Chapter 688 - Higher Precision Instruments (Ask for Subscription)
At around two o'clock in the afternoon on Wednesday, the surgical laboratory on the top floor of the comprehensive laboratory building of the School of Medicine.
In the cardiopulmonary bypass machine, the hum of the ventilator, and the alarm sound of various monitoring instruments, Guo Peng completed the last stitch.
He gently put the surgical forceps and suture needles on the surgical tray on the side, turned around, and looked at the silent Lin Jie with apprehension like other classmates.
More than three hours earlier, the No. 2 test monkey had no vital signs.
Many rescues were ineffective, but Lin Jie never said "stop", Xiao Ganghao, Guo Peng, Gao Yanhong, Ma Hongmin, Zeng Yang and others had to bite the bill and continue to do the operation.
Lin Jie waved his hand lightly, and Guo Peng immediately turned off the various instruments that were still running.
Quiet returned to the surgical laboratory.
"The test monkey died, and judging from this result, your operation was a failure. ”
His gaze slowly swept over the faces of Xiao Ganghao, Guo Peng and others, and Lin Jie said solemnly: "Maybe you all think that this is unfair, I have never performed such a major operation, and it can even be said that I have no experience at all, and it is normal for the operation to fail." ”
"But is that really the case?"
Lin Jie asked, "Have you learned all the theoretical knowledge required in the operation?"
"The basic surgical skills required for surgery are also available, right?"
"You've also studied the relevant surgical teaching videos, right?"
Every time he asked a question, all the students nodded without denial.
Lin Jie raised his eyebrows and said, "That is to say, theoretically speaking, you can successfully complete these surgical tests?"
Although they were a little unconvinced, Xiao Ganghao and the others had to admit it.
What Lin Jie said is really right.
However, they all wailed in their hearts, teacher, this is only theoretical, and there is a difference between theory and practice.
Surgery as a practical operation skill, without a lot of practice, how can you cope with it freely, not everyone is like the teacher, you are almost born to know!
This thought, just thinking about it in the heart, no one showed it on the face.
Lin Jie said: "There is a theoretical foundation, there is technical support, and there is teaching guidance, you can ask the surgeons of the affiliated hospital, can they complete a new contact operation under such conditions?"
"Maybe you think that my requirements are too high, and I am only a fledgling student, how can I compare with those old doctors who have been working for many years?"
"However, you are not someone else's student. ”
"You are my students, my Lin Jie's students. ”
Lin Jie said loudly: "After you go to the hospital, other people's expectations of you will become very high because of me, which requires you to have higher requirements for yourself!"
"Do you know?"
"Know!" Xiao Ganghao and the others shouted in unison!
Lin Jie was very satisfied with their reactions, and said with a bow: "Of course, the improvement of the level is not achieved overnight, I just ask you to demand yourself with the highest standards at all times." ”
"Also, doctors are never ready for everything. Patients do not get sick in a proper manner, as described in textbooks, and the patient's condition is changing from moment to moment. ”
"At work, there are many accidents that always come unexpectedly, and there will be no time for you to practice and prepare. ”
After preaching these words, he instructed one after another: "A few of you who are in charge of surgery today, you need to carefully analyze the operation video and find out what your problem is." ”
"Tian Xiangyu, Guo Peng, you are responsible for the brain anatomy of the No. 2 test monkey, to see if there are organic lesions, and if there are any changes that need to be noted. ”
"Fang Hanrui, Huo Guangheng, Yan Beichen, Song Licheng, Lu Xiaoyu, Wei Hongyang, tomorrow's No. 4 test monkey operation will be in charge of you. ”
"Also, because tomorrow afternoon's class, tomorrow morning's surgery time, advanced to 6 o'clock in the morning......"
At nearly four o'clock, Lin Jie rushed back to Xiangtai Apartment Building.
In the underground parking lot, he happened to meet Slouffel, who had come with Ankexin.
"Mr. Lin Jie, my negotiation with Miss An Kexin went very smoothly, but because I had to rush to the capital and deal with a sudden work problem, I had to leave Binhai. ”
Sloefel looked at his watch and said, "I'm on the plane at a quarter past seven in the evening, and before leaving, I want to communicate with you face-to-face, Mr. Lin Jie." ”
"Alright, Mr. Sloelfel, let's talk at home. ”
Lin Jie made a gesture of please.
Sloefel smiled and said, "Being able to meet by chance in the parking lot shows that we are destined, in order to save time, let's have a brief chat here." ”
The host is as he pleases, and Lin Jie naturally has no opinion.
"Mr. Lin Jie, I don't know if you have studied the medical record I sent?"
Lin Jie said softly: "I have seen it, although the patient's cranial condition is complicated, and it is not easy to remove the tumor, but I have found a good solution!"
"You've found a solution, so fast?"
Sloefel was obviously a little surprised, and asked eagerly: "Your plan, what will be the sequelae after the operation?"
Lin Jie smiled and said a little smugly: "It's not fast, I've been thinking about it for nearly a night." ”
"As for the sequelae, if the operation goes well, there won't be many sequelae, at least not the sequelae that will affect his game. ”
Sloefel was even more surprised, and asked in surprise, "You actually know that he is a professional athlete?"
