I only know 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 in tears.
Dr. Wen Zihan turned around and went to pour a glass of water for the "candidate".
Well. Dr. Ma kept wailing in his heart, wishing that he would be scolded or slapped on the head with a stick, which would make it better than what he is doing now.
Do you know what the scene is like now? Dr. Ma believes that all we need to do is hang 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, and the facial expression concealed under his hand did not know whether to cry or laugh. He must know that it is easy to perform normal CT scan.
It is said that not all people look exactly the same, and this is particularly evident in the appendix. Some people have thin and long appendixes, while others have thick and short appendixes, 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 from the film whether the patient had appendicitis.
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 perform surgery just by identifying appendicitis? As mentioned before, the type of appendicitis must be clearly classified, which is a key factor in determining surgery.
The more important thing for classification is to see whether there is perforation of the appendix around the appendix.
There is a very interesting advancement in medical technology here.
You should know that in the past, there were absolute contraindications for surgery for appendicitis in surgical books. This is because some appendicitis surgeries are prone to intestinal fistulas.
Later, the surgical textbook was changed to allow the surgeons to make their own decisions. This is attributed to the surgeons who have brought appendicitis surgery to a new level, and laparoscopy must also be credited.
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 the criteria for Dr. Ma to judge whether the patient needs immediate surgery is not just to give priority to the patient's condition, but to comprehensively consider whether the technology of his department can successfully complete the surgery for the patient.
As I said before, a lot of appendicitis patients died as a general surgeon.
These words are cruel. Even if the family members and the patient themselves say they are willing to take risks in surgery, doctors must adhere to technical principles and must not perform surgeries that are temporarily uncertain.
In fact, patients and their families do not need to worry. The disease will have a curing process. 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 still 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~