In the past, when there were no grading of diagnosis and treatment, big hospitals also performed minor surgeries, and small hospitals also performed major surgeries. It seems that in that era, everyone is stupid.
No matter how great his ability is, he will be willing to work there for the rest of his life wherever the country assigns him. Of course, there are also many people with dreams who fly far away.
But, after all, they are still a minority, so medical treatment in that era seems to be very convenient. Just outside your door is your own small hospital, where you can find doctors who are familiar with each other from head to toe.
Suddenly one day, everyone seemed to have enlightened, and they were all running towards big cities and big hospitals in a hurry, including doctors and patients.
In the end, the top tertiary hospitals in various places were like suffering from intestinal obstruction, unable to move, and then a hierarchical diagnosis and treatment system had to emerge.
In layman's terms, it means that the size of the foot wears the size of the shoe. The state can give orders to hospitals, but you can't force patients, so this diagnosis and treatment system is a bit, how should I say, like a leather hat in summer.
Can large hospitals perform, for example, appendix surgeries? It must be done because there are new doctors arriving every year. If we don’t do it, how will we train doctors in the future? Then it was like a mouth.
He had an appendix operation in a tertiary hospital. Why can’t I have an appendix operation in a tertiary hospital?
What followed were various human relationships to reconcile the situation. As for asking doctors to do research, sometimes it becomes a joke.
Therefore, an idea of developing large hospitals back then turned into a super siphon, directly fragmenting the primary medical system that China had finally established since liberation.
Medical treatment should actually be a triangular pyramid, but now it has been transformed into an ultra-modern inverted triangle.
Mr. Wu took Zhang Fan to Bird Street in the Magic City. This street is located on a very powerful hospital in China.
This hospital is obviously a high-end hospital, but its name makes people think it is fat and fat.
It is estimated that the person who came up with the name did not expect that there was a small businessman in the south who learned his naming method, and then the titles of big rivers and mountains with red crosses appeared all over the land of China.
"Shanhua's supernatural powers and limbs are quite powerful and very unique. You can take a closer look when you go there. However, the hospital is a bit more complicated than Fangdong's."
Mr. Wu gave Zhang Fan a brief introduction in the car, but there was no need for the old man to elaborate on this kind of thing. He was just a passerby, so he went over to take a look.
Entering Shanhua, the director of the medical office was surprised. There were often inter-hospital consultations between Shanhua and Fangdong or with other hospitals, but this was the first time Mr. Wu came for a consultation in person.
"Oh, oh, why did you come in person and didn't say hello to me? Mr. Wu is so sorry!"
"Haha, it's okay. What's your illness?"
After a few pleasantries, we got straight to the point.
"Let's talk as we walk. Here's the thing. Today, a 70-year-old male patient was sent to the 120 emergency room. The initial diagnosis was symptomatic cerebral ischemia.
After initial treatment, no significant improvement was seen, and then it was discovered that the patient had an aneurysm in his brain! Director Ye, who is outside the hospital, decided to undergo surgery after his ward rounds.
However, the patient was old and had been bedridden for half a year. Therefore, Director Ye wanted to ask Fangdong's experts to come over and evaluate the risk of the digestive system. "
"Oh!" Mr. Wu nodded. He didn't see the patient, so he didn't say anything.
Zhang Fan followed them. Although Mr. Wu did not introduce Zhang Fan specifically, the director of Shanhua's medical department still looked at the young man who could follow Mr. Wu.
The human body's defense is very strange. For example, if you have a quarrel, you won't quarrel with anyone else, and your brain will feel aggrieved: you are stupid and likes to quarrel, which makes me angry to death, and then gives the order, "Stomach, you have a spasm for a while!"
This becomes a problem for the mouth and makes the stomach uncomfortable. People with bad tempers often have bad stomachs, and this is the reason.
When there is a problem with cerebral ischemia, it is often not the brain that breaks through the body's defense layer, but the digestive tract. This is the so-called human body's stress response.
Therefore, in many surgeries, such as fractures, some drugs that suppress acid and protect the gastric mucosa are usually added. This is not because doctors want to get kickbacks for using drugs indiscriminately, but to prevent patients from bleeding heavily.
The larger the operation, the more likely it is that gastrointestinal bleeding will occur. This kind of bleeding is unpredictable, so digestive tract evaluation before surgery is also very important.
Entering the operating room, Shanhua's boss, Expert Ye, saw Mrs. Wu and said with a smile: "Today is earth-shattering."
"Haha, is the patient serious?"
"Well, an arterial tumor was found in the patient's brain. There is no way to embolize it. An anastomosis between the superficial temporal artery and the middle cerebral artery is necessary.
The operation was huge, and the gastroenterology department of our hospital recommended postponing the operation, but the patient’s condition could not delay the operation, so..."
Expert Ye said while Mr. Wu read the patient's medical records and handed them to Zhang Fan, asking Zhang Fan to take a look as well.
Arterial reconstruction surgery, especially arterial reconstruction in the brain, has a visible effect on some special patients. The US NIH attaches great importance to this surgery.
After Mr. Wu and Zhang Fan looked at the patient's medical records, they looked at each other at the same time. The patient had a history of vomiting blood, so Shanhua's doctors could not help but be careless.
"The possibility of heavy bleeding cannot be ruled out!"
Mr. Wu said softly.
"Mr. Wu, if the patient does not undergo surgery as soon as possible, the condition will probably become more and more serious in the future."
"His other vital signs are considered stable. If surgery is necessary, it is necessary to open the abdomen to stop the bleeding during the surgery.
In this way, you go talk to the family members, and I can stand by if you like. "
After listening to Dr. Ye's words, Mr. Wu thought for a while, weighed the patient's situation and said.
"Okay, I'll go talk to them in person now."
As soon as Dr. Ye heard that Mr. Wu was going to stand on the stage in person, he immediately left the operating room in a hurry.
"The operation is very big and very dangerous. We have invited Academician Wu from Fangdong here. If you agree to the operation, sign it. We are now preparing for the operation."
For ordinary people, to be honest, holding the operation signature form in the hands of the surgeon is like reading a book from heaven.
However, Dr. Ye’s sign and Mr. Wu’s sign were too bright, hanging in the sky like a golden plaque.
"Okay, let's sign. Doctor, please take some care. The old man has never enjoyed much happiness in his life. Now he can finally live a long life. As a result..."
"Don't worry, we will do our best."
Dr. Ye didn't say much and entered the operating room with the signed form.
After obtaining authorization from the family, preparations for surgery began.
"Mr. Wu, we are about to start. Do you need an assistant?" Dr. Ye looked at the young Zhang Fan and said to Mr. Wu.
He thought that such a young doctor wouldn't be able to help with such an urgent operation, so he asked.
"No, that's enough for me and him."
"Oh!" Dr. Ye looked at Zhang Fan again and nodded, "Okay, let's get started."
The operation begins!
