Chapter 1336: 【1336】Soone is eavesdropping
Listening to her answer, which followed the thought process he previously suggested, Yu Xuexian nodded repeatedly: Fortunately, she didn’t go off track.
So, as a doctor, whether you are going to be a future surgeon or physician, the reason you have to rotate through both surgical and internal departnts during your internship is to develop a comprehensive way of thinking. It’s not just about thinking with a scalpel every day; you need to learn multi-departntal cooperation and adopt a comprehensive approach to treatnt. If internal dicine cannot handle it, you must quickly seek surgical assistance, and then return to internal dicine for treatnt. During the acute phase, if surgery cannot proceed, internal dicine must find a solution.
Her explanation was evidently what Director Yang wanted. The hospital intentionally arranged for dical students to rotate across several departnts during their internship to assess how much they have learned. Director Yang nodded at her, indicating that their intentions were largely aligned.
Internal dicine can provide immunotherapy targeting the cause of the disease, but surgery must address the issue of drainage, which internal dicine cannot accomplish.
Speaking of her specialty in surgical strategies, Xie Wanying stated straightforwardly: “At other hospitals, they were unable to fully drain the pus from the patient. Following the simplest surgical logic, it’s definitely because the placent of the drainage tube was incorrect.”
Director Yang reached out his hand as if to point at the tip of her nose: You’ve hit the nail on the head with that statent; go on.
Doctor Jiang nodded along: Yes, yes, yes, that’s the train of thought. But the question is, where should the drainage tube be placed? The surgeons at the other hospital incised the abscess to drain it. Logically, they should have observed the abdominal cavity clearly before placing the drainage tube, so the probability of incorrect tube placent is extrely low. That’s why at first, Doctor Jiang was hesitant to casually question the competence of the colleagues at the other hospital.
“During and after open surgery, we often encounter such challenges,” Xie Wanying said. “After the abdominal cavity is opened, due to the intervention of the surgeon, the organs inside the patient’s abdominal cavity enter a state of invasion and disturbance, which can lead to post-operative physiological dysfunction. This is exhibited by post-operative intestinal adhesions and abnormal bowel movents, among other symptoms. In this particular patient, due to his existing Crohn’s disease, which inherently involves bowel function disorders, surgical intervention further affects the activity of the intestines and surrounding organs and tissues. Consequently, the position of the pus could alter. Perhaps this patient’s bodily changes defy past cases and exceed doctors’ expectations. The doctors at the other hospital did attempt to adjust the drainage tube and even contemplated a second surgery, but the patient was too weak to endure another operation. Determining the position of the drainage tube has beco a conundrum, causing hesitation to activate the vacuum drainage bottle. This also suggests a potential judgnt error during the initial surgery, where the surgical team might not have targeted the area of maximum inflammation accurately.”
The office door was subtly pushed open from the outside, seemingly allowing a head with two ears to secretly listen in on what Xie Wanying was saying.
“Good,” Director Yang praised her and encouraged her to solve the issue in one go following this line of analysis, saying, “Now tell us what specific asures you will take.”
The education departnt leaders truly aren’t worried about creating too much pressure, they are eager to pursue over victory.
“We certainly need to return to the starting point, that is, the patient’s internal physiological structure,” Xie Wanying stated.
It seed like he knew what she was going to do next. Pan Shihua flipped through the patient’s dical records and opened up several CT scan results. Then, he took a pen and notebook from his white coat pocket.
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