300 neurology at the top of the pyramid

In the end, Yuntian still didn't get the opportunity to brush the heartfelt gratitude of patients from the Encephalopathy Hospital.

After the ward rounds, he assisted several other people to make minor adjustments to the treatment plans of existing patients.

Before I had time to eat lunch, Director Li Lishan's phone called.

"Second into the palace, middle cerebral artery M2 section, dare to answer?" Director Li Lishan directly called Yuntian's mobile phone, as soon as the phone was connected, Director Li Lishan directly asked straight to the point.

In other industries, asking others directly if they can do it will inevitably give you a feeling of looking down on people.

But among doctors, this is a common occurrence.

After all, doctors have to face life, and most doctors will not take such a risk.

Not only is it irresponsible to oneself, but it is also extremely irresponsible to the patient.

Last time, although Yuntian told Director Li Lishan that he wanted a patient with the M2 segment of the middle cerebral artery, the patient was entering the uterus for the second time, and the situation was more complicated than that of ordinary patients.

The so-called second uterus refers to the second occurrence of cerebral artery infarction.

It's a broad way of saying it.

"I'll go down and see how the patient is doing. Yun Tian answered, hung up the phone, and went straight to the emergency room.

"Wait for me. Leng Chengye obviously knows Yuntian better than Zhao Lei.

Although he only heard Yun Tian say a word about the patient, Leng Chengye reacted immediately and immediately followed Yun Tian's footsteps.

Zhao Lei watched the two leave.

No way, in addition to being Yuntian's second room, Zhao Lei is also an intern in the Department of Traditional Chinese Medicine.

Since Zhuang Zhuyue began to manage patients independently, the task of assisting Dr. Huang in managing patients fell to Zhao Lei.

Therefore, although Zhao Lei wants to compete with Leng Chengye for the status of a house, he has no time at the moment.

Yun Tian and Leng Chengye did not wait for the elevator, and ran all the way down the stairs to the first floor.

Li Lishan is in the rescue room.

"The patient was in a state of drowsiness, able to respond to breathing, and was admitted to the hospital with sudden left limb weakness for two hours. Cranial MRI showed that the blood flow signal of the horizontal and lateral fissure segments of the right middle cerebral artery was lost, and there was a hypodense shadow area around it. Estimate the position in the M2 segment. As soon as he saw Yuntian, Director Li Lishan began to introduce the patient's illness to Yuntian.

The patient's family members saw Yun Tian who came in a hurry, and then looked at Director Li Lishan, who was seriously discussing the disease with Yun Tian, with doubts in their eyes. 、

"Dr. Yun is the best doctor in our Xihua Hospital. "Yuntian's age, most family members may be suspicious.

Therefore, Director Li Lishan saw the doubts of the patient's family, and Director Li Lishan explained this sentence more.

After all, Li Lishan is a well-known emergency specialist in Kunnan Province.

fame,

By Director Li Lishan's words, even if the family members still had some doubts, they nodded obediently.

"It should be that there is an embolism in this area, and the specific operation can only be decided after the angiogram. Yun Tian pointed to a place in the film and said.

"Do I need imaging or any tests first?" the family asked.

"Now let's look at the M2 segment embolization

It is very likely, but it depends on the angiogram to be determined. Yun Tian continued to explain.

"Can M2 embolization be performed?" the patient's family further asked, because of Yuntian's explanation, the patient's doubts were reduced a lot and he was a little more eager.

"Yes, but it depends on the specific situation, the M2 segment can be removed by suction method, but because it is a new operation, there is a certain risk, it depends on your choice. "Although Yuntian has practiced the M2 suction suppository method many times in the system space, and the success rate of the operation can be stably controlled at more than 98%, Yuntian is still very conservative.

This is the usual style of doctors.

"What happens if I don't have surgery?" the patient's family looked at the patient, a little hesitant.

"It's not certain yet. It is possible that the situation will improve from now on, but it may also deteriorate. If arterial thrombectomy is not done, thrombolytic therapy can be performed, but the damage to the brain will be more serious than if it was removed as soon as possible. After all, brain cell damage is a race against time. "Director Li Lishan, although he has a hot temper.

But it is very meticulous with patients.

After Director Li Lishan's explanation, the situation became very clear.

"Let's have surgery then!" the patient's family made a decision after only a few minutes of consideration.

"The specific situation of the operation depends on the results of cerebral artery angiography, if you agree to have surgery, you will go outside with me to sign the consent form for surgery, the dangers that may be encountered during the operation, I will also communicate with you carefully, and Dr. Yun will take the patient to make preoperative preparations. Since the patient's family agreed to the operation, Director Li Lishan immediately made arrangements.

Everyone had no opinion and began to divide and cooperate.

"Can you really do the M2 section?" Leng Chengye still felt a little incredulous when pushing the patient towards the maternity building.

I was only away for three days.

Yuntian actually crossed to the top of the pyramid!

It's shocking.

Although there are small blood vessel branches under the plaque, only Yuntian can complete the operation in China.

But after all, because it was a brand new technique, it was only a matter of time before someone dared to come up.

However, the meaning of the M2 segment is completely different.

This is a relatively mature procedure.

The reason why there are so few people who can complete this technique is entirely because this technique requires too high a level of skill from the practitioner.

Being able to complete the M2 segment means that the surgeon has stepped into the top of the neurological interventional surgeon pyramid.

An intern who has been in contact with neurology surgery for less than 4 months has surpassed most of his peers and stood at the top of the pyramid!

This is a fact that is too hard to accept!

That's why Leng Chengye asked such a question.

"Hmm. Yun Tian replied absentmindedly.

The patient's surgery is already being thought out in his mind.

With more and more experience in actual work, Yuntian's perfect-level neuroimaging diagnosis is faintly abrupt

Signs of breakage.

In the MRI film just now, taekwon appeared in Yuntian's mind, so Yuntian would quickly find the possible embolic site through the patient's film.

Yuntian was conservative just now, but in fact, Yuntian was very sure that the patient was an M2 embolization.

"Manager Huang, I want a negative pressure aspirator, suitable for the M2 segment of the middle cerebral artery microguidewire and microcatheter, can it be delivered within 10 minutes?" arrived at the neurology department in the new interventional catheterization laboratory.

Leng Chengye pushed the patient to make preoperative preparations.

Yuntian picked up the phone and called Manager Huang.