Zhou Jun's temper has been very bad these days. Even if Sun Lien is blind, he can guess that his senior brother is in a very unhappy mood after the Zhou Jun Joint Security Office conducted three "anti-medico scalper" drills in two days.
Okay, and it probably has something to do with the doctor or the scalper. But now Zhou Jun is the biggest in the emergency room, and Liu Pingchuan, who is in charge of "supervision", not only has no objection to Zhou Jun's behavior, but is also giving all kinds of support.
There is actually nothing to say about this kind of drill without precedent or plan. The basic routine is for medical staff to leave the scene of the conflict as soon as possible and for the staff of the security department to intervene quickly. However, after practicing too many times, Sun Lien gradually felt that something was not quite right. So he took advantage of the situation.
After the third exercise was over and everyone was leaving, Sun Lien braved the situation and asked Zhou Jun what was going on. Then he got a shocking answer.
"Director Liu was arrested?" Sun Lien was so shocked that he was so surprised that he didn't even notice that he almost shouted these words.
"I just spent one night at the police station." Zhou Jun frowned and explained, "Are you afraid that others won't know or something? Pay attention to the impact!"
What the capital police comrades were worried about did indeed happen. The five medical doctors insisted that they had no intention of guiding others and were just bragging and chatting. As for the subsequent action, it was just four people acting bravely. They insisted that they had no ill intentions.
, and at the same time, these five people really have no criminal record, and the result is that Liu Tangchun will not be able to leave for a while. The whole case can only be handled as "picking quarrels and provoking trouble." Here, Liu Tangchun was left to record a confession all night, while on the other side
, several police comrades took turns to interrogate these five medical practitioners over and over again. Finally, they found the surveillance video near the unlicensed small clinic, which proved with irrefutable evidence that these five people often took other people to the clinic together.
Furthermore, two patients who had been deceived were found in the clinic, which finally freed Liu Tangchun from this trouble.
Criminals will do everything they can to crack down on people who act bravely. Only when everyone starts to worry about the consequences of their acts of courage can they be more brazen in defrauding and abducting people without worrying about being discovered. But Liu Tangchun insisted on his own views. The behavior of these people is based on
Fraud can be considered a lenient treatment. Think about Xiao Yanran's case. She deceived patients who needed medical treatment to go to such an unlicensed small clinic for treatment. This should be treated as murder.
Although the troubles in the capital have finally come to an end, the news that Liu Tangchun was detained for a day by the police comrades still reached Zhou Jun's ears. And the method Zhou Jun used to exert pressure was also very simple. He called directly to Beijing Medical University.
He went to the dean's office and spent a long time explaining his "reasons" to the dean.
As mentioned before, Zhou Jun's greatest ability is that he does not utter a single curse word, but he can make people feel uncomfortable when he curses.
Although the director of the First Hospital of Peking University was also innocent and was scolded for no apparent reason, how could Zhou Jun take care of this? His mentor was in their territory, and in order to protect their patients, he was taken to the police station.
He stayed there all day. And your hospital didn’t even go to the police station to offer condolences. Based on this, if it weren’t for the fact that he couldn’t leave now, Zhou Jun would even want to fly to the capital to have a fistfight with the director.
Collision with physical passion.
Sun Lien sighed. If Zhou Jun was in a bad mood, it would be emergency doctors like them who would suffer. After going back and forth for training, many doctors had begun to complain. Our Fourth Central Hospital is an emergency central hospital with a large emergency model.
When do patients need to make an appointment before they can see a doctor? Even if there is a practice, it should be done at the outpatient clinic, right? Even if a doctor is eloquent, he may not be able to deceive patients with broken arms and legs, internal bleeding and poisoning.
Go to an unlicensed small clinic? Even if they dare to deceive me, which family member would dare to believe it?
It can be said that the Fourth Central Hospital has no conflict with medical care and scalpers. Because it is impossible for them to get involved from here, not to mention that Lao Wu, who is on standby at the gate every day, fully hopes to catch a group of scalpers to relieve his boredom.
.
Sun Lien finished checking today's room and looked at Yang Jianqiang's wife sitting quietly on a stool outside the ICU. He sighed and did not go over to disturb her.
Yang Jianqiang's condition is still very dangerous. As Sun Lien worried and expected, after using sulfadiazine and pyrimethamine, abscesses gradually began to appear in multiple organs in his body. Fortunately, his immune system has been suppressed.
It has reached a very low level, and all life support measures in the ICU are in place. Yang Jianqiang's brain abscess has begun to show signs of shrinking, while his cardiac edema and liver damage are still barely within the safe range.
However, the condition of the kidneys is relatively poor. Fortunately, his kidney function has not been completely lost, and he does not need to use a continuous blood purification program. He only needs to undergo dialysis every two days.
If nothing else goes wrong, Yang Jianqiang's chances of survival are still very good. As for Yao Zhuangxian, who "keeps his heart in his belly", the situation is not so optimistic.
The knife inserted into the chest cleanly penetrated Yang Jianqiang's chest wall. Although it did not directly damage the lung lobes, it still caused a very serious problem. Doctors from the Fourth Central Hospital performed emergency closure and chest drainage on Yang Jianqiang.
