There is no difference, except that there are too many patients and one department cannot handle them, so they are divided into two departments for better management. This is not the same as the nature of the two branches of the Chinese Association of General Surgery and General Surgery. General Foreign Language 1 and General Foreign Language 2 are separated for competition. The children are divided because they need more senior managers.
meaning is?
Too many critically ill patients.
Pediatric cardiac surgery, unlike adult cardiac surgery, focuses on congenital heart disease. If many congenital heart diseases miss surgical treatment in childhood, not to mention in adulthood, they will lose the chance of surgical treatment when they get older, and they will be hopeless and waiting to die.
For this reason, Duan Sanbao reminded the new students: "Don't just listen to what the patients who are introduced to you mean. You have to re-examine and check the results in our hospital first. Some family members will tell lies in order for us to accept the patients." .”
"Why, why?" Wei Shangquan and Dai Nanhui asked in unison.
Lying to doctors about a child's condition will not help. Why are these family members so stupid?
"Don't you know? Less than a quarter of the surgeries performed by cardiac surgeons are truly effective."
Cardiac surgery and neurosurgery are called two major specialties, and there is another reason. The results of surgeries performed by these two departments are always unsatisfactory. No matter how big the doctor is, this result may be the same.
Xie Wanying quickly thought of Xiao Zhang's mother's surgery that night. Senior Brother Cao had known that the surgery would be of no use and could not prevent the patient from dying. Who made neurosurgery feature like this. Dr. Duan from the Department of Cardiac Surgery said that this is also the case. To be a doctor in these two specialties, the psychological quality needs to be as good as possible, otherwise you will be hammered to death by reality every day.
Specifically, the results of surgeries in these two departments may be: some surgeries are performed and it is found that there is no need to do them, some surgeries are performed and it is better not to be done, some surgeries are performed and the patient will have problems later, and only some surgeries will cause problems later. Once done, it will be effective and you will be cured.
In fact, looking at the entire surgical community, there are the same three outcomes after surgery: either death, recovery, or half-death.
The doctor really did not hide this result from the patient and family members. The clearly stated terms in the preoperative informed consent form all pointed to these three points. However, cardiac surgery and neurosurgery have a larger proportion of unfavorable surgical consequences.
Under normal circumstances, if you tell patients or their families about such terrifying risks, they will definitely be afraid, and some patients or family members will shrink back and stop doing it. Some family members behave in the opposite direction and insist on performing surgery on the patient at all costs.
It is up to the doctor to decide whether this operation can be done or not. However, if you admit the patient to the hospital and then say you won’t do anything, hey, you are a surgeon, not an internal medicine, which is equivalent to deceiving the patient and defrauding him of his money. Therefore, as Dr. Duan Sanbao said before, some family members deliberately lie to the doctor after they arrive, hoping that the doctor will accept the patient before proceeding. This is a disguised form of forcing the doctor to perform surgery.
"Corrie had a child like this before. Our doctor thought that if he didn't do it, he might live for a few more years, but the family insisted on taking the risk. In the end, the child died on the operating table." Duan Sanbao said, "The director later put that The young doctor who admitted the patient to the department for hospitalization cursed him."
Several young doctors who heard the story were immediately educated.
It is not a good thing for a doctor to be too kind to this kind of thing.
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