Start as an Emergency Physician

Intracranial and intracranial revascularization can be effective in preventing ischemic stroke to a certain extent, but because the disease is progressive, it is difficult to determine the timing of surgery.

In addition to intracranial and extracranial revascularization, there are also direct revascularization, indirect reconstruction, and combined surgery, and at present, the efficacy of various surgical modalities is reported differently, and there is a great controversy, and there is a lack of high-quality evidence-based medical evidence.

Moyamoya disease itself is a rare cerebrovascular disease with a high mortality and disability rate, in the absence of effective treatment, the mortality rate of patients will rise to 80% within five years, according to each person's physique, the length of life is different, after suffering from moyamoya disease, the general life expectancy will not exceed 10~20 years.

"Are you sure you want to be diagnosed with moyamoya disease?" He Jianyi was silent for a long time and asked.

He was worried about Zhou Yuan.

If it was an ordinary car accident, it would be fine, but Duan Hongwei caused serious casualties, and there were five people who were seriously injured alone, except for him, the perpetrator.

And, the worst thing is... Four of these seriously injured were small children.

It can be seen from the fact that Duan Hongwei's first-aid bed was stopped by his family members before, how much hatred he has now, and the families of those victims even want him to die.

And once it is determined that Duan Hongwei suffers from moyamoya disease, then Duan Hongwei may escape the charge of traffic accidents, or reduce the punishment...

There is a precedent for this kind of thing.

In the first half of this year, there was a serious traffic accident in a city in the south of country Z. A black Mercedes-Benz passenger car suddenly drove into a non-motorized lane in the same direction, crashing into a number of electric vehicles and pedestrians, eventually killing three people, seriously injuring ten people, and many abrasions.

Later, after the hospital's investigation and judgment, it was found that the driver was in a state of epileptic seizures at the time of the accident, and the cause of the seizure was "uremia, hypertension, and new insufficiency".

The law stipulates that "it is not a crime if an act objectively causes a harmful result, but it is not caused by intent or negligence, but by irresistible or unforeseeable reasons." The driver did not know that he would develop the disease in this accident and had no previous history of epilepsy, which is an "unforeseeable" behavior.

In the end, the driver was found not guilty.

The families of the frenzied victims ended up running to the hospital to make trouble, causing several doctors who had been diagnosed with epilepsy to resign due to pressure from the fishing boat.

Duan Hongwei's situation is similar, he also had a sudden onset, and the moyamoya disease itself is hidden, and it cannot be detected before the attack, so it is very likely that the onset of the disease is an accident.

Now, only by looking at Duan Hongwei's past medical records, if he had a similar diagnosis before applying for a driver's license, it is a sick driving, dangerous driving, and potential safety hazards, and the illness causes an accident at this time, he is suspected of the crime of causing a traffic accident.

But in any case, if the doctor is diagnosed with moyamoya disease, it will inevitably affect the court's sentencing of Duan Hongwei, and the doctor will also run into a lot of trouble.

The adult world is never simply black and white, right and wrong.

"Zhou Yuan, don't you know Duan Hongwei Jianyi asked.

Zhou Yuan shook his head: "I haven't heard of it." "

"That's good. If you still know Duan, this matter can become very troublesome. He Jianyi sighed.

"Teacher, what are you going to do?" Zhou Yuan put down the film and looked at He Jianyi.

He Jianyi spread his hands helplessly, "What else can I do, I showed you the film, even you are sure that it is moyamoya disease, even if we doctors still suspect it, there is nothing we can do." Now it can only be based on the facts. We are doctors, let's do our jobs! "

Follow-up matters can only be decided by the judge.

"Duan Hongwei hasn't woken up yet, has he?" Zhou Yuan frowned.

He Jianyi shook his head and sighed: "No." Even if he woke up, he wouldn't live long without surgery. "

Zhou Yuan nodded, and the two stood up at the same time, preparing to leave the office.

As soon as I opened the door, a young-looking woman was standing in the doorway, carrying a bottle of gorgeously packaged Moutai in her hand.

"You are?" He Jianyi, who was walking in front, was stunned for a moment before asking.

"I'm Duan Hongwei's wife!" The young woman said.

"Duan Hongwei's operation was successful, you can go directly to the ward to see him, what are you doing here?"

He Jianyi noticed what Duan Hongwei's wife was doing, and his face suddenly became serious.

"That's... Didn't my husband get into a traffic accident... Let's see, can you give my husband a diagnosis of what kind of illness he had, such as epilepsy, cerebral hemorrhage, or something. "

Duan Hongwei's wife obviously did her homework.

Normal traffic accidents can be sentenced to one to three years in prison according to the public property and personal injuries caused by Duan Hongwei.

Duan Hongwei's company is indispensable to him, let alone a year, if he doesn't run for a week, he will be immediately surpassed by his peers, if Duan Hongwei is really in prison, it is equivalent to directly declaring bankruptcy.

His wife would not allow that to happen.

Zhou Yuan also frowned.

"Doctor, here is a little heart, you take it!"

said, without waiting for He Jianyi to refuse, he directly stuffed it into his hand.

Zhou Yuan subconsciously glanced at it, and there was still a wad of money in the beautifully packaged box.

He just wanted to help He Jianyi refuse, but suddenly skimmed to the end of the corridor, and a man who was about to come over ran away again.

Zhou Yuan was shocked.

I can't get me wrong...

"Take it!"

He Jianyi's tone was very resolute, and he stuffed it back the moment Duan Hongwei's wife handed it over.

"Your husband may have moyamoya disease... We are doctors, and we will only judge the condition based on the film. "

After He Jianyi finished speaking, he locked the door of the office - there have also been cases where the patient's family directly put things in the office.

Then, he didn't want to stay for a moment, and left with Zhou Yuan.

Staying with someone like Duan Hongwei's wife will definitely get into trouble, even if He Jianyi is innocent, he must be careful.

"Teacher, someone ran away just now, will something happen?" Zhou Yuan frowned and mentioned this matter.

He Jianyi's face turned pale: "You saw it?" "

"Yes. He should have come to look for us, but when he saw Duan Hongwei's wife handing you something, he ran away. "

"It's over." He Jianyi's expression was a little desperate.

"Report this matter to the Supervision Committee, and say hello to the dean in advance!" He Jianyi said quickly.

Zhou Yuan nodded, and just wanted to go to the Supervision Commission, He Jianyi stopped him, "You don't have to get involved." No matter how clean a person wades through dirty water, he can't come out cleanly, and you have only one task now! "

"What?" Zhou Yuan was stunned for a moment. _

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