【320】What to do with surgeries that other hospitals don’t do
The situation was really chaotic, comparable to emergency surgery. Xie Wanying quickly used her brain to sort out her ideas.
Seeing her bringing a chair over, she first arranged the items on the table. Tan Kelin looked at her calm and normal movements and thought that she seemed to have forgotten what happened before, and he didn't.
Xie Wanying only has tasks in her mind. Going out with the teacher is a kind of training for medical students. Being a doctor is not easy. In addition to learning skills, you also need to have a mentality, control the patient's diagnosis and treatment procedures, and follow the doctor's ideas. You have to understand it yourself.
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"Call the first patient in." Tan Kelin ordered as time was tight.
Picking up the first book on the hill of medical records, Xie Wanying walked to the door and read the patient's name: "Liu Yazhen."
"Here!" Two family members of the patient came over with an old lady sandwiched between them.
The patient and the patient's family entered the consulting room. Xie Wanying locked the door and put the medical records back in front of the teacher.
Bang, Tan Kelin opened the medical record page with his hand and scanned it. While reading, he asked the patient and the patient's family: "Have you seen patients in other hospitals?"
"Yes. First I went to Shiliu, then I went to Zongkong, and then I went to Xuanwu. The doctor in Xuanwu said that if you want to do this operation, it's best to come to Dr. Tan and ask. The doctor in front said that only Dr. Tan can do it.
My mother does it." The patient's two sons told the patient's medical journey, "My mother is in her 90s this year. The doctor said she has lived long enough and does not need to go to the operating table."
The doctor at the hospital made it clear before, what do the patients and their families want to do?
"My mother and we want to see five generations living under one roof." The patient's son said, "Without surgery, my mother might not survive these two months. After surgery, your doctor said that medicine has developed and high technology has come out.
By then, maybe my mother can live longer."
The intestinal tumor in the patient's body is huge, and the intestinal tract may be blocked without surgery. If the intestinal tract is completely blocked, he will not survive. However, if surgery is performed, the doctors at the hospital are right to worry.
If the patient is elderly, first of all, he may not be able to pass the test in the anesthesiology department. Furthermore, such a patient's cardiopulmonary function is not very good.
Xie Wanying took a quick look and said: The old lady's lips were slightly blue and she was in a state of hypoxia. It was unclear whether it was caused by a tumor or because her heart and lungs were not in good condition.
The doctor at the previous hospital was right. Why should such an old man go to the operating table again? The operation is painful, and the knife will cut it and leave scars.
Ordinary people don’t understand and think that after the tumor is removed, everything will be fine. They don’t know that wound healing is a big problem for elderly patients. Because of their age, their cells age and their metabolism slows down, and the wounds heal slowly, which can cause many problems.
It is difficult to accept such a patient, and it is difficult to perform the operation, and it is also difficult to complete the operation. Most doctors really don't want to accept the patient. The doctor has to toss himself to accept the patient.
Patients and their families really want the patient to live longer, even just a little longer, and they have a strong desire. What should the doctor do? Doesn’t this mean that grassroots hospitals push patients to higher-level hospitals. Hospitals at the same level recommend patients to go to the circle
Famous doctor inside.
Doctors have to bear countless risks. Especially when you are a famous doctor, like a famous doctor like the National Association, who is a lifeline for people all over the country. Doctors from other hospitals are unwilling to take the risk. Can the doctors from the National Association do it?
The old lady's eyes were filled with tears, or something else. Anyway, all the doctors here said it was impossible and refused to give her the treatment, so she really had no choice but to wait to die.
Are older patients not qualified to continue living?
"Doctor, please perform this operation on my mother, please?" the patient's two sons said with sobs in their throats.
