Doctor Chen, Don't Be a Coward!

Just like that, amidst the shock and astonishment of everyone present, Chen Nan walked towards the patient!

Watching the room from outside, a group of leaders and experts couldn't help but look solemn when they saw the scene in front of them, and waited for the start of the operation without saying a word!

At this moment, a man in his thirties turned to Ge Yerong and said:

"Dean Ge, this is..."

When Ge Yerong saw the man talking, he thumped in his heart, and then looked at the dignified middle-aged man in his fifties beside the man.

He naturally knew that this question was not what Secretary Yang wanted to know, but this one.

Ge Yerong said quickly: "Secretary Yang, let me introduce you."

"This one is not an ordinary person. Although he looks young, he is the deputy director of the integrated traditional Chinese and Western medicine ward of our hospital!"

"Young and promising, it was recommended by Dean Lu and a group of Chinese medicine masters."

"His acupuncture anesthesia is effective!"

"When I participated in the training, even Director Gao of the Administration of Traditional Chinese Medicine favored him!"

Hearing Ge Yerong's words, Secretary Yang looked at the man beside him.

The other party smiled and said, "Well, good!"

"This operation is meaningful!"

"If it succeeds, it will be a successful example of Parkinson's surgery with integrated traditional Chinese and Western medicine!"

"Moreover, this just reflects the subtlety of our Huaxia medicine!"

"good!"

"Dean Ge employs people well."

Hearing this, Ge Yerong heaved a sigh of relief, and said with a smile: "Leader Qin is being polite!"

Although Ge Yerong's level is not low!

After all, the China-Japan Friendship Hospital, as a hospital directly under the national ministries and commissions, is a department-level unit.

But... Later, after the medical system was restructured, the administrative level of the medical system was no longer the same as before.

Even so, for such a dean, his status, rights and connections are not low.

But... the Mr. Qin in front of him is a big deal!

The difference is far!

Ge Yerong knew that Mr. Qin was worried about one thing, that is, someone came in to be gilded by relying on special relationships and contacts!

As we all know, the significance of today's operation is absolutely extraordinary.

If you can participate in this operation as an anesthesiologist or chief surgeon, it will definitely be a rare and great thing for your future development and life experience.

Therefore, Ge Yerong must explain this in advance, otherwise... the misunderstanding will be serious.

But Secretary Yang's words also made Ge Yerong suddenly wake up to something...

This... this Chen Nan won't...

Immediately!

Ge Yerong's heart skipped a beat. Could it be that Chen Nan really came to be gilded?

Damn it, if the operation failed because of Chen Nan, this me...

In an instant, Ge Yerong panicked.

He had to pull himself together to watch the operation.

Not only him!

Today, who came to observe, who is an ordinary person?

Everyone raised their eyes to watch the operation, and at the same time... they were also watching this young, somewhat outrageous anesthetist.

There are many experts among them!

As we all know, the trouble of this operation is not only the handling of the delicate organs and tissues in the brain, but also the role of the anesthetist.

It is necessary for the patient to cooperate accurately with the doctor while being anesthetized.

In this way, the difficulty of the operation is proportionally increased a lot!

And the operating room!

Dozens of neurosurgery experts all stood in a circle, watching the operation seriously.

The operation has officially begun!

Under everyone's gaze, Chen Nan took out a pack of needles.

The scene in front of him immediately frightened a group of experts around him.

Good guy, what is this... for?

Acupuncture?

Isn't this surgery?

What are you doing with the acupuncture needles?

For a moment, not only the experts in the room, but also everyone in the observation room outside couldn't help but start talking.

"What... what is this for?"

"I don't know... Acupuncture?"

"Let's see and talk!"

"Ok……"

Unmoved, Chen Nan held the acupuncture needles in his hand and inserted the needles towards the patient's Hegu point, as well as the Chengshan and Zusanli points on the lower extremities, and twisted, lifted and inserted to get Qi quickly.

After getting angry, Chen Nan looked at the patient's condition and judged the physical signs.

Duan Youguang on the side watched Chen Nan's operation and didn't speak.

He respects Chen Nan, just as he respects every professional.

If you don't understand, don't comment.

This is Duan Youguang's idea.

Leave professional things to professional people to do, and then, trust him!

