Chapter 151 I have two requests
At 11:25 p.m., Yu Zhiming hurried to the office of the director of neurosurgery at Huashan Hospital.
Here he met Teacher Qi Yue, Dr. Chen Xiao, Director of Neurosurgery, and Dr. You Weixian, Deputy Director of Neurosurgery, who is known as the hospital's top surgeon.
There was also a man named Shen Zhe, who was nearly sixty years old, whose identity was unknown and looked quite dignified.
With the introduction of Teacher Qi, Yu Zhiming got to know the three people in the office as a junior student, and was then taken to the film viewing light.
He glanced at the five sets of brain MRI images on the slide and could clearly see a tumor the size of two candied haws with irregular edges.
It turned out to be a skull base tumor!
Yu Zhiming did not look at the tumor image carefully, but turned his gaze to Teacher Qi Yue.
"Teacher, let's save some time and just tell me what I want you to do."
He then revealed his own shortcomings, saying, "Forget skull base tumors, which are considered the most difficult surgery in the world. I can't even perform the simplest craniotomy."
Qi Yue resisted the urge to hit the boy with a brick, glared at him, and said, "I called you over because you are of use to me."
"Listen carefully to what Doctor You tells you to do."
Dr. You, who was forty-five years old and in the golden age of a neurosurgeon, met Yu Zhiming's gaze with a wry smile.
"Doctor Yu, I can't perform surgery on this patient's skull base tumor. To be more precise, the chances of success are very low."
Dr. You further explained, "With a success rate of less than 10% to 20%, coupled with the dismal prognosis of cognitive impairment and near-paralysis, it's simply not worth the risk of surgery."
"After careful discussion, we decided to adopt a relatively conservative and safe treatment method to prolong the patient's life as much as possible."
Dr. You came to the viewing light and marked the image with a marker while explaining.
"Together, we designed these two puncture paths that would cause minimal brain damage and reach directly into the tumor."
"Through puncture, radioactive iodine-125 particles are implanted into the tumor to inhibit its growth, thus gaining two to three years, or even longer."
After hearing this, Yu Zhiming finally understood why he was called here. He was still to be a tool and perform brain puncture.
But this time, it is more advanced, as radioactive particles will be implanted into the patient's brain tumor.
Radioactive seed implantation for tumor treatment is also considered an interventional therapy.
It also uses imaging-guided technology to implant sealed radioactive nuclides into or around the target tumor tissue using a puncture needle or through direct surgery.
The purpose of treating tumors is achieved by continuously releasing radiation from radioactive nuclides to kill tumor cells.
Yu Zhiming frowned when he saw the two brain puncture paths directly to the tumor marked by Dr. You.
There is a puncture route that actually requires passing through the brain stem.
The brainstem is composed of three parts from bottom to top: the medulla oblongata, the pons, and the midbrain. Its main function is to maintain a series of important physiological functions such as breathing and digestion.
Even a slight damage to it can have serious consequences.
Is this a relatively safe treatment method?
Yu Zhiming asked directly, "Doctor You, I remember from my medical knowledge that if the brainstem hemorrhage exceeds ten milliliters, it is basically hopeless."
"This puncture path actually pierces the brain stem. What are the risks involved if there's even a slight mistake?"
Faced with this simple and straightforward question, Dr. You smiled faintly and replied, "Dr. Yu, there are two reasons..."
"First, at the patient's strong request, the brain damage caused by the puncture must not have a negative impact on his thinking, cognition, sitting, lying, walking, and other activities."
"Apart from taking the risk of puncturing through the brain stem, we can't think of any better puncture route for the time being."
"Secondly, Director Qi said..."
Doctor You met Yu Zhiming's gaze and continued, "Doctor Yu, you have the ability to avoid the blood vessels in the brain stem and prevent any adverse bleeding."
He continued, "In an emergency situation, you used a quick and timely puncture technique to eliminate the air embolism in Dr. Luo Yang's body, especially in his brain."
"Also, your extracorporeal bypass technology..."
"You have proven on more than one occasion that you do have this ability."
Yu Zhiming was speechless.
The example Dr. You mentioned is not even on the same order of magnitude as the difficulty of puncturing the tumor in front of us, okay?
The situation of the two people was urgent at the time, so Yu Zhiming didn't have to worry about brain damage and could just puncture directly to the target.
However, the tumors in these two punctures were too deep, and minimal brain damage was required...
Yu Zhiming looked at Teacher Qi Yue and saw that he had an expressionless face that looked as if he could do nothing to him.
"Doctor Yu, with these two puncture paths, you can reach the tumor directly while avoiding the brain blood vessels, right?"
In response to Dr. You's question, Yu Zhiming once again turned his gaze to the two paths marked with a marker on the image.
Oh my god, this is so difficult!
This is like in an area with dense pipelines, the leader irresponsibly planned a straight road that is only half a meter wide and a hundred meters long.
The leader pats you on the shoulder again and tells you...
On this straight road that is half a meter wide and a hundred meters long, I have to lay a steel pipe that cannot turn, and it must avoid all the pipelines that are distributed crisscrossed and vertically.
The leader also expressed his trust, "Kid, you can do it, I believe you can do it..."
Believe it!!!
Feeling cheated by the teacher, Yu Zhiming thought silently for a while before slowly saying, "I can't guarantee that I can do it, but I can give it a try."
"But I have two requests..."
"Which two requirements?" Dr. You interrupted and asked.
Yu Zhiming stretched out a finger and said slowly: "First, an absolutely quiet operating room."
"The quieter it is, the more accurately and deeply I can explore the brain blood vessels, so I can effectively avoid them."
Doctor You pondered and said, "Doctor Yu, we know that your auscultation and percussion techniques require avoiding external noise interference as much as possible."
"Just this quietness, are there any specific standards?"
"Without standards, it's hard for us to make judgments."
This reminded Yu Zhiming of Wei Hao from the Municipal Bureau and the basement of the civil air defense bunker he had taken him to.
It's really quiet there, a perfect place.
"A district public security bureau station in Pujiang North has a fairly large underground civil air defense bunker."
“The quietness there meets my requirements.”
At this time, Shen Zhe, who had been silent since they first met, said, "I will communicate and coordinate an on-site inspection of the place that Doctor Yu mentioned."
Yu Zhiming glanced at Shen Zhe, who had a calm expression, and extended his second finger.
"To prevent noise from interfering with my investigation, all monitoring equipment and life-support equipment cannot be turned on, and the fewer medical staff there are, the better."
"But in that situation, if there was a puncture, it might be too late to start the machine to save the patient."
"Can you trust me absolutely?"
This time, it was Shen Zhe who spoke.
"Director Qi is a respected medical expert. I trust his recommendation and confidence."
"Doctor Yu, Director Qi highly recommends you, so I naturally trust you. Everything will be done according to your requirements."
"If something does happen, it's fate, I can't blame anyone!"
Yu Zhiming looked at the mysterious Shen Zhe and asked doubtfully, "Mr. Shen, can you make the decision?"
Shen Zhe chuckled and said, "Doctor Yu, I'm the brain tumor patient myself. Do you think I can make the decision?"
Yu Zhiming smiled awkwardly and said, "You can make the decision, Mr. Shen, of course you can make the decision for yourself."
He said nothing more and retreated to Teacher Qi's side.
After a brief discussion, they decided to go and inspect the civil air defense bunker first.
Then, based on the quiet standards there, we searched for a suitable operating room at Huashan Hospital and then carried out soundproofing...
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(End of this chapter)
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