赵为广  副主任医师

Dr.Zhao 您好，我是周六带Charlie（查理）找您就诊的家长Scott。目前孩子的CT、血液和B超检查结果均已出来，因我们住在大鹏，往返深圳市区不便，所以想先线上咨询您孩子当下是否需要手术，还是观察其他情况后再做决定。 另外，宝安妇幼保健院的张宝欣主任建议等孩子体重增加后，再开展下一步手术或检查，想问问您是否认同该观点，或者您看下检查报告，对孩子病情还有其他建议或看法吗？ 还有我们觉得核医学测试可能对孩子辐射较大，可否延迟再去港大医院做核医学检测？我联系了港大客服，他们说要先挂泌尿外科或者儿童科，才能去核医学科做检测（不太确定是否属实）。所以请问如果真的非常需要再做核医学科，您知道港大是否可直接进行核医学科挂号？ 另外由于未打印CT报告，若您能在系统中查询到相关资料就再好不过了。孩子的病情让我十分担心，希望您能给予我们指导，非常感谢您！

He was not born early.

40 weeks and one day

How should we proceed?

This is the one at Hong Kong university? We read that the baby should wait a certain time between ct scans because of radiation. Is that true?

Also, another doctor mentioned waiting until the baby has gained more weight because the baby body weight is very low. Do you think we should wait? Or have the surgery soon?

Do you think there is more risk because his weight is low? He did not eat enough food the first month

Ok. Would you recommend a fistula (造瘘术) first? Or go straight to the surgery?

Is the babies kidney function stable enough to wait? And can you explain how the fistula would effect the second surgery?

I read the safer approach for a small baby is the fistula approach because less anesthesia and shorter surgeries. It also allows the baby to have grown much stronger for the major operation. What are the reasons you would want to do the major operation now and not fistula?

I understand. How often does the hospital preform this surgery on a small baby like mine?

Wow

So in the next 3 days we should get the Hong Kong university test. And then contact you again?

About when would we want to schedule the surgery? In a few weeks?

Ok, so May 5 and May 12 the days of surgery at the hospital

Ok.

Will The surgery be laparoscopic or robotic?

I understand. What is the cost of the laparoscopic surgery to repair the kidney blockage ?