medical treatment

Chapter 151 I Have Two Requests
At 11:25 in the evening, Yu Zhiming hurried to the office of the director of neurosurgery at Huashan Hospital.

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

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

Under the introduction of Teacher Qi, Yu Zhiming got acquainted with these three people in the office as a junior at the end of school, and was brought to the viewing light.

He glanced at the five sets of brain MRI images on the film lamp, and he 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 didn't look carefully at the image of the tumor, but turned his attention to Teacher Qi Yue.

"Teacher, it's better to save a little time, just tell me what to do here?"

He also revealed his shortcoming: "Not to mention the most difficult skull base tumor in the surgical world, even the simplest craniotomy, I can't do it."

Qi Yue resisted the urge to give this kid a hard time, glared at him, and said: "I called you over, of course there is something for you."

"What exactly do you want to do, listen to Doctor You carefully."

At the age of 45, Dr. You, who was in the golden age of neurosurgeons, met Yu Zhiming's gaze and showed a wry smile.

"Doctor Yu, I can't do this one's skull base tumor surgery. To be precise, the chance of success is very small."

Dr. You further explained: "The success rate is less than [-] to [-] percent, coupled with the poor prognosis of cognitive insufficiency and almost paralyzed body, it is not worth the risk of surgery at all."

"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 light and used a marker pen to mark on the image while explaining.

"Together, we designed these two puncture paths with minimal brain damage, directly reaching the inside of the tumor."

"With the help of puncture, radioactive particles iodine-125 are implanted inside 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 here, and he was still a tool man, doing brain puncture.

It's just that this time, it's a bit taller, and radioactive particles are to be implanted into the patient's brain tumor.

Radioactive seed implantation for tumor treatment can also be regarded as a kind of interventional therapy.

It is also through imaging-guided technology, using a puncture needle or through direct surgery, to implant a sealed radioactive nuclide into the target tumor tissue or around the tumor.

Through the continuous release of radioactive nuclides, the tumor cells are killed, so as to achieve the purpose of treating tumors.

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

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

The brainstem consists of three parts from bottom to top: the medulla oblongata, the pons, and the midbrain. 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.

So, is this a relatively safe treatment?
Yu Zhiming asked directly: "Doctor You, I remember the medical knowledge I have 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 difference? Is there any risk involved?"

Facing 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, and actions such as sitting, lying, and walking."

"Besides taking the risk of puncturing from the brainstem, we can't think of any other better puncture path."

"Secondly, Director Qi said..."

Doctor You met Yu Zhiming's gaze, and continued, "You, Doctor Yu, have the ability to avoid blood vessels in the brainstem without causing bleeding with adverse consequences."

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

"Also, your extracorporeal bypass technique..."

"You have proved that you really have this ability with more than one example."

Yu Zhiming was a little speechless.

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

The situation of those two people was urgent at that time, so Yu Zhiming didn't need to worry about brain damage, just puncture directly to the target.

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

Yu Zhiming looked at Teacher Qi Yue, and saw him put on an expressionless face that could do nothing to me.

"Doctor Yu, with these two puncture paths, you can directly reach the inside of the tumor while avoiding the cerebral blood vessels?"

Facing Dr. You's question, Yu Zhiming once again turned his attention to the two paths marked by the marker pen in the image.

Yaya, it's really super difficult!
This is like in an area densely covered with pipe networks, the leader waved his irresponsible hand and planned a straight road with a width of only half a meter and a length of [-] meters.

The leader patted your shoulder again and told you...

On this half-meter-wide and [-]-meter-long straight road, lay a steel pipe that cannot be turned for me, and must avoid all the pipe networks that are scattered in all directions.

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

Believe in size! ! !

Yu Zhiming, who felt cheated by the teacher, pondered for a while, and then slowly said: "I can't guarantee that I can do it, but I can try it."

"However, I have two requests..."

"Which two requests?" Dr. You interrupted.

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 explore the blood vessels in the brain, so that I can effectively avoid them."

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

"It's just this quietness. Is there a specific standard?"

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

This reminded Yu Zhiming of the basement of the civil air defense bunker that Wei Hao from the Municipal Bureau had taken him to.

It's really quiet there, it's the perfect place.

"There is a large-scale underground civil air defense bunker in a district police station in the north of Pujiang River."

"The quietness there meets my requirements."

At this time, Shen Zhe, who had been silent since the first acquaintance, said, "I'll communicate and coordinate a field visit to the place Dr. Yu mentioned."

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

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

"It's just that in that situation, if something happens from the puncture, it may be too late to use the machine for rescue."

"Can you absolutely trust me?"

This time, it was Shen Zhe who spoke.

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

"Doctor Yu, Director Qi strongly recommends you, so I naturally trust you, and everything will be done according to your requirements."

"If there is an eventuality, it is fate, and no one is to blame!"

Yu Zhiming looked at the mysterious Shen Zhe, and asked suspiciously, "Mr. Shen, can you make the decision?"

Shen Zhe chuckled and said, "Doctor Yu, I am the brain tumor patient himself, do you think I can make the decision?"

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

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

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

Then, according to the quiet standard there, find a suitable operating room in Huashan Hospital, and then carry out sound insulation treatment...

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(End of this chapter)