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   "Did Dr. Li say that this patient needs surgery?" Dr. Xu asked.

   "This patient may not be suitable for bypass surgery. Dr. Xu, you should know this better than us." Xie Wanying said frankly.

   She heard Senior Brother Jin and the others talking about the patient's condition in the office. In all fairness, she thought that Dr. Xu had been asked by the patient's family to go to the hospital in a hurry.

  Families can be chaotic, but doctors are not allowed to do so at any time.

   It is okay to have distrust in the technology of the peers, but the patient's condition must be scientifically based and rationally analyzed from the actual situation. It cannot be considered that any peer may have unreliable technology, and use this as a starting point to analyze the condition. The starting point of thinking is wrong, how can it be possible to draw the correct conclusion. Xie Wanying knew that the other party's words could affect the decision of the patient's family, and hoped that the other party would remain rational and not be biased.

   "You—" Dr. Xu was startled by her words, "What do you mean by that?"

   "The National Association may not have as much reputation as Guozhi in the technical field of PCI surgery. However, as a cardiovascular doctor, he must give the most reasonable medical advice according to the patient's condition."

"I see, you are a cardiologist from the National Association of Cardiology. You want to speak for your hospital and your department and accuse me for this? Saying that I know why I should not come to the Department of Cardiology, but to the Department of Cardiology. I help patients. What’s wrong with you?” Dr. Xu said this, getting more and more angry, “As you said, your hospital’s technology is poor, am I wrong? You have the courage to say that your technology is poor. Your judgment is wrong with mine?"

   Xie Wanying did not follow her words and quarreled with her. In fact, the other party himself said that he had never been in contact with the National Association of Cardiology Department. Knowledge of the National Association of Cardiovascular Medicine is anecdotal. In the case of not being familiar with the cardiovascular medicine technology of the National Association, I made a completely self-identification, that the cardiovascular physicians of the National Association were all incompetent.

   As she had guessed, the other party's thinking was irrational. In this case, of course, as a doctor, you should be realistic. No matter how the other party questions the technology here, you should only talk about the patient's condition scientifically and deal with the matter.

  Xie Wanying thought so, keeping calm and communicating: "Doctor Xu, let's analyze the specific situation of this patient."

   "I know what's going on with him."

"You knew during the last operation that he may have arteriosclerotic occlusive disease, and now you suggest that his family and friends go to the surgeon to perform bypass surgery for him. For bypass surgery, a suitable artery and vein should be selected on the patient's own body as a bridge. He In such a situation, the vascular material that the doctor can choose is limited and the possibility of restenosis is high. He does not have to do a bypass in a very serious or urgent situation. He can try PCI first, and then convert his heart if it fails. Besides. Wouldn't it be reckless to just go straight to the bridge without trying anything?"

  Doctor Xu got stuck, knowing she was right. Basically, patients are now recommended to do coronary artery bypass grafting when there is no choice in clinical practice. For those who can do PCI, do PCI first as much as possible, so that bypass surgery can become the bottom line, and avoid all the means in the hands of doctors running out in a short time.

   (end of this chapter)