301 is frizzy

(Thanks to friends for their empty and lonely cold 671112, the agreement of unintentional people, and the encouragement of diligent herding monthly passes)

"I'm going to do it, I'm going to do it. ”

The child's parents were thinking about it, but the child spoke.

The big guy turned his head to look over, Wang Chao shook his head helplessly, "He asked me." ”

"Peng Peng, didn't the doctor say just now that this examination is dangerous. The child's father walked up to him.

"Although it will get sick now, we can observe it for another two years, if it doesn't get better when it's older, let's do it again, okay?"

"Dad, you just let me do it, otherwise what's the point of living now?" Peng Peng said with a wry smile.

"At school, everyone will keep their distance from me. Because they don't know when I'm going to get sick, they're afraid it's because of them that I'm having a seizure. ”

"The teacher will always remind me that no matter what I do, I will find someone to accompany me. I'm afraid that if I get hurt when I'm alone, the school will take responsibility. ”

"You're worried that I won't be able to live a normal life in the future, so I'm trying to make money now. My dad has to go to work as a substitute driver at night after work, and my mom has to go to the supermarket to work as an hourly worker. ”

"I know you're doing it for my own good, but I don't want to be a burden to my family. Didn't we say that we would ask for a brother or sister for me, because I dragged down the family, and you didn't dare to ask for it. ”

"Peng Peng, it's okay for Mom and Dad to work hard, we're still young. When you get better, we'll be able to save a lot of money. Peng Peng's mother wiped away a handful of tears and tried to squeeze out a smile.

"Mom, I know you and my dad are doing it for my good. But...... But I don't want to live like this anymore. In the past two years, I have been checking non-stop and spending money on home remedies, I ...... I feel distressed. Peng Peng said.

"During the Chinese New Year last year, my relatives at home were obviously estranged from our family. I knew they were afraid that I would get sick again, so I borrowed money from them. ”

"Mom, just let me do the checkup. I'm not afraid, I just want to know what kind of disease I am, whether I can cure it, and now I'm going to school for you. ”

"Originally, today was a break, but I also wanted to earn some money for my family, so I went to the national exhibition to participate in cosplay. I...... I really don't want to live like this anymore......"

In the end, Peng Peng squatted directly on the ground and cried.

The conversation of this family of three made some nurses on the side very uncomfortable, and Xu Dan's tears flowed down directly.

The feeling of happiness is the same, but the unhappiness is different.

The originally happy life of a family of three was directly disrupted because of Peng Peng's epilepsy. His parents had to look not only at the present, but also at the future.

Today's children are sensible early, and they work so hard and desperately, which makes the sensible Peng Peng even more burdensome.

"Okay, let's do it. Peng Peng's father said.

Liu Banxia nodded, "Doctor Liang, make preoperative preparations." I will contact the cardiology department, and the doctor in charge of the cardiology examination will explain the procedure and the possible risks to you. ”

Although as a doctor, Shi Lei still felt that Liu Banxia's suggestion was really too bold, and if it was not done, there would be a problem. But now that I have agreed, I feel inexplicably relieved.

Before they knew it, they were all thinking about this child.

Liu Banxia really didn't delay, and made a private call directly to Xu Guosheng. Hearing that Liu Banxia actually did a cardiac electrophysiological examination in such a step-by-step manner, the patient's parents even agreed, which surprised him.

Again, if there are certain indications, it is still possible to communicate with the patient and family members by doing the corresponding examination. Liu Banxia is now relying on speculation, not to mention that his eyes are black.

And although this is an examination, it is actually an interventional examination, which requires entering the catheterization laboratory. To put it bluntly, it is also a serious operation, not only to make preoperative preparations, but also to contact the operating room.

After collecting the blood, Liu Banxia took the family to the cardiology department.

"Dr. Liu, I reported this patient's situation to our Director Zheng, and he felt that there were some things that needed to be communicated in advance. Xu Guosheng said.

"What's wrong, what's the stubble?" asked Liu Banxia worriedly.

Xu Guosheng shook his head, "Follow me to listen to Director Zheng, it's also a coincidence, just after the operation, the operating room we are going to is also being cleaned up." ”

"It's really true, it's hard work for Dr. Xu. Liu Banxia hurriedly said.

Peng Peng's family is also a little happy now, and they have been running to the hospital for the past two years. Naturally, I know that there is still a big difference between letting the head of the department diagnose and the general doctor of the department to diagnose.

"Director Zheng, I'm sorry for your trouble. After coming to the office, Liu Banxia hurriedly said.

"I've heard Dr. Xu explain the situation, but there is one situation you forgot to consider. Zheng Xinliang nodded.

