Chapter 4162【251】The fault is yours
A great doctor is first reflected in his accurate diagnosis.
Diagnostics is a basic introductory course to medicine and a course required for every major in clinical medicine. At the same time, diagnostics is an applied discipline. It has the characteristics of an applied discipline and must be combined with reality.
As a result, clinical medical workers often forget the basics that they should remember and should not forget because they are bound by reality for various reasons.
It should be clear from this that the orthopedic surgeons at the scene shouted that they lost at the starting line. Is it really because they were technically inferior to others that they lost?
The answer is, Dr. Ma wanted to be the first to raise his hand and answer: No.
As the first person to be caught tonight by Envoy Xie Qin and Wen, Dr. Ma believed that he was the most qualified and able to judge the true nature of the matter before him.
The two imperial envoys "caught" wherever they went.
Even if the imperial envoy does not intend to "catch" your faults, you will still unknowingly see your own faults by comparing them with the imperial envoy's standard clinical code of conduct.
The orthopedic surgeons at the scene actually made the same mistakes as Dr. Zhang and others in clinical practice, and fell into misunderstandings and traps.
As Dr. Xie first talked about Dr. Ma's problem, these orthopedic surgeons are constrained by too many clinical reality phenomena on a daily basis, and then the clinical thinking path habitually goes wrong over time, or even solidifies.
Therefore, in the so-called academic discussion of clinical cases, this group of doctors discussed back and forth, as if they were very passionate and enthusiastic about academics, but they never jumped out of the wrong thinking picture.
Everyone praises Dr. Wen and Dr. Xie for rewinding the tape, but have you ever thought that you need to rewind the tape first for diagnosis?
The group of orthopedic surgeons who shouted "lose" at the starting line suddenly fell into collective silence. It must be that they realized after shouting that the fault was theirs.
In diagnostics textbooks, when each unit talks about a disease, the cause must be mentioned first.
Where does the disease come from? Need to think backwards.
It cannot be said that clinicians will think about the cause of the disease if they don’t think about it. However, most doctors think of causes in general terms, such as those classified in textbooks, and it is almost impossible for them to think deeply about the detailed etiology of individual cases.
The reason has been mentioned above. In reality, the family members of various patients urge us. Especially if the patient is suffering from an emergency, it is good to be able to think of the most likely general cause of the disease in a short period of time.
But you must know that when a doctor first becomes a medical student, if a seminar is held, the teacher always requires an in-depth discussion of the cause of the specific case, and then a discussion of the treatment plan.
The discussion scene among people in the orthopedics department is just the opposite. Everyone is rushing to discuss the treatment plan first, and no one is actively discussing the cause of the disease.
This is another mistake that veterans of medical work often make. For example, Dr. Zhang from the Department of Nephrology: I think this is a common disease, and there is nothing to discuss about it.
Now we know that even if the diagnosis is correct and the disease is common, it is irreplaceable for clinicians to continue to actively and in-depth discuss the cause of the disease. It is the decisive battle between doctors and the disease.
If they think more about the diagnosis of the case like Dr. Wen and Dr. Xie, they may be able to figure out the special characteristics of this case like Dr. Wen and Dr. Xie. Then it is not only Dr. Wen and Dr. Xie who created the miracle, but also themselves.
This group of people began to quickly turn around and pick up the patient's pre-operative examination films to review.
(End of this chapter)
