Understanding Teacher Jin's thoughts, Xie Wanying said, "I think we shouldn't rush into the surgery. It would be better to complete other examinations."
"What kind of test?"
The patient underwent all the inpatient examinations during her hospitalization in the internal medicine department.
Xie Wanying said, "I see this patient didn't have an MRI."
Junior sister is really stubborn and speaks frankly.
Doctor Jin smiled bitterly: "Yingying, let me tell you, the problem with MRI is——"
MRI is more expensive than CT. Doctor friends will help patients to be thrifty. For example, Dai Ronghong helped someone save the examination fee, which shows that Dai Ronghong's practice is not an exception, but a common practice among general doctor friends.
Dr. Jin is a specialist doctor treating my friend's disease and is more confident in helping him save the money.
Xie Wanying said: "I believe that Professor Jin must also know that it is best to give the patient a 3D-CISS sequence examination and PC-MRI magnetic resonance phase contrast cine imaging."
...
...
Two drops of sweat spurted out of Dr. Jin's forehead.
This is not an ordinary MRI examination, special MRI examinations are more expensive.
And if the junior sister hadn't mentioned it, she really wouldn't have thought of these two tests for a while. These two tests are the most advanced tests. They are not written in the textbooks.
Wei, who was present, said that he was once again confused by Xie's words, and asked Pan and Geng: "Did you understand what Yingying said?"
This time, students Pan and Geng were silent.
Wei Shangquan was happy: Finally, these two guys became poor students like him and couldn't understand what classmate Xie said.
The junior sister is amazing. These two types of examinations are almost never performed in clinical practice and belong to remote and unpopular specialized examination items. The junior sister can actually tell them all. Huang Zhilei raised his eyebrows excitedly. The junior sister is like a fish in water when she returns to neurosurgery.
Seeing that Senior Brother Cao's expression was full of smiles.
"These two tests can accurately identify the type of hydrocephalus in patients. Is it obstructive hydrocephalus or communicating hydrocephalus? Or is there a problem with the arachnoid membrane? It is very important for doctors to determine the cause of the disease. It can also help us doctors evaluate the volume and expansion of the patient's ventricles and brain tissue volume, understand the movement and direction of cerebrospinal fluid, and plan more accurate surgical plans." Xie Wanying spoke slowly and clearly, and it was obvious that she was well-versed in such unpopular specialized knowledge.
Doctor Jin admired her, this junior sister was indeed a top student, but she had to confess: "Yingying, it still can't be done. Her family doesn't have the money."
What is the purpose of having patients undergo such expensive tests?
The reasons you mentioned above are far from enough.
A good doctor who is good at treating patients is not just responsible for curing their diseases.
What if the doctor makes the patient spend a lot of money on additional tests and finally comes up with the same shunt surgery plan?
Patients and their families will: Well, is that so?
Patients and their families will ask around for treatment information about similar patients to determine whether what the doctor says is wrong.
The fact is that, in clinical practice, most patients have poor family economic conditions, so doctors generally do not prescribe such expensive examination items for patients. As a result, although this examination item is called good, it has become unpopular because no patient has the money to use it, and even Dr. Jin has not thought of it.
This will cause family members to mistakenly believe that you, the doctor, want to trick me into doing more tests and wasting useless money, or that it is because your doctor's skills are not good that you asked me to do unnecessary tests.
Doctor Jin is an old hand in the industry and knows a lot, so he told the little sister straightforwardly that this approach would not work.
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