"Then we'll wait and see." Ling Xiaoyun was confident.

Soon, Director Lu came to the Department of Neurology. Sure enough, as Ling Xiaoyun expected, after seeing the patient and the CT film, Director Lu Han said: "This patient, the amount of bleeding in the ventricles is too large, and the current situation is very dangerous, and there is a possibility of death at any time." There is no need for us to do such meaningless, risky things. ”

"That is, I also agree with my old classmates, not doing it is the best choice." Ling Xiaoyun found strong supporters.

"Director Lu, with all due respect. Since it's all death, why not fight? Besides, there is no problem with such an operation in theory, and even less in technology. ”

"So, I think this patient is not out of the question, nor is it a dead end. And, I think, the opportunities are still great. ”

In fact, Lin Lin knew very well that in 1986, there were not many treatments for acute obstructive hydrocephalus caused by primary and secondary ventricular hemorrhage and subarachnoid hemorrhage in China.

There were not many hospitals that dared to perform lateral ventricular puncture and external drainage for such patients, and the mortality rate of this kind of disease at that time was very high.

With the advancement of technology and the continuous exploration of everyone, lateral ventricular puncture external drainage has been recognized by neurologists in major hospitals, and a large number of such patients have been successfully rescued.

Of course, that's an afterthought. Director Lu and Director Ling in 1986 could not know this.

"You kid, who gave you the confidence to say such things? The patient's current condition is that he could die at any time. Have you ever thought about what the consequences would be if you died during the procedure? Besides, our neurosurgery, our hospital, has never done such an operation. Lu Han glanced at Lin Lin and said coldly.

"Director Lu, medicine is constantly developing and improving. We didn't do it before, and I can understand it, because we didn't have CT before, and the diagnosis of such patients can only stay on clinical judgment. ”

"Now, we have CT, the patient's diagnosis is clear, and the surgical path is clear. If you don't do it, it's a dead end, and if you do, there's still a glimmer of hope, why not work hard? ”

"You ......" Lu Han was choked by Lin Lin, and he didn't know how to refute for a while.

"Doctor Lin, how can you speak to Director Lu like this?" Ling Xiaoyun lit a fire.

"Anyway, I'm not going to do it. Do as you please. Hearing Ling Xiaoyun say this, Lu Han's face was a little unbearable, and he glared at Lin Lin, his face darkened, and he was ready to get up.

"Director Lu, I spoke directly, if you are offended, please forgive Director Lu. I mean, if we don't do it, we're going to be in a passive position forever for the treatment of this patient, let alone improve our level of treatment and technology. ”

Lu Han glanced at Lin Lin deeply, and the expression on his face was very complicated. Obviously, he agreed with Lin Lin's statement, but he couldn't break through the confinement of his knowledge.

"Young man, what you say is not unreasonable. But do you know the risks? If you don't do it, the patient dies, and it has nothing to do with our hospital, our department, or any of us. If it is done and the patient dies, their family may think that our surgery caused the patient's death, have you considered this? ”

"Director Lu, what you said makes a lot of sense. I have also considered the question you mentioned, and I will talk to the patient's family about the risk of the condition, the risk of surgery, the results of not having surgery, and the possible results of surgery. If they agree, I don't think we can pass up such an opportunity. ”

"Director Lu's opinion is already very clear, if Director Lu doesn't do this kind of operation, can you do it?" Ling Xiaoyun seemed to be about to tear apart.

"Old classmate, this young man's words are not completely unreasonable. Hey, young man, I listen to you, you know about this operation and this disease, don't you? Contrary to Ling Xiaoyun, Lu Han's tone began to calm down, and he called Lin Lin differently.

"Yes, I did this kind of surgery with my teacher when I was in clinical practice."

"Hmm...... Are you a graduate of Shuangya Medical College? ”

"Yes, how did Director Lu know?"

"As far as I know, at present, only the neurosurgery department of the First Affiliated Hospital of Shuangya Medical College in the whole country carries out such surgery. Have you ever had such an operation? "Lu Han is not easy to fool.

"Yes, I have done it myself, and under the observation of the teacher, I have carried out the whole process and complete operation." Lin Lin's words were conclusive.

"As for me, young man, I wouldn't have operated on this patient. If you dare to do it, I am willing to lend you the piercing tool. But first, tell me about the technical route of the puncture. Director Lu still didn't dare to take this step, but he wanted to test Lin Lin.

"The puncture point is selected behind the patient's hairline, 2.5 cm next to the midline, and the direction of the puncture and needle insertion is perpendicular to the imaginary lines of the bilateral external auditory canals. Among them, the key is to control the drainage tube. ”

"Control the drain, including after successful puncture, so that the cerebrospinal fluid does not flow out in large quantities and rapidly. Secondly, the height of the drain should be placed 20 cm above the puncture point at the beginning, and then slowly adjust the height. ”

"Well, don't talk about it, you do know how to do this surgery, and you're better than my doctors. Go ahead, you go and prepare, good luck. ”

"Old classmate, do you really agree to let him do it?" Ling Xiaoyun was unwilling.

"The operation was not difficult, and I believe he did master the surgical method. The key is to convince the patient's family that if they have a strong desire to do so, it is okay. Lu Han's attitude changed greatly, and he secretly appreciated Lin Lin's courage in his heart.

However, it is very difficult for Lu Han to break through the ceiling of his knowledge. Even so, Lu Han has made the biggest compromise. This also shows that in his heart, he approves of such an analysis, but he just doesn't dare to do it.

"Thank you, Director Lu, I'll go with Director Lu to get the puncture kit." Lin Lin is very proactive.

"No, I'll send it down to you right away, and you can do the preoperative preparations."

"Dr. Lin, are you okay? Don't mess around. As soon as Director Lu left, Ling Xiaoyun immediately spoke.

"Director, when have you seen me messing around? I am 100% responsible for my patients at all times. ”

"You seem to have a lot of confidence. However, I still agree with what Director Lu just said. The patient's condition and death have nothing to do with us. However, if you die because of your surgery, especially during surgery, and the patient dies suddenly due to brain herniation, we have a great responsibility. ”