Naturally, Chen Nan would not disappoint the other party's trust.

The reason why he chose Hegu, Chengshan and Zusanli was to gain qi and at the same time make the reaction of qi and blood in the meridians of the whole body more rapid.

Acupuncture anesthesia has its unique advantages.

First of all, it helps the function of the adrenal cortex and makes the patient more sensitive to stress.

After all, this Parkinson's surgery is very important for finding the patient's VL nucleus.

How to accurately locate the focus point?

Undoubtedly, it is to make the patient's stress more sensitive, to better promote the patient's response during the operation, and to allow the surgeon to better find the focus.

Secondly!

Hegu point is a very magical point.

It has a good regulating effect on many diseases of the head and face.

Especially for painful diseases, it is Hegu. There is a saying in acupuncture and moxibustion that "search for the head and face Hegu".

It can be seen!

Acupuncture anesthesia is beneficial to improve the blood supply and support function of the brain tissue during the operation. For neurosurgery, head function damage is conducive to a reasonable brain protection.

This is what Chen Nan will do today.

Li Huapeng asked, "Director Chen, when can we start the operation?"

Chen Nan looked at the time: "Wait a minute."

"The operation will begin in fifteen minutes."

"The patient is now in a state of Deqi, and needs to make the meridian reaction more sensitive."

"Afterwards, the operation will go smoothly!"

Li Huapeng nodded when he heard the sound, but didn't make another sound.

And everyone in the room stared at Chen Nan seriously.

Anesthetist Luo Huixiang is even more so!

Today, he has completely become a display with no output, just like a destroyed defense tower, which can't even provide vision.

Chen Nan observed the patient's condition while administering the needle.

Wait until the time is almost up!

He began to adjust the stimulation frequency.

This time, Chen Nan still chose electroacupuncture.

After all, compared with traditional acupuncture, the stimulation frequency of electroacupuncture is more stable when using machines.

but!

At this moment, Chen Nan suddenly chose the 100hz unit.

You should know that under normal circumstances, the stimulation frequency will not exceed 20hz when performing acupuncture anesthesia on the limbs, but... the head is different.

Most of the head is the scalp. In order to achieve a better effect of acupuncture anesthesia in this area, the intensity must be strengthened.

Therefore, there is such an operation.

As for the waveform, he adopted the density wave.

After all the debugging was completed, seven needles appeared in Chen Nan's hand.

Start with Sishencong directly, but only take two needles.

Then, along the Du Meridian, take three points in succession.

After that, stimulate again around the zygomatic point.

Acupuncture anesthesia effect, pay attention to two key points!

The selection of acupoints belongs to the first key point of acupuncture anesthesia!

Generally speaking, there are two kinds of acupoints for acupuncture and anesthesia.

One is to select acupoints along the meridians, and select acupoints that are closely related to the incision site and surgical organs. Such as Yangming Hegu and Sanjian points for tooth extraction players; Sanyinjiao and Taichong points for abdominal tubal ligation.

One is to select acupoints in the proximal part, and select acupoints near the operation. For example, if you pull out a tooth, you can choose cheek car and Daying;

However, Chen Nan's acupuncture anesthesia was extraordinary!

He has another method of selecting points.

Without naming it, Chen Nan called it: "acupoints selected according to the theory of nerves".

Or it can also be called point selection at the same segment!

For example, Futu, Hegu, and Neiguan (C1-C8) are selected for thyroid surgery; acupoints are selected according to the distribution of nerve trunks or directly stimulate the nerve trunks.

This point selection method is widely used in orthopedic surgery.

For example, choose Jiquan point or brachial plexus point (needle on both sides of the axillary artery pulse) for certain upper limb operations; stimulate the third and fourth lumbar nerves, femoral nerve, sciatic nerve, etc. for certain lower limb operations.

Chen Nan's acupoint selection technique today is just like this. He stimulates the second branch of the trigeminal nerve at the Zygomatica point to perform some head surgery or brain surgery, which is very effective.

These things, Chen Nan did not have the slightest reservation.

Performing it in full view is hoping to get some people's attention.

He does not believe that as a national demonstration site for the integration of traditional Chinese and Western medicine, acupuncture anesthesia is expected to become a technology that Chinese medicine will affect the international medical circle, so it can not be taken seriously!

