The system takes me for surgery
Chapter 361: Evidence-Based Medicine
Lu Chenhao said: "It's right to be nervous, this operation is like dismantling a bomb, and I still don't know what type of bomb it is, and I don't know its power, so I don't know the bottom line. Blind surgery."
"Under conventional medical conditions? What do you mean?" Liang Yi asked.
Anesthetist Lao Hong interjected, "He used to be a field military doctor in Ugly Country."
No wonder Lu Chenhao has such a personality. It turned out that he had seen such an extraordinary scene. Liang Yi asked, "Aren't their medical conditions pretty good?"
Lu Chenhao shook his head and said, "That's under stable conditions. If I throw it to you in a place where you don't want to shit, then you will know that survival skills are more effective than medical treatment. I can perform semi-blind surgery on him. Those are the sons of his mother God."
Although this situation is a bit unimaginable for Liang Yi, the medical conditions must be much worse than that of a conventional hospital, and Lu Chenhao has developed a bold and careful professional habit.
The operation has begun.
Lu Chenhao shouted: "Turn on the lights!"
The surgical nurse hurriedly gave him the operating light.
After the lights were aligned, Lu Chenhao started to do something drastic?
He made an incision from the center of the chest, sawed through the sternum, and quickly stripped the tissue to reach the chest cavity.
Liang Yi was working as an assistant beside him, not taking his eyes off his chest for a moment, waiting for the answer to be revealed.
I see!
Lu Chenhao peeled it with his fingers, blood gushed out from time to time, and asked, "Did you see it?"
"I see!" Liang Yi responded.
He saw the aneurysmal bulge of the right sinus of the aorta to the right atrium, the opening was at the top, the tumor bag was about 3cmx 0cm, and there was a thrombus inside, the thrombus was like a very small tadpole, located at the leading to the aorta s position.
Lu Chenhao shook his head and said: "The doctors in the cardiology department thought that the patient's liver congestion and bilateral pleural effusions were consistent with the symptoms of heart failure. They didn't notice that the disease was progressing rapidly. Therefore, it was not during the course of the disease. Invariant. The patient’s murmur intensity was small when he was admitted to the hospital, and as the disease progressed, the murmur intensity increased and the symptoms of heart failure aggravated. After the aortic sinus aneurysm broke into the cardiac cavity, there was a continuous murmur at the left sternal border.”
Liang Yi said: "I did feel that the disease was gradually getting worse during the course of the disease, but I was still inexperienced, so I didn't diagnose it at that time."
Lu Chenhao chuckled and said, "I'm just going to talk about it, and Zhuge Liang after the fact. In fact, let me see it, and I may not be able to see it."
Liang Yi stopped suddenly and said, "It seems that there is also a tumor in the interventricular septum."
Lu Chenhao picked it up and said excitedly, "It's true, you've hit everything! How did you diagnose it?"
Liang Yi smiled awkwardly, and said, "I think they are very similar. This may be the case, but there is still an element of speculation."
"Normally, compared to other disciplines, medicine is an empirical science, and many times it is impossible to find the answer through logical deduction." Lu Chenhao spoke, but it did not affect the speed of his hand at all, and the first tumor was quickly peeled off by him up.
Liang Yi was tacitly doing the work of repairing the damaged blood vessels, he replied: "Yes, sometimes various symptoms intertwine, which is really a headache."
"Think about it. Today, with the scientific knowledge we have acquired, humans can accurately calculate when the lunar landing spacecraft will land on the moon, but they cannot accurately calculate the blood pressure and pulse value of any person one minute later. In fact, human beings now The vast majority of diseases that have emerged have not been cracked. The evidence-based medical organization has conducted systematic evidence-based medical investigations on more than 1 diseases, and found that less than 3000% of humans can clearly answer Yes or No.
Although the diagnosis and treatment guidelines have been established for some diseases, it does not mean that the diagnosis and treatment of the diseases are [-]% correct or effective. "
"Yes, I don't know many mechanisms, I only know how to use the medicine."
"Right, like the simplest athlete's foot problem, everyone knows it is contagious. The strange thing is that I often meet some patients with beriberi on only one foot. These patients often change socks on both feet and often scratch each other. What is the reason why there is no infection? So far no one can explain it clearly, including the famous professor of dermatology. Therefore, some diseases seem to be known to everyone, but it is difficult to apply to everyone when diagnosing them.”
