The most enlightened doctor

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

Here he met Teacher Qi Yue, Dr. Chen Xiao, Director of Neurosurgery, and Dr. You Weixian, Deputy Director of Neurosurgery, who is known as the best surgeon in the hospital.

There is also a man named Shen Zhe who is nearly sixty years old and whose identity is unknown. He looks quite dignified.

Under the introduction of Teacher Qi, Yu Zhiming got to know the three people in the office as a junior student, and was brought to the movie light.

He looked at the five sets of brain MRI images on the film light and could clearly see a tumor the size of two candied haws with irregular edges.

It turned out to be a skull base tumor!

Yu Zhiming did not look at the tumor image carefully, but turned his attention to Teacher Qi Yue.

"Teacher, it would be better to save some time. Just tell me what you want me to do here?"

He also exposed his shortcomings and said: "Not to mention the skull base tumor, which is the most difficult to operate 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: "I called you over, you will certainly be useful."

"Listen carefully to what Dr. You tells you to do specifically."

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

"Dr. Yu, I can't perform surgery on this skull base tumor. To be precise, the chance of success is very low."

Dr. You further explained: "With a success rate of less than 10% or 20%, coupled with cognitive impairment and a poor prognosis of almost paralysis, it is simply not worth the risk of surgery."

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

Dr. You came to the viewing lamp and used a marker to mark the images while explaining.

"Together, we designed these two puncture paths with the least damage to the brain, 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, thereby gaining two to three years, or even longer."

After hearing this, Yu Zhiming finally understood the reason why he was called here, and he still acted as a tool and performed brain puncture.

But this time, it's a bit more advanced, and radioactive seeds must be implanted into the patient's brain tumor.

Radioactive seed implantation for tumor treatment can also be regarded as an interventional therapy.

It also uses imaging guidance technology to implant sealed radioactive nuclide into or around the target tumor tissue using a puncture needle or direct surgery.

The purpose of treating tumors is achieved by continuously releasing rays from radionuclides to kill tumor cells.

Yu Zhiming frowned when he saw the two puncture paths to the brain marked by Dr. You.

There is a puncture path that actually needs to go through the brain stem.

The brainstem is composed of three parts: the medulla oblongata, the pons, and the midbrain from bottom to top. Its main function is to maintain a series of important physiological functions such as breathing and digestion.

It was slightly damaged and the consequences were quite serious.

Is this a relatively safe treatment method?

Yu Zhiming asked directly: "Doctor You, I remember the medical knowledge I learned. If the brain stem bleeding exceeds ten milliliters, it is basically hopeless."

"This puncture path actually wants to pierce the brainstem. Is there a slight mistake? What are the risks involved?"

Faced with this simple and straightforward question, Dr. You smiled slightly and replied: "Dr. Yu, there are two reasons..."

"First, in response to the patient's strong request, the brain damage caused by the puncture should not have a negative impact on his thinking, cognition, sitting, lying, walking and other activities."

"In addition to venturing through the brainstem, we can't think of any other better puncture route."

"Secondly, Director Qi said..."

Dr. 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 his brain, through quick and timely puncture."

"Also, your extracorporeal bypass technology..."

"You have used more than one example to prove that you do have this ability."

Yu Zhiming was speechless.

The case mentioned by Dr. You is not at all of the same order of magnitude as the difficulty of puncturing the tumor in front of me, okay?

The situation of those two people was urgent at the time, so Yu Zhiming did not need to consider brain damage, and could just penetrate directly to the target.

But for the two punctures in front of me, the tumor was too deep and required minimal brain damage...

Yu Zhiming looked at Teacher Qi Yue and saw that he had an expressionless face that showed he could do nothing to me.

"Dr. Yu, with these two puncture paths, you can go straight into the tumor while avoiding the cerebral blood vessels, right?"

Facing Dr. You's inquiry, Yu Zhiming once again turned his attention to the two paths marked by the marker on the image map.

Yaya, it’s so difficult!

It's like in an area with dense pipeline network, the leader irresponsibly planned a straight road that is only half a meter wide but 100 meters long.

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

On this straight road that is half a meter wide and 100 meters long, lay a steel pipe that cannot be turned. It must avoid all the pipe networks scattered horizontally and vertically.

The leader also showed his trust, kid, you can do it, I believe you can do it too...

Believe me! ! !

Yu Zhiming, who felt that he had been tricked by the teacher, thought silently for a while, and then slowly said: "I can't guarantee that I can do it, but I can give it a try."

"But, I have two requests..."

"What two requirements?" Doctor You interrupted and asked.

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

"The quieter it is, the more accurately and deeply I can detect the cerebral blood vessels, so that they can be effectively avoided."

Dr. You said thoughtfully: "Dr. Yu, we know that your auscultation and percussion techniques need to avoid noise interference from the external environment as much as possible."

"Just for this quietness, are there any specific standards?"

"Without standards, it's difficult for us to make judgments."

This reminded Yu Zhiming of the basement of the civil air defense bunker that Wei Hao from the city bureau took him to.

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

"There is a large underground civil air defense bunker at a district public security bureau station in Pujiang North."

"The quietness there meets my requirements."

At this time, Shen Zhe, who had been silent since they first met, said, "I will communicate and coordinate the on-site inspection of the place Dr. Yu mentioned."

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

"In order to prevent noise from interfering with my exploration, various monitoring instruments and life support equipment cannot be turned on, and the fewer medical staff, the better."

"It's just that in that case, if the puncture really happens, it might be too late to turn on the machine for rescue."

"Can you absolutely trust me?"

This time, it was Shen Zhe who spoke.

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

"Dr. Yu, Director Qi highly recommends you. Naturally, I trust you and everything will be in accordance with your requirements."

"If anything happens, it's fate. No one is to blame!"

Yu Zhiming looked at Shen Zhe, who had a mysterious background, and asked doubtfully: "Mr. Shen, can you make the decision?"

Shen Zhe chuckled and said, "Dr. Yu, I am the brain tumor patient myself. Do you think I can make the decision?"

Yu Zhiming smiled coquettishly and said, "If you can make the decision, Mr. Shen, you can certainly make the decision for yourself."

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

After a brief discussion, they decided to go on-site to inspect the human defense bunker.

Then, based on the quiet standards there, we will find a suitable operating room in Huashan Hospital and then perform soundproofing...

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