It was rude to look at someone like that. When Xie Wanying heard Dr. Song say it was okay, she nodded. She had confidence in Dr. Song, who was a genius with a brilliant mind and knew how to do nothing.
The two of them went to the observation room. The old lady came back after the CT scan. The CT report would not be available soon. Song Xuelin performed another specialist physical examination on the old lady and asked the nurse to send the patient to the inpatient department first, and then go to the inpatient department to check the examination report.
According to the patient's current condition, we need to first check whether the CT scan shows acute cerebral hemorrhage and whether the amount of bleeding is enough to warrant emergency surgery. If not, we will probably perform conservative treatment tonight and discuss the next treatment plan tomorrow when Cao Yong returns to work.
The old lady's daughter packed her things and accompanied her mother to the neurosurgery inpatient department.
While arranging for the admission of inpatients, Xie Wanying thought of Liu Wenyu's condition and wanted to seek Dr. Song's advice.
Song Xuelin heard her say: Cardiothoracic surgery? Cardiology?
Aren’t these two departments that like to fight?
It's the same in every hospital, the cardiology department and the cardiac surgery department compete fiercely for business. As mentioned before, this is the reason why he doesn't like cardiothoracic surgery.
Neurosurgery can only deal with neurology. Neurosurgery has poor efficiency and cannot be compared with neurosurgery. Neurosurgery can prescribe the same medicine as neurosurgery. In the eyes of a surgeon like him, the physical therapy performed by neurosurgery is almost equivalent to placebo and hot compress, with very low effect. The limb function training performed in the later stage of the patient's illness belongs to the professional rehabilitation department and has little to do with neurosurgery.
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Cardiology is different. It has been seizing the business of cardiac surgery all the way. New interventional surgeries and the development of drug interventional equipment have greatly reduced the scope of traditional cardiac surgery. If this continues, more than half of the business of cardiac surgery will be taken away by interventional surgery.
Originally, such operations should be performed by cardiac surgeons. The biggest difference between internal medicine and surgery is whether or not to perform surgery. As a result, the breakthrough development of various scientific and technological methods has led to new surgical methods, breaking this boundary. Forward-looking scholars at home and abroad have predicted that in the future there will be no distinction between internal medicine and surgery.
Interventional surgery is surgery after all, and it is closely related to the basic anatomy of surgery. Surgeons have greater advantages in performing interventional surgery. This is recognized both at home and abroad. Moreover, if an interventional surgery fails, it is necessary to switch to surgery. For example, if a laparoscopic surgery fails, it is necessary to switch to open surgery. If the interventional surgery is performed by a surgeon, the scale of the surgery can definitely be better controlled.
To this end, Guozhi, as the national leader in cardiovascular surgery, took the lead in reform and prepared to establish a heart center that would not distinguish between internal and external medicine. The members would mainly be surgeons, which meant that Guozhi intended to let surgeons perform both traditional cardiology and interventional surgery.
If he had not been interested in the human brain, he would have chosen Guozhi if he had chosen another major surgical specialty, cardiothoracic surgery.
If the National Association wants to reform itself, as a comprehensive tertiary hospital, it has too many departments and will face great resistance from the complex and intertwined interests of various parties within the hospital.
From the perspective of medical development, in the future, it will be a trend to develop medical services centered on organs, such as heart centers, kidney centers, and hepatobiliary centers, regardless of internal and external medicine. Therefore, the hepatobiliary surgery department of the National Association was very ruthless and directly eliminated the hepatobiliary internal medicine department in its infancy. It can be imagined that after the new surgical building is built and there is space, the National Association will try to establish this type of center treatment based on hepatobiliary surgery.
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