He glanced at the cameras around him, looking forward to today's scene, to be really noticed.

or!

Even if it doesn't happen today, he still hopes that today's operation will make the country or relevant departments pay attention to such a problem.

Of course, acupuncture anesthesia, point selection is just one of them!

The real difficulty lies in the second!

That is, from gaining qi, to "guiding qi", and then to "keeping qi".

The problem in the middle is the difficulty of acupuncture and moxibustion.

Of course, this is only the category of Chinese medicine, Chen Nan doesn't understand the category of Western medicine.

It may be necessary to study various aspects of neurophysiology or neurotransmitters.

Chen Nan's pretentiousness today is undoubtedly projecting a signal to the outside world:

"Modern research on acupuncture anesthesia, a lack of N, wait online, urgent!"

When it comes to acupuncture techniques, we should pay attention to a state of "satisfaction of energy and effect"!

What is meant by "Qizhizhieffectuzhi"?

Acupuncture for "deqi" generally requires a preliminary preparation.

For example, the operation time of acupuncture anesthesia lung resection usually takes 4-8 hours, and anesthesia can be added during the operation.

For anesthetic anesthesia, one supplement or another can be performed according to the amount.

And how to maintain or increase the "deqi" of acupuncture?

this is a problem!

However, for Chinese medicine, it is easier said than done.

It can be adopted not only to absorb the experience of acupuncture treatment, but also according to the characteristics of long operation time of pneumonectomy.

Adopt a method of one-point intermittent operation and multi-point rotation operation of acupuncture "guiding Qi-deqi" and retaining needle "shouqi".

The acupuncture "deqi" can be relatively stable and uninterrupted, and the state of "qi to effect" can be maintained for a long time.

This is a very test of a basic skill.

"Get angry!"

The human body has the qi of yin and yang, which turns into the qi of the viscera, patrols the meridians, and spreads all over the body.

Only when you get angry can you get the final effect!

The higher the level of "De Qi", the higher the level of acupuncture.

At this time, after the acupuncture, Chen Nan had a clear and comprehensive judgment on the patient's condition

After turning on the power, Chen Nan made some judgments and knew that everything was ready.

That is the so-called "Qizhizhieffectuzhi"!

Afterwards, Chen Nan directly said to Duan Youguang who was beside him, "Director Duan, you can start now!"

Duan Youguang heard the sound, and couldn't help asking curiously: "Don't you...don't wait for a while?"

Chen Nan smiled and said, "No need!"

"Start now, just right!"

As soon as these words came out, Luo Huixiang was the first to be unconvinced.

After all, even if general anesthesia or other anesthesia is used, the patient is still in the process of absorption.

But after Chen Nan switched on the electroacupuncture, he started the operation directly.

Can the anesthesia work?

and!

He didn't believe that Chen Nan could solve the anesthesia problem with a few needles and electricity.

The duration of this operation is not yet known.

As an anesthetist, you must test well and be prepared to increase or decrease the dosage at any time.

And Chen Nan, is this possible?

However, Duan Youguang's gaze was deep. After seeing Chen Nan's response, he turned around and nodded to Li Huapeng and the others without any hesitation.

Signal the operation to begin!

Li Huapeng nodded quickly, and he began to prepare the stereotaxic instrument.

And the surrounding neurosurgery experts all frowned!

can this work?

Is this anesthesia?

Can this kind of anesthesia solve the problem?

Can the patient persist in completing this operation?

For a while, the entire operating room was silent, and everyone was obviously a little uneasy about the upcoming operation!

While observing the room outside, an expert couldn't help frowning and said, "This... can it work?"

"This... anesthesia is not used, can surgery be performed?"

"By the way, Professor Wu, you are from the Anesthesiology Research Center. Acupuncture and moxibustion anesthesia... can this work?"

The professor surnamed Wu heard it, but turned a deaf ear to it!

He fixed his eyes on Chen Nan's operation.

There was something in his mouth, but the people around him couldn't hear it.

It seems like a magic barrier!

"I... I don't know either!"

"But... I think the possibility is relatively high."

Wu Yongbing has been thinking about Chen Nan's use of acupoints just now. It seems ordinary, but...in fact, there are too many profound things hidden behind it.

