Chapter 2078 【2078】Justified
As long as you want to understand this point, it can be said that this patient has found the right doctor.
But medicine is very rigorous. With this skeptical tendency, how can Cao Yong, the attending doctor, prove his guess is correct before doing radiography, instead of dragging the patient to undergo radiation examination and surgery for no reason.
Here I want to talk about another verification thinking mode commonly used by doctors in clinic, which is called drug counter-evidence. For diseases that have not been investigated or cannot be found out for the time being, as long as the doctor uses the medicine correctly, the patient will have an effect, which can prove that the doctor's guessed direction of the cause has a high probability of being correct.
Zhai Yunsheng tapped his nephew's oral medicine order with his fingertips.
At first, when he saw his nephew prescribing this cardiovascular drug, he and other doctors thought it was because the patient was older and his blood pressure was a little bit higher due to arteriosclerosis. Looking at it now, this slightly antihypertensive diuretic hydrochlorothiazide is highly safe and can be used to verify the existence of an inferior aneurysm and the possibility of affecting the patient's central retinal artery.
After all, the patient's blood pressure is not very high.
His nephew has been called a genius since he was a medical student. He is not like ordinary geniuses, but a very down-to-earth kind of genius. Once almost entered cardiothoracic surgery, and later directly became a top neurosurgery expert. Thinking of this, Zhai Yunsheng couldn't help but feel a little proud in his eyes.
The diagnosis of aneurysm is speculated to be well-founded, and the discussion of the problem needs to focus on other aspects.
"I remember that your hospital doesn't seem to carry out many interventional neurosurgeries." Zhai Yunsheng raised another practical problem that patients avoid facing.
Deputy Director Lu frowned and looked at Zhai Yunsheng dissatisfied: I knew this guy was here to find fault, specifically to find fault.
Guoxie's interventional surgery was ridiculed by many outsiders. The No. 1 comprehensive tertiary hospital actually has only two or three interventional operating rooms in the whole hospital, and it is conceivable that the business volume is extremely small.
No way, no matter how the people below respond to the feedback, Dean Wu is still not too cold about interventional surgery.
Every doctor has his own persistent academic view. Dean Wu is no exception.
Interventional surgery is called the new century's new technological breakthrough, and it is listed as the third clinical department with the same reputation as internal medicine and surgery.
Dean Wu has always sneered at this statement, thinking that the real clinical effect of interventional surgery is far from the goal of parallel surgery.
Cardiovascular interventional surgery technology has made great breakthroughs and progress. It is common for interventional techniques to be applied to other subjects. For example, the application of interventional technology in the field of gastroenterology is not later than cardiovascular. Now the more cutting-edge technology in the department of gastroenterology is focused on endoscopic surgery, and clinicians and patients also prefer endoscopic surgery rather than interventional surgery.
The diameter of the pipeline of the digestive system is large enough to accommodate various endoscopic examinations and surgical operations, so why use semi-blind interventional surgery.
Interventional surgery is applied in the same way as other specialties. For example, in today's neurosurgery, intervention was once regarded as a new technology and considered to be a substitute for neurosurgery. Very wrong actually.
Neurosurgery usually deals with major bleeding or tumor or implant surgery. None of these can be intervened by interventional surgery.
It is said that interventional surgery can solve vascular embolism and aneurysm. The problem is that head ct is not a daily physical examination item. Interventional surgery is even less likely to become a daily physical examination item.