What does the junior sister's words mean? Huang Zhilei's mind went around and over again, and he realized that his brain might be twisted into a ball by his junior sister in a short time. After a while, sweat dripped from his forehead, and he asked: "Yingying, did you ask that patient earlier?" Why do you need an MRI?"
This is what she said earlier.
Senior Brother Huang should have realized it by now, why would he continue to ask questions.
Dr. Song, for example, must have had insight a long time ago and asked her if she had decided on 7.2. Senior Brother Cao readily agreed to use the ventriculoscope, as he had known that he would be prepared in advance.
Could it be that Senior Brother Huang didn't notice it before?
It was only after Huang Zhilei asked the question that he realized that he was the last one among the group to notice.
She mentioned magnetic resonance imaging as a disclaimer to the patient’s family. The problem was that given her ability, the disclaimer of such an examination could not have been deliberately mentioned for no reason. It could only be that she had predicted that the patient's condition really required further MRI diagnosis.
First of all, it must be affirmed that the existing examination has clearly confirmed that the patient has non-space-occupying obstruction, and Dr. Jin’s diagnosis of communicating hydrocephalus is well-founded and basically correct.
It is not wrong to suggest that patients undergo medical treatment first and then turn to surgery for shunt surgery if the results are not good. After all, for communicating hydrocephalus, generally speaking, medical treatment and shunt surgery have the best results. Everything is unexpected. In some special cases of communicating hydrocephalus, other surgical methods can be used to avoid the subsequent risks and pain caused by long-term shunt placement.
This surgical method is endoscopic third ventriculostomy etv that has been previously mentioned.
What is helpless is that after explaining these to Dr. Jin, Dr. Jin communicated with the patient's family again. Because the cost of two magnetic resonance examinations is too expensive, the patient's family does not allow the patient to have it, and they have to spend the only money they have on treatment costs. Doctors can only try to find solutions for patients.
Can ventriculoscopy be used to detect problems with the patient's ventricles?
Can you help the patient switch from shunt surgery to ETV?
Having never used a ventriculoscope before, Xie Wanying definitely did not have the confidence before the operation. She could only plan to try it based on the principles of ventriculoscope she obtained in academic journals.
Now that she is undergoing ventriculoscopy, it is expected to be feasible according to the plan she simulated before the operation, so she shared it.
After understanding her initial thoughts, Huang Zhilei started sweating again.
The main thing she said is that the magnetic resonance phase contrast cine imaging of magnetic resonance examination can accurately measure the cerebrospinal fluid flow velocity in a designated area, and based on this, a flow curve diagram and a flow velocity time curve can be established.
One of the focus of the scans was to use a ventriculoscope to scan back and forth at the suspected problem area at this stage: the midbrain aqueduct area.
The cerebrospinal fluid flow rate in this place can indeed provide evidence for distinguishing communicating hydrocephalus and obstructive hydrocephalus, or it can be said to be the key point that supports whether doctors can perform ETV surgery on patients.
If there is a problem with the flow rate of the mesencephalic aqueduct, it is most likely a trumpet-shaped mesencephalic aqueduct. This shape of the midbrain aqueduct is similar to obstructive hydrocephalus, and ETV surgery can be tried.
The problem was that the little sister who was the surgeon was actually "whimsical" and thought that the abnormal flow rate of cerebrospinal fluid could be detected visually using the ventriculoscope image, which happened to be within the scope of the trumpet-shaped midbrain aqueduct.
He, Huang Zhilei, really couldn't see it or calculate it, even if he had experience, he could only sweat over and over again.
－－－－－－Digression－－－－－
Thank you for your support! ! ! good night dears
