Chapter 2856 【2856】Opportunistic

There was a group of second-year-old generals watching him, especially Sun Yubo, a fellow student who was less educated than him, who was waiting for him to make a fool of himself at any time. How could he lose face on the spot.

Huang Zhilei made a decisive decision and said to his junior sister: "If you think it's okay, you can try to do ETV first, and then observe whether the patient's hydrocephalus symptoms improve. If there is no improvement, then switch to shunt surgery."

First of all, we need to talk about the preoperative period. When talking with family members before the operation, the surgeon will generally mention that: the specific operation situation should be analyzed in detail during the operation, and if there is a better operation plan than shunt operation, the patient will fight for it.

The advantage of saying this is that, one, such a situation may really happen. For example, if you feel that the result is not very good before the operation, it is necessary to have a total resection, but if you find that the result is better than the pre-operative prediction, you can not cut it completely.

Another benefit is to leave a psychological space for any possibility to happen to patients and their families.

Family members should understand that doctors are not gods, and it is really impossible to predict bad results. It is helpless to scare you before the operation. The doctor also couldn't predict the good result accurately, and the real result was good, and you can't blame the doctor for deliberately scaring you before the operation.

Not only the surgeon, Dr. Jin, as a friend of the patient, will make this clear to the family of the patient in this regard. Especially since MRI was not done, all possibilities are open. As the former attending doctor, Dr. Jin had to follow up with a disclaimer in every way.

After full communication with the family members before the operation, the doctor during the operation changes the operation method according to the patient's condition, as long as it conforms to the medical procedure, there will be no problem. The family members will be happier to hear about this kind of better surgical method after the operation, and they are grateful to the doctor that it is too late.

After solving the procedural problems of the family members, the rest is only the doctor's intraoperative judgment.

Clinically, there are many such patients who do not want to undergo long-term shunt catheterization to increase subsequent pain, and want to try a better surgical plan.

Xie Wanying remembered what Senior Brother Cao, a neurologist, said: The human brain is too mysterious, which makes many diseases in neurosurgery more like Schrödinger's cat.

Since patients and family members ask doctors to try on their own initiative, patients and family members are willing to take risks at their own risk, which gives doctors room for further challenges. As long as the condition permits in the patient during the operation, ETV will be performed first.

Even if the ETV technique fails, there is no substantial damage to the human brain, and a second attempt can be made to divert it. And after doing so, some patients even succeeded in ETV surgery.

Brother Huang's proposal, you are right to say that he is reasonable and has work experience, and you are also right to say that he is using work experience to opportunistically.

"You Huang Daxia, people are talking about technology with you, what are you talking about?" Sun Yubo cursed, and if he had the opportunity to grab the opponent's bag, he would definitely not let this fellow slip away.

Huang Zhilei raised his eyebrows twice. The junior sister asked him to provide work experience, and he was right to provide it.

In other respects, Junior Sister can decide for herself.

This is the case with the chief surgeon. If you think about the possibility of not getting any assistance from others during the operation, you can only do it yourself in the end.

For this kind of awareness of being the main surgeon, Xie Wanying can be regarded as a guaranteed experience value after she has practiced a few times with Brother Shenxian.

what to do? There is a plan in advance, and it is generally judged whether the brains of other operating room members are working or not, and whether they can help her.

The answer Senior Brother Huang gave her was within her expectations.