"Isn't she supposed to perform a thoracotomy?" Wei Qing anxiously looked at the thoracoscope screen beside the operating table.
The screen looked like a normal computer monitor, but there was a STORZ logo on the top left corner, indicating that it was … expensive.
Department Director Kang's gaze also fell on the STORZ logo, and he smiled bitterly. "The original plan was to perform a thoracotomy, but this patient doesn't want to do it … Sigh, she's a young girl, and she's only eighteen years old. I can't bring myself to force her to perform a thoracotomy."
A thoracotomy required the ribs to be cut open. Even the simplest atrial septal defect repair surgery might require three stitches after the thoracotomy was opened, but for the sake of these stitches, a thirty-centimeter-long scar was inevitable.
Wei Qing was not a stubborn old man. He only needed to lower his head to look at Department Director Kang's collarbone to know what was going on.
Girls nowadays were willing to go to the operating table and undergo general anesthesia just to look a little better. They even dared to drill holes on the jawbone …
After a thoracotomy was performed, a scar that started from the lower part of the neck and was as long as the arm would never disappear.
One could imagine that in order to protect the purity of their breasts, as long as there were other options, most young girls would not choose to perform a thoracotomy.
Moreover, the prognosis of a thoracotomy was worse, and postoperative recovery was more difficult. The effect of a thoracotomy might not be as good as a thoracoscope.
"This patient came to our hospital two or three times, and each time, she gave up on the surgery. Her defect is a little big, and interventional surgery is definitely not possible. If it's a thoracoscope, it might really be the most suitable. "Department Director Kang's expression was very unnatural.
If it was possible, he did not want to explain anything to Wei Qing. However, Wei Qing came to support him as a reinforcement, and it did not seem reasonable not to explain.
"From what I remember, the Department of Cardiovascular Surgery in our hospital has never performed a thoracoscope surgery, right?" Wei Qing still understood this kind of cutting-edge information. In fact, he did not need to think too much about it. Everyone basically had some understanding of the level of surgery their department could perform and the level of equipment they had.
Department Director Kang nodded embarrassedly. "Never done it before."
"I heard that it's quite difficult?" Wei Qing didn't know much about thoracic surgery, but if you flipped through the periodicals of the past few years or browsed through the industry's news on your phone, you would occasionally see the phrase 'Total Thoracic Surgery' …
Department Director Kang was naturally the most professional among all the people in the room. He sneered and said, "You started with laparotomy and went all the way to laparoscopic surgery. Is laparoscopic appendectomy difficult?"
Wei Qing was stunned for a moment. "It's almost as difficult as laparoscopy?"
"What reading comprehension?" Department Director Kang's attitude was not very good anymore. "The difference in difficulty between laparotomy and laparoscopic appendicitis is the same as the difference in difficulty between thoracotomy and thoracoscopic interatrial septum."
"That's a different level of difficulty."
"That's what I mean." Department Director Kang pursed his lips.
Wei Qing finally grasped the crux of the matter. He lowered his voice and said, "Can Ling Ran do it? Where did he learn it? "
"I don't care. Maybe the pharmaceutical company found a place for them to practice. If they don't tell us, how would we know? " Department Director Kang paused for a moment and said, "Ling Ran has been treated like a department director for a long time. It's not the first day you found out."
Department directors also needed to learn, and some of them could not bring themselves to do so. In fact, most department directors could not bring themselves to do so. At this time, it was more important for them to look for a hospital to learn from or a place to further their training.
Wei Qing was just saying it. He could not be bothered to look into it. He shook his head and turned to look at Ren Qi. He asked, "Do you know?"
Ren Qi immediately played dumb. "What?"
Wei Qing waved his hand and turned around in disappointment. He then looked at Department Director Kang and frowned softly. "By the way, Old Kang, did you just allow him to change the surgical plan at the last minute?"
"The patient will have to change," Department Director Kang said.
"That's true, but you can still refuse to let him do it if the surgical plan has changed. Besides, you let Ling Ran perform the first atrial septum defect repair under thoracoscopy in Yun Hua Hospital? "Wei Qing continued to throw shade at Department Director Kang.
Right now, he really needed Department Director Kang to hold his ground. After all, the Cardiovascular Surgery Department had a very high technical threshold. Regardless of whether it was cardiopulmonary bypass or postoperative care, they all required a considerable amount of technical support and accumulation. It was not like the General Surgery Department, where every clinician had toyed with it.
