Chapter 4460: 【549】Must see

 Vice President Xiang immediately encouraged his people: Come on, come on!

 Learning, after all, is not about becoming a fat man by eating one bite at a time. You have to eat your food one bite at a time, and learning requires you to keep your feet firmly on the ground and make solid footprints.

 Director Shang and Director Fang squatted down and followed Teacher Li to review the first step: observing the changes in the drainage bottle with the naked eye.

“The first step of Dr.

 Shang Director Fang and other students took notes.

“What Dr. Xie is going to teach you next is—” Teacher Li mentioned the problem that he was worried about at first that he would not be able to observe with his eyes.

It doesn’t matter whether Dr. Xie has a genius eye here. Some clinical cases cannot be solved so easily. Therefore, Teacher Xie just emphasized that what students need to learn is standard technical operation methods rather than her genius. Eye.

Hence, the surgical case in front of us is one in which the condition is not that complicated and is relatively easy to solve.

 Well, once again it shows that Dr. Xie has a very sharp eye and can see the difficult and difficult nature of the case in advance.

Director Shang, Director Fang’s tone, sometimes goes down and sometimes goes up.

If you look carefully, you will see that Teacher Li is actually shivering for a while: Fortunately, Dr. Li was not caught by the examiner who failed to take the exam today.

The big guys around him all wanted to laugh but did not dare to laugh. Like Dr. Li, they were always glad that they had not been caught by the examiner.

Professor Jiao was secretly sweating: now it seems that the difficulty of the test questions he raised for Student Xie during the day is nothing compared to the difficulty of the questions that Classmate Xie raised for his students as a teacher.

What does it mean to upgrade the exam difficulty for students on the spot? You must see Teacher Xie.

 To put it bluntly, the second case arranged by Teacher Xie for the students will definitely be more difficult and more complicated than the first case.

Teacher Li continued to help Teacher Xie, who had no time to nag the students during the operation, to translate simultaneously: You and I know that the characteristic of this disease is that it is difficult to treat. The difficulty of treatment in medicine has been mentioned many times before. The first thing is that it is difficult to diagnose. To sum up, Of course, the most troublesome thing about this disease for doctors is that they cannot even identify the pleural fistula at the lesion.

Isn’t it possible to use high-end imaging equipment?

 It really doesn’t work.

  There has not been a complete breakthrough in basic physics, and it has not achieved a breakthrough to the point where everything in the world, including the human body, can be photographed in its infinitesimal and minute details.

 Once again, auxiliary departments are always auxiliary departments and cannot make decisions on behalf of the attending clinical doctor.

Returning to this disease, some cases will show very small fistulas. The worst thing is that in such cases, there may often be multiple small fistulas in groups, making it difficult for imaging examinations to detect all the small fistulas one by one. All leaks were detected. As long as there is a fistula, there will always be leakage of air, making the common treatment options for these cases ultimately ineffective.

 At this point, you can understand why Dr. Xie, as a surgeon, did not casually recommend such patients to undergo surgery like Director Fang. It is the same reason.

Dr. Xie, who was born again, has long been aware of such cases. Due to the possibility of the worst-case scenario mentioned above, it is difficult to find out all the fistulas at one time with preoperative imaging alone. Therefore, there is a high possibility that the operation will fail and additional surgery will be required. If the upper bronchoscope is blocked, it is better to try to use bronchoscope to block it at first.

 Bronchoscopy has the advantage of being able to accurately diagnose this disease that is difficult to match with other technologies, especially in cases where there are multiple responsible drainage bronchi.