The Neuropsychiatric Hospital Affiliated to Shanghai Medical University is not only of high standard, but also has a very open concept and is very inclusive.
Liu Muqiao's treatment plan was finally accepted.
They also met with the family members and the person in charge of the patient's unit, and Zhao Yilin explained the entire treatment plan and possible risks.
Liu Muqiao has few opportunities to interact with patients and their families, and has accumulated very little knowledge in this area. He is not suitable for pre-operative talks.
Dr. Zou is not good either.
Today's doctors must have abilities in many aspects.
The first is survivability.
There are many medical injuries. You must learn to protect yourself. At least you must have a dexterous body and an alert mind to avoid sudden attacks.
The second is that you must be an expert in negotiation.
For example, you have to negotiate with the patient's family when choosing a surgical procedure; you have to negotiate with the family when using expensive medicine; you also have to negotiate when choosing equipment.
The difference between domestic and imported orthopedic artificial joints is many times, as well as heart stents, which are very expensive equipment.
The third is that you must be an accountant.
To be good at calculations, you have to be able to calculate the ratio of cost to income. Your performance, your income, what medicine to use, what materials to choose, how many pieces of gauze to use, what number of threads to use, you have to be careful with your calculations. Income and cost determine performance.
In order to save costs, some department directors are precise enough to know when to turn on the lights and when to turn off the lights. As for the use of medical records and ink, these are items strictly controlled by the head nurse.
The fourth is that you must be a master of the game. The cat-and-mouse game has existed in the medical field for many years. To be a good doctor, you must know how to compete with the Medical Insurance Bureau. Otherwise, once you are found to have violated the regulations, you will be charged for one month.
performance may be reduced by half.
Of these, Zhao Yilin is a master, Zou Qingxiang is a veteran, but Liu Muqiao is not.
Zhao Yilin quickly ended the fight. The family members and the leaders of the patient's unit all nodded in agreement and signed what was needed.
The patient was pushed to the operating room.
According to the routine procedure, like all patients, I was given anesthesia in a proper manner, with an anesthesiologist standing by the bed.
Dr. Zou is making pre-operative preparations. Later, he will also be an instrument technician.
Zhao Yilin stayed by the patient's side, observing the data on the monitoring machine.
Liu Maqiao washed his hands and dressed.
The roving nurse is always willing to help Liu Miqiao put on surgical gown.
Chen Xiongwei also participated. He put on a surgical gown, washed his hands, and put on gloves. His intention was to help in case of an accident.
As for what I can do to help, I don’t know.
The next room was crowded with professors and scholars. Everyone wanted to see the brain stem puncture. Even if it failed, they should see how it failed.
The demonstration classroom is very high-end, much more advanced than the one in Huacheng Third Hospital. The 100-person demonstration classroom has very good sound insulation. The speakers are imported from Italy, the cameras are all from Sony, and the display screen occupies the entire wall.
, is Samsung’s latest product.
The display screen is divided into six grids, with the largest grid in the middle. The lens is placed on the operator's head, and the field of vision is very clear.
The sound is so good that the slight sounds of patients and doctors can be heard clearly, and even the sound of breathing is amplified.
Zhao Yilin stood behind the anesthesiologist, with a beautiful traveling nurse beside him. He didn't even dare to take a sneak peek. The surrounding cameras were like eyes wide open, without even blinking.
Liu Muqiao washed his hands, put on surgical gown, and read the MRI film for the last time.
Five minutes later, he turned around and stretched out his right hand. Dr. Zou gently patted the special puncture needle into his hand, and he did it without hesitation.
Inserting the needle was a little slow. He had to identify the communicating artery and ensure that the needle tip slid along the lower edge of the artery without any deviation.
Less than two centimeters into the needle, I felt the fluctuation of the artery in my hand.
Getting closer.
Liu Muqiao stopped.
After a second, he continued to advance.
He seemed to see the needle tip just grazing the communicating artery and then entering the nerve fiber.
"Puff puff puff."
