"As for the cortex, it governs the nerves and muscles on the opposite side.

"Once a lesion occurs, the brainstem can no longer control the ipsilateral gaze, which will cause both eyes to gaze to the opposite side. When the cortex is lesions, it is hemiplegia on the ipsilateral gaze."

As Xu Qiu finished speaking, everyone present was slightly stunned, and they didn't wake up suddenly after a few seconds of silence.

Revelation!

This is their first feeling.

The complex and complicated neurological signs are summarized in a few words by Xu Qiu, and the two sentences are summarized... Moreover, according to Xu Qiu's statement, memory from an anatomical perspective can be remembered without any brain surgeon!

"What a clever memory method..." The director of the brain surgery department couldn't help but sigh.

He spent several years intermittently reciting these functions and physical signs. If he had been given Xu Qiu's guidance at that time, it would have been much easier.

However, after a brief surprise, the director of brain surgery became worried again.

He glanced at the patient on the bed, then looked at the fierce family group not far away, hesitated for a moment, and still pulled Xu Qiu aside.

"Doctor Xu, I'm afraid we can't accept this patient..." The director's eyes dodged a little.

Xu Qiu nodded and signaled him to continue speaking.

The director then sighed and said:

"Doctor Xu, you are also a clinical person and should be able to understand our difficulties...

"The patient's condition is very poor, and the prognosis is definitely not good. If you continue to treat it, you may lose both people and money. Even if you save someone, you will leave a lot of sequelae.

"But, the family's expectations are too high. After we accept this patient, the money will definitely be spent on the same amount as the flow of water, but the treatment effect will not be good in the end, and they will definitely make trouble..."

Xu Qiu did not argue.

With the performance of these families, the treatment effect is not good. Even if it is him, the other party may not give him any good face. In the end, all his next itinerary will definitely be ruined.

"besides……"

Seeing that Xu Qiu did not refute, the director continued, "drgs..."

Xu Qiu raised his head. Since the implementation of this system from above, all hospitals have been frowning. He has heard front-line doctors complain less than ten times in the past month.

The director said: "After DRGS, overly complex diseases will exceed the maximum limit given by the Medical Insurance Bureau, and the exceeding part... Dr. Xu, you also know that it must be borne by the hospital and will eventually fall on every doctor in the department.

"Their disease is conservatively estimated to cost 200,000 to 300,000, or even enough. And nearly 100,000 of them may be borne by our hospital!

"One patient will make our department lose 100,000...Doctor Xu, you may not be short of money, nor will you be short of money when you are in the doctor, but Greentown First Hospital does not have direct support from the provincial finance department, so we all have to have a meal..."

Every word of this is a jealous word, and those who have worked in clinical practice understand the pain.

It’s not that I don’t want to save it, but that I can’t save it!

Once rescue is provided, the department will inevitably deduct nearly 100,000 to supplement the deficit; and if the treatment fails and the patient dies, the family will not let the hospital go. Even if the hospital takes advantage of the situation, the department will be disturbed; even if it succeeds by chance, the recovery effect that the family expects will not be met will also lead to disaster...

In contrast, as long as the patient is not accepted, everything will be fine.

It is actually very simple to solve this almost unsolvable dilemma.

As long as the family tells the hospital that our family has money, if they don’t leave the medical insurance, they will pay for it at their own expense, and then make hundreds of thousands of dollars into the hospital account; or tell the family whether they can save them or not, they will be treated as a living person...

Of course, these are all extremes.

In fact, as long as the family members are a little easier to speak and more reasonable, rather than like now, the family members suspect that the hospital is trying to kill money before they can speak... Ordinary doctors will do their best to rescue them.

However, these methods that work are not working now.

Xu Qiu was unable to make a decision for a while.

If it were in Linyu, he would definitely rescue him without hesitation... After all, Linyu is really rich, and the DRGS cannot be covered. If the hospital makes up for the points, it will be fine. Two or three in a month.

However, most other hospitals are in a loss-making state. The finance department is short of money everywhere. The hospital needs to make tens of thousands or hundreds of thousands of dollars to treat a patient. It is really impossible to afford it.

After a brief thought, Xu Qiu smiled and said, "I will bear the part that exceeds the medical insurance limit."

"Doctor Xu!"

The director of the brain surgery department was anxious. He was about to persuade him, but Xu Qiu interrupted him directly and said, "Preparing for surgery... I have some insights in the field of brainstem injury, and maybe the prognosis will exceed expectations. You can also go on stage to see and learn from each other."

After saying that, Xu Qiu returned to the ward and made various arrangements before the operation.

"First do a cerebrospinal fluid replacement." After the evaluation, Xu Qiu made a decision.

Nowadays, patients have a large amount of bloody cerebrospinal fluid in their brains, which is a huge risk factor.

What you need to do for cerebrospinal fluid replacement is to release it with the help of lumbar puncture and then inject it with an equal amount of normal saline to reduce intracranial pressure and relieve symptoms such as blurred consciousness and headache.

Moreover, this operation is also beneficial to subsequent surgery - while reducing the occurrence of cerebral hemocytogenes, it can also reduce the probability of vasospasm.

This operation is not difficult, but in order to accurately understand the patient's condition, Xu Qiu took the initiative in person, and pierced the waist twice in total. After each replacement of 30ml of cerebrospinal fluid, the patient's consciousness recovered a lot and the symptoms of headache were greatly reduced.

At this point, everything is ready.

Not long after, an emergency aneurysm clamping operation was carried out in Greentown First Hospital.

"This time I was carrying out keyhole clamping surgery." Xu Qiudao.

Keyhole clamping is actually one of the variants of micro craniotomy. Because the opening of the bone window is very small and looks like a keyhole, it is named.

Everyone in Greentown First Courtyard was a little confused... Keyhole? Is there any such microscope technology?

The director was about to ask a question, but Mo Wan immediately said, "Don't worry if you understand."

Tong Yan added: "It's all done!"

After saying that, the two looked at Tang Yunshu at the same time.

Tang Yunshu hesitated, but in the end he was forced by the two women to grit his teeth and said, "Doctor Xu Liuliu!"

Mo Wan and Tong Yan nodded with satisfaction... This is the qualified threesome to support the show. It doesn't matter if you can't do anything else, but you must shout 666.

On the other side, as Xu Qiu's voice sounded, the scalpel had already fallen.

laugh--

A cut was made into a cutter at the tip of the knife, and a blood line slowly formed.

This step is one of the most important basic skills in microsurgery.

With the blessing of the title of Brain Surgery Master and solid surgical skills, Xu Qiu was very fast.

After identifying the frontal fissure vein and the temporal fissure vein by indocyanine green, Xu Qiu opened the lateral arachnoid membrane with a gem knife and separated the lateral fissure to the direction of the skull base.
Chapter completed!