Xie Wanying told the surgeon, "No."
Well, Xie’s answer seems to be both unexpected and expected. Even Dr. Yang takes it for granted that she will say any explosive academic opinions again. Who can make this person amaze people?
"What is it?" Shen Youhuan asked.
"Senior brother, please go back a little and recheck the data. It may be concluded that the numerical deviation between the two measurements is somewhat large."
"Is the big deviation because Teacher Shen put it in the wrong position the first time?" Dr. Yang asked, not understanding.
A doctor and teacher beside him said, "Don't always ask her, think for yourself."
Dr. Yang felt like crying in his heart. He finally caught a top student to tutor him in his homework, but the teacher didn't allow him to ask the top student.
Xie Wanying recalled the first time she went to the emergency room and was caught by Teacher Lin giving a "cheat sheet" to classmate Zhao.
Clinical teachers are not allowed to ask questions. They can discuss things during meetings, but they are not allowed to ask questions when they should not be asked. Ask everything. When you see a patient in the future, the doctor will practice alone. Who can give you another chance to ask?
For the sake of Dr. Yang, Xie Wanying stopped answering. Looking back at the operating room, Brother Shen quickly realized that she meant to withdraw the catheter probe. It's not that the position Dr. Yang said was wrong. It is impossible for a veteran like Brother Shen to put the probe in the wrong position.
If the numerical deviation is too large and exceeds the normal value, it can only mean one thing. The condition of the blood vessel wall here is extremely unstable. There may be small mobile emboli forming or falling off, indicating that the regionalized heart is in a deteriorating state. Under such circumstances, it is difficult to accurately assess the progression rate of the patient's condition by simply performing coronary angiography.
The first time I had a coronary angiogram, I found that the degree of diffuse stenosis in the blood vessels was only 40 to 60%, which was not enough to meet the standards for stent placement, let alone the need for a bypass. However, when doing Ivus, the first measurement was 4, which is close to the limit value for placing a stent. The second measurement showed an even scarier value of 3.4, indicating that a stent can be placed. Because the patient was young, it was unreasonable to say that the stenosis was caused by arteriosclerotic plaque. It could only be caused by injury. It now appears that the blood vessel damage is much more serious than the doctor imagined based on the examination report alone.
With the support of ivus data, coronary angiography needs to be compared several times and the results show that there is indeed a severe stenosis. If there is no ivus, the diagnosis may be missed again.
Since the cause of the patient's disease is considered to be trauma, it makes no sense to just place a stent. The heart area corresponding to the blood vessels must be damaged, which is consistent with the point made by Xie before. The abnormal areas detected need to be reviewed to confirm the diagnosis. Physicians cannot do this with endovascular interventional technology, so surgeons can only use their own eyes to see it.
Surgeons provide internal medicine with all the details. This statement once again shows its extraordinary significance.
"Little junior sister, your eyes are terrifying." As the operation continued, Shen Youhuan had to say in admiration, "I couldn't see it, but you can see it. I know that this is a variable, and seeing alone won't do it. Yingying, Could it be that your eyes have built-in calculators?”
Student Xie’s eyes have their own computers. Well, all the onlookers present agreed with this point.
Senior Brother Shen is now feeling relaxed. The purpose of internal medicine and surgery has basically been achieved, and problems can be detected and sent to surgery as a frontline.
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