There is also an interventional treatment, and the radiation that the doctor eats is very powerful.

For an interventional operation, the surgeon eats the same radiation as a radiologist for a year.

Sometimes an interventional operation does not go well, or three or four hours of continuous surgery, which is equivalent to taking more than 1,000 X-rays in a row.

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 1000 X-rays in one go, who will not run? I'm afraid I'm going to kill the doctor.

Therefore, although the income of the doctors in the cardiology department who is doing interventional surgery is really high and the money is really high, the danger is really dangerous.

Anyway, there are few people with hair, and systemic blood diseases are commonplace, and more serious ones, directly because of the proportion of blood diseases and cancer, is also quite high.

Unmarried men also face a chromosomal mutation because of long-term radiation consumption, which has an impact on fertility.

Among Chen Qi's classmates in his previous life, the students in cardiology, orthopedics, and oncology made the most money, and the reason, well, they all understand, anyway, he is a poor hepatobiliary surgeon.

But Chen Qi didn't envy them at all, after all, the cardiology department intervened, and it was really a life for money.

Few of the first generation of doctors who play interventional surgery in China can get a retirement salary.

So in front of him, Cui Tongzhi's heart attack, 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, what are you going to do with this patient?" Be quick. ”

Everyone was anxious.

Director Liang Wenwen next to him realized that the time had come to win back a game, and thought to himself, aren't you strong in gastroenterology? However, our Xijing Hospital is strong in all departments, and any department is a trump card.

So intentionally or unintentionally, he said ostentatiously:

"Ah, it's a pity, it's a pity, if this patient were in our Xijing Hospital, we can not only use thrombolytic therapy, but also our cardiac surgery heart bypass technology is famous in the country.

It's not that I'm bragging, if this patient were in our hospital, there would be a great chance of being saved, but now it's in Vietnam-Chung Hospital, and there is not even cardiology and cardiac surgery, what can I do? I can only watch. ”

As soon as these words came out, the people here in Xijing Hospital all smiled, and everything was silent.

In the emergency department, the doctors of the Viethorne Hospital all changed their faces.

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

It is true that the Vietnamese People's Hospital does not have a cardiology department or cardiac surgery, and it is indeed impossible to talk about the rescue of heart diseases, such as "heart bypass" in the Vietnamese Central People's Hospital, which is a fact.

In addition, the Viethorng-chung hospital is not able to perform brain surgery, and even liver surgery is rarely involved.

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

Difficult surgeries cannot be done in your own hospital, but others can, and this is the gap between hospitals.

The facts are the facts, but the doctors here in Vietnam and Central China were obviously a little unconvinced when they heard the words of Director Liang of Xijing Hospital, but no one refuted it, but just looked at their own director pitifully.

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

Chen Qi also saw everyone's eager eyes, and there was this unconvincing spirit, which showed that everyone had a strong sense of identity with the unit, a strong sense of collective honor, and the "arrogance" of all the staff of the hospital had been stimulated.

This is a good thing, we can't let them be looked down upon, and we must cheer for our employees at critical moments!

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

"I don't agree with Director Liang's words, although we have not yet opened a cardiology department in the Vietnamese People's Hospital, but we have considered this problem, so we have introduced relevant equipment and drugs for cardiac surgery, and are ready to try to attack the heart problem."

Hey?

The people here in Xijing Hospital were surprised, including Professor Tong, the old man had no intention of laughing, but he was also curious:

"Xiao Chen, it is not easy to carry out cardiology, cardiology is fine, but cardiac surgery has to operate on the heart, this difficulty is quite high, you should be cautious. Even in the Department of Cardiac Surgery at Xijing Hospital, most of the doctors have studied abroad to reach this level. Moreover, the relevant medical equipment is all imported, which is extremely expensive. ”

Chen Qi thought to himself, I don't want to do bypass surgery, just do interventional surgery, what foreign study history do I need?

