Chapter 2347: The “Little Old Man’s” Intuition
Student Duan dares to say this, indicating that this is really Student Duan’s capability. Yes, unexpected clinical incidents differ from standard procedures; most people can’t think of the steps involved, and just coming up with a method is considered pretty good. If Student Duan has an extremely keen intuition for this critical aspect of steps, knowing exactly which step must be placed first and which step must be placed later, that would be absolutely amazing.
Xie Wanying thought to herself, neither she nor Doctor Song have such intuitive sense of the steps.
If they did, they wouldn’t have needed to try various things initially when rescuing Senior Li Xiaobing and the child.
To put it bluntly, just like the steps of putting on and taking off isolation gloves, this so-called academic theory of steps requires a vast accumulation of clinical experience.
Student Duan, you’re—
Finally after having an epiphany, Student Wei Shangquan almost exclaimed: Student Duan Sanbao, who acts like an ostrich all day, seemingly like a little old man. Is he truly like a little old man, having such intuitively rich experience?! Is this little old man hiding a Martial Arts Secret Manual, finally revealing his true prowess as a martial arts expert?
Today, the Guoxie team came to Shou’er and finally understood a bit: the people here interact with children daily and have developed comparable instincts.
If Student Duan can indeed achieve this, it’s remarkable.
Xie Wanying smiled for the sake of the patient, knowing it’s fortunate for the child to have such a lead doctor, saying: "Doctor Duan, do you need me to provide data now?"
They let her watch in the operating room precisely for data collection; in this regard, she’s stronger than him. Hence, her capability should be prioritized in this sequence of steps.
Duan Sanbao said: "You provide me the data feedback and all the ideas you can think of, and I’ll help you calculate."
Among all conceivable ideas, there will certainly be path deviations. To prevent unexpected incidents in clinical settings, the sequence of steps needs to be clarified.
Xie Wanying nodded: "On the perspective ray, based on the current distribution map of gases in the child’s intestinal tract, the point showing the greatest resistance manifests where the gas quantity is relatively the least, estimated to be the obstructed place."
Once the obstructed place is located, the necessary steps are evident. Student Wei chimed in: "I understand, we need to increase air pressure at these points."
Regarding what Student Wei said, perhaps Student Wei was unable to see the air enema technique clearly in the operating room, Xie Wanying explained: "Increasing pressure is meant to apply pressure to the entire intestine, not to insert deep inside at some points on this anal tube to fix the pressure increase. This isn’t an endoscopy."
Oops. Student Wei immediately realized his basic mistake and lowered his head.
This is where the importance of steps is reflected.
A single strong force burst can’t resolve the impaction, risking bowel rupture. Another commonly used clinical method is increasing pressure, then reducing pressure, increasing pressure, then reducing pressure. As Student Xie emphasized initially, this child’s intestines are vital and not necrotic. It’s time-dependent for intestines truly to die from impaction. As long as the intestines aren’t necrotic, maximal force is unnecessary when increasing pressure; it only needs to follow the intestinal motion force.
The radiology doctors nodded vigorously. This is actually the essence of the whole air enema reduction technique.
Upon seeing the intestine activity reaching the right timing, with gas dissipating at crucial points of the intestinal motion, doctor’s pressure increase will yield more effective results. Similarly, reducing pressure releases gas in the child’s intestinal tract, guiding intestines to move along the trajectory of reduced pressure, entering the correct path of retraction.