Chapter 659: Making History
Fang Jianzhang is not in the ward.
The old man is not familiar with it on Monday.
But Monday didn't leave immediately.
On Monday, I chatted with the old man with a match.
"Uncle Fang, how is your health lately?"
"It's not as good as a day, and now I'm tired and panicked when I get out of bed. ”
"Director Fang, what about people?"
"You said Jianzhang, he went out to buy breakfast. ”
"How has your appetite been lately?"
"I can't eat it, so I drink a little porridge in the morning, and my stomach will swell. ”
"Have you ever vomited?"
"Yes, I was nauseous last night. ”
"How's it going to go to the toilet?"
"I hardly go to the toilet during the day and order it more often at night. ”
……
While chatting on Monday, he turned on the assistive system scan.
He wants to give the elderly a comprehensive examination to see if the condition can be solved by surgical treatment.
Monday when the Monday is questioned.
Cao Xiangwen was also on the side.
At first, he thought that Zhou Yi was just visiting the sick and asking a few words with concern.
Gradually, he found that Zhou Zhou asked more and more detailed questions.
I even asked about vomiting and going to the toilet.
It doesn't sound like what it's like to be visiting a patient.
It's more like seeing a patient, asking for a doctor.
Cao Xiangwen didn't know that he had two major extracardiac surgeries on Monday recently, and Director Tian hadn't told him about it.
Cao Xiangwen only knew that he knew a little about the clinical diagnosis of heart disease this week by going to the emergency department for consultation.
At this moment, he secretly wondered in his heart, did he want to see Fang Jianzhang's father this week?
Hmph! Cao Xiangwen sneered in his heart.
This is really Lu Ban playing a big axe in front of the door and a big knife in front of Guan Gong.
I can't help myself.
I have to say that you do have some skills on Monday, but your little clinical knowledge of heart disease is nothing outside the heart.
This patient, Director Tian and himself, have already been consulted, and they are basically resigned to fate. Could it be that you are a young man in the emergency department, and you still want to take a good look at him?
Don't say you're just a resident doctor, team leader, even if you Director Jiang comes, it won't work.
It's no wonder that Cao Xiangwen has these thoughts.
Normal people think so.
How can an emergency doctor have an extracardiac specialist who has studied this kind of valvular heart disease.
"Do you usually breathe well?" asked Monday.
"It's fine during the day, but sometimes I can't breathe at night. ”
Seeing that Monday is still in the consultation.
Cao Xiangwen has a little temper, are you doubting the level outside our hearts?
He was a little angry and said, "Doctor Zhou, we have already checked yesterday, and Director Tian and I have already consulted. The situation has already been told to the director of the house. ”
Cao Xiangwen said it very politely.
That means, you don't get involved here.
Monday was not angry at all.
When he decided to come yesterday, he had already taken this situation into account.
Go to other people's territory to grab patients, if it is an expert with status, to nothing, I am a young person, and it is true that I don't give others face.
Cao Xiangwen was angry, that was normal.
However, his life was at stake, and he agreed to Fang Jianzhang, so he also came hard.
Now Cao Xiangwen said two words.
Monday didn't feel anything.
He can still bear this grievance.
Monday was silent.
One of the benefits of being in the emergency department is that it sharpens a lot of temper.
Now he has finished asking what he should ask, and the results of the system's inspection have come out.
Condition: loss of appetite, tiredness, nausea, nocturnal polyuria, paroxysmal dyspnea.
Condition: Enlarged heart, severe aortic stenosis with insufficiency, mitral valve, tricuspid valve, pulmonary valve lesions, regurgitation. Decreased cardiac function.
Disease prediction: within three months, the probability of death from heart failure is 50%, and the probability of death from heart failure at six months is 90%.
Treatment: Multi-valve replacement
After reading the diagnostic results of the system.
That's a surprise and a delight.
I was shocked that the condition was really serious, I had read the examination report yesterday on Monday, plus today's inspection and consultation, and I felt that the old man could still support it for one or two years.
But the display of the system is only half a year at most. This was a big surprise to Monday.
Happily, the treatment plan given by the system is multi-valve replacement.
The system gives this treatment plan, which proves that as long as the skill level is sufficient, the patient can afford this surgical treatment.
As for his own level, of course, Zhou Zhou is not worried.
Not to mention Qin Zhong, even in the whole country, there is no doctor who is more experienced in multi-valve replacement than him.
Yesterday's premium copy wasn't for nothing.
Plus there is the help of assistance systems in reality. Monday is full of confidence.
Understood what was happening in front of you.
The next thing is how to extract the tooth from the tiger's mouth outside the heart and facilitate the operation.
Until then, we need the support of Fang Jianzhang.
Fang Jianzhang bought breakfast and hasn't come back yet.
In the ward, in front of the elderly, it is not easy to talk about the condition.
Monday ended the visit and came to the promenade.
He is ready to wait here for Fang Jianzhang.
Cao Xiangwen was still a little dissatisfied with Zhou Zhou's performance just now.
He didn't bother with Zhou Zhou anymore and went on to do other things on his own.
Monday was also a quiet day.
I didn't have to wait long.
Fang Jianzhang appeared in the corridor with a thermos bucket.
When he saw Zhou Zhou, he immediately greeted him.
"Xiao Zhou, you're here, I'm sorry, I'm going to buy breakfast. ”
"It's okay, I haven't been here for long. ”
"Let's go, I'll take you to the ward. ”
"No need, Director Cao has already taken me there just now. ”
"Oh, you know all about that. ”
Monday nodded.
Fang Jianzhang couldn't wait and said, "How is it, how is my father's condition?"
Zhou Zhou said: "The situation is not optimistic, I tell you the truth, it is estimated that my uncle can only hold out for half a year at most." ”