Liu Muqiao never imagined that those few words he just said would detonate a depth bomb in this demonstration classroom.
There are no stormy waves on the surface, but deep in their hearts, there are roaring mountains and tsunami.
You must be able to feel arteries and veins, neurons, and nerve fibers during puncture, otherwise you have not started puncture yet!
This shock is not ordinary.
Most of the people here really can't do it. They just feel that brain puncture is similar to puncture of tofu. What can be distinguished is that the texture of the tofu block is more uniform and the hardness of the brain is different.
From the looks in each other's eyes, we can tell that not only me, but you too, have not started yet.
"Lao Yang, how do you feel?"
"I'm ashamed. After this little brother said this, I will never touch a puncture needle again. Lao Zhang, what about you?"
"Me? I want to cry."
"Hey, this isn't a bluff, is it?"
"You're bluffing? You've seen it. When someone does a piercing, he is really feeling it. Is there any doubt?"
"I want to cry too."
"To tell you the truth, I'm already bursting into tears. My little heart can't bear it anymore."
……
"Who else has a problem?" Three minutes later, the host tried to cheer himself up, but he was hit hard.
"If you don't ask anymore, if you ask again, I will resign."
"Yes, let's go back and find a piece of land, grow vegetables and fish, forget about it. Why else are we curing diseases? What are we teaching? We are misleading our children!"
A younger professor raised his hand and said, "Moderator, I still have questions to ask."
"Oh, Professor Tang, please."
"Dr. Liu, I agree with what you just said, and I feel very touched. You said that you can feel the arteries, veins, neurons, and nerve fibers during puncture. Yes, I can feel it. But how can we do the positioning?
To the precise positioning you mentioned?"
"You have to study imaging. At least, you can find every blood vessel and every nerve nucleus on ordinary CT films. Also, you have to form a clear three-dimensional structural map in your mind. Finally, you see
A person’s head is no longer a scalp and skull, but a see-through that can see every detail clearly. At this time, if you puncture, you will be able to hit the mark with perfect accuracy."
As soon as these words came out, there was a "boom" in everyone's mind. This shock made everyone speechless.
To be honest, they are all big experts and have done some research on MRI and CT films. Some people don’t even look at the diagnosis from the imaging department, and they have to rely on their own.
Now when I hear what Liu Muqiao said, according to him, where can I watch movies?
This guy is quite unique. You know how to perform punctures. Is there something unique about reading pictures?
Liu Muqiao is a master of film reading!
What is the concept of master level? The country is also in single digits!
Try it, try his ability.
There was once a legend that there was a genius in Eastern Europe who had a genius-like ability to distinguish images. Could it be that he also had it?
"Dr. Liu, you are very knowledgeable in CT and MRI, right? I have accumulated a few difficult films here, can you help us diagnose them?"
The host said.
Liu Muqiao also had the urge to read difficult films. He grinned and said, "I can't tell you my attainments. However, there are difficult films to watch. I like them very much. Please bring them over."
Although this tone was ordinary, when the experts heard it, they were crazy, they were really crazy to the extreme.
Soon, 9 MRI and CT films were brought over, from 4 patients.
Liu Muqiao still insists on reading under the reading lamp.
These four patients are all difficult cases currently in the hospital. One is a neurological patient who suffered from epileptic seizures for half a year; the second is a neuropediatric patient with long-term low fever; the third is a psychiatric patient; and the fourth is a neurological patient.
A foreign patient was hospitalized with headache and suspected metastasis.
They did not introduce the condition, not even the age and gender, and only showed Liu Miqiao the film.
Liu Muqiao reads very quickly.
It’s different from having a puncture.
Before the puncture, he watched the film very carefully. He watched the film for more than 10 minutes each time, and watched it repeatedly.
But Liu Miqiao only spent 15 minutes on these nine films.
"The first patient should be an epileptic patient, right?" Liu Miqiao asked.
Everyone was shocked.
Can epilepsy be seen on CT films?
"There is a nodule in his temporal lobe. It is very small. It is probably a scar tissue. You can ask the patient if he has had any head injuries in the past three years. It was not a serious injury, but it was not very minor either.
Maybe there was some concussion at the time."
This is amazing!
This patient was seen twice, and this problem was indeed mentioned in the medical record report.
"Actually, the treatment for this patient is not complicated. From an imaging point of view, I can destroy the scar and relieve the symptoms of epilepsy. However, let me make it clear that I am not familiar enough with the disease of epilepsy, so I will not publish more.
Opinions."
As soon as he finished speaking, the buzzing sound started again.
Suddenly there was a sudden sound that drowned out the hum.
"I'm really convinced by you! He is exactly what you said. He is an epileptic patient, and he has indeed been injured." A professor shorter than Chen Xiongwei stood up and said loudly, "This method you mentioned, I
Implement it immediately when you get back!"
There was a "ding" in Liu Muqiao's head.
"Reward an intermediate treasure box."
A shining silver treasure box appeared in front of you.
Hold it!
Don't drive!
Later others will comment on your weird actions.
No!
This is the best time to open it! They are all medical experts, so the chance of opening a medical treasure box is very high.
Think of the "Cooking Encyclopedia" of the past.
"Fishing Encyclopedia".
"Encyclopedia of Tea Ceremony".
I feel angry. It’s a pity that the intermediate treasure box has nothing to do with medicine.
Yes, it is better to open the treasure box here.
Never mind him, click on it!
There was a flash of light in front of my eyes.
A thick book, eight voluminous and half a foot thick, "Guidelines for the Diagnosis and Treatment of Epilepsy - Expert Level" was placed in front of him.
It is turning pages automatically.
A minute later, Liu Maqiao shivered all over.
Dr. Zou smiled.
He smiled weirdly and said softly, "This guy is going to cause trouble again. There's something good to watch."
Sure enough, Liu Maqiao's eyes shone.
"As a patient, I can help you treat it. If you use CT to locate and destroy it, it may fail, because I noticed that the scar tissue is very small, and we must achieve precise positioning, otherwise larger scars may appear." p>
Professor Shortfoot said: "Approximately how much brain tissue do you need to destroy?"
"1 mm in diameter."
"Ah?"
There was another exclamation.
"Is this called destruction? The tip of your needle is also more than 1 millimeter. According to you, just hit the point where the discharge occurs and the operation is over?"
Liu Muqiao grinned and said, "Well, the surgery is very simple, that's probably what you said."
Isn’t it a bit mysterious?
The host must control the overall situation, and the process cannot be controlled by one person. This is a necessary ability to be a host.
So he said: "There are imaging experts here. Please tell me whether you agree with Dr. Liu's opinion."
The professor of imaging said loudly: "I cannot agree with his point of view. The reason is very simple. I have carefully watched the film and found no scars as he mentioned."
Professor Shortfoot said: "However, he reversed it and deduced the symptoms and causes of the disease. You can't help but agree, right?"
"Indeed, this is very strange, but I did not see this nodule. Dr. Liu, I do not deny your diagnosis, but I did not see it."
Liu Muqiao grinned, "You are very honest. I know you can't see it either. To see this nodule, you have to accumulate at least 300,000 difficult imaging films."
Oops!
This imaging professor really wants to cry.
You, a little brother, act like a hero in front of me, but do you know that I am a second-level professor, a Yangtze River Scholar, and only half a step away from an academician?
However, the problem is, he is right, how to explain this?
