Chapter 1196: Kangkang

"Old Huo... Director Huo's heart disease is not serious." Director Kang came to the operation lounge of the emergency center and saw Huo Congjun's film, his expression changed.

Zuo Cidian had also consulted other doctors before, and he said in a stable and serious mood, "How do you think it needs to be dealt with?"

"Do a few tests first. If you are diagnosed with coronary heart disease, go to the operating table directly. I will make a bridge for you to end the battle in three hours. Your Director Huo will live another 20 years without any problem," Director Kang said. Naturally it is better.

Zuo Cidian knew that Director Kang had misunderstood, thinking that he was being invited for surgery.

This is also a normal misunderstanding. Many doctors prefer to choose experts from their own hospitals when performing operations. As far as the final treatment effect is concerned, it may be better than going to other hospitals and doctors at a higher level.

As far as the current state of the operating room is concerned, even if you are both in the medical field, if you go to a strange hospital, you may be operated on by someone.

What's more, Director Kang's own skills are not bad. He made his debut as a genius doctor back then. Although his subsequent growth was not satisfactory, surgery such as heart bypass is really in his strike zone, and it may even be a dessert.

After all, over the years, Director Kang has done quite a few heart bypasses, and the success rate is quite good.

Zuo Cidian couldn't speak directly, so he smiled first and said, "Director Huo is only over 50 this year. Another 20 years is not enough."

"A doctor's life expectancy is 70 years old. What else do you want to do? The average life expectancy in China is only 76 years old." Director Kang said with a smile: "Of course, the premise is that the operation is successful. If the operation is not smooth, the next 20 years The year is gone."

Zuo Cidian looked at the other party speechlessly. In this way, those who talk about colleagues are doctors, and most of them must be surgeons. Mensao in internal medicine are generally not so direct.

"They are all our own people. Let's be honest, the risk of heart bypass is not small. There are countless possible risks in open chest surgery and extracorporeal circulation. However, as far as Director Huo's situation is concerned, it will be more and more difficult to delay it. There is no heartbeat situation yet, when the situation rises, the risk of myocardial infarction will be too great."

Zuo Cidian curled his lips and said, "Director Huo may have a different idea."

"It's up to him whether he agrees or disagrees. As far as this heart is concerned, let him scold him for another year or two at most, and then there will be no more."

"You cardiac surgeons don't talk much.

Zuo Cidian shook his head: "You have been working in our emergency department for three months like this, and then reported directly to the orthopedics department." "

Director Kang sighed: "I'm not in good health. If I really suffered a severe beating, I should go directly to the morgue to report it."

Even Zuo Cidian couldn't answer what he said. Of course, he has a lot to spit out, but he still doesn't have the nerve to say it. Mainly because I don't want to go to orthopedics.

"All in all, we've reached this level, so we should make a decision quickly. If it's been delayed for a long time, a heart attack, maybe... right." Director Kang sighed, and said: "It's not that I speak badly, I see I've had too many patients like this, and I didn't pay attention when the condition wasn't particularly serious, and before I got serious, I had a heart attack after buying a vegetable and taking a bus..."

Zuo Cidian thought, your words are really ugly.

However, the risks Director Kang mentioned are real.

"That's what we want to consult. Before doing the radiography, we have to prepare a treatment plan for Director Huo." Zuo Cidian emphasized "consultation".

Director Kang heard the subtext, frowned and said: "Bridging is what it is. According to his condition, I can do saphenous vein, radial artery or internal mammary artery. My suggestion is to choose artery grafting first, unless arterial grafting is not possible." , only use the great saphenous vein, otherwise it will be too easy to block.”

At this point, Director Kang looked at Zuo Cidian's special expression, and frowned again: "You are not thinking about braces, are you?"

Heart bypass and heart stent are enemies. Although they are all hoplites who save human lives, it is not surprising that they dislike each other.

Especially when the technology of heart stent is becoming more and more popular, the use of heart bypass is greatly squeezed.

Director Kang hated this even more, and said unceremoniously at this time: "At Lao Huo's age, the effect of heart bypass is absolutely good. The heart stent is permanent, but it will be blocked again in five or eight years at most. During this period, you have to take medicine for life, which is more troublesome than heart bypass using the great saphenous vein. We are all doctors, so don’t be afraid to open the chest!”

"Doctor Ling also meant to open the chest, but..."

"But what?" Director Kang immediately asked.

"However, Dr. Ling wants to give priority to surgery with a beating heart."

Director Kang was stunned for a while, before saying, "New technology doesn't mean good technology."

"That's right."

Director Kang was silent for a few seconds, sighed, and asked, "Where do you want to go?",

"Isn't this just the beginning of the discussion? Director Huo doesn't know yet. Dr. Ling didn't express his position either." Zuo Cidian smiled, and said again: "I was wondering if I could invite an expert to come over, what do you think?"

"Don't stop dancing." Director Kang sighed again.

Indeed, for many cardiac surgeons, the development of technology is actually constantly eliminating their efforts.

Compared with cardiopulmonary bypass cardiac surgery technology, non-pumping non-pumping circulation technology naturally has many advantages. Firstly, it avoids the complications of extracorporeal circulation, and secondly, it can get off the ventilator earlier, and the blood is less damaged. The amount of blood transfusion is also reduced, and the probability of organ failure is also reduced. Further, patients can be discharged from the hospital earlier.

For cardiac surgeons, preparations for extracorporeal circulation are still required for non-stop beating heart surgery, but the technical importance of extracorporeal circulation has weakened after all. And all kinds of new equipment and new technologies used in non-stop surgery are so unfamiliar to the elderly...

Although doctors cannot get rid of the fate of lifelong learning, the pressure brought by this passive learning is still obvious.

"I didn't pay much attention to non-stop surgery before, so I have to go back and ask someone." Director Kang's mood calmed down.

If you want him to name a few doctors who are good at this right away, he can certainly name it, but if a certain doctor is selected and the emergency department wants to invite him, Director Kang has to show off his face. It was the main reason why he went back to ask people.

The best is meaningless if Yunhua cannot be invited.

Zuo Cidian laughed at this moment: "Don't be in a hurry, don't be in a hurry. Speaking of which, is there any patient in your department who needs to undergo heart bypass surgery?"

"There must be..." Director Kang couldn't help becoming nervous when he said this: "Why are you asking this?"

"We, Dr. Ling, want to participate in the investigation, so it's not too much." Zuo Cidian said things that were too much with a smile.

Director Kang even refused without hesitation: "Dr. Ling wants to do heart surgery, so he should do atrial defect surgery. The level of difficulty of heart bypass and atrial defect is far different."

"Let me hook you up to the head office." Zuo Cidian squinted his rough face, ugly and cute.

Director Kang was even more unconvinced: "On the operating table, can he pull the hook at ease?"

"You are the chief surgeon, he will definitely listen to you, if you ask him to pull the hook, he will pull the hook." Zuo Cidian straightened his face when he said this, "Don't think too much about it, we Doctor Ling will be your assistant, Are you still wronged? Or is it because your bridging skills are shameful?"

"Don't provoke me." Director Kang snorted unhappily, and then he was excited: "Let Dr. Ling come over to join the stage tomorrow morning, and come if you are free. I will show you my bridging skills!"

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