Chapter 2344: The Specialist’s Opinion
Faced with a seemingly hopeless deadlock, manual massage and gas pressurization are alike; too much force is ineffective, too little does not work.
Doctor Yang’s assistant sighed heavily. So frustrating, the glimmer of hope that was found seemed to disappear instantly.
What can be done for this child now?
Can we just change the child’s position without massage?
The same principle applies. Right now, the intestines are twisted and trapped. Unlike before, when Student Xie helped the patient by changing positions to simply clear the passage; the intestines were not twisted or trapped. To guide the trapped intestines out, just changing positions is unlikely. The approach feels like it must be somewhat complicated.
Can the guidance proposed by Student Xie be accomplished?
A few teachers were outside, listening and looking contemplative. They didn’t expect this patient to be so challenging before coming; they didn’t expect these young ones to dare to attempt.
"Can it be done?" The rest asked Pediatric General Surgery Specialist Wu Manzhong for his opinion.
"Repositioning can certainly be done, surgery." Wu Manzhong gave his answer without hesitation.
The other three upon hearing this turned back: What are you, a specialist doctor, saying? Don’t you see the efforts of these young ones?
Precisely because he is a specialist doctor, he knows deeply what the condition of the child is. How to get the trapped intestines out? Surgery is needed immediately. Wu Manzhong doesn’t lie, he takes his phone to ask the emergency room, to clarify whether this child was referred to Pediatric General Surgery Department One or Two. He is a doctor from Department Two and it’s inappropriate to directly intervene in Department One matters.
Watching him walk away to make a call, the other three looked into the operating room. Clearly different from Specialist Doctor Wu Manzhong, the young doctors were not completely bound by experience and continued racking their brains for solutions. The enthusiasm and passion of medical students in clinical practice is vibrant and praiseworthy.
"Yingying." Impatiently, Student Wei asked Student Xie, not wanting to give up just yet.
Performing one surgery might just add to the surgical count. For this child, enduring this surgery at least means a scar on the abdomen for a lifetime.
Student Wei cares deeply for each child. Xie Wanying thought, then shared her idea with Student Wei for discussion: "The key problem lies in this trapped area; as long as the trapped area can be resolved, other issues will be easily solved. The trap is akin to a dead knot. Medical clinical case statistics show that for trapped areas, manual massage is not effective and cannot resolve the trap. I believe the poor results are due to the following reasons. Multiple forces are mixed together and it’s difficult for a doctor to control this composite force, making accidents more likely."
"You mean, simply not use air enema, use manual massage to press open the trapped area?" Student Wei Shangquan asked, following up on her words.
If this approach is adopted, Student Wei and Student Duan need to perform manual massage in the examination room for the child. Student Wei lacks confidence in himself and Student Duan, thinking it might be better to have Student Xie start in the examination room.
"Personally, I feel," Xie Wanying said, "the key to untying a dead knot lies in having a train of thought."
Untying a dead knot, untying a dead knot. Inspired by Student Xie, Student Wei Shangquan thought. When encountering a dead knot in everyday life, it’s not necessarily the case that pulling hard will untie it; having extra hands to help doesn’t ensure success, and collective strength doesn’t play a role in such situations. Like Student Xie said, there needs to be a train of thought to untie the dead knot, don’t focus on strength, don’t think mixing all sorts of methods will work.