A "seasoned" surgeon witnessing firsthand real human anatomy cases in the operating room is incomparable to a medical student studying dead specimens in textbooks and dissection rooms.

The patient experiences abnormal fluctuations in blood, causing the embolus to move back and forth, resulting in Doctor Hu’s occasional symptoms of clear and dim vision. As the young apprentice mentioned, seasoned surgeon Cao Yong thought for a moment; isn’t this possibly a manifestation of an aneurysm in the patient?

The clinical symptoms of an aneurysm written in textbooks do not include such abnormal blood fluctuations. However, it’s different for surgeons; they can observe such subtle phenomena during surgeries, which is an advantage of an experienced doctor.

An intracranial aneurysm is an abnormal protrusion in the intracranial vasculature, which can be imagined as a blood reservoir. The blood fluctuation in normal vessels remains within fixed limits. When a reservoir is added, any slight disturbance could cause the water to flow from the reservoir to the vessel or vice versa, increasing the blood fluctuation. With greater fluctuation, it could lead to a massive hemorrhage.

During surgery, if a doctor can directly feel these aneurysms, they can sense the pulsation, which is a typical manifestation of blood fluctuation. The principle is that aneurysms are connected to the arteries and subject to arterial pressure, making their pulsation obvious. With the reservoir effect, this pulsation becomes even more pronounced.

The anatomical course of the internal carotid artery, which was discussed before, has a significant relationship with the circle of Willis. Any seasoned neurosurgeon knows that aneurysms occur frequently in the circle of Willis, making it a common site for aneurysms. If the aneurysm is small and unruptured, the clinical symptoms in the patient are not obvious, but the existence of an aneurysm cannot be completely ruled out.

Thus, Cao Yong, this somewhat "seasoned" doctor, can quickly recall real cases for reference, leading to a more practical diagnosis. It is reasonable that younger doctors cannot achieve this.

Frankly speaking, medicine is truly a profession where experience enhances value.

It can’t be blamed on ophthalmology for not immediately identifying Doctor Hu’s situation.

Doctor Hu’s eye condition was not solely caused by an aneurysm; it was the result of multiple factors, reflecting the clinical reality that many diseases result from a combination of factors. The aneurysm might exacerbate Doctor Hu’s eye condition rather than being the primary cause. However, if the aneurysm does indeed contribute to Doctor Hu’s condition, capitalizing on this could become the turning point to solve his eye problem. 𝕗𝐫𝚎𝗲𝘄𝐞𝕓𝐧𝕠𝘃𝕖𝐥.𝐜𝚘𝚖

Regardless, ophthalmology successfully helped mitigate the acute crisis during the initial onset of the patient’s condition. The unresolved causes require input from various medical departments when a single specialty can no longer address the issue. Seeking opinions from other specialties and coming to neurosurgery pertains to the normal clinical course of managing such complex medical cases.

Clinically, it’s often like this: a patient with a puzzling disorder searches for a good doctor, relying mostly on chance. A fortunate encounter with a doctor like Cao Yong, who can seize the opportunity with an insightful breakthrough, is indeed a stroke of luck. Without such fortune, losing the optimal treatment window during the medical journey could render any subsequent diagnosis futile.