Chapter 4145: 【234】Problem points
Chapter 4145【234】Problem
It will be a big trouble if this continues.
Dr. Jiang Mingzhu thought about the identity of the patient operating next door, and sweat surged up all over her body, threatening to drown her.
Her colleague Dr. Liu, who worked as her assistant, was also sweating profusely.
A major feature of endoscopic surgery is that it is performed by one person and it is difficult for others to help.
Besides, Dr. Liu knows that Jiang’s surgeon skills are second to third in the department as Dr. Xie said. Dr. Jiang is not good enough, and she, Dr. Liu, is not good enough and cannot be replaced.
Contact other doctors in the department to come back? It is better to let the general surgeon perform the operation faster, because the patient cannot afford it.
It can be seen that Dr. Ma was watching from the sidelines and became nervous as the operation progressed.
When the time comes, let them know everything about general surgery. They, like general surgeons, need to dig through to find foreign objects to stop bleeding.
Looking at the surgeries performed by the Department of Gastroenterology now, it’s like looking for a needle in a haystack. Can’t you see any trace of foreign matter?
"Are you sure he swallowed a foreign object?" Dr. Ma asked heavily.
“That’s what the family members said.” Dr. Liu, who is on duty in the department tonight, replied.
“Has the patient had any other examinations?”
Hello! Dr. Liu wanted to glare at Dr. Ma.
do not you know? CT may not be able to detect foreign bodies in the digestive tract. Moreover, even if something is photographed, your general surgery department will have to search hard for it, if it is difficult to find it.
Dr. Ma suddenly realized: Your gastroenterology department did not perform a CT scan on the patient or the CT scan did not detect any foreign body.
The most important thing is to stop the patient's bleeding. Your general surgery is the same. Do I have to have a thorough examination before I dare to have surgery? Unless you care about these procedures, you must postpone them until the patient is clearly examined and may be dead.
A conscientious doctor would not do such a procedure.
Doctor Ma doesn’t know about his bad conscience. What Dr. Ma knows is that doctors who dare to do this must have strong technical skills.
It's just reflected in the current surgical situation. Are gastroenterologists overestimating their own skills? Or is the patient's condition beyond the gastroenterology department's expectations? The ringtone represents a call, and someone from the general surgery department comes to see Dr. Ma.
Doctor Ma asked if there was anything wrong in the department.
It is the second-line doctor who inquires about the condition of gastroenterology patients.
Dr. Ma told the truth: "They couldn't find it, and they couldn't confirm whether the patient had swallowed foreign objects. They didn't do any other tests."
I have to say that Dr. Ma’s “complaint” will make colleagues frown when they hear it.
“Don’t talk nonsense.” Dr. Liu scolded Dr. Ma.
Doctor Ma’s words make it seem like the Department of Gastroenterology is irresponsible and performs random surgeries?
"What's going on?" Dr. Xia Dongxian walked into the operating room and asked on behalf of others.
Doctor Liu was thinking about how to explain.
"It's like this. Normally, air is needed to prop up the stomach cavity to find foreign objects, but now the surgeon is afraid that air will cause perforation, because the patient has a gastric ulcer and had bleeding not long ago." Dr. Xie Wanying said.
Dr. Ma made a U-turn: Dr. Xie, the surgical imperial envoy, really understands internal medicine and surgery?
Dr. Liu let out a loud voice and continued to scold Dr. Ma: "Are you saying that you can't understand and talk nonsense?"
Dr. Ma tried to recall: “Is endoscopic air supply the same as laparoscopic air supply?”
There are similarities in principle. Air supply in laparoscopic surgery is to expand the inner cavity of the body so that the doctor can operate the surgical instruments easily.
The difference between endoscopic air supply and air supply is that the air supply is to expand the lumen of the stomach. On the other hand, the purpose of endoscopic air supply is more specific, which is to open the folds of the stomach so that doctors can find lesions.
Excessive air supply, as Dr. Xie said, can lead to perforation of the already diseased stomach.
(End of this chapter)
