Many times, the first inspection report is like a big sieve. If problems are found and then a second inspection is carried out in detail, it cannot be done in one go. This is something that ordinary people outside the industry cannot understand. They think, doctor, you are consuming my time and money.
The reason why people outside the industry have this understanding is that they have raised their self-awareness of the threshold for doctors to practice medicine to the point where they become super bosses. Only people in the industry know that the threshold for doctors to practice medicine is just a passing grade. It is also impossible for every doctor in a tertiary hospital to be a super boss.
The best radiologists are no different from clinicians and belong to a handful of proportions.
If you want to be like Xie, you can tell at a glance that the reference lines in this film are not the most accurate, which requires a terrifying level of vision. It should be said that Cao Yong can't do the same.
If you don’t know how difficult it is for conventional MRI to be very accurate, for example, the positioning principle of MRI is that the center of the scanning part, the center of the coil, and the center of the main magnetic field should be placed at the same horizontal position as much as possible. The word here is called try your best, which is enough to show that it is difficult for ordinary people to do it, and it is difficult for imaging doctors to achieve the most accurate performance.
"I understand." Tao Zhijie said.
Do you really understand? ——Cao Yong gave him another look that told him to think more deeply.
Tao Zhijie would never look at him again, and he had to pretend not to understand. Otherwise, why should we agree with him that visionary neurosurgery students like Xie are most in need, so let's give her to their neurosurgery department.
Talking about the current case, a second more detailed examination was necessary. It was obvious that the results of the first examination made the doctor think it was necessary.
The meaning of doing the inspection again must be to avoid making mistakes. And now some students have judged that it is very likely that the check was wrong.
"You mean it was missed, right?" Tao Zhijie asked again.
Even if you don’t have the common sense of a neurosurgeon, it’s very unlikely that the machine will detect two larger tumors at the same time.
"Yes, she probably missed it in the investigation." Cao Yong nodded.
Xie Wanying, who was standing next to her, didn't need to say anything at all, as a big boss like Senior Brother Cao could explain everything clearly to her even if she couldn't figure it out.
As mentioned before, you don’t have to worry about leakage, you can undergo radiotherapy and chemotherapy. However, chemotherapy is not suitable for brain metastases because the brain has a blood-brain barrier that greatly reduces drugs. It is only limited to a small number of types that are very sensitive to chemotherapy drugs. The medical consensus for multiple brain metastases is radiotherapy as the first choice.
Radiotherapy is not a simple matter. For example, some doctors who specialize in brain radiotherapy have transferred to the radiology department from postgraduate and doctoral studies in neurosurgery. Therefore, radiotherapy treats patients like clinicians do, rather than simply conducting examinations to provide reference to clinicians. The nature of radiotherapy can be said to be completely different.
"Two. This number is a very important number in the eyes of our neurosurgeons. The doctors who performed the MRI examination are not very clear about our neurosurgeons' thoughts." Cao Yong continued to add.
"I thought it was just about surgery or no surgery." Tao Zhijie was enlightened after hearing this and responded with emotion.
Two is a small number, and for brain metastases with less than three, it is indeed possible to first consider whether to undergo surgery for local resection to achieve local cure. Secondly, if you listen to the words of neurosurgery experts now, you can know that it is not just a question of whether to perform surgery or not.
(End of chapter)
