At 11:25 p.m., Yu Zhiming hurried to the office of the director of neurosurgery at Huashan Hospital.

Here he met Mr. Qi Yue, Dr. Chen Xiao, the director of neurosurgery, and Dr. You Weixian, deputy director of neurosurgery, who is known as the first knife in the hospital.

There is also a man named Shen Zhe, who is nearly sixty years old, unidentified, and looks quite magnanimous.

Under the introduction of Mr. Qi, Yu Zhiming got to know the three people in the office as a junior, and was taken to the viewing lamp.

He glanced at the five sets of cranial MRI images on the film lamp, and could clearly see tumors the size of two sugar gourds with irregular edges.

It turned out to be a skull base tumor!

Yu Zhiming didn't look at the tumor image carefully, but set his eyes on Teacher Qi Yue.

"Teacher, it's better to save a little time, you just say what I want to do here, right?"

He also revealed his shortcomings: "Don't say that the skull base tumor is the most difficult in the surgical world, even the simplest craniotomy, I can't do it." ”

Qi Yue resisted the urge to give this kid a brick, glared at him, and said, "Calling you over, it will naturally be useful for you." ”

"What exactly do you want to do, listen carefully to what Dr. You says."

Forty-five years old, Dr. You, who is in the golden age of neurosurgeons, met Yu Zhiming's gaze and showed a wry smile.

"Dr. Yu, I can't do this skull base tumor surgery. To be precise, the chances of success are very small. ”

Dr. You further explained: "The success rate of less than one or two percent, coupled with the poor prognosis of incomplete cognition and near-paralysis, is not worth the risk of surgery." ”

"After careful deliberation, we decided to adopt a relatively conservative and safe treatment to prolong the patient's life as much as possible."

Dr. You came to the lantern and used a marker pen to mark the image and explain at the same time.

"Together, we designed these two puncture pathways with minimal brain damage, reaching directly into the tumor."

"With the help of puncture, the radioactive particle iodine-125 is implanted into the tumor to inhibit the growth of the tumor, so as to win two to three years, or even longer."

Hearing this, Yu Zhiming understood the reason why he was called, and he was still a tool man and a brain piercing.

Only this time, it is more ambitious, and the radioactive seeds are implanted into the patient's cranial tumor.

Radioactive seed implantation for oncology is also an interventional treatment.

It is also implanted into or around the target tumor tissue by means of an imaging-guided technique using a puncture needle or through direct surgery.

Through the continuous release of radionuclides to kill tumor cells, so as to achieve the purpose of treating tumors.

Yu Zhiming couldn't help frowning when he saw the two brain puncture paths marked by Dr. You that went straight to the tumor.

There is a puncture path that needs to go through the brainstem.

The brainstem is composed of three parts: the medulla, the pons, and the midbrain, and its main functions are to maintain a series of important physiological functions such as respiration and digestion.

It is slightly damaged, and the consequences are quite serious.

Is this a relatively safe treatment?

Yu Zhiming asked directly: "Doctor You, I remember the medical knowledge I learned, the brain stem hemorrhage is more than ten milliliters, and it is basically hopeless." ”

"This puncture path is actually going to pierce the brain stem, a little bit worse? What are the risks? ”

In the face of this simple and straightforward question, Dr. You smiled lightly and replied, "Dr. Yu, there are two reasons ......"

"First, at the strong request of the patient, the brain damage caused by the puncture cannot have a negative impact on his thinking cognition, as well as actions such as sitting, lying and walking."

"We can't think of a better piercing path other than venturing from the brainstem."

"Second, Director Qi said......"

Doctor You met Yu Zhiming's gaze and continued, "Doctor Yu, you have the ability to avoid the blood vessels in the brain stem and will not cause bleeding with adverse consequences. ”

He continued: "In an emergency, you eliminated the air embolism in Dr. Luo Yang's body, especially in the brain, through a quick and timely puncture technique. ”

"Also, your extracorporeal bypass technique ......"

"You have proved more than once that you really have the ability."

Yu Zhiming was a little speechless.

The example in Dr. You's mouth, and the difficulty of puncture of the tumor in front of him, are not at all an order of magnitude, okay?

The situation of the two people was urgent at that time, and Yu Zhiming didn't have to think about brain damage, and the puncture could go straight to the target.

However, the two punctures in front of the eyes are too deep for the tumor and require minimal brain damage......

Yu Zhiming looked at Teacher Qi Yue and saw that he put on an expressionless face that could help me.

"Doctor Yu, with these two puncture paths, you can go directly to the inside of the tumor without avoiding the blood vessels in the brain, right?"

In the face of Dr. You's inquiry, Yu Zhiming once again set his eyes on the two paths marked by the marker on the image map.

Yaya's, it's really super difficult!

This is like in an area with a dense pipe network, the leader is very irresponsible, and with a wave of his hand, he plans a straight road that is only half a meter wide and 100 meters long.

The leader pats you on the shoulder again and tells you......

On this half-meter-wide and 100-meter-long straight road, I had to lay a steel pipe that could not be bent, and I had to avoid all the pipe networks that were distributed horizontally and vertically.

The leader also said with trust, little ghost, you can do it, and I believe you can do it......

Believe in size!!

Yu Zhiming, who felt cheated by the teacher, thought silently for a while before slowly speaking: "I can't guarantee that I can do it, but I can try it." ”

"However, I have two requests......"

"Which two requirements?" Dr. You interrupted.

Yu Zhiming stretched out a finger and said slowly: "One, the absolutely quiet operating room." ”

"The quieter it is, the more accurate and in-depth the blood vessels in my brain can be, so that they can be effectively avoided."

Dr. You groaned and said, "Dr. Yu, we know that your auscultation and percussion skills need to avoid the noise of the external environment as much as possible. ”

"It's just that this quiet, is there a specific standard?"

"There are no standards, and we can't make judgments."

This reminded Yu Zhiming of Wei Hao of the City Bureau, who took him to the basement of the human defense bunker.

It's really quiet and it's a great place.

"In the station of a district public security bureau in the north of Pujiang, there is a civil air defense bunker of a large underground scale."

"It's so quiet, it's what I'm looking for."

At this time, Shen Zhe, who had been silent since the first acquaintance, spoke: "The place that Dr. Yu said, I will communicate and coordinate to go to the field. ”

Yu Zhiming glanced at Shen Zhe, who had a blank expression, and stretched out a second finger.

"In order to prevent noise from interfering with my investigation, all kinds of monitoring instruments and life support equipment cannot be opened, and the fewer medical staff the better."

"It's just that in that case, if you really have to puncture it, it may be too late to open the machine to rescue it."

"Can you trust me absolutely?"

This time, it was Shen Zhe who spoke.

"Director Qi is a respected medical expert, and I can trust him for his recommendation and trust."

"Doctor Yu, Director Qi highly recommends you, and I naturally believe in you, everything will come according to your requirements."

"If there is a real case, it is also fate, no one is to blame!"

Yu Zhiming looked at this mysterious Shen Zhe and asked suspiciously: "Mr. Shen, can you call the shots?" ”

Shen Zhe smiled and said, "Doctor Yu, I am a brain tumor patient myself, do you think I can call the shots?" ”

Yu Zhiming smiled and said, "If you can call the shots, Mr. Shen, you can naturally make decisions for yourself." ”

He stopped talking and retreated to Teacher Qi's side.

After a brief discussion, the few of them decided to go to the site to inspect the civil air defense bunker first.

Then, according to the quiet standards there, a suitable operating room was found in Huashan Hospital, and then soundproofed......

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