Department Director Kang naturally knew what Wei Qing was thinking. He did not care about it before, and he did not care about it now.
Department Director Kang turned to look at the thoracoscope equipment and said languidly, "We have never performed atrial septum defect repair under thoracoscopy before. Department Director Wei, do you think it's because of technical factors?"
"Then?"
"It's because we don't have a thoracoscope." Department Director Kang's face was as calm as an ancient well. His gaze was focused, his hands moved slightly, and the corners of his clothes moved with the wind. He exuded the aura of an expert from Beggar's Sect.
Wei Qing had a lot of words stuck in his stomach. He could not say them, so he could only follow the flow of his intestines.
Department Director Kang started talking. "The last time I applied to buy two thoracoscopes, it was rejected at the meeting. It was a domestic one, and it cost 108,000 RMB. The cost of the medical consumables was only one-fifth of what Carl Stokes used. I think it's less than that …"
Most of the time, the General Surgery Department was involved in cutting off the budget of other departments. Wei Qing chuckled in embarrassment. He was too embarrassed to speak.
108,000 RMB was not a lot, but the landlord did not have any surplus. It was not like the Cardiovascular Surgery Department could give an extra 100,000 RMB just because they had a budget of 38.1 million RMB. It would be even better if they saved 100,000 RMB to buy an ultrasonic knife.
"This Stokes is estimated to cost more than 400,000 RMB. It's a high-end version, and the controller is a new version. It's estimated to be 5.5" Department Director Kang looked at the thoracoscope beside the bed. He only needed to glance at it to be able to tell the parameters. He looked like a computer enthusiast.
Ren Qi listened very seriously, and his eyes lit up.
When Wei Qing saw that, he frowned a little unhappily and said slowly, "There are no thoracoscopes in the Emergency Medical Center, right? It's impossible for Ling Ran to buy a thoracoscope for himself, right?"
It was not impossible to use the department's own money or even the treatment group's small coffers to buy the small equipment. In hospitals with less strict management, the department could also use the small equipment to collect fees for reimbursement. There were also many people who could earn a sum of money in the end.
However, Yun Hua Hospital did not make any exceptions in this area. High-ranking doctors who had some financial power would at most buy a piece of equipment in the name of scientific research. It was impossible for them to ask for reimbursement.
A Stokes thoracoscope that cost 400,000 RMB was not a small piece of equipment. Although its size was about the same as a game console, it was very expensive. Wei Qing had never heard of a doctor who would buy such an expensive piece of equipment with his own money.
Department Director Kang's expression became even calmer. He said in a voice that was almost as if he was bored, "A pharmaceutical sales company lent it to Ling Ran."
"Lent …" Wei Qing did not know what to say. This was not an ordinary operation.
Department Director Kang nodded. "A brand new Stokes."
Wei Qing gulped. "This company sure knows how to play around. If I were to ask for a refund …"
A brand new piece of equipment that cost 400,000 RMB was definitely not refundable. At least, from Wei Qing's perspective, the pharmaceutical sales company would only be willing to take such a risk if they were confident. They would first lend the equipment to the doctor, and after the doctor completed a few or even dozens of surgeries, they would prove themselves with detailed data and medical cases. Then, they would buy the equipment through the hospital's formal procedures.
In terms of sales, this kind of sales model was obviously easier to break through the various traps and relationships in the hospital's procurement process. It was also easier to build trust.
However, the premise of this kind of sales model was to evaluate the doctor's ability.
If the doctor was just a weak, young doctor who did not have the final say, it would be meaningless to invest in him. In this regard, Ling Ran had obviously exceeded the standard.
Then, what they needed to pay more attention to was whether the company was confident that the doctor could correctly complete a few or even dozens of surgeries … Otherwise, would they not be asking for trouble by using a new machine to discuss death?
Wei Qing's gaze became extremely solemn.
This meant that Ling Ran's skills …
* Shick. *
The door of the operating theater was stepped open.
"Doctor Ling is here."
"Doctor Ling!"
There were more young nurses in the operating theater of the Cardiovascular Surgery Department compared to normal operating theaters, and they shouted even louder.
When Wei Qing heard this, he had a strange feeling that an important person had come to announce his name.
Select text and click 'Report' to let us know about any bad translation.
