My Medical Skills Give Me Experience Points Chapter 1527: Chapter 618: Spinal Cord Transection Mostly Ru

Chapter 1527: Chapter 618: Spinal Cord Transection Mostly Ruled Out, Terrifying Infection

Apart from necrosis, nerve severance due to spinal cord transection injury is also irreversible.

Many clinicians regard the spinal cord as a neural forbidden zone for good reason.

Sensory evoked potentials have determined that this little boy’s first pair of spinal nerves are abnormal, which is troublesome.

Let’s first talk about the structure of the brainstem.

The brainstem is known as the no-go zone for life, the surgical taboo area; many seasoned neurosurgeons dread the brainstem.

Because the brainstem is the most central part of the human nervous system, also the most delicate and fragile part.

The brainstem includes the medulla oblongata, the pons, and the midbrain.

In fact, we often see sulcus-type structures in books, which are part of the human brain.

Sometimes if a tumor grows inside the brain or a vessel breaks, as long as it doesn’t involve the brainstem area, neurosurgical experts basically have no reservations in performing surgery. Even intracranial endoscopic surgeries are quite mature now.

Just requiring two to three small holes in the head to plete the surgery, both efficiently and safely.

The surgical trauma to the patient will also be minimal.

Intracranial endoscopic surgery is extremely friendly for patients who are physically weak or whose lesions are not particularly plex. Some patients do not meet the indications for traditional craniotomy and cannot satisfy surgical requirements, so they can only opt for conservative treatment.

Eventually, as expected, it is just like awaiting death.

If there are pathological changes in the brain, cerebellum, or other cavity in the skull, it’s not scary. But a small brainstem hemorrhage is enough to leave doctors helpless.

Of course, now several large hospitals domestically have strong neurosurgical teams, and the brainstem is no longer an absolute forbidden zone.

They dare approach some brainstem injuries that aren’t particularly severe or don’t involve the midbrain.

Based on the anatomical structure of the brainstem, the medulla oblongata connects the pons upward and spinal cord downward, acting as the throat of the nervous system.

Unfortunately, the first cervical nerve is located at the site of the medulla oblongata.

It is located at the junction of the spinal cord and medulla oblongata.

Given this critical position, Zhou Can’s current surgical skill level could tackle it, but the oute is uncertain and the certainty isn’t particularly high.

If after exploration the spinal cord is found transected, and nerves severed, he would essentially be powerless.

He can now suture most nerves, but as for repairing a severed spinal cord, he admits he hasn’t reached that level yet.

“This child’s lower central nervous system is unobstructed, at least the left side of the body is unobstructed. Additionally, the pain sensory nerve reflex below the neck also exists, only diminishing further down. This indicates a low likelihood of spinal cord transection.”

Zhou Can silently pondered over the child’s condition.

“Jiang Wei, I recall that when this child first sustained the injury from the fall, the neck hematoma was on the right side, correct?”

He asked Jiang Wei beside him.

“Yes, the injury was on the right side of the neck.”

Jiang Wei nodded affirmatively.

Though merely a nurse, she is keen on learning. Following Zhou Can in surgeries, ward rounds, sometimes even participating in diagnosing difficult cases greatly helps improve her professional skills.

“The injury is on the back of the neck, leaning to the right, yet the left side’s lower central nervous system reflexes are normal. This suggests a minuscule possibility of spinal cord rupture.”

Zhou Can talked to himself.

According to physical laws, when a surface is heavily impacted, often the opposite surface breaks first.

This child’s lower central nervous nerve on the right side showed abnormality but still exists, indicating a high possibility that the spinal cord’s gray matter on the right side is damaged. If inferred from this, the child’s fall injury leads not to nerve rupture but rather just damage.

If indeed the case, Zhou Can could have a high degree of certainty in repairing the issue surgically.

“Once the experimental side’s spinal fluid test results are out, notify me promptly. If the spinal fluid test shows no infection or inflammation, this child can be considered for surgery. However, when determining the surgical plan, I’ll invite Director Wu from Neurosurgery to check.”

Zhou Can’s eyes glowed like stars.

Tackling this difficult case for two days, finally glimpsing hope.

If he could cure the child, all efforts would be worthwhile.

To invite the ‘pinnacle surgical knife’ from neurosurgery for consultation and speak so casually, as if inviting an old friend over, this ease could only be Zhou Can’s caliber.

All departmental consultations have strict regulations.

Inviting other departments’ doctors for emergency department consultation, without designating a doctor, the department should send a doctor to reach the Emergency Department within 10 minutes. Of course, this often didn’t happen.

Particularly when the Emergency Department was weak in the past, some authoritative departments were slack, be there within half an hour and that’d be considerate.

Inviting doctors from other departments for normal consultation, when undesignated, should be done within 24 hours.

But actually, this time limit is three days.

For example, if Zhou Can wants to invite neurosurgical doctors for consultation, as long as the patient’s condition isn’t urgent, it’s normal consultation. Submit the application, get approval, roughly takes one day.

Once the department receives notification, arranging for doctors again takes one day.

So usually, only by the third day do doctors turn up for consultation.

Everyone is busy; each doctor has their work, participating in consultation could be considered a duty, but also a courtesy.

If really turning unpleasant, or setting excessive terms for consultation, if too demanding, the department could send a trainee or fellow, making you feel as unfortable as having eaten a dead fly.