Chapter 987 We Are Really Too Fat
The occluder is sent into the patient's body by a special delivery sheath, and then released, a bit like a parachute is forced open inside the heart.
The difference is that the occluder is in the shape of a dumbbell, and the waist in the middle is just stuck in the defect of the left and right rooms. There are umbrellas on both sides, and the size is optional and different. The small left atrial disc is only 16.18 mm, while the large one is 52.54 mm.
Putting such a large foreign body into the heart naturally has potential complications, but for patients who have already developed severe symptoms, this is already a relatively easy solution.
If there is no need for intervention, the chest can only be opened and sutured. In this way, there are fewer foreign objects in the chest cavity, and the trouble of rejection is also avoided, but the side effects of chest opening are much greater than those of intervention.
On the other hand, the upper and lower limits of interventional surgery are relatively narrow. A good doctor will certainly bring higher benefits to patients, but at some point, the choice of doctor may not be as important as the choice of occluder . In many cases, there may be a relationship between the occluder and the patient - some patients will be better off with a occluder, while others will be better with b...
This situation makes the interventional surgery of the Department of Cardiology and the surgery of the Cardiac Surgery become completely different poles.
Cardiac surgery tests the skills of doctors themselves, while cardiology shows the value of pharmaceutical companies.
From a doctor's point of view, Ling Ran still prefers the operation method of cardiac surgery. Although he completed the imitation of the occluder very smoothly, he didn't have much sense of accomplishment.
Ling Ran sighed softly, fiddled with his fingers twice, and the operation was considered to be over.
Too much fun!
Similar to laparoscopic surgery, the complexity of interventional surgery is mainly reflected in two aspects. On the one hand, it requires a high degree of refinement in surgery; on the other hand, it is the similarities and differences between the three-dimensional reality and the two-dimensional images on the screen. It's a little nerve-wracking, especially for novices, and the hand-eye coordination needs to be reworked to get used to it.
However, it is too easy for Ling Ran to perform such an operation. Not to mention the perfect ASD closure surgery, which has already solved the problem itself, and other related skills also have sufficient technical support.
If it is said that the previous heart repair surgery allowed Ling Ran to touch his heart, today's interventional surgery is too lacking in novelty.
Ling Ran shook his head slightly.
Doctor Lai looked at Ling Ran warily.
In his eyes, Ling Ran's operation can be said to be very smooth.
In less than a quarter of an hour, the whole operation was announced to be over, and the director was to do it, which was at this level. Then, why was Ling Ran sighing? What are you shaking your head for? Is it dissatisfaction with the cardiology department? Are you dissatisfied with the surgery? Or dissatisfaction with doctors? Now that the operation is over, do we still have to settle the score?
The more Dr. Lai thought about it, the more worried he became, and there was sweat on his forehead.
"Is the patient in your heart?" Ling Ran asked deliberately.
The reason why he came to the Cardiology Department was because there were not enough hospital beds in the emergency center. Of course, even if there were enough, Ling Ran was still willing to find more beds.
Director Yuan naturally agreed, and said: "Leave the patient to us. We usually give 10 heparin for three days, twice a day."
"Yes." Ling Ran did not intend to modify the operating mode of the Cardiology Department. Nursing is a completely different branch and requires experience accumulation. However, Ling Ran has lost interest in the Department of Cardiology for the time being.
Doctor Lai's gaze was still serious.
The more indifferent Ling Ran behaved, the more suspicious he became.
After all, this is a cardiology operation. A domestic occluder costs 20,000 to 30,000 yuan, and an imported one costs another 10,000 yuan. The entire operation usually only takes about half an hour.
This kind of operation, such benefits, several people are attached to it and are willing to let go.
Dr. Lai lowered his head, counting silently in his heart, waiting for Ling Ran to speak.
laugh.
The surgery door opens.
laugh.
The surgery door is closed.
Dr. Lai looked up again, and saw that Ling Ran and his team members had all left the operating room.
"What's wrong?" Doctor Lai's eyes widened, and the hairs all over his body stood on end.
"It's finally gone." Director Yuan seemed relieved, and finally had a smile on his face.
"I don't know what they want to do next." Dr. Lai's voice was gloomy.
Director Yuan smiled: "It's a day to get through a day. Don't think so much, it's a big deal, just leave the emergency patients to them."
"That can't be done." Dr. Lai said eagerly: "You can't relax now, it's too easy for them to let it go, they will definitely push their feet."
Hearing what he said, Director Yuan couldn't help hesitating.
Letting go of the patients in the emergency department was something he had thought about for a long time. Of course, if possible, he is not willing to give up even one patient. The intervention of the Cardiology Department is too fast. Even if all the patients who meet the indications are admitted, it is only enough for two or three people to do it at full capacity. , and there are so many doctors in the department, the rest must be exposed to some rain and dew.
Needless to say, if the patients in the emergency department are given up, the contradictions in their hearts will become more complicated than before.
A doctor who is used to a monthly income of 100,000 yuan will not think that 30,000 to 40,000 yuan is a high income.
However, the skills Ling Ran displayed today made it difficult for Director Yuan to make up his mind.
No one's skills just fell from the sky. Ling Ran was able to develop such a skill, not to mention that he was deliberate in the cardiology department, it was premeditated.
The other party paid such a high price, and wanted to get away easily, but it was not easy.
Dr. Lai said in a deep voice: "Director, I think we can still stretch it again and again. Among other things, the whole set of heart equipment costs a lot of money. They bought it in the emergency department to do it with us. Competition, even if there is some profit, we have to murmur in our hearts, let's be tougher, and give the leaders a blow, there is still a chance..."
"You don't understand, the emergency center is very independent now." Director Yuan sighed, and said: "As far as Ling Ran's current development is concerned, the hospital leaders can't wait to hold it in the palm of their hands. If it doesn't go well, I'm afraid the emergency center has other ideas, if they are willing to spend money on new procedures and new projects, as long as they are rooted in Yunhua, there is no disagreement..."
Director Yuan took a deep look at Dr. Lai, and said, "Look at Ling Ran's skills today, if he doesn't plan to buy equipment, wouldn't he have practiced all these days in vain?"
Dr. Lai couldn't help being stunned: "So, he is definitely going to come in?"
"Well, so it's better to cut it out early. Anyway, if the emergency department does not refer patients, we can't do that. We just give them the patients in the emergency department. We specialize in outpatient clinics, and we will see the situation." Director Yuan said here , also sighed deeply: "Our piece of meat is really too fat."