This Doctor is Great

In the ward, Zhou Mo found Senior Brother Chen Bing who was making rounds.

"Aortic dissection?"

When Senior Brother Chen Bing heard that it was aortic dissection, his face suddenly became serious.

"Why hasn't it been delivered yet? This disease is very dangerous. Once it explodes, Wuhu will be destroyed..."

"The girl in the emergency department said that the family members are discussing..." Zhou Mo smiled wryly.

"Discuss? What's there to discuss? It's a deadly matter, why don't you discuss it?" After hearing this, Senior Brother Chen Bing was very happy on the spot.

"The girl in the emergency department said that the patient has three sons..."

"Three sons... oh, no wonder..."

Brother Chen Bing suddenly showed an expression of "so that's it".

"Let me tell you, Zhou Mo, you are only clinical, and you don't know much about our experience..." When he said this, Chen Bing glanced at the patients in the ward round and the patients in the next bed... Well, they are all The daughter is by the side.

"Forget it, go back and tell you..."

Brother Chen Bing felt that this kind of thing should not be said in front of the patients. If the two patients had a son, wouldn't it be heartbreaking?

"Are you free?" Brother Chen Bing asked.

"Yes, mine is finished..." Zhou Mo said.

"Then do rounds with me, you study and study..."

"okay!"

Zhou Mo is very motivated and will not let go of any learning opportunity.

Soon, a voice came from the system:

"Ding...you completed a round of myocarditis...you got..."

All of this is due to my hard work!

Dark blue, +!

...

16:30...

Senior brother Chen Bing finished the ward check, then left the ward, and dragged Zhou Mo into the duty room.

"Do you know why the girl in the emergency room specifically mentioned three sons?"

"Why?"

"Hey... I have been working in this hospital for three or four years. I found that every time an elderly person is at the critical point of life and death with a serious disease, the risk is particularly high and the cost is very high. The more sons they have, the more difficult it is to survive. The lower the rate."

Zhou Mo: "Why?"

"When the family is relatively poor, the more sons there are, the easier it is to argue..."

After Zhou Mo listened, he wanted to refute.

However, it seems to make sense.

Senior Brother Chen Bing: "That's why I dare not say this in front of the patients in the ward. If these old people have two sons, wouldn't they be angry..."

Brother Chen Bing asked again: "Do you know how much the interventional surgery costs for aortic dissection?"

Zhou Mo: "Understood, if you intervene, at least 50,000 or more, but if you have medical insurance, it seems that you can reimburse a lot..."

Senior Brother Chen Bing: "That's the problem, the price is expensive, and the operation for aortic dissection has certain risks... So, their three sons may be afraid that the money will be spent, but they will not be saved, or they will be paralyzed... ...So, sometimes a human heart is more dangerous than a disease...Of course, if the economic conditions are poor, there is nothing wrong with it..."

Zhou Mo: "Thank you, brother..."

I have to say, I have benefited a lot.

Sure enough, some experiences cannot be learned from books.

Zhou Mo asked, "Then what about this patient?"

Senior Brother Chen Bing: "Is the patient sure to have type B dissection?"

According to the location of the patient's aortic dissection, it can be divided into type A and type B.

Type A dissections involve the aorta, which connects the heart, to the highest blood pressure and most prone to rupture. The only cure is emergency surgery to replace the aorta, which connects to the heart, with an artificial blood vessel. This kind of operation costs more than 200,000 yuan, but there is medical reimbursement, but the risk is very high.

Type B dissection is limited to the aorta in the thoracic abdomen and can be treated conservatively with interventional stents or drugs. The cost is more than 50,000, and the foreign support is more than 130,000.

However, the price of the bracket has been reduced recently.

simply say,

Type A dissection sent to cardiac surgery.

Type B dissection was sent to the Department of Cardiology.

Zhou Mo nodded: "Yes, it's type B... The current emergency plan is sedation, analgesia, and blood pressure control..."

Senior Brother Chen Bing thought for a while: "Notify the interventional diagnosis and treatment center first, and reserve a surgeon, so as not to intervene in the rescue at night... I'll just contact you..."

Zhou Mo nodded: "Yes, senior brother."

...

17:00, get off work...

Nurses start their shifts...

After finishing her shift, Sister Chen greeted Zhou Mo very happily: "Your luck is really good, you are not black..."

Then, at a brisk pace, he left for get off work.

...

18:00...

The old man with aortic dissection in the emergency department finally came.

In a coma.

Pushing a flat cart into the cardiology department. His wife and three sons are all there.

It took half an hour to complete the admission procedures.

Then the doctor rounds the room, asks about the condition, and checks the body...

Senior brother Chen Bing was afraid that Zhou Mo would not be able to do it, so he deliberately joined Zhou Mo to communicate with patients and family members.

Zhen Zhihang, the attending physician of the interventional diagnosis and treatment center, also came to understand the condition.

"Doctor, with my father's body, do we have to undergo interventional surgery? Can we not do it?" The patient's eldest son asked while the patient was unconscious.

The patient's wife was crying beside the bed.

The second and third sons next to him were playing with their mobile phones, and the other was pretending to hold the old man's hand, but they were obviously absent-minded, and they should be listening with their ears open.

Dr. Zhen Zhihang said with a serious face: "Of course not. If this aortic dissection is not treated, it will always exist, and it may become bigger and bigger as time goes by, and it will be more dangerous..."

The eldest son looked embarrassed: "How much does it cost?"

Dr. Zhen Zhihang: "It's hard to say, maybe tens of thousands... It depends on the operation process..."

The atmosphere suddenly fell silent.

The patient's wife cried a little louder.

The atmosphere is silent...

After more than a minute, the second son suddenly said: "Doctor, why don't you stabilize the condition first, let's discuss it first, and then decide whether to have an operation..."

The three of Zhou Mo looked at each other.

"Okay, let's use medicine first... But you have to decide as soon as possible... The longer the time, the greater the risk..."

"OK!"

Senior Brother Chen Bing suggested: "Should I have a pre-operative talk with you first? So as not to be in a hurry when deciding on the operation?"

"This...no need, let's discuss it first..." The eldest son hesitated for a while, and finally said.

The second and third sons were silent and did not object.

Senior Brother Chen Bing could only nod his head: "Okay..."

Zhou Mo shook his head and sighed inwardly.

Hope tonight, the old man spends it safely!

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ps: Recommended vote for appetite...