In the words of a certain Bingbing: "Lao Tzu is a wealthy family!" ”

"I don't know if Professor Tong and you have heard that cardiac interventional surgery has been carried out abroad, that is, there is no need for surgery, and for diseases such as coronary artery occlusion, only one catheter and one stent can be used."

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

"I've heard of it, and we've seen related papers, but it hasn't been introduced in China, and there aren't many foreign ones, so it's said to be quite controversial."

In 1989, there was indeed controversy about stents and interventional surgery abroad.

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

While this stainless steel stent can significantly reduce the occurrence of restenosis, the risk of advanced stent thrombosis, which is often fatal, is increasing.

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

Chen Qi thought to himself, I use a drug-eluting stent in the operating room.

The stainless steel material is replaced by a stronger cobalt-chromium alloy or platinum-chromium alloy, which makes the stent wall thickness thinner, and coupled with the high-tech polymer coating, the rate of restenosis and stent thrombosis after stent surgery has been reduced to a very low rate.

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, several teachers, the primary goal of medicine is to save life, as long as we save the patient's life, we can talk about the side effects in the future, if the person dies, there is no point in arguing.

Although heart bypass surgery is good, there are also many side effects, one is that thoracotomy is required, which is very damaged, and the second is that the cost of surgery is too expensive, all kinds of examination fees + material costs + surgery fees + hospitalization fees + medicine costs, and it is impossible to get it without tens of thousands of yuan.

In addition, it is not good to do the operation well, but also to take imported anti-platelet agglutination drugs, which is a huge amount of money, and ordinary people can't afford it at all, so this is also one of the important reasons why heart bypass surgery has not been promoted in secondary hospitals.

Although there are problems with interventional surgery, it is very simple, and it can be operated by only one X-ray machine, one catheter, one stent, or even two doctors, so I think it will definitely become mainstream in the future. ”

Professor Tong nodded:

"You have a point, we doctors should be constantly accepting new things, so that medicine can keep moving forward. So now there's a question, you, a gastroenterologist, would really do surgery for heart disease? ”

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

Yes, doctors are all specialized, and cross-border and interdisciplinary doctors cannot be said to be absent, but they are very rare, and the more top hospitals there are, the less they are.

You Chen Qi has been blowing for a long time, and if you don't know how to do interventional surgery in the end, isn't it for nothing?

On the contrary, the doctors of Xijing Hospital are suspicious, but the doctors of Viethorne-Zhong Hospital are much more relaxed, anyway, their own director is an all-rounder, he can do any operation, what is a small heart?

Look, it's already going crazy, little heart......

Chen Qi also laughed when he heard it:

"Ladies and gentlemen, I'm afraid you don't know that I'm a surgeon, and endoscopic surgery specializing in gastroenterology is purely a ticket, don't forget that I was the first and second director of the International Medical Association, but plastic surgery and hand surgery."

The doctors of Xijing Hospital were stupid when they heard this, and they forgot for a long time that this President Chen was a well-known "unprofessional" in the country.

When many doctors were still discussing treatment options, the patients were anxious.

Cui Tongzhi never dared to move after knowing that he had a heart attack, he knew the danger of a heart attack and knew that it was a disease that was almost certain to die.

So he looked at Chen Qi with his eyes, especially when he heard that Chen Qi had a way to save him, and now this Dean Chen is in his eyes Guanyin is alive, a living Bodhisattva reincarnated, and he can't wait to kneel down and kowtow a few times.

"Dean Chen, save me, save me......"

Many heart attacks are not all sudden death, in fact, many have an attack, of course, cardiac arrest can happen at any time.

Chen Qi held Cui Tongzhi's hand and comforted:

"Lao Cui, listen to me, now I want to use a brand new surgery to help you treat a heart attack, this operation has a certain risk, so I need the consent of your family, I will prepare now, and when your family arrives, I will operate on you immediately."

