Chapter 685: If you don't intervene in time
Cardiologist Deng Li recognized Mu Chun at a glance.
"I am, I'm Mu Chun."
"Xiao Feng, this is Doctor Mu Chun, you have a better attitude towards others."
"Mu Chun? Is it the psychologist? ”
Mu Chun: ...... Why do more and more people know me, and when did I become so famous?
"But it's useless, Dr. Deng, we want family members, family members, even if Dr. Mu is amazing, psychosomatic doctors can't save heart disease, right?"
Mu Chun thought to himself, this is true, treating heart disease and treating heart disease are really not the same thing.
I can untie the knots in my heart, but I can't remove the blood clots from the patient's blood vessels.
Unable to find Li Mu and not knowing how to contact Qiu Tong's parents, Mu Chun was extremely worried.
Mu Chun, who was at the door of the emergency room, suddenly didn't know what to do.
Li Mu's purpose in calling him was very clear, that is, he didn't want the police to know about Qiu Tong, although Mu Chun understood that paper couldn't keep the fire, and the police followed Liu Mei's case to investigate, and Qiu Tong was already among the suspects of the police.
Mu Chun was worried that maybe Ikeda's heart was sent to the Ningyuan cemetery by Qiu Tong.
If this is the case, it is to help Liu Mei transfer the body, how can she not accept legal sanctions?
Everyone has compassion, Li Mu begged bitterly because he couldn't lose Qiu Tong, and now he couldn't live without Qiu Tong than when he was healthy.
It sounds counterintuitive, how can a husband still have feelings for his wife after he has pushed him downstairs?
Unless there is something abnormal or a nervous problem, under normal circumstances, the person who murdered him cannot easily let go.
But from another point of view, because Qiu Tong did something very excessive to Li Mu, but Li Mu survived, he lost a lot, not only his legs, but also the huge loss of the company during the long recovery period.
These losses include financial, physical and all aspects of life, in short, Li Mu's life has completely changed because of this fall.
A person who has lost a lot and doesn't want to lose more, for him, if Qiu Tong is well, he will not lose Qiu Tong.
Mu Chun could imagine Aki Tong eating in the hallway when he saw the TV hanging on the wall of the corridor of the hospital room playing the news of Ikeda's note.
The content of the news may be very simple, just to tell the public that the police found Ikeda's heart in the Ningyuan cemetery, and the heart was stored in a plastic bag, and the bag was in a vacuum state after the air was removed, so there was no particularly serious decomposition problem in the heart for the time being.
Just this minute or two of news is enough to make Qiu Tong fall into a state of collapse.
Originally, these women, whether it was Geng Meng, Qiu Tong, or even Liu Mei, had something in common including having an unhappy past, experiencing domestic violence or being full of hatred for their partners, in addition to that, another thing these women had in common was that they were easily influenced by others.
When some of the same ideas are constantly mentioned again and again around these people who are easily influenced by others, and if the person who advocates these ideas is themselves relatively high status or has a high reputation in a certain group, these impressionable people are prone to rationalize the consciousness of others as "I want to do something", "I should want to do this", and "I will get better if I do this".
By constantly rationalizing and internalizing some ideas, it finally becomes - brainwashing.
The simple and popular way to put it is - brainwashed.
Zhang Mei vaguely understood why Geng Meng said that she hated Zhang Mei, and the reason was precisely because although Geng Meng resented his married life and resented Chen Feng for treating each other roughly from time to time, but in this relationship, Geng Meng also gained, a sad and accompanied by an unspeakable "gain", that is, Chen Feng would be better than usual after beating Geng Meng, more obedient, would repent, beg for mercy, and say more sweet words than usual.
This is the "gain", a "gain" mixed with pain.
Many times, people ask why so many women have experienced domestic violence, and less than 1% of women actually take the matter to justice, and this emotional "gain" is one of the reasons.
Chen Feng's domestic violence was discovered by the aunt of the community neighborhood committee, and it was strongly exposed by Zhang Mei, who even made Geng Meng's divorce case appear in the women's newspaper at the time.
Why does Geng Meng hate Zhang Mei?
There may seem like no reason, but when you think about it, there are many reasons.
In a nutshell:
First, once divorced, Geng Meng lost Chen Feng, although she lost her husband who was domestic violence, she also lost her husband who would beg for mercy, and her husband who would be obedient to her.
