A busy day at Capital Children's Hospital begins early in the morning.
Xie Wanying, who had arrived at the hospital early, was walking on the road while talking on the phone: "Teacher Zhuang, are you at the door?"
"I was stopped at the door of your department and was told that your medical staff were doing rounds and couldn't let me in," said Teacher Zhuang.
Quickening her pace, she walked to the Pediatric Cardiology Department II. Xie Wanying called out, "Teacher Zhuang."
Teacher Zhuang stood side by side with another white-haired old lady and introduced her: "She is my classmate Teacher Ge. We mentioned her on the phone last night."
What a coincidence. During the phone call last night, I learned that the patient in bed 12 in their group, Lin Qiaowei, was exactly the granddaughter of Teacher Ge.
"She felt anxious after running at school. We thought she had a cold, so we gave her Chinese medicine and ginseng to replenish her energy, but it didn't work. So we went to the hospital for a check-up and found out." Teacher Ge talked about the origin of the child going to the hospital for treatment.
(I have mentioned before why this disease is difficult to detect in girls.)
"The doctor talked to our family before the operation," Teacher Ge said, "and mentioned the surgery."
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Xie Wanying remembered that this family was quite special. They showed completely different attitudes on whether the patient should have surgery or not.
For example, this family had connections in the capital, and after asking around for a long time, they came to make an appointment with Brother Shenxian to have him perform the surgery. However, during the preoperative conversation, he suddenly changed his mind and said he needed to think about it, which caused the patient's surgery date to be postponed again and again.
There is a shortage of beds in top-level tertiary hospitals and they are not willing to waste beds like this, which makes Dr. Cheng Yuchen, who is in charge of the patient, very anxious.
What are the family members hesitating about?
"We heard from Dr. Chen from Guozhi that a seven-year-old child had this type of surgery at their Guozhi and was found to have scoliosis three years later. This news made her parents panic." Seeing that it was a familiar person, Teacher Ge confessed his family's feelings to Xie Wanying.
The family members were concerned about the patient's surgical procedure: a small right-sided thoracotomy. As mentioned before, this surgical method is controversial among doctors.
To sum up, the whole thing is like this: the family first heard that right-side thoracotomy with a small incision is good and will not leave a big scar. Considering that the child is not like the elderly and has a hard need to get a job and get married in the future, they came to see the fairy brother to do the right-side incision surgery. During this period, they must have heard other opinions, and then went to see Dr. Chen of Guozhi to learn about the defects of this surgery, and finally retreated.
Family members of bed 12 are common. They are fence-sitters who believe whatever others say. Even if you provide them with comprehensive information, they will still waver. It's not that they don't have their own opinions, but they can't take any risks. They have never taken risks since they were young. If they really take risks one day, they can only do it because they are pushed by others. It's impossible for them to take the initiative.
In the past, it was Dr. Cheng Yuchen himself who talked to the family members. Xie Wanying had not had much contact with the family members of bed 12. After hearing and seeing the family members showing such a side today, she was really worried about this young patient.
What is Xie afraid of as a doctor?
In the top three pediatric cardiac surgery departments, every day we see family members taking their children's medical records to ask doctors through various channels whether they can perform surgery or whether it is worthwhile to continue treatment. The proportion of these family members who ultimately choose to give up surgery for their children is hard to imagine for outsiders, and more than half is normal.
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