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Chapter 601 Have you ever heard of interventional surgery?(1/2)

Another thing is, when doing interventional treatment, the radiation the doctor receives is very powerful.

During an interventional surgery, the surgeon receives as much radiation as a radiologist does for one year.

Sometimes an interventional surgery does not go well, or the surgery lasts for three or four hours, which is equivalent to taking more than 1,000 X-rays continuously.

This amount of radiation is very scary.

Think about it, if one day you go to the hospital to see a doctor, and the doctor asks you to take 1,000 X-rays in one go, who will not run away? I am afraid the doctor will be beaten to death.

Therefore, although doctors who perform interventional surgeries in the cardiology department have really high incomes and lots of money, the risks are really dangerous.

Not many people have hair anyway, and systemic blood diseases are commonplace. For more serious cases, the rate of cancer is also quite high due directly to blood diseases.

Unmarried men also face a chromosomal mutation due to long-term exposure to rays, which has an impact on fertility.

Among Chen Qi's classmates in his previous life, those in the Department of Cardiology, Orthopedics, and Oncology made the most money. You all know why. Anyway, as a hepatobiliary surgeon, he was a poor one.

But Chen Qi didn't envy them at all. After all, the cardiology department was involved, and it was really a matter of life in exchange for money.

Among the first generation of interventional surgery doctors in China, very few can get retirement pay.

So now, Cui Tongzhi's heart attack, should he save it or not? This made Chen Qi hesitate a little, after all, the risk he had to take was too great.

Professor Tong was also very anxious: "Xiao Chen, how are you going to deal with this patient? You have to do it quickly."

Everyone is anxious.

Next to him, Director Liang Wenwen realized that it was time to regain the upper hand, and thought to himself, aren't you the best in gastroenterology at Yuezhong? But our Xijing Hospital is strong in all departments, and every department has its trump card.

So intentionally or unintentionally, he said in a showy way:

"Oh, it's a pity, it's a pity. It would be great if this patient was in our Xijing Hospital. Not only can we use thrombolytic treatment, but the heart bypass technology of our cardiac surgery department is famous throughout the country.

I'm not bragging. If this patient were in our hospital, there would be a great chance of saving his life. But now he is in Yuezhong Hospital and there is not even a Department of Cardiology or Cardiac Surgery. What should we do? We can only watch.

.”

As soon as these words came out, everyone at Xijing Hospital smiled knowingly and said nothing.

The expressions of the doctors at Liyue Hospital of Traditional Chinese Medicine in the emergency department all changed.

We have to admit that the gap between a local hospital and a top hospital is all-round, including the subdivision of departments.

It is true that the Vietnam-China People's Hospital does not have a Department of Cardiology or Cardiac Surgery, and it is indeed impossible to talk about heart disease rescue. For example, "heart bypass surgery" cannot be performed at the Vietnam-China People's Hospital. This is a fact.

In addition, the Vietnam Traditional Chinese Medicine Hospital cannot perform brain surgery, and even liver surgery is rarely involved.

These are difficult surgeries that can only be performed by top hospitals, and Xijing Hospital is one of the few top hospitals in the country.

Highly difficult surgeries cannot be performed in our own hospital, but others can. This is the gap between hospitals.

The facts are facts, but the doctors on the Yuezhong side were obviously a little unconvinced when they heard what Director Liang of Xijing Hospital said, but no one refuted it, but looked pitifully at their own director.

I was shouting in my heart: Dean, I can’t be despised by others anymore, give them some color.

Chen Qi also saw everyone's eager eyes and unconvinced spirit, which showed that everyone has a strong sense of identification with the unit and a strong sense of collective honor. The "arrogance" of all employees in the hospital has been aroused.

.

This is a good thing. We cannot let them be looked down upon. We must cheer for our employees at critical moments!

Thinking of this, Chen Qi made up his mind, and Cui Tongzhi knew that he was saved.

"I don't agree with Director Liang's words. Although our Vietnam-China People's Hospital does not yet have a cardiac department, we have considered this problem and have introduced related cardiac surgery equipment and drugs to prepare to try to attack the heart problem."

Huh?

Everyone at Xijing Hospital was surprised, including Professor Tong. The old man had no intention of ridiculing, but he was also curious:

"Xiao Chen, it is not easy to develop a cardiac specialty. Cardiology is okay, but cardiac surgery requires operating on the heart. This is quite difficult, so you should be careful. Even in our cardiac surgery department at Xijing Hospital, most of the doctors are abroad.

You have to study abroad to reach this level. And all related medical equipment is imported, which is extremely expensive."

Chen Qi thought to himself, I don’t want to do bypass surgery, I just want to do interventional surgery. What kind of foreign training history is needed?

In the words of a certain Bingbing: "I belong to a wealthy family!"

"I don't know if Professor Tong or any of you have heard that cardiac interventional surgery is already being carried out abroad. It does not require surgery. For diseases such as coronary artery obstruction, only a catheter and a stent can be used to solve the problem."

After all, they are doctors from top hospitals. Even if they are not cardiac specialists, Professor Tong and Director Liang know about interventional surgery.

"I've heard of it, and we've seen related papers, but it hasn't been introduced in China yet, and it hasn't been carried out much abroad. It's said to be quite controversial."

In 1989, there was indeed controversy over stents and interventional surgeries abroad.

Because the first-generation stents were made of stainless steel, the walls of the stents were relatively thick, and the coating materials were non-degradable polymers.

