When doctors have a simulated operating room

The patient was very sick.

"Actually, my tumor seems to have been there for almost 21 years. Look, isn't my mother fine?"

"What?! 21 years?!"

"Fuck?! 21 years!!"

"Pfft... what the hell?? The aneurysm and aortic dissection that have been there for 21 years haven't exploded yet?!"

"Oh my goodness! I've learned a lot today!"

Including the family members, all the doctors around the bed were so surprised that they couldn't speak.

Even Zhang Yi!

When Zhang Yi first suspected this point, he had already guessed it.

Because the tumor on the heart is an aneurysm and aortic dissection, and there is also a congenital aortic tortuosity.

It is very lucky and rare that such a serious problem can persist for ten years without exploding.

What is the result?

Wow!

This old lady actually hid it for twenty-one years! !

The old lady's blood pressure is also very high. When she was admitted to the hospital for examination, it was 153/98mmhg.

Although this kind of high blood pressure has been controlled at a relatively normal level by drugs for a long time, for a very dangerous time bomb like an aneurysm, it is difficult to control the pressure inside the aneurysm with drugs so that it will not continue to increase.

What is an aneurysm?

It is a tumor growing on the artery.

Many massive hemorrhages of cerebral vascular malformations are the culprit of intracranial aneurysms.

Once the blood pressure is high, the blood vessel pressure is high, and there is also a tumor growing on the blood vessel wall.

If the pressure is high, won't the tumor expand and expand?

The larger it expands, the thinner the blood vessel wall of the tumor will be.

One day, if you are not careful, the blood vessel will naturally be expanded.

And what is an aneurysm?

The pressure in the blood vessels of the arteries is much greater than that of the venous blood, especially when the large arteries bleed, the blood can spurt out more than two meters away.

And this old lady is the ascending aorta!

The ascending and descending aortas are large blood vessels next to the heart, and are the starting point of the left ventricle!

The blood in the whole body is first collected and then flows to the lungs and coronary arteries, so the blood vessel pressure here is only greater than other blood vessels in the whole body!

But the strange thing is that so many years have passed...

Twenty-one years!

This old lady is actually... still safe and sound? ?

This is unscientific! !

The family member wiped her tears faster and said with a sob:

"Mom! How could you not tell us? It's been 21 years... Why didn't you tell us? How can my brother and I feel at ease, Mom!"

The old lady reached out and touched her daughter's hand and said:

"It's okay, Mom, it's okay, otherwise how could I have kept it a secret from you for so many years?

At that time, your father had just passed away, and you had just started a family not long ago. The family didn't have much money.

The doctor told me that my condition was indeed very dangerous, and said it was a time bomb??

Let me prepare money to come to the hospital for surgery, saying it would cost more than 10,000 yuan.

Where could I find more than 10,000 yuan at that time.

So... so I thought to keep it a secret from you, and live one more day.

If I really don't live long and die suddenly one day, I will just think of it as going to accompany your father. "

"Mom... woo woo... you shouldn't have kept it a secret!

Look at you now, do you know how big the tumor in your heart is now? ?

It's already... this big!"

The family member gestured to her mother while speaking.

Her mother was not surprised after seeing it, and she still had a calm smile on her face:

"Mom knows, I am so old and I am lucky to live one more day.

Pingping, don't be sad, mom... there is no need for treatment."

After hesitating for a long time, the old lady finally said what she wanted to say most in her heart.

She didn't want to be treated.

——

"Ah? Incurable? No, Mom, how can you not treat it? Do you know how big the tumor on your heart is, Mom?"

The family member was very upset, crying and holding her mother's hand to persuade her.

Jin Zhenglun, who was beside her, also explained to the old lady in her eighties with a serious face:

"Old lady! Your disease... still has hope, don't be negative!"

The old lady still had a kind and calm smile on her face.

"Haha, doctor, you have worked hard, I just... cough... I came to the hospital with a little cough, no need for any major surgery."

"Mom, you..." The old lady's daughter was about to speak.

A middle-aged uncle rushed in at the door of the ICU.

He looked like an old man in terms of appearance and age.

The wife's daughter is somewhat similar.

