Chapter 1498: Chapter 1498: The Importance of Having a Backup Plan
āYingying, can you ask him whether to go to the Capital for treatment or not? When I talked to Doctor Chiang tonight, I felt that your cousinās condition doesnāt seem good. However, I couldnāt clearly understand what he meant; on one hand, he mentioned consulting doctors from the Capital, but on the other hand, he didnāt mention going to the Capital for treatment.ā Shang Siling found the attending doctorās words quite confusing as she recounted them.
In reality, the doctors at the Provincial Peopleās Hospital knew that with the patientās condition, reopening the chest almost meant certain death on the operating table, so they could only opt for internal medicineās interventional surgery to alleviate the patientās emergency symptoms. The problem is that the patientās condition may not be suitable for long-distance travel to the Capital for treatment; they wanted to find doctors from above to come down and help with the surgery at the hospital.
Could doctors from the Capital agree to come 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 wouldnāt bother traveling such a long distance just to earn a few hard-earned bucks. Unless thereās a very special relationship with the patient. Considering that the doctor was specially contacted and invited by her cousinās university leadership, itās likely there is this special relationship.
With this in mind, itās likely that technical obstacles have arisen in the doctorās treatment of her cousinās injury.
Senior Brother Shimās reluctance to come down may be because he believes it would be futile.
The surgery canāt be performed. The Provincial Peopleās Hospital thinks it can be done, but Senior Brother Shim disagrees. Since Senior Brother Shim believes the surgery canāt be done, why doesnāt 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 comes down to the fact that Senior Brother Shim thinks itās 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 Peopleās Hospital.
By rights, the hardware facilities and conditions of the Provincial Peopleās Hospital shouldnāt be worse than those in the Capital. The Southās provincial hospitals have always had stronger facilities compared to those in the Capital, due to favorable policies, quicker adoption of the latest medical equipment, 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 medical center, focus more on the human factor of the doctor rather than other aspects. Without the doctorās skills, the most advanced medical tools are useless.
Xie Wanying couldnāt help but recall Teacher Renās earnest words during the first class for surgical students: Surgery backs up internal medicine.
Interventional surgeries and endoscopic procedures in internal medicine, though conducted in visible environments, 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 performed by the doctor are limited.
Aside from the benefit of minimal trauma that such minimally invasive surgeries bring to patients, they inevitably come 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 patientās bronchi were frequently reported, even in Teacher Xinās first case.
If sudden massive bleeding occurs and a bronchoscope canāt 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 Peopleās 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 department to back them up.