Auto chess in the operating room

Chapter 249 This Diagnosis Is Too Immature

Not long after leaving Tang Lou, Ma Shuya also sorted out the information. She also somewhat agrees with Tang Lou's speculation, but she does 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 directly.

During the meeting, Dr. Pan invited two other attending physicians of the general surgery department, and Ma Shuya, as a resident doctor, did not have much right to speak.

Unless the attending physician allows it, or asks actively, it is difficult to intervene.

Ma Shuya and Muzi gave a copy of the materials prepared last night to each attending physician in advance, and turned on the projection at the same time.

In the small conference room, three attending physicians sat at a small table and began to discuss the patient's undiagnosed cause, while Ma Shuya listened with pricked ears.

However, after talking for a long time, the possibility of parasites in the biliary tract was not mentioned. Ma Shuya looked at the paper on which Tang Lou transcribed the data, ready to move, but there was no suitable opportunity.

After all, as a junior doctor, you still need to be very cautious in what you do and what you say, especially what Tang Lou said was only speculation, and Ma Shuya was not very sure.

Dr. Pan was still very keen in observation. Seeing Ma Shuya hesitated to speak, he asked directly: "Little Ma, as a resident doctor with the bed, what do you want to say? If you have any ideas, you are welcome." Bring it up and let everyone brainstorm.”

Hearing Dr. Pan's invitation, the other two attending physicians also looked at Ma Shuya.

Ma Shuya took a deep breath, handed the data transcribed by Tanglou yesterday to Dr. Pan, and said in a firm tone:
"This was discussed by a doctor friend and me yesterday. We believe that the patient's liver function, obstruction index and jaundice index all increased to varying degrees, and the blood routine showed a slight increase in eosinophils, so it is suspected The patient's common bile duct is obstructed."

At the same time, Ma Shuya 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 line-like low-signal shadow. Therefore, we It is speculated that it may be the biliary parasites that caused the inexplicable pain that has not been detected."

"Biliary parasites?"

Hearing Ma Shuya's conjecture, the three attending physicians were very surprised.

Especially Dr. Pan, who has been following this case, took a color Doppler ultrasound and several sets of data transcribed by Tang Lou 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 ultrasound may be your subjective imagination."

"If, as you said, it is really a biliary tract parasite, then we should see it in the first color Doppler ultrasound, unless the patient's biliary tract has pathological lesions and intestinal pneumatosis occurs at the same time, it is possible, but this There will not be one out of 1 seeded patients."

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 materials back to Ma Shuya with some encouragement: "It is very encouraging to dare to think and use your brain. If I You guessed right, the doctor who deduced with you should not be a few years older than you."

Ma Shuya nodded, a little surprised why Dr. Pan would ask such a question: "Dr. Pan, how do you know that he is a few years younger than me."

Doctor Pan smiled slightly and looked at the other two attending physicians.

One of them naturally understood and explained to Ma Shuya: "Generally experienced doctors don't make diagnoses and inferences like this. How do you feel about your friend. It's like a flash of inspiration in advance, and I thought of it." The rare possibility of biliary tract parasites, and then looking for evidence from the data is an unconventional diagnosis method, and it is also a very immature one-sided gambling diagnosis method, which we do not recommend."

If Tang Lou were here, he would definitely give a thumbs up. The attending doctor of Zijingang Hospital is indeed experienced and has amazing judgment.

The only difference is that Tang Lou is not a gamble, but a sure thing.

Of course, Dr. Pan would not really think that Tang Lou's speculation was the truth.

After all, diagnosing this kind of thing is not only based on talent and temporary inspiration, but also depends on the experience you have accumulated through countless operations, and finally undergoes qualitative changes.

Dr. Pan does not agree with this gambling-like guessing diagnosis method, which is too one-sided and too dependent on luck. He will still look for the cause based on the most intuitive and common symptoms.

It is the most scientific way to make a judgment based on the "big data" accumulated by oneself, and start the investigation from the most likely cause.

"Okay, Xiao Ma and your little friend's opinions, we will consider. But, first, we should investigate according to the direction of the greater possibility we proposed."

Dr. Pan didn't say anything to death, and immediately ranked the several causes that he and the other two attending physicians proposed in order of possibility, and after thinking about it, he put Tang Lou's deduction at the end.

"Xiao Ma, this is the end of today's consultation. This is what some of us have suggested that we need to do further investigation and enhanced testing. You follow the order I listed."

Dr. Pan gave the order without any doubt.

"Okay, Doctor Pan."

Ma Shuya took the summary of the consultation, looked at it, and thought about it. It is true that the etiology proposed by Dr. Pan and the others is more likely. Moreover, Dr. Pan's aura and experience are still more authoritative than Tang Lou. .

After thinking about it, Ma Shuya also felt a wave of fear. It would be too bad if she rushed to do the examination according to Tang Lou's speculation and delayed the patient's diagnosis.

Ma Shuya quickly took the results of the consultation, went to the ward to inform the patient, and carried out relevant examinations.

After Ma Shuya left, Dr. Pan checked the time and was about to leave.

"Doctor Pan, why do you look in a hurry, there will be surgery soon?"

Another attending doctor asked, and Dr. Pan shook his head: "I'm not going to have an operation, but to observe an operation. Just now, Dr. Cha from the orthopedics department told me that this morning they have a CBA player's top ten The ligament reconstruction surgery is said to be performed by the sun team's miraculous doctor, sports medicine expert, and Dr. Kevin."

"Doctor Kevin is the chief surgeon. It is worth visiting to learn the most cutting-edge reconstruction technology in the world."

Another attending exclaimed that the academic atmosphere of Zijingang Hospital is very strong. Every time there are professors and experts from other hospitals or foreign countries, the department will organize key doctors to observe and study.

Dr. Pan smiled mysteriously: "What you said is not accurate. Dr. Kevin is not the surgeon. He is just an assistant. The surgeon is someone else. It is said that it is the mysterious "flying knife". I asked Dr. Cha, but he is still mysterious. Xi refused to say it, or said it out for fear of scaring me to death."

"Oh, is it so big?"

The other two attending doctors were also interested, but the general surgery department was very busy and they had already scheduled surgeries.

"Then please go and observe on our behalf."

"Okay, then I'll go."

Dr. Pan rushed to the operating room with great anticipation. I wonder if it was that old domestic professor from Xiehe again?Or from Xiangya?

After all, a doctor who can let Dr. Kevin serve as his assistant must be of a high level.

It's a pity, if it wasn't for the time conflict, Ma Shuya and his children could go to see the world together, what kind of senior experts are.

(End of this chapter)