Itâs not surprising; the clarity of an outsider always proves useful.
When surgeons occasionally encounter complex problems and their thoughts are tangled, they will also ask anesthesiologists for their opinions. Since anesthesiologists and nurses spend every day in the operating room observing surgeries, they might come up with some breakthrough ideas to inspire the Chief Surgeon.
Doctor Mo hesitated at the corner of his mouth.
Shim Youhuan moved closer to see what the situation in the surgical field was today.
After observing, he blinked: What has happened to this patientâs mitral valve area? Itâs all oddly shaped. Itâs difficult to say whether the previous valve was poorly installed, making the removal and reconnection challenging, or whether itâs the patientâs heart that has undergone other pathological changes leading to this result.
The current surgical situation is quite rare; Mo Guai, the surgeon, needs to stop and thoroughly think about the next step.
"Yingying, what do you think?" Shim Youhuan didnât worry about face issues; he directly asked his junior sister, who thinks differently than most.
When asked by her senior, Xie Wanying responded based on her observations: "I believe this patient has cardiac hypertrophy, and the chambers are compensatorily enlarged. If we truly want to repair this area, making an incision might be the key to solving the problem. Teacher Du might have this idea."
The crowd listened to her words, almost exclaiming across the board: Make a bold and decisive cut?
Du Mengen squeezed his eyelids hard at Zhang Shuping, expressing full surprise: Is this person a girl?
Zhang Shuping shook his head to indicate he didnât know, only recalling his uncleâs assessment of a surgeon with one word: fearless and meticulous.
Courage must be ample, and caution detailed, which is a bit challenging for young doctors. Young female medical students tend to be less brave, but can do well with details. Male medical students are prone to not being careful enough, while being more daring. Student Xie is quite different; most teachers evaluate her as quite bold.
The premise for boldness in action is having sufficient technical expertise; otherwise, it turns into recklessness.
The most terrifying part is that Doctor Du, standing by the operating table, had a calm expression, showing no surprise, indicating that Student Xie had once again grasped the Chief Surgeonâs thoughts.
Shim Youhuan nodded, the junior sisterâs words were backed by certain data and cannot be considered as random speculation. The examination report in the patientâs medical records indicates cardiac enlargement. In such patients, as Xie Wanying mentioned, with compensatory pulmonary hypertension present, compensatory enlargement of the chambers is very normal.
The issue is whether this compensatory change is reversible, whether it requires a specific incision by the doctors to modify. If excessive, without making this particular incision, the needless action of cutting and installing the valve could result in adverse effects.
Just like pulmonary hypertension, Zhang Huayao believed it is reversible and doesnât require attention. The focus wasnât placed here during preoperative discussions, which means this area was preliminarily judged as reversible, thus no plans were made for unnecessary surgery.
The human body is not a simple machine; it has a self-repairing and adjusting ability. Doctors must not underestimate the bodyâs own repairer.
For this reason, the Chief Surgeon showed hesitation and needs to seek more evidence support.
"Explain again the necessity of making an incision." Du Yeqing asked.