Chapter 1367: 【1367】Provide a safety net for patients taking regret dicine
It is an adenosine diphosphate (ADP) P2Y12 receptor antagonist. This first-generation drug has only recently been developed and put on the market, making it unlikely to be widely extended for post-PCI surgery dication.
Continuous new drug developnt and introduction not only treat diseases but also greatly promote the progress of surgery, ensuring patients’ preoperative, intraoperative, and postoperative stability.
The other classmates saw her suddenly fall silent, wondering what was going on with her.
Xie Wanying was just considering that if this patient delayed a few more years, there might be a chance for DAPT therapy and the introduction of drug-coated stents.
These asures can reduce complications within the stent. The release of absorbable biological stents is still a long way off, making it unlikely for the patient to wait. The only option is to continue placing stents, with each additional stent equating to more risk points. Doctors never approve of this approach. More stents aren’t necessarily better.
When necessary, abandon stents and choose surgical bypass instead. However, for patients like these—those without cardiac structural changes, with isolated arterial narrowing—even after bypass surgery, if the patient isn’t sufficiently disciplined in post-surgery body managent, arterial narrowing might reoccur.
Without patient cooperation, the effectiveness of dical treatnt decreases significantly.
Presumably, this patient thought everything was fine after the first surgery with the stent placed and continued running around busily. Business requires social engagents, and ignoring doctors’ advice about smoking and drinking could lead to quick relapse.
If the patient can learn from this lesson and follow dical advice from now on, the doctor must strive to extend the interval between placing additional stents as much as possible.
Such patients are frequently encountered in clinical practice. If patients regret their decisions, it inevitably tests the limits of a doctor’s skills.
A few people rushed to finish their als and head to the interventional operating room.
Most hospitals place large examination instrunts on the first floor. The reason is that equipnt with ionizing radiation like X-ray and CT machines requires radiation protection facilities, and creating these specialized rooms is equally expensive. Compared to ordinary operating rooms, interventional rooms need to be equipped with angiography machines. Therefore, all interventional surgery rooms at Guoxie are concentrated on the first floor in one area.
Interventional surgery isn’t limited to the cardiology departnt alone; other departnts have interventional techniques as well. For instance, Zhao Zhaowei previously planned to perform ERCP, which belongs to gastrointestinal endoscopy. However, cardiovascular interventional surgeries are more frequently carried out with greater urgency, and the hospital has dedicated one interventional operating room solely to the cardiology departnt, with other departnts sharing one interventional room.
Are all interventional surgeries and endoscopies perford by internal dicine doctors? For instance, the biliary tract endoscopy at Guoxie is done by the Hepatobiliary Surgery departnt, so these surgeries should be determined by division within the hospital itself. The primary condition for performing surgery is the technical proficiency of the doctors; whichever departnt has stronger technical skills should perform the procedure. Like neurointervention technology, it is conducted by the neurosurgery departnt at Guoxie because the neurology departnt lacks the necessary technical skills.
Guoxie’s cardiovascular catheter interventional room is slightly insufficient with only one. After repeated applications, the hospital has finally approved an expansion to two interventional operating rooms for the cardiology departnt. It was heard that Senior Jin passionately criticized the hospital’s thods as stingy as squeezing toothpaste, privately saying President Wu is unusually frugal.
President Wu’s strategy of calculating costs and benefits assus that intervention surgeries in other departnts are less frequent, allowing the cardiology departnt to utilize their operating rooms, totaling three, which is quite a few compared to in-country standards.
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