This was the sound of nerve fibers snapping that he felt.
This is a necessary sacrifice. Without sacrifice, the puncture needle cannot enter the cyst.
However, this sacrifice is very small. In the future, after the patient wakes up, a small area of skin on his back will feel less sensitive, giving him a strange feeling, as if he is touching a piece of rubber in his hand.
After advancing 3.4 miles and centimeters, I felt a sense of disappointment, so I pushed a little further.
Arrived.
He stretched out his right hand, and Dr. Zou accurately tapped the syringe into his palm and began to draw out the liquid.
5 ml of brown liquid came out.
Dr. Zou gave him another syringe filled with irrigation fluid.
The liquid inside is the rinse solution that Liu Miqiao had been thinking about for a long time. It is 100-degree alcohol. He quickly pulled it out after rinse.
Its function is to scorch the wall of the cyst and prevent future fluid from seeping out.
It's over.
The host looked up and looked at the time. It took a total of 5 minutes from inserting the needle to withdrawing the needle.
He deliberately checked the time on the video again, and found that the total time was 16 minutes and 34 seconds.
"Report your vital signs." He pressed the button and asked.
"Heart rate is 78 beats/min, regular; respiration 16 beats/min; blood pressure 120/70mmHg, pupils 4 mm, equal circles and equal sizes, sensitive to light reflection."
The entire demonstration classroom let out a long breath, and then there were sounds of surprise and admiration.
The "ding" sound in Liu Muqiao's head was endless.
It's a pity that they are all elementary treasure boxes.
Chen Xiongwei stood aside, and it was only then that he asked: "Are you done?"
What he means is that the operation has been completed before he has officially decided on his chosen position. Isn’t it too simple?
He was the most uneasy. He had been hesitating from the moment he entered the operating room, whether to take over Liu Maqiao or Zhao Yilin's job when problems arose.
The next task from Liu Muqiao was to remove the puncture needle, and the next task from Zhao Yilin was to perform cardiopulmonary resuscitation.
He was still hesitating, but everything was completed smoothly.
The patient was pushed back to the ward.
Liu Muqiao and the others were invited into the demonstration classroom.
They still have a lot of details to ask.
The first question was from a relatively young professor, and his question was very direct.
"Dr. Liu, is it difficult to achieve your level of puncture? Because the key to carrying out this kind of surgery is accurate positioning."
Liu Muqiao pushed up his glasses and said, "It should be said that it is still relatively difficult."
"If we use CT positioning, can we make up for some talent deficiencies?"
"I have no idea about this. For me, CT is a burden, because when I puncture, the initial direction of needle insertion has already determined the final result. Therefore, CT has no value at all to me.
For example, my puncture is just like a fired bullet. The key to whether it hits the target or not is the moment when the trigger is pulled. For CT positioning, perhaps for some operators, the puncture needle is like a missile and can change direction according to the target.
The problem is, you can't change the direction in brain tissue, not to mention, your needle is hard."
Silence.
Silence.
After a full 30 seconds, someone asked again: "How do you know that when your puncture needle reaches its destination, the deviation does not exceed 1 millimeter?"
"Feeling."
"Feeling? This is not accurate."
"However, my feeling is very accurate. I did the best puncture just now. It almost didn't deviate from the designed route. The deviation was less than 0.1 mm, which is almost negligible."
"Feeling? Do you think it must be the truth?"
"Yes, it must be true. The reason is very simple. The route I designed was to pass along the lower edge of the traffic artery. It just so happened that I passed by it. That's why I said yes."
"Can you feel the moment it passes through your artery?"
"Can't you?"
Silence.
Silence.
Finally, someone asked, "Can you?"
"Of course! If you can't feel the arteries and veins, why are you talking about puncture? The most basic feeling of puncture is to be able to feel the fluctuations of arteries and veins, followed by feeling the movement of neurons and nerve fibers. If these are not possible, then puncture technology can
He said, “I haven’t started yet.”
Not started yet?
You look at me, I look at you.
Have you started?
This chapter has been completed!