Chapter 1498: Chapter 1498: The Importance of Having a Backup Plan
“Yingying, can you ask him whether to go to the Capital for treatnt or not? When I talked to Doctor Chiang tonight, I felt that your cousin’s condition doesn’t seem good. However, I couldn’t clearly understand what he ant; on one hand, he ntioned consulting doctors from the Capital, but on the other hand, he didn’t ntion going to the Capital for treatnt.” Shang Siling found the attending doctor’s words quite confusing as she recounted them.
In reality, the doctors at the Provincial People’s Hospital knew that with the patient’s condition, reopening the chest almost ant certain death on the operating table, so they could only opt for internal dicine’s interventional surgery to alleviate the patient’s ergency symptoms. The problem is that the patient’s condition may not be suitable for long-distance travel to the Capital for treatnt; they wanted to find doctors from above to co down and help with the surgery at the hospital.
Could doctors from the Capital agree to co personally to perform surgery on this patient? Who exactly is this patient?
In those days, there was no flying knife fee, nor were doctors allowed to practice at multiple locations. Even if there were a flying knife fee, doctors from the Capital like Senior Brother Shim wouldn’t bother traveling such a long distance just to earn a few hard-earned bucks. Unless there’s a very special relationship with the patient. Considering that the doctor was specially contacted and invited by her cousin’s university leadership, it’s likely there is this special relationship.
With this in mind, it’s likely that technical obstacles have arisen in the doctor’s treatnt of her cousin’s injury.
Senior Brother Shim’s reluctance to co down may be because he believes it would be futile.
The surgery can’t be perford. The Provincial People’s Hospital thinks it can be done, but Senior Brother Shim disagrees. Since Senior Brother Shim believes the surgery can’t be done, why doesn’t the university leadership seek other doctors for her cousin instead of continuing to consult Senior Brother Shim? The only other reason is that after consulting other doctors, only Shim Youhuan sees the potential value in attempting the interventional surgery for her cousin.
Ultimately, it cos down to the fact that Senior Brother Shim thinks it’s worth a try, but believes coming down to do it would be useless. This indicates that the surgery is limited by the conditions at the Provincial People’s Hospital.
By rights, the hardware facilities and conditions of the Provincial People’s Hospital shouldn’t be worse than those in the Capital. The South’s provincial hospitals have always had stronger facilities compared to those in the Capital, due to favorable policies, quicker adoption of the latest dical equipnt, and rapid construction of new facilities. Like Guoxie, the planned new building has been delayed for countless years and only started this year.
It can only be said that hospitals in the Capital, as the national dical center, focus more on the human factor of the doctor rather than other aspects. Without the doctor’s skills, the most advanced dical tools are useless.
Xie Wanying couldn’t help but recall Teacher Ren’s earnest words during the first class for surgical students: Surgery backs up internal dicine.
Interventional surgeries and endoscopic procedures in internal dicine, though conducted in visible environnts, are always in a limited or even partially blind field of view, and the range of surgical operations is even more restricted. The actions that can be perford by the doctor are limited.
Aside from the benefit of minimal trauma that such minimally invasive surgeries bring to patients, they inevitably co with unpredictable high risks. The simplest example, like the bronchoscopy technique she first learned from Teacher Xin, is that complications such as massive bleeding and death after a routine biopsy inside a patient’s bronchi were frequently reported, even in Teacher Xin’s first case.
If sudden massive bleeding occurs and a bronchoscope can’t handle it, the only option is to urgently seek surgical intervention to stop the bleeding. Similarly, pulmonary artery thrombectomy and coronary artery stenting require surgical backup.
The thoracic and cardiovascular surgical level at the Provincial People’s Hospital is absolutely not as high as that of Guoxie and Guo Zhi Hospital. Cardiologists dare to perform high-risk procedures because they have their own surgical departnt to back them up.
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