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【1498】The importance of the bottom line

"Yingying, please help me ask him, should he go to the capital for treatment or what? I listened to Dr. Jiang tonight and felt that your cousin's condition was not very good. But I couldn't understand what he meant. On the one hand, he said to find a doctor in the capital.

"On the one hand, I didn't say that I was going to the capital for treatment." Shang Siling recalled the words of the attending doctor and felt confused.

In fact, the doctors at the Provincial People's Hospital knew that the patient would almost die on the operating table if the thoracotomy was performed, so they could only choose internal medicine interventional surgery to relieve the patient's emergency symptoms. The problem is that the patient's condition may not be suitable for long-distance travel to the capital.

For treatment, I want to find the doctor above to come to the hospital to help with this operation.

Can a doctor in the capital agree to come down and perform an operation on a patient in person? Who is this patient?

In those days, there was no fee for flying knives, and doctors were not allowed to practice more. Even if there were fees for flying knives, doctors in the capital like Brother Shen would not have to travel thousands of miles to earn these hard-earned money. Unless the relationship with the patient is very special. Considering that

It was the doctor who was specially contacted and invited by my cousin's university leaders. I guess there was a special relationship.

In this way, my cousin's injury should be caused by a technical obstacle on the part of the doctor.

Senior Brother Shen doesn't want to come down, maybe because he thinks it's useless.

This operation can't be done. The Provincial People's Hospital thinks it can be done, but Senior Brother Shen has different opinions. Since Senior Brother Shen thinks it's an operation that can't be done, why does the university leader no longer try to find other doctors for her cousin, but continues to look for her, Senior Brother Shen.

There was only one other reason. After looking for other doctors, only Shen Youhuan thought that her cousin's interventional surgery was worth a try.

What it boils down to is that Brother Shen thought he could try it, but he thought it would be useless. This meant that the surgery was restricted by the conditions of the Provincial People's Hospital here.

The hardware facilities and conditions of the Provincial People's Hospital should not be worse than those of the capital. The facilities of hospitals in southern provinces and cities have always been much better than those of the capital. Due to favorable policies, the latest medical equipment is introduced faster and new buildings are built very quickly. Like the country

Xie Xie, the planned new building has been delayed for who knows how many years, and construction only started this year.

It can only be said that as a national medical center, the academic atmosphere of hospitals in the capital emphasizes the human factor of doctors more than anything else. Without the skills of doctors, it is useless to provide them with the most advanced medical tools.

Xie Wanying couldn't help but think of what the counselor, Teacher Ren, said to the surgical students in the first class: Surgery is for internal medicine.

For example, interventional surgery and endoscopic surgery in internal medicine are performed in a visual environment. The surgical field of view has always been limited or even partially blind, and the scope of surgery is even more limited. The operations that doctors can do are limited.

In addition to the benefits of minimal trauma to patients, this type of minimally invasive surgery inevitably comes with large and unpredictable risks. The simplest example, such as the bronchoscopy technique she first learned from Teacher Xin, alone

The first time Teacher Xin performed routine endobronchial tissue biopsy on the patient, there were frequent reports of patients dying from complications and massive bleeding.

If there is sudden massive bleeding and the bronchoscope cannot handle it, the only option is to seek surgery to stop the bleeding. In the same way, pulmonary artery thrombolysis, coronary angiography, and stent placement all require surgery.

The level of cardiothoracic surgery at the Provincial People's Hospital is definitely not as high as that of Guo Xie and Guo Zhi. The reason why cardiovascular physicians dare to do high-risk operations is because they have their own surgery department that can cover all the risks.

This chapter has been completed!
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