Chapter 693: 【693】Master and master do not give in to each other
"Doctor Tao, I know my grandson is impatient, and I have criticized him. He is impatient, but your doctor cannot be influenced by him. If you want to take a stone, you don't have to do an operation. I brought Dr. Yu today just because I wanted to. Don't make non-invasive stone extraction for him." Zhao Huaming said.
He Guangyou couldn't help but interject, not to let Zhao Huaming misunderstand that they hadn't seriously and comprehensively considered it, and said, "Professor Zhao, we must have discussed whether this is invasive or non-invasive at noon. ERCP needs to be done at Twelve Fingers It is better to cut open the bile duct in the intestine to remove stones. The abolition of the duodenal sphincter will have a great impact on him in the future. Moreover, it is impossible to observe the condition of his liver and gallbladder only by laparoscopy. Laparoscopic examination It is clearer, and problems are found and dealt with in a timely manner.”
The group of surgeons suddenly said that the endoscopes in the internal medicine department were fatally flawed. Yu Xuexian was unhappy when he heard this, raised his eyebrows, raised his glasses and said, "Are you too impatient? I'll see him. According to the existing inspection reports, his condition is improving. Why not wait more patiently and wait for the complete improvement? Maybe even endoscopy will not be necessary at that time. Besides, endoscopy is not necessarily wrong. If you want to take that knife, you will definitely have to make a few cuts for laparoscopy, and the risk of infection is even greater."
"It seems that your medical endoscope will not be infected at all? Any operation that invades the human body will cause infection." He Guangyou rejected him.
"It's definitely less risky than your surgical infection!"
The masters of internal medicine and surgery suddenly turned on their fire. It's like the martial arts of Jianghu suddenly bumped into each other, and sparks were everywhere.
calm down. Tao Zhijie waved his hand and told his subordinates to stop arguing with each other and return to the patient.
"Yes." Zhao Huaming pointed to what Yu Xuexian said, "I mean what he meant. I didn't say that I would never have surgery on my grandson. It's just that he has no indications for surgery at this stage."
The question of Zhao Zhaowei's case before the signs of surgery seem to be in a state of Rashomon. You say you are right and I say I am right. Why does this happen? In fact, this dilemma of whether to take more radical medical measures is very common in clinical practice.
For example, doctors often say something to patients: In your case, you can have surgery, or you can take medicine for a while before surgery.
The main reason is that the patient's condition is not urgent, and surgery may or may not be performed immediately. In such a situation, the strategy that the general doctor will take is basically the above sentence.
Because patients will compare, compare another patient with the same disease, they have been injected and taken medicine, but if you insist on letting me perform surgery, is your doctor going to cheat me?
Clinically, there are really the same diseases, some are just fine with injections and medicines, while others require surgery to solve the problem. When the doctor thinks about it, I'm not a fairy and can't predict which way you need to solve the disease, so let's talk about it when you are in a hurry and need surgery.
Over time, this kind of thinking mode has been developed clinically. Obviously, the conservative treatment He Guangyou and the others took to Zhao Zhaowei before, and what Yu Xuexian just said, Zhao Huaming thought for his grandson, were all based on this inertial model.
(end of this chapter)