"Yingying, can you ask him for me whether he wants to go to the capital for treatment or not? I heard Doctor Jiang say this evening and he felt that your cousin's condition wasn't very good. But I couldn't hear clearly what he meant. On the one hand he said to find a doctor in the capital, but on the other hand he didn't say to go to the capital for treatment." Shang Siling was confused when she recounted what the attending doctor said.
In fact, the doctor at the Provincial People's Hospital knew the patient's condition and that he would almost die on the operating table if he had another thoracotomy, so they had to choose an internal medicine interventional surgery to relieve the patient's emergency symptoms. The problem was that the patient's condition might not be suitable for a long trip to the capital for treatment, so they wanted to find a doctor from above to come down to the hospital to help with the surgery.
Would a doctor from the capital agree to come down and perform surgery on a patient? Who was this patient?
There was no such thing as surgical fees in those days, and doctors were not allowed to practice medicine more often. Even if there were surgical fees, doctors in the capital like Senior Brother Shen would not have bothered to travel thousands of miles to earn these hard-earned dollars. Unless they had a special relationship with the patient. Considering that the doctor was specially contacted and invited by his cousin's university leader, it is estimated that there was such a special relationship.
In this case, my cousin's injury should be caused by the doctor's technical problems.
Senior Brother Shen was reluctant to come down, probably because he thought it was useless.
This operation cannot be performed. The Provincial People's Hospital thinks it can be performed, but Senior Brother Shen disagrees. Since Senior Brother Shen thinks the operation cannot be performed, why did the university leaders not look for other doctors to try for her cousin, but continued to look for her Senior Brother Shen? There can only be another reason. After looking for other doctors, only Shen Youhuan thought that her cousin's interventional surgery was worth a try.
In the end, Brother Shen thought it was possible to try, but he thought it was useless. This means that the operation was limited by the conditions of the Provincial People's Hospital.
The hardware facilities and conditions of the Provincial People's Hospital should not be worse than those in the capital. The facilities of hospitals in southern provinces and cities have always been much better than those in the capital. Due to favorable policies, the latest medical equipment is introduced faster and new buildings are built at a super fast speed. For example, the planned new building of the National Association has been delayed for many years and only started this year.
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All I can say is that the academic atmosphere of the capital's hospitals, as the nation's medical center, emphasizes the personal factors of doctors rather than other factors. Without the skills of doctors, it is useless to have the most advanced medical tools.
Xie Wanying couldn't help but recall the earnest words that her counselor, Teacher Ren, gave to the surgical students in their first class: Surgery is the backup for internal medicine.
For example, interventional surgery such as endoscopic surgery in internal medicine is said to be performed in a visual environment, but the surgical field of view is always limited or even partially blind, and the scope of surgery is even more limited. The operations that doctors can perform are limited.
This type of minimally invasive surgery brings the blessing of less trauma to patients, but it also inevitably brings with it unpredictable risks. The simplest example is the bronchoscopy technique that she first learned from Teacher Xin. Just the first routine endobronchial tissue biopsy performed by Teacher Xin, there were many reports of patients dying from complications of massive bleeding.
If there is a sudden massive bleeding, and bronchoscopy cannot handle it, the only option is to seek help from a surgeon to stop the bleeding. Similarly, pulmonary artery thrombolysis, coronary angiography, and stent placement all require the surgeon to provide the backup.
The level of cardiothoracic surgery in the Provincial People's Hospital is definitely not as high as that of the National Union Hospital and the National Zhi Hospital. The cardiovascular doctors there dare to perform high-risk operations because they have their own surgery department to back them up.
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