Famous Among Top Surgeons in the 90s

Chapter 2078: Well-Founded and Evidence-Based

Famous Among Top Surgeons in the 90s

Chapter 2078: Well-Founded and Evidence-Based

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Chapter 2078: Chapter 2078: Well-Founded and Evidence-Based

As long as you understand this point, you can say this patient has found the right doctor.

However, medicine requires extreme precision. With this suspicion, how can Cao Yong, as the attending physician, substantiate his hypothesis before performing a contrast scan, instead of unjustly subjecting the patient to a radiation-heavy procedure?

Here we must mention another common clinical validation approach used by doctors, called drug validation. If the cause of a disease is not yet determined, as long as the doctor prescribes the right medicine and the patient shows improvement, it can confirm the doctor’s hypothesis of the likely cause of the disease.

Zhai Yunsheng taps his finger on the oral medication prescription his nephew issued.

Initially, when he saw his nephew prescribe this cardiovascular medication, he and other doctors thought it was due to the patient’s own age-related vascular sclerosis and slightly high blood pressure. Now it appears that this antihypertensive diuretic, hydrochlorothiazide, has high safety and can verify whether an aneurysm exists and affects the patient’s central retinal artery.

After all, the patient’s blood pressure is not particularly high.

His nephew, who has been called a genius since he was a medical student, is not your typical genius; he’s a down-to-earth kind. He almost entered cardiothoracic surgery at one point but eventually became a pinnacle neurosurgery expert. Thinking of this, Zhai Yunsheng couldn’t help but feel proud.

The diagnosis and speculation of the aneurysm are well-supported; the discussion needs to focus on other aspects.

"I remember your hospital doesn’t seem to conduct many neuro-interventional surgeries." Zhai Yunsheng brought up another practical issue the patient might face.

Deputy Director Lv touched his eyebrow, looking at Zhai Yunsheng with dissatisfaction: he knew this guy came to stir up trouble, specifically to stir up trouble.

Guoxie’s interventional surgery has been mocked by many external hospital personnel. It is, after all, the top-ranked comprehensive tertiary hospital, yet it only has two or three interventional operating rooms in the entire hospital, indicating extremely low operational volume.

There’s no way around it; regardless of how the staff below responds or provides feedback, President Wu remains uninterested in interventional surgery.

Every doctor has their own academic persistence. President Wu is no exception.

Interventional surgery is hailed as a breakthrough of new-century technology, listed alongside internal medicine and surgery as a third clinical discipline.

President Wu has always been dismissive of this notion, believing that the actual clinical effects of interventional surgery remain far from achieving parity with surgery.

Cardiovascular interventional surgery has made significant breakthroughs and progress. But the application of interventional techniques in other fields seems quite ordinary. For example, interventional techniques in the digestive field haven’t been around for less time than in cardiovascular areas. Now, the more cutting-edge techniques in gastroenterology focus on endoscopic surgery, which is favored by clinicians and patients rather than interventional surgery.

The digestive system has sufficiently large pipe diameters to accommodate various endoscopic examinations and surgical operations, so why rely on half-blind interventional surgery?

Interventional surgery is applied to other specialties as well. Like today’s neurosurgery, it was once exalted as a new technology thought to replace neurosurgical procedures. In reality, this is far from the truth.

Neurosurgery typically deals with conditions like massive hemorrhages, tumors, or implant surgeries. None of these can be handled with interventional surgery.

They say interventional surgery can solve vascular embolisms and aneurysms. The problem is, cranial CT is not a routine physical examination item. Interventional surgery is even less likely to become a routine physical examination item.

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