Chapter 719

Name:Medical road Author:臧福生
When there was no classification of diagnosis and treatment before, large hospitals also had minor surgery, and small hospitals were also doing major surgery. It seems that in what era, everyone is stupid.

No matter how capable he is, where the country divides him, he can be willing to work in any place for a lifetime. Of course, many people with dreams go away.

However, after all, there are still a few, so medical treatment in which era seems to be very convenient. Go out is your own small hospital. You can find familiar doctors from head to toe.

Suddenly one day, as if everyone had opened their orifices, they were all anxious to run towards big cities and big hospitals, both doctors and patients.

Finally, the third class hospitals in various places could not twist as if they had intestinal obstruction, and then there had to be a hierarchical diagnosis and treatment system.

Generally speaking, it is how big the foot is and how big the shoes are. Hospitals, the state can give orders, but you can't force patients, so the diagnosis and treatment system is a little, how to say, it's like a leather hat in summer.

Do big hospitals, such as appendix surgery? It must be done, because there are new doctors every year. How can we train doctors if we don't do it? Then it's like a hole.

He had an appendix operation in the third class hospital. Why can't I have an appendix operation in the third class hospital?

Then came the blending of various human relationships. As for letting doctors do research, it sometimes becomes a joke.

Therefore, the idea of developing large hospitals in those years turned into a super siphon, which directly fragmented the grass-roots medical system that China had not easily established since liberation.

Medical treatment, in fact, should really be a triangular pyramid. Now it has become a super modern inverted triangle.

Old Wu and Zhang Fan rushed to the Bird Street in magic capital, which is located in a very powerful hospital in China.

This hospital is obviously a tall one, but its name makes people feel fat and round.

It is estimated that the person who named it in those years did not expect that a businessman in a small place in the South learned his naming method, and then the title of big rivers and high mountains hung with the Red Cross appeared on the land of China.

"Shanhua's divine power, hands and feet are quite powerful and unique. You can have a detailed look when you go. But the hospital is a little more complicated than Fang Dong. "

Mr. Wu gave a brief introduction to Zhang Fan in the car, but this kind of thing, without the old man's detailed explanation, was all passers-by, so he went to have a look.

After entering Shanhua, the director of the medical department was surprised. There are often hospital to hospital consultations between Shanhua and Fang Dong or with other hospitals, but Mr. Wu came to the hospital for consultation for the first time.

"Ouch, ouch, why did you come in person and didn't say hello to me? I'm so sorry, old Wu!"

"Hehe, it's all right. What's the patient?"

After a little greeting, we went straight to the subject.

"Let's go and say. Well, today, 120 emergency department sent a 70 year old male patient. The initial diagnosis was symptomatic cerebral ischemia.

After preliminary treatment, there was no significant improvement, and then it was found that there was an aneurysm in the patient's brain! Director Ye of Shenwai decided to have surgery after ward round.

But the patient is old and has been in bed for half a year. Therefore, director Ye wants to ask Fang Dong's experts to assess the risk of the digestive system. "

"Oh!" Old Wu nodded. He didn't see the patient, and the old man didn't say anything.

Zhang Fan followed behind them. Although Wu didn't introduce Zhang Fan, the director of Shanhua's medical office looked at the young man who could follow behind Wu.

The defense of the human body is very strange. For example, you quarrel. As a result, you haven't quarreled with others, and your brain feels suffocated: you're stupid and love to fight. I'm so angry that I give orders. Your stomach spasms for a while!

This has become the curse of the mouth and the stomach. This is why people with bad temper often have a bad stomach.

When there is a problem with cerebral ischemia, it is not the brain that breaks through the human defense layer, but the digestive tract, which is the so-called human stress response.

Therefore, many operations, such as fractures, generally add some drugs to inhibit acid and protect gastric mucosa. This is not because doctors want to take kickbacks and use drugs indiscriminately, but to prevent patients from bleeding.

The larger the operation, the more likely it is to have gastrointestinal bleeding, which is unpredictable, so the gastrointestinal evaluation before operation is also very important.

Entering the operating room, Shanhua's Shenwai laodaye expert saw Wu Laohou and said with a smile, "today is earth shaking."

"Hehe, is the patient serious?"

"Well, an arterial tumor was found in the patient's brain. There was no way to embolism. The superficial temporal artery and the middle cerebral artery must be anastomosed.

The operation was very big. The digestive department of our hospital suggested delaying the operation, but the patient's situation could not be delayed, so... "

Ye expert said that after reading the patient's medical records, old Wu handed them to Zhang Fan and asked Zhang Fan to have a look.

Arterial reconstruction, especially in the brain, has a direct effect on some special patients. NIH in the United States attaches great importance to this operation.

After seeing the patient's medical records, old Wu and Zhang Fan looked at each other at the same time. The patient had a previous history of hematemesis, so the doctor of Shanhua was not careful.

"Don't rule out the possibility of massive bleeding!"

Old Wu said softly.

Kwai Lao, if patients do not operate as soon as possible, it is estimated that the situation will become more serious later.

"His other vital signs are stable. If surgery is necessary, it is necessary to make it possible for laparotomy to stop bleeding during surgery.

In this way, you can talk to your family and I can stand by if you like. "

After listening to Dr. ye, Mr. Wu thought about it and weighed the patient's situation.

"Well, I'll talk to them myself now."

As soon as Dr. ye heard that old Wu was ready to stand on the stage in person, he immediately went out of the operating room.

"The operation is very big and dangerous. Now we have invited Academician Wu from Fang Dong. If you agree to the operation, sign. We are ready for the operation now."

Ordinary people, to tell the truth, holding the operation signature in the hand of the surgeon is really like reading the book of heaven.

However, Dr. Ye's sign, Mr. Wu's sign, was too bright and hung in the sky like a golden plaque.

"OK, let's sign, doctor. Please use snacks. The old man didn't enjoy much happiness in his life. Now he can finally live a healthy life. As a result..."

"Don't worry, we will do our best."

Dr. Ye didn't say much, so he took the signature and went into the operating room.

After obtaining the authorization of the family, the operation preparation began.

"Old Wu, we're going to start. Do you need an assistant?" Doctor Ye looked at young Zhang Fan and said to old Wu.

He thought that such a young doctor, such an urgent operation, might not be able to help, so he asked.

"No, he and I are enough."

"Oh!" Dr. Ye looked at Zhang Fan again and nodded, "OK, let's start."

The operation begins!