crazy scalpel

On the [-]th floor of the Surgical Inpatient Department, the Office of the Director of Neurosurgery.

Cai Tianqiao sat on the sofa, crossed his legs, looked at Xie Ke standing in front of him, and felt sour and refreshed beyond description.Seeing that this guy is still pretending to be in front of him, and his eyes are rolling around, but there is no sense of obscenity but full of aura, he suddenly laughed angrily, and the leg that was stacked on top kicked forward suddenly: " Heh, you've really grown up now."

Xie Ke narrowly avoided his kicking action, and smiled innocently: "I'm trying to get you business."

"Business?" Cai Tianqiao was noncommittal, he didn't believe that Xie Ke would be so kind.Based on his understanding of this little guy, as long as he is not familiar with anything related to treatment, he will definitely try his best to do it himself. It is impossible for the patients he picked up to be transferred to others instead.unless……

Cai Tianqiao patted his trouser leg: "Is it because the other party doesn't believe you? That's right, you are really not good at this kind of hypothalamus operation. Well, this time I will let you follow me on stage and learn a little bit."

Xie Ke shook his head and said, "It's not a craniotomy. What I recommend this patient is stereotactic radiation therapy."

"Stereotaxic? Does our hospital have it?" Cai Tianqiao was taken aback for a moment, then realized: "You want them to be transferred to the First Affiliated Hospital of Jiefang University for surgery?"

Xie Ke immediately said, "Yes."

Cai Tianqiao looked at him suspiciously: "Then why did you transfer her to me? You can take care of it yourself before the operation."

"Hey," Xie Ke smiled evilly: "I will say hello to Professor Xu, and you will go to the operation at that time. Although Professor Xu doesn't do surgery very much now, as long as he sends a message, the matter of borrowing the equipment will be sure." It can be done."

Cai Tianqiao looked at Xie Ke's appearance of being in control, and suddenly felt a little funny for some reason.He clearly knew that Xie Ke would take the initiative to hand over this operation to him, there must be some reason for it, but Xie Ke didn't say it, so he just disagreed: "I won't do it."

Seeing Director Cai's godlike presence, Xie Ke was a little impatient: "Why? Such a good opportunity, why didn't you take it?"

Cai Tianqiao raised his eyelids and glanced at him: "I haven't done this before, and I'm not proficient. Since you asked her to transfer to the First Affiliated Hospital, let the doctors in the Affiliated Hospital do it."

Xie Ke blinked, why is the situation different from what he imagined?

In his imagination, Cai Tianqiao should be delighted to hear that there is such an opportunity.Then Xie Ke can recommend himself, saying that he has better orientation skills, and let Cai Tianqiao take him to the surgery.In this way, Xie Ke can not only achieve his own goals, but also make use of Cai Tianqiao, and make him owe him a favor, which is the best of both worlds.

"Hehe," Director Cai smiled lowly, "You'd better tell the truth, don't go around in circles. Otherwise, I won't agree to you, oh."

Xie Ke drooped his head, but couldn't think of any tricks to deceive, so he could only honestly say: "Director, I want to do it."

"Hahaha, Xie Ke, you are so interesting." Cai Tianqiao laughed for a while, stopped before Xie Ke became angry, and asked him: "You are not very familiar with this thing, why, do you have any new inventions? "

Xie Ke scratched his head, and he also realized that if he wanted to play tricks with Cai Tianqiao, it was still a bit incompetent.In this case, let’s just say it straight, Xie Ke: “It’s not a new invention, it’s just that my senior brother is studying neuroelectricity, and I wholesaled a set of microelectrode recording technology from him, which can be used on target Click on the location, so... I think I should be able to perform this operation. But, it would be best if you come forward, and it can save a lot of things."

The anatomical positioning of imaging is to obtain the position of the target point through the mathematical calculation of the three-dimensional geometry through the data of the captured image, but there will be errors in imaging, measurement and calculation in these processes, so it is difficult to control the accuracy.Therefore, the electrophysiological positioning method is more intuitive and precise.

And because the waveforms of action potentials recorded outside the gray matter and white matter cells are significantly different, this method can identify the transitional areas between gray matter and white matter in addition to spatial imaging, just like drawing on a map in addition to size and shape Geological differences.

Electrode records are obtained through microcurrent stimulation and converted into signals, showing waveform images of discharge activities, and can accurately identify the location that needs to be damaged.This method is a relatively advanced technology, and even Cai Tianqiao has never dabbled in it.

Of course, Xie Ke didn't intend to rely on this to locate the target for the patient. After all, he had a more direct method-what could be smaller than the error that the finger can directly touch the position?However, in order to convince Cai Tianqiao and others, he moved out the microelectrode recording system of his brother.

After Cai Tianqiao heard what he said, his eyes lit up, revealing a hint of interest.He rubbed his chin and didn't know what he was thinking. After a while, he suddenly came back and raised his eyebrows and asked Xie Ke: "Brother? Are you talking about the mysterious Li Shiguang?"