Wu Yongbing is the deputy director of the Capital Anesthesia Research Center. He was in charge of acupuncture and moxibustion anesthesia for a period of time.

Even Wu Yongbing gave a national guideline for acupuncture and anesthesia!

Simple acupuncture and anesthesia surgery can be applied to five operations including tooth extraction, eyebrow tattooing, and thyroid surgery!

There are detailed acupuncture and anesthesia guidelines for these operations.

but!

After the publication of this guideline at the time, not only did it not attract too many people's attention, but everyone was a little dismissive of it.

After all, it is meaningless to use acupuncture anesthesia for such a small operation!

However, for those major surgeries, although Wu Yongbing's team had occasional successes, it lacked big data sample support.

Obviously, Wu Yongbing's ambiguous answer did not satisfy everyone.

Mr. Qin, who had been silent all this time, suddenly spoke!

"Professor Wu, can acupuncture anesthesia be applied clinically?"

"In other words, what is the specific effect of acupuncture anesthesia?"

Hearing Mr. Qin speak, the room instantly became quiet!

Wu Yongbing said excitedly:

"Mr. Qin!"

"Acupuncture anesthesia is definitely a banner of our Chinese characteristic medicine!"

"Even, go to the world and let the world recognize the stepping stone of traditional Chinese medicine."

"We have done research and found that acupuncture anesthesia can indeed be used clinically, and we have published five versions of clinical guidelines."

"As early as the 1950s and 1960s, acupuncture anesthesia has achieved good results, and the history of acupuncture anesthesia can be traced back to 607 AD."

"This naturally has his reason!"

"In the 1970s, acupuncture and anesthesia reached a very powerful level!

More than 30 countries have clinically applied acupuncture anesthesia, and countries such as Sweden, Canada, Japan, the United States, and Singapore have begun to conduct research on the principles of acupuncture anesthesia.

By 1979, acupuncture and anesthesia operations were common in almost all disciplines nationwide! "

"But...after the 1980s, the popularity of acupuncture and anesthesia suddenly went down!"

"The main reason is the development of modern anesthesia. Compared with acupuncture anesthesia, modern anesthesia concepts are more in line with clinical operations."

Hearing Wu Yongbing's extremely excited words, Mr. Qin suddenly fell silent.

He asked curiously:

"Oh?"

"Why is it cooling down?"

Wu Yongbing sighed: "Because... the effect is unstable!"

"First, incomplete analgesia is the most prominent problem of acupuncture anesthesia!"

"Secondly, visceral responses cannot be completely suppressed."

"Finally...muscle relaxation is not enough. The degree of muscle relaxation controlled by acupuncture is much different from that of muscle relaxant drugs. This may be related to incomplete analgesia and visceral reactions. Especially in abdominal surgery, muscle tension often causes surgical operations difficulty."

"So, in the 1990s, the rapid development of analgesics and anesthetics in the United States directly stopped the enthusiasm for acupuncture anesthesia."

"Currently, acupuncture anesthesia has not been widely promoted clinically, and has not gained international recognition, mainly because the analgesic effect is unstable, the operation of acupuncture anesthesia is not standardized, and the principle of action is still unclear."

"so……"

"Until now, this is still the case!"

"but!"

Wu Yongbing said here, and continued to say excitedly: "I believe that it's not that acupuncture and anesthesia are dead, but that we haven't done enough research yet!"

Mr. Qin nodded when he heard the sound, his eyes were thoughtful.

He was thinking about what Wu Yongbing said.

I was also thinking about what Chen Nan said.

The PD3Y plan was proposed by Qin Shiming.

Qin Shiming has his own views on the development of medicine, and he is not a pure introductionist.

He sticks to his philosophy and ideas.

Only when Chinese medicine stands up on its own can medical problems be fundamentally solved.

Relying overseas is not a way out after all.

Acupuncture anesthesia...

Is it possible?

Thinking of this, Qin Shiming raised his head again to look at the operation that was about to start in front of him.

If the operation is successful!

He decided to try it!

Moreover, Chen Nan is too young.

Being young is a good thing, it means that Chen Nan will have a long period of development and growth in the future, and his peak will last for a long time, which means... maybe!

...

In the operating room.

Although Duan Youguang was calm on the surface, he was a little uneasy in his heart.

