Chapter 1376: 【1376】Do not argue, please be rational
"Doctor Li and Doctor Jin are discussing. Rest assured, our doctors here will certainly do their utmost to treat the patient," Xie Wanying mainly said this for Mr. Zhou present at the scene.
"Did Doctor Li say this patient needs surgery?" Doctor Seo asked.
"This patient may not be very suitable for a bypass surgery. Doctor Seo, you should be more aware of this than us," Xie Wanying candidly stated.
Previously, in the office, hearing Senior Jin and others discuss the patient's condition, to be fair, she thought Doctor Seo, after being requested by the patient's family, probably jumped into a desperate and indiscriminate search for medical aid with them.
The family can be panicked, but doctors must never be.
There can be distrust in a colleague's skills, but when it comes to the patient's condition, one must conduct a rational analysis based on science and the actual situation. One cannot start from the assumption that a certain colleague's skills might be unreliable and use this as a basis to analyze the condition. If the starting point of the thinking is wrong, how can a correct judgment be reached? Xie Wanying knew the other party's words could influence the patient's family's decision and hoped they would remain rational and not biased.
"You—" Doctor Seo was taken aback by her words, "What do you mean by this?"
"In the field of PCI surgeries, Guoxie may not be as renowned as Guo Zhi Hospital. However, as cardiovascular doctors alike, we surely provide the most reasonable medical advice according to the patient's situation."
"I understand, you are a cardiovascular doctor at Guoxie. Are you criticizing me just to defend your hospital and your department? Saying that I shouldn't have called in cardiac surgery, and that my actions to help the patient were in your way, right?" Doctor Seo said this getting angrier, "As you yourself said, your hospital's technology is somewhat inferior; did I say anything wrong? Your technology is inferior, yet you have the courage to say your judgment is right while mine is wrong?"
Xie Wanying did not quarrel with the other party. In fact, the other party admitted to having no contact with Guoxie's Cardiovascular Department. Their understanding of Guoxie's Cardiovascular Department was based on hearsay. In the absence of familiarity with Guoxie's Cardiovascular skills, they made a very subjective determination that Guoxie's cardiovascular doctors were all inadequate.
As she deduced, the other party's judgment was irrational. In such a situation, as a doctor, one must be factual and realistic. Regardless of how the other party questions this side's technology, discussions should be scientifically focused on the patient's condition.
Xie Wanying thought so, maintaining calm and communication: "Doctor Seo, let's analyze this patient's specific condition."
"I know what his condition is."
"You realized during the last surgery that he might have arteriosclerotic occlusive disease. Now you're advising his family and friends to seek a bypass surgery, which involves selecting suitable arteries and veins from the patient's body to create a bridge. In his situation, the options for vascular material are limited, and the possibility of post-surgery restenosis is high. He's not in a critical or urgent state that necessitates a bypass. He can completely first attempt PCI, and if it fails, then consider cardiac surgery. Isn't it a bit reckless to opt straight for a bypass without trying anything else?"
Doctor Seo was stuck, knowing she was right. Essentially, in clinical practice now, a coronary artery bypass is recommended only when there's no other choice. If PCI is possible, it's done first to keep bypass surgery as a backup measure, avoiding exhausting all the doctor's means in a short time.