Chapter 43 Confident
The neurosurgery consultation notice will arrive soon.
After the operation just now, Liu Muqiao went to the neurosurgery downstairs with Zhao Yilin and Dr. Zou.
The patient was pushed into the simple operating room, and the anesthesiologist He Qiao smiled and said to Liu Miqiao: "We meet again."
There are really not many opportunities for anesthesiologists and physicians to meet. Among all professions, anesthesiologists are the most difficult to get to and from get off work on time. Sometimes, an operation can take more than ten hours, or even more than twenty hours. Anesthesia The teacher must guard.
"Should I follow your rules and settle for 10 milligrams of diazepam?"
Liu Muqiao glanced at the patient, who was sleeping peacefully.
Both CT and MRI were done, and the lesion was very clear. There was a nodule the size of a soybean near the midbrain. Indeed, most doctors would not dare to do it.
Even under CT guidance, it is very difficult. The key is that firstly, it is too small, and secondly, this place is very dangerous.
If this area bleeds, most patients will die before reaching the hospital.
Song Baibai was right not to do it, because once he did it, 98.7% of his records would probably be rewritten.
"Is it easy to get the injection?" Sun Tao was still a little worried.
With such a small lesion, common sense told him that the probability of failure was very high.
"There are two easier ways to do it." Liu Miqiao answered seriously while looking at the MRI film.
"Are there risks?"
"No."
"Are you sure?"
"Yes."
That's good, Liu Miqiao is so confident, he feels relieved.
However, his hands were still shaking a little. How credible are the young man’s words?
Song Baibai carefully looked at the route Liu Miqiao was going to take to insert the needle. There was still a fog in his heart that could not be solved. If he had punctured, he would never choose this route.
He still brought it up.
This is science, and science can be discussed.
"Do you think this path is feasible?" Song Baibai asked.
"What do you think?" Liu Maqiao turned his head.
"If it were me, I would pass this road." Song Baibai pointed at the occipital lobe close to the midline.
"There are a large number of visual neurons and nerve fibers here, which have some impact on vision."
"There is nothing you can do about it. The path you have chosen is too far and it is easy to deviate."
Liu Muqiao chuckled, "For me, the least worrying thing is deviating from the destination."
Oops!
Zhao Yilin found these words so refreshing.
Yes, that’s what you should say when talking to Song Baibai and Sun Tao!
Although Zhao Yilin knows that this is a bit excessive, why is it difficult to pierce? It's because you are worried about not being able to get through, but you said that you are the least worried about not being able to get through.
This is awesome!
So loud.
Song Baibai felt as if he had eaten a fly, while Sun Tao regretted that he should not have asked Liu Muqiao to do it.
A person who brags is tantamount to being frivolous. How can a frivolous person have real talent and learning?
"I think the second route you chose is better."
It took a long time before Song Baibai came to his senses. He was determined not to be optimistic about the first line chosen by Liu Miqiao. Even the second line, he was not satisfied with, but it was better than the first line.
"Okay, then I'll do as you say." Liu Maqiao smiled.
He waited no longer and started drilling the skull with an electric drill, then inserted the needle without hesitation.
After one minute, tissue collection began, and after another minute, the biopsy was completed.
Sun Tao looked at the time. From the time the needle was inserted to the end of the biopsy, it took less than three minutes.
The pathological tissue was sent for quick microscopy, but Liu Maqiao and the others did not evacuate, waiting for the results.
Twenty minutes later, I received a phone call and the result of the quick biopsy was that it was a benign tumor.
Oh!
Sun Tao stood up.
"Thank you!"
"There's no rush. After the patient wakes up, we'll do a physical examination to see if he has any complications." Zhao Yilin was ready to take the initiative and ease the relationship with Sun Tao, which would be beneficial to everyone.
"Okay." Sun Tao sat down again.
"What do you think about the project establishment?" Zhao Yilin struck while the iron was hot.
"I have no problem. The problem is not with me, but with Lao Pi." Sun Tao smiled slightly.
As the dean of the business, his desire for technological advancement is of course very urgent. Besides, he is deeply aware of the technical backwardness of our hospital. For example, in the Department of Neurology, a hematoma puncture is considered high-tech. Isn't this sad?
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Of course, minimally invasive punctures are not carried out much in this province. It can be said that it is an advanced technology, but the real technology should be to carry out vascular intervention.
Cerebral infarction recanalization, cerebral hemorrhage hemostasis, interventional treatment of aneurysms and arterial malformations are more advanced.
Going a step further, surgical treatment of Parkinson's disease and epilepsy can be regarded as a technological frontier.
Now, the Department of Neurology has to apply for "unguided intracranial puncture biopsy". It is definitely a technical activity, but is it more difficult to promote it?
The key question is, wouldn’t it be better to have CT guidance?
The reason for the Department of Neurology is that there are several advantages in not requiring CT guidance.
First, it is economical and affordable; second, it is simple and fast; third, it is painless for patients.
Is this an advantage?
I can’t stand analysis!
There is no problem with being economical and can save patients more than a thousand yuan, but is this important?
Simple and fast, indeed, three hours is shortened to thirty minutes, but is this important?
The fact that the patient is not in pain should be due to the mental suffering. Indeed, suffering for 3 hours is much less painful than falling asleep for 30 minutes. However, is a mere three hours really important to a patient?
The reasons given by the neurology department are very weak.
Dean Pi objects. To be honest, the truth may be on his side.
Give up the guidance of CT, who can guarantee whether the puncture site is correct?
The reason why CT guidance is adopted is to improve the accuracy of puncture.
If you give up CT guidance, it is wrong from a legal point of view, and from a common sense point of view, you are wrong.
Zhao Yilin did not continue working. Anyway, he was determined to develop this technology. He would not think too much about whether it could be promoted. As long as he could show off, as long as he could suppress Sima Lin Yi.
Say something nice, as long as it is beneficial to the patient, we will do it.
Returning to the Department of Neurology, Zhao Yilin was comforting Liu Miqiao, saying it doesn't matter if you don't approve the project, we will continue to carry out the project as usual, and you will definitely become famous all over the world.
Liu Muqiao actually didn't care. He would not treat this uncommon technology as a food bowl. Instead, he comforted Zhao Yilin.
"Unguided puncture will not improve the quality of our department. Director, don't worry. Soon, I will make you famous throughout the province, and even the whole country."
Zhao Yilin looked at Liu Muqiao seriously and said: "Tell me, how did you make me famous all over the country? You are not considering surgical treatment of Parkinson's disease and epilepsy again, are you? No! Don't mess around! That's neurosurgery.
."
Liu Muqiao chuckled, "Shall we do a puncture for brainstem bleeding?"
"Boom!"
Zhao Yilin fainted - almost.
"Don't scare me. Don't even think about the restricted area of life!" Zhao Yilin shouted, "No wonder Dean Pi doesn't dare to take you in."
Liu Muqiao smiled brightly and said: "To take me in, you must be mentally prepared. You must at least prepare a bottle of Jiuxin Pills or nitroglycerin. I will give you a little stimulation from time to time."
Dr. Zou was also happy on the side.
They are very happy today.
The biopsy of a small lesion was successfully performed without CT guidance, and was recognized by Sun Tao and Song Baibai. Can they be unhappy?
Chapter completed!