Capítulo 1391: 【1391】Doctors won’t care about saving face
This patient’s vascular condition within the body is too bizarre, baffle even experienced doctors. Such a situation gives him a very bad premonition, and Doctor Fang doesn’t feel that trying again would succeed.
Jin Tianyu’s skills are stronger than his, and his intuition should be the same; forcing the operation carries too high a risk.
“Otherwise, I’ll go and say that their cardiac surgeons are here—” thought Doctor Fang, suggesting to Jin Tianyu in a whisper to give up. If Jin Tianyu feared losing face, he would say it.
After hearing this, Jin Tianyu glared at him, hardly believing such words came out of his mouth.
Was it a matter of face that prevented him from calling in a surgeon? Jin Tianyu, irritable though he may be, is at least a doctor; how could he possibly consider his own face in such matters?
His own colleagues didn’t understand him as well as the robot did, it was suffocating him. At least the robot knew to respond to Doctor Seo, telling the other side that face wouldn’t be an obstacle.
What would it achieve to call in surgery?
Fu Xinheng was there, acting with robotic precision which wouldn’t take anyone’s face into account. Fu Xinheng neither intervened nor spoke; the only explanation was that he felt the same: sending such a patient to the surgical table would result in death.
This was the main reason he hesitated to send the patient to surgery.
For Coronary Artery Bypass Graft Surgery, the great saphenous vein should be the first choice in elderly patients like this, but this patient’s great saphenous vein wasn’t feasible. Therefore, he wanted to say that the patient’s previous attending physician, Doctor Seo, hadn’t done his job well enough to have the nerve to speak about others.
A doctor also has a duty to properly manage a patient’s post-operative care, especially when the patient trusts Doctor Seo.
If the patient doesn’t cooperate with subsequent checks and treatments, you have to push them. Doctors need to skilfully apply pressure and coaxing. If such work isn’t done well, when the patient relapses next time, it will be difficult for you or your colleagues, and it will be the worst for the patient.
Alright, everyone knows that the patient’s lower limb veins can’t be used for graft material.
Select an artery? Connecting artery to artery is better than grafting a vein to an artery, maintaining the original structure.
For patients of this age, around seventy or eighty, artery selection can be attempted. But just look at the current PCI situation, the condition of the arteries in the upper body is likely just as dire.
The internal thoracic artery, favored by surgeons, is short. Even if the internal thoracic artery is usable, like the great saphenous vein, its length is inadequate in complicated cases for surgeons to use.
If, when the chest is opened, a condition similar to triple vessel disease is found, the internal thoracic artery cannot be used. In such a patient’s condition, it’s anticipated that the cardiac coronary vascular layout is unfavorable. Surgeons might need to reorganize the distribution of the heart’s blood vessels, requiring more auxiliary circulations to be established, needing more of the patient’s own sufficiently long vessels as material.
The great saphenous vein doesn’t work, the internal thoracic artery doesn’t work; where are surgeons to find vascular materials?
Hastily setting up any old thing to end the surgery? CABG isn’t PCI; the interval of postoperative restenosis should be dragged to over ten years. How high is the risk of a patient cracking open the chest once; can multiple chest openings be allowed? Thoracoscopy? Can a patient with such a complex case undergo thoracoscopy? Better to prepare for the worst-case scenario in advance.
Every word Junior Xie Wanying argued with Doctor Seo over the phone was gospel truth.