There was a group of second-year students at the general level looking at him, especially fellow countryman Sun Yubo, who was a worse student than him. They were waiting for him to make a technical fool of himself at any time. How could he lose face like this on the spot.
Huang Zhilei made a prompt decision and said to his junior sister: "If you think it is feasible, you can try ETV surgery first, and then observe whether the patient's hydrocephalus symptoms improve after the surgery. If there is no improvement, then switch to shunt surgery."
The first thing to talk about is pre-operative. When having pre-operative conversations with family members, surgeons will usually mention that the specific surgical conditions should be analyzed during the operation. If there is a better surgical plan than bypass surgery, the patient will fight for it.
The advantage of saying this is that, first, such a situation may really happen. For example, if the result is not very good before the operation and it is said that total resection is needed, but during the operation it is found that the result is better than predicted before the operation, it is not necessary to perform total resection.
Another benefit is to leave mental space for patients and families to allow for any eventuality.
Family members need to understand that doctors are not gods, and they cannot predict bad results. It is helpless to scare you before surgery. Doctors also cannot accurately predict good results. If the results are good, you can't blame the doctor for deliberately scaring you before the operation.
Not only the surgeon, but also Dr. Jin, as a friend of the patient, will make it clear to the patient's family in this regard. Especially since magnetic resonance has not been done, various possibilities are possible. As the former attending physician, Dr. Jin must follow all aspects of disclaimer.
After thorough communication with the family members before the operation, the doctor will change the surgical method according to the needs of the patient's condition. As long as it complies with the medical procedures, there will be no problem. If this kind of surgery is changed to a better method, the family members will be happier after hearing about it, and they will be grateful that the doctor is not too late.
After solving the family's procedural issues, all that remains is the doctor's intraoperative judgment.
Clinically, there are many such patients who do not want to undergo long-term shunt surgery with catheter placement to increase subsequent pain, and want to try a better surgical plan.
Xie Wanying remembered what senior fellow neurologist Cao said: The human brain is so mysterious that many diseases in neurosurgery are more like Schrödinger's cat.
Since the patients and their families took the initiative to ask the doctors to try it, the patients and their families were willing to take risks at their own risk, which gave the doctors room for further challenges. As long as the patient has this condition during the operation, ETV surgery will be performed directly first.
Even if the ETV technique fails, it will not cause substantial harm to the human brain and can be used as a diversion for a second attempt. And after doing this, some patients actually succeeded in using ETV.
For Senior Brother Huang's proposal, you are right to say that he is reasonable and has work experience, or that he is taking advantage of his work experience to take advantage of the situation.
"You Huang Daxia, when people talk to you about technology, what are you talking about?" Sun Yubo started to curse. If he had the opportunity to seize the opponent's bag, he would never let this fellow countryman slip away.
Huang Zhilei frowned twice. The junior sister asked him to mention his work experience, and he was right to provide it.
In other aspects, the junior sister can make her own decisions.
When the surgeon is like this, he must consider the possibility that he will not be able to get any assistance from others during the operation and will ultimately have to do it himself.
Regarding the awareness of being a surgeon, Xie Wanying has gained a minimum amount of experience after practicing with the fairy brother several times.
what to do? There was a plan in advance to roughly determine whether the other operating room members were mentally capable and whether they could help her.
The answer that Senior Brother Huang gave her was within her expectation.
