Chapter 3520 【3520】Fitpick
The stubborn classmate Xie put on a technical face, usually without caring about human feelings.
Her words came to the fore.
The others at the scene looked at each other in blank dismay.
Is it possible that the radiologists of the National Association for the examination of patients are not very skilled? In fact, just like the patient examination problem that occurred in the First Affiliated Hospital of Zhongshan Medical College, some neurosurgery examinations are relatively special and not easy to do.
Tao Zhijie, who is too professional in neurosurgery, also didn't understand, so he had to turn around and ask Cao Yong for advice: "Did she say that the examination was done incorrectly?"
"It should be said that she thought that the inspection could be done more carefully." Cao Yong said.
Positioning has always been emphasized in neurosurgery. The importance of the positioning of the brain MRI report is self-evident. In terms of routine examinations, there are basically no imaging doctors who strive for excellence in this regard. If you want to do it very finely, you need to use the positioning line layer by layer and compare the axial and coronal views, which is very time-consuming and labor-intensive, unless a clinician specifically ordered the imaging department in the past.
"Do you ask someone to tell the imaging department when every patient is undergoing an examination and scanning?" Tao Zhijie asked this to reflect on himself, whether he needs to ask the imaging department to pay attention to such cases in the future.
What are you talking about, old friend? If I do this, the imaging department will annoy me to death. Cao Yong gave a "you understand" look.
Clinically, each department emphasizes mutual trust. If you ask people how to do it every day, it is obvious that you don't trust their work, which is equivalent to deliberately picking thorns in their work in disguise. Forget it once or twice, who will understand if you say too much.
So Li Yaxi did not find out the first time he checked in the National Association. For the second examination in another hospital, Tao Zhijie had to tell the imaging doctor there how to perform this pancreas examination on her, otherwise it would not be found out.
Another example is that when Mr. Zhang's own mother was undergoing an examination, he, the big leader, wanted to accompany him to the examination department and stared at him.
Clinically, most of the inspection reports in the first few months write that everything is normal and then there are problems in the inspection reports. If you ask, the doctor will directly tell you that the accuracy of imaging examination is actually like Schrödinger's cat.
If you want to make the examination extremely close and accurate, the doctor accompanying the patient needs to know better than the imaging doctor, and it is supervised by a leader like Mr. Zhang. How many do you think can do it?
Even so, giving wholeheartedly and doing your best may not necessarily produce the examination results the doctor wants.
It is impossible for modern medical imaging to reach the level of cancer cells. Clinicians know this well and can only take other means to make up for it.
Among brain tumors, if it is a benign tumor, it doesn't matter if it is bigger and then discovered and then cut. The main problem is that malignant tumors, especially brain metastases, are so cunning that they will present multiple small lesions, making it difficult to find.
What should I do if it is found to be missing?
For malignant brain tumors, clinically, doctors generally have cancer cells everywhere in the brain at least, and chemotherapy and radiotherapy are required. If it is missed, it will be missed.
If you say that, is Xie a nitpicker?
To talk about another question, under what conditions do clinicians need to communicate with imaging doctors.
"It's not the imaging department's fault, it's not your fault, and it's not her fault. Before the first examination, no one knows whether there are brain metastases or how many brain metastases have come out." Cao Yong said.