The other department heads thought something was wrong and all turned their puzzled eyes to Dr. Gu again.
Dr. Gu Hongnian looks like a young girl with a rosy apple face. It’s no wonder that people only listen to half of what he says. What he wants to say is: posterior mediastinal tumor.
There are two ways to divide the mediastinum according to anatomical boundaries.
One method is to use the sternal angle plane as the dividing line. The sternal angle can be regarded as a parallel line of the human cross-section, thus dividing the upper and lower mediastinum.
Another way of dividing is to use the pericardium as the boundary. The area in front of the pericardium is the anterior mediastinum, the area behind the pericardium is the posterior mediastinum, and the area where the pericardium is located is the middle mediastinum.
It can be known that posterior mediastinal tumors grow in the space behind the pericardium in the human chest cavity. The organs and tissues in this space usually include the descending aorta, thoracic duct, esophagus, lymph nodes, etc.
"Is it an esophageal tumor?" Everyone guessed that it was the most common posterior mediastinal tumor and asked.
As mentioned earlier, surgery for esophageal tumors can be performed by the thoracic surgery department.
Guozhi Thoracic Surgery Department can no longer perform esophageal surgery?
...
...
The puzzle reappeared and everyone stared at each other.
"Multidisciplinary Joint Diagnosis and Treatment Center." Boss Zhang recited the sign of Guoxie New District and clicked his tongue twice, not knowing whether it was a compliment or sarcasm.
The silence in the entire ward was terrifying.
None of the youngsters dared to speak, and they could deeply feel the terrible mood of the teachers: their mortal enemy came to mess things up, and they saw that there was a possibility that the other party would succeed? !
"Where are the thoracic surgeons?" Boss Xiao and Boss Ming turned around and called for the professionals.
The two doctors in the thoracic surgery expert group are Dr. Zhu and Teacher Xu.
Teacher Xu happens to be on a business trip these two days.
Dr. Zhu is well known for being busy. After the joint consultation in the morning, he returned to his department to work.
When he came back after finishing his work, Dr. Zhu heard his colleague calling him and quickened his pace to run into the venue. He raised his hand and squeezed into the crowd to the front and said, "I'm here. What's going on?"
Everyone told him at once.
While listening, Doctor Zhu Huicang turned around and saw Gu Xiaozi wearing a stethoscope. He glared at him and slapped him on the back of the head without mercy.
Gu Hongnian, who was taught a lesson by his senior brother on the spot, lost his footing and staggered twice. The earplug of the stethoscope in his ear finally fell out and he woke up.
Just like gastric tumors, what do you listen to for posterior mediastinal tumors? Do you think that others heard it wrong and you did it right?
What young doctors remember most is what their teachers told them: listen with the stethoscope whenever they are about to use it.
A stethoscope is like a universal tool, it can be used to diagnose many diseases.
You can listen to the posterior mediastinal tumor if you want to, but the most you can hear is that the tumor compresses the trachea or other places, causing unhealthy sounds in that place.
The problem is the same as the stomach mentioned above. There is no point in listening to this thing when there are other more advanced tools.
It's not wrong for young people who want to accumulate various clinical experiences to listen. When the big teachers talk to you, it means that you should listen by yourself when there is no one around, not to embarrass yourself when your opponents are around.
Student Gu’s mistake is low emotional intelligence.
Coming back to the point, Guozhi’s thoracic surgery technology would not say that it cannot perform esophageal tumor surgery, unless what?
After torturing everyone, Zhang turned around and tortured Leader Xie: "You say."
As a leader, you have to provide a safety net, and here comes the first test for Deputy Leader Xie.
The members of the National Association were all silent, their heartbeats quickening.
The first thing Dr. Xie said was: "It was you, Mr. Zhang, who taught me to realize that the use of medical tools does not rely on book accumulation but on the inspiration and creativity of doctors."
Dr. Xie, who respectfully addressed Zhang the Great Demon King, meant:
First, I know that you, Teacher Zhang, sent the patient here to test what my classmate Xie has learned from you.
Secondly, since it was Teacher Zhang’s proposal, he should have thought of what specialties and what specialized tools could be combined to treat the disease earlier than others.
Next, Dr. Xie elaborated on all his thoughts on this patient:
"It is estimated that the patient has esophageal leiomyoma. The patient is highly obese, making it difficult to expose the tumor during surgery. If the tumor is large and lying on the esophagus, it is difficult to accurately remove it with thoracoscopy alone. If you want to use thoracoscopy, you can add a gastroscope to assist in internal observation. In this way, the heart and esophageal surgeries can be performed at the same time."
Is what Dr. Xie said correct without having seen the patient's medical records?
Dr. Shen turned around and secretly looked at his boss's expression.
I can only say that the smile on the corner of Zhang the Great Demon's mouth at this moment was really weird.
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