There was a group of people from the General Foreign Language Class II class looking at him, especially his fellow countryman Sun Yubo, who was even worse than him in academic performance, waiting for him to make a fool of himself with his skills at any time. How could he lose face in front of everyone like that?
Huang Zhilei made a prompt decision and said to the junior sister: "If you think it's feasible, you can try the ETV operation first, and then observe whether the patient's hydrocephalus symptoms improve after the operation. If there is no improvement, then switch to the shunt operation."
This first has to do with the preoperative period. When having a preoperative conversation with the family, the surgeon will generally mention that the specific surgical situation must be analyzed during the operation, and if there is a better surgical plan than shunt, we will strive for it for the patient.
The advantage of saying this is that, first, such a situation may really happen. For example, if the result is not good before the operation and you are told to have a total resection, but during the operation it is found that the result is better than the pre-operative prediction, then a total resection is not necessary.
Another benefit is to give patients and their families the psychological space for any possibility to occur.
Family members should understand that doctors are not gods and cannot predict bad results. It is helpless for them to scare you before the operation. Doctors also cannot accurately predict good results. If the result is good, you cannot blame the doctor for deliberately scaring you before the operation.
Not only the surgeon, but Dr. Jin, as a friend of the patient, will explain this to the patient's family. Especially since the MRI was not done, there are all kinds of possibilities. As the former attending physician, Dr. Jin must follow up with a disclaimer on all aspects.
After sufficient communication with the family before the operation, the doctor will change the operation method according to the patient's condition. As long as it complies with medical procedures, there will be no problem. If the operation method is changed to a better one, the family will be happier after the operation and will be grateful to the doctor.
After resolving the procedural issues on the family's side, all that remains is the doctor's intraoperative judgment.
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Clinically, there are many such patients who do not want to undergo long-term catheter shunt surgery to increase subsequent pain and want to try a better surgical option.
Xie Wanying remembered what Senior Brother Cao, a neurosurgeon, had said: The human brain is too mysterious, which makes many diseases in neurosurgery more like Schrödinger's cat.
Since the patients and their families took the initiative to ask the doctors to try it, and they were willing to take the risk, the doctors had room to challenge themselves. As long as the patient was able to do so, the doctors would directly perform the ETV procedure.
Even if the ETV procedure fails, there is no substantial damage to the human brain, and a second attempt at diversion can be made. And after doing so, some patients have actually successfully undergone the ETV procedure.
You can say that Brother Huang’s suggestion makes sense because he has work experience, or you can say that he is taking advantage of his work experience to take shortcuts.
"You, Mr. Huang, people are talking to you about technology, what are you talking about?" Sun Yubo started to curse. If he had a chance to catch the other party, he would definitely not let this fellow villager get away.
Huang Zhilei raised his eyebrows twice. The junior sister asked him to provide his work experience, and he did provide it.
As for other aspects, Junior Sister, you can decide for yourself.
When you are the lead surgeon, you have to be prepared for the possibility that you will not get any assistance from other people during the operation and will ultimately have to do it all by yourself.
After several training sessions with Brother Fairy, Xie Wanying had gained a minimum amount of experience in being a surgeon.
What to do? There was a plan in advance, and we roughly judged whether the other operating room members had the brains to help her.
The answer that Senior Brother Huang gave her was within her expectations.
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