Deputy Director Zhao looked at the door of the office, a trace of weakness flashed in his eyes, and said, "That child... has been kneeling at the door all night." It’s not just the patients’ children. Earlier today, my haggard wife and four old men with gray hair on their temples all took turns kneeling before the brain surgeon. During this period, a doctor who had just been hired as a deputy director almost gave up and agreed to perform the operation. "Let's not talk about this anymore. It's almost time. Let's go to the consultation first." Deputy Director Zhao looked at the time, looked at the family members worriedly, and finally said helplessly. … Extrabrain meeting room. This time the attendees were all old acquaintances. During the tracheoesophageal fistula surgery, Director Lin and Zhong Wen, who were Xu Qiu's assistants, were the attending doctors. Deputy Director Zhao and resident doctor Shen Shanyou had doubts about their life after having a brain tumor removed.
But this time, The arrogant Zhong Wen and the unconvinced Shen Shanyou all nodded proactively when they saw Xu Qiu again, with kindness in their eyes. Wang Ping, who was sitting next to Xu Qiu, naturally noticed this subtle change. He smiled and said: "Although our medicine cannot escape many shortcomings in academia, at least in the circle of peers, if the surgery is done well, it can win the respect of most people." The surgical skills are good, the nurses can provide easy postoperative care, and colleagues can use him as a backup. The two chatted for a few words, then the consultation speaker knocked on the table, and the consultation began. … Patient Xu Shun, a 42-year-old male, suffered from chronic illness. Chief complaint: Change in temperament for half a year, sudden convulsions and confusion for more than 3 days Physical examination: drowsiness, confused response, passive posture, pupils on both sides of the same circle, about in diameter, and slow light reflex... Imaging examination:… … Diagnosis: Sphenoidal crest meningioma … Xu Shun's condition is so clear that a huge mass can be seen on CT and MRI. Even ordinary people can tell that something is wrong. Looking at the video on the screen, the doctors were silent for a while. With such a huge tumor, it is not too much to ask the family to prepare for the funeral now. You can't survive for a few days with conservative treatment, and this time bomb will explode at any time. And surgery...
The difficulty is too high! The first is that the tumor is too huge. So much so that it is tightly adherent to nerves, blood vessels, brainstem, hypothalamus and other parts, and its separation is extremely complicated. In addition, the internal carotid artery, middle cerebral artery, and anterior cerebral artery and their branches are located near the tumor. There are also important neurovascular structures such as the optic nerve, oculomotor nerve, and olfactory nerve. A little carelessness will aggravate the damage to the brain and cranial nerves, causing massive bleeding during the operation. The traditional skull base approach requires sawing off a large piece of skull. The incision is large, the trauma is large, the exposure is extensive, and the chance of nerve damage is high. Moreover, Xu Shun's tumor was so large that it pressed a lot of brain tissue, blood vessels, nerves, etc. to the edge of the skull. If the traditional approach was used, when the skull was sawed, several pieces of the brain would be randomly taken away. Therefore, the only option currently available is minimally invasive surgery. But the difficulty is also prohibitive! Like a raw egg in a narrow-mouth bottle. The raw eggs also had spider webs that stuck to the inside of the bottle. The surgeon must insert the tweezers through the narrow mouth of the bottle and then peel the raw eggs. During the process, First, the integrity of the shell membrane must be ensured. That is, the egg shell is peeled off without damaging the inner membrane and without any leakage of egg liquid. Second, you must pass through the intricate spider web and peel off the outer eggshell while ensuring that the spider web is not damaged... … The atmosphere in the conference room was particularly depressing. "This operation... doesn't mean much." Someone suddenly said. Everyone looked at each other and nodded solemnly. Director Lin, Deputy Director Zhao and other senior department officials also looked unhappy. Just when everyone was about to give up, a nurse suddenly came in. She said a few words in Director Lin's ear. Director Lin frowned and looked towards the door of the conference room. Everyone looked at it and were shocked. At some point, Xu Shun's youngest son was already kneeling at the door. He still had innocence and childishness on his face. He didn't understand what he was doing. He only knew that "the doctor can save daddy." Beside him, four old men with wrinkled faces were trembling, holding on to the door frame and trying to kneel down.
At this moment, someone finally couldn't sit still! "Let's do it, director, I'll do the surgery!" Everyone in the brain surgery department changed their expressions and looked at the speaker at the same time. It’s deputy director Jin Yiyun. Born in a rural area, he is handsome and personable. He is a talent returned from overseas at public expense. He was promoted to deputy director just this year. He is a talented young doctor in the brain surgery department. "Wow--" Outside the door, hearing Deputy Director Jin speak, the family burst into tears and finally saw hope. Director Lin quickly called several nurses and doctors to come over and take the family members back to the ward. After closing the door of the conference room again, Director Lin's face turned completely cold. "Jin Yiyun, who asked you to agree?" Director Lin's beard was trembling with anger. "Director, my father is the same as Xu Shun. He drove a truck and supported our family. As a result, he died of illness at the age of forty-three... I couldn't bear to see the same tragedy happen to another family. "Jin Yiyun clenched his fists and said. He looked at his hand and said: "Besides... the disease I focus on is meningioma, I can give it a try!" Director Lin slammed the table and cursed: "Try? What do you have to try? You spent more than ten years studying for a doctorate in medicine, and only today are you qualified to stand in front of the operating table. Are you so anxious to ruin your future?" Deputy Director Zhao also sighed. Although they are both deputy directors, Jin Yiyun is seven years younger than him and can be considered a junior. He stood up, patted Jin Yiyun on the shoulder, and talked about a past story. Eleven years ago, Director Lin had a very talented student. The other party also graduated from a prestigious university with a doctorate, and became a deputy director at the age of 34. He had a good chance to succeed Director Lin and even led the neurosurgery department of Linhai First Hospital to become one of the top 20 neurosurgery departments in the country. As a result, he encountered a case similar to Xu Shun. The family members also begged desperately, and even people from the same village came to kneel down and ask for help. Director Lin's student softened his heart, agreed, and performed the operation. The operation was later completed. One good news, one bad news. The good news is that there is no risk. The bad news is that the person died along with the risk. At that moment, the doctor who brought hope to the family members suddenly became the incarnation of the devil.
The admiration for the doctor turned into spitting, scolding, bloodshot eyes and white fists. Later, after the lawsuit and the court hearing, the student that Director Lin had cultivated with all his efforts was eventually revoked of his professional qualification certificate and bid farewell to the medical industry. After Deputy Director Zhao finished speaking, he sat down again and said: "Sometimes, family members are more like patients than patients. As a doctor, it is not wrong to put the patient's life first, but you must also remember that while protecting the patient, you must also protect yourself!" Director Lin sighed. He would not let a genius dim because of this. With a little indifference, he said: "I will talk to the family members again. This operation is unnecessary. Don't talk about us. Even Tiandu Tiantan Hospital, which is one of the three major brain surgery centers in the world and ranks first in brain surgery in Daxia, can't do it! This operation can't be performed, no one can do it!" Xu Qiu was a little restless. No one can do it?
