330 can't take care of his own body
When it comes to treating patients, doctors and family members often think differently.
Doctors think about how to save the patient's life as much as possible.
The issues considered by the family are correspondingly much more complex.
cost issues,
post-healing problems,
or even a matter of care,
They are all the focal points of conflicts between patients' families that often occur in hospitals.
This is the first time that Yuntian has encountered such a situation.
But the family did not sign and agreed to proceed with the next step of surgery.
Yuntian has no way to operate on the patient privately.
You have to wait for the patient to sign off.
"Will my father come to his senses?" different questions have been asked many times by the patient's family.
Yun Tian looked at the time, and it had taken nearly 20 minutes to communicate with the patient's family.
In 20 minutes, the patient's life is passing little by little, but at this time, the family obviously has not considered the patient's treatment.
"Not sure. In the face of such a caring patient's family, Yuntian replied more cautiously helplessly.
Although Yuntian is more than 90% sure, the patient's postoperative recovery should be relatively good.
But there is a 10% chance that the patient will have serious sequelae if not cautious at this time.
This 10% could ruin your career.
Yuntian really wants to truthfully explain the patient's condition to the patient's family, but the reality does not allow it.
If I tell the patient, I'm 90% sure that your father is recovering. Patients simply ignore the 10% chance of worsening.
Once the patient's condition deteriorates, Yuntian's kind words of comfort to the patient's family at this time will become a fuse for doctor-patient disputes.
Therefore, although Yuntian was anxious, he could only wait patiently for the patient's family to make a decision.
"Treat, must be treated, hurry up!" The patient's wife, with the support of the nurse, came to the door of the catheterization laboratory.
Said firmly to Yuntian.
"Okay, if you agree to the surgery, please sign it. There was one that could be signed, and Yun Tian handed over the consent form for the execution of the operation as quickly as possible.
"This is the consent form for surgery, please read it carefully, patients may have cerebral vasospasm and cerebral blood vessel rupture ...... after stent implantation" Although the time is pressing, Yuntian still carefully explains the important content on the consent form to the patient.
Every time Yun Tian said that there might be serious complications in an operation, the patient's wife's hand couldn't help but shake.
However, after Yuntian finished talking about all the possible complications during the operation, the patient's wife still signed steadily.
His mother signed off on the operation, and the patient's son didn't say anything.
Yun Tian, who finally got the signature of the surgical consent form, returned to the operating room as soon as possible and began the operation.
The stent placement of the M section of the middle cerebral artery is no longer difficult for Yuntian.
The surgery was successfully completed.
Imaging again.
Vascular stents are well adherent.
The distal blood supply to the stenosis was restored, and the blood flow was good.
"It's all blocked
In this way, a stent will be done, and without this, the patient will be in trouble after such a severe occlusion. Looking at the clouds and flowing water, Zhao Lei sincerely sighed when he completed the M1 segment stent implantation of the middle cerebral artery recognized as difficult in the industry.
"Interventional surgery has a very obvious effect on vascular occlusion lesions. Especially for such patients who undergo infarction. For such a long period of infarction, the thrombolytic effect is bound to be poor, and if there is no interventional surgery, it is difficult to say the patient's recovery. Yun Tian also sighed.
The more surgeries are performed, the more you can feel the benefits of interventional surgery for patients with cerebral infarction.
"Boss, if we can set up a stroke center, the treatment process for patients will be more simplified, and the treatment results for patients will probably be better. Zhao Lei suddenly proposed.
The so-called stroke center is a joint operation model composed of only the emergency department and neurology department.
This mode of practice can buy time for patients as soon as possible, and the most precious thing for stroke patients is naturally time.
If a stroke center is established, it will naturally improve the rescue of patients.
Yuntian had a feeling of movement in his heart.
did not respond to Zhao Lei's words, Yuntian bowed his head and walked out of the room.
Start printing on the screen when disposing of a stronger image on the lookout.
"How's the surgery going?"
"How's my father doing?"
As soon as Yun Tian came out, the patient's wife and son came up at the same time and asked anxiously.
"The operation has been completed, and we have treated the original infarct site with a stent, and after the stent implantation, the blood circulation of the original middle cerebral artery that was basically occluded has been ......restored," Yun Tian said, taking out the corresponding pictures and then only giving them to the patient's family.
Detailed explanation of how the blood flow of self-inserted stent patients is restored.
"Will my father be able to recover now?" The patient's son has always paid more attention to the patient's recovery.
"Now I can only say that the blood supply to the brain has been restored, and there may be some complications after the blood supply is restored, and I have communicated with you before. As for the patient's recovery, it depends on the recovery of brain cells after the blood supply is restored, and it is difficult to determine to what extent. Yun Tian replied truthfully.
"Still can't be sure, so what's the point of having this surgery?" the patient's son was a little discouraged.
……!
If your father hadn't had this surgery, it would have been a matter of recovery now.
As the blood vessels become infarcted, the patient can even be life-threatening.
But in this case, Yuntian naturally can't say it directly to the patient.
"With the unblocked blood vessels, the patient's infarction will be alleviated to a certain extent, and the ischemic brain cells will be reperfused, and there will be more hope for recovery. Yun Tian thought about the words for a moment before answering.
"It's not cost-effective to spend so much money to buy a hope of recovery!" replied the patient's son, reluctantly.
"Okay, Xiaolong, the money for the operation is the pension money for me and your father, your father
What can the pro recover to, the doctor has already done what he should do, and the next thing is to depend on his own life. The patient's wife probably couldn't listen to her son's words anymore, so she said on the side.
"Isn't my father worried that he's really paralyzed like this, and there's no way to take care of him?" the patient's son argued.
"If your father is really paralyzed, and your mother is still here, I will always serve your father well and will not cause you trouble. "How can a mother not know her son's thoughts?" The patient's wife listened to her son's words and simply picked out the words and said clearly.
"How can you have time to take care of my father, if you take care of my father, who will take care of the two children in the family? What do you call this? My father is really, he can't even take care of his own body......" The patient's son did not calm down because of his mother's comfort, but scratched his head and said with a little irritation.