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Chapter 1367: 【1367】Give the patient who takes regret medicine the bottom line



  Only the continuous research and development of new drugs can not only treat diseases, but also greatly promote the development of surgery and protect patients before, during and after surgery.

   The other classmates saw her sudden silence and wondered what happened to her.

   Xie Wanying was just thinking that if this patient delays for a few more years, he may be able to obtain DAPT treatment and the advent of drug-coated stents.

   These measures can reduce in-stent complications. Absorbable bio-stents are further away from the advent of time, and it is difficult to estimate patients. Just keep installing the brackets. Each mounting of multiple brackets corresponds to multiple risk points. Doctors never approve of this practice. The more brackets are installed, the better.

  When necessary, give up stenting and choose surgical bypass surgery. It's just that after bypass surgery for patients with simple arterial stenosis that does not belong to cardiac structural disease, if the patient's self-restraint is not enough to manage his own body after surgery, arterial stenosis will also occur again.

  The doctor treats the disease, without the cooperation of the patient, the curative effect will be greatly reduced.

  It is estimated that after the first operation, this patient thought that he was all right after installing the stent, and continued to run around. In business, socializing is indispensable. If you don't listen to the doctor's persuasion for smoking and drinking, it is not surprising that something will happen again soon.

  If the patient can learn from this lesson and follow the doctor's orders from now on, the doctor must try to give the patient as much time as possible to re-install the stent this time.

   Who makes this clinically common in patients. If the patient wants to take regret medicine, it can only test the technical limit of the doctor.

   Several people rushed to the interventional operating room after eating in a hurry.

   Most of the hospital's large-scale examination instruments are placed on the first floor. The reason is that instruments with ionizing radiation, such as X-ray machines and CT machines, require radiation protection facilities. Building these special computer rooms is as expensive as an examination room. Compared with the configuration of the ordinary operating room, the intervention room should be equipped with an angiography machine as standard. Therefore, all the interventional operating rooms of the National Association are placed on the first floor and concentrated in one area.

   It is not only the cardiovascular department that does interventional surgery, other departments also have interventional techniques. For example, Zhao Zhaowei mentioned in the last article that he plans to do ERCP, which is an interventional surgery in the Department of Gastroenterology. Only cardiovascular interventional operations are carried out the most and the most urgent. One of the two interventional operating rooms in the hospital is exclusively reserved for the cardiovascular medicine department, and the other departments share one interventional operating room.

  Is interventional surgery done by physicians like endoscopy? For example, the choledochoscopy of the National Association is performed by the hepatobiliary surgery department, so these operations should be divided into specific hospitals, and the departments of each hospital should decide by themselves. The first condition for surgery is that the doctor has to pass the test, and which doctor has stronger skills and which department should do it. For example, neurointerventional technology is done by neurosurgery in the National Association, but the neurology technology of the National Association cannot be done.

   There is only one Cardiovascular Catheter Intervention Room in the National Association, which is a little less. It is said that after repeated applications, the hospital finally approved the expansion of the Cardiology Department to two interventional operating rooms. It was heard that Brother Jin tried his best to complain about the hospital's practice like squeezing toothpaste, and privately said that President Wu was not an ordinary stingy.

  President Wu's idea for calculating costs and benefits is that other departments have less interventional operations, and cardiovascular can occupy their operating rooms, which is equivalent to three, and three are quite a lot in China.

   (end of this chapter)


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