1498 【1498】The Importance of the Bottom Line

"Yingying, can you help me ask him, should he go to the capital for treatment or something? I heard from Dr. Jiang tonight that your cousin is not doing well. But I don't understand what he means. On the one hand, he said to seek a doctor in the capital. , on the one hand, he didn’t say that he would go to the capital for treatment.” Shang Siling felt confused when she recalled the words of the attending doctor.

In fact, the doctors at the Provincial People's Hospital knew the patient's situation, and they would almost die on the operating table after opening the chest. 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 ask the doctor above to come to the hospital to help with this operation.

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

In those days, there was no flying knife fee, and doctors were not allowed to practice more. Even if there is a flying knife fee, doctors in the capital like Brother Shen don't 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 the leaders of my cousin's university, it is estimated that there is such a special relationship.

In this way, the cousin's injury should be hindered by the doctor's technique.

Brother Shen was unwilling to come down, probably because he thought it was useless to come down.

This operation cannot be done. The Provincial People's Hospital thought it could be done, but Senior Brother Shen disagreed. Since Senior Brother Shen thought it was impossible to perform the operation, why did the university leaders stop looking for other doctors for her cousin to try, but continued to seek Senior Brother Shen for her. There is only one other reason. After looking for other doctors, only Shen Youhuan thinks that her cousin's interventional surgery is worth a try.

It boiled down to yes, Senior Brother Shen thought he could try it, but thought it was useless to do it. It shows that the operation is limited by the conditions of the Provincial People's Hospital here.

The hardware facilities and conditions of the Provincial People's Hospital are logically no worse than those of the capital. The facilities of hospitals in southern provinces and cities have always been much better than those in the capital. The policy is favorable, the introduction of the latest medical equipment is faster, and the construction of new buildings is super fast. Like the National Association, the planned new building has been delayed for many years, and construction only started this year.

It can only be said that as the national medical center, the academic atmosphere of hospitals in the capital places more emphasis on the personal factors of doctors rather than other factors. Without the skills of a doctor, the most advanced medical tools are useless.

Xie Wanying had to think of what the counselor Mrs. Ren said to the surgical students in the first class: surgery is for internal medicine.

Interventional surgery and endoscopic surgery in internal medicine are said to be performed in a visual environment. The surgical field of vision has always been limited or even partially blind, and the scope of surgery is even more limited. What doctors can do is limited.

This type of minimally invasive surgery brings the gospel of less trauma to patients, but it inevitably comes with unpredictable risks. The simplest example, such as the bronchoscopic technique she first learned from Teacher Xin, was the first routine tissue biopsy of the patient's bronchi performed by Teacher Xin, and it was frequently reported that patients died of complications and hemorrhage.

If there is a sudden massive bleeding, if the bronchoscope cannot handle it, you can only seek surgery to stop the bleeding in a hurry. In the same way, the placement of stents in pulmonary thrombolysis and coronary angiography requires surgery to cover all of them.

The level of cardiothoracic surgery in the Provincial People's Hospital is definitely not as high as that of the National Union and the National Association. Cardiovascular physicians dare to do high-risk operations because they have their own surgery to cover the bottom line.