What is "That Li Shiguang"!Cai Tianqiao's indifferent attitude irritated Xie Ke, and he gave his immediate superior a vicious look, "Brother is amazing, if he doesn't change his career to study mental illness, we all have to stand aside!"

"Yo," Cai Tianqiao was excited, it was the first time he saw this guy so convinced by others, "Tell me, why is he so good?"

"My brother, he..." Xie Ke was stunned. He suddenly realized that he knew very little about Li Shiguang, and even the good memories between the two of them were very limited. "intuition".Xie Ke could feel that his relationship with Li Shiguang was definitely not what he knew on the surface, and his understanding of Li Shiguang should be deeper, but anyway, he couldn't figure out why things had come to this point.

Except for taking care of him and listening to him for a short time every day, Li Shiguang shut himself in the study almost all the time, and Xie Ke didn't know what he was researching.Although he had entered that study room many times, it seemed so strange every time.

Xie Ke suddenly felt that it was the door of the study that blocked him and Li Shiguang from going further.At this moment, in his eyes, the door became wider and thicker, while he himself seemed smaller and smaller.Until he couldn't feel the door in front of him at all, it seemed to be a barrier, imprisoning him in something, or in other words, blocking him out of something.

Xie Ke felt cold all over, and had a terrible premonition that he was about to lose the most important thing. He inadvertently rubbed his fingertips quickly, hoping that by doing so, he could save or restore the thing he least wanted to happen.

Cai Tianqiao got up and pinched his shoulder, "Xie Ke? What's wrong with you?"

The sense of restraint was suddenly interrupted, and Xie Ke suddenly came back to his senses, and found that he was still in Cai Tianqiao's office.He forced a smile, "It's okay, what do you think?"

Cai Tianqiao sized him up for a while, then glanced at Xie Ke thoughtfully, but in the end he agreed: "So he wanted to use me as a shield... Well, I'll let you do it once. However, it's not an example. .”

Xie Ke grinned, he also saw that Cai Tianqiao's hair had to be smoothed, and it was better to be straightforward than to use some tricks. "Oh, by the way, there is one more thing. The Ms. Li who transferred her father to the No. [-] City Hospital last time, her son had cerebral vasculitis and wanted to transfer to us. She appointed me to operate on her son, so I I want Zhu Ming to take care of the patients for me."

Zhu Ming is also the attending physician, and helping Xie Ke manage the patients is actually just doing a ward check every day, and he also has a resident doctor under him, so he doesn't have to do most of the work himself.Xie Ke had been in contact with him and had a good impression of this doctor, so he trusted him very much, so he wanted to let Zhu Ming take care of Li Qiuhua's son while he was on duty in the outpatient clinic.For Zhu Ming, there is nothing better than raising some income with little effort.And he himself felt that Xie Ke could create some miracles every time, so he was looking forward to it, so he naturally agreed.

Cai Tianqiao was a bit impressed by this matter, but he was surprised: "Doesn't that woman hate you? How did she come to you? And shouldn't she be transferred to internal medicine? You want to open his head? Wait, Tell me carefully, what do you want to do?"

Xie Ke: "She originally wanted to find Deputy Director Bian, but Deputy Director Bian refused to accept this patient as soon as he heard that there was a problem with Shier's treatment. Her son... had an attack of inflammation during angiography, and it was a bit difficult to recover .Medical treatment treats the symptoms but not the root cause, and I plan to help him with revascularization."

"!" Cai Tianqiao unconsciously raised his voice: "You want to perform intracranial and cerebrovascular anastomosis for him?! Do you know that if you don't do it well, you will die!!!"

Xie Ke pursed his lips: "I have confidence."

"No, I don't agree." Cai Tianqiao refused: "Let them go to the internal medicine department for conservative treatment. I know you have the skills, but this is unreasonable, and it is not life-threatening. Craniotomy is not recommended."

Xie Ke had a bitter face: "This patient has several important cerebrovascular blockages. You also know the effect of steroids. It is equivalent to increasing the pressure to force the blood to break through the blocked parts, and his blood vessels become swollen due to inflammation. It is very fragile, so it is likely to rupture and cause cerebral hemorrhage in the future, isn’t it more dangerous? Even if there is no cerebral hemorrhage, if the patient is in a state of blood vessel blockage and limb paralysis for a long time, it will be difficult to recover even after treatment in the future.”

Cai Tianqiao waved his hands irritably: "Anyway, your plan is too radical, so let's forget it if it works. If it doesn't work, do you know what you will face? So many things happened a while ago, you Can't you be more careful? Besides, the family members will not agree."

Xie Ke swallowed, ignored the long list in front, and said weakly: "Ms. Li...is the mother of the patient, she has already agreed."

Cai Tianqiao waved his hand halfway and stopped in the air: "..."