That's the way society is, if you don't have money, you will be looked down upon, and even breathing is wrong.

Poor in the downtown no one asks, rich in the mountains have distant relatives, don't believe you look at the wine in the cup, the cup first respects the rich.

In general, Ruan Bin completely supported his aunt's family this time, and I believe that his cousin-in-law's parents will not dare to underestimate his aunt in the future.

Some so-called 'city people' are like this, looking at you in the countryside and 'looking at you in the countryside', but when you have money, you don't dare to BB. On the contrary, it is a variety of sets almost!

There are more such villains.

......

That night, Ruan Bin returned to the magic capital.

His parents, second uncle and others will come over tomorrow by car, anyway, his parents have the keys to his house, and he doesn't need to ask for leave to pick up his parents tomorrow.

The next day, go to work as usual.

is on duty in the emergency department.

Not long after I got to work, suddenly a car was parked outside the emergency department, and before the door opened, someone shouted, "Doctor, doctor, help!"

Ruan Bin was at the front desk at this time, so he rushed out with Nurse Xiaoli and a flat car.

When I came out to look, I saw a man in his fifties lying in the back seat of a private car. There was also a lady of a similar age crying anxiously.

It was a young man who was driving, and it looked like it was supposed to be his son.

"Doctor, my dad suddenly fainted while walking~" Li Hao was sweating profusely and looked panicked. He was on vacation today, so the family of five went for a walk in the park early in the morning.

After walking for about ten minutes, his father suddenly fainted and fell to the ground. Fortunately, his car was parked outside the park, so he sent it directly. His wife and son were coming home to get their health insurance cards or something.

"You and I will lift you into the flat car first!" Ruan Bin said.

"Good!"

The patient, named Li Nong, was quickly lifted into a flat car and sent in.

Ruan Bin pushed the cart and threw a general diagnosis in the past.

This kind of sudden coma, myocardial infarction, cerebral infarction may be very large!

Especially at this age of 50s!

Patient: Li Nong

Age: 55 years old

Medical records: hypertension, type A aortic dissection aneurysm.

"Type A aortic dissection aneurysm?" Ruan Bin took a breath after reading it!

This disease can kill you at any time!

"Fortunately, the aneurysm has not ruptured yet, fortunately, as long as the operation is successful, you can save your life!" Ruan Bin said secretly in his heart.

As for why the aneurysm went into shock without rupturing, there are three reasons!

First, type A aortic dissection exudes into the pericardium, causing pericardial effusion, restricting cardiac contraction, causing a decrease in blood pressure and causing shock.

Second, after the false lumen of type A dissection compresses the true lumen, the blood supply arteries of the internal organs of the limb arteries are affected, and even cause obstruction and shock.

Third, if type A dissection involves a coronary artery and causes myocardial infarction, it will also show signs of shock.

Now it doesn't matter which one causes the shock, what he has to do now is to quickly diagnose this patient, and then let the cardiovascular surgeon come over for surgery, and it's done!

At this time, nurse Xiaoli had already measured Li Nong's blood pressure, and Ruan Bin was pulling an electrocardiogram.

"Blood pressure 90 mmHg, 45 mmHg!" Xiao Li said.

"Such low blood pressure!" Ruan Bin pretended to look solemn, looked at the electrocardiogram he had just pulled out and said, "It's not a myocardial infarction." ”

"Let's go for a chest CT!" Ruan Bin said directly.

Li Hao, a family member next to him, was stunned, didn't he need to ask about his father's situation?

A click is a check......

But he didn't jump out and ask anything, after all, his father was in a coma.

"Just go for a CT?"

"Go!"

"Uh, yes. ”

Soon, the CT was taken.

Sure enough, it is the same as the one above in the general diagnosis, it is a type A aortic dissection aneurysm!

"You're the patient's son, aren't you?" Ruan Bin said to Li Hao with the examination report.

"Yes. ”

"Your father's condition is dangerous, and we have given you a critical illness notice. ”

As soon as this sentence came out, Li Hao's lips turned white instantly!

Critical Illness Notice!!

When I heard it, I thought it was serious.

His dad is only 55 years old......

"What's wrong with my dad?"

"Your dad has a type A aortic dissection aneurysm! I'll tell you plainly, if this aneurysm ruptures, it will die at any time. So I recommend that it's best to have surgery as soon as possible, preferably today! We don't know when this aneurysm will rupture. I'm going to get the cardiovascular surgeon over now and see what they have to say. Because when the time comes, the doctor in their department will do it for your father. Ruan Bin explained.

"Aneurysm?"

"Rupture?"

"Dead at any time?"

Airplanes!

As a young man, of course, he has also heard of the words arterial dissection and aneurysm, although he does not know very well, but he also knows that it is a serious illness!

And the cost of surgery is not low, it is hundreds of thousands!

But he is a company executive, money is not a problem, as long as he can save his father, everything will be fine!

"I'll do the surgery, just today!" Li Hao immediately agreed.

"Well, I'll contact you with the cardiovascular surgery side first. ”

Soon, Zhang Chao, deputy director of the Department of Cardiovascular Surgery, arrived.

When Zhang Chao finished reading the patient's CT images and learned about the patient's basic situation and previous medical records, his brows suddenly wrinkled!

"Panda blood! This operation is very difficult!" Zhang Chao said in a deep voice.

"What's wrong?" asked Ruan Bin.

"The patient is panda blood, and I don't know if the blood bank is enough to support this operation! Because a large amount of blood is needed to do this overlying aortic arch replacement surgery. Another is that due to the special place where the aneurysm grows, there is only one anastomosis in the island arch replacement at that time, but the distal anastomosis field is deep and difficult to ......operate," Zhang Chao explained.

"Let's check how many units of blood there are at the blood bank center!" Ruan Bin suggested.

"Well, that's what I thought, too. ”

If the amount of blood is not enough to support an operation, then the operation cannot be carried out at all, not to mention the difficulty.

And panda blood has always been in short supply!

Fifteen minutes later.

There was news from the blood bank center, and there was only 500 milliliters in stock.

Zhang Chao, who heard the news, said helplessly: "It's not enough, it's far from enough!"

Because surgery is done on the aorta, the amount of bleeding is often very large!

Generally conservative, you have to prepare 15 to 2,000 milliliters of blood!

Ruan Bin also frowned, it was indeed not enough to support this operation!

At this moment, Wei Haiyang hurriedly ran over and said, "Ruan Bin, Director Zhang, the situation is not good, the patient's aneurysm has ruptured!"

Rumble......

The news was like a bolt from the blue!

This surgery has to be done if you don't have it!