Chapter 478 Primary epilepsy

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 The three patients were all shaved bald by Dr. Zou. One was lying on the operating bed, and the other two were sitting aside, waiting blankly.

Based on the position of the MRI film, Liu Miqiao made a mark on the patient's head with violet liquid, and Dr. Zou would drill holes here later.

These patients were all only twelve or thirteen years old. Perhaps because of repeated epileptic seizures, which affected their intellectual development, they all sat there without any reaction.

Liu Muqiao was too lazy to take anesthesia or a diazepam, and he no longer cared about Professor Hao and Dr. Zou saying that he knew how to hypnotize. He took out the resin of the horse's vine and shook it in front of the patient's nose.

Echinacea resin is more convenient and easier for patients to accept. They sleep without having a single dream, and when they wake up, the operation is completed.

This operation is more difficult than the secondary one, mainly due to the malformation of the cortex, and it is difficult to determine the "point" that induces epilepsy.

Maybe it's a dot, maybe it's a piece, or it's a ball.

The range that the puncture needle can destroy is limited. The radius of destruction is about two millimeters once. Therefore, Liu Miqiao needs to carefully look at the MRI film.

It was his first time doing it and he had no experience.

Fortunately, his film reading ability has reached the master level. After careful analysis and comparison, he finally basically determined a core part.

Destroy as little brain tissue as possible. It is ideal to control it within a radius of two millimeters. Even if there are errors, there will not be much functional damage.

In the past, it was easier to treat secondary epilepsy. In many cases, the radius of damaged brain tissue was less than 1 millimeter, and this damage was basically negligible.

Now these patients must be taken seriously. Small damage will not work, but large damage may affect the function of brain tissue.

Even if minor functional impairments such as agnosia and alexia occur, it will cause considerable harm to the patient.

If you have a loss of brain function, you will think you have a problem with your IQ and you will be discriminated against in society.

An adult holds a pen and cannot pronounce the name of the pen. He can only say that it is for writing. How will others view him? Who knows that he has an agnosia center due to damage to his brain tissue? They will definitely think that he has an IQ disorder.
The probability of being called an idiot is almost 100%.

Dyslexia is even more troublesome.

You can imagine how much discrimination a grown man will receive if he cannot read "1,2,3".

Brain surgery should try not to damage such "functional areas" as much as possible. This is the biggest difficulty in brain surgery.

Liu Miqiao used a puncture needle to perform surgery, which caused far less damage than ordinary neurosurgery. However, medicine requires excellence, so he tried his best to design the specific location and size of the damage before surgery.

Although the lesions of these three patients were different, they were all close to the functional area, so Liu Miqiao had to think twice.

Finally, he made up his mind to end the operation within a radius of two millimeters of the core area and not expand the scope. He believed that the effect would be good.

After the first patient is finished, the second and third patients will follow.

Including the time for film reading, it took a total of 30 minutes.

Liu Muqiao was the first to come out.

Then there is Professor Hao.

Finally, there are three patients and Dr. Zou.

They will undergo an electroencephalogram test.

There were problems with electroencephalograms in the past. Now we can make a comparison and judge the effect very well.

Liu Muqiao is waiting for the results in the office. He and Professor Hao want to discuss the core part of the paper.

Dr. Zou and a student of Professor Hao are responsible for performing electroencephalograms on patients.

"Liu Miqiao, your level of diagnosis and treatment of neurological diseases has improved rapidly recently. Last week, you came to my place and corrected Wu Di's diagnosis of two cases. It was not easy. I checked those two patients in person. Unexpectedly,

I still made a mistake."

Professor Hao is talking about what happened last week.

Liu Muqiao still follows the old rules and goes to the affiliated hospital for Parkinson's surgery every Friday afternoon, and sometimes also has consultations.

Of course, consultations are just soy sauce, and consultations happen occasionally, and two diagnoses were corrected last week.

Professor Hao was shocked when he learned about the situation. Liu Muqiao had shocked him many times in the past few months. What surprised Professor Hao was that Liu Muqiao had so much knowledge and expertise in rare and rare diseases in neurology.
The two diseases Liu Muqiao corrected last week are both rare neurological genetic diseases, and there are only 3 or 4 such patients in the country.

Now that Professor Hao mentioned this matter, Liu Muqiao just smiled. Professor Hao has been famous for more than ten years. No matter how awesome he is, he can't be disrespectful in front of him.

Then, they began to discuss the paper.

Based on his past experience in epilepsy surgery, Liu Muqiao introduced his surgical experience, purpose, process, and difficulties.

These are the core of the paper.

As for the organization of text, that is Professor Hao’s business.

Professor Hao has written more than 100 SCI papers in total, and the fastest he wrote was only 40 minutes.

Professor Hao is now a second-level professor at Qingjiang University. He is relatively well-known in Qingjiang University, and his status is close to the level of a veteran.

The most regrettable thing about Qingjiang University School of Medicine is that there is no academician.

Affiliated hospitals without academicians cannot hold their heads high. If they stand side by side with other affiliated hospitals, their quality will be much worse.

Generally speaking, the hospital affiliated to the medical school of a certain university is the strongest and has the highest level in the province.

Similarly, the No. 1, No. 2 and No. 3 Affiliated Hospitals of Qingjiang University represent the highest level in Jiangdong Province. Among them, the Affiliated Hospital refers to the First Affiliated Hospital, because the Second Affiliated Hospital and the Third Affiliated Hospital were built later, and the level is one notch lower.

Recently, the Second Affiliated Hospital has gradually caught up. In some disciplines, it has introduced some talents. Soon, they are expected to catch up with the First Affiliated Hospital.

Of course, now there is another dark horse, and Antai Hospital is chasing after it.

Neurology, pancreatic surgery, and pediatrics, these three departments have already caught up.

As for acupuncture, massage, and traditional Chinese medicine, the First Affiliated Hospital doesn’t care. These are not their strengths.

To be honest, it makes sense that Liu Muqiao should work in the First Affiliated Hospital.

If it were in an affiliated hospital, with this platform, this network, and these resources, Liu Miqiao would have a very high chance of becoming the first academician of the medical school.

It's a pity that he is on a small platform like Antai Hospital.

Precisely because there are no academician-level super bosses in the affiliated hospitals, figures like Professor Hao are particularly dazzling.

Liu Miqiao is a student of Professor Hao. In the past, Professor Hao thought that it was a high mountain, not to mention Mount Tai, but it was still a high mountain.

Now, unknowingly, Liu Muqiao has stepped on this mountain under his feet, but his respect for Professor Hao has not diminished by half.

Therefore, he will never be disrespectful in front of Professor Hao.

Liu Miqiao and Professor Hao had just finished discussing the paper when Dr. Zou and the others came back.

Good guys, all three patients’ epileptic waves have disappeared.

Liu Muqiao was very happy. His decision was right. From now on, he will act according to this idea.

"Find Wu Di." Professor Hao said happily, "Liu Miqiao, you must bring him out."

The corners of Liu Miqiao's mouth turned up slightly.

Old Hao, don’t you remember? Wu Di is going to our Antai Hospital.


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