"Old Huo … Department Director Huo's heart disease is quite serious." Department Director Kang came to the surgery waiting room in the Emergency Medical Center. When he saw Huo Congjun's scan, his expression changed.
Zuo Cidian had consulted other doctors before this. He was calm and serious as he said, "What do you think we should do?"
"Do a few tests first. If it's confirmed to be coronary heart disease, go to the operating table immediately. I'll perform a bypass, and the battle will end in three hours. Department Director Huo can live for another twenty years. "Department Director Kang was naturally talking about the better situation.
Zuo Cidian knew that Department Director Kang had misunderstood and thought that he was invited to perform the surgery.
This was also a normal misunderstanding. Many doctors liked to choose the experts in their own hospital for surgery. On the one hand, they knew each other well, and on the other hand, the perioperative care was more complete. In terms of the final treatment effect, it might be better than going to other hospitals where doctors of a higher level could perform better.
With the current situation in the operating theater, even if they were also in the medical field, they might be operated on and operated on by someone in an unfamiliar hospital.
Moreover, Department Director Kang's skills were not bad. Back then, he started his career as a genius doctor. Although his subsequent growth was not as good as he had hoped, surgeries such as heart bypass surgery were really in his favor. In fact, it might even be a sweet spot for him.
After all, Department Director Kang had performed a lot of heart bypass surgeries over the years, and the success rate was quite good.
Zuo Cidian could not say it directly, so he smiled and said, "Department Director Huo is only in his fifties this year. It's not enough to live for another twenty years. "
"It's considered a long life for a doctor to live for seventy years. What else do you want? The average life expectancy in China is only seventy-six years. " Department Director Kang said and laughed. "Of course, the premise is that the surgery goes smoothly. If it doesn't, he won't live for another twenty years."
Zuo Cidian looked at him speechlessly. Only doctors would say this about their colleagues, and most of them were surgeons. The internal medicine doctors were usually not so direct.
"We're all on the same side. Let's be honest. The risk of heart bypass surgery is not small. There are countless possible risks in thoracotomy and cardiopulmonary bypass. However, with Department Director Huo's situation, it will be more difficult to delay it. His heart is not beating yet, right? When it gets worse, the risk of myocardial infarction is too high. "
Zuo Cidian pouted and said, "Department Director Huo might have a different idea."
"It's not up to him whether he agrees or not. With this heart, he can only scold it for a year or two at most. After that, there will be no after."
"You cardiac surgeons don't talk much, do you?" Zuo Cidian shook his head. "If you continue to work in the Emergency Department like this for three months, you can report to the Orthopedics Department directly."
Department Director Kang sighed. "I'm not in good health. If I was really beaten up, I would have gone straight to the morgue."
Even Zuo Cidian did not know how to respond to this. Of course, he had a lot to complain about, but he was too embarrassed to say it out loud. The main reason was that he did not want to go to the orthopedics department.
"In short, since we're already at this stage, we should hurry up and make a decision. If we drag this any longer, a heart attack might … Right?" Department Director Kang sighed and said, "It's not that I'm being harsh, but I've seen too many patients like this. They don't pay attention to their condition when it's not particularly serious, but before they can pay attention to it, they might get a heart attack while they're buying groceries and taking a bus …"
Zuo Cidian thought, 'Your words are really unpleasant to hear.'
However, the risk that Department Director Kang talked about was real.
"This is what we want to consult. Before we do the angiography, we have to prepare the treatment plan for Department Director Huo." Zuo Cidian emphasized on the word 'consult'.
Department Director Kang heard the implied meaning and frowned. "That's the thing about bypass surgery. Based on his condition, I can do the great saphenous vein, the radial artery, or the internal mammary artery. My suggestion is to prioritize the arterial bridge. Unless the arterial bridge is not good, we can only use the great saphenous vein, or else it'll be too easy to block it. "
When Department Director Kang said this, he looked at Zuo Cidian's expression and frowned again. "You're not thinking about using a stent, are you?"
