Episode 211. It might be right to give up, but (2)
the first thing that came to mind was the brain hemorrhage. Falling down while vomiting after receiving a shock as if hit on the head with a hammer is a typical symptom of brain hemorrhage.
The painter suddenly remembered the words of the second wife, who had been sick lately, when he first treated the first five.
At that time, I thought it was because of the sadness of losing my husband, so I ignored it and moved on, but I guess it was not something to just pass on.
‘I belittled the patient. I made a big mistake!’
If I had been examined at that time, I don’t know if I would not have collapsed like this.
“Let me see.”
“yes.”
As the painter approached, the city doctor yielded as if he had waited.
“I’m sorry, but I’ll take some saliva.”
The saliva of the poets was concentrated on the shoulders and neck. The intention could have been enough, but this is not a problem that can be solved. Still, it wasn’t polite, so the fireman asked politely first.
“Yes, I will help too.”
When the painter pulled out the needle, the city doctor pulled it out as well.
The fireman pulled out the needle, took a pulse, and used clairvoyance to look at the head.
‘My neck is stiff and my right eyelid is drooping. Is it also a cerebral hemorrhage?’
Clairvoyance is not the ability to see clearly into your head like a future CT or MRI scan. Slightly clearer than an x-ray. Therefore, in this case, based on experience and old memories, it was necessary to focus on the area where the disease was suspected.
When I focused on the cerebellum on the back of my head, I saw that some of the blood vessels extending like a spider’s web were swollen and some of them were ruptured.
‘A blood vessel… Damn it, it must be a subarachnoid hemorrhage!’
Wrong.
The painter gritted his teeth unconsciously.
The brain subdural hemorrhage that Jojo had done when he collapsed in the past was actually one of the easier brain surgeries. However, subarachnoid hemorrhage in the brain is very serious and the probability of death is very high because the subarachnoid blood vessels under the dura swell and burst due to pressure.
‘It looks like an artery has burst… It’s going to be difficult to save this…..’
A cerebral artery is a place where blood pumped from the heart goes straight up, and blood can spurt from a person’s head to the ceiling if measured with pure pressure alone. all.
Since blood vessels burst in such places, it was natural to assume that the area between the arachnoid and the brain cortex was covered with blood. And more importantly, the heart is still pumping, putting pressure on the brain.
emergency situation.
A momentary conflict arose with the painter.
If you leave it like this, you won’t last long and you’ll die.
If you open your head for no reason and fail to treat it, you may have to take full responsibility.
‘Ha~. driving me crazy. What do we do. Can’t you just say it can’t be cured?’
It was a very short moment, but it became a blood-drying conflict.
Hwabu’s major was surgery, but brain surgery could be said to be in fact a different field toward neurosurgery.
Even in the future, only very talented professors will perform brain surgery, but few neurosurgeons will dare to do so.
‘I don’t know if it’s before the artery burst, but it’s already burst…’
“Mom! Mom, why are you down?”
At that time, Son Sang-hyang, the real daughter of the second wife, ran in with tears pouring in, followed by Son Ce and Son Kwon in a hurry.
“Mr. Hwa Hwa. Little mother… what happened?”
“It looks like a blood vessel has burst in my head.”
In an instant, Sun Ce’s eyes widened.
“A blood vessel burst in my head? Then what should I do?”
“I have to open my head and have surgery… honestly, it’s a very difficult surgery…”
Words that the painter couldn’t bear to come out of his mouth. Because of that, I was speechless.
“Ahhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhho Congressman, mom, kuchheuk, please save my mom. Aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa…”
At that time, Son Sang-hyang held onto the fireman’s sleeve and stretched it.
“Sang Hyang-ah’s mother is in pain in a very dangerous part right now…”
“I heard that Congressman is the best name in the world? You saved my little brother who was about to die in the past. Ahhhhhhhhhhhhhh, so please save my mom. Please, please…”
The painter looked down at the village, covered in tears and mucus, looked around and let out a long sigh. Then he looked at the first wife’s eyes and opened his mouth.
“It’s not like I can save all the patients in the world.”
“Can’t I buy my little brother?”
“But I can’t let her die like this… so I’ll try surgery.”
“Please do something. My younger brother, who was born in the same belly, served the same father, and became a widow together… Now we can open up and share our pain… Please help me.”
“I will do my best.”
The fireman’s words ‘I can’t be sure’ filled his throat, but he couldn’t bring himself to say it.
‘Yeah, until the end… let’s not give up until we’re completely out of breath. Even if he dies during the operation…’
The fireman had the worst situation in mind and hurriedly had his disciples prepare for the operation, and then had the people go out and ventilate the room.
Eulji and other executive messengers and oblate organs arrived late, but no one except the disciples was allowed into the operating room.
When the painter’s expression was more serious than any other operation, the disciples naturally became nervous.
While the anesthetic drug given to Mrs. Oh was taking effect, the painter placed a needle around the carotid artery and asked his disciples not to.
“This brain surgery is a very dangerous operation that could lead to death during the operation. But I will do my best… Please help me.”
