Xie Wanying told the Chief Surgeon, "No."
Alright, Student Xie’s answer seed unexpected to everyone and also within their expectations. Even Doctor Yang thought it was only natural for her to co up with any explosive academic insight. Who made this person capable of astonishing others?
"What is it?" Shim Youhuan asked.
"Senior Brother, you should step back a bit and recheck the data. It might reveal that the discrepancy between the two asurents is sowhat large."
"Is the large discrepancy because Teacher Shim’s initial placent was incorrect?" Doctor Yang asked, not quite understanding.
A doctor nearby spoke up, "Don’t always ask her, think for yourself."
Doctor Yang felt like crying inside; he had finally caught a top student to tutor him, only for the teacher to disallow questioning her.
Xie Wanying rembered her first ti in the ergency room when Teacher Lin caught her giving "cheats" to Student Zhao.
Clinical teachers do not allow questions; discussions are for etings. When you’re not supposed to ask, you shouldn’t ask. If you ask about everything, when diagnosing patients later, doctors practice independently. Who will give you the chance to ask then?
For Doctor Yang’s own good, Xie Wanying did not answer. Back in the operating room, Senior Brother Shim quickly grasped her aning and started retracting the catheter probe. It’s not that Doctor Yang’s ntioned placent was off. An adept like Senior Brother Shim couldn’t have misplaced the probe.
If the discrepancy is too large and exceeds normal values, it can only an one thing: the condition of the vascular wall here is extrely unstable. There might be active tiny thrombi forming or shedding, indicating that the regional heart is in a deteriorating state. Under such circumstances, simply performing coronary angiography would not accurately assess the disease’s progression in the patient.
The first coronary angiography showed diffuse narrowing of the vessels only between forty and sixty percent, not close to the threshold for stent placent, much less needing a bypass. However, the first IVUS asurent was 4, near the threshold for stent placent; the second 3.4 asurent was even more alarming, indicating suitability for stenting. Given the patient’s youth, attributing the narrowing to atherosclerotic plaques is implausible. It is likely due to an injury. The vascular injury, as seen now, is much more severe than a doctor’s re examination report would suggest.
With IVUS data support, revisiting coronary angiography with multiple comparative results indeed indicated severe stenosis. Without IVUS, there might have been a missed diagnosis.
Considering the patient’s condition was caused by trauma, simply placing a stent is aningless. The vascular region corresponding to the heart is definitely injured, consistent with Student Xie’s previously proposed viewpoint. The abnormal area found needs focused re-examination to confirm the diagnosis. Cardiologists cannot achieve this through intravascular techniques alone; only surgeons can visually inspect it.
Surgeons are the safety net for internists. This statent once again reveals its profound significance.
"Junior Sister, your eyes are terrifying." As the surgery proceeded, Shim Youhuan couldn’t help but exclaim in admiration, "I couldn’t see it, but you could. I know this is a variable, re observation isn’t enough. Yingying, do your eyes co with a built-in calculator?"
Student Xie’s eyes have a built-in calculator; indeed, all the onlookers found this quite agreeable.
Senior Brother Shim felt relieved. The purpose of the internal dicine surgery was basically t, and the issues could be identified as a precursor for the surgery.
User Comments
0 comments from readers