Chapter 826: From luxury to frugality
Aneurysms, like bulges or scars on the side of a tree trunk.
Because it destroys the structure of the blood vessels, and the thin walls of the tubes, it is easy to cause the blood vessels to twist and spasm in this location, or worse, rupture and bleed.
In both cases, it can lead to symptoms of ischemia in the brain, or bleeding in the brain.
As a result, it was quite bad, with an extremely high rate of death and disability.
Qi Yue, as well as Shao Guodong, who is also a neurologist, looked at the schematic diagram of the location of the cerebral aneurysm drawn by Yu Zhiming, as well as the shape of the aneurysm marked with specific dimensions and enlarged proportions, and their expressions were quite heavy.
The two looked at each other.
Qi Yue met the other party's inquiring gaze, frowned and said softly: "The position is too deep, whether it is craniotomy clipping or interventional embolization, the risk is quite large." ”
Craniotomy clipping is the traditional treatment for cerebral aneurysms.
It begins with a special orthopaedic drill or milling cutter to remove a bone flap with a diameter of 5-8 cm at a specific location in the skull.
Then, the lobes of the brain tissue are separated under a microscope, and the cerebral artery where the tumor appears is found in the space of the brain tissue.
After that, a special cerebral aneurysm clip is used to clamp the "neck" connected to the normal cerebral artery of the aneurysm to achieve the purpose of treatment.
This treatment method will cause varying degrees of damage to brain tissue, and then may cause coma, cerebral hemorrhage, hemiplegia, death and other adverse consequences.
Interventional embolization is a relatively new treatment for cerebral aneurysms compared with craniotomy and clipping.
To put it simply, a thin microcatheter is inserted directly into the cerebral aneurysm through the lumen of the artery from the femoral artery at the base of the thigh.
This very thin microcatheter is then fed into a coil of coiled microsprings to gradually fill the aneurysm cavity.
This microcoil is an implanted foreign body that can induce thrombosis, causing the aneurysm cavity to fill up and no blood flow to pass through.
The normal cerebral arteries continue to remain patency to achieve the purpose of treatment.
This treatment method is relatively safe, but it may also cause side effects such as vascular damage, cerebral hemorrhage, and cerebral vascular embolism.
In addition, the entire catheter must be inserted from the femoral artery of the thigh and finally reach the location of the cerebral aneurysm.
Moreover, in the process of intervention, it is necessary not to damage the blood vessels, and the requirements for the doctor's skills are not generally high......
Yu Zhiming noticed that Teacher Qi was looking over, raised his head to meet him, and asked, "Teacher, if there is something, you command." ”
Qi Yue chuckled and said, "Zhiming, Dr. Shao's cerebral artery interventional embolization is none other than you." ”
"Me? Or is it the only one? ”
Yu Zhiming's face was full of surprise and reminded: "Teacher, I have never had cerebrovascular interventional surgery. ”
Qi Yue said softly: "Just because you haven't done it doesn't mean you can't do it." You haven't done a few cardiovascular interventional surgeries, but Dr. Wang Chunyuan, who is recognized as the best cardiovascular interventional technology in Huashan, personally admits that he is not as good as Ling. ”
Yu Zhiming grinned and said, "Teacher, that's Dr. Wang deliberately belittling himself and praising me, and I can't believe it." ”
Qi Yue glanced at Shao Guodong on the side.
I don't know if he was so deeply worried about himself that he didn't hear the conversation between the two of them, or if he pretended not to hear it, and didn't react with any expression on his face.
Qi Yue decided to fight for Shao Guodong.
He chuckled softly: "Zhiming, Dr. Wang is telling the truth, telling lies, I can still tell the difference." ”
"This vascular intervention technique, you are not weak to anyone."
"If you are familiar with the blood vessels of the brain, and after doing so many examinations, no one will be able to surpass you."
"With the combination of the two, there is no one more qualified than you for Dr. Shao's interventional embolization of brain aneurysm."
Qi Yue saw that Shao Guodong still didn't react, so he waved his hand to stop Yu Zhiming, who was about to open his mouth to refuse.
"Zhiming, don't be in a hurry to refuse or agree, think about whether you can do it first."
"As a doctor, you can't treat diseases and save people, you can't go beyond your own ability, and you can't deliberately retreat and put patients in greater danger."
After a pause, Qi Yue said: "When Doctor Shao heard about this for the first time, he was uneasy for a while, and he also needs to think about it. ”
"In this case, I will first take Dr. Shao for imaging tests to further confirm the hemangioma."
Yu Zhiming sighed, and then asked curiously: "Teacher, where is my wife?" ”
"Well, can you ask you about your decision?"
Qi Yue exhaled lightly, and said with a sigh: "It's confirmed, your inspection is not wrong." ”
"As for the decision, it's been okay for so many years, and the sudden arrival of this child, we seem to have God's will."
"At my current age, I can't accompany Xiaopang for many years, and he has a younger brother or sister to accompany him, which is also very good......"
Yu Zhiming returned to the soundproofing office and found that Ding Ye, Duan Yi, and Zhou Mo had not moved their chopsticks anymore, waiting for him to come back.
He sat down on the same couch, picked up the still warm milk, and drank it down.
Zhou Mo sensed that Yu Zhiming's mood was a little wrong, and asked, "The patient's condition is not very good?" ”
Yu Zhiming hummed and said, "There is nothing abnormal about rectal cancer, and a more difficult brain aneurysm has been newly discovered." ”
Ding Ye and Duan Yi sighed in unison.
