Chapter 1197: Chapter 1196: Kang Kang
Translator: 549690339
“Old Huo… department director Huo’s heart condition is quite serious.”Department director Kang came to the waiting room of the Emergency Medical Center. When he saw Huo Congjun’s scans, his expression changed.
Zuo Cidian had consulted other doctors before this. His mood was stable and serious. He said, “What do you think we should do about it?”
“Let’s do a few tests first. If it’s confirmed to be a coronary heart disease, we can go straight to the operating table. “I’ll do a bypass. The battle will be over in three hours. Your department director Huo will be able to live for another twenty years without a problem.”Department director Kang was naturally talking about a better situation.
Zuo Cidian knew that department director Kang had misunderstood and thought that he was going to be asked to perform the surgery.
This was also a normal misunderstanding. Many doctors liked to choose the experts from their own hospitals when they performed surgeries. On one hand, they knew everything. On the other hand, the perioperative nursing care was more complete. In terms of the final treatment effect, it might be better than going to other hospitals and being performed by doctors who were a level higher than them.
With the current condition of the operating theater, even if they were also members of the medical circle and went to a foreign hospital, it was still possible that someone had performed the surgery and someone had operated on them.
Moreover, chief Kang’s skills were not bad. Back then, he had made his debut as a genius doctor. Although his subsequent growth was not satisfactory, a surgery like heart bypass was really in his area of excellence. It might even be a dessert.
After all, over the years, department director Kang had performed quite a number of heart bypass surgeries, and the success rate was quite good.
Zuo Cidian could not say it directly. He smiled and said, “Department director Huo is only in his fifties this year. It’s not enough for him to live for another twenty years.”
“It’s considered a long life for a doctor to live to seventy years old. What else do you want. “The average life expectancy in China is only seventy-six years, right?”As department director Kang spoke, he laughed. “Of course, the prerequisite is that the surgery goes smoothly. If the surgery doesn’t go smoothly, it won’t last for the next twenty years.”
Zuo Cidian looked at him speechlessly. In that case, only doctors would talk about their colleagues, and most of them were surgeons. The Hotheads in the internal medicine department were usually not so direct.
“We’re all on the same side. Let’s be honest, the risk of a heart bypass is still not small. Open-heart surgery and cardiopulmonary bypass, there are countless possible risks. “However, with department director Huo’s situation, the longer we delay, the more difficult it will be. Right now, he doesn’t have a condition where his heart is beating non-stop, right? When the condition becomes serious, the risk of a heart attack will be too great.”
Zuo cidian pursed his lips and said, “I’m afraid department director Huo has a different opinion.”
“It’s not up to him whether he agrees or not. With this heart, at most, we’ll let him scold us for another one or two years. After that, there won’t be anything else.”
“All of you who work in the heart surgery department don’t Talk Much.”Zuo Cidian shook his head. “If you work in our emergency department for three months like this, you’ll directly report to the Orthopedics Department.”
Department director Kang Sighed. “My body isn’t well. If I really got beaten up, I would have directly reported to the morgue.”
Even Zuo Cidian could not take what he said. Of course, he had a bellyful of complaints, but he was still 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 out for too long, a heart attack might… right?”Department director Kang Sighed, then, he said, “It’s not that my words are unpleasant. I’ve seen too many patients like this. When their condition isn’t particularly serious, they don’t take it seriously. When they don’t take it seriously, they just buy some vegetables and take a bus, and they already have a heart attack…”
Zuo Cidian thought, your words are really unpleasant.
However, the risk that department director Kang was talking about was real.
“That’s what we want to consult. Before we do the angiogram, we have to prepare the treatment plan for director Huo,”zuo cidian emphasized “Consult.”.
Director Kang heard the implied meaning, he frowned and said, “That’s how bypass works. According to his condition, I can do the great saphenous vein, radial artery, or internal mammary artery. “My suggestion is to choose the arterial bridge first. Unless the arterial bridge is not good, only use the great saphenous vein. Otherwise, it will be too easy to block.”
