Chapter 249 This diagnostic method is too immature
Not long after leaving the Tanglou, Ma Shuya also sorted out the information. She somewhat agreed with the Tanglou's speculation, but she did have some crazy thoughts.
Early in the morning, Dr. Pan, who was in charge of Wang Airen, also arrived at the hospital and held a small meeting.
At the meeting, Dr. Pan invited two other attending physicians from the general surgery department. As a resident, Mashua actually did not have much say.
Unless the attending physician gives permission or takes the initiative to ask, it is difficult to get a word in.
Ma Shuya and Muzi gave a copy of the information prepared last night to each attending physician in advance, and turned on the projector at the same time.
In the small conference room, the three attending doctors sat at a small table and began to discuss the patient's unidentified cause of the disease. Ma Shuya listened with pricked ears.
However, after talking for a long time, no one mentioned the possibility of biliary parasites. Ma Shuya looked at the paper on which the data was copied in the tenement building and was ready to make a move, but there was no suitable opportunity.
After all, as a lower-level doctor, you still need to be very cautious in what you do and say, especially since Tanglou's was only speculating, and Ma Shuya was not very sure.
Dr. Pan was still very observant. He saw Ma Shuya on the side, still wanting to speak, and asked directly: "Xiao Ma, as the resident doctor who is following the bed, do you have anything to say? Whatever you have in mind, you can do it."
Put it forward and let everyone brainstorm."
Hearing Dr. Pan's proactive invitation, the other two attending doctors also looked at Mashua.
Ma Shuya took a deep breath, handed the data transcribed in the tenement building yesterday to Dr. Pan, risked it, and said firmly:
"This is what a doctor friend and I discussed yesterday. We believe that the patient's liver function, obstruction index and jaundice index have increased to varying degrees, and the blood routine shows a slight increase in eosinophils, so we suspect
The patient has obstruction in the common bile duct."
Ma Shuya also turned the projection to the first color ultrasound examination: "Three doctors, you can see from this color ultrasound that the patient's external bile duct is slightly dilated, and the lower end of the common bile duct has a linear low-signal shadow, so we
I speculate that it may be biliary tract parasites that cause the inexplicable pain that has never been found."
"Biliary tract parasites?"
Hearing Ma Shuya's speculation, the three attending doctors were all very surprised.
Especially Dr. Pan, who has been following this case, took the color ultrasound and several sets of data that Tanglou had transcribed before, and looked at it: "Theoretically, it is not impossible. It's just that the probability of this speculation is too small. Moreover, this
Such a blurry image on the color Doppler ultrasound may be your subjective imagination."
"If it is really a biliary parasite according to what you said, then we should see it in the first color ultrasound. Unless the patient has pathological changes in the biliary tract and intestinal pneumatosis, it is possible. But this is
Out of 10,000 patients, not one will be born."
After all, Dr. Pan is a senior attending surgeon in the Department of Hepatobiliary and Pancreatic Surgery. He has handled too many cases and is very experienced. He handed the information back to Ma Shuya with some encouragement: "Dare to think and use your brain. This is very worthy of encouragement. If I
You guessed it right, the doctor you are deducing with should be a few years older than you."
Ma Shuya nodded, a little surprised why Dr. Pan would ask: "Dr. Pan, how do you know? He is a few years younger than me."
Dr. Pan smiled slightly and looked at the other two attending doctors.
One of them naturally understood and explained to Ma Shuya: "Generally experienced doctors will not diagnose and make inferences like this. How can I say that your friend gave us the feeling? It was like a sudden flash of inspiration and an idea.
The rare possibility of biliary tract parasites, and then looking for supporting evidence from the data, is completely an unconventional diagnostic method, and it is also a very immature one-sided gambling diagnostic method, which we do not recommend."
If Tanglou were here, I would definitely give him a thumbs up. The attending doctor at Zijingang Hospital is indeed very experienced and has amazing judgment.
The only difference is that Tanglou is not a gamble, but a sure thing.
Of course, Dr. Pan would not really think that the speculation raised by Tang Lou was the truth.
After all, diagnosing something like this depends not only on talent and temporary inspiration, but also on the experience you have slowly accumulated through countless surgeries, and finally produces qualitative changes.
Dr. Pan does not agree with this gambling-like guessing diagnosis method, which is too one-sided and relies too much on luck. He will still find the cause based on the most intuitive and common symptoms.
It is the most scientific way to make judgments based on the "big data" you have accumulated and start investigating from the most likely cause.
"Okay, we will consider the opinions of Xiao Ma and your kid. But first, let's investigate in the direction of the greater possibility we proposed."
Dr. Pan didn't say anything. He immediately ranked the several causes proposed by himself and the other two attending doctors in order of possibility. After thinking about it, he put Tanglou's inference at the end.
"Xiao Ma, today's consultation ends here. A few of us have proposed the need for further investigation and enhanced testing. Please follow the order I listed."
Dr. Pan gave the order without any doubt.
"Okay, Dr. Pan."
Ma Shuya took the summary of the consultation, looked at it, and thought about it. It is true that the cause proposed by Dr. Pan and the others is more likely. Moreover, Dr. Pan’s aura and experience are more authoritative than those in Tanglou.
.
After thinking about it, Ma Shuya also felt afraid. It would be too bad if she hurriedly went for the examination according to Tanglou's speculation and delayed the patient's diagnosis.
Ma Shuya quickly took the consultation results and went to the ward to inform the patient and conduct relevant examinations.
After Mashua left, Dr. Pan looked at the time and prepared to leave.
"Dr. Pan, why do you look so rushed? There will be an operation soon?"
Another attending doctor asked, and Dr. Pan shook his head: "I'm not going to do an operation, but to observe an operation. Just now Dr. Cha from the orthopedics department told me that this morning they had a top ten CBA player.
The ligament reconstruction surgery is said to be performed by Dr. Kevin, the Suns’ miracle doctor and sports medicine expert.”
"Dr. Kevin is the surgeon. It's worth a visit to learn about the most cutting-edge reconstruction technology in the world."
Another attending physician praised the academic atmosphere of Zijingang Hospital. Every time there are professors and experts from other hospitals or from abroad, the department will organize key doctors to observe and learn.
Dr. Pan smiled mysteriously: "What you said is not accurate. Dr. Kevin is not the surgeon, he is just an assistant. There is someone else who is the surgeon. I heard it is a mysterious "flying knife". I asked Dr. Cha and he is still mysterious."
I'm so embarrassed that I don't want to say it, but I'd rather say it out of fear of scaring me to death."
"Oh, is it such a big deal?"
The other two attending doctors were also interested, but the general surgery department was very busy and they had already scheduled surgeries.
"Then I ask you to go observe on our behalf with full authority."
"Okay, I'll go then."
Dr. Pan rushed to the operating room with great anticipation. I wonder if it was that old professor from China, from Peking Union Medical College? Or from Xiangya?
After all, a doctor who can have Dr. Kevin as his assistant must be of a high level.
Chapter completed!