A big shot like Senior Brother Tao, who is not an expert in his own field, can quickly understand what other specialists say.
Wei, who was a bit of a poor student, was different. When he didn't understand what was said, he quietly asked the students around him, "What do you mean?"
This time, Student Geng still didn’t quite understand.
When you come to the neurosurgery department for internship, you usually think about how to learn to perform neurosurgery. Radiotherapy is a different type of specialty, not part of the practice of surgeons. If you don't want to learn it, you won't think about preparing and studying it in advance, unless you want to change your profession.
Similarly, there is Pan, a top student, who knows nothing when asked.
At this time, the three students really admired Xie, who knew everything.
She had been in the medical circle for many years before her rebirth, so it was impossible for her to not know the hot topics in the medical circle. She was not a rookie medical student, she was just enjoying the benefits of rebirth. Xie Wanying knew herself well.
Simply put, if we were in the future, we would easily know that the most common question that patients with brain metastases and their families would ask doctors is whether brain metastases should be treated with gamma knife, accelerator or CyberKnife.
In this era, as Brother Cao continued:
...
...
"If you do radiotherapy abroad, it's not the whole brain radiotherapy that's commonly done in China now."
Radiotherapy for brain metastases can be roughly divided into whole brain radiotherapy (WBRT) and stereotactic radiosurgery (SRS).
Since many machines in China are not very good, not advanced enough, and not accurate enough in positioning, it is difficult to perform precise radiotherapy. After the treatment, the disease is prone to relapse and patients complain, so we can only use whole-brain radiotherapy in the hope of killing it all at once. The biggest drawback of whole-brain radiotherapy is that doctors use the most powerful method at once.
The clinical treatment policy can be compared to the principle of using antibiotics. If you are not sure that you can completely eliminate the cause of death, you cannot use all the trump cards but must use them one by one.
"Whole brains are stored abroad as a last resort, unless there are some special metastases that cannot be treated with SRS, such as metastases to the meninges."
“Will full brain release cause too much harm?”
"yes."
Whole-brain radiation kills both healthy cells and cancer cells at the same time. The result is predictable. It's okay to kill them once, but what if you kill too many of the patient's healthy cells after several attempts? Brain cells are inherently difficult to grow.
Here is a little-known fact: radiotherapy, like neurosurgery, may not relieve the patient's symptoms and may even make the patient's symptoms worse, because if healthy nerve cells are killed, some of the patient's brain functions may become dysfunctional. Therefore, a good radiotherapy doctor will not give the whole brain radiotherapy as the first choice.
If you want to only target the lesion during surgery, you can use targeted radiosurgery. This type of radiotherapy is similar to precise minimally invasive surgery, and many terms have taken on surgical names such as "knife" instead of "radiotherapy".
What knife, what knife? When ordinary people first hear it, they mistakenly think that the machine held by the radiotherapy doctor is a scalpel. In fact, it is not at all, it is just radiotherapy.
"If you put it that way, do radiotherapy have many options?" Tao Zhijie recalled what he knew and couldn't help but frowned. "It seems that our hospital doesn't have what you said?"
The National Association currently does not have stereotactic surgical equipment. Cao Yong admitted that it may be that Director Wu's stinginess has prevented many new equipment from being introduced to the National Association.
However, if you ask Dean Wu himself, he thinks he should not take the blame.
Introducing the latest international medical equipment is not something that can be accomplished alone.
Continue read on readnovelmtl.com
