Rebirth 90: I opened a hospital in Shencheng
Chapter 623 Useless work is the norm!
Chapter 623 Useless work is the norm!
"I still don't know where the child's blood clot is, and it's not easy for such a young child to tell." Nie Chen nodded.
The main reason is that this family is very special. If the operation is not successful, or if the postoperative recovery is not good, then the family will disintegrate...
Nie Chen walked outside the emergency room and found that Lu Bingbing was playing with her parents. She liked to laugh and seemed very happy.
He walked over.
"Doctor Nie."
"Well, does this kid like to play outside?" Nie Chen asked.
"Yeah, I really like playing outside, and sometimes I don't like to go home." Her father said.
"Doctor, if the child is fine, can we leave the hospital?" asked the child's mother
Nie Chen was silent for a moment and said, "You can't be discharged from the hospital yet."
"why?"
"I think you have the right to know the truth. I must tell you that there is a tumor in this child's head..."
"what?"
"Tumor?"
The couple were shocked immediately.
"Well, and it's developing very fast, now there are two places, and there are thrombus."
"Well, what should we do then?" the child's father asked.
Nie Chen said: "I need surgery immediately."
"Then, what, doctor... what should I do?" the child's mother was anxious.
Nie Chen said, "Don't worry, don't worry, aren't we all trying to find a way?"
conference room.
When Nie Chen rushed over, the other experts were already seated.
Huang Zhimin greeted: "This is the founder of Aihua Hospital, Nie Chen."
"I know."
"We've seen..."
Nie Chen saw that everyone present was very familiar with each other. When he went to the main building, he often ran into them, and they all became acquaintances.
"Dr. Naie, tell me your opinion, or the operation plan." The cerebrovascular expert said.
Nie Chen nodded and sat on the chair and said, "Well, my surgical plan is to perform surgery on Lu Bingbing to remove the tumor and at the same time look for any embolism in the cerebral blood vessels."
"This... is this too dangerous?" said the oncologist.
Yu Zhongcai sat in the back seat and asked, "What about the surgery plan?"
Nie Chen said: "Cerebral angiography plus three-dimensional reconstruction is done before the operation to try to find the location of the thrombus. Then, the tumor is removed during the operation to remove the thrombus. But if the location of the thrombus cannot be found before the operation, then we are removing the tumor. Afterwards, another cerebral angiography was performed during the operation."
The oncologist said: "This tumor has a rich blood supply. It is very likely that the angiography is negative, and we need to do another angiography during the operation. In case... I mean in case! In case the blood vessels spasm, the whole brain will be damaged. You'll lose your blood supply."
"That's right, with such a malignant tumor, the recovery is very slim. If there is another problem during the operation, it will be brain death."
Nie Chen nodded: "Yes, that's right, everything you said is right, but if this operation is not done, Lu Bingbing will die of blood clots first! Not the tumor!"
A bald expert, who is the director of pediatrics, said angrily: "Isn't this a joke! How can you use your child as a TV? You can turn it on and off whenever you want. If you can't get off the operating table, how can you explain to your family? Oh no, it’s another medical lawsuit.”
"Besides, if this kind of operation is done, it won't be done within the scope of your emergency department, right?" Academician Zhuang Zhiqiu said.
Nie Chen smiled and said: "Of course, you are right, so all the people doing it are experts. This operation will be performed by a brain surgery expert, and I can observe."
But the risk factor of this operation is too high, and the child is very likely not to be able to get off the operating table.
Even if it is Huang Zhimin's knife, it is still the same!
And Lu Bingbing's is a malignant astrocytoma.
The door of the meeting room was opened.
Jiang Luoyan led Lu Bingbing's parents in.
"Dr. Nie told us about the condition just now." Dou Ya's father said.
The oncologist said: "We have done some research and found that if we perform surgery, the hope of cure is very slim. It is very likely that we will not be able to get off the operating table... The patient's tumor has spread, and the overall risk is greater than the cure rate. Besides, in our operation, , but also need to do angiography, which is even more risky!”
"Whether we should perform this operation or not? Since the patient is admitted in the emergency department, I think we should ask Director Yu for his opinion."
Yu Zhongcai turned his head to look at the family of three, Lu Bingbing's face was flushed.
"Since the family members are here, then I will say it outright."
Yu Zhong straightened his expression and said: "The young patient is not very old. Everyone should know that the blood vessels of children are much thinner than those of adults. Once an embolism occurs, can they be found?
It is a problem, and the tumor needs to be removed in advance, and the risk factor is nearly three times higher than that of adults! "
"These family members should know, right?"
Lu Bingbing's father and mother glanced at each other.
Yu Zhongcai continued: "Also, even if the tumor is removed during the operation, the embolized blood vessels are not found. Between one and two months, the young patient is still... Well, I think this decision still has to be made by the family. Bar."
Huang Zhimin nodded.
