Back in 1996, the eldest daughter of Oldman Xie’s Family, Xie Wanying, said that she wanted to be a surgeon, to which many people laughed at her .
“ A Phoenix gives birth to a phoenix. And a ...
The patient's blood vessels were in such a strange condition that even experienced doctors couldn't figure it out. This gave him a very bad feeling, and Dr. Fang didn't think another attempt would be successful.
Jin Tianyu's skills are better than his, and his intuition should be the same as his. The risk of forcing it like this is too high.
"Otherwise, I'll go and tell them that the cardiothoracic surgery staff is here..." Doctor Fang thought about it and whispered to Jin Tianyu that he should give up. If Jin Tianyu was afraid of being embarrassed, he would go and tell them.
After hearing this, Jin Tianyu glared at him, unable to believe that such words could come out of his mouth.
Could he not ask the surgeon for the sake of his reputation? Jin Tianyu may have a bad temper, but he is a doctor after all, so how could he consider his reputation in such an issue?
He was almost suffocated that his own people didn't have a robot to understand him. At least the robot knew how to reply to Dr. Xu and tell him that it wouldn't be a hindrance to his face.
What can happen if the surgeon comes?
When Fu Xinheng was around, this robot did things in a methodical manner, and would not care about anyone's face. Fu Xinheng did not interrupt or speak, and the only reason he could explain was that he felt the same way, that such a patient would die if sent to the surgical table.
This was the main reason why he hesitated whether to send the patient to surgery.
...
...
For coronary artery bypass grafting, the first choice for elderly patients like this is the great saphenous vein, but this patient's great saphenous vein is not working. So he wanted to say that the patient's previous attending physician, Dr. Xu, did not do his job well, so how could he have the nerve to say that about others.
A doctor also has obligations to manage patients after surgery, not to mention that this patient trusts Dr. Xu.
If the patient does not cooperate with the subsequent examination and treatment, you have to urge them. Doctors should be good at intimidation and inducement. If you do not do these things well, the next time the patient has a relapse, it will be you or your colleagues who will be troubled, and the worst is the patient himself.
Well, everyone knows that the patient’s lower limb veins cannot be selected as bypass materials.
Choose artery? It is better to connect artery to artery than to cut vein and connect it to artery, because it is more original.
If the patient is under 70 or 80 years old, we can try to select the artery. But if you look at the current situation of PCI, the artery in the upper body is probably in a bad condition.
Among the arteries that can be selected in the upper body, surgeons prefer the internal mammary artery. However, the internal mammary artery is very short. Not to mention 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 we open the chest and take a look, it is a complex condition like three lesions, and the internal mammary artery cannot be used. This patient's condition is just estimated to have a poor layout of the coronary artery. Surgery for bypass surgery does not rule out the need to re-layout the distribution of the heart vessels. At this time, more circulation collaterals need to be established, and more of the patient's own good length blood vessels are needed as materials.
The great saphenous vein and the internal mammary artery are not good enough. Where should surgeons go to find vascular materials?
Are you just hastily building a random bypass and ending the operation? Bypass is not PCI, it is to delay the interval of restenosis after surgery to more than ten years. How high is the risk of a patient undergoing a thoracotomy? Can you allow multiple thoracotomies? Thoracoscopy? Can a patient with such a complex condition undergo thoracotomy? Prepare for the worst outcome by assuming it first.
Every word that Junior Sister Xie Wanying said when she debated with Dr. Xu on the phone was the truth.