Chapter 4053 [142] Got It Right
What exactly Dr. Xie did is a long story.
All I know is that the office of the second general surgery doctor is so quiet that you can actually hear a needle drop.
Everyone except the imperial envoy was sweating.
Dr. Wen Zihan turned around and went to pour a glass of water for the "candidate".
Yeah. Dr. Ma kept wailing in his heart, wishing that he would be scolded or slapped on the head to make it better than what he was doing now.
Do you know what this scene is like now? Dr. Ma believes that the only thing that needs to be done is to put up a sign of leniency for frankness.
"I, I -" Dr. Ma was thinking that I should just admit my mistake and get away early.
Wait, Dr. Xie said, "Do you know the normal CT findings of appendicitis?"
Good guy, don't let him go and don't let him admit his mistake.
How can a doctor give up so easily? No.
Dr. Ma raised his hand to wipe his brow, his facial expression concealed under his hand not knowing whether to cry or laugh. It's easy to perform normal CT scan, he must know.
It is said that not all people look exactly the same, and this is particularly evident in the appendix. Some people's appendix is thin and long, and some people's appendix is thick and short, so the normal span of the appendix can be very large.
After his thoughts became clearer, Dr. Ma knew that he could at least tell whether the patient had appendicitis from the film.
The CT signs of patients with appendicitis are actually not difficult to identify. Simply put, the appendix has become thicker and larger than normal.
What is difficult to identify?
Around the appendix.
Isn’t it possible to operate as long as appendicitis is recognized? As mentioned before, appendicitis needs to be clearly classified, which is a key factor in deciding for surgery.
The more important thing for classification is to see whether there is perforation of the appendix around the appendix.
There is an interesting advancement in medical technology here.
You know, there used to be absolute contraindications to surgery for appendicitis in surgical books. This is because some appendicitis surgeries are prone to intestinal fistulas.
Later, the surgical books were changed to allow the surgeons to make their own decisions. This was attributed to the surgeons who had brought appendicitis surgery to a new level, and laparoscopy must also have contributed.
If you understand this, you can understand why some doctors say that the same patient with appendicitis cannot undergo surgery, while others say that he can undergo surgery.
The key point of difficulty in surgery lies here, peri-appendiceal abscess.
For peri-appendiceal abscesses, according to the guidance in previous books, the inflammation should be cured for three months before making arrangements based on the situation.
After understanding the above, we can know that Dr. Ma's criteria for judging whether the patient needs immediate surgery is not just to prioritize the patient's condition, but to comprehensively consider whether the technology of his department can successfully complete the surgery for the patient.
As mentioned before, many patients with appendicitis have died as a general foreigner.
These words are cruel. Even if the family members and the patient themselves say they are willing to take risks and undergo surgery, doctors must adhere to technical principles and must not perform surgeries that are temporarily uncertain.
Patients and their families don’t need to worry. The disease will have a course of recovery. As long as the doctor's prediction is accurate, you can wait and wait for the moment when the disease turns around to usher in the golden time for surgery.
This is also something that Dr. Ma needs to judge on the spot, because even if he contacts the doctor above to make a decision, he needs to explain the problem in detail.
Thinking about this, Dr. Ma found that before, he had not recalled the surgical procedures of the doctors in his department so carefully. He usually made a rough estimate when reporting.
From this we can draw the conclusion that whether a doctor is good or not depends on whether he is careful or not.
The two imperial envoys pinpointed his fault: sloppiness.
Thank you for your support, good night, dear friends~