“Yes Master. We will do our best.”
“Then let’s begin. knife.”
“yes.”
The painter shaved off some of Mrs. Oh’s hair and used her clairvoyance to find the best route to part the scalp while avoiding the thick blood vessels.
The scalp was cut in a curved line rather than a straight line, and small blood vessels were quickly slit into the pharynx, causing bleeding.
When Obo opened and fixed the gaping scalp, he pierced several small holes in the skull using an awl.
A chisel-like tool was lightly hammered between holes, cracking them in smooth straight lines and splitting the skull into squares.
In the future, these tasks would be easy using state-of-the-art equipment, but now it is a manual job using completely primitive equipment, so sweat dripped down the painter’s face.
Pyeonseon was holding a cotton cloth, and when sweat formed on the fireman’s face, he immediately wiped it off.
“Bring a lamp and shine it.”
“yes.”
When the square skull was exposed, the dura was visible. The painter carefully cut the dura mater with a sharp knife.
Since the dura mater consists of two layers, the periosteum and the meninges, cutting only one layer does not immediately reveal the arachnoid.
‘Damn it, my blood vessels are swollen.
The arachnoid was pushing up on the dura due to swollen blood vessels. If the knife continued to be cut in this state, the probability of cutting the blood vessel was very high.
“Press the carotid artery so the blood doesn’t flow.”
“yes.”
Buna squeezed the carotid artery, but the swollen blood vessel did not abate.
The fireman stopped cutting for a while and thought about what to do, then suddenly a good idea came to his mind.
‘Okay, let’s temporarily reduce the blood vessel pressure, then I’ll be able to cut it.’
“The bamboo syringe.”
“Here it is.”
When Buna handed over the bamboo syringe, the painter inserted the needle into the center of the swollen blood vessel.
hooked
It’s gurgling…..
Blood flowed quickly right into the barrel of the bamboo syringe.
The fireman quickly cut the dura and the arachnoid as his blood pressure decreased and his blood vessels constricted.
Since the arachnoid is thinner than the dura mater, it can be easily cut by simply slicing with a knife.
Although the blood pressure was reduced with a bamboo syringe, the blood vessels exposed after the arachnoid opened were still swollen.
The painter removed the syringe inserted into the blood vessel and used his best clairvoyance to see which part of the blood vessel had burst.
The head the fireman was looking at now was washed away with distilled liquor, but it was difficult to see because of the blood.
‘Damn it, it’s inside.’
Normally, when a blood vessel bursts, the swollen artery must be constricted to fit, but somehow it was still tight.
Since the fireman is not common, he carefully inspected the swollen parts of the blood vessels once again.
Then, it was seen that something like a blood scab hardened inside the burst blood vessel, temporarily blocking it.
‘ah! It must have been clogged again and my blood pressure increased.’
In this condition, direct ligation is difficult and proximal artery ligation must be performed.
‘It’s fortunate that I don’t have to do bypass surgery, but…’
If you have to do bypass surgery, you could die during the operation.
The painter determined the part of the proximal artery to be ligated and then carefully wrapped the thread and tied it.
In the future, blood flow would be cut off by clipping or inserting coils made of special alloy into blood vessels, but now the only way is to tie them with a thread.
After the thread was double tied, the swollen blood vessels slowly began to constrict.
The painter examined the area where the needle had been inserted.
As the blood vessels constricted, the amount of blood coming out of that area also decreased.
A hole about the size of a needle could be healed after only 1 to 2 minutes by simply pressing lightly.
The fireman pressed the blood vessels and when no more bleeding occurred, he poured distilled wine and wiped away the remaining blood.
Along with the pooled blood, cerebrospinal fluid came out, but this was unavoidable. And the blood was spread widely under the arachnoid due to the high pressure, but it could not be wiped off.
That blood was absorbed along with the cerebrospinal fluid, so the body had no choice but to let it handle it. If you overdo it by wiping it, you could damage your brain.
I did everything I could in a poor surgical environment.
‘I did the surgery because I was in a hurry… but what about the aftereffects…..’
The painter wiped off all the blood that could be wiped off, then closed the arachnoid, dura mater, and finally the skull, and let out a long sigh.
According to common sense, if the cerebral artery is swollen and blocked, the part that has been supplied with oxygen and nutrients from the artery until now will not be supplied in the future.
In medical terms, it is called cerebral vasospasm (cerebral infarction), and when these symptoms appear, local paralysis or language disorders may occur, and you may frequently lose consciousness.
Of course, some are very lucky and live a normal life, but more than half of them suffer from sequelae, and more than half of them die within a few months.
‘Ha~. I’ve done everything I can… Let’s leave the rest to heaven.’
The fireman closed the skull, stitched up the skin, and wrapped a bandage around the head.
Since the skull was pierced at an angle so that the outside was wide and the inside narrow from the first time the hole was pierced with an awl, even if it received an external shock, it would not be pushed inside. Of course, if you get a strong shock, you can be pushed in, but there was no other way than to be careful and careful.
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