Chapter seven hundred and seventy-first patient determination
"Are you still used to it?"
Fang Le walked behind, talking to Shi Kai in the crowd.
Peng Kai has returned to Jinbao City Central Hospital, and one of Fang Le's classmates, Shi Kai, is still studying in the department.
Shi Kai's training was not considered advanced training, but rather formal training, which lasted for three years.
At the same time, Shi Kai and Peng Kai are different. The Jinbao City Central Hospital where Peng Kai is located is also a third-class hospital, which is considered a pretty good hospital in Jinbao City.
Because of Fang Le's relationship, Peng Kai is also highly regarded in the hospital and department. He has been studying FA under Li Xiwen and Huang Xiaolong in Xijing Hospital for such a long time.
I have almost learned the g method.
Basically, with this relationship with Fang Le, it will be quite easy for Peng Kai to further his studies in the future. His status in Jinbao City Central Hospital will not be low in the future, and he may even become the director of the department if he is lucky.
With a classmate like Fang Le, many things that I didn't dare to think about are not impossible.
There are not many who can be admitted to a medical university. In addition, if you have the opportunity, you have a good chance, you have channels to learn skills, and the hospital will give priority to you when you are promoted. It is not an exaggeration to say that you have a bright future.
.
The Luanshan County Hospital where Shi Kai is located is a bit inferior. After all, it is only a county-level hospital. With a classmate like Fang Le, Shi Kai has no intention of going back. He studies hard and strives to stay.
"Um."
Shi Kai nodded: "Everyone here is very nice to me."
Because he is Fang Le's classmate, Shi Kai is treated very well here. No matter who he follows, the other party is always polite and willing to teach Shi Kai. This is what is called looking at the Buddha without looking at the monk's face.
"Teacher Lin is recovering well."
Shi Kai added: "During the Spring Festival, a group of us went to visit Teacher Lin. Teacher Lin also said that he would be able to return to the podium after school started."
In fact, during the Spring Festival, a group of people went to visit Lin Deyang, and someone suggested calling Fang Le. It was Shi Kai who told everyone that Fang Le would be on duty during the Spring Festival.
It was the fourth day of the Lunar New Year when they went to visit Lin Deyang, and Fang Le had already returned to the provincial capital.
"Ah That's good."
Fang Le nodded: "Take advantage of the training to see more and learn more. First, see what you are interested in."
"Thank you, Fang Le."
Shi Kai nodded.
Even though it has been such a long time, Shi Kai still feels like he is dreaming every time he comes into contact with Fang Le.
Is this really my classmate?
Is he really going to Xijing Hospital, the best hospital in the province?
For such a long time, Fang Le also stayed in the department for a while, but he was always busy, and it was difficult for Shi Kai to say a few words to Fang Le.
Nowadays, there are many more patients in the observation room of the emergency department. With the wrist watch becoming part of the emergency department, there are more beds in the emergency department than before.
Han Shengxue, Zheng Jinfan, Yang Xiaohui and several deputy directors were checking the ward in front, while Fang Le was talking to Shi Kai in the back.
Fang Lecai came back and didn't know much about the conditions of the patients in the observation room. Director Han now no longer treats Director Fang as an ordinary director. They are playing so high-end that Han Xiandi himself can't keep up.
Fortunately, Cao Mengde never usurped the Han Dynasty in his life, and Emperor Xian of Han did not worry about losing his position.
.......
After arriving at the cardiothoracic surgery department, Fang Le first checked the patient's condition and then formulated a surgical plan.
When Fang Le took Huang Xiaolong and Cheng Yunhai to the cardiothoracic surgery department, the doctors and nurses in the cardiothoracic surgery department no longer felt the humiliation that Fang Le had when he first went to the hepatobiliary surgery department. Instead, they seemed to be in high spirits and with high morale.
It seems that everyone is saying in their hearts that Professor Fang is finally here.
At that time, Fang Le went to the Hepatobiliary Surgery Department, and the voice there was: "Dr. Fang is here again!"
