Qingjiang City, Department of Neurology, Antai Hospital.
Liu Miqiao was wearing a size L white coat, which was a little too short, and a brand-new 3m stethoscope hung neatly around his neck.
Not very tall, but handsome. Standing among the team of interns taking shifts, he is eye-catching.
Today is the first day of his internship. Fortunately, Professor Hao from the Medical University Affiliated Hospital happens to be here to teach ward rounds. This is a rare opportunity to learn.
Professor Hao is a professor. Naturally, his ward rounds are quite luxurious. Behind him, in addition to his two doctoral students, are all the doctors and training and interns of the Department of Neurology of Antai Hospital.
Twenty-eight people in total, crowded around the hospital bed.
The focus of today's ward rounds and consultations is the intensive care unit.
There are more than a dozen seriously comatose patients here, most of whom are suffering from cerebral hemorrhage and large-scale cerebral infarction.
Of course, there are other patients, including a severe case of Guillain-Barre and a case of myasthenia gravis, both of whom were put on ventilators.
Bed 11 is a seriously ill patient admitted last night with thalamic hemorrhage. He is in deep coma and his condition is very dangerous. It is the top priority of today's consultation.
"A thalamic hemorrhage of 15 ml is considered a serious case. At present, the most important treatment measure is to puncture and extract the accumulated blood." Professor Hao told Zhao Yilin.
Zhao Yilin is the director of the Department of Neurology.
Zhao Yilin turned to Dr. Zou next to him and said, "Go and prepare and perform puncture and drainage under the guidance of Professor Hao."
Dr. Zou is out.
He is a senior attending physician and is preparing a paper on puncture and drainage of cerebral hemorrhage.
Professor Hao took the CT film and looked at it repeatedly, while saying: "In some hospitals, puncture and drainage of 15 ml thalamic hemorrhage are not performed, because they think it is too difficult..."
"Ding!"
There was a buzz in Liu Muqiao's mind, and then, two buttons floated in front of his eyes, one green marked with "y" and one red marked with "n".
"Request to activate the medical intelligence system. If you agree, please press y. If you disagree, please press n." The voice in my head was cold and stiff.
Recently, this happens a lot.
Although Liu Miqiao has read many online novels, in reality, he believes in science, especially medical students, and is an absolute materialist.
Therefore, he never pressed any button, fearing that once he pressed it, schizophrenia would come true.
Dr. Zou brought the puncture kit and started preoperative preparations.
The preoperative preparations were well done: shaving, positioning, disinfecting, laying a hole drape, making a small incision on the scalp, drilling holes, and preparing the puncture needle.
I have to say that the operation is very standardized and there is nothing worth correcting.
Dr. Zou took the puncture needle, glanced at Professor Hao, then at Director Zhao Yilin, took a deep breath, calmed down, and then started puncture.
The puncture needle went straight in and penetrated a full 7 or 8 centimeters. When the needle core was withdrawn, no blood returned.
He changed directions, but still no blood returned. He changed the depth twice more, but still no blood, so he had to start over.
Director Hao frowned and said, "Don't be nervous, lean to the left and hold still!"
Director Zhao Yilin also quickly said, "Do as Professor Hao says, don't be nervous."
How can you not be nervous?
Dr. Zou failed three times in a row.
This is not fun.
At this time, the onlookers watched Dr. Zou repeat the puncture again and again, and their hearts were tightened. This is not possible, this is the brain, and every puncture is an injury!
Steam rose from Dr. Zou's forehead, and his hands were shaking more and more.
The Neurology Department of Antai Hospital usually only performs puncture and drainage when the bleeding volume reaches more than 60 to 70 ml, and the bleeding is mostly in the lobe, ventricle or basal ganglia.
They rarely venture into the deep parts of the brain, especially the thalamus, which is not far from the restricted area.
"I...can't survive, who can help me?"
Who will help?
In full view of the public, especially in front of the great expert Professor Hao, who dares to do whatever they want?
His superior doctor didn't speak, and director Zhao Yilin didn't speak either. Whoever speaks at this time will be buried with him.
Dr. Zou wants to cry!
"I'll do it!"
