Chapter 4050 [139] Apply what you have learned
If Xie Qinchai used stories to test you, your mind is impure and subconsciously feel that it is troublesome to wear gloves to examine patients.
Anyway, at first glance, a disease that can't kill people can be careless.
No wonder the imperial envoys question whether you have passed the technical test.
Sweat dripped down Dr. Ma's head in rows.
The fault of the pustule, he was careless, so it's okay to admit it.
Dr. Ma is now worried about his own technique and lack of confidence to judge the stage of appendicitis of the current patient by himself.
Surgeons’ technical difficulties, if you recall Dr. Xie Wanying’s internship period, you will find that the first hurdle is not performing surgery but reading images.
Didn’t the radiology doctor issue the inspection report, and the surgeon needs to read the film?
If the surgeon reads the film by himself, wouldn’t it be repetitive work for the radiology doctor to issue the inspection report?
Yes, there are many repetitive tasks in clinic.
For example, if a doctor prescribes an injection order, the pharmacy staff should close the order, and the nurse should close the order before executing it.
Clinical repetitive work has only one purpose, and multi-layer checks reduce errors.
Speaking of this, many people will understand why every time it is mentioned in the news that the surgeon has wrongly switched the left and right hands and left and right legs of the patient, the medical staff who heard the news all shook their heads.
How to say? The patient would feel extremely unlucky. Because there are at least three levels of checkpoints here that have not been grasped. You said that this patient had a very bad luck, so that how many medical staff can be confused.
The hospital's internal handling of such problems is by no means just holding the responsibility of the surgeon as the news said. The nurses in the operating room should be held accountable, the nurses in the department who prepared the skin should be held accountable, and the doctor who issued the imaging report should see if it is the same. Do you want to take responsibility? Even if there is an anesthesiologist to help with the anesthesia, it will be responsible.
Therefore, the surgeon must be able to read images himself.
Is it difficult to read the films of appendicitis?
Let me first say that acute appendicitis can be pathologically classified into acute simple appendicitis, acute suppurative appendicitis, gangrene or perforated appendicitis. The last type is the most complicated and will lead to the worst case of peritonitis and even death of the patient we mentioned earlier. .
Fear of perforation, under normal circumstances, doctors for acute simple appendicitis and acute suppurative appendicitis will recommend surgery as soon as possible, preferably within three days.
Does acute appendicitis require surgery? Sometimes doctors 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 image reading.
Dr. Ma's head must be a little confused, and he just stood there without answering.
Is it because I didn’t understand the above classification technical points, or maybe not, but I can’t read the classification in the film.
When a student learns from a teacher, the teacher likes to use typical cases in his lectures because it is easy to teach and it is not troublesome. For vague atypical cases, the teacher himself may need to think about how to tell you.
Letting the young clinician be on duty alone means that you have to try atypical cases by yourself.
Dr. Wen Zihan was gentle by nature, and asked, "When did he (Dr. Ma) work the night shift by himself?"
Dr. Xie Wanying is not as gentle as Dr. Wen mainly because she went back to her hometown this time, and she answered again very clearly: "The teachers of the Second General Secondary School are very strict."
I believe that no matter whether it is the first night shift or not, as long as it is a second-male doctor outside the general public, it should be noticed.
Dr. Ma: ...Dr. Xie, you are worthy of being an excellent student who was educated in the second general foreign exchange.
Thank you for your support, good night, dear~
(end of this chapter)
