Rebirth of Medicine Practices the World

"Then let's wait and see." Ling Xiaoyun was confident.

Soon, Director Lu came to the Department of Neurology. As Ling Xiaoyun expected, Director Lu Han said after seeing the patient and the CT scan: "This patient has too much intraventricular bleeding. His current situation is very dangerous and he may die at any time."

possibility. There is no need for us to do such a meaningless and risky thing."

"Yes, I agree with my old classmates that not doing it is the best choice." Ling Xiaoyun found a strong supporter.

"Director Lu, with all due respect. Since you are going to die anyway, why not give it a try? Besides, there is no problem with this kind of surgery in theory, and there is no problem in technology."

"So, I think that this patient is not hopeless, nor is he a dead end. Moreover, I think the chance is still very good."

In fact, Lin Lin knew very well that in 1986, there were not many treatments for acute obstructive hydrocephalus caused by primary and secondary intraventricular hemorrhage, subarachnoid hemorrhage, etc.

Not many hospitals dared to perform lateral ventricular puncture and external drainage for this type of patients. The mortality rate of this type of disease at that time was very high.

With the advancement of technology and everyone's continuous exploration, lateral ventricular puncture and external drainage has been recognized by neurosurgeons in major hospitals, and has successfully rescued a large number of such patients.

Of course, this is a story for later. Director Lu and Director Ling in 1986 had no way of knowing this.

"You kid, who gives you the confidence to say this? The patient's current condition may die at any time. Have you ever thought about what would happen if you die during the operation? Besides, in our neurosurgery department, we

The hospital has never performed such an operation." Lu Han glanced at Lin Lin and said coldly.

"Director Lu, medicine is constantly developing and progressing. I can understand why we didn't do it before, because we didn't have CT before, so the diagnosis of this kind of patient can only rely on clinical judgment."

"Now that we have CT, the patient's diagnosis is clear and the surgical path is clear. If we don't do it, it will be a dead end. If we do it, there is a glimmer of hope. Why not work hard?"

"You..." Lu Han was choked by Lin Lin and didn't know how to refute for a moment.

"Dr. Lin, how could you talk to Director Lu like this?" Ling Xiaoyun lit a fire.

"No matter what, I won't do it. If you want to do it, it's up to you." Hearing what Ling Xiaoyun said, Lu Han couldn't help but glared at Lin Lin, with a dark face, and got ready.

"Director Lu, I was a little more direct. If I offended, please forgive me, Director Lu. What I mean is that if we don't do this, we will always be in a passive position for the treatment of this patient, let alone improve our treatment."

level and technical level.”

Lu Han took a deep look at Lin Lin, with a very complicated expression on his face. Obviously, he agreed with Lin Lin's statement, but he could not break through the constraints of his own knowledge.

"Young man, what you said is not unreasonable. However, do you know the risks involved? If you don't do it, the patient will die. It has nothing to do with our hospital, our department, or any of us. If you do it, the patient will die.

Well, their family members may think that our surgery caused the patient's death. Have you considered this?"

"Director Lu, what you said makes sense. I have also considered the issue you mentioned. I will compare the risks of the disease, the risks of surgery, the results of not having surgery, and the possible results of surgery, with the patient's

Let’s talk to the family members. If they agree, I think we can’t give up this opportunity.”

"Director Lu's opinion is very clear. If Director Lu doesn't do this kind of surgery, how can you do it?" Ling Xiaoyun seemed to be about to tear it open.

"Old classmate, what this young man said is not completely unreasonable. Hey, young man, I heard your tone. You know something about this surgery and this disease, right?" In contrast to Ling Xiaoyun, Lu Han's tone

He started to become calmer and called Lin Lin differently.

"Yes, I did this kind of surgery with my teacher during my clinical internship."

"Um...you graduated from Shuangya Medical College?"

"Yes, how did Director Lu know?"

"As far as I know, currently, in the country, only the Neurosurgery Department of the First Affiliated Hospital of Shuangya Medical College performs such an operation. Have you ever done such an operation?" Lu Han is not easy to fool.

"Yes, I did it myself, and I performed the entire operation under the observation of the teacher." Lin Lin said confidently.

"Young man, I don't know how to operate on this patient. If you dare to do it, I am willing to lend you the puncture tool. But first, please tell me the technical route of puncture." Director Lu still didn't want to do it.

Dare to take this step, but he wanted to test Lin Lin.

"The puncture point is selected behind the patient's hairline and 2.5 cm beside the midline. The direction of puncture and needle insertion is perpendicular to the imaginary line connecting the bilateral external auditory canals. The most important thing is to control the drainage tube."

"Control the drainage tube well, including after the puncture is successful, so that the cerebrospinal fluid cannot flow out in large quantities and quickly. Secondly, the height of the drainage tube should be placed 20 centimeters higher than the puncture point at the beginning, and the height can be adjusted slowly later."

"Okay, stop talking. You do know how to do this kind of surgery. You are better than the doctors under me. Go ahead and prepare. I wish you good luck."

"Old classmate, do you really agree to let him do it?" Ling Xiaoyun was unwilling.

"This operation is not difficult, and I believe he has indeed mastered the surgical method. The key is to convince the patient's family members. If the family members have a strong desire, it is not a bad idea." Lu Han's attitude changed drastically, and he secretly admired Lin Lin in his heart.

of courage.

However, it is very difficult for Lu Han to break through the ceiling of his knowledge. Even so, Lu Han has made the biggest compromise. This also shows that in his heart, he approves such an analysis, but he does not dare to do it.

That's all.

"Thank you, Director Lu. Director Lu and I will go get the puncture kit." Lin Lin took the initiative.

"No, I'll have someone send it down to you right away. You can go do the pre-operative preparations."

"Doctor Lin, are you okay? Please don't act recklessly." Ling Xiaoyun spoke immediately as soon as Director Lu left.

"Director, when have you ever seen me act recklessly? I am 100% responsible for my patients at all times."

"You seem very confident. However, I still agree with what Director Lu just said. The death of a patient with this condition has nothing to do with us. However, if he dies because of your operation, especially during the operation, the patient will

If sudden death occurs due to cerebral herniation, our responsibility becomes greater."