram theory has been proposed several years ago. I am also paying attention to this aspect. I think this theory is feasible. I used to Animals have tried to depict brain waves, and I have a simulation tool in my office, but the location of the epilepsy zone by the EEG you mentioned is theoretically feasible, but as far as I know, there have been no successful cases in reality.”
"But it is true that epilepsy is caused by abnormal discharge of neurons. Long-term abnormal discharge of neurons will strengthen the inhibitory mechanism between neurons in the central nervous system, and will also affect the connection between normal neurons. Most antiepileptic drugs also strengthen inhibition. The role of the mechanism is that the adult brain is fully developed, but if it is a child, continuous use of drugs to control it will indeed cause brain development to be more retarded."
Speaking of this, Dr. Carter frowned tightly, and the two big doctors would unconsciously fall into a state of being alone when they talked about their profession.
The patients in the bed area don't understand neurons, discharges, and mental retardation at all. They just feel that listening to these two white coats arguing makes them feel more secure. What a professional, this hospital is the right one .
Only Wei Rulan, holding the white bed quilt tightly, listened to the argument between Ye Yibai and Dr. Carter, the veins on the back of her hand were exposed, when he heard Ye Yibai say, "In fact, the EEG positioning is accurate. If so, especially for infants and young children, surgical resection of the epilepsy zone will be much better than simple drug control." At that time, she suddenly lifted the quilt, walked forward quickly and grabbed Ye Yibai Coat sleeves.
"Is what you said true? It can really be cured. Mental retardation is caused by epilepsy. Can it be cured?"
Ye Yibai and Dr. Carter looked at each other, "Ms. Wei, your hand is bleeding, and although your rib fracture is not serious, it is best not to move around for a few days, as this will aggravate the condition."
Wei Rulan was hanging on the water all the time, she got up suddenly, the needle in her hand slipped out with a trace of blood, the blood gushed out from the needle hole, although not much, but the bleeding was very fast.
"Oh, my God, Lily, come help." Dr. Carter shouted hastily.
Lily ran over quickly, "Ms. Wei, please lie back."
However, Wei Rulan didn't notice the blood on her hand. She grabbed Ye Yibai's hand, and the blood flowed down the back of her hand onto the white coat, "You said that mental retardation can be cured?"
Ye Yibai vaguely guessed something, he tried his best to calm down his face, and patiently explained: "Ms. Wei, I am, if the mental retardation of infants and young children is caused by epilepsy, then if you can Use EEG to determine the epilepsy-induced area, especially if the epilepsy-induced area is single or in a good location, then surgical resection of the epilepsy focus can restore the originally suppressed brain function to a certain extent."
Wei Rulan has dealt with these doctors since she was a child, so she naturally knows that these white coats can't say anything to death, but when it comes to this level, she already understands that it can be cured, it can be cured, it can be cured...
She looked at Ye Yibai and Carter, and suddenly covered her mouth and let out a laugh, crying and laughing at the same time, making all the white coats look at each other in dismay.
"Ma'am, ma'am, please lie back, Laura, and help me."
"Send it to the treatment room. By the way, fix her chest with a bandage and apply blood-activating medicine."
"Okay, Doctor Ye."
Wei Rulan didn't resist violently this time, she acted casually like a doll, she just kept saying, "So it can be cured, it can be cured..." and kept laughing.
Dr. Carter shrugged, "The patient's mental state is not good, maybe some sedative medicine should be added."
"She is addicted to narcotics, and the dosage should be considered."
"Then let's go to the office and discuss it, and your thoughts on EEG mapping and surgical treatment of epilepsy, I think we can chat again."
"Of course, you can't ask for it."
The two of them walked towards the office while talking, and after two steps, Ye Yibo suddenly heard that Ms. Wei Rulan talking to herself in Hangzhou: "So it can be cured, but unfortunately it's too late, too late, Mom, I'm sorry for you, baby."
Ye Yibai paused, turned his head, and met Wei Rulan's crazy eyes.
Doctor Ye's expression froze, and even his breathing became a little lighter.
On the other side, Hangcheng
"I've brought everything that should be brought. If I tell you to go, but you want to tell me what to do here, I can still eat your daughter." Mrs. Yang waved her fan and looked at Yang Suxin dissatisfied.
Yang Su said with a wry smile, "Sister-in-law, it's not like you don't know. If I go, he can not go. Now that Ye Yibai is in the limelight, let him go. God knows what will happen. Then everyone should not go. , Fang’er, I’m sorry to trouble you.”
Mrs. Yang sneered, and gave the younger sister a blank look. She sat down in the living room, watched the servants sorting things back and forth, and said, "Actually, for people like us, just think about it. You really expect a lifetime of a couple." No, man, that's what it is."
Yang Suxin remained silent. She had given up too much for Ye Guangyan. A woman of the new era of college students, a lady with a good family background, and a daughter who did not know a single character and was even included in the lowly status in the feudal society. If she lost to Zhang Su'e, Then her remaining pride will be trampled underfoot.
Mrs. Yang could vaguely guess what this younger sister was thinking, so she didn't say any more.
At this time, a five or six-year-old child stumbled in from upstairs, his movements were very slow, his limbs were even a little uncoordinated, and he rushed to Mrs. Yang with a smile, "Grandma, I am dressing myself today. "
He spoke very slowly, as if he was jumping out word by word. It stands to reason that it is quite normal for a five or six-year-old child to dress himself, but Mrs. Yang showed a look of overjoy, " Really, our baby is awesome."
There was a silly smile on the face of the so-called baby, and he slowly talked about the process of getting dressed, and Mrs. Yang responded happily, as if he had accomplished such a remarkable thing.
Yang Suxin looked at the scene in front of him, and the unwillingness and dissatisfaction in his heart seemed to have subsided a little. Looking at his sister-in-law, there was also a trace of sympathy in his eyes. In a family like theirs, who is not struggling.
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