Those years when I hung up and upgraded in the hospital

Chapter 54: There are no useless abilities (Please collect and read)
There is a bedside color ultrasound machine in the operating room, which is an auxiliary tool that anesthesiologists must occasionally use.

Many anesthesiologists require the assistance of color ultrasound to be more accurate when performing nerve blocks.

Sharpening knives does not miss woodcutters.

The best way to diagnose hemangioma is not MRI. MRI is only to see clearly the shape of hemangioma. Qualitative diagnosis is a simple color ultrasound.

You can see if there is a hemangioma inside with a quick look.

The main thing is that Fang Yun has never been a person who likes to be unconventional. If he is not more than [-]% sure, Fang Yun will never make trouble in front of others.

Moreover, Fang Yun had solid basic skills and rich theories, and Peng Nanbo had no choice but to believe him.

The patient was shocked: "What, I have a tumor?"

"No, no, it's a blood vessel mass. We are used to calling it hemangioma, not a tumor. Don't be afraid." Peng Nanbo shouted quickly.

At this time, don’t worry about the principle of sterility. Push the instrument table away, contaminating all the cloths and towels laid out, and start doing bedside color ultrasound directly.

Compared with re-sterilizing drapes, washing hands and putting on clothes, surgery without a clear diagnosis will cause more panic and anxiety.

Whoosh whoosh.

Just after the probe went up, there was such a beating sound from the color ultrasound instrument.

The sound of blood rubbing against the walls of blood vessels is difficult to imitate.

Although the anesthesiologist is not a professional color ultrasound room doctor, he also understands what this means: "There is really a hemangioma!"

"I will step down from the stage first and go find the family members to talk and sign again!~" Peng Nanbo immediately took off his clothes and expressed his stance to Ding Yuanqiu.

Damn it!This patient's diagnosis was almost wrong. Fortunately, the skin had not been incised. Even if the patient refused, he could still be pushed out of the operating room and the operation postponed.

This hemangioma is so weird that it is located near the gluteal muscle contracture.The symptoms of gluteal muscle contracture are obvious. Who would think of doing a color ultrasound to suspect a hemangioma?

Of course, with this kind of fixed thinking, if Fang Yun hadn't happened to detect it, then once this operation was performed and the hemangioma was cut open without any reaction, then this operation would have to be It went from a minor elective surgery to a super dangerous rescue surgery.

By then there will be no more people.

The patient's family will definitely ask, why don't you check me? I've had all the surgeries, and I can't bear to pay more than 100 yuan for a color ultrasound?Why don't you check your whole body? Doesn't your hospital have the conditions?

Why before surgery.

But if you really check everything, it's fine.

That's another way of saying it...

Even if a new diagnosis is discovered before surgery, whether to directly undergo surgical treatment, apart from the patient's own opinion, the opinion of the patient's family is also very important.

The patients Huang Xuepei was in charge of were under the supervision of Director Peng Nanbo. Huang Xuepei did not come down for surgery today, so he, the department director, had to do the signing of the conversation himself.

When Peng Nanbo went to see his family, Ding Yuanqiu and Long Quan patiently explained to the patient what hemangioma was and the harmful effects of hemangioma in the body. If the hemangioma was not treated this time, the hemangioma could be bypassed to perform gluteal muscle contracture. Surgery, but this is unnecessary.

However, removal requires the patient’s consent and informed consent.

"Then cut it, it's not a good thing."

"It scared me to death. I thought it was a tumor." The patient was still frightened.

"There isn't one on the other side?"

The diagnosis upon admission was gluteal muscle contracture, and a tumor suddenly developed before the operation. Even a normal person would find it hard to accept this.

"No. Usually one hemangioma is serious, but multiple hemangiomas occurring at the same time are rare." Ding Yuanqiu looked back, looking sideways in Fang Yun's direction.The physical examination of hemangioma in ordinary areas is very simple, and the pulsation of blood vessels can be palpated.

But the buttocks must be a special area.

It is covered with a thick layer of fat, and the inner layer is even the gluteus maximus muscle. For hemangioma in this area, you want to feel the pulsation of blood vessels through physical examination and palpation.

It was difficult for Ding Yuanqiu to determine whether doctors in the vascular surgery department could perform such physical examinations, but other surgeons except those in the vascular surgery department did not have this ability.

Unconsciously, this young man once again demonstrated his solid basic skills.

However, although physical examination is a basic skill, not everyone can and is proficient in it. Such basic skills are hard core skills.

If the patient gives his or her informed consent, then all he has to wait for is the informed consent form signed by Peng Nanbo’s family members.

Long Quan and Fang Yun washed their hands again, disinfected the drapes, put on sterile surgical gowns, and applied sterile tape on the surgical field area.

"Signed, Cao Qun, your family agrees to remove the hemangioma during the operation." Peng Nanbo walked in, patted the medical record in his hand, and informed.

"Cut it, Director Peng, of course it has to be cut."

"Why don't you keep it? It's just a hole anyway. Take it out in one breath. It's just right." The patient named Cao Qun responded quickly, fearing that Peng Nanbo would treat the hemangioma as a treasure and keep it in his body.

After this, Fang Yun's opportunity to operate was gone.

The two simple diseases of gluteal muscle contracture and hemangioma were mixed together. The difficulty of this operation soared. Even Ding Yuanqiu did not dare to let Fang Yun try it again. Instead, he honestly picked up the lancet and cut it. After opening the skin, carefully and bluntly push in layer by layer.

After bypassing the gluteus maximus, you can see the red soft pack of hemangioma, close to the gluteal muscle contracture.

It's not big, only about the size of your thumb.

"It seems that during the intramuscular injection process, a blood vessel may have been accidentally pierced. During the process of blood vessel closure, it buckled to form a capillary network, which subsequently developed a hemangioma."

"However, the anatomical structure of this hemangioma is very clear, the capsule is complete, and there are no additional nutrient arteries. It is still a type that is easier to treat." Ding Yuanqiu explained this while exploring.

Then he used his and the hypothenar muscles to explore the pulsation of the hemangioma at close range, and couldn't help but look at Fang Yun.

"Dr. Fang, did you feel the pulsation of the hemangioma through the surface of the skin?" Ding Yuanqiu couldn't help but clicked his tongue again.

What's going on? Isn't the basic physical examination skill we learn the same category?

Of course, it is difficult for Fang Yun to explain such a subtle gap.

But in fact, as a basic skill in basic medical examination, few people will improve to a very high level of proficiency, and it is basically enough.

As for Fang Yun, he improved his proficiency in basic medical examination skills to level 3 by hanging up. Although level 3 proficiency is not particularly high, there is naturally a gap when compared with some very skilled professors.

But when you have not reached the professor level and cannot deeply understand the gap in physical examination seats, your medical physical examination skills are relatively limited. Fang Yun's current level is something that most people will not pay attention to.

After all, today's various auxiliary inspections are very complete.

When Fang Yun heard such praise, he could only smile.

I feel more confident that every ability has its own unique use. It may not look gorgeous, but when used, it will be useful.

Specialist skills are used to treat diseases, and the benefits of basic medical examinations for diagnosis cannot be replaced by a good surgery.

There are no useless abilities.

"Brother Qiu, you are exaggerating. Let's continue the operation." Fang Yun hopes to see how Ding Yuanqiu handles this gluteal muscle contracture to increase his knowledge...

(End of this chapter)