In early 1988, Director Ran secured a room on the top floor of the Infectious Diseases Department. In fact, this room has been vacant all the time, and the infectious disease department is not used as a doctor or nurse duty room, because below the room is a large boiler room of the hospital, which is steaming and noisy 24 hours a day. In the winter, it is considered warm, but in the summer, the heat is a kind of torture.

Director Ran wanted to establish a real chief resident duty system in the Department of Neurology. From then on, all residents must go through a one-year training as a chief resident on duty before being promoted to attending physician.

This house, while poor, is not for nothing either. First of all, the house is relatively large, so big that Tang Boqiang can barely stretch his fists and feet in it to practice his martial arts. In addition, there are independent toilets and shower facilities in the house, which is much more convenient to take a shower in the house on a hot day, and the house is also equipped with a rare standing shaking head fan, which can relieve the unbearable stuffiness in summer, which shows that Director Ran is by no means reckless.

Strictly speaking, the chief resident must stay in the department for the rest of the day, except for meals and necessary changes. Director Ran just wanted to set up a banner in the hospital to show his ability, in order to achieve this goal, he fought for and was willing to accept the room arranged for him by the hospital that no department wanted, and use this initiative to improve the neurology department, specifically to increase the weight of his speech in the hospital.

Unfortunately, Tang Boqiang is the first doctor to accept this test, it is precisely because of this year's arduous experience that Tang Boqiang became the deputy director of the department in charge of the overall work in the future, the first consideration is to install air conditioning for the chief resident, physician and nurse duty room, so that the doctors and nurses have a good rest environment when they are on duty, which is a later story.

Because he had heard that Director Ran had this plan, Tang Boqiang and Wen Yu discussed that they would not have a child until they were the chief resident, and they both hoped to accompany the child to grow up together.

Since 1986, high-end instruments such as CT and MRI have been gradually introduced into hospitals, and the biggest beneficiary of the introduction of these instruments is the Department of Neurology. Tang Boqiang, who has a keen sense of touch, specially bought a large notebook to register the patients he treated, and he wanted to test how high the error rate of his diagnosis of the disease was before and after CT or MRI.

After three months of observation, he found that the error mainly occurred between a small infarction and a small amount of bleeding, according to Tang Boqiang's analysis, such an error was due to the small lesion and the atypical clinical manifestations, which led to the error between each other. This kind of error has little impact on clinical treatment, and Tang Boqiang is still very proud of this.

Of course, the introduction of CT and MRI once again made Tang Boqiang "in the limelight" in neurology.

When Tang Boqiang was studying at Huaxia Medical College and even after he came out to work, the neurological community believed that the mortality rate of primary ventricular hemorrhage was 100%. With the advent of CT and MRI, neurologists have found that some patients with a small amount of primary ventricular hemorrhage have far better treatment outcomes and long-term prognosis than cerebral infarction and intraparenchymal hemorrhage.

Tang Boqiang looked through the neurology textbook and found that the so-called 100 percent mortality rate was actually an autopsy report, which easily explained why it was so high, because there was no way to judge whether a patient had a primary ventricular hemorrhage before, and it was often necessary to wait until the autopsy was done after the patient's death to draw conclusions.

Despite this, the mortality rate of primary or secondary ventricular hemorrhage with heavy hemorrhage is still high, and it is not an exaggeration to say that the mortality rate in such patients is 100 percent. Whenever such a patient's head CT scan was obtained, the department would organize a discussion among all the doctors, but the conservative treatment method eventually gave the Grim Reaper the upper hand.

After a period of time, the Huaxia medical style finally broke out in Director Ran. He thought outside the conventional wisdom and insisted that most of the causes of death due to massive ventricular hemorrhage were the inability of hemorrhage to drain out of the ventricles, resulting in acute obstructive hydrocephalus, a sharp increase in intracranial pressure, and finally death due to brain herniation.

Now we have to find a way to drain the blood out of the ventricles, since CT can clearly show and clearly locate, why can't the blood in the ventricles be drained out by minimally invasive surgery? Director Ran said when he thought of it, and did it when he finished speaking. When he encountered such a patient again, he immediately instructed to consult the cranial surgeon and ask them to do external ventricular drainage, although there are not many people in China who do it, but he believes that this method is feasible both theoretically and practically.

The opinion of the cranial surgery consultation was greatly unexpected by Director Ran. Zhang Jianlin, director of the Department of Cranial Surgery, said in a tone that was almost resolute and mocking: "No, this kind of surgery is useless, if they don't understand, let them read the textbook." Of course, these words only reached Director Ran's ears later.

Director Ran is a person who refuses to admit defeat easily, he firmly believes that his thinking is right, such a method is safe and feasible, since the cranial surgery is unwilling to do it, how about we do it ourselves? Such a surgery is not very demanding on the environment, and the operation itself is simple and easy, as long as the operation is carried out strictly in accordance with aseptic procedures, the chance of infection is very small.

He thought about it again and again and found Tang Boqiang, who had just started to be the chief resident. Professionally, he trusts Tang Boqiang very much, as long as Tang Boqiang recognizes and is willing to do it, he believes that the chance of success is great.

After listening to Director Ran's proposal, Tang Boqiang was very grateful to Director Ran for his trust. In fact, since Director Ran put forward this idea, Tang Boqiang has consulted a large number of books and literature, and is familiar with the surgical indications, methods, precautions, nursing routines, postoperative observation and length of catheterization time for external ventricular drainage.

Tang Boqiang summed up several points he realized based on his reading experience. First, the surgery is simple and easy to perform, and the risk is not large; Second, this line of thinking is right, there are people at home and abroad who have done it, and there are more and more trends in people doing it. Rather than having such patients wait to die, it would be better to have an additional treatment option, perhaps to open up a new way to treat ventricular hemorrhage, thereby saving a large number of such patients.

Tang Boqiang expressed his thoughts and said affirmatively: "If Director Ran approves of me, I am willing to be the first person to eat crabs." ”

Director Ran was very happy when he heard this. He thought that Tang Boqiang would dare to take such a responsibility and risk, but he definitely didn't expect that Tang Boqiang had already put in a lot of time and effort for this. Now it seems that everything is ready, and only the east wind is owed.