medical treatment

Chapter 827 From Extravagance to Frugality

An aneurysm, which is like a bump or scar on the side of a tree trunk.

Because it destroys the blood vessel structure, and the thin wall of the blood vessel, it can easily cause blood vessel distortion and spasm at this location, or worse, rupture and bleeding.

Once these two situations occur, it will lead to symptoms of cerebral ischemia or cerebral hemorrhage.

The result was quite bad, with extremely high death and disability rates.

Qi Yue and 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 diagram of the aneurysm shape with specific dimensions and enlarged proportions, with heavy expressions.

The two looked at each other.

Qi Yue met the other party's questioning gaze, frowned and said softly: "The location is too deep. Whether it is craniotomy, clipping, or interventional embolization, the risk is quite high."

Craniotomy and clipping are the traditional treatment methods for cerebral aneurysms.

It first uses a special orthopedic drill or milling cutter to remove a 5-8 cm diameter bone flap from a specific location on 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 gaps between the brain tissue.

Afterwards, a special brain aneurysm clip is used to clip the "neck" where the aneurysm connects to the normal cerebral artery to achieve the purpose of treatment.

This treatment method will cause varying degrees of damage to brain tissue, which may lead to adverse consequences such as coma, cerebral hemorrhage, hemiplegia, and death.

Interventional embolization is a relatively new treatment method for cerebral aneurysms compared to craniotomy and clipping surgery.

Simply put, it is to intubate the femoral artery at the root of the thigh, and insert a very thin microcatheter directly into the cerebral aneurysm through the artery lumen.

Then, through this very thin microcatheter, micro-spring coils are inserted into the coiled coils to gradually fill the aneurysm cavity.

This micro-coil is an implanted foreign body, which can induce thrombosis, causing the aneurysm cavity to become full and no blood flow can pass through it.

The normal cerebral arteries remain open, thus achieving 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.

Also, the entire catheter needs to be inserted from the femoral artery into the femoral artery and finally reach the location of the cerebral aneurysm. It would be easy to say that the route is full of twists and turns.

Moreover, during the interventional process, blood vessels must not be damaged, and the technical requirements for doctors 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 I need, please give me your instructions."

Qi Yue chuckled and said, "Zhiming, Dr. Shao's interventional embolization of the cerebral artery must be you."

"Me? Isn't it right?"

Yu Zhiming was full of surprise and reminded: "Teacher, I have never done any cerebrovascular interventional surgery."

Qi Yue said softly: "Just because you haven't done it before, 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 in cardiovascular interventional surgery in Huashan, has personally admitted that he is not as good as you."

Yu Zhiming grinned and said, "Teacher, that's Dr. Wang deliberately belittling himself and flattering me. You can't believe it."

Qi Yue glanced at Shao Guodong standing aside.

I don't know whether he was immersed in deep worries about himself and didn't hear the conversation between the two of them, or he was pretending not to hear it and didn't show any expression on his face.

Qi Yue decided to fight for Shao Guodong.

He chuckled softly and said, "I know clearly whether Dr. Wang is telling the truth or lying."

"In this vascular interventional technology, you are not inferior to anyone."

"You are familiar with cerebral blood vessels and have done so many examinations. No one can surpass you."

"With the combination of these two, there is no one more qualified than you to perform this brain aneurysm interventional embolization surgery, Dr. Shao."

Seeing that Shao Guodong still had no reaction, Qi Yue waved his hand to stop Yu Zhiming, who was about to refuse.

"Zhi Ming, don't be in a hurry to refuse or agree. First think carefully about whether you can do it."

"As a doctor, when treating illnesses and saving lives, you can neither be stronger than your own abilities, nor can you deliberately shrink back and put patients in greater danger."

After a pause, Qi Yue continued: "Dr. Shao felt uneasy when he heard about this for the first time. He also needs to think carefully."

"In this case, I will take Dr. Shao for imaging examination first to further confirm the hemangioma."

Yu Zhiming said oh, then asked curiously: "Teacher, where is Master's wife?"

"Well, can I ask about your decision?"

Qi Yue exhaled softly and said with a sigh, "It's confirmed, your inspection is correct."

"As for the decision, it has been okay for so many years. The sudden arrival of this child seems to us to be God's will."

"At my current age, I won't be able to accompany Xiaopang for many years. It would be nice for him to have a younger brother or sister to accompany him..."

Yu Zhiming returned to the soundproof office and found that Ding Ye, Duan Yi, and Zhou Mo had not moved their chopsticks, waiting for him to come back.

He sat down on the original sofa, picked up the still warm milk, and drank it in one gulp.

Zhou Mo noticed something was wrong with Yu Zhiming's mood and asked, "Isn't the patient's condition very good?"

Yu Zhiming hummed and said, "There is nothing unusual about rectal cancer, but a more troublesome brain aneurysm has been newly discovered."

Ding Ye and Duan Yi groaned in unison.

