Chapter 1367: 【1367】Provide a safety net for patients taking regret medicine
It is an adenosine diphosphate (ADP) P2Y12 receptor antagonist. This first-generation drug has only recently been developed and put on the market, making it unlikely to be widely extended for post-PCI surgery medication.
Continuous new drug development and introduction not only treat diseases but also greatly promote the progress of surgery, ensuring patients' preoperative, intraoperative, and postoperative stability.
The other classmates saw her suddenly fall silent, wondering what was going on with her.
Xie Wanying was just considering that if this patient delayed a few more years, there might be a chance for DAPT therapy and the introduction of drug-coated stents.
These measures can reduce complications within the stent. The release of absorbable biological stents is still a long way off, making it unlikely for the patient to wait. The only option is to continue placing stents, with each additional stent equating to more risk points. Doctors never approve of this approach. More stents aren't necessarily better.
When necessary, abandon stents and choose surgical bypass instead. However, for patients like these—those without cardiac structural changes, with isolated arterial narrowing—even after bypass surgery, if the patient isn't sufficiently disciplined in post-surgery body management, arterial narrowing might reoccur.
Without patient cooperation, the effectiveness of medical treatment decreases significantly.
Presumably, this patient thought everything was fine after the first surgery with the stent placed and continued running around busily. Business requires social engagements, and ignoring doctors' advice about smoking and drinking could lead to quick relapse.
If the patient can learn from this lesson and follow medical advice from now on, the doctor must strive to extend the interval between placing additional stents as much as possible.
Such patients are frequently encountered in clinical practice. If patients regret their decisions, it inevitably tests the limits of a doctor's skills.
A few people rushed to finish their meals and head to the interventional operating room.
Most hospitals place large examination instruments on the first floor. The reason is that equipment with ionizing radiation like X-ray and CT machines requires radiation protection facilities, and creating these specialized rooms is equally expensive. Compared to ordinary operating rooms, interventional rooms need to be equipped with angiography machines. Therefore, all interventional surgery rooms at Guoxie are concentrated on the first floor in one area.
Interventional surgery isn't limited to the cardiology department alone; other departments have interventional techniques as well. For instance, Zhao Zhaowei previously planned to perform ERCP, which belongs to gastrointestinal endoscopy. However, cardiovascular interventional surgeries are more frequently carried out with greater urgency, and the hospital has dedicated one interventional operating room solely to the cardiology department, with other departments sharing one interventional room.
Are all interventional surgeries and endoscopies performed by internal medicine doctors? For instance, the biliary tract endoscopy at Guoxie is done by the Hepatobiliary Surgery department, so these surgeries should be determined by division within the hospital itself. The primary condition for performing surgery is the technical proficiency of the doctors; whichever department has stronger technical skills should perform the procedure. Like neurointervention technology, it is conducted by the neurosurgery department at Guoxie because the neurology department lacks the necessary technical skills.
Guoxie's cardiovascular catheter interventional room is slightly insufficient with only one. After repeated applications, the hospital has finally approved an expansion to two interventional operating rooms for the cardiology department. It was heard that Senior Jin passionately criticized the hospital's methods as stingy as squeezing toothpaste, privately saying President Wu is unusually frugal.
President Wu's strategy of calculating costs and benefits assumes that intervention surgeries in other departments are less frequent, allowing the cardiology department to utilize their operating rooms, totaling three, which is quite a few compared to in-country standards.