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Let me briefly summarize this medical experience.
During the Qingming Festival in April, my father was diagnosed with kidney stones and later diagnosed with peritonitis. Since the right kidney had almost no function and the hydrocyst was severe, the doctor recommended removal. I was suddenly called in during the operation. At that time, I was worried that something had happened. After I went in, I discovered that it was a false alarm. After the surgeon opened a hole in the abdomen, he found that peritonitis had caused serious adhesions in the intestines and stomach and other organs. If I continued rashly, I might be damaged. Other organs, life-threatening. So I was asked to make a choice, continue the operation, or stop the nephrectomy and switch to nephrostomy. The purpose of the latter is to drain the accumulated water and observe the recovery of inflammation before treatment. I chose the latter.
The purpose of a follow-up examination in September is to check the recovery of the kidney and determine whether surgery is possible or to remove the nephrostomy tube. During the re-examination, the doctor in charge last time went out for further training and was replaced by another one. Therefore, before the examination, I fully informed the new doctor about the various previous results and my recovery situation in the past few months.
The doctor performed all the tests as usual. A few days later, the test results came out and told me that my kidney recovery was not ideal and that I still had a non-functioning kidney. However, I was not recommended to have my kidney removed because my history of peritonitis would have a great impact on the surgery. In peritonitis, the intestines will stick together and will not be untied even after the inflammation is cured. If intestinal leakage occurs during the operation, it will become a bottomless pit and even life-threatening. He suggested that I maintain the status quo or go to a higher-level hospital for treatment. It’s luck, but there is a chance that you won’t be able to do it.
I was surprised by this conclusion. First, I did not expect that peritonitis would have such a big impact on the operation. Second, they were not sure to perform the operation despite knowing that there was a history of peritonitis, and they still delayed it for so many days. The former can be understood as my lack of professional knowledge in this area, and the latter I really can’t figure out – later I figured it out, that is: doctors who are more familiar with the situation cannot make too many decisions, and most of the doctors who can make decisions are not familiar with the situation . This period of contact made me strongly feel this fact again. Sadly, this situation is very common.
During the doctor’s ward rounds every morning, the deputy chief physician only came to the scene and listened to the responsible physician briefly introduce the situation of each bed in the ward. During this period, there was almost no interaction with the patient or consultation on related conditions. The most obvious example is that during a ward round, I asked about the time for the operation, and he told me that it could be done on Friday. But soon after, the doctor in charge came and told me that the operation was not recommended. The reason was that his leader realized that the operation was more complicated after seeing peritonitis – – Obviously, he may not have read the report before, or the responsible doctor may have miscommunicated it.
Perhaps, the higher the level, the more patients are responsible and it is impossible to cover everything. However, as the person who makes the final decision and performs the surgery, the way to understand the patient is very one-sided . You should know that in addition to the report and the oral interpretation of the responsible physician, there are many potential situations. Moreover, after realizing that the operation was complicated, he did not even ask to further explore other possibilities. I was surprised by this and couldn’t understand it.
Finally, after repeated suggestions from the attending doctor, consultation with other experts, and combined with my father’s unwillingness to seek treatment elsewhere, we decided to maintain the status quo for the time being.
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