Cardiac bypass surgery and cardiac stent surgery were enemies. Although they were heavy infantry soldiers who saved human lives, it was expected that they could not see eye to eye with each other.
This was especially so when cardiac stent surgery became more and more popular, and the use of cardiac bypass surgery was greatly limited.
Department Director Kang hated this even more. At this time, he said bluntly, "With Old Huo's age, the effect of cardiac bypass surgery is definitely good. Cardiac stents are permanent, but they'll be blocked again in five to eight years at most. During this period, he'll have to take medication for life, and it's even more troublesome than using the great saphenous vein to perform cardiac bypass surgery. We're all doctors, so we don't have to be afraid of thoracotomy! "
"Doctor Ling also means thoracotomy, but …"
"But what?" Department Director Kang immediately asked.
"But Doctor Ling wants to prioritize the surgery for the non-stop beating heart."
Department Director Kang was stunned. After a while, he said, "New technology doesn't mean it's good technology."
"You're right."
Department Director Kang was silent for a few seconds before he sighed and asked, "Where do you want to do it?"
"We just started discussing it, Department Director Huo doesn't know yet. Doctor Ling didn't say anything either. " Zuo Cidian smiled and said, "I'm thinking if we can invite an expert to come over. What do you think?"
"Non-stop beating heart." Department Director Kang sighed again.
Indeed, for many doctors in the Department of Cardiovascular Surgery, the development of technology was actually constantly negating their efforts.
Compared to cardiopulmonary bypass, the non-stop cardiopulmonary bypass technique naturally had many advantages. First of all, it could avoid the complications of cardiopulmonary bypass, and second, the patient could be removed from the ventilator earlier. Besides, there was less blood damage, so the amount of blood transfusion was also reduced, and the probability of organ failure was also reduced. Furthermore, the patient could be discharged earlier.
For doctors in the Department of Cardiovascular Surgery, even though they still needed to prepare for cardiopulmonary bypass when it came to non-stop heart surgery, the importance of skills under the conditions of cardiopulmonary bypass had become weaker. And the new equipment and techniques used in surgeries that kept jumping were so unfamiliar to the old man …
Even though doctors could not escape from the fate of lifelong learning, the pressure brought about by this kind of passive learning was still obvious.
"I didn't pay much attention to non-stop heart surgery in the past. I have to go back and ask someone." Department Director Kang's emotions calmed down.
If he was asked to immediately name a few doctors who were good at this, of course, he could name them. However, if a doctor was chosen, and the Emergency Department wanted to invite him, Department Director Kang would have to give them face. This was the main reason why he went back and ask someone.
If the best doctor could not be invited to Yun Hua Hospital, it would be meaningless.
Zuo Cidian laughed at this time. "There's no hurry. Speaking of which, is there any patient in your department who needs to undergo cardiac bypass surgery?"
"Of course there is …" Department Director Kang could not help but become nervous when he said this. "Why are you asking this?"
"Doctor Ling wants to participate and understand it. It's not too much, right?" Zuo Cidian chuckled and said something that went too far.
Department Director Kang refused without hesitation. "If Doctor Ling wants to perform heart surgery, it's better to perform atrial fibrillation surgery. The difficulty of cardiac bypass surgery and atrial fibrillation surgery are very different."
"I'll operate the retractor for you, right?" Zuo Cidian's coarse face narrowed his eyes, and he looked ugly but cute.
Department Director Kang was even more doubtful. "Can he operate the retractor with peace of mind when he's on the operating table?"
"You're the chief surgeon. He'll definitely listen to you. If you ask him to operate the retractor, he'll do it." When Zuo Cidian said this, his coarse face became serious and he said, "Don't think too much about it. Doctor Ling is your assistant. Do you feel wronged? Or, is it because your bridging skills are shameful? "
"Don't provoke me." Department Director Kang snorted in extreme displeasure. Then, he was immediately provoked. "Tomorrow morning, let Doctor Ling come over to the operating table. If you're free, come over too. I'll let you guys see my bridging skills!"
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