Chapter 4469【558】Good Doctor
To what extent do the family members of the children trust Dr. Bao?
It turns out that the patient’s family members took him to another large hospital in the city for examination a few months ago. The doctor at the hospital did not say anything was wrong with the child.
The child who has been confirmed by a large hospital has been confirmed to be okay. Now a community hospital doctor said that he should do further examination for the children. Well, can you definitely say that this community hospital doctor has a boldness?
Doctor Bao touched his heart: "My courage is almost reaching my heart -"
Dr. Jiang raised his hand and patted the young man on the shoulder and said: It's okay, it's okay. There is no time when a doctor doesn't overturn. You can't be afraid of overturning and ignore the patient's life. Besides, your family believes in you!
Dr. Xie Wanying recalled her first trip with Teacher Jiang when she was a student.
Obviously, Teacher Jiang was convinced that she might overturn the car at that time, but this was the reason why Teacher Jiang finally decided to let her **** the patient.
Dr. Jiang believes that it is crucial for students to maintain the courage to be trusted by patients and face possible overturns in order to become a more promising doctor in the future.
I must say that she, Xie Wanying, was lucky enough to be reborn. Every teacher she met was excellent. Dr. Xie Wanying lit up countless beacons to guide her on her way to becoming a clinician again.
Dr. Bao expressed his professional considerations to the experts and teachers:
First of all, the inspection fee of CT and other inspection machines is too expensive, and it is impossible to do it casually, especially in small places.
The fact is that the child has not had a CT scan.
It is difficult to obtain accurate results from imaging examinations such as X-rays, so it is inevitable to compromise the accuracy of the examination results.
Second, large hospitals examine a large number of patients in a day, and often need to get results in a hurry.
If the patient is not seriously ill and has a complicated condition with mild symptoms, there is a possibility that the test results will be missed in a large hospital.
This means that imaging doctors must conduct focused examinations and report targeted results for patients based on the patient's symptoms described in the application checklist submitted by the clinician. Otherwise, they will not be able to finish all the examination films in one day.
It is not what laymen think at all. It is impossible for imaging doctors to conduct comprehensive examinations on patients by themselves.
Various factors are superimposed, and deviations in clinical test results are common. For this reason, clinicians often ask patients to return for consultation if they feel unwell or to come back for examination after a period of time. "The child has no signs of worsening of the condition." Dr. Bao admitted that he was brave here.
There is no need to return to a major hospital for follow-up treatment if the condition does not worsen. Why did Dr. Bao recommend that the family members check the child with him again?
“The family members can’t let go,” said Dr. Bao.
A good doctor not only heals people’s bodies, but also heals their minds. Clinically, treating the heart is often more important.
Other doctors nodded, saying that Dr. Bao was a good doctor.
Dr. Xie Wanying said to Dr. Bao: "I believe in your professional intuition as a doctor."
Doctor Bao's face suddenly turned red: Mr. Xie from the capital is very good at praising others.
Dr. Jiang and the others looked at each other in confusion: Juan Wang can really go ahead of everyone in everything. If we trace it back to the academic foundation of medicine, Xie Juan Wang’s words are actually right.
It is impossible for the doctor to check the child by considering the treatment of the family alone.
So back to the key topics to be discussed in the current case mentioned earlier, it can be seen that Dr. Bao judged that the child may need surgical intervention.
The indicators for surgical intervention in acute abdomen are usually two: one perforation and one obstruction.
If there is a perforation, the problem must be bigger than the obstruction. The condition is more serious and it is impossible to say that it has been clinically delayed for so long before it broke out.
Physicians focus on obstruction.
(End of this chapter)