"Mom! No! Must be treated! This time Xiaoping and I will never listen to you again!"

The uncle shouted at the old lady as soon as he walked in.

The old lady heard it, and the whole ICU heard it.

"Brother, you are finally here!"

"Hey..."

The old lady sighed helplessly when she heard her son say that.

At this time, Zhang Yi, who had not spoken much throughout the whole process, had been silently paying attention to the old lady's heart.

Ascending aortic aneurysm, aortic dissection and arterial tortuosity.

These three problems, just one of them can be fatal to a person.

As a result, this old lady played a trio!

Not even one of them was played!

If this time bomb explodes, it will be a beast out of the cage.

But if it doesn't explode, it will be a fight of trapped beasts! !

Now...

According to the past twenty-one years.

This aneurysm and aortic dissection are likely to be a fight of trapped beasts.

Humans are very strange animals.

If you talk about many things scientifically, they turn out to be very metaphysical.

You say you want to talk about metaphysics, but in the end it turns out to be very scientific.

Just like this old lady in front of me.

The aneurysm of the ascending aorta, 7.5 cm in diameter! It has grown for 21 years without exploding!

Is this scientific? ?

It is definitely not scientific!

This is very, very rare among the existing cases.

It is even the first case Zhang Yi has seen so far, and the first case Jin Zhenglun has seen!

This shows how outrageous the aneurysm in the heart of this old lady is.

So what about from a metaphysical point of view? ?

Is this aneurysm and the old lady's body... balanced with each other? ?

Aneurysm: Oh, old lady, I won't explode, you live well.

Old lady: Oh, good, I'll live well, don't explode.

This is metaphysics! !

The pressure, blood flow rate, etc. between the aneurysm and each blood vessel adapt to each other and balance over time.

That’s why this time bomb can stay in the old lady’s chest cavity for so many years without any harm.

Now it has grown to a diameter of 7.5 cm, and interventional treatment is far from enough.

Only thoracotomy is possible.

But after thoracotomy, relying on external participation to break the ‘certain’ balance in the old lady’s body, can the old lady still survive? ?

No one can say for sure.

Zhang Yi practiced a 7.1 cm aneurysm combined with aortic dissection in the system.

But even if the trainees in the system are realistic, they are still fake!

That’s what the system uses for Zhang Yi to practice surgery.

That’s not a real person!

The variables of a real person are the biggest!

Just like this aneurysm that has not exploded for 21 years.

This is the biggest variable!

So…

After Zhang Yi guessed that the old lady knew about her illness a long time ago.

Combined with what she said, the aneurysm has a history of 21 years.

Zhang Yi’s current thought is…

Same as the old lady!

No surgery!

Let the old lady and the aneurysm adapt and balance each other.

In the ICU, Jin Zhenglun wanted to persuade her again.

But he looked up at the other patients around him and asked the family members to go out and talk with him first.

Now we know that this aneurysm has a 21-year "history".

Then other things can be discussed in the office.

In the ICU, it will disturb other patients to rest and recuperate.

Soon, a group of doctors followed Jin Zhenglun back to the office.

"Dean Jin, this old lady is 85 years old and is going to have this operation? Is the risk too high?"

Qin Huajun walked beside Jin Zhenglun, looked at the family members next to him, and then asked Jin Zhenglun in a low voice.

Jin Zhenglun frowned.

The huge ascending aortic aneurysm appeared in his mind again.

Oh, it feels tricky just thinking about it.

"Why not? If you don't do it, this aneurysm is a time bomb that can kill the old lady at any time.

The old lady is just suffering from bronchial infection now, and there are no other major problems. As long as the aneurysm can control its rupture, the old lady may live another ten years."

"Well...then...then let's discuss it with the family members?"

"Yes."

Kim Jong-lun nodded.

The doctors and three family members sat down in the office again.

"We just learned about the situation. The reason why this aneurysm can become so big is entirely due to time.

Long-term non-treatment has caused it to grow to a diameter of 7.5 cm.

Family members, I want to ask you..."

Kim Jong-lun was halfway through his speech and turned to look at the family members when he suddenly

I found that the seat where Zhang Yi sat just now was empty.