Second, a kind of "common secret" that no one knows, only exists between the two, domestic violence is a "common secret", if Geng Meng doesn't tell anyone, a thought will gradually form in her heart - only I know the other side of Chen Feng, only I know that Chen Feng will lose control when he is angry.
These things are the ugly side of Chen Feng, naturally he doesn't want to be known by his family and friends, Geng Meng has them, so on top of this secret, Geng Meng has the right to "talk about conditions", and she occupies the active position.
Thirdly, the account is very bad. For Geng Meng, the pain he had already suffered was like a yellowed page, and it was impossible to return to its original color. Most people choose to swallow their anger and forgive after experiencing domestic violence, not entirely out of love and attachment to their other half, but a more subtle psychological state, "Since I have lost, if I let you leave my side, I will never have a chance to win it back." ”
This kind of psychology is somewhat similar to the reluctance of people who have already lost chips at the gambling table to leave, because once leaving in the heart of the gambler means real failure, and giving up is a complete loss.
It also corresponds to the old saying, gambling is not afraid of losing, and gamblers are such a mentality.
Once the divorce is completed, the bridge returns to the bridge, the road returns to the road, once turned around, from then on, the end of the world is strange, see each other again on the Huangquan Road, each other has already drunk Meng Po soup, who owed whom, who owed whom, where to start?
In this life, isn't the loss a foregone conclusion, and there is no chance to repay the principal?
Sometimes, what people think of soft-heartedness is actually based on choice, but some trade-offs and calculations are hidden under the surface, hidden in the innermost part of the cream cake, and they may not be able to discover it.
A lot of things are decisions made after choice, but the choice is no longer the questions printed on the test paper during the primary and secondary school exams.
Geng Meng hated Zhang Mei, what she hated was that she had no power to fight back after the two Qing Dynasty, Zhang Mei was reluctant to think of Geng Meng for more than 20 years, also because she didn't want to know what she might have done wrong at that time, she was young and vigorous or insisted on going her own way, and made decisions for others.
This is also why Dean Jia felt that Geng Meng was very strange at that time, and when he mentioned whether there were wounds elsewhere on his body, Geng Meng hesitated, and he hesitated when he mentioned domestic violence.
Whatever the reason, for Mu Chun, Chen Feng has left, and he can't tell whether Chen Feng was completely conscious at the time of the domestic violence, or whether as Chen Feng's mother said - this child never lies, he doesn't know what he has done.
Maybe Chen Feng does suffer from some kind of mental disorder, but he has passed away, and everything is just speculation.
The only one who may know the truth is Geng Meng, and she may not be able to say it clearly.
Li Mu's feelings for Qiu Tong are also similar to Geng Meng's, for people who have lost too much, if they want to continue to lose, then the previous loss may be wasted, and this loss cannot bring new "gains", so Li Mu's choice to forgive is not incomprehensible.
There are many layers of complex feelings, including love, attachment, and if Qiutong also leaves, who will he ask for compensation in the days to come?
So Li Mu didn't want Qiu Tong to have an accident, he was willing to rot everything Qiu Tong had done to him in his stomach, and he slowly faced the pain and never said anything to the outside.
Mu Chun is not an ordinary outsider, Mu Chun is the only person Li Mu can count on, he is counting on Mu Chun to save Qiu Tong.
When Qiu Tong returned to the ward with her meal, Li Mu saw Qiu Tong's fear from her panic and rolling tears, and also saw Qiu Tong's repentance.
This confession contains not only everything that happened, but also the message that Qiu Tong wants to destroy herself.
Li Mu, who had experienced too many things, clearly grasped the dangerous aura in it, but he couldn't find the police or tell anyone else, because that would make him lose Qiu Tong.
Qiu Tong's self-destruction and being taken to prison by the police are both "losses" for Li Mu, he doesn't want such a loss, he thinks of keeping Qiu Tong by his side.
This is man, a complex creature.
No one can help with this kind of complexity, because the world is never simple.
Nurse Ding Feng walked up to Mu Chun and told him that the patient had agreed to the operation and was now doing an examination, and Director Deng wanted to ask Dr. Mu Chun to come in and take a look.
Mu Chun followed nurse Ding Feng to the emergency room, and when he saw the ECG monitoring at the bedside, Mu Chun immediately realized how serious the situation was.
