Wei Jinshui was rushed to the hospital by 120 emergency services two days ago. Due to spontaneous bleeding from the left anterior communicating artery aneurysm, he fainted on the way to school on his electric bike.
"The patient's narrow neck left anterior communicating artery aneurysm has achieved good results after being treated with platinum spring coils." Sun Lien found Wei Jinshui's case record from the file in his hand. "The surgeon in charge of the operation was Dr. Dong Xin. The degree of embolization of the aneurysm was
95% of doctors said that the patient's current level of consciousness is good, and except for slight numbness in both lower limbs, there is no other neurological dysfunction."
Liu Tangchun nodded and suddenly asked, "What is the difference between GDC (guglielmi detachable coil, electrolytic detachable coil) treatment and traditional craniotomy and balloon dilation treatment? What should patients pay attention to after surgery?"
This is a test for Sun Lien. GDC treatment is a typical neurosurgical treatment, and it is not something that emergency doctors need to master.
After pondering for a moment, Sun Lien replied, "GDC performs electrolysis while placing the spring coils. The treatment time is short, it will not hurt other brain tissues, and will not cause iatrogenic brain damage. The platinum coils attract blood cells under the action of electricity.
, forming embolism to fill the fragile aneurysm body. Compared with balloon dilation, it can adapt to the complex shape of the aneurysm body and is less likely to cause aneurysm rupture."
"What should you pay attention to after surgery?" Liu Tangchun was quite satisfied with Sun Lien's answer. "Did you give his medical advice?"
"The patient's medical instructions were given directly by Dr. Dong Xin." Sun Lien spread his hands, "After the operation, we mainly need to pay attention to the occurrence of complications such as hydrocephalus. Carry out vascular imaging review within three months."
"Ah?" Before Liu Tangchun could speak, Wei Jinshui, who was lying on the hospital bed, shouted first, "Do you still want to come for a checkup?"
Liu Tangchun asked with a smile, "Why, you don't want to come to the hospital?"
Wei Jinshui's face didn't look good. He hesitated and said, "I will take the college entrance examination next year. Isn't this a waste of time?"
Liu Tangchun continued to ask, "What is the college entrance examination for?"
"In order to go to a key university, I have to honor my parents after I work." Xiao Wei answered without hesitation. It was obvious that he really thought so. "It's so hard for them to work from dawn to dusk. I want to be independent as soon as possible so that I can be independent."
They take it easy."
"Then you have to come for the check-up on time." Liu Tangchun said sternly, "If there is a problem in the early check-up, it may be solved by taking medicine. But if you delay and refuse to come, then you may need another surgery.
.Do you know how much your surgery cost?"
Classmate Xiao Wei's face became even worse, "Did you spend a lot of money? My family has no money!" He lowered his head and cried quietly, "The two of them borrowed money to buy a computer in order to make school easier for me.
Give me the train. What should I do if I still haven’t repaid the money I borrowed from my relatives?”
No one knew how much pressure this seventeen-year-old boy had carried in his past life. But this sudden illness suddenly broke through the last line of defense in his heart. He sat on the hospital bed with his head lowered.
I looked up and the tears just fell down my cheeks. One by one they fell on the bed, on the white quilt of the hospital.
Liu Tangchun was stunned. He walked to Wei Jinshui's bedside, sat down and touched the boy's hair. "Boy, don't cry."
Wei Jinshui wiped the tears on his face in a panic, "I'm sorry...I...I couldn't hold it back."
"You are still young. You are seventeen years old, not yet an adult." Liu Tangchun looked like an old man chatting with his neighbor's grandson. "It's too early to worry about making money now."
"But..." Wei Jinshui wiped his tears, his body shaking with sobs, "Our family really has no money..."
"Leave these things to the adults to worry about." Liu Tangchun's answer was decisive, "You can't help with anything if you worry about this now. Get better quickly and come for a review on time. Don't add new burdens to your family. This is what you can do
What you’ve done. Do you understand?”
After leaving Wei Jinshui's ward, Liu Tangchun led a group of people for a long distance before lowering his voice and saying, "Does anyone know why I didn't tell him about the insurance just now?"
After a long silence, Zhou Jun broke the silence, "Because we don't know the patient's family's explanation of this issue, and the issue of payment of treatment costs that has arisen is not what the patient needs to know."
"If you answer too much, it may cause the patient's family to fall into some kind of moral trap. For example, if they often lie to their children." Liu Tangchun shook his head and turned to Sun Lien, "You saved a good child.
In this day and age, it’s rare to see someone who is so considerate of their parents.”
The rescue Liu Tangchun mentioned was not just treatment. It was also because Sun Lien used his own body to block Zheng Xiaoyu's flying kick for the unconscious Wei Jinshui. Liu Tangchun had seen the surveillance video, and if Sun Lien hadn't used his own chest
After blocking for a while, Zheng Xiaoyu was afraid that he would kick Wei Jinshui directly on the head. No one knew whether this kick would break the cerebral aneurysm that had spontaneous bleeding.
Ward rounds are still going on. The emergency department admitted nearly 400 people yesterday, of which about 300 were discharged on their own after simple treatment. There are 68 people newly admitted to the general ward waiting for surgery, and 31 people have already been operated on. Four firefighters
and three flight ambulance personnel were arranged into the ICU ward for enhanced observation.
"This patient's situation is quite special." Finally it was Zheng Guoyou's turn. Liu Tangchun stood at the door with a smirk on his face and said to the many doctors behind him, "In order to ensure the quality of the ward rounds, I specially invited the nursing department of our hospital to
Director Xiao Lirong participated in the ward rounds. Everyone applauded and welcomed her!"
There was a burst of warm applause in the corridor of the inpatient ward, as if a leader had come to inspect. Director Xiao Lirong, wearing a white coat, nodded and smiled at the applauding young doctors around her. Then she walked up to Liu Tangchun. "I knew it, sir.
Liu, you are such a bad person, you must have no good intentions when you ask me to come with you for ward rounds."
"I want to let young doctors master more knowledge." Liu Tangchun chuckled, moved a little, and used his body to block the patient's name at the door. "Director Xiao, what do you think about the post-operative care of patients and the inspection of doctors' orders?"
You are all authorities, and being able to invite you to participate in ward rounds is also a valuable experience for these young doctors!"
Liu Tangchun put a big hat on Xiao Lirong, and suddenly there was a crisp sound of footsteps from a little distance. Sun Lien turned around and found that the person who came was none other than Xu Yourong.
"Sorry, I'm late." Xu Yourong nodded coldly to the doctors around him and explained to Liu Tangchun, "I didn't know today was the day for ward rounds. No one informed me yesterday."
"It's okay. You just came to our emergency department not long ago, so it's understandable." Liu Tangchun nodded and took half a step back, revealing Sun Li'en who was blocked by him. "You can ask Li'en about the previous ward rounds records. Okay.
Here we are, the last patient." He turned around and opened the door behind him, "Director of the Orthopedics Department of the Fourth Central Hospital, Zheng Guoyou!"