"That's right, when you put it that way, even the problem of athlete's foot is a bit of an unsolved mystery." Liang Yi said with a smile.
With the tacit cooperation of the two, the operation ended quickly.
When the old lady was pushed out of the operating room, Liang Yi saw Qin Hanyun waiting in the inner corridor of the operating room.
As soon as she saw Liang Yi coming out, she asked eagerly, "How was the operation?"
"No problem, it's a tumor in the aortic sinus and ventricular septum." Liang Yi said.
"It scared me to death." Qin Hanyun leaned against the wall excitedly, feeling that her legs were a little weak. In the past four or five days, she hadn't had a good night's sleep. The old lady's condition was like a stone that kept pressing on her heart. , she was almost out of breath.
Her face became a little pale, Liang Yi saw that something was wrong, so he hurriedly stepped forward to support her, and found that her hands were so cold, so cold, as if they had just been taken out of the freezer.
He slowly let her sit down, went to the operating room to get a bottle of [-]% glucose, opened it for her to drink, and then slowly recovered.
"Did you not eat this morning?" Liang Yi asked.
Qin Hanyun shook her head and said, "Last night I suffered from insomnia, and I couldn't wake up in the morning, and I didn't have any appetite, so I didn't eat."
"The operation is complete, the old lady is fine, don't worry." Liang Yi said.
Lu Chenhao also came out of the operating room. From that perspective, Liang Yi seemed to be whispering to Qin Hanyun as a couple, and joked, "You look gentle and honest. I didn't expect you to be trained for a few days. , and abducted the beautiful little girl from our hospital."
Qin Hanyun blushed with shame and shook her head.
Liang Yi also blushed, and said, "She just couldn't stand the hypoglycemia?"
After asking, Lu Chenhao found out that Qin Hanyun had trouble sleeping and eating because he was worried about the patient's condition. He shook his head with a smile and said, "Student Hanyun, you must be serious about seeing a doctor, but don't put yourself into it. Sometimes you have to learn to do your best and listen to the doctor." The idea of destiny."
Qin Hanyun nodded and said, "I know, but sometimes I can't control it."
Lu Chenhao walked over and patted her on the shoulder, and said, "That's right, I often did this when I was just working. I was always very worried when I encountered a critically ill patient. Sometimes the patient's condition far exceeds your current ability. Of course, the doctor's ability is also limited." , not all diseases are cured.”
"Under conventional medical conditions? What do you mean?" Liang Yi asked.
Anesthetist Lao Hong interjected, "He used to be a field military doctor in Ugly Country."
No wonder Lu Chenhao has such a personality. It turned out that he had seen such an extraordinary scene. Liang Yi asked, "Aren't their medical conditions pretty good?"
Lu Chenhao shook his head and said, "That's under stable conditions. If I throw it to you in a place where you don't want to shit, then you will know that survival skills are more effective than medical treatment. I can perform semi-blind surgery on him. Those are the sons of his mother God."
Although this situation is a bit unimaginable for Liang Yi, the medical conditions must be much worse than that of a conventional hospital, and Lu Chenhao has developed a bold and careful professional habit.
The operation has begun.
Lu Chenhao shouted: "Turn on the lights!"
The surgical nurse hurriedly gave him the operating light.
After the lights were aligned, Lu Chenhao started to do something drastic?
He made an incision from the center of the chest, sawed through the sternum, and quickly stripped the tissue to reach the chest cavity.
Liang Yi was working as an assistant beside him, not taking his eyes off his chest for a moment, waiting for the answer to be revealed.
I see!
Lu Chenhao peeled it with his fingers, blood gushed out from time to time, and asked, "Did you see it?"
"I see!" Liang Yi responded.
He saw the aneurysmal bulge of the right sinus of the aorta to the right atrium, the opening was at the top, the tumor bag was about 3cmx 0cm, and there was a thrombus inside, the thrombus was like a very small tadpole, located at the leading to the aorta s position.
Lu Chenhao shook his head and said: "The doctors in the cardiology department thought that the patient's liver congestion and bilateral pleural effusions were consistent with the symptoms of heart failure. They didn't notice that the disease was progressing rapidly. Therefore, it was not during the course of the disease. Invariant. The patient’s murmur intensity was small when he was admitted to the hospital, and as the disease progressed, the murmur intensity increased and the symptoms of heart failure aggravated. After the aortic sinus aneurysm broke into the cardiac cavity, there was a continuous murmur at the left sternal border.”
