It’s not surprising; the clarity of an outsider always proves useful.
When surgeons occasionally encounter complex problems and their thoughts are tangled, they will also ask anesthesiologists for their opinions. Since anesthesiologists and nurses spend every day in the operating room observing surgeries, they might co up with so breakthrough ideas to inspire the Chief Surgeon.
Doctor Mo hesitated at the corner of his mouth.
Shim Youhuan moved closer to see what the situation in the surgical field was today.
After observing, he blinked: What has happened to this patient’s mitral valve area? It’s all oddly shaped. It’s difficult to say whether the previous valve was poorly installed, making the removal and reconnection challenging, or whether it’s the patient’s heart that has undergone other pathological changes leading to this result.
The current surgical situation is quite rare; Mo Guai, the surgeon, needs to stop and thoroughly think about the next step.
"Yingying, what do you think?" Shim Youhuan didn’t worry about face issues; he directly asked his junior sister, who thinks differently than most.
When asked by her senior, Xie Wanying responded based on her observations: "I believe this patient has cardiac hypertrophy, and the chambers are compensatorily enlarged. If we truly want to repair this area, making an incision might be the key to solving the problem. Teacher Du might have this idea."
The crowd listened to her words, almost exclaiming across the board: Make a bold and decisive cut?
Du ngen squeezed his eyelids hard at Zhang Shuping, expressing full surprise: Is this person a girl?
Zhang Shuping shook his head to indicate he didn’t know, only recalling his uncle’s assessnt of a surgeon with one word: fearless and ticulous.
Courage must be ample, and caution detailed, which is a bit challenging for young doctors. Young female dical students tend to be less brave, but can do well with details. Male dical students are prone to not being careful enough, while being more daring. Student Xie is quite different; most teachers evaluate her as quite bold.
The premise for boldness in action is having sufficient technical expertise; otherwise, it turns into recklessness.
The most terrifying part is that Doctor Du, standing by the operating table, had a calm expression, showing no surprise, indicating that Student Xie had once again grasped the Chief Surgeon’s thoughts.
Shim Youhuan nodded, the junior sister’s words were backed by certain data and cannot be considered as random speculation. The examination report in the patient’s dical records indicates cardiac enlargent. In such patients, as Xie Wanying ntioned, with compensatory pulmonary hypertension present, compensatory enlargent of the chambers is very normal.
The issue is whether this compensatory change is reversible, whether it requires a specific incision by the doctors to modify. If excessive, without making this particular incision, the needless action of cutting and installing the valve could result in adverse effects.
Just like pulmonary hypertension, Zhang Huayao believed it is reversible and doesn’t require attention. The focus wasn’t placed here during preoperative discussions, which ans this area was preliminarily judged as reversible, thus no plans were made for unnecessary surgery.
The human body is not a simple machine; it has a self-repairing and adjusting ability. Doctors must not underestimate the body’s own repairer.
For this reason, the Chief Surgeon showed hesitation and needs to seek more evidence support.
"Explain again the necessity of making an incision." Du Yeqing asked.
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