Hearing that her answer was in accordance with the idea he had given before, Yu Xuexian nodded repeatedly: Fortunately, it was not messy.
Therefore, when you become a doctor, whether you want to be a surgeon or an internist, you should rotate through both internal and external medicine during your internship. This is to help you develop a comprehensive way of thinking. You should not just think about using a scalpel every day, but learn to cooperate with multiple departments and adopt a comprehensive approach to treating diseases. If the internal medicine department cannot cure the disease, you should quickly ask the surgery department to assist in the treatment, and then go back to the internal medicine department to treat the disease. In the acute stage, the surgery department cannot perform the operation, so the internal medicine department must come up with a solution.
Her statement was obviously what Director Yang wanted. The hospital specially arranged for medical students to rotate internships in several departments, and needed to know how the students were doing. Director Yang nodded to her, indicating that his intention was basically the same as his.
Internal medicine can perform immunotherapy targeting the cause of the disease, but surgery must solve the problem of pus drainage, which is not something that internal medicine can do.
Speaking of the surgical strategies she is good at, Xie Wanying said frankly: "Other hospitals failed to help the patient drain all the pus. According to the simplest surgical thinking, it must be because the drainage tube was placed in the wrong position."
Director Yang stretched out his hand as if to point at the tip of her nose: You’ve hit the nail on the head, keep going.
Doctor Jiang nodded: Yes, yes, that's the idea, but where should the drainage tube be placed? The doctor from the other hospital opened the abdomen to drain the abscess. The situation in the abdominal cavity should have been observed clearly before the drainage tube was placed. The possibility of the drainage tube being placed incorrectly is extremely low. Therefore, Dr. Jiang did not dare to question his colleagues from the other hospital at first.
"We often encounter such problems during and after laparotomy." Xie Wanying said, "After the abdominal cavity is opened, due to the intervention of the surgeon, the patient's abdominal organs will be invaded and disturbed, and their physiological functions will be disturbed after the operation. It manifests in intestinal adhesions and abnormal intestinal activity after the operation. Back to this patient, because he has Crohn's disease, which itself has the manifestation of intestinal dysfunction, after the surgical intervention, the activity of his intestines and surrounding organ tissues is further affected. Afterwards, the position of the pus will change. Maybe his physical changes are beyond the doctor's expectations of previous cases. The doctors in other hospitals have debugged the drainage tube and tried the idea of a second operation, but the patient was too weak to dare to operate again. How to determine the position of the drainage tube has become a problem, which makes the negative pressure bottle dare not be used casually. At the same time, it shows that there may be a possibility of misjudgment in the first operation, and the surgeon did not find the largest inflammatory position."
The door of the office was secretly opened a crack by someone from the outside, and it seemed that there was a head with a pair of ears that were perked up to listen to what Xie Wanying was saying, following the ears of everyone in the room.
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"Okay." Director Yang saw that what she said was good, and asked her to solve the problem in one go according to this idea, and said, "Tell me more about what specific measures you will take."
The leaders of the Medical Education Department are really not afraid of putting pressure on people and are pressing on with their victory.
"We must return to the starting point, that is, the internal structure of the patient's body." Xie Wanying said.
As if he knew what she was going to do next, Pan Shihua flipped through the patient's medical records and opened them to a few CT scan results. Then he took out a pen and notebook from his white coat pocket.
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