【139】Put what you have learned into practice

For example, if Commissioner Xie Qin tests you with a story, you may have an impure mind and subconsciously feel that it is troublesome to wear gloves to examine patients.

Anyway, for a disease that doesn’t seem to be fatal at first glance, it’s okay to be careless.

No wonder the imperial envoys question whether you have passed the technical test or not.

Dr. Ma's head was dripping with sweat.

It was the pustule's fault that he was careless, so there was no problem in admitting it.

What worries Dr. Ma right now is that he doesn't have confidence in his own skills, and he doesn't have the confidence to read the films to determine the stage of the patient's appendicitis.

Regarding the technical difficulties faced by surgeons, if you recall Dr. Xie Wanying's internship period, you will find that the first step is not to perform surgery but to read films.

Isn’t there a radiologist who will issue the examination report, and the surgeon will need to read the examination report?

If the surgeon reads the images himself and the imaging scientist issues the examination report, wouldn’t it be repetitive work?

Yes, there is a lot of repetitive work in clinical practice.

For example, when a doctor prescribes an injection, the person in the pharmacy must check it, and the nurse must check it before executing it.

Clinical repetitive work has only one purpose, multi-level checks to reduce errors.

At this point, many people will understand why every time the news mentions that the surgeon misplaced the patient's left and right hands and legs, the medical staff who heard the news all shook their heads.

How to say? You will feel that the patient is extremely unlucky. Because there are at least three levels of controls here that are not in place. Do you think this patient must have suffered a lot of bad luck to make all the medical staff guilty?

When dealing with such problems within the hospital, it is by no means just holding the operating surgeon accountable as the news says. The nurses in the operating room must take responsibility, the nurses who prepare the skin in the department must take responsibility, and the doctors who issue the imaging reports must check whether they are also wrong. Do you want to take responsibility? Even if an anesthesiologist helps with anesthesia, he will still be held responsible.

Therefore, the surgeon himself must be able to read the images.

Is it difficult to read appendicitis films?

Let me start by saying that acute appendicitis can be pathologically classified into acute simple appendicitis, acute suppurative appendicitis, gangrene or perforated appendicitis. The last type is the most complex and can lead to the worst-case peritonitis and even death of patients as we mentioned earlier. .

For fear of perforation, doctors for acute simple appendicitis and acute suppurative appendicitis will generally recommend surgery as soon as possible, preferably within three days.

Does acute appendicitis require surgery? Sometimes the doctor will give anti-inflammatory injections and so on.

Classification processing relies on accurate diagnostic classification.

As long as you can understand the above technical points, it is a necessary process to judge whether the patient needs immediate surgery through film reading.

Doctor Ma's head was probably a little confused, and he just stood there without answering.

Is it because I didn’t understand the above technical points of classification? It may not be the case, but I just can’t read the classification in the film.

When students learn from teachers, teachers like to use typical cases because they are easy to explain and not troublesome. The teacher himself may need to think about how to explain vague atypical cases to you.

The significance of letting young clinical doctors work alone is to try atypical cases yourself.

Dr. Wen Zihan is gentle by nature and asked: "When did he (Dr. Ma) work the night shift by himself?"

Dr. Xie Wanying was not as gentle as Dr. Wen mainly because she was returning to her hometown this time. She answered clearly again: "The teachers in General Secondary School are very strict."

I believe that no matter whether it is the first time to work night shift or not, as long as you are a doctor in general surgery, you should be able to see it.

Dr. Ma: ...Dr. Xie, you are worthy of being an excellent student who was educated in General Foreign Language 2, and you have applied what you have learned in the "strict" essence of General Foreign Language 2.

Thank you for your support, good night, dear friends~

(End of chapter)