许多UCSF商谈论他们是如何工作的好处不只是自己的患者，但所有患者给定的条件。bob彩票vip投注 Do you agree?
绝对。 The history of medicine is full of examples where we learn from our patients how the brain – and the whole body – works, sometimes through their suffering. It is a special and unique and important part of how we learn.
我们有一个了不起的团队的医生，护士，治疗师......bob体育篮球每个人都带来了不同的专业知识，所以我的一些同事，像加西亚博士和博士伟达的，专注于诊断，并帮助找出其中的癫痫发作的来源。 My expertise is in the surgery itself, making sure that it happens in a safe and effective manner. And a large team of nurses and therapists helps our patients get through the entire process.
我们想通了，金佰利的癫痫发作是从脑的了解最少的部分之一她的大脑被称为岛，一部分到来。 It's covered by the frontal and temporal lobes, so it's located physically deeper. Its functions are mysterious. We know that it's involved in processing some emotions, taste, even things like language – as well as our ability to know where our boundaries of self are.
是什么让手术在大脑中那么复杂，这部分是它通过对于其他相关功能的关键部件包围。 Just inside the insula, millimeters away, are very important fibers that connect the part of the brain that controls our ability to move our arms and legs. So, if the surgery goes too deep, just by millimeters, that can cause the inability to move half the body. The possible effects on our emotions and language are also unclear.
很多医学时代，我们都与不是非黑即白的情况。 There's a huge gray zone between what we know and what we don't know. We often have to make decisions with incomplete information. Kimberly's case was just that. We had a general idea of where the seizures were coming from, but it was directly adjacent to areas that we knew were quite critical for her ability to talk. We had to do some unique things to figure out how to do this surgery safely, essentially pushing the limits of what was possible.
中，涉及有她，她的手术过程中醒来，在不断的交谈，并与我们交流的一部分。 Part of it was mapping out her brain beforehand, using new technology. I think the most important, of course, was communicating with her regularly throughout her surgery, and getting her feedback as a member of the team, to make sure it was as safe as possible.
有些是基本的，好像叫她的名字对象她看到电脑屏幕上或重复的话。 But the kind of information that was the most useful was the kind of language she would use on a daily basis, having her describe where she came from, what she likes or doesn't like to do. It was critical to get that kind of real-time feedback, critical to knowing that – every minute and every second of that surgery – she was OK.
她的癫痫发作也有一个非常有趣和重要的特征：他们引起恐慌和严重的焦虑。 Those were actually occurring during the surgery, which was challenging. But it was important information, to know that she was still having those events, because we knew we weren't done with the surgery until those stopped.
绝对。 That's a part of the brain that we probably know the least about. The fact that the seizures from that part of her brain were so intimately associated with how she felt, there's just a complete dissociation.
我们大多数人的情绪反应到某些事情 - 这是我们的经验，看到或吃东西，甚至打架。 But in her case, the feelings would just come out of nowhere. For people who don't experience this, it's hard to imagine your emotions basically taking control of your brain through these uncontrolled seizures. It was very important to understand how that was working to guide her surgery safely and to get it under control.
情绪是很明显的，我们是谁很重要的一部分，目标是不要删除焦虑或她有好还是坏天的能力。 It was more about removing those kind of emotional changes that were directly related to the seizures she was having. Those are the ones that really bothered her.
她的手术后，金佰利现在是独立的，能够靠自己做事情喜欢乘坐公共交通工具。 How does that make you feel?
这让我感觉好极了，因为这是我们所希望看到的。 With the challenging cases we see, we can't promise there's going to be a successful outcome.
我们可以承诺的唯一的事情是，我们将在解决问题和使用的一切，我们必须在技术，同情心和奉献精神方面抛出我们拥有的一切。 So it's really gratifying, because at the beginning of these journeys, we often don't know. That's what it's all about – for me at least.
我们想想很多。 For a lot of our patients, seizures seriously affect their quality of life. Some of our patients can't leave home because it's not safe or they're losing consciousness, falling or blacking out while crossing the street – things most of us take for granted, like driving a car, for example. All of that equates to a pretty big restriction on their freedom to live normal lives.
我认为弹性。 I think of someone who is optimistic and positive in the face of really tough odds. That's inspiring.
我们得到了来自她就像她从美国得到。 She had a really tough situation and was dealing with a lot, but it was clear from the beginning that she had a different outlook.
一对夫妇的事情帮助使我们脱颖而出。 Experience matters a lot. Our doctors and the rest of our team have such a wealth of knowledge in thinking about complex cases like this. We also have some of the best technology, which we have developed, so we know how to use it.
而第三件事是，我们的医生真正体恤组。bob体育篮球 At the end of the day, that's what really matters.
金佰利提到的个人连接她与她的团队。 How does that help with healing?
bob彩票vip投注患者必须参与在他们的照顾它去好。 It always goes better when it is collaborative. Having the surgical patient awake and collaborating with me is maybe kind of an extreme example of that, where in order to do that surgery effectively and safely, I had to have that communication and feedback. That was teamwork between Kimberly and the surgical team.
但它超越了这种方式。 It's knowing that regardless of what happens, whether or not the surgery is successful, we are committed to taking care of someone. That's very special about the people I work with.