Nearly 80 people from four departments of the Department of Neurology of the Provincial Hospital are preparing to listen to the lecture by Zhao Yilin and others. The theme is "New Treatment Methods for Vegetative People".
This topic is very tempting.
The Department of Neurology of the Provincial Hospital is very famous in Queensland, with 300 beds fully occupied. It is difficult to find a bed, and hospitalization has to be done through the back door through connections.
The reason why they are so powerful is inseparable from their department culture. They are very dedicated and love to learn.
They all choose well-known hospitals in the mainland for further studies, such as Xiehe, Xuanwu, Xiangya, Shanghai Medical University Neuropsychiatric Hospital, etc. These big-name hospitals have several returnees in their ranks, and they are more powerful than the Affiliated Hospital of the Medical College.
Neurology is even better.
After the case report was finished, Director Qiu Yiluo said that he would like to ask Professor Zhao Yilin to comment on the early diagnosis and treatment of these two patients and determine the later treatment plan.
Zhao Yilin tried his best to smile.
"I can't comment. I just listened to the occurrence and development of the two patients' diseases. I have a feeling that it is a miracle that these two patients can survive to this day. Among them, the one with carbon monoxide poisoning is the middle one.
There have been seven dangerous situations, but you have saved them all, which is really not easy.
Secondly, as for the stroke patient, it is even more obvious that your professionalism and professionalism are first-class. In other hospitals, even some big-name hospitals, this patient would probably have died. But you, you actually let him
Live to this day.
I won’t say much more about these. Let’s talk about the treatment of these two vegetative patients. Maybe the rumors are wrong. Our team is not expert in treating vegetative patients. We are only good at brainstem puncture. Earlier, we treated
We have experienced three vegetative states, and we all used puncture to eliminate cysts and revive the patient. Therefore, you will be a little disappointed. There is nothing we can do about the patient with carbon monoxide poisoning. As for the second patient, who has a cerebral hemorrhage, we may be able to revive him.
”
"So, Professor Zhao, you are saying that you can confidently treat patients with cerebral hemorrhage, but there is nothing you can do for patients with carbon monoxide poisoning?" Director Qiu Yiluo said.
"Well, that's roughly what it means. However, for the patient with cerebral hemorrhage, it doesn't mean that there is any certainty. It can only be said that there is hope."
"We understand this. Now, my colleagues may have some questions and would like to ask Professor Zhao, okay?"
Qiu Yiluo basically ruled out Liu Miqiao and Dr. Zou.
They are too young, inexperienced, and still at the lowest end of the food chain. Asking them for advice is not only not polite, but also offensive.
That's what he thought.
Therefore, he simply did not mention their names.
Zhao Yilin nodded, "You're welcome, please."
He glanced at Liu Muqiao.
I don’t know when, Liu Muqiao was lying on the reading lamp watching a movie again.
Strange, he was looking at MRI films of carbon monoxide poisoning patients.
Why are you looking at that picture?
Do you have a diagnosis and treatment plan?
Impossible.
For the treatment of vegetative patients, the current cyst puncture is relatively easy to understand medically. However, most of the vegetative patients with carbon monoxide poisoning, except for the occasional slow and natural recovery, eventually died of complications.
He took his mind back.
Because, at this time, a relatively young deputy chief doctor asked a question.
"The brainstem was considered a restricted area by us in the past. What is your success rate for puncture?"
"We only started doing brainstem punctures in the past month or so, and the number of cases is not many. We have punctured 6 cases in total, of which 3 were emergency punctures for brainstem bleeding, and the other 3 were brainstem cysts. So far, we have done brainstem punctures.
, the success rate is 100%. Of course, there are too few cases, so this 100% is not representative."
"What's the secret to your success?"
"Puncture! Accurate puncture."
"CT guidance?"
"No, we are crossing blindly and do not need guidance."
"Don't need CT guidance?" Many people exclaimed.
"So, how do you achieve precise puncture?"
"Diligence and talent. That classmate Liu Miqiao who looked at the MRI film and had an intracranial puncture, the error deviation was not more than 1 millimeter."
"No more than 0.5 millimeters." Liu Muqiao turned around and corrected Zhao Yilin's statement, "The deviation near the blood vessels is no more than 0.1 millimeters."
"Ouch!"
"So powerful?"
"Can it be verified?"
……
"Dr. Liu, you said that the error rate is so low, it can almost be said that your puncture was perfect, but how do you verify such a small error?"
Liu Muqiao grinned and said: "The brainstem is a restricted area of life. Yes, it is indeed a restricted area of life. During puncture, a slight error will damage the vital center. And I have successfully punctured 6 cases, and none of them died. This is
Just to illustrate one thing, my puncture strictly followed the route I originally designed. Otherwise, the success rate would not be 100%."
This sentence is a bit crazy.
Some people are not convinced.
Not all of us here are modest, there are quite a few who are arrogant.
"How long do you think you can maintain a 100% success rate?"
"I estimate it will take a long time, but it depends on luck."
"Luck? Can medicine rely on luck?"
"There will be no problems with my puncture, and there will be no problems with my design of the puncture route. The problem may lie with the patient himself."
"The patient himself?"
Someone laughed.
Some people even laughed exaggeratedly.
Because what Liu Muqiao said was very scoundrel.
Liu Muqiao was not annoyed. He smiled and said, "You can ask me questions, but don't ask low-level questions."
Liu Muqiao's words were a bit harsh.
His meaning is very obvious. You should show your level of skill in asking questions. What do you mean by asking the question about the brainstem being a restricted area of life? We have already been invited. Is it still necessary to ask this question?
A bald professor stood up and asked: "Okay, let me ask a question to Dr. Liu. Just now, you meant that the question should reflect the level of neurology in our provincial hospital. However, my level is not high. I want to ask
, which route are you going to choose to insert the needle and avoid those life centers?"
This is very straightforward. The question also includes the possible risks of brainstem puncture. The difficulty of the question is neither big nor small. 80 of their own people are at a loss about this problem. No one knows where to insert the needle and where to start.
You may encounter life centers or blood vessels whenever you go in.
Liu Muqiao put the MRI film on the projection.
"In this part, the medulla oblongata enters. There is an artery branch on the periphery that controls the medulla oblongata. I pass through the outside of it and then penetrate into the medulla oblongata. There are two centers here, one is the blood pressure center and the other is the cough center. Neither of these two centers can be damaged.
, the only way is to pass between the two. Did you find anything? If the puncture route I chose is accurate, there will be no danger at all. However, if the deviation exceeds 0.3 mm, the patient may suffer irreversible damage.
, even, it may die directly.”
Everyone stared at the red line marked by Liu Miqiao on the MRI film.
"Is this okay?"
"Can you be so precise?"
"It's impossible, and no one can do it."
……
"I can do it." Liu Maqiao said.
"How to confirm that you have no deviation?"
"It's very simple. The branch of the artery I just mentioned is the guiding light."
"What do you mean?"
"When passing through this blood vessel, its fluctuations tell me that I have not deviated."
"Can you feel the pulse of your arteries?"
"Of course! Feeling the pulse of arteries is the most basic condition for puncture of brain tissue."
As soon as this sentence came out, everyone fell silent.
Because, for most people, they can’t feel it at all.
Who dares to expose their weaknesses?
No one spoke.
No one admits that they cannot feel the pulse of their arteries.
Liu Muqiao smiled.
The emperor's new clothes.
Liu Miqiao continued: "I know that many of you here can't feel the fluctuations of intracranial blood vessels at all. Is that right? This is very dangerous."
This chapter has been completed!