Liang Yi said: "I did feel that the disease was gradually getting worse during the course of the disease, but I was still inexperienced, so I didn't diagnose it at that time."
Lu Chenhao chuckled and said, "I'm just going to talk about it, and Zhuge Liang after the fact. In fact, let me see it, and I may not be able to see it."
Liang Yi stopped suddenly and said, "It seems that there is also a tumor in the interventricular septum."
Lu Chenhao picked it up and said excitedly, "It's true, you've hit everything! How did you diagnose it?"
Liang Yi smiled awkwardly, and said, "I think they are very similar. This may be the case, but there is still an element of speculation."
"Normally, compared to other disciplines, medicine is an empirical science, and many times it is impossible to find the answer through logical deduction." Lu Chenhao spoke, but it did not affect the speed of his hand at all, and the first tumor was quickly peeled off by him up.
Liang Yi was tacitly doing the work of repairing the damaged blood vessels, he replied: "Yes, sometimes various symptoms intertwine, which is really a headache."
"Think about it. Today, with the scientific knowledge we have acquired, humans can accurately calculate when the lunar landing spacecraft will land on the moon, but they cannot accurately calculate the blood pressure and pulse value of any person one minute later. In fact, human beings now The vast majority of diseases that have emerged have not been cracked. The evidence-based medical organization has conducted systematic evidence-based medical investigations on more than 1 diseases, and found that less than 3000% of humans can clearly answer Yes or No.
Although the diagnosis and treatment guidelines have been established for some diseases, it does not mean that the diagnosis and treatment of the diseases are [-]% correct or effective. "
"Yes, I don't know many mechanisms, I only know how to use the medicine."
"Right, like the simplest athlete's foot problem, everyone knows it is contagious. The strange thing is that I often meet some patients with beriberi on only one foot. These patients often change socks on both feet and often scratch each other. What is the reason why there is no infection? So far no one can explain it clearly, including the famous professor of dermatology. Therefore, some diseases seem to be known to everyone, but it is difficult to apply to everyone when diagnosing them.”
"That's right, when you put it that way, even the problem of athlete's foot is a bit of an unsolved mystery." Liang Yi said with a smile.
With the tacit cooperation of the two, the operation ended quickly.
When the old lady was pushed out of the operating room, Liang Yi saw Qin Hanyun waiting in the inner corridor of the operating room.
As soon as she saw Liang Yi coming out, she asked eagerly, "How was the operation?"
"No problem, it's a tumor in the aortic sinus and ventricular septum." Liang Yi said.
"It scared me to death." Qin Hanyun leaned against the wall excitedly, feeling that her legs were a little weak. In the past four or five days, she hadn't had a good night's sleep. The old lady's condition was like a stone that kept pressing on her heart. , she was almost out of breath.
Her face became a little pale, Liang Yi saw that something was wrong, so he hurriedly stepped forward to support her, and found that her hands were so cold, so cold, as if they had just been taken out of the freezer.
He slowly let her sit down, went to the operating room to get a bottle of [-]% glucose, opened it for her to drink, and then slowly recovered.
"Did you not eat this morning?" Liang Yi asked.
Qin Hanyun shook her head and said, "Last night I suffered from insomnia, and I couldn't wake up in the morning, and I didn't have any appetite, so I didn't eat."
"The operation is complete, the old lady is fine, don't worry." Liang Yi said.
Lu Chenhao also came out of the operating room. From that perspective, Liang Yi seemed to be whispering to Qin Hanyun as a couple, and joked, "You look gentle and honest. I didn't expect you to be trained for a few days. , and abducted the beautiful little girl from our hospital."
Qin Hanyun blushed with shame and shook her head.
Liang Yi also blushed, and said, "She just couldn't stand the hypoglycemia?"
After asking, Lu Chenhao found out that Qin Hanyun had trouble sleeping and eating because he was worried about the patient's condition. He shook his head with a smile and said, "Student Hanyun, you must be serious about seeing a doctor, but don't put yourself into it. Sometimes you have to learn to do your best and listen to the doctor." The idea of destiny."
Qin Hanyun nodded and said, "I know, but sometimes I can't control it."
Lu Chenhao walked over and patted her on the shoulder, and said, "That's right, I often did this when I was just working. I was always very worried when I encountered a critically ill patient. Sometimes the patient's condition far exceeds your current ability. Of course, the doctor's ability is also limited." , not all diseases are cured.”
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