BXBX NOVEL Chapter 1391: 【1391】Doctors don't care about face
Jin Tianyu's skills are better than him, and his intuition should be the same as his, so the risk of reluctantly operating is too high.
"Otherwise, let me tell you, their cardiothoracic surgeons are here—" Dr. Fang thought to himself, and whispered to Jin Tianyu to give up. If Jin Tianyu is afraid of losing face, he will tell.
Jin Tianyu glared at him after hearing this, he couldn't believe that he could spit out these words.
Can he ask for a surgery to save his face? He Jin Tianyu has a temper, and he is a doctor anyway, so how can he think about his own face on this kind of issue.
My own people don't even have a robot to understand him, and he's about to suffocate to death. At least the robot knows to reply to Dr. Xu and tell the other party that it will not be an obstacle to face.
What can I do when surgery comes.
Fu Xin is always there, this robot is a machine in doing things with a straight face, and it doesn't care about anyone's face. Fu Xinheng didn't interrupt and didn't speak. The only reason he could explain was that, as he felt, such a patient would die if he was sent to the operating table.
This was the point of his hesitation about sending the patient to surgery.
For coronary artery bypass grafting, the first choice for an elderly patient like this should be the great saphenous vein, but this patient’s great saphenous vein failed. So he wanted to say that the patient's last attending doctor, Dr. Xu, didn't do his job well, how could he be embarrassed to talk about others.
A doctor also has obligations to manage patients after surgery, not to mention that this patient is a patient who trusts Dr. Xu.
If the patient does not cooperate with the next examination and treatment, you have to urge it. Doctors should be good at coercion and inducement. If you don’t do your job well, the next time a patient becomes ill, it will be you or your colleagues who will be stumped, and the patient himself will be the worst.
Well, we all know that the patient's lower extremity veins cannot be selected as bypass materials.
Choose an artery? It is better to connect the arteries to the arteries than to cut the veins to connect the arteries. It is more original.
The patient is not in his 70s or 80s, so he can try to select an artery. It's just that you look at the current situation of PCI, the arterial condition of this upper body is probably just as bad.
The upper body arteries can be selected, and the surgeon prefers the internal mammary artery. However, the internal mammary artery is a very short section. Regardless of whether the internal mammary artery can be used like the great saphenous vein, this length alone is not enough for surgeons to use in difficult cases.
If the chest is opened, it is a complex condition like three-vessel disease that cannot use the internal mammary artery. This patient's situation just predicts that the coronary arteries of the heart are not well laid out. Surgical bypass surgery does not rule out the need to re-arrange the distribution of cardiac vessels. At this time, more circulatory collaterals need to be established, and more patients' own blood vessels of good length are required to be used as materials.
The great saphenous vein is not good, and the internal mammary artery is not good. Where should the surgeon go to find vascular materials?
In a hurry, set up an operation to end the operation? Bypass is not PCI, it is to delay the interval of postoperative restenosis to more than ten years. How high is the risk for the patient to open the chest once and allow you to open the chest multiple times? Thoracoscopy? Can a patient with such a complex condition undergo thoracoscopy? Prepare for the worst possible outcome first.
Little junior sister Xie Wanying debated with Dr. Xu on the phone and every sentence was the truth.
(end of this chapter)