"Yes, Professor Zhao, I don't deny what you said." Tao Zhijie nodded and said, "But if the patient needs it, we have to make an effort."
"Doctor Tao, I know my grandson is anxious, and I have criticized him. He is anxious, but you doctors cannot let him influence your judgment. If you want to remove the stones, you don't necessarily have to have surgery. I brought Doctor Yu here today because I wanted to perform non-invasive stone removal on him." Zhao Huaming said.
He Guangyou couldn't help but interrupt, not wanting Zhao Huaming to misunderstand that they hadn't considered it seriously and comprehensively, and said, "Professor Zhao, we must have discussed this at noon about whether to do it invasively or non-invasively. ERCP requires making an incision in the duodenal canal, so it's better to open up the bile duct to remove the stones. A damaged duodenal canal sphincter would have a huge impact on his future. And we can't observe the condition of his liver and gallbladder with just a laparoscope. Laparoscopy is more clear, and problems can be dealt with in time during surgery."
The surgical staff suddenly described the laparoscope in internal medicine as having fatal flaws. Yu Xuexian was unhappy when he heard this. He raised his eyebrows, adjusted his glasses and said, "Are you too impatient? I've seen his current examination reports, and his condition is improving. Why don't you be more patient and wait to see if he gets better completely. Maybe then we won't even need to do the laparoscope. Besides, you don't have to have that surgery after a laparoscope. You will definitely have to make a few incisions when you do a laparoscopy, and the risk of infection is even greater."
"You make it sound as if your internal medicine laparoscopy will never cause infection? Any operation that invades the human body will cause infection." He Guangyou rejected him outright.
"It's definitely less risky than your surgical infection risk!"
The experts in internal medicine and surgery suddenly opened fire, just like two martial arts schools suddenly met and refused to give in to each other, and sparks flew everywhere.
Calm down. Tao Zhijie waved his hand to tell his subordinates to stop arguing with the other party and return to the patient.
"Yes." Zhao Huaming pointed at what Yu Xuexian said, "That's what I meant. I didn't say I would never have surgery on my grandson. It's just that he doesn't meet the indications for surgery at this stage."
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The question of whether Zhao Zhaowei's case has reached the stage of surgery seems to be in a Rashomon state. You say you are right and I say I am right. Why is this happening? In fact, this dilemma of whether to take more radical medical measures is very common in clinical practice.
For example, doctors often say to patients: In your case, you can have surgery, or you can take medicine for a while before surgery.
The main reason is that the patient's condition is not urgent and surgery is possible or not. In such a situation, the strategy generally adopted by doctors is basically the above statement.
Because patients will compare, with another patient with the same disease, that patient got better after taking injections and medicine, but you insist on making me have surgery, are you, as a doctor, trying to cheat me?
In clinical practice, there are really the same diseases, some can be cured by injections and medication, while others can only be cured by surgery. The doctor thought, I am not a god, I cannot predict which method you need to solve the disease, so I will wait until your condition is very urgent and you need surgery.
Over time, the clinician developed this mode of thinking. Obviously, the conservative treatment that He Guangyou and his team had taken on Zhao Zhaowei, as well as what Yu Xuexian had just said, what Zhao Huaming thought for his grandson, were all based on this inertial mode.
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