Chapter 348: Serious Consideration

β€œγ€‚γ€‚γ€‚γ€‚γ€‚γ€‚ Overall, Liu Yu's situation is not the most complicated. ”

As the leader of the epilepsy treatment team, after introducing Liu Yu's situation, Diao Quan said: "For this teenager, we conducted a detailed examination in strict accordance with our established examination plan, and there was no omission, and the diagnosis was also given in accordance with our diagnostic procedures. It's just that, first, he has more than one lesion, and second, the scalp electrode record now has a wide range of origins, and it is impossible to pinpoint the location。。。。。。。 ”

"Why don't you do intracranial electrode implantation?"

After listening to Diao Quan's introduction, Tian Lu's brows furrowed and he asked.

Diao Quan smiled bitterly and shook his head: "We have suggested, but the patient's mother, that is, Ms. Zhao, is not very willing to accept it, or she can accept it, but the premise is that after the electrodes are implanted, all the lesions must be found, and a xing operation can eradicate the possibility of epilepsy recurrence, which 。。。。。。 We're not so sure!"

In fact, Tian Lu carried out such large-scale laboratory basic research and clinical cooperative research to determine the location of epileptic lesions, and did not use any advanced examination methods, which are now mature or begun to develop examination methods, the most commonly used are MRI, PET, video electroencephalogram, etc., but when these examination information is comprehensively analyzed, Tian Lu has introduced a new set of judgment procedures, and the accuracy rate is much higher. Sometimes, however, it is difficult to determine the location of the lesion by these routine examinations alone if the patient's condition is not so simple.

Intracranial electrode implantation is now a test method that is gradually becoming widely used.

Epilepsy is caused by sudden abnormal discharge of neurons in the brain, and to put it simply, to determine the lesion is to find the location of the abnormal discharge. If the electrodes on the scalp are inaccurate, or if the detected lesions are of extensive origin, surgery can be performed to open the patient's skull and place electrodes in the cerebral cortex, or in combination with cortical or deep electrodes. It can detect small discharges that cannot be detected by scalp electrodes, so that the lesion can be accurately located.

This is an invasive means of examination, and sometimes it takes two or three weeks to test, so it is normal for Zhao Fei to be a little psychologically difficult to accept. Think about it too, open the skull. Put the cold electrodes on the delicate brain. And if you put it for so long, you will be stunned in your heart, right?

"To put it bluntly, it's still a question of success rate!"

Diao Quan sighed and said, "As a physician, of course, we can't guarantee a 100% success rate. But as the mother of the child, Zhao Fei asked us to ensure this, coupled with their special status, I think this is probably the reason why the previous hospitals are unwilling to take responsibility. ”

Several other members of the group also nodded frequently. A look of deep approval. These days, Tian Lu is not there, but they are feeling a lot of pressure on this patient. Others said that Dean Liu Ming would call every two days to inquire about the situation, which made everyone more and more cautious, and finally had to pin their hopes on waiting for Tian Lu to come back.

Everyone's unanimous attitude made Tian Lu's brows furrow.

It is the duty of physicians to ensure the safety of patients and minimize the trauma they suffer during the diagnosis and treatment process, so sometimes it is necessary to be careful, but if this caution affects the diagnosis or treatment of patients, it is definitely not worth the cost.

Even Tian Lu personally got on the horse. Is it 100 percent?

In medicine, especially in the field of neurosurgery, this probability does not exist, even for Tian Lu, who has the assistance of future systems!

Seeing that Tian Lu also frowned, everyone fell silent for a while. None of them just came to work. Naturally understood that a patient like this was the most difficult to deal with, only Song Chenyang hesitated and hesitated, and finally couldn't help but ask carefully: "Director, you did the neuropsychological examination for that Liu Yu yesterday." Uh, what the hell is 。。。。。。 ”

"Huh. It's just some of my personal thoughts, let's try it on this little patient first. ”

For studious people, Tian Lu has always liked it very much, and said with a smile: "But for the time being, it can only be a personal trial, if you want to apply it in clinical practice, one is to carry out the corresponding basic topics, and the other is that clinical application research will also take a long time, so if you are interested, we can only communicate privately first." ”

"Okay, okay, thank you, Director!"

Song Chenyang was overjoyed in his heart, and nodded again and again.

Seeing Song Chenyang's happy reaction, the other people cast envious glances at him at this time. Everyone knows their director's ability, since they dare to come up with something, it is basically certain that it will be a very promising topic in the future, and Song Chenyang, this kid, seems to have earned it again! Although according to the past situation, it is unlikely that he will be able to preside over this project, but being able to participate in it will be of great benefit to himself, and he can't look forward to a good thing!

