【693】Master and master do not give in to each other
"Yes, Professor Zhao, I don't deny what you said." Tao Zhijie nodded and said, "But if the patient has this need, we have to work hard."
"Dr. Tao, I know that my grandson is impatient, and I have criticized him. He is impatient, but you doctors can't let him affect your judgment. If you want to remove the stone, you don't have to do surgery. I brought Dr. Yu here today just to do it.
We won’t allow him to undergo non-invasive stone removal,” Zhao Huaming said.
He Guangyou couldn't help but intervened to prevent Zhao Huaming from misunderstanding that they had not considered it carefully and comprehensively, and said: "Professor Zhao, we must have discussed this at noon whether to do it invasively or noninvasively. The ercp should be on the twelve fingers.
It is better to cut open the bile duct and remove stones from the intestinal tract. The failure of the duodenal sphincter will have a great impact on his future. Moreover, only a laparoscopy cannot observe the condition of his liver and gallbladder. Laparoscopy
It will be clearer and problems can be solved in time during the operation.”
The surgical team suddenly said that endoscopic surgery in the internal medicine department was fatally flawed. When Yu Xuexian heard this, he became unhappy. He raised his eyebrows, adjusted his glasses and said, "Are you too impatient? I see him.
According to the current examination report, his condition is improving. Why not wait more patiently to see if he has completely improved? Maybe by then there will be no need for laparoscopy. Besides, it is not necessarily necessary to have laparoscopy.
If you want to undergo that incision, you will definitely have to make several incisions during laparoscopy, and the risk of infection will be greater."
"It seems that your endoscopic endoscopy will not cause infection at all? Any operation that invades the human body will cause infection." He Guangyou dismissed him.
"It's definitely less risky than your surgical infection!"
Experts in internal medicine and surgery suddenly came into full force. It was like martial arts schools suddenly bumping into each other and refusing to give in. Sparks flew out.
Calm down. Tao Zhijie put down his hand and asked the people below to stop arguing with each other and return to the patient.
"Yes." Zhao Huaming pointed at Yu Xuexian and said, "I mean what he meant. I didn't say that I would definitely not perform surgery on my grandson. It's just that he has no indication for surgery at this stage."
Regarding Zhao Zhaowei's case, the question of whether there are signs of surgery seems to have fallen into a Rashomon state. You say you are right and I say I am right. Why is this situation happening? In fact, this is a dilemma of whether to take more radical medical measures.
It is very common clinically.
For example, doctors often say to patients: In your case, you can have surgery, or you can take medicine for a period of time without surgery.
The main reason is that the patient's condition is not urgent, and he may or may not undergo surgery immediately. In such a situation, the general strategy that doctors will adopt is basically the sentence above.
Because patients will compare, compare with another patient with the same disease. If someone got better after taking injections and taking medicine, but you insist on letting me do surgery, is your doctor trying to trick me?
In clinical practice, there are indeed the same diseases. Some can be cured by injections and medicines, and some require surgery. When the doctor thinks, I am not a god and cannot predict which method you need to solve the disease. Then wait until your situation is urgent.
Let’s talk about the surgery later.
Over time, this kind of thinking pattern has been developed in clinical practice. Obviously, the conservative treatment He Guangyou and the others took on Zhao Zhaowei before, as well as what Yu Xuexian just said, Zhao Huaming thought about his grandson, were all based on this inertial pattern.
