BXBX NOVEL Chapter 1247: 【1247】His opinion
The two went to the observation room. The old lady came back after the CT, and the CT report will not be released too soon. Song Xuelin performed another specialist physical examination for the old lady, and asked the nurse to send the patient to the inpatient department first, and then to the inpatient department to see the examination report.
According to the patient's current situation, it is necessary to first check whether the CT is an acute cerebral hemorrhage, and whether the amount of bleeding is sufficient for immediate emergency surgery. If it is not enough, conservative treatment will probably be given tonight, and the next treatment plan will be discussed when Cao Yong returns to work tomorrow.
The old lady's daughter packed up and accompanied her mother to the neurosurgery inpatient department.
Arranged to admit inpatients, Xie Wanying thought of Liu Wenyu's condition and wanted to ask Dr. Song's opinion.
Song Xuelin listened to her: Cardiothoracic surgery? Cardiology?
Aren't these two departments that like to fight?
It is the same in any hospital, both inside and outside the heart compete for each other's business. As I said before, that's why he doesn't like hearts and minds.
Dealing with neurology at most outside the nerve. The intraneural benefit is poor and cannot be compared with the extraneural. Medicines prescribed inside the nerve can be prescribed outside the nerve. What kind of physical therapy is carried out in the nerves, in his eyes as a surgeon, is almost equivalent to placebo and hot compresses, and the effect is very low. The limb function training carried out in the later stage of the patient's condition belongs to the content of the professional rehabilitation department and has little to do with the nerve.
Cardiology is different, it is a business that grabs the outside of the heart all the way. New interventional procedures and the development of drug interventional devices have greatly reduced the scope of traditional cardiac surgery. If this continues, I am afraid that more than half of the business will be robbed by interventional surgery.
This kind of surgery should have been done by an extracardiac doctor. The biggest difference between internal medicine and surgery itself is whether to do surgery or not. As a result, new surgical methods have been introduced due to the breakthrough development of various science and technology, which has broken this layer of boundaries. Prospective scholars at home and abroad have predicted that there should be no division of internal medicine and surgeons in the future.
Interventional surgery is surgery in the final analysis, and it is closely related to the basis of surgical anatomy. Surgeons have greater advantages in interventional surgery. This is recognized at home and abroad. Moreover, if the interventional surgery fails, it is necessary to transfer to surgery. It is like converting to open surgery if laparoscopic surgery fails. If the intervention is done by the surgeon, the size of the operation can definitely be better controlled.
To this end, Guozhi, as the leader of the national cardiovascular system, has taken the lead in reforming, and is preparing to establish a heart center, regardless of internal medicine and surgery. The members are mainly surgeons, which means that Guozhi intends to have surgeons perform traditional heart surgery and interventional surgery.
If it wasn't for his interest in the human brain, if he chose cardiothoracic surgery, another major in surgery, of course he would have chosen Guozhi.
If the National Association wants to reform itself, as a comprehensive top three, there are too many departments, and the various parties with interests in the hospital are intertwined and complicated, and there is great resistance.
From the perspective of medical development, in the future, it will be a trend to develop medical services centered on organs, such as heart center, kidney center, and hepatobiliary center, regardless of internal medicine and surgery. Therefore, the hepatobiliary surgery department of the National Association is very ruthless, and directly wiped out the hepatobiliary medicine department in its infancy. It is conceivable that after the completion of the new surgical building, there will be space, and the National Association will try to establish this kind of center treatment based on the hepatobiliary system.
(end of this chapter)