Before he could finish speaking, a heart-rending cry came from outside the emergency department:

"Tongzhi, Tongzhi, my poor Tongzhi~~~ You didn't feel well when you went out to work in the morning, why did you have a heart attack now~~~ What should you do with me and the children~~~"

This cry suddenly accelerated Cui Tongzhi's heartbeat a few points, and the emergency doctor was so frightened that he ran out again and again to stop it:

"Don't cry, don't cry, your husband is not dead, if you continue to cry, you will cry to death."

When Cai Fengdi heard that her husband was not dead, she immediately touched her tears, "Then his colleague said that Lao Cui had a heart attack?" ”

Yi Zewen said angrily: "Who said that a heart attack will definitely die?" ”

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

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

Chen Qi beckoned to the family members at the door:

"Come on, Lao Cui is not dead yet, but it is almost gone, you are your wife, hurry up and sign it, we are going to have surgery soon." Let me start by saying well, you know what a heart attack 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 will be able to save him, which is why doctors never dare to speak full.

Cai Fengdi knew that her husband was not dead, and suddenly she had a strong desire to survive, and she ran over with a swish, and then held her husband's hand tightly:

"Dean Chen, we are not unreasonable people, you save it, you can save it as much as you want, you can spend as much as you want, you can take risks as much as you want, anyway, as long as you can let my family know how to survive, even if there is little hope, you must try your best to help me save my life."

"Okay, it's good to have your words!"

Chen Qi nodded heavily, how could the family trust and cooperate, he had no reason to shirk it anymore:

"In this way, Yi Zewen, you will operate with me later; Chen Li, you helped prepare the instruments and sterilization kits; Zhang Xing, you call the people from the security department, except for the three of us, no one else is allowed to approach. ”

Chen Qi's old method, except for his own henchmen, the less others see it, the better.

As for whether henchmen like Yi Zewen, Chen Li, Zhang Xing, and Yang Xiuxiu will betray themselves, this Chen Qi is not very worried.

One is that the doctor operated on it, what is there to investigate? Who will investigate? Or which outside force will come and buy off a few of their little doctors and nurses?

The second Chen Qi has his own set of rhetoric, don't forget that he developed it abroad under the pretext of China, but at home it was caused by the pretext of abroad.

There are indeed interventional surgeries abroad, and this is public, so it is not unusual for Chen Qi to do an interventional surgery.

The catheter and stent are okay, after all, this thing is small, and you can take it out when you take it out.

The only trouble was the medical angiography X-ray machine.

It is a very large machine consisting of a high-voltage generator, an X-ray tube assembly, a beam limiter, a C-arm, a catheter bed, an image intensifier, and a digital image processing device, which requires a dedicated studio.

If they suddenly appear in the Yuezhong People's Hospital, Yi Zewen and Chen Li are not stupid, they will be somewhat suspicious.

When Chen Qi was thinking of any excuse, he suddenly thought that there was a set of "field hospital equipment" in his operating room.

This field hospital equipment refers to the temporary establishment of a hospital in the field to rescue the wounded in an emergency, such as a natural disaster or a war.

Although Chen Qi's previous province did not fight, there were many natural disasters, such as typhoons, which were terrifying, often causing heavy casualties, and local hospitals were often paralyzed due to disasters.

As a provincial hospital, Tongde Hospital has a complete set of field hospitals, which can be taken out and used at any time, and has been in a state of combat readiness for a long time.

At this time, there is no way to take out those large medical machines, such as such a large CT machine, how to send it to the wild? None of the electricity is available.

Therefore, the equipment required by the field hospital is easy to carry and has a battery to ensure independent operation.

For example, the bedside CT and notebook-type B-ultrasound machines that Chen Qi used before were all taken out of the equipment library of the field hospital.

Chen Qi thought that there was a small angiography X-ray machine in the warehouse, or it had its own battery, which could be used in the tent.

So he quickly ran to the General Affairs Section and asked them to quickly set up a tent in the backyard.

For patients with myocardial infarction, the rescue time is a race against time, which is not an exaggeration.

(End of chapter)