BXBX NOVEL Chapter 2855: 【2855】Already prepared
This is the question she said earlier in the morning.
Brother Huang should have realized it by now, why would he continue to ask.
is like Dr. Song, who probably had the insight long ago, and asked her if she decided it was 7.2. Brother Cao readily agreed to use a ventriculoscope, knowing that he was prepared so early.
It can only be that Senior Brother Huang didn't notice it before?
Huang Zhilei realized that he was the last one in the group to realize that he was the last person in the group when he asked the question.
She mentions the MRI as a disclaimer for the patient's family. The problem is because of her ability, the disclaimer of deliberately mentioning this kind of inspection cannot be for no reason. It may only be that she has predicted that the patient's condition really needs further MRI judgment.
First of all, it must be affirmed that the existing examinations have clearly identified the patient's non-occupying obstruction, and Dr. Jin's diagnosis of communicating hydrocephalus is well-founded and basically not wrong.
It is not wrong to recommend that patients undergo medical treatment first and then transfer to surgery for shunt surgery after medical treatment is not effective. Everything is unexpected. In some special cases of communicating hydrocephalus, other surgical methods can be used to avoid the subsequent risks and pains caused by long-term shunt placement.
This surgical method is the one-mouth endoscopic third ventriculostomy ETV previously mentioned.
Unfortunately, after explaining these to Dr. Jin, Dr. Jin communicated with the patient's family. Because the cost of the two MRI examinations is too expensive, the patient's family does not allow the patient to do it, and the only money should be spent on the cost of treatment. When a doctor can only try to find a way for the patient.
Can a ventriculoscope detect the problems of the patient's ventricle?
Can you help patients do ETV instead of shunt surgery?
She had never used a ventriculoscope before, so Xie Wanying definitely did not have the confidence before the operation, so she could only plan to try it based on the principles of ventriculoscopy she had obtained in academic journals.
Now I have practiced ventriculoscopy, which is expected to be feasible according to the plan she simulated before surgery, so I shared it.
After figured out her initial idea, Huang Zhilei sweated again.
is mainly what she said about MRI phase-contrast cine imaging, which can accurately measure the flow rate of cerebrospinal fluid in a designated area, and establish a flow curve (velocity-time curve) based on this.
The focus of one of the inspection scans is to scan the suspected problem area with a ventriculoscope at this stage: the midbrain aqueduct area.
The flow rate of cerebrospinal fluid in this place can indeed provide evidence for the identification of communicating hydrocephalus and obstructive hydrocephalus, or a key point to support whether doctors can perform ETV surgery on patients.
If there is a problem with the flow rate of the midbrain aqueduct, it is likely to be a flared midbrain aqueduct. This shape of the midbrain aqueduct is similar to obstructive hydrocephalus, and ETV can be attempted.
The problem is that the chief surgeon, the younger sister, is actually "imaginative", thinking that the abnormal flow rate of the cerebrospinal fluid here can be visually detected by the ventriculoscope image is just within the scope of the trumpet-shaped midbrain aqueduct.
He, Huang Zhilei, really can't see it, can't figure it out, and even if he has experience, he can only sweat more and more.
Thank you for your support! ! Good night dears~
(end of this chapter)