The operation in the operating room was proceeding in an orderly manner.
I mentioned the issue of doing things easily before. We know that doing things easily is not easy. Most of the time, when something seems to be easy to do, we end up having to do it another way.
Let’s talk about Fan Yunyun again. Is her answer correct?
For questions like this, of course, there is not only one correct numerical answer like solving elementary school math problems. Instead, there will be big and small circles, and the answer is correct within a certain range, and then there is the question of accuracy.
Answer: Coronary artery malformation, what is coronary artery malformation?
Deformity of human body parts usually refers to the abnormality beyond the normal level of healthy people. Similarly, the level of judging whether the coronary artery is deformed can refer to not only the size of the coronary artery, but also the distribution and direction of the coronary artery, etc.
From this perspective, it is a type of coronary artery disease, which is similar to other coronary artery diseases.
So as Dr. Pan Shihua, the instructor, said, the direction of thinking starting from the pediatric direction is two completely different things.
The key point raised by Dr. Fan Yunyun is that for congenital changes in coronary artery malformations, the first thing to think about is the cause.
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The first thing that cardiac surgeons think about is the accurate definition of coronary artery anomaly.
A more precise definition of coronary artery malformation is usually abnormal coronary artery origin, abnormal coronary artery course, abnormal coronary artery internal structure and abnormal coronary artery termination.
It can be seen that this disease has similarities with other coronary artery diseases and needs to be distinguished from acquired heart diseases.
What is the significance of the difference?
Myocardial infarction is the most common type of acquired coronary artery disease. Its cause is well known to be closely related to coronary atherosclerosis, and involves acquired personal factors such as smoking history, diabetes history, and hyperlipidemia.
These acquired factors may not require surgery, which means that taking medicine under certain conditions and regulating the patient's own eating habits, taking medicine and exercising can slow down the progression of the disease or even reverse it.
It’s different if it’s congenital. For a congenital disease like this one, everyone knows that taking medicine is useless and the only way to treat it is surgery.
On the other hand, if the coronary artery disease is caused by acquired factors, surgery is the only way to solve the problem under certain circumstances.
It’s different if it’s congenital. It’s possible that either surgery has to be done from the beginning, or it’s destined that it won’t affect the patient for the rest of his life and the patient doesn’t need surgery.
At this point, the doctor may need to consider whether it is a congenital or a congenital and acquired disease.
The complexity of individual medical records is difficult for outsiders to imagine, and clinical medicine has never had a standard unified answer.
What's more, the patient's age is just between the middle and upper limits, which makes the distinction between congenital and acquired even more unclear.
It can be seen from this that cardiac surgeons who are jealous of Dr. Fan Yunyun's answer can only be called incompetent. No wonder they were severely criticized by Teacher Pan.
The answer given by Dr. Fan Yunyun is really very general and is not actually applicable in cardiac surgery.
However, no matter what, it is quite a feat for a pediatric intern to be able to suck up to other specialists.
What's more, the general answer given by Dr. Fan Yunyun at least provided practical thinking direction for other bystanders who did not participate in the surgical discussion.
When everyone accompanied the surgeon to observe the patient's heart surface blood vessels with a thoracoscope, it was time to test the doctors' medical brains to turn into three-dimensional computers. Luo Jingming shook his head: It was difficult for him to make inferences based on this observation, which was also the reason why he took the initiative to give up pursuing the top surgical fields such as cardiac surgery and neurosurgery.
Cardiac surgery can be simply described as the pursuit of human blood vessels to the extreme. Neurosurgery can be simply described as the pursuit of human nerves to the extreme.
There are countless blood vessels and nerves in the human body.
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