"It turns out to be a time bomb killer. It's really difficult."

Ding Ye was surprised and asked: "Have you determined how to treat it? Craniotomy? Or interventional embolization surgery?"

Yu Zhiming shook his head and said: "I haven't decided yet. Teacher Qi recommended me to take over the interventional embolization surgery."

"But Dr. Shao..."

He recalled the man's reaction and chuckled: "He seemed to have doubts about me and never expressed his stance."

Ding Ye said slowly: "It's normal to have doubts. Dr. Yu, you are best known for your subtle body exploration techniques. In terms of treatment, you have never been famous."

"Besides, you are too young." "Today's famous cerebrovascular interventional experts are all experienced neurosurgery experts or neurology experts over the age of 60 or [-]."

Duan Yi was aggrieved and said angrily: "For a medical genius, you cannot judge him based on age and other common sense."

"Director Qi dares to recommend you, but the patient is still hesitant. He really doesn't know how to count."

Yu Zhiming laughed and said: "It is normal to think and worry a lot when your own life is involved."

"Okay, hurry up and eat..."

Several people had dinner, it was after [-]:[-] in the evening.Dr. Wang Chunyuan's report tonight will start at seven o'clock.

A few people tidied up and rushed to the lecture hall slowly, because Shen Qi and Sui Chi would take good seats for them.

They took the stairs to the lobby on the first floor, and then a man quickly walked up to them.

He didn't hesitate at all, he quickly knelt down and kowtowed.

Yu Zhiming was a little confused.

Zhou Mo recognized him and asked for confirmation: "Which ambulance driver are you?"

"Yes, yes, it's me!"

The man got up from the ground, leaned over and said, "Dr. Yu, thank you!"

"Today my sister was moved from the ICU ward to the general ward. The doctor said she can just take care of her slowly."

"Doctor Yu, if it hadn't been for you that day, my sister would definitely not have been able to survive such a serious injury."

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 these past few days.

"Your sister was able to escape from danger, not only because of me, but also because of the concerted efforts of many medical staff."

"You have also put in a lot of effort. Go back and have a good rest."

The man hummed and nodded again.

Zhou Mo couldn't help but ask: "Um, did you receive any punishment for breaking in without permission that day?"

The man said with some embarrassment: "I am no longer an ambulance driver. The Third City Hospital fired me."

"When my sister gets better, I will prepare to drive a taxi or drive a large truck to deliver goods..."

Ding Ye looked at the man's leaving figure and said, "He will definitely not regret his choice that day. His sister survived."

"If something like this happened to me..."

Ding Ye glanced at Yu Zhiming and said impassionedly: "In order for the people I love most to survive, let alone rush into the hospital to kneel and kowtow, even if I dedicate myself as a slave, I will not hesitate."

Yu Zhiming quickened his pace in disgust.

Duan Yi revealed: "Sister Ding, you are eager to sacrifice yourself so that you can rely on Doctor Yu, right?"

Zhou Mo roared: "As long as I am guarding Dr. Yu, any of your plans will not succeed."

"What if I ask you to devote yourself to picking it first?"

"That's right...it's not impossible to consider..."

Who are these people?

Everyone is more rogue than him.

Yu Zhiming doubled his pace again...

The lecture hall was overcrowded again.

Although Shen Qi and the others had occupied seats for Yu Zhiming in the front row, the entire lecture hall was filled with buzzing sounds, making Yu Zhiming dizzy.

After sitting for less than 2 minutes, he couldn't bear it anymore, so he said something to Shen Qi and Zhou Luo, got up and left.

After leaving the lecture hall, the noise disappeared instantly, and Yu Zhiming felt relaxed physically and mentally.

He looked at Zhou Mo who followed him out and sighed: "I feel that my ability to bear it has dropped a lot."

"When I was in college, I could bear the big classes. Now that the conditions have improved, if it's a little noisier, I can't bear it."

"This must be another kind of transition from luxury to frugality, right?"

Zhou Mo chuckled and said, "It shouldn't just be difficult to go from luxury to frugality. In the past, you had to endure it. Now, you have a choice and you don't have to endure it."

Yu Zhiming nodded and said: "That makes some sense..."

As they walked down the corridor to the lobby on the first floor, they saw Dr. Wang Chunyuan and his assistant and students exiting the elevator.

Yu Zhiming hurried forward and personally explained to Dr. Wang that he could not bear the noise and had to leave.

Wang Chunyuan chuckled and said, "Just go back and I will send the contents of the report to your email."

"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: "I must read it and study it carefully..."

Not long after walking out of Zhizhen Tower, Yu Zhiming bumped into Dean Li Yao who was rushing over.

He couldn't help but urge: "Dean, the report meeting is about to begin, you have to walk faster."

Li Yao chuckled softly and said, "I'm not here this time because of the report meeting. I'm here specifically to see you."

"What's the matter?"

"About the preparations for the establishment of Huashan Second Hospital..."

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(End of this chapter)