Chapter 4050 [139] Apply What You Have Learned

For example, imperial envoy Xie used stories to test you. When you are busy with impure thoughts, you subconsciously feel that it is troublesome to wear gloves to examine patients.

Anyway, at first glance, a disease that can't kill people can be careless.

No wonder the imperial envoys question whether you have passed the technical test.

Sweat dripped down Dr. Ma's head in rows.

It's the pustule's fault, he was not careful, so it's okay to admit it.

What Dr. Ma is now worried about is that he has no confidence in his own technology, and he has no confidence in reading the films to judge the stage of the current patient's appendicitis.

The technical difficulties of surgeons, if you think back to the internship period of Dr. Xie Wanying, you will find that the first hurdle is not performing surgery but reading images.

Isn't there an imaging doctor who issues an inspection report and needs a surgeon to read the film?

If the surgeon reads the film by himself, wouldn't it be a repetitive task for the radiology doctor to issue the inspection report.

Yes, there are many repetitive tasks in clinic.

For example, when a doctor prescribes an injection, the person in the pharmacy is required to close the order, and the nurse is required to close the order before executing it.

There is only one purpose for clinical repetitive work, and multi-level checks reduce errors.

Speaking of this, many people will understand why every time it is mentioned in the news that the surgeon has wrongly switched the patient's left and right hands and left and right legs, the medical staff who heard the news all shook their heads.

How to say? The patient would feel extremely unlucky. Because there are at least three levels of checkpoints here that have not been grasped. You said that this patient had a very bad luck, so that how many medical staff can be confused.

The hospital's internal handling of such problems is by no means just holding the responsibility of the surgeon as the news said. The nurses in the operating room should be held accountable, the nurses in the department who prepared the skin should be held accountable, and the doctor who issued the imaging report should see if it is the same fault Do you want to take responsibility? Even if there is an anesthesiologist to help with the anesthesia, it will be responsible.

Therefore, the surgeon must be able to read the slides himself.

Is it difficult to read the film of appendicitis?

Let me first say that acute appendicitis can be pathologically classified into acute simple appendicitis, acute suppurative appendicitis, gangrene or perforated appendicitis. The last type is the most complicated and will lead to the worst case of peritonitis and even death of the patient we mentioned earlier. .

Fear of perforation. Under normal circumstances, doctors for acute simple appendicitis and acute suppurative appendicitis will recommend surgery as soon as possible, preferably within three days.

Does acute appendicitis require surgery and can be operated on? Sometimes doctors will give anti-inflammatory injections and so on.

The classification process relies on accurate diagnostic classification, too.

As long as you can understand the above technical points, it is a necessary process to judge whether the patient needs immediate surgery through film reading.

Dr. Ma's head must have been a little confused, and he stood there without answering.

Is it because I didn't understand the above classification techniques, or maybe not, but I can't read the classification in the film.

When students learn from teachers, teachers like to use typical cases in lectures because it is easy to teach and it is not troublesome. For vague atypical cases, the teacher himself may need to think about how to tell you.

This is the meaning of letting young clinical doctors be on duty alone, and you have to try atypical cases by yourself.

Dr. Wen Zihan was gentle by nature, and asked, "When did he (Dr. Ma) work the night shift by himself?"

Dr. Xie Wanying is not as gentle as Dr. Wen mainly because she is going back to her hometown this time, and she answered clearly again: "The teachers of the Second General Secondary School are very strict."

I believe that no matter whether it is the first night shift or not, as long as it is a second-male doctor outside the general public, it should be noticed.

Dr. Ma: ...Dr. Xie, you are worthy of being an excellent student who was educated in the Second General Foreign Language School.

Thank you for your support, good night, dear~