What exactly Dr. Xie did is a long story.
All I know is that it is so quiet in the general surgery doctor's office that you can hear a pin drop.
Everyone except the imperial envoy was sweating profusely.
Dr. Wen Zihan turned around to pour a glass of water for the "candidate".
Dr. Ma was wailing in his heart, wishing he could be scolded or hit on the head with a stick, which would be better than the current situation.
Do you know what the scene is like now? Dr. Ma thinks that all that’s missing is a sign saying “leniency to those who confess”.
"I, I--" Doctor Ma must have been thinking that it would be better for me to admit my mistake, the sooner I admit it, the sooner I can get out of this situation.
Wait, Dr. Xie said, "Do you know the normal CT findings of appendicitis?"
Good guy, he won’t let him go and won’t let him admit his mistake.
...
...
As a doctor, I can't give up so easily.
Doctor Ma raised his hand to wipe his brow, and the facial expression beneath his hand was not sure whether to laugh or cry. This was easy to show on a normal CT scan, and he must have known it.
It is said that not all people look exactly the same, and this is especially true for the appendix. Some people have a thin and long appendix, while others have a thick and short appendix, so the normal range of the appendix can be very large.
After sorting out his thoughts, Dr. Ma knew that he could at least tell from the film whether the patient had appendicitis.
The CT signs of patients with appendicitis are actually not difficult to identify. Simply put, the appendix becomes thicker and larger, exceeding normal values.
What is difficult to distinguish?
Around the appendix.
Isn't it possible to perform surgery as long as appendicitis is identified? As mentioned in the previous article, appendicitis must be clearly classified, which is the key factor in deciding whether to perform surgery.
What is more important in classification is to see clearly whether there is perforation around the appendix.
Here's a very interesting advance in medical technology.
You should know that in the past, surgical books had absolute contraindications for appendicitis surgery because some appendicitis surgeries were prone to intestinal fistulas.
Later, the surgical textbooks were changed to allow surgeons to decide for themselves. This is attributed to the fact that surgeons have taken appendicitis surgery to a new level, and laparoscopy certainly played a role in this.
If you understand this, you will understand why some doctors say that for the same patient with appendicitis, surgery cannot be performed while other doctors say that surgery can be performed.
The key difficulty of the operation lies here: periappendiceal abscess.
According to the instructions in previous books, for periappendiceal abscess, it is necessary to first take anti-inflammatory measures for three months and then make arrangements based on the situation.
After understanding the above, we can know that when Dr. Ma decides whether a patient needs immediate surgery, he does not simply prioritize the patient's condition, but instead comprehensively considers whether the technology in his department can successfully complete the surgery for the patient.
As I mentioned before, many patients with appendicitis have died in the General Surgery Department II.
These words are cruel. Even if the family members and the patient themselves say they are willing to take the risk of having surgery, the doctor must adhere to technical principles and must not perform any surgery that is not certain for the time being.
Patients and their families don’t need to worry. The disease will have a process of recovery. As long as the doctor’s prediction is accurate, you can wait a little longer, waiting for the golden time for surgery when the disease takes a turn for the better.
This is also something Dr. Ma needs to judge on the spot, because even if he contacts the doctors above to make a decision, he needs to explain the problem in detail.
Thinking about this, Dr. Ma discovered that in the past, he did not recall the surgical procedures of the doctors in his department so carefully, and usually made a rough estimate when reporting.
From this we can conclude that one of the major factors determining whether a doctor’s skills are good or not is how careful he is.
The two imperial envoys accurately identified his fault: carelessness.
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