【2856】opportunistic
A group of ordinary people at the scene were looking at him, especially Sun Yubo, a fellow villager who was worse than his poor student, was waiting for him to be ugly at any time. How could he be embarrassed on the spot?
Huang Zhilei made a quick decision and said to his junior sister: "If you think it's OK, you can try to do ETV first, and then observe whether the patient's hydrocephalus symptoms have improved. If there is no improvement, then change to diversion."
This first talks about preoperative. When having preoperative conversations with family members, surgeons generally mention that the specific operation situation should be analyzed specifically during the operation. If there is a better surgical plan than shunt surgery, it will be won by the patient.
The advantage of this is that, 1. This may really happen. For example, if the result is not good before the operation, it is said that it is necessary to have a full resection, but it is found that the result is better than the pre-operative prediction during the operation, so it is not completely resection.
Another advantage is to leave psychological space for patients and their families to have any possibility of occurrence.
Family members should understand that doctors are not gods, and they really cannot predict bad results and give you pre-operative alarmist is helpless. Doctors cannot accurately predict good results. If the result is really good, you can't blame the doctor for deliberately scaring you before the operation.
Not only the surgeon, Dr. Jin, as a patient friend, will also make it clear to the patient's family in this regard. Especially since the magnetic resonance is not done, there are all possibilities. Dr. Jin, as the former attending doctor, had to make a disclaimer in all aspects.
After having sufficient communication with the family before the operation, the doctor during the operation will change the procedure according to the patient's condition. As long as the medical procedures are in compliance with the medical procedures, there will be no problems. If the family changes to a better operation method, the family will be happier after the operation, and thank the doctor for not having time.
After solving the procedural problems of the family, the rest is the doctor's intraoperative judgment.
There are many such patients in clinical practice who do not want to undergo long-term catheter shunt surgery to increase subsequent pain and want to try a better surgical plan.
Xie Wanying remembered what Senior Brother Cao said: The human brain is too mysterious, which leads to many diseases in neurosurgery, which are more like Schrödinger's cat.
Since the patient and his family members took the initiative to ask the doctor to try, the patient and his family members were willing to take risks at their own risk, which gave the doctor room to further challenge. As long as the patient has this condition allowed during the operation, he will directly undergo ETV surgery first.
Even if the ETV technique fails, it will not cause substantial damage to the human brain, and you can do a second attempt to divert the traffic. And after doing this, some patients actually successfully passed the ETV technique.
Brother Huang’s proposal is right, you say he has reasonable work experience, and you can say that he is using his work experience to take advantage of his mistakes.
"You Huang Daxia, what are you talking about with you about skills?" Sun Yubo started to curse. If you have the chance to catch the other party's bag, you will definitely not let this fellow villager escape.
Huang Zhilei's forehead shook twice. The junior sister asked him to provide work experience, and he provided it right.
In other aspects, the junior sister will decide for herself.
When the main surgery is like this, if you want to think about the possibility of not getting any assistance from others during the operation, you can only do it yourself.
Xie Wanying has achieved a guaranteed experience value after exercising several times by her Fairy Brother.
What should I do? Have a plan in advance, and I will roughly determine whether the brains of other operating rooms are good and whether it can help her.
Chapter completed!