The consultation has begun.
The host first introduced Zhao Yilin.
"This is Zhao Yilin, director and professor of the Department of Neurology, Antai Hospital, Qingjiang City, Jiangdong Province. The other two are from his team, classmate Liu Maqiao and Dr. Zou. According to Professor Zhao Yilin, their puncture technology is unique in the world and has cured the disease.
The two cases of vegetative state are both patients with brainstem cysts. They are similar to our patient."
After such an introduction, some experts began to whisper among each other, and the slight buzzing sound lasted for 30 seconds. The host coughed lightly, and the buzzing sound disappeared immediately.
Then, he introduced the condition again.
It can be seen that the host's status is not low, his eyes are sharp, and he seems to be cutting people when he looks at them.
He reported his illness.
The patient, a 39-year-old male, is a criminal investigator. Five years ago, while investigating a major case, he was hit by a gangster with a car and suffered a contusion on his brain stem. He has been unconscious.
After five years of treatment, the condition has improved, and there seems to be a small amount of consciousness, but there is separation between the low-level center and the high-level center.
For physical examination and auxiliary examination, please watch the projection.
Then, many inspection results appeared on the screen.
Saw it.
There is an oval-shaped cyst in the brainstem with clear borders and mild enlargement of the ventricles.
General laboratory test results are of little significance and are quickly passed by.
Finally, yesterday’s CT and MRI films.
Suddenly, there was a very abrupt voice.
"I want to look at the CT and MRI films from the following times: the one on the day of admission, the one when the cyst appeared, and the one from yesterday."
Liu Muqiao is talking.
The host was stunned.
The whole consultation room buzzed again.
What Dr. Zou heard was not a buzzing sound, but the sound of his jaw dropping to the ground.
Someone is asking.
"Who is this?"
Obviously, no one cared what his name was when he was introduced just now.
"My name is Liu Muqiao. I don't want to watch the slides, I want the original ones."
The host reacted and asked the assistant next to him to find the film and put it under the reading light.
Liu Muqiao didn't pay attention to the strange looks in his eyes and just lay down under the viewing lamp to watch the movie.
The host continues.
The host did not want to mention the number of consultations this patient had in the past five years, because it was a work-related injury and involved a major case, so it was very meaningful for him to wake up.
Naturally, the number of consultations will not be too few.
In fact, he is a big mountain weighing on him in Ward 24. Stroke Department 4 and Neurosurgery are constantly at odds with each other. First of all, the patient is in Neurosurgery.
This patient lasted for 5 years. He has been treated by three-digit experts, including two-digit foreign experts. Many of the drugs he has used are new. It is not an exaggeration to call him a guinea pig.
Overall, my condition has improved, and I started to open my eyes 3 years ago.
But what is the real significance of this progress?
His wife used to be a teacher, but now she is on full leave to accompany him. At work, the major case team has not been cancelled. They visit him in the hospital once or twice a week. The murderer has not yet been found and the case is still waiting.
Wait for him to wake up and recognize someone.
There is a suspect, but there is no evidence. The evidence is the patient's eyes and consciousness.
"I would like to ask Professor Zhao, what is your treatment plan?"
Started asking.
What kind of treatment should be done? All the famous professors here are unavoidable. Their doubts cannot be avoided. They have the right to make the final decision on the treatment plan.
Zhao Yilin glanced at Liu Muqiao.
He is still watching the movie and is fascinated by it.
Not going to disturb him, Zhao Yilin answered by himself.
"Our treatment plan is actually very simple. Puncture, remove the cyst, and relieve the pressure on the brain stem."
"Oh?"
"Brainstem puncture?"
"It's a restricted area!"
"The risk is too great. Especially for this patient, he must not die."
"I would like to ask Professor Zhao, brainstem puncture, the general common sense is that the brainstem cannot be punctured, do you think it is okay?"
Zhao Yilin smiled slightly. He was a little nervous just now, but now he is not nervous anymore. He said: "We have overcome this difficulty."
"How many have been done? What's the mortality rate?"
"A total of four cases have been done, and the survival rate is 100%. Two cases were massive brainstem hemorrhages, both of which were more than 5 ml, and two cases were brainstem cysts. One case was at the Affiliated Hospital of Qingjiang University, and the other was at Huacheng Third Hospital. Now, the patients are all
Sober."
There was buzzing discussion in the crowd again.
Mostly horror.
There are many people who are amazed.
There are also some voices of doubt.
Some people think that only small hospitals dare to venture like this. Which hospital with good taste and quality dares to make such a fuss about the brain stem?
Therefore, both Zhao Yilin and Dr. Zou noticed that there were few compliments.
The sharpness of consultation is increasing.
After Zhao Yilin answered a few questions, he gradually became overwhelmed.
He glanced at Liu Muqiao.
This guy is still reading the film carefully.
He had to hold on.
"I would like to ask Professor Zhao, you just said that it does not need to be done under CT guidance. Can you do it without CT guidance, or are you really prepared to do it without CT guidance?"
"As for this issue, I can tell you clearly that we choose the latter."
"I heard you correctly, you are giving up CT guidance, right?"
"That's right."
"I don't understand this. Since there is CT to guide this technology, why do you give up? Is it just to show your ability?"
Zhao Yilin can still hold on.
"NO! We don't need CT. Just like we do Parkinson's surgery, our surgery is the Taoshift method."
"Buzz!"
"Do you use the Taoshift method?"
"This is the oldest and backward technique, with a success rate of less than 80%. Isn't this a joke?"
"It's not a joke. Professor White Anderson from Charlotte University General Hospital is interested in cooperating with us. In recent months, we have done more than 30 surgeries in total, and the success rate is 100%. At Huacheng Third Hospital, we help the general surgery department
My old director, Director Xiao, performed a pacemaker placement surgery. It was very successful, and he went to the operating table again to guide the surgery."
Zhao Yilin said loudly.
However, it became a bit difficult to deal with, and gradually, ethical issues came up.
"This is how I understand this problem. The Taoshift method gives people the impression that it is unreliable. However, I tell you very seriously that for positioning, we have a more advanced positioning method with an error of no more than 0.5 mm. Moreover, the Taoshift method
The indications are larger and broader, applicable to almost all groups of people. Therefore, from an ethical point of view, we are more humane and we bring hope to more patients."
"Okay, let's not discuss this issue. Professor Zhao, I heard it. You are absolutely sure about the puncture positioning, right?"
"How do you say this? We are all studying medicine, so the so-called absolute certainty cannot be said like this. But..." Zhao Yilin really didn't dare to say it all.
What if?
"Old Zhao, tell them that there is no problem with puncture positioning. It can be said that there will definitely be no problem." Liu Muqiao turned his head and said.
This chapter has been completed!