Difficult?

Cheng Yunhai naturally knew that this operation was difficult, if it was a minor operation, would they still ask for foreign assistance in their Xijing Hospital?

Although rich people are picky and like to find the best doctors, I haven't seen anyone with a small cold and invite experts from Yanjing or Shanghai to come over and stitch up a small wound.

But is it too late to retreat at this time?

Seeing that Fang Han had been silent for a long time, Cheng Yunhai thought that Fang Han was hesitant in his heart.

"Doctor Fang!" Cheng Yunhai shouted.

"Director Cheng!"

Fang Han came back to his senses.

"Does Doctor Fang still have any doubts?" asked Cheng Yunhai.

"No more!"

Fang Han shook his head, muttered slightly, and said, "Just prepare for the operation according to the previous arrangement." ”

"Is this still going to bite the bullet?"

Cheng Yunhai smiled, not impressed, after all, he is a young man, and he is not afraid of being embarrassed.

At Fang Han's age, this operation doesn't need to be beautiful, as long as it can be completed smoothly, it is enough to explain.

"According to the original plan, the operation started at two o'clock in the afternoon, and Dr. Fang has no opinion, right?" asked Cheng Yunhai.

"Yes!"

Fang Han nodded, he knew this, after confirming the flying knife, the hospital had actually already begun to make preoperative preparations.

This kind of major surgery is not just done, and patients also have many precautions before surgery.

Generally, no matter what kind of surgery, the surgeon will arrive one or two hours before the operation, finally confirm the situation, and leave after the operation, not staying much.

Cheng Yunhai looked at the time, it was not yet eleven o'clock, and said with a smile: "Doctor Fang, it's still early, why don't Doctor Fang do a preoperative discussion by the way, so that we can study and learn." ”

Preoperative discussion and preoperative analysis are what many hospitals are more willing to do.

Just like Fang Han went to Dingshui County Hospital before.

Shao Youliang frowned, Cheng Yunhai is not good.

Other hospitals provide venues, take responsibility, and some even help invite flying knives, on the one hand, to keep patients in their own hospitals as much as possible, and on the other hand, there is also the purpose of learning.

But when these words came out of Cheng Yunhai's mouth, Shao Youliang didn't feel that Cheng Yunhai had any intention of learning, but had the meaning of making things difficult.

I have to say that going to a big hospital to make flying knives is really quite stressful, and if you don't have the momentum and ability to control the field, it will be difficult to get the corresponding respect.

The doctor's face and status are all spelled out by real skills, if you have the ability, I will respect you, attach importance to you, and give you face, if you have no ability, then stand aside, and don't blame me for ignoring you.

Obviously, Cheng Yunhai is sick and does not accept Fang Han, even at this time, he still has the meaning of making things difficult.

Do a preoperative analysis or preoperative discussion first, if Fang Han can be stumped in the preoperative discussion, maybe this operation will be in his hands.

As the director of Xijing Hospital, Cheng Yunhai has no shortage of surgeries, with the number of surgeries in Xijing Hospital, as long as he wants, he can be uninterrupted 24 hours a day, others may worry about the bed problem, but Cheng Yunhai does not need to worry at all.

After all, as long as he wants, the first person to supply the beds in the entire department is the department director, and everyone else has to stand aside.

Cheng Yunhai is not short of surgery, the reason why he makes things difficult for Fang Han is that he can't bear others to rob his patients on his turf.

If it is really a big name in the heart field in China, Cheng Yunhai will admit it, he doesn't think that he is the first in the world, but Fang Han .......

It's really too young.

Fang Han opened a flying knife in their department in their hospital today, which actually meant that Fang Han was riding on his Cheng Yunhai's neck.

This is not because Cheng Yunhai is small, but because the industry rules are like this, let alone Cheng Yunhai, he would not agree to it if he was another person.

Unless I know for sure that you are better than me, why would I let you run rampant on my turf?

Fang Han's flying knife seems to be just an operation on the surface, but in the eyes of some people, the meaning is different, which means that Fang Han is rolling over Xijing Hospital, which means that Cheng Yunhai is not as good as Fang Han.

If you want to do it, why do you still ask for throwing knives?

For example, if someone goes to Jiang Zhongyuan to have a flying knife, heart surgery or liver surgery, even if Fang Han himself doesn't say anything, Fang Han's irons like Chen Yuan and Jiang Feng will be uncomfortable.

How?

Our doctor Fang can't lift the knife or how to drop, you are more powerful than our doctor?

"yes, okay!"

Fang Han thought for a while, then nodded and said: "I also happen to know the doctor who is going to participate in the operation this time, everyone know in advance, this time we will do a non-stop beating heart bypass, the difficulty may be higher, if you have any problems or doubts, you can also ask in advance to avoid any problems during the operation." ”

"Okay, that's ......."

Cheng Yunhai nodded, and as soon as he spoke, he was stunned: "Keep jumping to build bridges?"

Did he hear it right, what Fang Han said just now was non-stop?

In terms of the surgical effect, there is no difference between the high and the low, the good and the bad.

