I am studying and eating melons in Chronicle

Chapter 187 Intracranial Foreign Body Removal

Ling Li didn't mind at all Yunling's no-nonsense way of talking, as if he didn't notice at all that the other party had made it clear that he didn't want to talk.

"Then you must have good medical skills, right?" She asked again.

Yunling frowned slightly, as if thinking, and said in deep thought: "The quality of medical skills is determined by the patient. As long as he can cure the disease, for the patient, the doctor is excellent."

Ling Li also agreed with her point of view: "You are right. Doctors treat diseases and save people. As long as they can cure diseases and save people, they are good doctors."

"So you think you're a good doctor?"

Her questions didn't sound like an interrogation, but like... an interview?
Yunling didn't know why, but she had to say that this question gave her an inspiration to solve the current dilemma.

Although I don’t know if it is effective, you can give it a try.

Yunling admitted frankly: "Of course."

This answer was beyond Ling Li's expectation, because her demeanor showed that Yunling was a humble and unpretentious person.However, although this was a deviation from the expected answer, her expression did not change at all, as if she was more robot-like than the system.

She asked calmly: "Why?"

"Because I feel that with my strength, I can save all the patients I encounter." Yunling uttered wild words again.

This time, Ling Li frowned. There was no other reason. This statement was too absolute, and could even be said to be arrogant.Even the top experts in the industry would not dare to claim so arrogantly that there is no cure for all diseases.

This is not right.

How can one person have such a strong contrast? Could it be that Yunling herself has this character?Just pretending to be better on weekdays?

There is another possibility, that is, she is deliberately pretending.

But what's the use of pretending to be domineering now?
"I can't tell, but you are quite capable." Ling Li decided not to consider the difference in personality, after all, it was only secondary.

Yunling didn't refute, which was equivalent to acquiescing to her compliment.

After finishing his meal, Ling Li wiped his mouth and told another story: "There is an old comrade who was hit by bomb fragments through the skull and flew into the brain when he was young. However, due to the limited medical conditions on the battlefield, if the operation was performed at that time, the risk would be too high." It is too big, and operating to remove the shrapnel is likely to damage the nerves in the brain, causing him to be paralyzed for life or even dementia, so it has been delayed until now."

"The organization has always been very concerned about his condition. Coupled with his age, he began to experience symptoms such as impaired vision, head pain, and even epileptic cramps."

"He has been transferred to various military hospitals and is currently hospitalized in the Capital Hospital, which is also your father's workplace. Domestic expert consultations are unable to do anything about his case. The doctors all have their own opinions. I don't know whether you think it should be taken or not. What’s the point?”

When it comes to her condition, Yunling thought carefully, but in the end she admitted frankly: "I need to see the case and examination report before I can make the next step of judgment."

"Okay, I'll have someone bring it to you later." Ling Li agreed.

This old comrade was once her superior and a training instructor, so she knew the other party's situation clearly, and she could use this example to check Yunling's true ability.

As soon as Yunling got the case and brain examination report, she read them page by page in a hurry.

For the treatment of intracranial foreign bodies caused by firearm injuries, there is no need to forcefully remove metallic foreign bodies that are located in deep important structures, are small in size, and may be disabling or life-threatening during surgery, or non-penetrating foreign bodies with a diameter of less than 1 cm.

However, this patient has already developed obvious clinical sequelae, and according to the physical examination reports of other parts of the body, other factors leading to epileptic seizures can be ruled out, so Yunling advocated intracranial insertion and removal of foreign bodies.But she also understands that some experts are naturally worried that the actual risks of surgery are difficult to predict, so they choose conservative treatment.

Moreover, the most important problem is that although X-rays can also be used to detect intracranial bone fragments and foreign bodies, X-rays often cannot diagnose some injuries in the brain.

The simplest, most direct, and most effective method for diagnosing craniocerebral trauma is to perform a CT scan of the head.

However, CT machines were not officially put into use until the late 70s.

It happened that the system shut down at this time.

She didn't even have the right to use the medical equipment in the system hospital, so she couldn't go in to take X-rays and tests.

However, Yunling still formed a specific surgical plan in her brain, because she had done this kind of surgery in the system hospital before, and although there were only two cases, she benefited a lot.

"I can provide some advice, but I need to determine the specific circumstances of the head injury first. You need to give me at least a week."

She told the truth, but Ling Li didn't believe it at all.

Because experienced doctors usually provide basic insights when they see a case, even if they don't have a general idea, they can tell you something.

But Yunling didn't say anything, she just said that she would be given seven days. How could people not suspect that this was just a delaying tactic?
However, a week is just a week. Anyway, Comrade Wu’s departure was postponed due to official business, so it would take at least half a month before he could come to Harbin Province.So Ling Li was patient enough to play with Yun Ling. She wanted to see what tricks this little girl could do in the end.
"Okay, but I'm afraid you'll have to stay here for a while."

Yunling was very cooperative with her, but suddenly something occurred to her: "You asked me to call my family. Otherwise, if I suddenly disappear in the village, my friend will definitely go to the brigade to report it to my family."

However, Ling Li rejected her application and said bluntly: "It's okay. We used legitimate official reasons to second you out. You don't have to worry about this."

"Oh." Yunling was unhappy and didn't even get up to see him off before he left.

But she had no intention of doing so. Bringing her here forcefully and wanting her to learn etiquette was just a dream!
With nothing to do, Yunling copied all the patient cases and examination reports in her mind, then picked up the white paper prepared on the table and began to sketch a skull on it.

Although this kind of self-drawing of skeletal structure is the basis of anatomy, a basic ability that Yun Yi has been required to master since she was a child, but since learning sketching from Teacher Ge, the simple drawings that originally only highlighted the medical functionality seem to have taken on more meaning. Somewhat beautiful.

The human body is more sophisticated than any machine in the world.

The intricate blood vessels and nerves, and the overlapping layers of muscles are drawn with the tip of an ink-black pencil to draw the relationship between light and dark at various angles. They are detailed and rich in texture, and the cold brushstrokes seem to blend the essence of fresh life with perceptual aesthetics.

Next, Yunling wrote down the details of the two previous successful operations in her notebook.

By summarizing the three cases, she could presuppose the relevant conditions that may occur at the location of the shrapnel, rehearse the surgical process, and list as many risks as possible during the operation to ensure that after an accident occurs, she has a general idea of ​​​​pre-judgment and solution.

But these preparations are far from sufficient.

Without brain CT, she was still in a dilemma that she could not overcome.

引用文献:范松源,孟龙,李广罡等.贯穿脑干的颅脑火器伤1例[J].中国临床神经外科杂志,2021,26(03):222.DOI:10.13798/j.issn.1009-153X.2021.03.030.

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