Although this stainless steel stent can significantly reduce the occurrence of restenosis, the risk of late stent thrombosis, which is often fatal, is increased.

Foreign studies have shown that although many patients with myocardial infarction survive the first time because of the installation of stents, they often die of thrombotic diseases in the end, such as cerebral infarction, pulmonary infarction, etc.

Chen Qi thought to himself, the ones used in the operating room of my space are drug-eluting stents.

The stainless steel material has been replaced by a stronger cobalt-chromium alloy or platinum-chromium alloy, which makes the stent wall thickness thinner. Coupled with the high-tech polymer coating, the post-stent restenosis rate and the incidence of stent thrombosis have been reduced.

It's very low.

This chapter is not finished yet, please click on the next page to continue reading the exciting content! So Chen Qi was confident enough to cure Cui Tongzhi’s heart attack. Of course, he couldn’t say it, so he retorted:

"Professor Tong, teachers, the primary goal of medicine is to save life. We can only talk about future side effects if we save the patient's life. If the person dies, any argument will be meaningless.

Although heart bypass surgery is good, it also has many side effects. One is that it requires a thoracotomy, which causes serious damage. The second is that the cost of the surgery is too expensive. Various examination fees, materials, surgery fees, hospitalization fees, and medication costs are not worth tens of thousands of dollars.

Can't take it off.

In addition, the surgery is not enough. You also have to take imported anti-platelet aggregation drugs. This thing costs a huge sum of money and ordinary people simply cannot afford it. This is why heart bypass surgery is not promoted in secondary hospitals.

One of the important reasons.

Although interventional surgery has various problems, it is simple and can be performed with only an X-ray machine, a catheter, a stent, or even two doctors, so I think it will definitely become mainstream in the future."

Professor Tong nodded:

"What you say makes sense. We doctors should continue to accept new things so that medicine can continue to advance. Now there is a question. As a gastroenterologist, can you really perform heart surgery?"

The doctors at Xijing Hospital were stunned when they heard this, and then they felt happy.

Yes, doctors are all specialized. It cannot be said that there are no doctors who work across borders and disciplines, but they are very rare. The more top-level hospitals there are, the less likely they are.

You, Chen Qi, have been bragging for a long time, but in the end, if you don’t know how to perform interventional surgery, wouldn’t it be in vain?

On the contrary, the doctors at Xijing Hospital were suspicious, while the doctors at Yuezhong Hospital were much more relaxed. Anyway, the director of the hospital was a generalist and could do any kind of surgery. What does a small heart mean?

Look, my little heart is already going crazy...

Chen Qi laughed loudly after hearing this:

"Everyone, I'm afraid you don't know that I am a surgeon by training. Endoscopic surgery in the gastroenterology specialty is purely for fun. Don't forget that my first and second time as a director of the International Medical Association was in plastic surgery and hand surgery."

The doctors at Xijing Hospital were dumbfounded when they heard this, and for a long time they forgot that Director Chen was a well-known person in the country who was not doing his job properly.

While many doctors were still discussing treatment plans, the patients over there were anxious.

Cui Tongzhi has been afraid to move since he learned that he had a myocardial infarction. He knew the dangers of a myocardial infarction and knew that it was almost a fatal disease.

So he looked at Chen Qi eagerly, especially when he heard that Chen Qi had a way to save him. Now, in his eyes, Dean Chen was the reincarnation of Guanyin, a living Bodhisattva, and he wanted to kneel down and kowtow a few times.

"Dean Chen, help me, help me..."

Many myocardial infarctions lead to sudden death. In fact, many of them have episodes. Of course, cardiac arrest can happen at any time.

Chen Qi held Cui Tongzhi's hand and comforted him:

"Old Cui, listen to me. Now I am going to use a brand-new operation to treat your myocardial infarction. This operation has certain risks, so it requires the consent of your family. I will prepare now and wait for your family to arrive.

I will operate on you right away."

Before he finished speaking, there was a heartbreaking cry outside the emergency department:

"Tongzhi, Tongzhi, my poor Tongzhi~~~ You were fine when you left for work in the morning, why are you suffering from a heart attack now~~~What do you want me and the children to do~~

~”

The sound of crying suddenly accelerated Cui Tongzhi's heartbeat a few points, and the emergency doctor was so frightened that he ran out to stop him:

"Stop crying, stop crying. Your husband is not dead yet. If you keep crying, I will cry to death."

When Cai Fengdi heard that her husband was not dead, she immediately burst into tears, "Then his colleagues also said that Lao Cui had a heart attack?"

Yi Zewen said angrily: "Who said you will definitely die if you have a heart attack?"

Cai Fengdi and several colleagues at the post office were a little confused: "Isn't it?"

In the eyes of ordinary people, myocardial infarction is a dead end. Anyway, none of the patients with myocardial infarction they have heard of can be saved.

Chen Qi waved to the family members at the door:

"Come on, Lao Cui is not dead yet, but he is about to die. You are my wife, hurry up and sign, we are about to have the operation. Let me tell you first, you know what kind of disease myocardial infarction is, and no treatment plan is perfect.

, so you still have to be mentally prepared."

The mortality rate of myocardial infarction is still quite high, and Chen Qi is not sure that he can be saved. This is why the doctor never dares to tell the truth.

Cai Fengdi knew that her husband was not dead, so she suddenly felt a strong desire to survive. She ran over and held her husband's hand tightly:
To be continued...
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