The operation of cardiac arrest requires the establishment of cardiopulmonary bypass, the use of heparin, cooling, etc., and there will be coagulation system disorders after surgery, and patients need to take anticoagulant drugs for a long time after surgery, but from the perspective of bypass effect, the blood vessels are not easy to block, and the patency rate is better in the near future.

The non-stop beating heart bypass, because there is no need to establish cardiopulmonary bypass, the surgical trauma is relatively small, and the coagulation system will not be destroyed, but the patient's postoperative coagulation function will be hyperactive, so postoperative platelet therapy needs to be strengthened, and two antiplatelet preparations are routinely needed, which are commonly known as bispecific antibody therapy.

As for the postoperative patency rate and postoperative effect, theoretically, as long as the doctor is high and good enough, there is not much difference between the postoperative effect of the two surgeries.

Therefore, in the field of cardiac surgery, there is no distinction between stop-and-stop surgery.

However, in terms of operation, non-stop heart bypass surgery is more difficult, the requirements for doctors are stricter, and the technical requirements for doctors are quite demanding.

In other words, the difficulty of a non-stop heart bypass is greater than that of a stop-beat heart bypass, and it requires more technical requirements from the doctor.

Looking at the whole country, there are still many extracardiac specialists who can do heart bypass surgery, but there are less than 20 experts who can do non-stop heart bypass, which shows the difficulty of this operation.

Some people may have to ask, since there is not much difference between the two in terms of postoperative recovery, why do it be difficult, just to show off skills?

Of course not.

There is little difference between the two in terms of postoperative recovery, but the intraoperative risks are relatively different depending on the patient population.

If you stop beating, it will cause more or less damage to various organs of the human body, and the occurrence of cardiac insufficiency and multi-organ failure is also relatively large, and non-stop beating surgery can reduce these problems to a certain extent.

Therefore, for elderly patients, patients with poor kidney function and poor respiratory function, it is more suitable for non-stop skipping surgery.

There is no good or bad technique, only whether it is suitable or not.

Fang Han also took into account the actual situation of the patient, so he decided to do non-stop bypass surgery.

However, Fang Han's decision surprised Cheng Yunhai.

He didn't hear much clearly just now, and subconsciously planned to arrange someone to do a preoperative discussion, but as soon as he opened his mouth, he reacted.

"Doctor Fang, do you mean to do non-stop jumping bridges?"

"Hmm!"

Fang Han nodded and said, "The patient is relatively old and has poor kidney function....... Taking into account the comprehensive factors, it is safer to do non-stop skipping surgery. ”

Cheng Yunhai swallowed his saliva.

Naturally, I knew that it was more appropriate to have non-stop skipping surgery, but the problem was more difficult.

When doctors choose a treatment plan, they often consider two factors, on the one hand, whether it is better for the patient, and on the other hand, consider the technical issues.

In the case that the technology can be achieved, doctors are naturally willing to choose a more beneficial plan for the patient, but the problem technology cannot be achieved, no matter how beneficial it is, it is in vain.

Cheng Yunhai was skeptical, Fang Han really had the ability to do non-stop jumping surgery?

"Director Cheng, is there any difference between this stop-and-jump and non-stop jumping?"

Mr. Gao on the side interjected and asked.

Cheng Yunhai didn't hide it, he said the difference between the two, and said: "In Mr. Gao's situation, non-stop skipping surgery is indeed more suitable and less risky, but it is more difficult to keep skipping surgery, and the technical requirements for doctors are higher........

As he spoke, Cheng Yunhai was embarrassed to continue, he seemed to be a little flattering to Fang Han when he said this.

People can make this decision, I think they have the ability to do this, and no doctor dares to joke with the patient's life.

Especially when making flying knives, the first thing doctors pay attention to is stability, and Fang Han should be very sure that he can make this decision.

For a while, Cheng Yunhai's mood became quite complicated.

No one cares how Cheng Yunhai feels, but Mr. Gao is happy.

"Doctor Fang, are you sure about this surgery?"

"Well, if there is no problem with the cooperation of other doctors, and the technical aspects can meet the requirements, there is still no problem. ”

Fang Han pondered for a moment and said slowly.

How harsh Cheng Yunhai sounded this.

What does it mean that if other doctors cooperate with no problem, the technical aspect can also meet the requirements?

And not even the doctors in their department.

This time, Fang Han didn't bring his own team when he came over, in fact, at present, in the field of heart and outside, Jiang Zhongyuan has no one else except Fang Han, and there is no team at all.

Therefore, the chief surgeon of this operation is Fang Han, and the team is still the doctor from Xijing Hospital, whether it is an assistant or a nurse.

Fang Han is doubting the level of doctors on his side?

Cheng Yunhai suddenly had a kind

i i feel like a dog.

Originally, they looked down on others, but now they are a little suspicious of them?

It's just that the doctors on my side can really meet the requirements?

Cheng Yunhai himself is a little unscored, after all, he hasn't done it before.......

: Tell me something, I'm a novel, although I wrote Xijing and Yanjing, everyone knows where it is, but there must still be a gap with reality, don't completely compare it with reality.