When chief Kang said this, he looked at Zuo Cidian’s special expression and frowned again. “Are you guys thinking about stents?”
Heart Bypass and heart stents were a pair of enemies. Although they were both heavy infantry soldiers who saved human lives, it was expected that they did not like each other.
Especially with the increasing popularity of heart stents, the use of heart bypass was greatly suppressed.
Department director Kang hated it even more, at this moment, he said without any courtesy, “At Old Huo’s age, the effect of heart bypass is definitely good. Heart stents are permanent, but they will be blocked up after five to eight years at most. During that time, he will have to take medicine for life, which is more troublesome than using a great saphenous vein to do a heart bypass. “We are all doctors, so don’t be afraid of having a thoracotomy!”
“Doctor Ling also means to have a thoracotomy, but…”
“But what?”Department director Kang immediately asked.
“However, Doctor Ling wants to prioritize surgeries where the heart is beating non-stop.”
Department director Kang was stunned. After a long while, he said, “A new technique doesn’t mean that it’s a good technique.”
“That’s true.”
Department director Kang was silent for a few seconds before he sighed and asked, “Where do you want to do it?”
“This is just the beginning of the discussion. Department director Huo doesn’t know yet. Doctor Ling hasn’t expressed his opinion either.”Zuo cidian smiled and said, “I was wondering if we could invite an expert over. What do you think?”
“It’s beating non-stop.”Department director Kang Sighed again.
Indeed, for many doctors in the heart surgery department, the development of the technology was actually constantly diminishing their efforts.
Compared to the heart surgery technology of cardiopulmonary bypass, the non-cardiopulmonary bypass technology that kept beating naturally had many advantages. Firstly, it could avoid complications from cardiopulmonary bypass, and secondly, it could be removed from the ventilator earlier, in addition, there was less blood damage, so the amount of blood transfusions would be reduced. The probability of organ failure would also be reduced. Furthermore, they could be discharged from the hospital earlier.
For the doctors in the Department of cardiac surgery, although they still needed to be prepared for cardiopulmonary bypass, the importance of skills under the condition of cardiopulmonary bypass would eventually weaken. The various new equipment and techniques used in the nonstop beating heart surgery were so unfamiliar to the elderly..
Even though the doctors could not escape the fate of lifelong learning, the pressure brought by passive learning was still obvious.
“I didn’t pay much attention to the non-stop surgery in the past. I have to go back and ask someone.”Department director Kang’s emotions calmed down.
If he had to immediately name a few doctors who were good at this, of course, he would be able to say it. However, if a certain doctor was selected and the emergency department wanted to invite him, department director Kang still had to show some face, this was the main reason why he went back to ask people.
If Yun Hua could not be invited, it would be meaningless.
Zuo cidian laughed at this moment. “There’s no rush. Speaking of which, is there any patient in your department who wants to do a heart bypass right now?”
“There must be…”director Kang could not help but become nervous when he said this. “Why are you asking this?”
“Our Doctor Ling wants to participate in the understanding. It’s not too much, right?”Zuo cidian chuckled as he said something that was too much.
Chief Kang rejected him without hesitation. “If Doctor Ling wants to perform heart surgery, then it’s better for him to perform surgery for an atrial defect. The difficulty level of heart bypass surgery and atrial defect surgery is far from the same.”
“I can at least pull a hook for you.”Zuo Cidian narrowed his eyes. He was ugly and cute.
Chief Kang did not believe him. “Will he be able to pull the hook without worry once he is on the operating table?”
“You are the chief surgeon. He will definitely listen to you. If you ask him to pull the hook, he will pull the hook.”When Zuo Cidian said this, his rough face became serious, he said, “Don’t think too much about it. Our Doctor Ling is your assistant. Are you feeling wronged? or else, is it because your bridging skills are shameful?”
“Don’t provoke me.”Department director Kang snorted unhappily. Then, he said frankly, “Tomorrow morning, let Doctor Ling follow the stage. If you are free, come over too. I will let you see my bridging skills!”
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