Chapter 677 Multiple choice question, too difficult!
Zhao Yuan had just returned to the office after an operation.
Shan Zhenyu rushed over and placed a red-headed document on Zhao Yuan's desk.
Zhao Yuan glanced at it, frowned slightly, and said with a faint smile, "Director Shan, should you participate in this event on your behalf?"
Shan Zhenyu shook his head and refused, "How can that be done? Everyone outside knows that I have sealed the deal, so this is a good opportunity for you to show up."
The document was issued by the Neurosurgeon Branch of the Provincial Medical Association.
Although Tianhua's neurosurgery has always been at a disadvantage, Tianhua Hospital still has to arrange for people to attend meetings like this.
As the acting director, Zhao Yuan was able to get in touch with experts in the province and become familiar with them.
Zhao Yuan was not very interested in this.
Industry associations like this are nominally about learning from each other, but in fact they are just a formality and a formality.
A group of people were sitting in a conference room talking eloquently.
Zhao Yuan felt from the bottom of his heart that it would be more reasonable to perform two more surgeries and save two more patients.
However, since Shan Zhenyu asked him to participate, it was hard for him to refuse.
Shan Zhenyu is the vice chairman of the Provincial Neurosurgery Branch. Although he has no actual power, he still has a name.
Zhao Yuan knew Shan Zhenyu's good intentions, and he planned to hand over this position to himself.
After all, most of the department directors of Tianhua Hospital hold positions in branches of the Provincial Medical Association.
Zhao Yuan thought about the whole story and said with a smile, "Okay! Then I'll listen to you."
Shan Zhenyu sighed softly, "I know what you are thinking. You can't help yourself when you are in the world. The position of department director is not easy to sit in. Not only must you be good at business, but you must also have a certain depth of connections. I am very fond of Tianhuazhi.
So the contribution is not big, mainly because I didn’t do a good job in this aspect. I hope this situation can be changed in your hands.”
Zhao Yuan quickly comforted him, "Director Shan, please don't say that. The development of the department requires a little luck. We Tianhua just lack a little luck."
Shan Zhenyu introduced the internal structure of the branch to Zhao Yuan, then turned and left the office.
Zhao Yuan looked at Shan Zhenyu's hunched back and sighed secretly.
After being sealed off, Shan Zhenyu suddenly aged several years. Not only did his thin hair turn into silvery white, but his back and waist also collapsed.
Zhao Yuan knew that Shan Zhenyu seemed to be in good mental condition, but those were all disguised. The drugs used to treat Parkinson's disease would cause fatal damage to the nervous system.
There was a call from the critical care department, asking Zhao Yuan to arrange for someone to check on a patient.
The patient underwent surgery at the Department of Thoracic and Cardiovascular Surgery, but after the surgery, he suddenly developed a vomiting reaction and his brain waves were very disordered.
Preliminary examination suggested it was cerebral embolism.
Zhao Yuan arrived at the intensive care unit, and Gao Qian took the initiative to explain the situation to Zhao Yuan.
"The patient had chest tightness and shortness of breath for three months. After the condition worsened, he went to the respiratory department of our hospital. It was found that the aorta was severely calcified and the heart was enlarged. Cardiogram showed three-vessel disease, with 90% obstruction of the anterior descending artery, 95% obstruction of the right coronary artery, and gyrus.
The blockage is 95%. I have had surgery and it went relatively smoothly.”
Zhao Yuan examined the patient and said: "It should be that a blood clot fell off during the operation, causing a cerebral infarction."
Gao Qian lamented, "When I had the surgery, I had a premonition that this would happen, but I was just taking a chance."
Zhao Yuan comforted Gao Qian, "It's not that you are taking chances. The patient's coronary heart disease is too serious. You have used thrombolysis during the treatment, but you still underestimated the horror of the disease."
Surgeons are not omnipotent. Sometimes they know the risks and have no choice but to compromise.
The patient is an eighty-five-year-old old lady. In her case, aortic calcification surgery is very risky. Gao Qian's ability to successfully complete the surgery is enough to prove her strength.
If Zhao Yuan had performed this surgery, he would most likely have faced the same situation.
"There is no other way. The only urgent task is to intervene to remove the thrombectomy."
After Zhao Yuan discussed with Gao Qian, they began to prepare for the operation.
He read the patient's laboratory test orders and examination reports and had a certain understanding of the patient's condition.
Gao Qian went out to explain the situation to her family.
The patient's family members were overjoyed when they heard that the operation was successful, but when he became critically ill in the intensive care unit, their mood plummeted.
"We should listen to mom and let her go without pain."
"Are you talking like a human being? Is it easy for my mother to raise the three of us? You have made a name for yourself after all, but how come you have no humanity at all?"
"I'm inhumane? Have you paid a penny since Mom was hospitalized?"
"Yes, I didn't pay. But am I taking care of my mother? My wife hasn't had a good night's sleep in two months. Your wife posts travel photos in WeChat Moments all day long."
The two brothers had a disagreement and were about to fight each other with fists and kicks.
Gao Qian frowned and scolded, "Please be quiet, this is a hospital. The patient is in critical condition in the intensive care unit, so make a decision quickly."
Although interventional surgery does little harm to the patient, it is a surgery after all and involves entering the brain, so there are always risks.
Gao Qian rarely shows her emotions, but now she is more excited. On the one hand, she feels that her operation is not perfect, and on the other hand, the patient is in a critical condition.
The old lady has four children. The eldest died a few years ago. The second and third children had differences because they took care of her mother. The fourth child is a daughter and knew something was wrong. She pulled Gao Qian aside and said with red eyes, "
Director Gao, please quickly perform surgery on my mother."
"Then you sign?"
"If we can't sign it, it's up to my brother and the others to make the decision."
Gao Qian sighed secretly, what time has it been, and they are still having some kind of house fight.
The old lady's children are actually quite filial, but they are not united at critical moments for some selfish reasons.
It's okay to quarrel in normal times, but now it's a time when lives are at stake.
Gao Qian came to the intensive care unit again, smiled bitterly at Zhao Yuan and shook her head.
Zhao Yuan was surprised, "No signature?"
Gao Qian told Zhao Yuan about the situation outside.
Zhao Yuan frowned, "I'll go over and talk to the family. You can communicate with the medical office. If it doesn't work, you can only do surgery directly."
Cerebral infarction has a very high fatality rate. Even if it is in the intensive care unit, if it is not treated in time, it is very likely that the person will die in the next second.
The medical office does not open a green channel for every patient it encounters.
It depends on who the surgeon is.
For a doctor of Zhao Yuan's level, the probability of the medical office coming forward is still very high.
Zhao Yuan went outside and saw the old lady's two sons, sitting alone in a corner with stern faces and paying no attention to each other.
"Are you the patient's family? I am a neurosurgery doctor. Director Gao did not explain something clearly to you just now. I must explain it to you in detail now. If the patient does not undergo surgery, he can only last for half an hour at most."
"Didn't my mother have a heart bypass? Why is it related to her nerves?"
In fact, Gao Qian had already explained the problem of blood clots just now, and the second child asked again.
Zhao Yuan patiently explained the cause of the disease, "If we want the patient to survive, interventional surgery must be performed, and it must be done immediately."
The second child hesitated and said, "Doctor, save her. Can she take care of herself? I have a friend who suffered a cerebral hemorrhage and survived, but it's useless."
The second child spoke in layman's terms, but Zhao Yuan had no idea.
The third child said loudly next to him, "You are just afraid of spending money."
The second child glared at the third child, "I'm afraid that my mother will live in pain. After the operation is successful, the person will be stupid, so what's the point?"