"She could understand me just now, but now she can't, you see."
Deng Li motioned to Mu Chun to look at the values on the monitoring monitor, heart rate 120 beats per minute, blood pressure 96/50mmHg, a layer of cold sweat appeared on Mu Chun's forehead, Qiu Tong's condition was very dangerous, it can be said that she had almost entered a state of shock.
"Even though it's a night emergency, coronary intervention can be performed immediately."
"Okay, if this continues, the blood supply to her organs will be seriously insufficient, and she won't live long."
The electrocardiogram report showed that the ST segment was significantly elevated, and the report of the laboratory department also showed that troponin was elevated.
"At present, it should have occurred avascular necrosis, if it is really myocardial infarction, there will be changes in the ECG later." Deng Li explained.
Based on electrocardiogram, the occurrence, location, degree and duration of myocardial infarction can be judged, and the coronary artery branches with lesions can be speculated, which provides an important basis for clinical observation of the condition and prognosis.
The principle of electrocardiogram is also very easy to understand, the electrodes are placed on the chest wall, you can feel the electrical conduction, and the electrical conduction is recorded on the electrocardiogram drawing, once there is a myocardial infarction, it means that part of the blood vessel is blocked, and the blockage leads to ischemia, and the myocardial discharge of ischemia and necrosis must be poor.
"Moreover, the blood test showed that troponin was also elevated, and the diagnosis of myocardial infarction appeared to be no problem." Mu Chun held the electrocardiogram and blood test report and frowned.
Troponin is a protein that is almost exclusively found in myocardial cells, and when troponin is elevated, accompanied by severe pain in the chest, nausea, a sense of impending death, mental disorders, arrhythmia, hypotension and other symptoms of myocardial infarction, it can be inferred that myocardial cells are necrotic and ruptured, releasing troponin into the blood, so an increase in troponin can be detected in the blood.
"It's okay to diagnose myocardial infarction, right? Did the patient have intense chest pain before admission? While administering treatment, Deng Li reconfirmed some symptoms to Mu Chun.
"Yes, severe chest pain with systemic symptoms and a rapid heartbeat." Mu Chun replied.
"The electrocardiogram also showed that troponin was elevated again, and the indicators that should be there were all available, so I went to the catheterization lab to prepare."
After Deng Li finished speaking, he immediately contacted his colleagues.
Basically, myocardial infarction is because the coronary artery is blocked by a blood clot, and the blood flow is blocked to cause ischemia, and the only way to save the myocardium is to unblock the blood vessels and restore blood flow.
Mu Chun looked at Qiu Tong with a very complicated mood, but saving her life now is the first priority, and the rest can be said after she recovers.
This is the doctor, when dealing with the patient, whether you sin or not, they have to believe in saving lives.
Nurses Ding Feng and Mu Chun pushed Qiu Tong to the catheterization lab.
Deng Li had already rushed to the catheterization laboratory in advance and raced against time to prepare.
It didn't take long for Deng Li to tell Mu Chun in surprise, "It's not a myocardial infarction." ”
"Isn't it?" Mu Chun was also confused when she heard this new diagnosis.
Everything seems to be consistent with myocardial infarction, how could it not?
Deng Li did a coronary angiogram of Qiutong and saw that Qiutong's coronary arteries were very open, there was no obvious stenosis, and there was no thrombosis, so it was indeed not a myocardial infarction.
How can you prove that a coronary artery is severely narrowed or blocked by a blood clot? Take a photo, if you can take a picture of a blood clot blocked in the blood vessel, it will be clear at a glance.
Unfortunately, the current X-ray cannot capture the blood clots, especially the blood clots in the coronary arteries, which are too small. It cannot be visualized under X-ray, since X-ray can not directly see that the coronary artery is blocked by blood clots. So how can you tell if the coronary artery is blocked by a blood clot?
The method is the coronary angiography done by Deng Li before the intervention!
An injection is first given to the femoral artery at the base of the patient's thigh. The femoral artery connects the aorta → the coronary artery → the left ventricle, inserts a guide wire from the femoral artery, pushes the guide wire along the blood vessel, and this guide wire can reach the abdominal aorta→ thoracic aorta→ aortic arch→ and then enter the coronary artery.