"It's a time bomb killer, and it's really tricky."
Ding Ye was surprised and asked, "Are you sure how to treat it?" Craniotomy? Or interventional embolization? ”
Yu Zhiming shook his head and said, "It's not decided yet, Teacher Qi recommended me to take over the interventional embolization surgery." ”
"But Dr. Shao ......"
He recalled the man's reaction and chuckled softly, "He seems to be suspicious of me and hasn't made a statement. ”
Ding Ye said slowly: "It's normal to have doubts, Doctor Yu, you are most well-known for the subtle body exploration technique, and in terms of treatment, you have always had a bad reputation. ”
"Besides, you're too young."
"Today's well-known cerebrovascular interventionists are all experienced neurosurgeons or neurologists over fifty or sixty years old."
Duan Yi was uneven and said indignantly: "For a medical genius, you can't live by common sense such as age. ”
"Director Qi dares to recommend you, that patient is still hesitant, I really don't know how to count."
Yu Zhiming laughed and said: "When it comes to your own life, it's normal to think a lot and worry a lot." ”
"Alright, hurry up and eat......"
A few people had dinner at 6:40 p.m. And Dr. Wang Chunyuan's report tonight starts at seven o'clock.
A few people cleaned up and hurried to the lecture hall slowly, because Shen Qi and Sui Chi would take a good place for them.
They took the stairs to the hall on the first floor, and then a man walked quickly to the front of several people.
I saw that he didn't hesitate at all, and knelt down quickly, kowtowing.
Yu Zhiming was a little confused.
Zhou Mo recognized it and asked confirmatively: "Which ambulance driver are you?" ”
"Yes, yes, that's me!"
The man got up from the ground, bowed and said, "Doctor Yu, thank you!" ”
"Today, my sister was moved from the ICU ward to the general ward, and the doctor said that it would be okay to take it slowly."
"Doctor Yu, if it weren't for you that day, my sister's serious injuries would definitely not be able to hold on."
Yu Zhiming saw that this guy's eyes were bloodshot and his face was haggard, and he knew that he had been suffering a lot in the past few days.
"Your sister was out of danger, not only for me, but also for many medical staff."
"You also pay a lot, go back and have a good rest."
The man hummed and nodded again.
Zhou Mo couldn't help but ask: "That, did you get any punishment for trespassing that day?" ”
The man was a little embarrassed and said, "I'm not an ambulance driver now, and the third hospital in the city fired me." ”
"When my sister gets better, I'm going to drive a taxi, or drive a big car to deliver goods......"
Ding Ye looked at the back of the man leaving and said, "He definitely won't regret the choice that day, his sister survived." ”
"If I encounter something like this......"
Ding Ye looked at Yu Zhiming and said impassionedly: "In order for my loved ones to survive, let alone kneeling and kowtowing in the hospital, even if I dedicate myself to being a slave, I will not hesitate." ”
Yu Zhiming sped up his pace in disgust.
Duan Yi debunked: "I said Senior Sister Ding, you can't wait to dedicate yourself, so you can rely on Doctor Yu, right?" ”
Zhou Mo roared: "With me guarding Doctor Yu, any of your schemes will not succeed." ”
"What if you were to dedicate yourself to picking first?"
"That's right...... It's not impossible to think about ......"
Who are these people?
One by one, they are all hooligans than him.
Yu Zhiming doubled his pace......
The lecture hall was overcrowded again.
Although Shen Qi and the others took a place for Yu Zhiming in the front row, the entire lecture hall was filled with a buzzing sound, which made Yu Zhiming dizzy.
After sitting for less than two minutes, he couldn't bear it anymore, so he said to Shen Qi and Zhou Luo, got up and left.
Out of the lecture hall, the noise disappeared a lot in an instant, and Yu Zhiming felt relieved.
He looked at Zhou Mo who came out with him and sighed: "I feel that my ability to bear has dropped a lot. ”
"When I was in college, I was able to withstand big classes. Now that the conditions have gotten better, it's a little noisier, and it's unbearable. ”
"This should be another kind of frugality, right?"
Zhou Mo chuckled: "It shouldn't just be difficult to go from luxury to frugality. Before, you had to endure hard braces. Now, you have a choice, and you don't have to put up with it. ”
Yu Zhiming nodded and said, "There is some truth in what you said......"
As he spoke, he came to the lobby on the first floor and saw Dr. Wang Chunyuan walking out of the elevator with his assistants and students.
Yu Zhiming hurriedly stepped forward and personally explained to Dr. Wang that he could not bear the noise and said goodbye.
Wang Chunyuan chuckled: "Just go back, I will send the content of the report to your mailbox." ”
"The topic of tonight's report is chronic pulmonary obstruction, which is a summary of my research results in the past few years."
"Remember to take a look."
Yu Zhiming said: "You must read it and study it well......"
Not long after walking out of the Zhizhen Building, Yu Zhiming ran into Dean Li Yao who rushed over again.
He couldn't help but urge: "Dean, the report meeting is about to start, you have to go faster." ”
Li Yao laughed softly: "I didn't come here this time because of the report meeting, I came to you on purpose." ”
"What's the matter?"
"About the preparation for the establishment of the Second Huashan Hospital......"
Ask for support such as monthly passes, recommended tickets, etc!!
(End of chapter)