Lin Jie explained softly: "There is detailed physical examination data of this person in the medical record, and these data are not something that ordinary people's physical fitness can achieve. ”
"Judging that he is a professional athlete is a very simple thing. ”
Sloefel sighed and said, "Yes, these physical test data, for your doctors, are evidence of silence, and can tell you a lot of information. ”
He paused for a moment and said, "Mr. Lin Jie, I can reveal a little more about this person's identity." ”
"He's a professional rugby star, one of the famous kinds, star players. ”
"Because of the characteristics of this sport, the body is often subjected to strong impacts, and under the constant concussions of the brain, it becomes slightly different from the structure of ordinary people. ”
In order to continue his career, his requirement for surgery was that there should be no sequelae. ”
Sloefel emphasized: "The injury caused by the operation must not affect his judgment, explosiveness, flexibility, balance, etc., and affect his game state. ”
He explained with emotion: "For professional athletes, sports are everything to them, and if they can't play, everything they have will disappear. ”
"Mr. Lin Jie, he has found several well-known brain surgeons in the United States. ”
They all said that given the current state of his brain, the tumor could be removed, but it was absolutely impossible to have no sequelae that affected his motor state. ”
Looking at Sloefel's somewhat suspicious gaze, Lin Jie thought for a moment and said, "As a responsible doctor, I can't give you a hundred percent guarantee, I can only tell you." ”
"I can do this if I have a good operation and get him back on the field without losing his athletic condition. ”
"However, I need to be reminded that this is only a great possibility of success. ”
"I can't guarantee that this possibility will happen. ”
After a moment of silence, a smile slowly appeared on Slouffel's face and said, "This is the biggest piece of good news I've heard in the past few days. ”
"Mr. Lin Jie, you are currently the only medical expert who can give this possibility. ”
"When I return to the United States, I will facilitate this as soon as possible and let him come to Marina for treatment. ”
"This is our first ...... collaboration"
"I believe that God will bless us, and this possibility will be successfully realized......"
After giving Lin Jie a bear hug, Slofer, who was a little excited, wanted to continue to hug An Kexin, but was blocked by Lin Jie......
Waving goodbye to Sloefel and watching him get into a taxi and disappear into traffic, Lin Jie and An Kexin returned to the apartment complex.
"Applejack, I'm not coming to today's party. She said that she should spend every minute and every second on studying, study hard, and make progress every day, and she can't let your brother Jie down. ”
Lin Jie snorted and said, "It's okay if she's smart and knows what to do." ”
An Kexin pursed her lips secretly.
She could naturally see that Lin Jie was holding his breath and wanted to teach An Kemeng a lesson.
In fact, with Lin Jie's temperament, as long as An Kemeng sprinkled a little coquettishness and apologized sincerely, Lin Jie's anger would naturally disappear that day.
However, Ankemon, the little guy, seems to be holding his breath in his heart.
Lin Jie's individual punishment made her feel a little hurt in her heart.
This time, the two are faintly opposed, like two children who don't grow up fighting.
For this, An Kexin didn't bother to care.
Anyway, no matter how much trouble the two make, they are all measured.
From the current point of view, the effect is also positive.
In the past few days, An Kemeng's study has been really hard, and An Kexin has discovered for the first time that she can still be so diligent......
When he got home, Lin Jie found that several guests had already come, Yu Momo, Chen Qiuhua, Du Feixue, and Lu Kaicheng and Chen Lili, who were busy in the kitchen.
Lin Jie opened his mouth and shouted: "Lu Kaicheng, is that angiography done?"
"Alright, alright......"
Lu Kaicheng, who was wearing an apron, ran out of the kitchen, took out a tablet from a file bag, and said: "I have entered all the imaging images scanned by the instrument into the processing system to get a three-dimensional cerebrovascular image. ”
"Lin Jie, take a look, does it meet your requirements?"
Lin Jie took the tablet and saw thick or thin, densely connected blood vessels, forming a cranial shape, the red one is the artery, and the blue one is the vein.
He glanced at it a few times and found that the cranial and cerebrovascular vessels were very complete, and there was nothing missing, knowing that this was Lu Kaicheng's intentions.
"Lu Kaicheng, thank you, this imaging map is very well done and useful to me. ”
The difference in density between the blood vessels and the surrounding tissues is relatively small.
In order to see blood vessels clearly using a CT scan, a contrast agent is injected first.
The contrast agent is usually a high-density iodine compound that is injected through a high-pressure syringe, increasing the difference in density of blood vessels and tissues.
After the injection, the blood vessels can be seen clearly through the scan of the instrument.
Because blood flows, the dye is injected and quickly diluted throughout the body.
Therefore, to obtain a complete three-dimensional cerebrovascular image of the brain, it is necessary to input the contrast agent many times and scan it multiple times in a limited time.
The time of input and the nodes of injection are all subject to technology and experience.
From this cerebrovascular image, it can be judged that Lu Kaicheng's strength is very solid.
Lin Jie's fingers dragged this three-dimensional image, gradually enlarged it, frowned slightly, and asked, "Lu Kaicheng, this is the most accurate imaging map in the hospital?"
"Yes, this CT scan can scan blood vessels one millimeter in diameter of the skull. The accuracy of this instrument is already quite high, and it is also in the forefront in China. ”
Lu Kaicheng asked softly: "Is this accuracy still a little lacking for you?"
This precision is indeed somewhat deficient for this operation.
Lin Jie needed at least 0.5 millimeter angiography images near the surgical route, as well as near the tumor.
He nodded and said, "Do you know where else is there a scanner with higher accuracy?"
Lu Kaicheng hesitated for a moment, and whispered: "As far as I know, the highest accuracy of cranial scanning in China is in Kangning Hospital, which can scan blood vessels as low as 0.5 millimeters. ”
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