Holding tweezers, he prepares to test the patient.

But……

One after another, after many trials, the patient's reaction... all surprised him!

really good?

Duan Youguang couldn't help looking at Chen Nan.

However, Chen Nan smiled at himself: "Director Duan, I am currently under anesthesia for two hours. It has been a long time... I need another injection."

Duan Youguang nodded quickly: "The operation begins!"

Chen Nan stood aside, observing the surgery. The difficulty of this kind of surgery is by no means ordinary surgery.

Regardless of the surgical operation's requirements for the chief surgeon.

Or modern instruments with digital exploration.

They are the performance of peak surgery.

Under the influence of TPGS multi-dimensional stereo digital, only one opening is needed, and a large-scale operation space of the head is not required.

Two robotic arms, with the help of a drill, enter the skull.

And at this time!

Accompanied by the sound of grinding the skull, the atmosphere in the operating room was very serious.

But in such a serious atmosphere, a voice suddenly sounded.

"It smells good?"

"This... what kind of smell?"

"Why do I feel a bit itchy on the head?"

"Director Duan... Where is the fire?"

Accompanied by the patient's nonsensical and even inappropriate words, the reaction in the operating room was completely different!

Many people couldn't help but laugh.

but……

More people are surprised.

Because of such a problem, it just shows that the patient's mind is clear, and the pain sensation is reduced!

This is definitely a great thing for this operation!

Duan Youguang is also in a good mood!

He joked: "I have a chance to show you what it is."

"But... do you feel it, like the smell of burning sheep's feet?"

As soon as this remark came out, the patient greatly agreed: "Indeed!"

"It's so similar!"

"That...collagen smell?"

"right!"

"But... it's more like... the smell of my wife making pork ribs."

In a word, everyone couldn't help laughing anymore.

"Ha ha!"

"That's right!"

"Yes, that's the taste."

This joke made the atmosphere in the operating room less oppressive than before, and it also eased the mood of several surgeons.

Modern stereotaxic devices are by no means comparable to those of the past.

This is a modern digital analysis.

When installing the orientation instrument, the sagittal midline of the frame must coincide with the midline of the skull, the Y-axis of the frame is parallel to the G-I line, and the head is located in the center of the frame in the front-back direction. Possibility to eliminate positioning errors!

The anterior horn of the lateral ventricle was punctured through the skull drilling, and pressure-filled ventriculography or positive contrast agent was injected.

Immediately, a frontal and lateral cephalogram was taken!

For a while, the third ventricle, the interventricular foramen, the aqueduct, the pineal recess, and the anterior and posterior commissures are all displayed on the screen.

Next, came the most critical step!

"Prepare for target positioning!"

Following Duan Youguang's words, several directors around nodded quickly.

Li Huapeng controls the stereotaxic digital equipment, monitors it at any time, and accurately controls various variables.

And another director began to say to the patient: "Now, raise your right hand!"

The patient began to raise his right hand slowly.

Along with the constant trembling of the palm, the digital instrument on the side analyzed and gave feedback on the reaction in the brain!

"X=18mm, Y=2mm, Z=6mm!"

Seeing the patient's cooperation, Li Huapeng was very excited, and without waiting for Duan Youguang's reaction, he said quickly!

And several other directors also became excited all of a sudden!

First fit, perfect!

The first step is already on the right track!

This operation is likely to be successful!

For a while, several people were a little excited.

Duan Youguang held back the excitement in his heart, and said again: "Locate the target, the ventrolateral nucleus of the thalamus!"

"Tremor and stiffness analysis!"

"receive!"

Tremor analysis, if the difficulty is 70 points.

Then... Stiffness analysis requires the patient's cooperation to reach 90 points!

In this way, the patient's cooperation will be very important for finding and locating the target!

for a while!

Everyone took a deep breath, held their breath, and got ready.

Qin Shiming outside couldn't help but put his hands on his chest, his eyes became serious.

If successful!

This will advance the success of their PD3Y program.

Even more patients will be helped.

But……

If it fails.

The PD3Y plan may even become the laughing stock of some people.

So, at this moment, everyone can't help but put away all the emotions just now and look forward to it seriously.

