There was a group of second-year students at the general level looking at him, especially fellow countryman Sun Yubo, who was a worse student than him. They were always waiting for him to make a technical fool of himself. How could he lose face like this on the spot.
Huang Zhilei made a prompt decision and said to his junior sister: "If you think it is feasible, you can try ETV surgery first, and then observe whether the patient's hydrocephalus symptoms improve after the surgery. If there is no improvement, you can switch to shunt surgery."
This starts with pre-operation. When having pre-operative conversations with family members, surgeons will usually mention that the specific surgical conditions must be analyzed during the operation, and if there is a better surgical plan than bypass surgery, the patient will fight for it.
The advantages of saying this are that, first, such a situation may really happen. For example, if the result is not good before the operation and it is said that a total resection is needed, but during the operation it is found that the result is better than what was predicted before the operation, it is not necessary to perform a total resection.
Another benefit is to leave psychological space for patients and family members to allow any possibility to occur.
Family members need to understand that doctors are not gods, and they cannot predict bad results. It is helpless to scare you before surgery. Doctors also cannot accurately predict good results. If the results are really good, you cannot blame the doctor for not being good before surgery.
There is an element of deliberately scaring you.
Not only the surgeon, but also Dr. Jin, as a friend of the patient, will make it clear to the patient's family in this regard. Especially since MRI has not been performed, various possibilities are possible. As the former attending doctor, Dr. Jin must follow all aspects to avoid liability.
statement.
After thorough communication with the family members before the operation, the doctor will change the surgical method according to the needs of the patient's condition during the operation. As long as it conforms to the medical procedures, there will be no problem. Such changes to a better surgical method will make the family members more aware after the operation.
I am happy and grateful that the doctor was not in time.
After solving the family's procedural issues, all that remains is the doctor's intraoperative judgment.
Clinically, there are many such patients who do not want to undergo long-term shunt surgery with catheter placement to increase subsequent pain, and want to try a better surgical plan.
Xie Wanying remembered what senior fellow neurologist Cao said: The human brain is too mysterious, which makes many neurosurgery diseases more like Schrödinger's cat.
Since it is the patient and family members who actively ask the doctor to try it, the patient and family members are willing to take the risk at their own risk, which gives the doctor room for further challenges. As long as the patient has this condition during the operation, he will directly perform the ETV surgery first.
Even if the ETV procedure fails, it will not cause substantial damage to the human brain, and a second try can be used to shunt the patient. And after doing so, some patients actually succeeded in the ETV procedure.
For Senior Brother Huang's proposal, you are right to say that he is reasonable and has work experience, or you are right to say that he is taking advantage of his work experience to take advantage of the situation.
"You Huang Daxia, when people talk to you about technology, what are you talking about?" Sun Yubo started to curse. If he had the opportunity to seize the opponent's bag, he would never let this fellow countryman slip away.
Huang Zhilei frowned twice. The junior sister asked him to mention his work experience, and he was right to provide it.
In other respects, the junior sister can make her own decisions.
When the surgeon is like this, he must consider the possibility that he will not be able to get any assistance from others during the operation, and in the end he will have to do it himself.
Regarding the awareness of being a surgeon, Xie Wanying has gained a minimum amount of experience after practicing with the fairy brother several times.
What to do? Make a plan in advance and roughly judge whether other operating room members are mentally capable and whether they can help her.
The answer that Senior Brother Huang gave her was within her expectation.