Sun Lien's immature idea was immediately ruthlessly rejected by Director Tong, "How to check it? Directly open the chest to take the internal thoracic artery? Why don't I do it directly?" He glanced at Sun Lien, and then seemed to suddenly realize something, "You asked me to come for a consultation, did you ask your heart first?"

"Nope. Sun Lien replied honestly, and he asked rhetorically with some confusion, "Three-branch lesions, bypass is an indication, what am I calling for intracardiac consultation?"

"You...... It's just nonsense!" Director Tong, who has always been good-tempered, almost scolded his mother, and Sun Lien even suspected that he had heard the pronunciation of "sh". "Don't you know this patient has vasculitis?!"

"You know...... That's why it's a narrow ......" The more Sun Lien spoke, the more weak his heart became, and he vaguely realized that he might have made a big mistake.

"Vasculitis patients, how can you use a bypass?!" Director Tong slapped the table and shouted, "What should I do if it causes inflammation after sewing it up?"

"Then you ...... at first" Sun Lien was completely stunned, he really didn't expect it.

"I thought you had already looked for the heart, otherwise what would I do here?" Director Tong calmed down a little, "This kind of patient may not dare to go directly to the stent in the heart, after all, the fragility of blood vessels is large." In general, the dilation of such patients will not exceed 75%. He changed his words and continued to say angrily, "Then you can't directly go beyond your heart and call us for a consultation! If you have vasculitis, the blood vessels that are sewn up may not be able to grow! I thought you called me here to fight for the last hand! How did you take the exam for this professional title? Such a basic content ......."

Sun Lien blinked, not knowing whether he should explain that he was still a regular trainee. However, Director Tong waved his hand directly, "Forget it, I almost forgot that you are still training......" He glanced at Sun Lien, "This kind of thing, I will ask the other doctors in your diagnostic center in the future." Fortunately, I asked more, otherwise this is a major medical accident, do you know?"

Sun Lien sent away Director Tong Chunlai, who was still angry, and then bowed his head and was silent for a while. Less than a day after I was promoted, I revisited the feeling of being scolded by a senior doctor. It feels ...... It's not really good.

But now there is little time for him to reflect on his pain, and Wang Ge's treatment plan must be determined as soon as possible. He sighed and began to consult with a cardiologist.

Sure enough, the cardiology doctors were also a little difficult after seeing the case. After repeatedly confirming the situation with Sun Lien, he gave his own plan in his heart.

"You can make a stent, but the degree of expansion depends on luck. If you're lucky, 75% is about the same. If you're unlucky, it's 50%. The resident general of the cardiology department looked at the imaging and sighed, "And this kind of patient ...... There is also a high probability of intraoperative vascular injury. ”

"I'll go and talk to the family...... Would you like to come along?" Sun Lien thought for a moment and asked, "In this kind of matter, maybe it would be more appropriate to ask a specialist to explain, right?"

"I don't care. The general manager of the cardiology department sighed, "But the price of the operation, you still have to talk to the family, there are at least three stents in one breath, and the cost of the operation is not cheap." ”

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"Why did you change the plan again? Didn't you say that you want to build a bridge?" Sure enough, the reality of suddenly changing the treatment plan within an hour caused a fierce reaction from Wang Ge's parents, "Do you still have a score in your hospital?"

"This is the result of a synthesis of the opinions of the specialists. Sun Lien sighed, the pit he dug for himself had to be filled in anyway. He tried to explain, "The doctors in the heart surgery thought that it was too risky to perform bypass surgery on Wang Ge, and unless there was no other way, this kind of gambling should not be done." ”

The term "gambling on life" is very serious. Although they were still very dissatisfied, Wang Ge's parents calmed down. People are in the hospital, and they don't understand the medical content, so they are still ready to follow the doctor's advice.

"The cardiology department is actually a little difficult...... "The more Sun Lien said, the more weak his heart became, but his responsibility as a doctor still forced him to continue to explain, "Wang Ge has vasculitis, his blood vessels will be much more brittle than ordinary people." If you do the dilation according to the condition of the average patient, it is likely to lead to the rupture of the coronary arteries, which will kill people. The cardiologist evaluated that if the stent was made, the best effect would be only 75% of the original dilation, and if his blood vessels were fragile, it might only be 50% or even lower. ”

This also seems to be a huge risk point. Wang Ge's father rubbed his temples and asked, "In other words, the effect of his scaffold will be very poor?"

"It will be worse than the average patient. The exact difference depends on his physical condition. Sun Lien spread his hands, "But relatively, the risk of making a scaffold is much smaller than that of a bridge." ”

"It's more expensive to make a stent, right?" Wang Ge's father squinted his eyes and asked, "Doctor Sun, if you want to make money, I can give it to you...... Say it privately. I still want my child to have the best possible treatment. ”

Sun Lien should have been angry when he heard this, but now he could only shake his head helplessly, "Mr. Wang, in fact, the cost of stent surgery is lower than that of bypassing. A bypass operation will cost at least 100,000 yuan, and the trauma will be relatively large. After the bypass surgery, Wang Ge will live in the CCU for at least ten days, which is at least 100,000 yuan in expenses. However, if bypass surgery is adopted, even if an imported stent is used, plus the hospitalization cost of the intensive care unit, it is about 150,000 yuan. He said in the most sincere tone, "If I were for the so-called kickback, I would definitely recommend Wang Ge to go for bypass surgery." But this plan is not the best for him. ”

I don't know if Sun Lien's sincere attitude moved Wang Ge's parents, or after settling the account, they also agreed with Sun Lien's statement. Anyway, after a period of discussion, Wang Ge's parents nodded in agreement with the treatment plan.

"Dr. Sun, I have a straightforward personality, and sometimes I don't pay much attention to what I say. Before leaving, Wang Ge's father also apologized to Sun Lien, "What I said just now is not to have any opinions about you or the doctor." I was just...... Being a father is a little nervous. ”

Sun Lien nodded, he actually didn't have the heart to compete with Wang Ge's parents at all. If he had thought it through himself from the beginning and first proposed a plan to intervene in the scaffold, instead of simply engaging in dogmatism, so that a plan would have to be overturned less than an hour after proposing it, as is the case now, Wang Ge's parents would certainly not have had such a big reaction.

What can you say about the pit you dug yourself?