Although he felt that the child could still be saved, the possibility of being able to be cured was hardly ten percent.
Nie Chen said: "You are the parents of the child, you decide."
The child's mother looked at each other and nodded.
My father said: "Director Yu, Dr. Nie, you are all good people, and you are all thinking about the patient...we still don't do surgery."
Nie Chen asked: "Why?"
"Lu Bingbing and her mother, we both seem to be gambling all our lives, betting on marriage and children. We don't have the courage to gamble anymore. Since it's all a result, we just want our children to live happily. until the last day."
"We really can't afford to lose, Lu Bingbing has been in this world, she is a good child, she will remember your hard work."
Lu Bingbing's father bowed several times, then opened the door and left.
Originally, Nie Chen believed that there was still a glimmer of hope for this operation.
However, the patient's family members voluntarily gave up, and he will not be too entangled in this matter.
This is different from the kind of service in the outpatient clinic.
After the doctor gives advice, the right to choose is still in the hands of the patient.
Moreover, after Lin Xuan and Lu Bingbing's family explained the Aihua Fund, her parents were still unwilling to take the risk of surgery, so they had to wait and see.
An ambulance stopped at the entrance of the emergency department. He turned his head and glanced at it, and said instinctively, "Get ready, emergency room."
"Okay." Lin Xuan was stunned for a moment, then recovered and answered.
Nie Chen quickly ran over and asked, "What's going on?"
"The male Zhang Qi is 23 years old, and the female Wang Xiaoqing is 26 years old. Two hours ago, they drank dichlorvos!" Dr. Che said hurriedly.
"Dichlorvos?"
"How much did you drink?" Nie Chen asked.
"I drank one bottle in total!" Doctor Jiuche said.
The woman was foaming at the mouth, and she was no longer conscious.
"Push to the emergency room! Let Director Yu come over."
"Yes!" The nurse replied.
"Where's the man?" Nie Chen asked.
Immediately after, an ambulance came and stopped at the door of the emergency department.
Nie Chen hurriedly followed, and listened to Doctor Cha and said, "This man only took a sip, and the woman drank the rest."
"The woman's blood pressure is 90/60, and [-] mg of atropine was given intravenously."
Nie Chen nodded. Seeing that the man was still conscious, he asked, "What's your name! What's your name?"
"Zhang Qi, Zhang Qi."
"What's the girl's name?"
"Wang Xiaoqing."
"The female is in a coma, and the male is conscious, so send them to the emergency room!"
"Yes!"
(End of this chapter)
"I still don't know where the child's blood clot is, and it's not easy for such a young child to tell." Nie Chen nodded.
The main reason is that this family is very special. If the operation is not successful, or if the postoperative recovery is not good, then the family will disintegrate...
Nie Chen walked outside the emergency room and found that Lu Bingbing was playing with her parents. She liked to laugh and seemed very happy.
He walked over.
"Doctor Nie."
"Well, does this kid like to play outside?" Nie Chen asked.
"Yeah, I really like playing outside, and sometimes I don't like to go home." Her father said.
"Doctor, if the child is fine, can we leave the hospital?" asked the child's mother
Nie Chen was silent for a moment and said, "You can't be discharged from the hospital yet."
"why?"
"I think you have the right to know the truth. I must tell you that there is a tumor in this child's head..."
"what?"
"Tumor?"
The couple were shocked immediately.
"Well, and it's developing very fast, now there are two places, and there are thrombus."
"Well, what should we do then?" the child's father asked.
Nie Chen said: "I need surgery immediately."
"Then, what, doctor... what should I do?" the child's mother was anxious.
Nie Chen said, "Don't worry, don't worry, aren't we all trying to find a way?"
conference room.
When Nie Chen rushed over, the other experts were already seated.
Huang Zhimin greeted: "This is the founder of Aihua Hospital, Nie Chen."
"I know."
"We've seen..."
Nie Chen saw that everyone present was very familiar with each other. When he went to the main building, he often ran into them, and they all became acquaintances.
"Dr. Naie, tell me your opinion, or the operation plan." The cerebrovascular expert said.
Nie Chen nodded and sat on the chair and said, "Well, my surgical plan is to perform surgery on Lu Bingbing to remove the tumor and at the same time look for any embolism in the cerebral blood vessels."
"This... is this too dangerous?" said the oncologist.
Yu Zhongcai sat in the back seat and asked, "What about the surgery plan?"
Nie Chen said: "Cerebral angiography plus three-dimensional reconstruction is done before the operation to try to find the location of the thrombus. Then, the tumor is removed during the operation to remove the thrombus. But if the location of the thrombus cannot be found before the operation, then we are removing the tumor. Afterwards, another cerebral angiography was performed during the operation."
The oncologist said: "This tumor has a rich blood supply. It is very likely that the angiography is negative, and we need to do another angiography during the operation. In case... I mean in case! In case the blood vessels spasm, the whole brain will be damaged. You'll lose your blood supply."
