Xie Wanying told the surgeon: "No."
Well, Xie's answer seemed to be unexpected, but also expected. Even Dr. Yang thought it was natural for her to say any explosive academic opinions. Who made this person so surprising?
"What is it?" Shin Youhuan asked.
"Brother, please return some of the data and recheck it. You may find that the deviation between the two measurements is a bit large."
"Is the big deviation because Teacher Shen placed it in the wrong position the first time?" Doctor Yang asked, not quite understanding.
A doctor teacher nearby spoke up: "Don't ask her all the time, think about it yourself."
Doctor Yang wanted to cry inside. He had finally found a top student to tutor him, but the teacher didn't allow him to ask any questions to the top student.
Xie Wanying recalled the first time she went to the emergency room and was caught by Teacher Lin giving cheat sheets to classmate Zhao.
You are not allowed to ask questions to clinical teachers. You can discuss during meetings, but you are not allowed to ask questions when you are not supposed to. If you ask everything, then when you see patients in the future, the doctor will be practicing alone, and who will give you the opportunity to ask questions?
...
...
For the sake of Dr. Yang, Xie Wanying did not answer. Looking at the operating room, Senior Brother Shen quickly understood what she meant and was withdrawing the catheter probe. It was not the wrong position as Dr. Yang said. It was impossible for an old hand like Senior Brother Shen to put the probe in the wrong position.
If the numerical deviation is too large and exceeds the normal value, it can only mean one thing: the condition of the blood vessel wall here is extremely unstable. There may be active small thrombi being formed or falling off, indicating that the regional heart is in a state of deterioration. In such a situation, it is difficult to accurately assess the progression of the patient's condition by simply performing coronary angiography.
The first coronary angiography showed that the diffuse stenosis in the blood vessels was only 40 to 60 percent, which was not up to the standard for stent placement, let alone the need for any bypass surgery. However, the IVUS showed that the first measurement was 4, close to the limit for stent placement, and the second measurement showed a value of 3.4, which was even more terrible, indicating that a stent could be placed. Since the patient was young, it was unreasonable to say that he had atherosclerotic plaques that caused the stenosis. It could only be caused by injury. It now seems that the vascular damage is much more serious than the doctor imagined based on the examination report alone.
With IVUS data support, coronary angiography was performed several times, and the results were compared to show that there was indeed a severe stenosis. Without IVUS, the diagnosis might have been missed.
Considering that the patient's illness was caused by trauma, it is meaningless to just put in a stent. The heart area corresponding to the blood vessel must be damaged, which is consistent with the point made by Xie before. The abnormal area found in the examination needs to be re-examined to confirm the diagnosis. This is something that internists cannot do with intravascular interventional technology, and can only rely on surgeons to check it with their own eyes.
Surgeons are the backup for internal medicine. This statement once again shows its extraordinary significance.
"Junior sister, your eyes are terrifying." As the operation went on, Shen Youhuan couldn't help but exclaim, "I couldn't see it, but you could. I know that this is a variable, and it's not enough to just look at it. Yingying, are your eyes a built-in calculator?"
Xie's eyes have their own computers. Well, all the onlookers present agree with this.
Senior Brother Shen is now in a relaxed mood. The purpose of the internal medicine surgery has been basically achieved, and the problems can be checked out to serve as a forerunner for the surgical department.
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