Compared to other people who are concerned about the success of the operation, Wu Yongbing who is on the side is concerned about whether Chen Nan's anesthesia can effectively help the patient!

Time, at this moment, becomes extremely slow.

Sweat had already begun to ooze from Duan Youguang's forehead.

It's a sign of tension and anticipation.

And at this moment...

Suddenly, a voice rang out.

"I... I move by myself?"

"Or...you help me move?"

As soon as these words came out, there was no sound in the operating room. Everyone stared at the patient on the operating table with their eyes wide open, looking for prestige!

"You...you...don't look at me like that!"

"I... made me nervous."

"When I'm nervous, my hands tend to become stiff."

"Oops..."

"coming!"

Before Li Huapeng could speak, he saw the indicator start to move.

"Appeared!"

"Ventral intermediate nucleus of the thalamus (Vim), X=14mm, Y=5mm, Z=0!"

"Quickly locate!"

In an instant, Duan Youguangfu went to his heart, and quickly started to operate.

This cooperation directly excited everyone.

But Duan Youguang really didn't expect... This operation, can you still do it?

The patient's cooperation is perfect!

Where can I find such a good anesthesiologist!

Not only can the patient's pain be greatly reduced, but it can also keep the patient awake!

What kind of anesthesia technique is this?

Moment!

Duan Youguang quickly said: "Prepare to guide the puncture!"

"Adjust the orientation instrument according to the coordinate data of the target point!"

Li Huapeng: "Got it!"

"Verification and identification of the target position!"

"receive!"

"The electrode puncture was successful!

Conduct neurological and mental function examinations!

Electrical stimulation test or frontal and lateral cephalogram...

The location is correct! "

"The target of the lesion is locked!"

"vl nuclear physiology and anatomy analysis technology!"

"Can destroy the target structure!"

...

With the cooperation of the four people, this operation is developing in the direction that everyone expects!

time……

Minutes and seconds passed!

While Duan Youguang operated, he strictly observed the patient's condition.

The key to this operation lies in this point!

In the process of making the lesion, we must pay close attention to and observe the patient's response and clinical effect, which is very important for achieving satisfactory curative effect and preventing complications.

Therefore, it is best not to use or use less sedative drugs during the operation to keep the patient highly awake and cooperative.

If the symptoms are not relieved or complications occur, it means that there is a deviation in positioning, and the damage should be stopped immediately.

The operation should also be terminated for patients who are confused and unable to cooperate during the operation.

And at this time!

None of the above happened!

At this moment, an exciting voice suddenly sounded.

"The tremor in the patient's left hand disappeared! It disappeared!"

Li Huapeng shouted excitedly!

It can't be blamed for his impatience.

He is so excited!

Work hard for two years!

Are you finally going to succeed today?

Li Huapeng felt that his heart was soaring to 200 speeds happily. If it wasn't for the limitation of the heart muscle, he felt that if he gave himself a turbo boost, it would have been four to five hundred!

Duan Youguang and the others were equally excited.

However, he still suppressed the excitement in his heart...

Said: "Attention!"

"Observe the stiffness!"

Li Huapeng quickly began to observe and test, allowing the patient to operate.

"Stiffness... the stiffness is gone!"

Li Huapeng shouted excitedly!

Didn't seem to notice that this is the operating room!

"Successful!"

"We...we might actually make it!"

Duan Youguang was extremely excited.

"it is good!"

"ending!"

Accompanied by Duan Youguang's closing sound, the applause of the audience, like waves, lasted for a long time!

And Qin Shiming stood up excitedly and gave the warmest applause!

The operation is over!

Duan You couldn't care about anything else, and hugged several comrades excitedly.

And Chen Nan stood aside, watching this scene with some envy.

This may be... the meaning of hard work!

I personally witnessed the birth of a miracle today.

And at this moment, he was suddenly pulled over by someone.

Looking up, it was Li Huapeng.

He hugged Chen Nan!

Suddenly, a flash of spotlight flashed, and the photo was frozen!

"my country's first radical Parkinson's surgery under acupuncture anesthesia, a complete success!"

...

And at this time.

Suddenly a voice sounded.

"Excuse me, I... will give me general anesthesia in the future!"

"This operation is too... flustered!"

...

ps: I migrated yesterday, ran out of viruses, so there is no update, sorry!