"That's right, with such a malignant tumor, the recovery is very slim. If there is another problem during the operation, it will be brain death."
Nie Chen nodded: "Yes, that's right, everything you said is right, but if this operation is not done, Lu Bingbing will die of blood clots first! Not the tumor!"
A bald expert, who is the director of pediatrics, said angrily: "Isn't this a joke! How can you use your child as a TV? You can turn it on and off whenever you want. If you can't get off the operating table, how can you explain to your family? Oh no, it’s another medical lawsuit.”
"Besides, if this kind of operation is done, it won't be done within the scope of your emergency department, right?" Academician Zhuang Zhiqiu said.
Nie Chen smiled and said: "Of course, you are right, so all the people doing it are experts. This operation will be performed by a brain surgery expert, and I can observe."
But the risk factor of this operation is too high, and the child is very likely not to be able to get off the operating table.
Even if it is Huang Zhimin's knife, it is still the same!
And Lu Bingbing's is a malignant astrocytoma.
The door of the meeting room was opened.
Jiang Luoyan led Lu Bingbing's parents in.
"Dr. Nie told us about the condition just now." Dou Ya's father said.
The oncologist said: "We have done some research and found that if we perform surgery, the hope of cure is very slim. It is very likely that we will not be able to get off the operating table... The patient's tumor has spread, and the overall risk is greater than the cure rate. Besides, in our operation, , but also need to do angiography, which is even more risky!”
"Whether we should perform this operation or not? Since the patient is admitted in the emergency department, I think we should ask Director Yu for his opinion."
Yu Zhongcai turned his head to look at the family of three, Lu Bingbing's face was flushed.
"Since the family members are here, then I will say it outright."
Yu Zhong straightened his expression and said: "The young patient is not very old. Everyone should know that the blood vessels of children are much thinner than those of adults. Once an embolism occurs, can they be found?
It is a problem, and the tumor needs to be removed in advance, and the risk factor is nearly three times higher than that of adults! "
"These family members should know, right?"
Lu Bingbing's father and mother glanced at each other.
Yu Zhongcai continued: "Also, even if the tumor is removed during the operation, the embolized blood vessels are not found. Between one and two months, the young patient is still... Well, I think this decision still has to be made by the family. Bar."
Huang Zhimin nodded.
Although he felt that the child could still be saved, the possibility of being able to be cured was hardly ten percent.
Nie Chen said: "You are the parents of the child, you decide."
The child's mother looked at each other and nodded.
My father said: "Director Yu, Dr. Nie, you are all good people, and you are all thinking about the patient...we still don't do surgery."
Nie Chen asked: "Why?"
"Lu Bingbing and her mother, we both seem to be gambling all our lives, betting on marriage and children. We don't have the courage to gamble anymore. Since it's all a result, we just want our children to live happily. until the last day."
"We really can't afford to lose, Lu Bingbing has been in this world, she is a good child, she will remember your hard work."
Lu Bingbing's father bowed several times, then opened the door and left.
Originally, Nie Chen believed that there was still a glimmer of hope for this operation.
However, the patient's family members voluntarily gave up, and he will not be too entangled in this matter.
This is different from the kind of service in the outpatient clinic.
After the doctor gives advice, the right to choose is still in the hands of the patient.
Moreover, after Lin Xuan and Lu Bingbing's family explained the Aihua Fund, her parents were still unwilling to take the risk of surgery, so they had to wait and see.
An ambulance stopped at the entrance of the emergency department. He turned his head and glanced at it, and said instinctively, "Get ready, emergency room."
"Okay." Lin Xuan was stunned for a moment, then recovered and answered.
Nie Chen quickly ran over and asked, "What's going on?"
"The male Zhang Qi is 23 years old, and the female Wang Xiaoqing is 26 years old. Two hours ago, they drank dichlorvos!" Dr. Che said hurriedly.
"Dichlorvos?"
"How much did you drink?" Nie Chen asked.
"I drank one bottle in total!" Doctor Jiuche said.
The woman was foaming at the mouth, and she was no longer conscious.
"Push to the emergency room! Let Director Yu come over."
"Yes!" The nurse replied.
"Where's the man?" Nie Chen asked.
Immediately after, an ambulance came and stopped at the door of the emergency department.
Nie Chen hurriedly followed, and listened to Doctor Cha and said, "This man only took a sip, and the woman drank the rest."
"The woman's blood pressure is 90/60, and [-] mg of atropine was given intravenously."
Nie Chen nodded. Seeing that the man was still conscious, he asked, "What's your name! What's your name?"
"Zhang Qi, Zhang Qi."
"What's the girl's name?"
"Wang Xiaoqing."
"The female is in a coma, and the male is conscious, so send them to the emergency room!"
"Yes!"
(End of this chapter)
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