Path of Medicine With a System

The latest website: When there was no classification of diagnosis and treatment, large hospitals also performed minor operations, and small hospitals also performed major operations. It seems that in that era, everyone is stupid.

No matter how great his ability is, he can work there for the rest of his life willingly wherever the country assigns him. Of course, there are also many people with dreams who go far away.

However, there are still a minority after all, so medical care in that era seems to be very convenient. Going out is your own small hospital, and you can find doctors who are familiar with each other from head to toe.

Suddenly one day, it seemed that everyone had opened their minds, and they all ran towards the big city and the big hospital in a hurry, no matter the doctor or the patient.

In the end, the tertiary hospitals in various places were as if they had intestinal obstruction, and they could not move, and then a hierarchical diagnosis and treatment system had to emerge.

In layman's terms, it is the size of the feet to wear the size of the shoes. In hospitals, the state can issue orders, but you can't force patients to treat them, so this diagnosis and treatment system is a bit, how should I put it, like a leather hat in summer.

Do large hospitals, such as appendix surgery, do it? It must be done, because every year there are new doctors, how will we train doctors if we don't do it? Then it's like a hole.

He had an appendix operation in a tertiary hospital, why can't I have an appendix operation in a tertiary hospital?

What followed was the blending of various human relationships. As for letting doctors do research, sometimes it becomes a joke.

Therefore, the idea of ​​developing a large hospital back then became a super siphon, which directly shattered the grassroots medical system that Huaguo had built with great difficulty since liberation.

The thing about medical treatment should actually be a triangular pyramid, but now it has become an ultra-modern inverted triangle.

Mr. Wu took Zhang Fan to Bird Street in Shanghai. On this street is a very powerful hospital in Huaguo.

This hospital is obviously a tall one, but the name makes people feel fat and round.

It is estimated that the person who named it back then did not expect that a businessman in a small place in the south learned his naming method, and then the titles of great rivers, great rivers, high mountains and lofty mountains with red crosses appeared overwhelmingly in the land of Huaguo.

"Shanhua's spirit and siblings are quite powerful, and they are very distinctive. You can take a look at them in detail when you go. But the hospital is a bit more complicated than Fang Dong's."

Mr. Wu gave a brief introduction to Zhang Fan in the car,

But the old man doesn't need to go into details about this kind of thing, they are all passers-by, so just go and have a look.

Entering Shanhua, the director of the medical department was surprised. Between Shanhua and Fangdong or with other hospitals, there are often consultations between hospitals, but this is the first time that Mr. Wu has come to the door for consultations in person.

"Hey, hey, why did you come in person and didn't say hello to me, Mr. Wu is really embarrassed!"

"Hehe, it's okay, what is the sick number?"

After exchanging a few pleasantries, we went straight to the topic.

"Let's talk while walking. It's like this. A 70-year-old male patient was sent to the 120 emergency room today. The first diagnosis was symptomatic cerebral ischemia.

After initial treatment, no significant improvement was seen, and then an aneurysm was found in the patient's brain! Director Ye of Shenwai decided to perform surgery after rounds.

But the patient was old, and had already been bedridden for half a year, so Director Ye wanted to invite Fang Dong's experts to come over and evaluate the danger of the digestive system. "

"Oh!" Mr. Wu nodded, but he didn't see the sick number, and the old man didn't say anything.

Zhang Fan followed behind them. Although Mr. Wu didn't introduce Zhang Fan in particular, the director of Shanhua's medical department took a special look at the young man who was able to follow behind Mr. Wu.

The defense of the human body is very weird. For example, you have a fight, but you have never quarreled with others, and the brain feels aggrieved: the mouth is stupid and loves to fight, and I am so angry, and then give an order, stomach, you have a spasm for a while!

This has become the fault of the mouth, and the stomach is uncomfortable. People with a bad temper often have a bad stomach, which is the reason.

When there is a problem with cerebral ischemia, it is often not the brain that breaks through the defense layer of the human body, but the digestive tract. This is the so-called stress response of the human body.

Therefore, in many surgeries, such as fractures, some acid-suppressing and gastric mucosa-protecting drugs are usually added. This is not because the doctor wants to take kickbacks to use drugs indiscriminately, but to prevent the patient from bleeding.

The larger the operation, the more prone to gastrointestinal bleeding, which is unpredictable, so the evaluation of the gastrointestinal tract before surgery is also very important.

Entering the operating room, Shanhua's supernatural boss, Expert Ye, saw Mr. Wu and said with a smile, "Today is earth-shattering."

"Hehe, is the patient serious?"

"Well, an arterial tumor was found in the patient's brain, and there was no way to embolize it. An anastomosis of the superficial temporal artery and the middle cerebral artery was necessary.

The surgery is a big one, and the gastroenterology department of our hospital suggested postponing the surgery, but the patient's condition couldn't be delayed, so..."

Expert Ye said that after reading the patient's medical records, Mr. Wu handed over the medical records to Zhang Fan, and asked Zhang Fan to take a look as well.

Arterial reconstruction surgery, especially arterial reconstruction in the brain, for some special patients, the effect is directly visible to the naked eye. The NIH of the United States attaches great importance to this operation.

After reading the patient's medical records, Mr. Wu and Zhang Fan glanced at each other at the same time. The patient had a history of vomiting blood, so the doctor from Shanhua could not be cautious.

"The possibility of massive bleeding is not ruled out!"

Old Wu said something softly.

"Mr. Wu, if the patient does not undergo surgery as soon as possible, the condition may become more and more serious in the future."

"His other vital signs are considered stable. If surgery is necessary, it is possible to do laparotomy to stop the bleeding during the surgery.

In this way, you can talk to the family members, and I can stand by if you want. "

After listening to Dr. Ye's words, Mr. Wu thought about it, weighed the patient's situation, and said.

"Okay, I'm going to talk to them myself now."

When Dr. Ye heard that Mr. Wu was going to stand on the stage in person, he immediately left the operating room in a hurry.

"The operation is very big and very dangerous. We have invited academician Wu from Fangdong to come here. If you agree to the operation, please sign. We are now preparing for the operation."

Ordinary people, to be honest, holding the surgery signature book in the hands of the surgeon is really like reading a book from heaven.

However, Dr. Ye's signboard, Mr. Wu's signboard is too bright, hanging in the sky like a golden plaque.

"Okay, let's sign, doctor, please use some snacks, the old man has not enjoyed any blessings in his life, and now he can finally take care of himself, and it turns out..."

"Don't worry, we will do our best."

Dr. Ye didn't say much, and entered the operating room with the signature book.

After obtaining the authorization of the family members, the operation preparation began.

"Mr. Wu, we are about to start. Do you need an assistant?" Dr. Ye looked at the young Zhang Fan and said to Mr. Wu.

He thought about it, such a young doctor might not be able to help in such an urgent operation, so he asked.

"No, he and I are enough."

"Oh!" Doctor Ye nodded after looking at Zhang Fan again, "Okay, let's start."

Surgery begins!