There is no difference, it's just that there are too many patients, one department is not enough to accept them, so it is easier to manage by dividing them into two departments. This is different from the nature of the division of General Surgery 1 and General Surgery 2 in the National Association of Pediatrics. General Surgery 1 and General Surgery 2 were separated for competition. Pediatric Cardiology 1 and Cardiology 2 were separated because more senior management personnel were needed.
What does it mean?
Too many critically ill patients.
Unlike adult cardiac surgery, pediatric cardiac surgery focuses on congenital heart disease. If many congenital heart diseases are missed in childhood, they will lose the chance of surgical treatment if they are too old, and will die.
Duan Sanbao reminded the new students: "Don't just listen to what the patients introduced by others say. You should re-examine them in our hospital first. Some family members will lie to us in order to get us to accept the patients."
"Why, why?" Wei Shangquan and Dai Nanhui asked in unison.
Lying to the doctor about the child's condition will not help. How can these family members be so stupid?
"Don't you know? Less than a quarter of the surgeries performed by cardiac surgeons are actually effective."
Cardiac surgery and neurosurgery are called the two major specialties for a reason. The results of surgeries in these two departments are always unsatisfactory, no matter how famous the doctor is.
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Xie Wanying quickly recalled the surgery on Xiao Zhang's mother that night. Senior Brother Cao knew that the surgery would be useless and could not prevent the patient from dying. Who made the characteristics of neurosurgery like this? Doctor Duan said that cardiac surgery is also like this. Doctors in these two specialties need to have the best mental qualities, otherwise they will be hammered to death by reality every day.
Specifically, the results of surgeries in these two departments may be: some surgeries are found to be unnecessary, some surgeries are worse off than others, some surgeries will cause subsequent problems for patients, and only some surgeries are effective and can lead to recovery.
In fact, looking at the entire surgical field, there are three outcomes after surgery: death, recovery, or half-dead.
The doctor really did not hide the results from the patients and their families. The clauses clearly listed in the preoperative informed consent form all pointed to these three points. However, the proportion of bad surgical consequences in cardiac surgery and neurosurgery was relatively high.
Generally speaking, if you tell patients or their families about such horrific risks, they will definitely be afraid, and some patients or their families will back off and not do the surgery. Some families behave in the opposite way, insisting on having the surgery done at all costs.
Whether or not to perform the operation is up to the doctor. However, if you admit the patient and then say you don’t want to do it, you are a surgeon, not an internal medicine doctor. This is equivalent to cheating people out of their money. That’s why Dr. Duan Sanbao mentioned earlier that some family members deliberately lied to the doctor after they came, hoping that the doctor would admit the patient first, which is a disguised way of forcing the doctor to perform the operation.
"There was a child in our department who had this problem before. Our doctors thought that if we didn't do anything, the child might live a few more years, but the family insisted on taking the risk, and the child died on the operating table," said Duan Sanbao. "The director later scolded the young doctor who admitted the patient to the department."
The young doctors who heard the story were immediately educated.
It is not a good thing for a doctor to be overly lenient in such matters.
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