Here it is "Professor Fang is finally here."
There is a kind of expectation that rain will come after a long drought.
During this period of time, when Fang Le was in Yanjing, the cardiothoracic surgery department could get news from time to time. Professor Fang had another heart bypass at Xiehe University, and Professor Fang had another heart bypass at Yanjing Hospital.
"The patient is older and has poor kidney function, so he is not currently suitable for bypass surgery."
At the cardiothoracic surgery side, Fang Le knew not one patient's condition, but several.
As far as elective surgery is concerned, adequate preoperative preparation is necessary to ensure that postoperative risks are minimized.
There are still many patients admitted to the cardiothoracic surgery department, and there are several patients who are eligible for heart bypass surgery.
At this moment, Jiang Hailei was introducing the patient's condition to Fang Le.
"Let's take care of it first and we'll talk about it later."
Fang Le learned about the patient's condition in detail, then personally examined the patient and formulated a treatment plan.
The patient is a 65-year-old elderly patient with poor kidney function. The risk of heart bypass surgery is relatively high, but he is suitable for beating heart bypass surgery.
In essence, there is no distinction between stop-and-go and non-stop, which one is better or worse, only whether it is suitable or inappropriate.
In terms of surgical difficulty, non-stop surgery is more difficult and requires higher doctors.
In terms of surgical effects and risks, cardiac bypass surgery has relatively high risks due to the possibility of re-beating. Especially for elderly patients or patients with other organ dysfunction, the risks are even greater. However, the surgery
The probability of some conditions such as post-coagulation is smaller.
Beating heart surgery, because the heart keeps beating, does not require perfusion, and causes less damage to other organs, is more suitable for patients with contraindications to extracorporeal circulation, such as cerebrovascular diseases, blood diseases, and renal function
Failure, etc., but long-term anticoagulant medication is often required after surgery.
In a specific operation, the type of operation chosen depends on the patient's condition.
The patient Jiang Hailei just introduced is not suitable for off-pump surgery. If surgery is required, the risk of off-pump surgery is smaller.
However, Fang Le did not say in advance that he would undergo the operation for a few days first to become more familiar with all aspects, and then proceed with this operation.
"Um."
Jiang Hailei nodded and didn't say much. The patient's condition is such that if there is no other choice and the patient's family agrees, the operation will still be done.
Director Jiang must not know at this moment that Professor Fang is preparing a big move for him. If this big move is released, it will definitely keep Director Jiang awake for several nights.
Of course, the reason why Fang Le didn't speak out now was also due to this factor.
This is the first of its kind in the world. What if it affects the mentality of doctors?
Relatively speaking, the cardiothoracic surgery department has only performed one heart bypass surgery and is still lacking in experience.
For several days, Fang Le was undergoing surgery at the cardiothoracic surgery department, which made Jiang Hailei happy.
At the same time, it also made Director Xiao next door envious, and secretly regretted why he didn't study cardiothoracic surgery at that time.
Obviously, the man named Jiang went abroad for half a year, and after he came back, the progress here was faster than that here.
Of course, Director Xiao has not been idle for a while. Although he cannot perform liver transplantation, he has not missed other surgeries. He strives to improve his abilities as much as possible and strive to complete liver transplantation independently as soon as possible.
On the third day after Fang Le returned, at Xiancheng Airport, two young men, a man and a woman, walked out of the airport.
"This is my first time coming to Xijing."
As she walked out of the airport, Fang Siying looked left and right.
"It's my first time too."
Zhong Shaofei smiled and said: "I've always heard of Xijing, but this is really my first time here."
Xijing City is also a famous ancient capital, and it is also quite famous internationally. Many people have heard of it, but both Fang Siying and Zhong Shaofei came here for the first time.
"It's almost as cold as Yanjing."
Fang Siying wrapped her scarf tightly: "I thought it would be warmer in Xijing now."
"Let's go."
Zhong Shaofei said and stopped a car, and the two of them first went to a hotel near Xijing Hospital to stay. This chapter has been completed!