How to answer this question? Xie Wanying thought about it, remained silent for the moment, and stared at the surgical field.
Teacher Tan stood half a step behind her.
My senior sister once said, don’t flirt with teachers other than your supervisor, that’s asking for trouble.
Looking at her slightly stiff posture, Tao Zhijie smiled, turned his head and smiled at Tan Kelin behind him and said, "Doctor Tan, I always thought she made the right decision to learn from you."
Tan Kelin has always been indifferent and unmoved by the news.
Seeing this, Tao Zhijie turned around and said to the little junior sister, "It's okay, go ahead. You know your teacher Tan's character very well. If he didn't want you to talk, he wouldn't have brought you here, and he would have banned you right now. I think he should have said when he would be back. Is it about half an hour?"
This Senior Brother Tao is like a fortune teller, and what Teacher Tan said was accurate in his predictions. Could it be that Senior Brother Tao and Teacher Tan are friends? Of course not. You can tell by the wooden face of Teacher Tan.
Xie Wanying thought to herself that she should quickly help the teacher complete the task. Senior Sister Tao just arrived and doesn’t know the patient’s condition very well. If she can help, it means shortening the operation time, which will benefit the patient and everyone. Perhaps for this reason, Mr. Tan’s silence was tantamount to tacit approval.
"This is the situation, Teacher Tao. I estimate that this patient either has viral hepatitis or may have a congenital hepatic artery-portal vein fistula. You have to confirm the details, Teacher Tao." Xie Wanying spoke quickly and focused on the key points during the operation.
...
...
"Why do you think he has a hepatic artery-portal vein fistula?" When Tao Zhijie asked this question, everyone else was also confused.
Generally speaking, patients with cirrhosis caused by viral hepatitis and ruptured gastric varicose veins are the most common clinical patients. This should be the first suspected cause. Otherwise, Dr. Gang Pan would not have been speechless when asked by Tao Zhijie.
"Because he didn't tell Dr. Pan that he had a history of viral hepatitis, and didn't tell Dr. Pan that he had liver cirrhosis. It's questionable whether he had liver cirrhosis. I think the patient was lying. On the other hand, we can observe whether he has jaundice. One of the more obvious symptoms of liver cirrhosis is frequent jaundice. He doesn't have it. And rupture of gastric varicose veins is a symptom of late-stage liver cirrhosis. It's impossible to say that he has never been to the hospital for treatment before. As long as he has been to the hospital for treatment, he should have told the doctor that he often has digestive problems. Tell the doctor, so that the doctor can tell whether it is the cause of the car accident or digestive disease?"
When Dr. Pan heard this, he said: Well, that makes sense. When a patient comes to the emergency room, if he or she usually has symptoms of digestive discomfort such as abdominal pain, he or she will definitely talk to the doctor, and then suspect whether it is a car accident. After all, I came to the hospital the day after the car accident.
What if it is another case?
"Congenital hepatic artery-portal vein fistula is much more secretive than cirrhosis and requires angiography. And there may be no clinical symptoms, so such patients do not need treatment. But this time it might have been triggered by the injury from a car accident? Because its first symptom is rupture and bleeding of gastric varicose veins." Xie Wanying continued to finish her judgment.
The doctors around frowned after hearing this.
Tao Zhijie in particular needs to consider this: because the causes of the two diseases are different, the surgical methods must be different.
"Please pull the retractor out a little." Tao Zhijie turned to the person pulling the retractor and said, in order to determine the cause of the disease.
Continue read on readnovelmtl.com
