Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
The occluder was inserted into the patient’s body via a special long delivery sheath before it expanded, just like a parachute being forced to open inside the heart.
The difference was that the occluder was in the shape of dumbbells, and its waist in the middle could fit perfectly at the defect at the left and right atria. Both sides had disks, and the size was different between occluders, and the surgeon could choose the size. The small left disk was only 0.6 inch or 0.7 inch, while the big disk was 2.0 inches or 2.1 inches.
When such a big foreign body was put into a heart, there would naturally be some potential complications. However, for patients who already had severe symptoms, this was an easier plan.
If no intervention surgery was performed, then the person must receive open-heart surgery and sternal closure. In this way, there would be no foreign body in the thoracic cavity, and the issue of rejection could be exempted, but the side effects of open-heart surgery were more severe than those in intervention surgery.
Meanwhile, the room for error in interventional surgeries was far more severe. A good doctor naturally benefited the patient more, but sometimes, the choice of a doctor may not always be more important than the choice of the occluder. Most of the time, there might be a compatible relationship between the occluder and the patient. Some patients would get better with Occluder A, while some were better with Occluder B…
In this case, the interventional surgery by the Cardiology Department and the surgery in the Department of Cardiovascular Surgery became two different things.
The Department of Cardiovascular Surgery tested the doctor’s skills more, while the Cardiology Department allowed the pharmaceutical sales company to show their value.
From a doctor’s perspective, Ling Ran preferred the operation method by the Department of Cardiovascular Surgery. Even though he completed the process of using the occluder to block the defect very smoothly, the accumulation of the sense of accomplishment was not much.
Ling Ran sighed lightly, and his fingers gently fiddled with the device twice before he announced the end of the surgery.
It was not fun at all!
Similar to a laparoscopic surgery, the complexity of an interventional surgery was mainly shown in two ways. One, the surgery required a high degree of meticulousness. Two, the differences and similarities between the three-dimensional reality and the two-dimensional image on the screen were slightly bothersome, especially for newbies. They needed to practice their hand-eye coordination again before they could get used to it.
However, it was a piece of cake for Ling Ran to perform a surgery like this. Forget about the fact that his Perfect Level Atrial Septal Defect Closure could already solve the problem, even without it, his other relevant skills were also sufficient for technical support.
The previous cardiac trauma repair had allowed Ling Ran to touch the heart, hence the interventional surgery today was not novel at all.
Ling Ran shook his head slightly.
Doctor Lai looked at Ling Ran warily.
In his eyes, Ling Ran’s surgery had been performed really well.
In less than fifteen minutes, the surgery was over. A department director would be able to finish the surgery within this amount of time. Therefore, why did Ling Ran sigh? Why did he shake his head? Was he not happy with the Cardiology Department? Was he not happy with the surgery? Or was he not satisfied with the doctors? The surgery had ended, did he still want to get back at them?
Doctor Lai became more worried the more he thought about it, and he broke out in sweat.
“Should I leave the patient in the Cardiology Department?” Ling Ran deliberately asked.
He came to the Cardiology Department because the hospital beds in the Emergency Medical Center were not enough. Naturally, even if the hospital beds were sufficient, Ling Ran would still be willing to look for extra hospital beds.
Department Director Yuan naturally agreed, and he said, “Pass the patient to us. We generally prescribe 10 units of heparin for three days, twice a day.”
“Sure.” Ling Ran also did not want to adjust the operation mode in the Cardiology Department. Nursing care was a completely different branch, and it also required accumulation of experience. Meanwhile, Ling Ran had temporarily lost a bit of his interest in the Cardiology Department.
Doctor Lai’s eyes continued sparkling brightly.
The calmer Ling Ran was, the more he doubted.
After all, this was a surgery from the Cardiology Department. A domestic occluder cost 20,000 to 30,000 RMB, and the imported one would cost 10,000 RMB more, and an interventional surgery generally only took half an hour to finish.
Very few people would let go of a surgery like this that provided such benefits.
Doctor Lai lowered his head. He counted secretly and waited for Ling Ran to speak.
*Shick*
The door of the operating theater opened.
*Shick*
The door of the operating theater was closed.
Doctor Lai raised his head again, and he saw that Ling Ran and his team members had all left the operating theater.
“What’s going on?” Doctor Lai opened his eyes wide, and he felt goosebumps all over his skin.
“Finally, they’re gone.” Department Director Yuan sighed in relief, and he finally put a smile on his face.
“We don’t know what they’re going to do later, though” Doctor Lai’s voice was slightly gloomy.
Department Director Yuan smiled. “We’ll get through one day after another. Don’t think too much about it. At worst, we’ll just let them have all the emergency patients.”
Doctor Lai hurriedly said, “No way. You can’t be soft now. It’s too easy to let go of the patients, and they will definitely demand even more when you start letting go.”
When he heard this, Department Director Yuan subconsciously hesitated.
Giving out the emergency patients was something he thought of for a long time. Naturally, if possible, he was also not willing to give away any patient. The interventional surgery of the Cardiology Department was very quick, so even if they received all patients who fulfilled the indications, they were enough for two to three doctors to operate at full capacity. There were many doctors in the department, so the remaining cases still needed to be passed to the other doctors.
Besides, if they let go of the emergency patients, the conflict within the Cardiology Department would become even more complicated.
Doctors who used to earn 100,000 RMB every month would not think 30,000 RMB to 40,000 RMB was a high income.
However, the skills shown by Ling Ran today made it hard for Department Director Yuan to make his decision.
Nobody had inborn skills. If Ling Ran could develop this kind of skills, then it meant that he had either been scheming against the Cardiology Department for a long time, or he had been planning to get into interventional surgery since a long time ago.
He had paid such a big price for it, so there was no way the Cardiology Department could get away from it easily.
Meanwhile, Doctor Lai murmured, “Department Director, I think we should be as tense about the situation as possible. Forget everything else, the full set of instruments and equipment for the Cardiology Department costs quite a lot of money. If the Emergency Medical Center bought it to compete with us, even if they earn some money, they would still complain about the money they spent secretly. If we’re more unyielding toward the situation and butter up to the leaders a little more, we will still stand a chance…”
“You don’t understand. The independence of the Emergency Medical Center now is very strong.” Department Director Yuan sighed and said, “Based on Ling Ran ‘s current development, the leaders of the hospital will want to keep him in their hands forever. A few hospital directors are only afraid that Ling Ran will feel unhappy and the Emergency Medical Center has other plans. If they are willing to spend money, develop new surgical methods, and perform new projects, as long as they stay in Yun Hua Hospital, no one will disagree to it…”
Department Director Yuan looked intensely at Doctor Lai and said, “You saw Ling Ran’s skills today. If he is not ready to purchase these equipment, then wouldn’t he have practiced in vain over the past few days?”
Doctor Lai could not help but become stunned. “So, is he definitely going to invade us?”
“Yes. So, why don’t we cut this surgery off cleanly as early as possible. After all, if the Emergency Department doesn’t refer the patients to us, we can’t perform the surgery. So, we’ll just pass all the emergency patients to them, and we’ll focus on consultations. We’ll see how it goes from there.” When Department Director Yuan talked about it, he also sighed, “This pie that we hold is way too huge, I suppose.”
