Vice President Xiang immediately encouraged his people: Come on, come on!
After all, learning is not about becoming fat in one bite. You have to eat one bite at a time and learn by taking solid steps one by one.
Director Shang and Director Fang squatted down and followed Teacher Li to review the first step: observe the changes in the drainage bottle with the naked eye.
"Dr. Xie's first step of operation was very effective. Look, now that she has moved away, there are more bubbles." Teacher Li, who is instructing students on site, told the students that it was actually Dr. Xie who taught them.
Director Shang, Director Fang and other students took notes.
"Doctor Xie, what I'm going to teach you next is..." Teacher Li mentioned the problem that he was worried about not being able to observe with his eyes at first.
This is not about whether Dr. Xie has a genius eye. In clinical practice, some cases are indeed not so simple to solve with just one treatment. That is why Dr. Xie emphasized that what students need to learn is the standard technical operating methods rather than her genius eye.
Therefore, the surgical case in front of us is one that is not that complicated and is relatively easy to solve.
Well, this once again proves that Dr. Xie has a keen eye and can see the difficulty of a case in advance.
...
...
Director Shang and Director Fang's tone was sometimes lowering and sometimes rising.
If you look carefully, you will see that Teacher Li's body is actually trembling: Fortunately, Xie Juanwang didn't catch her, Doctor Li, to take the exam today.
The big guys around wanted to laugh but didn't dare to. Like Dr. Li, they were glad that they were not caught by Xie Juanwang.
Professor Jiao secretly broke into a sweat: Now it seems that the difficulty of the test questions he upgraded for Xie during the day is nothing compared to the difficulty of the test questions that Xie raised for his students when he was a teacher.
To understand what it means to upgrade the difficulty of exams for students on the spot, you must read Teacher Xie.
In short, the second case that Teacher Xie assigned to the students would definitely be more difficult than the first one, and the condition would be more complicated.
Teacher Li continued to translate for Teacher Xie, who was too busy nagging his students, "You and I know that the characteristic of this disease is that it is difficult to treat. The difficulty in treatment in medicine has been mentioned many times before. The first reason is the difficulty in diagnosis. In a nutshell, the most vexing thing for doctors about this disease is that they cannot even identify the pleural fistula at the lesion site.
Can't we use high-precision imaging equipment?
It really doesn't work.
There has not been a complete breakthrough in basic physics yet, and it has not reached the point where everything in the world, including the infinitely tiniest details of the human body, can be photographed.
Let me reiterate that auxiliary departments will always be auxiliary departments and cannot replace the clinical attending physicians in making decisions.
Back to this disease, in some cases the fistula will be very small. The worst thing is that in such cases there may often be multiple small fistulas clustered together, making it difficult to detect all the tiny fistulas through imaging examinations. As long as the fistula exists, air will always escape, making the common treatment options for these cases ineffective.
Now you can understand why Dr. Xie, as a surgeon, did not casually recommend surgical operations to such patients as Director Fang said. It is for the same reason.
The reborn Dr. Xie is already aware of such cases. Due to the possibility of the worst-case scenario mentioned above, it is difficult to identify all fistulas at once using only preoperative imaging examinations during surgery. Therefore, there is a high possibility that the operation will fail and bronchoscope endotracheal blockage will be required. It is better to try bronchoscope endotracheal blockage from the beginning.
Bronchoscopy has an advantage over other technologies in this disease, which is that it can make accurate diagnoses, especially in cases where there are multiple responsible drainage bronchi.
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