Chapter 4374: 【463】Right
The other department heads thought something was wrong, and all looked at Dr. Gu again with doubts.
Dr. Gu Hongnian looks like a big girl with a red apple face. I don’t blame him, why everyone only listens to half of what he says. What he wants to say is: posterior mediastinal tumor.
There are two ways to divide the mediastinum anatomically.
One method is to use the sternal angle plane as the dividing line. The sternal angle can be regarded as a parallel line of the cross-section of the human body, so the upper and lower mediastinum are divided.
Another way of dividing is the pericardium as the boundary. The area before the pericardium is the anterior mediastinum, the area behind the pericardium is the posterior mediastinum, and the location of the pericardium is the middle mediastinum.
It can be known that posterior mediastinal tumors grow in the space behind the periphery of the human chest. The organs and tissues in this space usually refer to the descending aorta, thoracic duct, esophagus, lymph nodes, etc.
“Is it an esophageal tumor?” Everyone guessed that the most common type of posterior mediastinal tumor was asked.
As mentioned before, surgery for esophageal tumors can be performed under the thoracic surgery department.
Can Guozhi Thoracic Surgery not perform esophageal surgery?
The puzzle reappeared, and everyone stared at each other.
"Multidisciplinary Joint Diagnosis and Treatment Center." Mr. Zhang said the signboard of Guoxie New District and clicked his tongue twice, not sure whether it was a compliment or a sarcasm.
The entire silence in the ward is terrifying.
None of the young people dared to speak, and they could deeply feel the terrible mood of the teachers: The enemy came to destroy the situation, and saw the possibility of the other party succeeding? !
“Where are the people from the thoracic surgery department?” Mr. Xiao and Mr. Ming turned around and called the professionals.
The two doctors on the thoracic surgery expert team are Dr. Zhu and Mr. Xu.
Teacher Xu happened to be on a business trip these two days.
Dr. Zhu is known to be very busy. After completing the joint consultation in the morning, he went back to work in his own department.
When he came back after finishing his work, Dr. Zhu quickened his pace and ran into the venue when he heard the calls from his colleagues. He raised his hands and squeezed through the crowd to the front and said, "I'm here, what's going on?"
Everyone told him about it.
While listening, Dr. Zhu Huicang turned his head and saw Gu Xiaozi wearing a stethoscope. He glared and slapped the man on the back of the head mercilessly.
Gu Hongnian, who was scolded by his senior brother on the spot, could not stand firm and staggered twice. The stethoscope earplugs in his ears finally fell off and he woke up. Like gastric tumors, how do you diagnose posterior mediastinal tumors? Do you think others heard you wrong and you did the right thing?
The young doctor most remembers what the teachers said: listen to the stethoscope whenever you want to use it.
The stethoscope is like a universal tool and can be used to listen to many diseases.
You can hear about posterior mediastinal tumors if you want. The most you can hear is that the tumor is compressing the trachea or other places causing unhealthy sounds from there.
The problem is the same as the stomach mentioned above. There is no point in listening to this thing when there are other more advanced tools.
Young people who want to accumulate various clinical experiences must listen. When the big bosses and teachers talk to you, they mean to listen when no one is okay, not to embarrass yourself when your opponents are present.
Mr. Gu’s fault is low emotional intelligence.
Speaking of the technology of Guozhi Thoracic Surgery, it will not be said that it cannot perform esophageal tumor surgery, unless what?
After torturing everyone, Boss Zhang turned back to torment Leader Xie: "Say."
Being a leader must be thorough, and the first test for Deputy Leader Xie has come.
The people of the National Association were collectively quiet and their hearts beat faster.
The first sentence Dr. Xie said was: "It was you, Mr. Zhang, who taught me that the use of medical tools does not rely on the accumulation of books but on the inspiration and creativity of doctors."
Dr.
First of all, I know that you, Mr. Zhang, sent the patients here to test how well I, Mr. Xie, learned from you.
Secondly, since it was Teacher Zhang’s idea, Teacher Zhang should have thought of what specialties and what specialties tools could be combined to treat the disease before others.
Next, Dr. Xie elaborated on all his thoughts about this patient:
"The patient is expected to have an esophageal leiomyoma. The patient is highly obese and difficult to expose during surgery. As a result, if the tumor is long and lies on the esophagus, it will be difficult to accurately remove it with thoracoscopy alone. If you want to use thoracoscopy to do a good job, you can add a gastroscope to assist with internal observation. . In this way, the heart and esophageal surgeries can be performed at the same time."
Is Dr. Xie, who has never seen the patient's medical records, correct?
Doctor Shen turned around and looked at his boss's expression quietly.
I can only say that the smile on the corner of Demon King Zhang’s mouth at this moment is really weird.
Thank you for your support, good night, dear friends~
