As long as you understand this, you can say that this patient has found the right doctor.
However, medicine needs to be very rigorous. With this tendency to doubt, how can Cao Yong, the attending surgeon, prove that his guess is correct before doing the angiography, instead of dragging the patient to undergo a radiation examination operation for no reason.
Here I will talk about another verification thinking method commonly used by doctors in clinical practice, which is called drug counter-evidence. For diseases where the cause has not been investigated or cannot be found temporarily, as long as the doctor uses the right medicine and the patient has effective results, it can prove the cause of the disease speculated by the doctor. There is a high probability that the direction is correct.
Zhai Yunsheng tapped his fingertips on his nephew's prescription for oral medication.
At first, when he saw his nephew prescribing this cardiovascular drug, he and other doctors thought it was because the patient's blood pressure was a little high due to arteriosclerosis in his older age. But now it turns out that hydrochlorothiazide, a diuretic with slight antihypertensive properties, is highly safe. , can be used to verify whether there is a lower 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. He once almost entered cardiothoracic surgery, and later became a neurosurgery expert at the top of surgery. Thinking of this, Zhai Yunsheng couldn't help but feel in his eyes With some pride.
The diagnosis of aneurysm is presumed to be reasonable and the discussion of the problem needs to focus on other aspects.
"I remember that your hospital doesn't seem to perform many neurointerventional surgeries." Zhai Yunsheng pointed out another practical problem that patients avoid facing.
Deputy Director Lu rubbed his brow and looked at Zhai Yunsheng dissatisfied: I knew this guy was here to find trouble, specifically to find trouble.
Guo Xie's interventional surgery has been ridiculed by many outside the hospital. The top-ranked comprehensive tertiary hospital actually has only two or three interventional operating rooms in the whole hospital. It can be imagined that the business volume is extremely small.
Gu HanNo way, no matter how the people below react and give feedback, Dr. Wu is always not interested in interventional surgery.
Every doctor has his own persistent academic views. Dean Wu is no exception.
Interventional surgery is called a new technological breakthrough in the new century and is listed as the third clinical department on par with internal medicine and surgery.
Dean Wu has always scorned this statement, believing that the true clinical effect of interventional surgery is far from the goal of parallel surgery.
Cardiovascular interventional surgery technology has made great breakthroughs and progress. However, the application of interventional technology to other departments is very common. For example, the application of interventional technology in the field of gastroenterology is no later than that of cardiovascular disease. Nowadays, the more cutting-edge technologies in gastroenterology are concentrated. In endoscopic surgery, clinicians and patients alike prefer endoscopic surgery to interventional surgery.
The diameter of the digestive system's ducts is large enough to accommodate various endoscopic examinations and surgical operations, so there is no need to use semi-blind interventional surgery.
Interventional surgery is applied to other specialties. For example, in today's neurosurgery, interventional surgery was once regarded as a new technology and was believed to be able to replace neurosurgery. In fact, it was wrong.
The diseases that neurosurgery usually deals with are massive bleeding or tumors or implant surgeries. None of these are things that interventional surgery can do.
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.