Everyone was shocked, wow! Someone really was buried with him. Looking back, he turned out to be a very handsome young doctor.
Just now, Liu Miqiao looked at the two buttons in front of him, couldn't hold back, and finally reached out and pressed the green "y" key.
Then a clear voice appeared in his mind: "The medical intelligence system is activated and a gift package will be awarded to newcomers."
After saying that, there was a shining golden box in front of me.
Liu Muqiao reached out and opened it.
"Congratulations, the host has obtained a master-level puncture technique guide." The voice was still cold, without any enthusiasm.
Liu Muqiao was so happy that he almost shouted, he had won the big prize!
However, he did not shout, but muttered silently, "Tell me, what does master-level piercing technique mean?"
"Puncture technology is divided into entry level, skilled level, expert level, master level, and master level. Puncture is divided into venipuncture, lumbar puncture, bone marrow puncture, thoracentesis, organ biopsy puncture, and brain puncture. The master level refers to the accuracy reaching millimeters.
Level, that is to say, the error of visceral puncture shall not exceed plus or minus 1 millimeter."
Liu Muqiao couldn't help but take a breath, it's so powerful! Mastering it is a meat-eating skill!
At this time, everyone was looking at Liu Miqiao.
Professor Hao nodded in agreement and said, "Okay, come on." He really couldn't stand Dr. Zou's skills just now.
Director Zhao Yilin also smiled and nodded, saying: "This is the best."
Without saying a word, Liu Maqiao put on his gloves, took the puncture needle from Dr. Zou's hand, paused for a moment, glanced in front of him, seemed to be taking aim, and then quickly inserted it.
Pulling out the needle core, bright red blood came out.
This process only takes five seconds.
"Call!"
They all took a deep breath.
Finally succeeded.
Liu Miqiao didn't stop, put on the needle, and withdrew a total of 15 ml of blood, no more, no less, which was exactly the blood volume reported by CT.
"Professor Hao, I'm still on your side!" Zhao Yilin smiled and continued: "Is it common for affiliated hospitals to carry out such punctures? I heard that you are performing radical surgery for Parkinson's disease?"
After hearing this, Professor Hao was a little confused, but the latter question was a major topic of his research.
The radical cure for Parkinson's disease represents the forefront of neurology, and Professor Hao has made achievements in this area.
Therefore, when this issue was mentioned, he couldn't help but raise his head slightly and look at the ceiling at a 45-degree angle. The brilliance on his face was very radiant.
"Yes, the most difficult thing about Parkinson's disease is puncture positioning. There are currently two surgeries to radically cure Parkinson's disease. One is the destruction surgery, and the other is the placement of a brain pacemaker. The destruction surgery is to destroy the globus pallidus and cause the brain to move.
The pacemaker is placed in the subthalamic nucleus."
"Awesome, so awesome."
All the neurologists present were familiar with the globus pallidus and subthalamic nucleus, which are two areas the size of soybeans, deep in the brain tissue.
Professor Hao continued: "Now, we usually use surgical robots to complete the operation under CT positioning, and the risk is much smaller. Of course, the robot can only perform surgery under the command of Professor Zhang and I. The characteristics of the robot are
Stable."
Having said this, Professor Hao turned his head again, looked at Liu Miqiao who was putting away his turban, and said: "This doctor in your department has a good talent. If you train him well, he will definitely have a bright future in the future."
Zhao Yilin was stunned.
Guike?
Isn’t he your graduate student of Professor Hao?
Professor Hao continued: "To promote neurosurgery, puncture and intervention are the starting points. Such talents must be well cultivated. He can come and learn from me for a year or two, and I am confident that he will become a puncture master."
Zhao Yilin was no longer calm, "Uh, Professor Hao, let me ask you a question, is he not your student?"
Professor Hao felt very strange and said: "Why is he my student again? It is obvious that he is from your department."
"No! He is not a doctor in our department at all!" Zhao Yilin said.
"Then why did you agree with him?" Professor Hao said.
"I see you nodded in agreement. Hey, where is the person? Stop!" Zhao Yilin grabbed Liu Muqiao who was running away, "Who are you?"
"I am Liu Muqiao, the new intern."
This chapter has been completed!