Chapter 2343: Referring to This
It was like his younger brother, Cao Yong.
Cao Zhao’s lips curled up. The reason he felt this girl suited his younger brother at first glance was precisely because her style was very much like his brother’s.
It’s rumored that Student Xie is rather straightforward, which matches Cao Yong’s frankness.
Xie Wanying knew she was unconsciously mimicking Senior Cao’s motivational speeches. No wonder Senior Cao did it so well, leaving a deep impression on her, ingrained in her notion of how to be a good doctor. She should thank Senior Cao properly later.
"So—" The others wondered what she would do next.
"We need to guide the child on how to get out of this predicament and onto the correct path for survival," Xie Wanying said.
The words were a bit profound, and a silence fell over the scene.
Doctor Yang and his assistant wiped their brows: Was this a philosophy class? Hey, this is a moment for saving lives, are you giving a philosophy lecture?
Quickly, talk about the specific approach.
Student Xie assumed that the radiology teachers should understand instantly more than she did, so she added: "I’m referring to intestinal activity."
So that’s what she meant.
Doctor Yang’s assistant first came to a realization and said, "Doctor Duan, can you help the patient with abdominal massage inside, coordinating with us when we inject the gas."
The so-called cooperation of massaging the abdomen or changing the child’s position during gas pressure is actually an external aid to regulate pressure, to prevent excessive internal gas pressure that could cause intestinal perforation, while also avoiding insufficient gas pressure that can’t achieve reduction.
Manual massage is one of the clinically proven auxiliary methods that can help achieve successful air enema reduction.
The force points and methods of doctor hand massages also need to be based on the previously mentioned structure of intussusception. All medical operations must be based on human anatomy.
The first and most common method is naturally to hold down the head of the intussusception. The doctor’s hand touches the surface of the abdomen to find the head of the child’s mass, cooperating with internal intestinal gas pressure to guide the head along the correct path to retract back to its normal position.
The second method is to apply pressure to the challenging curves such as the hepatic and splenic flexures of the colon.
The doctor’s hand presses the skin of the abdomen at the physiological intestinal bends to reduce the angle of these curves, facilitating the retraction of the intussusception head.
If the above two methods don’t work, a third method can be tried for assistance, with massage focusing on the mesentery.
The mesentery is like a chain. Pressing on the mesentery is akin to pulling a rope, increasing the pulling force through the body’s internal physiological chain to bring the intestine out.
Given this, why didn’t Doctor Yang suggest manual massage from the start?
After his assistant spoke, Doctor Yang realized something was amiss and looked back at Teacher Yang.
Doctor Yang wore a solemn expression.
Unlike the young student assistant, Doctor Yang, as a seasoned doctor, had deeper concerns.
The concerns of veteran doctors differ from those of younger doctors. Younger doctors worry about potential problems before they occur. Veteran doctors acknowledge that if a problem has occurred and it seems serious: it’s troublesome.
It’s as if young people tend to be unduly worried, while the older ones take a fact-based approach when a situation becomes significant.
Whether it’s manual massage or gas pressure, the prerequisite is that the intussuscepted intestine isn’t too tightly lodged. Doctor Yang determined that it might not work because he could see in the fluoroscopy that the intussusception was tightly wedged; otherwise, he wouldn’t estimate the onset time to exceed 48 hours.