My Medical Skills Give Me Experience Points Chapter 283 145: Soaring to the Skies, Epilepsy Case Consult

After all, the surgery was perford only after the surgery consent form was signed.

Moreover, no doctor dares to guarantee that the surgery will definitely be successful.

Not to ntion craniotomy.

Even minor surgeries have the possibility of failure.

For example, suturing external wounds, isn't that the simplest form of minor surgery? Even a barefoot doctor in a small clinic can handle it.

But a few days after suturing, the wound becos infected and suppurates.

Whose responsibility is that?

Doctors definitely don't want to take this responsibility.

In the end, the patient has to pay for it themselves.

Speaking of which, if there are problems with the surgery, should the family make a fuss?

Actually, making a fuss isn't entirely without benefits.

On one hand, there is indeed a need to vent emotions. On the other hand, if the fuss is big enough, the hospital will take it more seriously. Even if the patient pays for their own follow-up treatnt, the quality of care will likely be more assured.

The hospital might even make so compromises and reduce so of the costs.

So, making a fuss when necessary aligns with the interests and demands of the patient and their family.

Being too agreeable only makes others think you are easy to bully, like a lamb to the slaughter, prone to suffering greater losses and hardships.

Most doctors have already reviewed the dical records of patient in bed 22.

And they know it like the back of their hand.

Before surgery, when devising the surgical plan, everyone would have beco familiar with the patient's dical history, condition, and test reports.

So now, as they circulate the records, many doctors just flip through them quickly before passing them to the next person.

Zhou Can is probably the only doctor who hasn't seen the dical records of the patient in bed 22.

When it reaches him, he is the last one.

And he starts to read it attentively.

At present, his diagnostic skills as a Resident Doctor are at a lower level.

Compared to the doctors present, he might only be slightly better than three of the graduate students.

The capabilities of those three Resident Doctors are uncertain for now.

The diagnostic skills of the attending physician are undoubtedly high.

Director Wen's skill level needs no ntion.

As long as one earns the Full Professor title in Tu Ya, none are diocre. Director Wen's involvent in surgeries might be weak, but it doesn't an his other skills are lacking too.

After everyone reviewed the latest EEG and brain CT scans, a broad discussion has begun.

Zhou Can, however, concentrates on the patient's docunts without distraction from external noises.

"Gao Zongyi, male, 46 years old, shows symptoms of cognitive decline, had a history of epilepsy before admission, and the frequency of episodes has been increasing..."

After all the fuss, it turns out the patient already had a history of epilepsy before admission!

Those family mbers made such a fuss, clearly indicating they are not easy to deal with.

They belong to the difficult and challenging category.

Zhou Can had categorized the patient's family accordingly.

Upon investigation, the patient has a venous malformation anomaly inside the skull, but this area is very close to the internal capsule.

Many might not know where the internal capsule is.

The internal capsule is a part through which nerve fibers from the cerebral cortex to the Brainstem and spinal cord pass, located between the basal ganglia and the thalamus.

Motor and sensory nerve fibers destined for the cerebral cortex pass upward through the internal capsule in a fan-shaped radiating pattern.

From this, it is clear that the internal capsule acts as a connection point between the cerebral cortex, the Brainstem, and the spinal cord.

Its risk factor in cranial surgery is second only to the Brainstem.

Generally, if surgery is needed near the internal capsule, even powerful tertiary hospitals in the region would tactfully tell families that they cannot perform the surgery.

Because the risks are too high.

Tuya Hospital can basically achieve no restricted zones in cranial surgery.

Of course, this is part of its external publicity, with so embellishnts.

Even Wu Baihe would feel uneasy about performing surgery in the region of the Brainstem.

Last ti, in the Ergency Departnt, that hypertensive pregnant woman, fortunately, had a false aneurysm. Because Wu Baihe clearly expressed that he did not even have a 50% confidence in the surgery.

The neurosurgical departnt of Tu Ya itself isn't especially strong.

It isn't necessarily the strongest even within the province.

Provincial People's Hospital and a certain nurical hospital both have very strong neurosurgical capabilities.

And Renhe Hospital in the capital goes without saying.

Moreover, Shanghai has two major hospitals where neurosurgery is equally strong, even surpassing Tu Ya, comparable to Renhe Hospital in the capital.

Director Wen daring to perform this surgery clearly reflects his high traditional surgical skills.

He may not have much talent in interventional surgery.

Zhou Can has made a new evaluation and understanding of Director Wen.

On the surgery record form, it explicitly states the removal of the pathological venous segnt.

Since it was successfully removed, why did the patient's epilepsy worsen after surgery?

Zhou Can looked up at the latest report.

The EEG showed obvious abnormal discharges.

In fact, epilepsy in patients is essentially caused by abnormal brain discharges.

As for the causes of these abnormalities, a comprehensive investigation is necessary. It's not just cerebral arteriovenous malformations that can cause it.

Venous varicosity, capillary dilation syndro, and cavernous hemangiomas can all potentially lead to abnormal brain discharges.