"Huh? Where is Zhang Yi? Where did Zhang Yi go?"

The crowd realized that Zhang Yi did not return to the office for the meeting!

"Yes, where is Zhang Yi? I saw him just now."

"Did he not come to the office? How about I go to the ICU to see if he is still in the ward?"

Jin Zhenglun glanced at the empty seat and nodded to the person who spoke:

"Go, let's continue the meeting."

...

Just now.

After a group of doctors and family members walked out of the ward, only Zhang Yi was still standing there.

On the bed, the old lady was sitting at the head of the bed breathing oxygen.

She glanced at Zhang Yi and asked softly:

"Doctor, why don't you leave?"

Zhang Yi pursed his lips, walked to her ear and asked:

"Old lady, do you really want to go down to see your husband? So you didn't want to treat this disease from the beginning, right?"

After saying this, it was very obvious.

Zhang Yi felt the old lady's body stiffen.

Then he heard the breathing sounds in her lungs getting heavier.

Then there was a violent cough.

"Cough... cough... cough..."

"Oh, don't worry! Old lady, don't worry! I'm just asking! If you really don't want to treat it, I will go and persuade your daughter and son!"

After a few seconds, the old lady really stopped coughing.

But the breathing sounds were still very heavy, even if Zhang Yi didn't bring a stethoscope, he could hear it.

The old lady turned her head and looked at Zhang Yi.

Because of her old age, the old lady's eyes are no longer particularly bright.

With a grayish color.

But despite this, Zhang Yi still read a trace of joy, excitement and...happiness in her eyes.

She looked at Zhang Yi and asked:

"How can you...see what I'm thinking, kid?"

This young doctor can understand.

But his own children can't understand...

Zhang Yi held her hand and comforted her:

"I'm just guessing, but don't think too much, old lady. Your children love you very much.

You are their mother. They already have no father. Would they have the heart to let their mother leave?

That's why they want to operate on you.

If it were me, any child, I would do the same as them.

It's just...I have no blood relationship with you. I just think from your perspective.

That's why I agree to your conservative treatment."

In the ICU, except for the patient lying on the bed and unable to move, there are only the old lady and Zhang Yi who can speak.

The old lady's eyes were filled with tears. After a long silence, she spoke with a faint resentment:

"When the child's father died, I didn't want to live anymore...

But I thought that the children had just started their own families and careers. It would be a big blow for them if they lost their mother after losing their father.

So even if I found out about this aneurysm, cough cough... I didn't go for treatment.

First, because I really didn't have money, and second,...

Second, because I wanted this time bomb to take me away.

I wanted to leave it to fate and let God take me away.

What a pity... I have been listening to this for twenty-one years!

I have been waiting for twenty-one years and this aneurysm is still fine...

Cough cough... cough cough...

All these years, my son and daughter have Let me go for a checkup, how could I possibly go.

Once I go to the hospital... they will know about my illness.

Medicine is so advanced now, I asked the doctor, at that time my aneurysm was not big, and interventional surgery could cure it.

So I can't cure it.

I have to delay it until it explodes and takes me away directly.

Or... now.

Now I am so old, interventional surgery is definitely not possible.

Then I can only have surgery, and if I have surgery, the risk is definitely very high.

There is a high probability that I will die on the operating table.

So... even if this aneurysm doesn't explode, I can close my eyes..."

After listening to this, Zhang Yi was shocked and couldn't speak for a long time.

Good guy!

This old lady is really a ruthless person!

She has been thinking about suicide for twenty-one years!

Just waiting for this aneurysm and arterial dissection to explode!

What's the result?

But God played a big joke on her!

You want to die, right?

Hey, I won't let you die!

Oh!

Zhang Yi sighed.

Why is this happening...

This is the reason for all the fuss.

The old lady began to sob.

She continued while coughing:

"Since my husband passed away, there is no one around me to talk to...

The children are busy with work... I only live with my daughter for the past six months and with my son for the next six months.

Home

They are all popular, but they all have their own lives.

My grandchildren may not be willing to communicate with an old lady like me...

I... can't stand it...

Ahem... I really miss my old partner...

Doctor, please help me, I don't want to be cured! I really don't want to be cured! "