I can see the status bar

Chapter 86

Wei Jinshui was rushed to hospital by 120 two mornings ago.Because of the spontaneous bleeding of the left anterior communicating artery aneurysm, he fainted on the way to school by electric bike.

"The patient's narrow neck left anterior communicating artery aneurysm was treated with platinum coils, and the effect is good." Sun Lien found Wei Jinshui's case record from his own file, "The surgeon is Dr. Dong Xin. After GDC treatment, The degree of embolization of the aneurysm was 95%, the patient's current level of consciousness is good, and there is no other neurological dysfunction except for slight numbness of both lower limbs."

Liu Tangchun nodded and suddenly asked, "What is the difference between GDC (Guglielmi Detachable Coil) treatment and traditional craniotomy and balloon dilatation treatment? What should patients pay attention to after surgery?"

This is to test Sun Lien. GDC treatment is a typical neurosurgical treatment content, which is not what emergency doctors need to master.

After pondering for a while, Sun Li'en replied, "GDC performs electrolysis while placing the coil, the treatment time is short, it will not damage other brain tissues, and will not cause iatrogenic brain injury. The platinum coil attracts blood cells under the action of electricity. , forming an embolism to fill the fragile aneurysm body. Compared with balloon expansion, it can adapt to the complex shape of the aneurysm body, and it is not easy to cause aneurysm rupture."

"What should be paid attention to after surgery?" Liu Tangchun was quite satisfied with Sun Lien's answer. "You made his doctor's order?"

"The patient's doctor's order was directly issued 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. An angiographic image review will be performed within three months."

"Ah?" Before Liu Tangchun could speak, Wei Jinshui, who was lying on the hospital bed, called out first, "Do you still have to come for an examination?"

Liu Tangchun asked with a smile, "Why, don't you want to come to the hospital?"

Wei Jinshui's face was not very good-looking, 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 purpose of the college entrance examination?"

"In order to go to a key university, I will honor my parents after I come out to work." Student Xiao Wei answered without hesitation, and it was obvious that he really thought so. "It's too hard for them to work from dawn to dusk. I want to be self-reliant earlier and let them relax."

"Then you have to come for the check-up on time." Liu Tangchun said seriously, "If there is a problem in the early check-up, maybe it can be solved by taking medicine. But if you procrastinate and refuse to come, then maybe you need another operation .Do you know how much you spent on this surgery?"

Xiao Wei's expression 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 to make it easier for me to go to school. Give me the car. I have borrowed money from relatives and haven’t paid it back, what should I do?”

No one knows how much pressure this 17-year-old boy has carried in his past life.But this sudden illness broke the last line of defense in his heart.He sat on the hospital bed with his head down, tears streaming down his cheeks.One by one, they landed on the bed, on the white quilt of the hospital.

Liu Tangchun was stunned, he walked to Wei Jinshui's bed, sat down and stroked the boy's hair. "Boy, don't cry."

Wei Jinshui wiped the tears from his face in a panic, "I'm sorry...I...I couldn't hold back."

"You are still young. You are 17 years old, not yet an adult." Liu Tangchun seemed to be a grandfather chatting with the grandson next door. "It's too early to worry about making money."

"But..." Wei Jinshui wiped away his tears, his body shaking from sobbing, "Our family really has no money..."

"Let the adults worry about these things." Liu Tangchun's answer was firm, "Now you worry about this, and you can't help anything. Get well soon and come for a review on time. Don't add new burdens to your family. This is what you can do." What I did. Do you understand?"

After leaving Wei Jinshui's ward, Liu Tangchun led a group of people for a long distance before asking in a low voice, "Why didn't I tell him about the insurance just now, does anyone know?"

After a long silence, Zhou Jun broke the silence, "Because we don't know the explanation of the patient's family members on this issue, and the payment of treatment expenses that has already occurred is not what the patient needs to know."

"If you answer too much, the family members of the patient may fall into some kind of moral trap. For example, whether they often lie to their children." Liu Tangchun shook his head and turned to look at 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.”

Liu Tangchun's rescue is not just about 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, if Sun Lien hadn't blocked it with his chest, Zheng Xiaoyu would have kicked Wei Jinshui directly on the head - no one knows if this kick will break the already spontaneous Hemorrhagic cerebral aneurysm.

Ward rounds are still going on. The emergency department admitted nearly 400 people yesterday, and about 300 of them were discharged after simple treatment.There are 68 people waiting for surgery in the new admission general ward, and 31 people have already had surgery.Four firefighters and three flight ambulancemen were placed in the ICU ward for enhanced observation.

"This patient's situation is quite special." Finally it was the turn of Zheng Guoyou's ward.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 rounds, I specially invited Director Xiao Lirong from the Nursing Department of our hospital to participate in the rounds. Everyone applauds and welcomes!"

There was a burst of warm applause in the corridor of the inpatient ward, as if a leader came to inspect.Director Xiao Lirong, wearing a white coat, nodded and smiled at the young doctors applauding around.Then he walked in front of Liu Tangchun. "I knew, Old Liu, that you have a bad stomach. You must have no good intentions to ask me to come and make rounds with you."

"I'm here to let young doctors acquire more knowledge." Liu Tangchun chuckled, moved his body a little, and used his body to block the patient's name at the door. "Director Xiao, you are an authority on patients' postoperative care and doctor's order inspection. It is also a valuable experience for these young doctors to invite you to participate in ward rounds together!"

Liu Tangchun put a big hat on Xiao Lirong, and suddenly there was a burst of crisp footsteps from a little distance away.Sun Lien turned his head to look, only to find that the person who came was Xu Yourong.

"Sorry, I'm late." Xu Yourong nodded coldly to the doctors around him, and explained a little more to Liu Tangchun, "I didn't know that today is the day of ward rounds, and no one informed me yesterday."

"It's okay, you just came to our emergency department not long ago, so I can understand." Liu Tangchun nodded, and took half a step back, revealing Sun Lien who was blocked by him, "You can ask Lien about the previous ward round record. OK The last patient." He turned his head and pushed open the door behind him, "Director of the Orthopedics Department of the Fourth Central Hospital, Zheng Guoyou!"

(End of this chapter)