Chapter 4053: 【142】Catch it

   What Dr. Xie did is a long story.

   I only know that in the office of the second general surgeon, it is so quiet that you can really hear a needle drop.

  Everyone except the imperial envoy falls to Khan.

  Dr. Wen Zihan turned around to pour a glass of water for the "candidate".

   Well. Dr. Ma was wailing inwardly, wishing he could be scolded or given a hammer to his head, which would be better than the current situation.

  Do you know what the scene is like now? Dr. Ma believes that the only thing left to do is to put up a frank and leniency sign here.

   "I, I—" Dr. Ma must have thought that I should just admit my mistake and get away early.

  Wait, Dr. Xie said, "Do you know that appendicitis has a normal CT appearance?"

  Good guy, don't let him go, don't let him admit his mistakes.

  How can a doctor admit defeat so easily, no.

  Dr. Ma raised his hand to wipe his brows, and the facial expression covered under his hands didn't know whether to cry or laugh. It is easy for normal ct to show, he must know it.

  It is said that it is impossible for people to look exactly the same, especially in the appendix. Some people have thin and long appendixes, while others are thick and short, so the normal range of the appendix can be very large.

  After clearing his mind, 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 has become thicker and larger, exceeding the normal value.

   What is the indiscernible?

   Around the appendix.

   Isn’t it possible to operate as long as appendicitis is identified? As mentioned above, appendicitis should be classified clearly, which is the key factor in deciding the operation.

  Type is more important to see whether there is perforation of the appendix around the appendix.

  Here is an interesting advance in medical technology.

  You should know that there were absolute contraindications for appendicitis surgery in previous surgical books. This is because some appendicitis operations are prone to intestinal fistula.

  Later, the surgery book was changed, allowing surgeons to decide for themselves. This is due to the fact that surgeons have made appendicitis surgery a new level, and laparoscopy must also be credited.

  Once you understand this, you can understand why some doctors say that the same appendicitis patients cannot be operated on, while others say that they can be operated on.

  The key point of the difficulty of the operation is here, the abscess around the appendix.

  Abscesses around the appendix are treated according to the guidance in the previous book, and the inflammation needs to be reduced for three months before the arrangement depends on the situation.

   After clarifying the above, we can know that the condition for Dr. Ma to judge whether a patient needs immediate surgery is not to prioritize the patient's condition, but to fully consider whether the technology of his department can successfully complete the operation for the patient.

   As I said before, many patients with appendicitis died in the Second General Hospital.

  These words are cruel. Even if the family members and patients themselves say they are willing to take the risk of surgery, doctors must adhere to the technical principles, and operations that are not sure for the time being must not be performed.

  Patients and their families do not need to worry. Disease will have a process of regression. As long as the doctor's prediction is accurate, you can wait and wait for the moment when the disease turns to usher in the golden time for surgery.

   This is also what Dr. Ma needs to judge on the spot, because even if he contacts the doctor above to make a decision, he needs to explain the problem in detail.

  Thinking about this, Dr. Ma found that before he changed his job, he didn't recall the operation process of the doctors in his department so carefully. He usually made a rough estimate when reporting.

  From this, it can be concluded that whether a doctor is skilled or not, one of the major factors is whether he is careful or not.

  The two imperial envoys caught his fault accurately: sloppy.

  Thank you for your support, good night, dear~