Just like when Imperial Envoy Xie tested you with a story, you had impure thoughts and subconsciously thought that it was troublesome to wear gloves when examining patients.
Anyway, since it doesn't seem to be a fatal disease at first glance, it's okay to be careless.
No wonder the imperial envoys questioned whether you had passed the technical test.
Sweat dripped down Dr. Ma's head.
It was Pus' fault, he was not careful, it's okay to admit it.
What worries Dr. Ma now is that he has no confidence in his skills and his ability to judge the stage of the patient's appendicitis by reading the film.
If we recall Dr. Xie Wanying’s internship, we will find that the first hurdle for surgeons was not performing surgery but reading films.
Isn't it the radiologist who issues the examination report that requires the surgeon to read the film?
If surgeons read the films themselves and imaging doctors issue examination reports, wouldn’t that be duplication of work?
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Yes, there is a lot of repetitive work in clinical practice.
For example, when a doctor writes an order for an injection, he or she will ask the pharmacy staff to close the door, and the nurse will close the door again before execution.
There is only one purpose for repetitive clinical work, which is to reduce errors through multiple levels of review.
At this point, many people will understand why every time the news talks about a surgeon swapping the patient's left and right hands and legs, the medical staff who heard the news all shake their heads.
How to say it? I feel that the patient is extremely unlucky. Because at least three levels of security are not met. Do you think this patient is extremely unlucky, which can make so many medical staff so confused?
When dealing with such problems within the hospital, it is not just the surgeon who is held responsible as the news reports say. The nurses in the operating room are also responsible, as are the nurses who prepare the skin in the department, and the doctors who issue the imaging reports. Even the anesthesiologist who helps with the anesthesia is also responsible.
Therefore, surgeons themselves must be able to read films.
Is it difficult to read appendicitis films?
First of all, 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 peritonitis we mentioned earlier and even death of the patient.
For fear of perforation, doctors generally recommend early surgery for acute simple appendicitis and acute suppurative appendicitis, preferably within three days.
Does acute appendicitis require surgery? Sometimes the doctor will give you an anti-inflammatory injection, etc.
Triage treatment relies on accurate diagnostic classification.
As long as you understand the above technical points, it is a necessary procedure to determine whether the patient needs immediate surgery by reading the film.
Dr. Ma's mind was probably a little confused, as he just stood there without answering.
Maybe it’s because I didn’t understand the above classification techniques. Or maybe it’s not that, but I just can’t understand the classification in the film.
When students learn from teachers, teachers like to use typical cases because they are easy to explain and not troublesome. For vague and atypical cases, teachers themselves may need to figure out how to explain them to you.
The significance of letting young clinical doctors work on their own is that you should try atypical cases on your own.
Dr. Wen Zihan, who is of a gentler nature, asked, "When did he (Dr. Ma) take the night shift by himself?"
Dr. Xie Wanying was not as gentle as Dr. Wen, mainly because she was returning to her hometown this time. She answered clearly again: "The teachers in General Surgery II are very strict."
I believe that no matter whether it is the first time to work the night shift or not, any doctor in the general surgery department should be able to tell.
Doctor Ma: ... Doctor Xie, you are worthy of being an excellent student who was educated in General Surgery II. You have put your knowledge into practice the "strict" essence of General Surgery II.
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