Chapter 109: Scheme

The mixed long holiday of National Day and Mid-Autumn Festival has finally begun!

After a comprehensive assessment of Ling Feifei's condition, Tian Lu and Leng Yan both believed that they needed to continue dehydration treatment for the time being, and the operation could be postponed. In addition, during the long holiday, the operating room can only accept emergency surgery, and elective surgery must be performed after the holiday. Therefore, after comforting Ling Feifei and Yue Hua, Tian Lu began to enjoy the leisurely life of the long vacation.

It is said to be leisurely, but in fact, it is also relative. At least in the eyes of Ye Lan and Tian Yue, Tian Lu's long holiday life is still very busy.

There are so many things!

Every month, the duty schedule will be adjusted, and Tian Lu happened to be the first this time, and he stayed on duty in Corey on the National Day.

Perhaps in order to add some joy to this day of celebration all over the world, after a whole day, there was nothing to do with face, and the next day the energetic Tian Lu ran to He Dashan and studied with the old man for a long time.

The production progress of the whole set of equipment is much faster than Tian Lu imagined, mainly because He Dashan's children are not around, and there is nothing to do on weekends and holidays, so he simply puts his leisure time on this work. It's just that because there are two drawings of small accessories, the old man can't understand it, so he has to call Tian Lu over.

No. 3 and No. 4 needless to say, accompanied the baby sister to the beach, although the weather is cold and can not go to the sea, but the magnificent sea still makes the little girl look passionate, excited yelling, jumping up and down.

No. 5 was on duty again, but this time Tian Lu was not so lucky, car accidents, fights, several people were sent back and forth, and even two were sent at night! Although most of the cases during the day were debridement and bandaging of head trauma, but the two cases at night were skull fractures, Tian Lu had no choice but to call He Tianlin and Qian Yue back to the hospital from home, and they were busy for a whole night!

On the sixth day, I got off the night shift and slept at home for a day.

On the seventh day, Feng Lin and other classmates were invited, and everyone got together well, under the deadlift of Wang Qiang and Duanmuyan, two strongmen who are accustomed to socializing and communicating, they sang K until dawn at night!

When he got up at noon on the 8th, Tian Lu was extremely sad to find that there was only half a day left for a good eight-day long holiday!

cooked a pot of thick rice porridge, and then dragged Ye Lan and Tian Yue, who were still lying in bed, to pick up, and the three of them hastily solved a lunch.

After eating, the spirited Ye Lan and Tian Yue began to study the latest movies and TV series on the Internet, while Tian Lu returned to the bedroom and began to sort out the relevant materials for Ling Feifei's operation.

First, according to the results of Ling Feifei's various examinations, he drew up a surgical plan, and then carefully browsed the information in the system about the fourth ventricular cyst removal of the posterior median approach, and Tian Lu gradually fell into contemplation。。。。。。

The reason why neurosurgery is called the pearl specialty of surgery in foreign countries is not only because of its complex operation, high technology, precision and cutting-edge, but also because among the various systems of the human body, people may know the least about the brain and the entire nervous system.

For example, the human brain has been an important area of research for scientists for many years, but until 80 years later, medical scientists still have not fully understood the full structure and function of the brain, let alone the current era.

Because of the lack of understanding, although the development of neurosurgery is extremely rapid, there are still too many problems that cannot be solved for the time being.

For example, the incidence of epilepsy after craniotomy is extremely high, and it is closely related to factors such as the injury, duration, approach, postoperative drug use and complications of surgery, and it is also one of the postoperative complications that neurosurgeons have a great headache for.

The data stored in the system is very complete, and there is a plan to prevent postoperative epilepsy in the neurosurgical diagnosis and treatment standards 80 years later. Similarly, complications including postoperative hematoma, cerebral edema, infection, and cerebrospinal fluid leakage are also well planned.

These plans are often extremely meticulous and perfect, from preoperative preparation, to intraoperative treatment and precautions, and even to postoperative drug prevention and nursing care. It can be said that if these solutions are thrown out and approved by doctors, the quality of neurosurgery will be raised several steps!

