Chapter 1391 【1391】Doctors Don't Care About Face

The condition of blood vessels in this patient's body is so strange that even experienced doctors can't feel it. Such a situation gave him a very bad premonition, and Dr. Fang didn't think he would succeed if he tried again.

Jin Tianyu's skills are better than his, and his intuition should be the same as his. The risk of trying to operate reluctantly like this is too high.

"Otherwise, let me tell you, their cardiothoracic surgeon is here—" Dr. Fang thought about it, and quietly suggested to Jin Tianyu to give up. If Jin Tianyu was afraid of losing face, he would say it.

After hearing this, Jin Tianyu stared at him, and couldn't believe that he could utter such words.

Can he ask for a surgeon because of his face? He, Jin Tianyu, is short-tempered and short-tempered. He is a doctor anyway, so how could he consider his own face on this kind of issue.

His own people didn't even have a robot to understand him, and he was almost suffocated to death. At least the robot knew to reply to Dr. Xu, telling him that it would not be a hindrance to face.

What if surgery comes.

With Fu Xinheng here, this robot can be called a machine in its strict manner, and it doesn't care about anyone's face. Fu Xinheng didn't interrupt and didn't speak. The only reason he could explain was that, like him, such a patient would die on the operating table.

This was the point of his hesitation about sending the patient to surgery.

For coronary artery bypass grafting, the great saphenous vein should be the first choice for elderly patients like this, but the great saphenous vein of this patient is failing. So he wanted to say that the patient's last attending doctor, Dr. Xu, didn't do his job well, so how could he talk about other people.

A doctor also has the obligation to perform the postoperative management of patients, not to mention that this patient is a patient who trusts Dr. Xu.

If the patient does not cooperate with the subsequent examination and treatment, you have to urge him. Doctors should be good at coercion and temptation. If you don’t do these things well, the next time a patient gets sick, it will be you or your colleagues who will be stumped, and the worst thing will be the patient himself.

Well, everyone knows that the patient's lower extremity veins cannot be used as bypass materials.

Choose an artery? It is better to connect the arteries to the arteries than to cut off the veins and connect the arteries. It is more original.

Patients who are not in their 70s or 80s can try to choose arteries. Just look at the current situation of PCI, the condition of the arteries in the upper body is probably the same.

The upper body artery can be selected, and the internal mammary artery is the surgeon's favorite. However, the internal mammary artery is a very short section. Regardless of whether the internal mammary artery can be used like the great saphenous vein, the length alone is not enough for surgeons to use in difficult cases.

If the chest is opened, the internal mammary artery is not needed for a complex disease like three-vessel lesions. The situation of this patient just predicts that the layout of the coronary arteries of the heart is not good. Surgical bypass surgery does not rule out the need to re-arrange the distribution of cardiovascular vessels. At this time, more circulatory collaterals need to be established, and more patients' own good-length blood vessels are needed as materials.

The great saphenous vein and the internal mammary artery are not good. Where should the surgeon go to find vascular materials?

Hastily and casually set up an end operation? Bypass is not PCI, it is to delay the interval of postoperative restenosis to more than ten years. How high is the risk of one thoracotomy for a patient, and can you allow multiple thoracotomies? Thoracoscopy? Can such a complex patient undergo thoracoscopy? Prepare for the worst outcome first.

Every sentence that my junior sister Xie Wanying argued with Dr. Xu on the phone is the truth.