When it comes to technical matters, the stubborn Mr. Xie usually doesn't care about human feelings.
Her words were very meaningful.
The others at the scene looked at each other.
Could it be that the imaging doctor who examined the patient at the National Association of Radiology was not very skilled? In fact, just like the patient examination problem that occurred at the First Affiliated Hospital of Zhongshan Medical College, some examinations in the neurosurgery department are relatively special and not easy to perform.
Tao Zhijie didn't understand the neurosurgery stuff, so he had to turn to Cao Yong and ask, "Did she say that the examination was done wrong?"
"It should be said that she thought the examination could be done more thoroughly." Cao Yong said.
In neurosurgery, positioning is always important. The importance of positioning in brain MRI reports is self-evident. For routine examinations, there are basically no imaging doctors who can achieve excellence in this regard. If you want to be very precise, you need to use positioning lines and compare axial and coronal positions layer by layer, which is particularly time-consuming and labor-intensive, unless a clinical doctor specifically instructs the imaging department.
"Do you ask someone to remind the imaging department every time a patient undergoes an examination or scan?" Tao Zhijie asked this question to reflect on himself, wondering whether he should ask the imaging department to pay attention to this kind of case in the future.
My friend, what are you talking about? If I do this, the people in the imaging department will be annoyed to death. Cao Yong gave him a look that said "you know".
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In the field of business, mutual trust is important in all disciplines. If you ask people what to do every day, it means that you don't trust their work at all, which is equivalent to deliberately picking on their work in disguise. It's okay to do it once or twice, but if you do it too much, no one will listen to you.
So the first time Li Yaxi had a checkup at the National Association, nothing was found. The second time she went to another hospital for a checkup, Tao Zhijie had to specifically instruct the imaging doctor there on how to do the pancreatic examination for her, otherwise nothing could be found.
For example, when Zhang's mother had a checkup, he, as a senior leader, had to accompany her to the examination department and keep a close eye on her.
Most of the clinical cases are that the examination reports a few months ago show that everything is normal, but the examination reports a few months later show problems. If you ask, the doctor will tell you directly that the accuracy of imaging examination is like Schrödinger's cat.
If you want to make the examination extremely accurate, the doctor who accompanies the patient for the examination needs to know more than the radiologist and be supervised by a leader like Mr. Zhang. How many people do you think can do it?
Even so, giving your wholehearted effort may not necessarily produce the test results that the doctor wants.
Modern medical imaging cannot reach the level of cancer cells. Clinicians are aware of this and can only take other measures to compensate.
For benign brain tumors, it doesn’t matter if you let it grow a little bigger before you find it and then cut it. The main problem is that malignant tumors, especially brain metastases, are very cunning and will present as multiple small lesions that are particularly difficult to find.
What should I do if I find something is missing during the inspection?
For malignant brain tumors, clinical doctors generally believe that there may be cancer cells in at least various parts of the brain, and both chemotherapy and radiotherapy are needed. If they are missed, they are missed.
If that’s the case, then Mr. Xie is being nitpicking and being tactless?
This brings us to another question: under what conditions is it necessary for clinicians to communicate with radiologists?
"It's not the fault of the imaging department, nor is it your fault, and it's certainly not that what she said was wrong. Before the first examination, no one knew whether there was brain metastasis or how many brain metastases there were," said Cao Yong.
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