Chapter 4220【309】Countless
The operation in the operating room was carried out in an orderly manner.
I mentioned the problem of smooth operation before, and I know that it is not easy to achieve smooth operation. Most of the time, it seems that it can be done smoothly, but in the end, I have to have another surgery.
Let’s talk about Fan Yunyun’s answer. Is it correct?
Such a question is of course not like a primary school math problem with an accurate answer to just one number. Instead, there will be large circles and small circles, and within what range the answer is correct, and then there is the issue of accuracy.
Answer: What is a coronary artery malformation?
The deformity of human body parts generally refers to the abnormality beyond the level of a healthy person. By analogy, the criteria for judging whether a coronary artery is deformed can refer to not only the size of the coronary artery, but also the distribution and direction of the coronary artery, etc.
Looking at it this way, it is a type of coronary artery disease, which is similar to other coronary artery diseases.
So as Dr. Pan Shihua said as the instructor, starting from the perspective of pediatrics is completely different.
Dr. Fan Yunyun’s focus is on congenital changes in coronary artery malformations. The first thing to consider is the cause.
The first thing cardiac surgeons want to do is to accurately define coronary malformations.
Chronic artery malformations are usually defined more precisely as abnormal origin of coronary arteries, abnormal course of coronary arteries, abnormal internal structure of coronary arteries, and abnormal termination of coronary arteries.
It can be known that this disease is similar to other coronary artery diseases and needs to be distinguished from acquired heart diseases.
What is the significance of the difference?
The most common cause of myocardial infarction is acquired coronary artery disease. The cause is known to be particularly closely related to coronary atherosclerosis, involving acquired personal factors, smoking history, diabetes history, and hyperlipidemia.
These acquired factors may eliminate the need for surgery. It is equivalent to saying that taking medicine under certain conditions, regulating the patient's own eating habits, taking medicine and exercising, etc. can slow down the progression of the disease or even reverse it.
The congenital condition is different. If the disease is congenital, everyone knows that taking medicine is useless, and the only way to take action is to have surgery.
On the other hand, if coronary artery disease is acquired, under certain circumstances, surgery can only be done to solve the problem.
The congenital condition is different. It may be said that either surgery is performed at the beginning, or the patient is destined to not need surgery for the rest of his life.
At this time, the doctor may want to consider whether it is congenital or a combination of congenital and acquired diseases.
The complexity of medical medical records is unimaginable to outsiders, and clinical medicine has never had a standard and unified answer.
What’s more, this patient is just in the middle of the age spectrum, making the distinction between nature and nurture even more blurry.
It can be seen that the cardiologist who is jealous of Dr. Fan Yunyun's answer can only be called an incompetent person. No wonder his nose was scratched so hard by Teacher Pan.
The answer given by Dr. Fan Yunyun is really a generalization within a generality, and cannot be used specifically in cardiac surgery.
However, a pediatric intern is quite capable of flattering other specialties.
What's more, the general answer given by Dr. Fan Yunyun at least provided other onlookers who had not participated in the surgery discussion with practical thinking directions.
When everyone follows the surgeon's thoracoscope to observe the blood vessels on the surface of the patient's heart, it is time to test the medical brains of the doctors on site to become three-dimensional computers. Luo Jingming shook his head: It would be very difficult for him to make inferences after looking at it like this. This was the same reason why he voluntarily gave up pursuing the pinnacle field of surgery such as extracardiac neurosurgery.
To put it bluntly, it can be called the pursuit of human blood vessels to the extreme. To put it bluntly, neurosurgery can be called the pursuit of human nerves to the extreme.
There are countless blood vessels and nerves in the human body.
(End of this chapter)
