Chapter 1247 【1247】His Opinion
It's impolite to look at people like this, Xie Wanying nodded when she heard Doctor Song say it's okay. She has confidence in Dr. Song. Dr. Song is a brilliant genius who knows how to paddle.
The two arrived at the observation room, and the old lady came back from the CT scan. The CT report won't come out too soon. Song Xuelin gave the old lady another specialist physical examination, and asked the nurse to send the patient to the inpatient department first, and then to the inpatient department to read the examination report.
According to the patient's current situation, it is necessary to first check whether the CT is acute cerebral hemorrhage, and whether the amount of bleeding is enough for immediate emergency surgery. If it is not enough, conservative treatment will probably be performed tonight, and the next treatment plan will be discussed after Cao Yong returns to work tomorrow.
The old lady's daughter packed up her things and accompanied her mother to the neurosurgery inpatient department.
Arranging to admit patients in the hospital, Xie Wanying thought about Liu Wenyu's condition and wanted to ask Dr. Song's opinion along the way.
Song Xuelin heard her say: Cardiothoracic surgery? Cardiology?
Isn't this two departments that like to fight?
It's the same in any hospital, the inside and outside of the heart compete fiercely with each other's business. As I said before, this is the reason why he doesn't like people outside his heart.
Outside of neurology, at most, you have to deal with the Department of Neurology. The effect inside the nerve is poor, and it cannot be compared with the outside of the nerve. Medicines prescribed inside the nerve can be prescribed outside the nerve. In the eyes of a surgeon, the physical therapy carried out in the nerve is almost equivalent to placebo and hot compress, and the effect is very low. The limb function training carried out in the later stage of the patient's illness belongs to the content of the professional rehabilitation department and has little to do with the nerves.
The cardiology department is different, it is all the way to seize the extracardiac business. The new type of interventional surgery and the development of medical interventional equipment have greatly reduced the scope of traditional cardiac surgery. If it continues like this, more than half of Xinwai's business will be wiped out by interventional surgery.
Originally, such an operation should be performed by a cardiologist. The biggest difference between internal medicine and surgery itself is whether to perform surgery or not. As a result, breakthroughs in various science and technology have led to new surgical methods, breaking this boundary. Forward-looking scholars at home and abroad have predicted that there should be no distinction between physicians and surgeons in the future.
In the final analysis, interventional surgery is surgery, which is closely related to the basis of surgical anatomy, and surgeons have greater advantages in performing interventional surgery. This is recognized both at home and abroad. Moreover, if the interventional operation fails, it needs to be transferred to surgery. For example, if laparoscopic surgery fails, it needs to be converted to laparotomy. If the intervention is performed by a surgeon, the size of the operation can definitely be better controlled.
For this reason, Guozhi, as the leader of the national cardiovascular system, took the lead in carrying out reforms, and planned to establish a heart center, regardless of internal medicine and surgery. The majority of the members are surgeons, which means that Guozhi intends to allow surgeons to perform traditional heart surgery as well as interventional surgery.
If he hadn't been interested in the human brain, if he had chosen another major in surgery, cardiothoracic surgery, he would of course have chosen Guozhi.
If the National Association of China wants to reform itself, as a comprehensive top three, there are too many departments, and the various parties with interests in the hospital are intertwined and complicated, and there is great resistance.
From the perspective of medical development, in the future, it will be a trend to develop medical services centered on organs such as heart centers, kidney centers, and liver and gallbladder centers, regardless of internal medicine and surgery. Therefore, the National Association of Hepatobiliary Surgery is very ruthless, and it directly kills the hepatobiliary medicine in its infancy. It is conceivable that after the completion of the new surgical building, there will be space, and the National Association will try to establish this kind of center treatment based on the extrahepatic and gallbladder.