After finishing the idle business, Tian Lu turned the topic back to the case in front of him, and after a moment of silence, he smiled and said: "Okay, the work of the patient's family will be left to me, and I will inform you after I communicate with her, we will do the intracranial electrode test first, and nothing can be done purely by relying on the current examination results!"

"Good!"

As the team leader, Diao Quan immediately agreed, and Youtian Lu's words made him breathe a long sigh of relief. It's not that Diao Quan's courage is not enough when dealing with this special patient, but in terms of his personal position and academic status, it is really not easy to convince Zhao Fei, a family member who has seen the world. However, Tian Lu's words are very different, as the director of neurosurgery, and at the same time has dazzling academic achievements and status in the field of epilepsy surgery, even the pressure of the dean can withstand it, and the neurosurgery department is afraid that only he can convince that Ms. Zhao.

"Then dismiss the meeting!"

After saying that, after everyone left, Tian Lu also returned to his office. Pouring himself a glass of water and scanning the results of the examination that had been entered into the system, Tian Lu gradually fell into deep thought.

Tian Lu already knew the results of Liu Yu's various physical examinations, and the results of yesterday's neuropsychological examination confirmed that the previous results were indeed difficult to satisfy, at least there were many differences between the two results.

It's just that Tian Lu can't directly use his results yesterday afternoon to make a judgment.

Without him, there is no corresponding laboratory and clinical research results to prove it, and I am afraid that even the doctors of the epilepsy treatment team will not be able to convince the families of patients by relying on the theories in the future system! Although everyone is now extremely convinced of Tian Lu, it is unacceptable for any qualified physician to use theories without any basis for diagnosis and treatment!

The only way is to persuade Zhao Fei to accept the test of intracranial electrode implantation. So it's back to the origin of the matter, it's not easy to convince Zhao Fei, I'm afraid I have to give a certain guarantee。。。。。。

。。。。。。

"Director Tian, you're here!"

The moment he saw Tian Lu, Zhao Fei's eyes flashed with a strong sense of anticipation, and he hurriedly greeted him: "Have you had lunch?"

"Hehe, thank you for your concern, I've already eaten. ”

Smiling politely, Tian Lu turned his gaze to Liu Yu on the hospital bed.

The face is as pale as when I saw it yesterday,

Tian Lu secretly shook his head in his heart and let out a long sigh. Epilepsy is a disease that occurs more frequently in children than in grΓ©n, and the damage to these children is far greater than that of grΓ©n! Sometimes, physical damage is secondary, but psychological damage is a lifelong thing. Ordinary people call epilepsy epilepsy or epilepsy, these two words themselves contain a certain amount of discriminatory information, for the heart is not yet mature, but more sensitive children, the psychological burden is indeed difficult to bear.

Sighing in his heart, but the expression on his face would not be shown, Tian Lu smiled at Liu Yu and asked, "Young man, how do you feel today?"

"That's it. ”

Wilted in response, the little guy was not in any interest in talking.

After being a doctor for a long time, he is naturally accustomed to this situation, Tian Lu didn't care, he still drank Liu Yu very gently and chatted for a while, then turned around and said to Zhao Feiwen: "Ms. Zhao, if it's convenient at this time, let's go to my office to talk?"

"Uh, okay!"

Zhao Fei immediately understood what Tian Lu meant, and with joy in his heart, he quickly nodded and agreed. explained to the specially invited nurse and told her to take good care of her son, Zhao Fei came to his office with Tian Lu.

Asked Zhao Fei to sit down on the sofa, Tian Lu took the initiative to pour a glass of white water for the other party, and then sat opposite her.

As soon as Tian Lu sat down, Zhao Fei immediately straightened up and asked anxiously: "Director Tian, what is the result of the kind of neuropsychological examination you did for our family Xiaoyu yesterday?

"Ms. Zhao, you don't have to be in such a hurry!"

After taking a deep breath, Tian Luzheng said: "I now have a general understanding of Liu Yu's condition, and I do have a plan for further diagnosis and treatment. But...... ”

"But what?"

Hearing these two words, Zhao Fei was shocked, and hurriedly interjected and asked.

The one in his family is a big leader, Zhao Fei is not too big or small, and he is also a middle-level leader, so he naturally has a deep understanding of the art of language, and he is very sensitive to the word "but"!

With a dumb smile, Tian Lu said softly: "But if you want to control or cure Liu Yu as soon as possible, you must seriously consider what I say below。。。。。。