【1389】What to do if there is no one to help?
Style:
Romance
Author:
Fat mother is kindWords: 1041Update Time: 24/01/12 05:52:06
Compared with what Senior Brother Yu had just questioned, Teacher Fu's questioning was undoubtedly more pointed. Knowing what she could do and what she couldn't do, targeting the center point of her technical flaws, made it almost difficult for her to answer.
An operation like this is best done with two people. For example, she and Dr. Song did it together that night, and they were indispensable. Dr. Song adjusts the drainage tube and is responsible for flushing and drainage. She cooperates in adjusting the patient's position in real time. The two of them can make adjustments while exploring the specific situation in the patient's body. The effect is good because both of them have this ability and talent, and the two brains work together to achieve a miracle of getting twice the result with half the effort. Think about it, it would definitely be very difficult if only one of them could do such an operation. I changed my position and went back to fix the drainage tube. If I couldn't figure it out, I had to do it all over again. I don't know how long it would take to get the position and drainage correct.
In the same way, in current PCI surgery, when the doctor inserts the guidewire, he also needs to feel the blood vessels in the patient's body and judge the insertion of the guidewire by feeling. He cannot judge the situation by relying only on the perspective view of the X-ray system. Dr. Fang said before that his own operation confirmed this, so it is estimated that other methods need to be added.
She said she could try it because of her previous experience with Dr. Song. You don't need to rely solely on fluoroscopy, but rely on touch and posture adjustment.
X-rays themselves contain large amounts of ionizing radiation, so doctors should use fluoroscopy as little as possible. If the guide wire is sent to the front of the heart, if everything goes well, there is actually no need for fluoroscopy at all. Putting fluoroscopy on the cutting edge of cardiac coronary angiography is the purpose of this surgery.
It's just that this patient, like the female patient, is a special and difficult case, and the old doctor's past experience may not be used. At this time, it is even more necessary for talents like Dr. Song to cooperate with her like last time.
If you operate alone, you may be able to achieve your goal by slowly exploring by yourself, but the speed will be very slow as you can imagine.
Slowness just does not meet the requirements of the current patient diagnosis and treatment strategy and will be fatal.
Slow is slow, fast must be fast.
Looking for Dr. Song?
Dr. Song is not here, and Dr. Song is a resident physician in neurosurgery, so it is unlikely that he would come to the interventional room to help her with such a thing. Teacher Fu is right, we can only think about the problem first by eliminating Dr. Song’s factors.
Without Dr. Song, who could help her adjust? Or will she adjust it and someone else will insert the guide wire? Is she cooperating with Dr. Fang? Or cooperate with other cardiovascular physicians such as Senior Brother Jin?
Teacher Fu's words actually told her implicitly that other teachers had already seen that it was unrealistic to find anyone to replace Dr. Song.
Dr. Song's talent is not something that Dr. Fang has, and I'm afraid Senior Brother Jin doesn't have it either.
In her heart, Xie Wanying needed to change her tone to adjust her mood, and was ready to change her mind.
It was impossible that her brain had not considered the question that Teacher Fu asked and tried it. Her calculated brain told her that there was someone in front of her who might be able to help her instead of Dr. Song. But when Teacher Fu mentioned it like this, she was concerned about another issue.
She took the initiative to try it in the operating room. There was radiation in the interventional surgery room. She was willing to take this professional risk, but it did not mean that she could selfishly pull people into trouble. Just like Senior Brother Jin would never take the initiative to drag her into trouble, she first needs to consider the other person's health.
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