There is no difference, except that there are too many patients and one department cannot handle it, so it is divided into two departments for easier management. This is not the same as the nature of the two departments of general surgery, one general surgery, and two of the National Association of General Surgery. General surgery, one general surgery, and two are separated for competition.
The reason for the separation of children's heart-wrenching behavior is the need for more senior managers to separate it.
meaning is?
Too many critically ill patients.
Pediatric cardiac surgery is not like adult cardiac surgery, which focuses on congenital heart disease. If many congenital heart diseases are missed surgical treatment in childhood, not to mention adults, they will lose the opportunity for surgical treatment as they get older, and there is no cure, etc.
die.
For this reason, Duan Sanbao reminded the new students: "Don't listen to the patients who are introduced to you. You must first re-examine and check the results in our hospital. Some family members will lie in order for us to accept the patients."
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"Why?" Wei Shangquan and Dai Nanhui asked in unison.
Lying to the doctor about the child's condition will not help. How can these family members be so stupid?
"Don't you know? Less than a quarter of the surgeries performed by cardiac surgeons are truly effective."
Cardiac surgery and neurosurgery are called two major specialties, and there is another reason. The results of surgeries performed by these two departments are always unsatisfactory. No matter how big the doctor is, this result may be the same.
Xie Wanying quickly remembered the surgery that night on Xiao Zhang's mother. Senior Brother Cao had known that the surgery would be of no use and could not prevent the patient from dying. Who told neurosurgery to be like this? Dr. Duan said that cardiac surgery is also like this now.
The psychological quality of doctors in these two specialties needs to be extremely good, otherwise they will be hammered to death by reality every day.
Specifically, the results of surgeries in these two departments may be: some surgeries are performed and it is found that there is no need to do them, some surgeries are performed and it is better not to be done, some surgeries are performed and the patient will have problems later, and only some surgeries will cause problems later.
Once done, it will be effective and you will be cured.
In fact, looking at the entire surgical community, there are three outcomes after surgery: either death, recovery, or half-death.
The doctor really did not hide this result from the patients and their families. The terms clearly listed in the preoperative informed consent form all point to these three points. However, the proportion of negative surgical consequences in cardiac surgery and neurosurgery is relatively large.
Under normal circumstances, if you tell patients or their families about such terrifying risks, they will definitely be afraid, and some patients or family members will shrink away from the operation. Some family members behave in the opposite way, insisting on performing surgery on the patient at all costs.
It is up to the doctor to decide whether this operation can be performed or not. However, if you admit the patient to the hospital and then say that he will not perform it, hey, you are a surgeon, not an internal medicine, which is equivalent to defrauding the patient and defrauding him of his money.
Therefore, as Dr. Duan Sanbao said before, some family members deliberately lie to the doctor after they arrive, hoping that the doctor will admit the patient before they admit the patient. This is a disguised form of forcing the doctor to perform surgery.
"There was a child like this in Corey before. Our doctor thought that if he didn't do it, he might be able to live for a few more years, but the family insisted on taking the risk. In the end, the child died on the operating table." Duan Sanbao said, "The director later changed that
The young doctor who admitted the patient to the department for hospitalization cursed him."
Several young doctors who heard the story were immediately educated.
It is not a good thing for a doctor to be too kind to this kind of thing.