"If we are discovering that a certain myocardial fiber is really intermittently necrosis, you forget to think about what kind of correction we should use. ”

Liu Banxia patted his head, "It's really like this, I just think about checking it." ”

After finishing speaking, he looked at Peng Peng's family again, "The cost of this inspection is also a bit high, if my guess is correct, and I find that point or line during the inspection, I can also do the corresponding correction." ”

"The most common method is radiofrequency ablation, which directly disposes of the problem. But there is still a certain risk in our situation. ”

"If it's really Ass syndrome, there may be other heart muscle fiber problems. At that point, we need to re-examine and re-process. ”

"So a better way is to install a cardioverter defibrillator that will defibrillate and correct the irregular heart rate when it is found that it is affecting the heart function. ”

"If you make such equipment, there will be a cost involved. The price is relatively high, ranging from tens of thousands of yuan to 100,000 yuan, and you need to be mentally prepared in advance. ”

"Of course, this is all based on the premise that it is indeed Ass syndrome, and we will only correct it when we find a problem at a certain point in the heart muscle. ”

Zheng Xinliang nodded, "That's pretty much the case." Ablation can be corrected on the spot, and cardioverter-defibrillator can achieve a more worry-free effect. ”

"If we choose the latter, we don't need to do ablation if we confirm the diagnosis after the examination. The operating room is being prepared, and you can discuss it. Dr. Xu, let's prepare a room for them, let them think about it, the cost involved is a bit large. ”

Xu Guosheng nodded, and then led Peng Peng's family to another room.

"I've heard your name, but I really didn't expect your kid to be so bold. Zheng Xinliang said with a smile.

"Director Zheng, I also see that the child is having a bad time. And I had three seizures today, and when I connected the monitor, my blood pressure and heart rate were zero. I thought that if it was a normal reaction, it was an irregular heart rate. Liu Banxia hurriedly said.

Zheng Xinliang nodded, "There are advantages to doing inspections, and there are reasons not to do inspections." Nowadays, the doctor-patient relationship is so tense that heart diseases can only be manifested in the event of an attack. ”

"I've also looked at the echocardiogram and I really can't see any obvious organic damage at the moment. Your guess is still very likely, that is, to take a certain amount of risk. ”

"What if the child had just had a simple characteristic epilepsy? Have you ever considered that result? After all, the cost of this test is not cheap. ”

"Director Zheng, I've thought about it. When the time comes, there will be no other way, whether it is scolding me or complaining about me, I will have to listen. Liu Banxia said with a wry smile.

"But I can't help it, I saw the performance on the monitor. Liang Xiaolin from our department had already made a judgment at that time, but she didn't expect her blood pressure and heart rate to rise immediately. ”

"By the way, Director Zheng, can you let Liang Xiaolin learn about this operation? Although she is a doctor in cardiac surgery, she may also be able to use it in the process of emergency treatment in the future. ”

"You're pretty good at taking advantage, okay, call here. Zheng Xinliang smiled and nodded.

It's just a small request, and it won't make a difference if you bring one more person to watch. And the difficulty factor of this operation is not very high.

Liu Banxia hurriedly called Liang Xiaolin again and asked her to come here to report first, and then follow them to the operating room together.

After Liu Banxia's phone call was over, Xu Guosheng also led the family of three to walk in from outside. Looking at the expressions on their faces, it was much more relaxed than it had just been.

"Director, Dr. Liu, has already made a decision. If the diagnosis is confirmed, a subcutaneous implantable cardioverter-defibrillator is chosen. Xu Guosheng said.

"Peng Peng can't be allowed to suffer anymore, if it's really this disease, he can install a defibrillator and be able to do it once and for all. Spend some money, and it's not in vain. Peng Peng's father said.

"Dr. Liu, we also understood when Dr. Xu explained to us just now. Knowing that you are really for the good of Pengpeng, you can rest assured that we thank you regardless of the inspection results. ”

Liu Banxia smiled bitterly and shook his head, "I'm very entangled now, looking forward to being diagnosed, so that Peng Peng can live a normal life in the future, but the two of you will have to pay more attention in the future." ”

"If not, Peng Peng would still have to suffer from epilepsy. Okay, Director Zheng, Dr. Xu, the patient should be transferred to the heart, and I have to go back to the emergency department to keep an eye on it. ”

After Liu Banxia finished speaking, he nodded and left the cardiology department directly.

He knew that there would be gratitude from the patient's family, and it must be Xu Guosheng who explained the stakes clearly in the process of explaining the operation.

But he didn't take such a thank you too seriously. I have seen too many patients' families thank each other in front of them, and then turn their faces. Only gratitude after the illness is cured, that is sincere.

And now he is also hanging in his heart, and today's work is also a little frizzy.

In the emergency department, a lot of things should be explained to the patient's family, even during the operation, and the corresponding inquiries can be made, after all, there is not much time for the family to think about it.

In the future, you have to pay attention to all the situations to be taken into account.