But it is clear that Tian Lu can't do this step for the time being.

In the medical field, any treatment must be validated.

This is like the most commonly used cardiopulmonary resuscitation in first aid, whether it is in the United States, Europe or China, the latest guidelines have changed the basic life support procedure from the traditional A (keep the airway open)-B (rescue breaths)-C (chest compressions) to C-A-B, which can be said to have changed dramatically.

However, this revision is definitely not decided by a bunch of experts sitting together and imagining out of thin air, and then holding a meeting to study it, but through five years of application and implementation, after obtaining sufficient evidence, the corresponding adjustment was made.

The same is true of the knowledge in Tian Lu's mind.

For example, to prevent postoperative epilepsy, what drugs do you use before surgery, what kind of treatment should be carried out during the operation, and how to use preventive medication and care after surgery, you must have a sufficient number of patients as the research object, and then count their postoperative epilepsy occurrence rate, and use the really reduced data to tell other doctors that my plan is better than yours and even the best plan recognized now!

The work is tedious and long.

Not to mention that the accumulation of the number of patients takes time, it is said that postoperative epilepsy is also divided into immediate, early and late, and the late epilepsy is within one year, ten years, ten years away, etc., so such research should also be divided into various stages, such as statistics on the incidence of epilepsy within seven days after surgery, the incidence rate within one year, and the incidence within ten years。。。。。。

Some of the most influential large-scale studies in the history of medicine have taken years, even decades, through the collection of tens of thousands or even hundreds of thousands of patients, to reach a clinical conclusion of universal significance. For example, the ASCOT trial, the largest hypertension clinical trial in Europe in recent years, does not mention its hidden commercial flavor for the time being, but only said that it lasted several years and nearly 20,000 test subjects, and its results were only to prove that taking the calcium channel blocker amlodipine-based antihypertensive regimen can bring more cardiovascular benefits to patients than the commonly used Ξ²-blocker-based antihypertensive regimen.

Of course, although such research is Tian Lu's goal in the future, it is obviously impossible to do it with his current influence. All he can choose is to conduct some research on a small scale but with a lot of influence on the basis of the existing conditions, which is completely doable.

This work has already begun after the launch of the scientific research support system and the medical literature support system.

The reason why after completing all the learning tasks and opening all the subsystems, Tian Lu's life in San Francisco is still tense and busy, in addition to the work of resident doctors, Tian Lu also devotes a considerable part of the time spent on the collection of materials for other inpatient doctors. Needless to say, I have done or participated in the surgery, in the past five years, every day the neurosurgery department has done surgery, and Tian Lu will also enter all the information into the system afterwards!

Although there is a system entry function, it still takes more than half an hour a day to walk the field just for such a job!

These data are one of the most valuable assets of Tianlu!

Ling Feifei's operation after the festival was the first step for Tian Lu to implement his plan!

In many cases, the resume at the San Francisco Medical Center is very useful, and Tian Lu summed up some of the knowledge in the system and handed it to Leng Yan, and it was inferred that it was the latest exploration that began there, and it would not arouse any suspicion. And if what Leng Yan said is right, there are indeed not many similar surgeries performed in the Second Affiliated Hospital, I am afraid that it will be easier for the other party to accept it.

The only thing that needs to be nerve-wracking is deciding what to take.

Pushing back the medical literature support system by ten years, Tian Lu browsed through the vast documents one by one. He should not only consider what can be achieved with the existing technical conditions, but also consider what has indicated the subsequent results and conclusions that can be deduced from the latest research reports published internationally.

It's a technical job!

After a busy afternoon, after dinner, Tian Lu went back to the bedroom, and his hands were like convulsions, typing wildly on the keyboard of his notebook。。。。。。

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I finally saw that there was a reminder ticket, I went to take a look, I was shocked, I have updated more than 5,000 words in the last seven days, and I can write so much every day!

In addition, I occasionally went to the old book to read it, and found Brother Jiang Fengping's long comment, and I was very moved, it was my first book, although it was very immature, but I am glad that you can like it.

Thank you so much!