, and moved him to the inpatient area of the general surgery department. Logically speaking, this patient has nothing to do with Sun Lien. But how could Sun Lien not be curious at all about such a rare case?
However, this case was so rare that the cardiac surgeons at the Fourth Central Hospital were not mentally prepared for Yao Zhuangxian's condition. The long-term compression of the heart and the long aortic vein connecting the heart led to Yao Zhuangxian's death.
The load on his heart was extremely heavy. And the knife on his chest was like the finger that pulled the trigger, causing Yao Zhuangxian's condition to take a turn for the worse.
According to the discussion between Sun Lien and Yuan Pingan, the situation is probably like this.
Congenital cardiac ectopia is not "without side effects" for Yao Zhuangxian. In fact, because the aorta is about 30% longer than normal, Yao Zhuangxian himself should have the problem of increased ejection resistance during left ventricular systole.
In order to overcome this resistance, the human body will in most cases undergo compensatory hypertrophy of the ventricular muscles, increasing muscle density to ensure the amount of blood ejected by the heart during contraction. However, because the position of his heart is different from that of ordinary people, and
There are many organs squeezing around the heart, so Yao Zhuangxian's myocardial hypertrophy does not actually appear as outward expansion of hypertrophy, but takes another compensatory path. His resting heartbeat frequency is nearly higher than that of normal people.
Double. At the same time, Yao Zhuangxian's coronary arteries underwent compensatory proliferation. According to B-ultrasound results, Yao Zhuangxian's coronary arteries were approximately 60% longer than normal people, which helped his myocardium gain more
blood to maintain high-frequency beating.
However, the normal metabolism of the human body has its limits. No matter how much oxygen the myocardium receives, it cannot turn into a small electric motor that keeps jumping. A large number of proliferated coronary arteries are like the compensatory cerebral blood vessels of moyamoya disease, with complex shapes and small diameters.
, which means that they can get clogged easily.
Yao Zhuangxian was frightened after being stabbed, and his heartbeat rate went up to a higher level. And primary myocardial ischemia caused by hyperplasia and blockage of coronary arteries became the last straw that broke the camel's back. Although this straw itself can
After the camel was crushed to death, Yao Zhuangxian's heart quickly showed signs of expansion and failure. The most direct symptoms caused by the expansion of the heart that pressed against the stomach were Yao Zhuangxian's frequent vomiting and acute difficulty breathing.
In order to correct his vomiting and support his breathing, the Department of Cardiac Surgery and Critical Care Medicine carried out preventive treatment. Although he has not yet reached the point where he needs ecmo support, if his heart cannot be put back to the correct position as soon as possible, then Yao Zhuangxian will die.
I can only take a chance on a heart transplant.
The problem is that the cardiac surgery department at the Fourth Central Hospital is not very good at correcting cardiac ectopy. In fact, the hospitals that are best at correcting cardiac ectopy should be children’s hospitals in various places. The reason is also very simple. There are very few
Some children with cardiac ectopia will not show obvious malformation features. What Sun Lien and Yuan Pingan can't figure out the most is this problem. It is obviously a symptom that is easily discovered in infancy. Why did Yao Zhuangxian have cardiac abnormalities?
But it has never been discovered?
However, this question is destined to never be answered. Yao Zhuangxian has no relatives, at least according to the police investigation, he has no living relatives. Fortunately, Yao Zhuangxian's company is quite kind, and the company has bought supplementary commercial insurance for everyone. At the same time,
, because Yao Zhuangxian was injured during the company's team building period, his injury was classified as a "work-related injury." This allowed the company leaders to become Yao Zhuangxian's medical agent and make some key medical decisions for him. Especially for
After his vomiting and struggling were corrected and the hospital was not allowed to use anesthetics to induce coma, this characterization became very important.
"In his current condition, it is definitely unrealistic to transfer him to another hospital." Sun Lien and Yuan Pingan discussed for a while, and even invited Xu Yourong and Zhou Ce to join in. "Or, you can consider asking a cardiac doctor from the Children's Hospital for consultation?
"
"The biggest difficulty in the operation for cardiac ectopia in infants and young children is actually that their organs are too small and it is difficult to anastomose blood vessels." Xu Yourong thought for a while, shook his head and said, "It would be okay if it was just a common heart exposure. In summary
All it takes is opening the chest and returning the heart to its normal position."
Sun Lien smiled bitterly, "Your summary is really concise."
Xu Yourong ignored Sun Lien and continued his analysis, "Abdominal cardiac ectopia is different. First, his heart must be cut out from the abdominal cavity, and then the aorta and veins connected to the heart must be ligated, and the physical signs must be maintained through extracorporeal circulation. Then
The chest cavity is then opened, excess blood vessels are trimmed, and the remaining blood vessels are used to reconstruct the arteries and pulmonary arteries. At the same time, the left and right pulmonary veins and the superior and inferior vena cava are connected, and six anastomoses need to be sutured."
Zhou Ce continued, "In terms of workload, this is roughly equivalent to a heart removal, an aorta replacement, and a heart transplant."
"There was another PCR intervention. Don't forget that he had myocardial infarction." Yuan Ping'an added, "Basically, this is equivalent to three level four surgeries and one special access level three surgery performed at the same time."
The three men shook their heads together under Xu Yourong's calm gaze, "It's not easy to do!"