CT scans are quick and painless, and can provide a clear diagnosis. If there is a blockage in the appendix, it can be seen. If a CT scan of the intestine is done at the same time, it can also confirm whether there are other obstructions.
Weighing the pros and cons of the two projects, the radiation from CT can be completely ignored. It is better to do CT. Everyone agrees with the proposal of the pediatric leader, and the dispute lies in the laxative effect.
Shi Xu asked the pediatrician: "Do you want an enema?"
"We in the pediatric department have tried it and the results are quite good," Luo Jingming said on behalf of Nie Jiamin.
"You haven't tried it. If perforation occurs suddenly after enema, your family members will say that the perforation was caused by the enema." Sun Yubo curled his lips.
The most common patients with appendicitis are those in the general surgery department, and such disputes have indeed occurred. Although from an anatomical point of view, the enema tube is only so long from the anus and rectum, and is far away from the appendix, the pressure is not high at all. It is ridiculous for the family members to insist on the causal relationship between the two. Unfortunately, some family members will always only believe that some accidents in the clinic are related to the previous medical treatment, and will not think that it is the patient's own condition that has deteriorated, and make trouble in the hospital unreasonably.
Sun Yubo is talking about reality. When encountering appendicitis in clinic, it is a hard truth to remove the appendix. Because doctors, like everyone else, prefer to do less rather than more. It is much more comfortable to cut it off with one knife, rather than to guarantee that the appendix will perforate suddenly and then the family members will sue you to death.
If this is the case, why do pediatricians dare to recommend something as risky and seemingly useless as enema?
Enema has no direct therapeutic effect on appendicitis. The enema at this moment is mainly aimed at other symptoms of this child. This child is constipated, has difficulty defecating, and has some intestinal obstruction, which increases the burden on the body. Moreover, appendicitis and constipation can be said to be somewhat related. Sometimes feces will block the appendix and form appendicitis, which shows that intestinal fecal obstruction is not friendly to this disease. Constipation in other intestinal tracts will also cause the nerve reflex of the internal organs to narrow the lumen of the appendix, causing blood supply obstruction, giving bacteria an opportunity to take advantage.
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If the laxative is effective, it can indirectly alleviate appendicitis.
Another important reason why the Pediatric Department dared to make suggestions was that Luo Jingming bluntly said to the people in the Second General Surgery Department: "Don't you treat people with consideration?"
A major feature of pediatrics is that children's conditions change quickly and unpredictably. Pediatrics is the second and third most affected area for medical disputes, second only to obstetrics. Those who know the industry know it. Pediatrics has much more experience in handling doctor-patient relationships than general surgery.
Whether a doctor dares to make other risky attempts for the patient depends on the family members.
Everyone's attention was focused on Sun Rongfang again: Mother Xie was so reliable as a family member.
Cao Yong leaned over and listened to Xie Youtian's mumbling: "Sister——"
The son is calling his sister. Sun Rongfang sighed. Her son used to be naughty and like to confront his sister at home. When the situation became critical, he would call his sister for help. Just like her husband. Xie Changrong scolded his daughter on the surface, but in his heart he was always paying attention to his daughter's every move and cared more than anyone else. The people in the old Xie family are like this, stubborn and face-conscious.
A bunch of teachers and doctors around heard the child looking for his sister, and the strings in their hearts were touched. The sister is not here, saving other lives. Being a doctor will never avoid such situations. If colleagues don't lend a hand to save colleagues, who dares to do this job. Doctors' hearts are not hard, but soft. One by one, they feel the reliance on each other.
"It's okay, it's okay. Your sister is not here, but your brother is here."
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