From the Second Affiliated Hospital of Yaxiang to the Lido Community on the river, ordinary ambulance drivers will basically arrive within ten minutes, while Wang Ge has a record of arriving within seven minutes before, which is not counting the time wasted in the dispatch of the command center.

The road is not very congested, and Uncle Jiang has already said hello to the doorman of the community, and the king pigeon of this community does not remember how many times he came.

According to Wang Ge's inference, Uncle Jiang should already be in the patient's house by now. They usually contact through mobile phones, and they will call as soon as they feel unwell, and Uncle Jiang's house keeps the keys to the homes of all the members of the Mutual Aid Association for the Elderly, locked in the safe, and there is no password to open, which also ensures the safety of the home from another aspect, so that no one in Uncle Jiang's house will be stolen, and everyone will have to change the locks.

Everyone still believes in Uncle Jiang's character, and Wang Ge attaches great importance to this matter, and it is very rare for a group of elderly people to be able to do this.

On the other hand, they are actually quite sad, their children are not around, and they can only rely on each other and take care of each other with this group of elderly friends around them, which is really helpless.

After the three of them got off the car, they quickly took the elevator and came to room 802 on the eighth floor, the door was open, Wang Ge knocked on the door, and rushed in directly without waiting for an answer inside, and the living room was empty.

"It's Xiao Wang, right? Uncle Jiang's voice came from the inner master bedroom.

Wang Ge's face was full of reluctance, and as soon as he entered the door, he said, "Uncle Jiang, Xiao Wang is Xiao Wang, that word can go." He placed the cart bed next to the bed in the bedroom and took a look at the patient on the bed.

On the bed was an old man, who looked like he was in his seventies, his face was very ugly, his lips were purple, he looked like he was having trouble breathing, he had cold sweat on his head, and he was still wearing pajamas.

Uncle Jiang flipped through his small notebook, and it was obvious that he had found the details of this patient. "Don't worry about these details. He laughed all his life, but he was also afraid that his old friend on the hospital bed would feel nervous, so he made a joke to ease the atmosphere.

Wang Ge was naturally not really angry, and he was also joking with Uncle Jiang.

Uncle Jiang was wearing an army-green tunic on his body, and his belt was still on his belly, otherwise the entire pants would fall off, a pair of eyes behind black-framed glasses were very deep, and the hair on his head was a little thinner than two years ago, and basically all of them had turned white.

Even if he comes here often, Wang Ge's impression of Uncle Jiang has always stayed when they first met two years ago, and that impression was too deep. And after a period of time, Wang Ge actually found that Uncle Jiang was so old!

The elderly are still different from the young, two years may not be a big deal for a young person, but once a person is over sixty years old, he will age very quickly, which is simply visible to the naked eye.

"Six minutes and fifty-five seconds, it's a little faster. Uncle Jiang glanced at his watch, "There is progress." ”

Can there be no progress? The king pigeon has even used his soul power, and he knows all the roads well, and there will be no accidents on the road at all. It's just that the time has been so short, and it will basically not be faster than this in the future, after all, the vehicle itself has the ability to withstand it, and even the king pigeon has no way to control it if it drives faster, and it is easy to have an accident, after all, the auxiliary role of soul power is limited, and it cannot fundamentally improve the performance of the vehicle.

"Uncle Jiang, how are the people?" Cao Shan touched the patient's carotid artery, then took out a flashlight and began to check the pupil, and finally took out the stethoscope.

"I think it's angina, it's okay. You're a doctor, come and see!" Although Uncle Jiang has a little medical knowledge, he is not a doctor after all, but he believes in the doctor very much, and all judgments should be based on Cao Shan.

"Shallow and light breathing, tachycardia, purple lips, marked hypoxia. Cao Shan saw that the patient was still conscious, and then asked, "Uncle, do you have pain in your left chest, and do you have pain in your shoulder and shoulder blades?" Don't speak, just nod when it hurts. ”

The patient nodded slightly, the expression on his face still very painful.

Radiating pain, combined with heartbeat and breathing, combined with the patient's age, is consistent with the symptoms of angina.

"Blood pressure one hundred and eighteen, one hundred and ten millimeters of mercury. Feng Ji said.

"Nitroglycerin is swallowed, and the fast-acting heart-saving pill is pressed under the tongue. Uncle Jiang said while flipping through his small book, "I have a history of coronary heart disease." ”

"How many times?" Cao Shan asked a few times, referring to the number of angina attacks.

"Angina pectoris was admitted to the hospital three times, two of them in your hospital. The year before last, I had a heart attack, and I said that interventional surgery could not be done, so I did a bypass directly. Uncle Jiang frowned, "Isn't it ......?"

Cao Shan hurriedly shook his head at Uncle Jiang, signaled him not to say any more, and then turned his head to Feng Ji and said. "There's a settling in the box, right?"

"One piece orally?" Feng Ji nodded, and then took out the diazepam tablets.

Valium tablets have analgesic, hypnotic, and sedative effects, which can reduce the oxygen demand of the heart muscle to a certain extent, and at the same time can soothe the patient's nervousness caused by pain.

Wang Ge knew what Cao Shan meant. In general, the treatment of coronary heart disease is divided into several stages. First, dredging blood vessels, conservative treatment, at most infusion, bed rest, and dietary adjustment, mainly for patients with mild symptoms. Second, coronary interventional surgery, which is generally performed at the same time as cardiac coronary angiography, is seen to see that the blood vessels are blocked or narrowed, and if conditions permit, an umbrella-shaped support frame is placed to broaden the way of blood circulation, mainly for patients with moderate severity. The disadvantage is that the stent has a lifespan, and it may also increase the chance of blockage.

The third is coronary artery reconstruction, commonly known as heart bypass. The name of this operation is just like what it says, when the blood vessels are severely calcified and there is no way to support the stent during the interventional operation, the original blood vessels can only be bypassed, and the blood vessels of other parts of the body, or artificial blood vessels, build a bridge at both ends of the original blood vessels, recreate a blood circulation channel, maintain blood supply, and the heart can stop beating or keep beating during the operation, and the blood can be circulated in the body or outside the body, as long as the patient's body can hold it and have a certain surgical recovery ability, it can completely solve the problem。

Fourth, it is heart failure, and a heart transplant is performed. When coronary artery reconstruction can't solve the problem, people have to wait for a heart transplant in addition to death. It is necessary to wait for the source of the heart, but also to match each other, and to take anti-rejection drugs for a long time after surgery, recovery is also very problematic, and it is basically similar to waiting for death. Moreover, once a person reaches this point, he must be relatively old, and the torture of long-term illness has made his body no longer healthy, so his recovery ability after surgery is also very poor. Young people may try their luck, older people doctors basically do not recommend heart transplantation, this kind of thing is often hundreds of thousands of millions, increasing the burden on the family, and the prognosis is not good, can not effectively increase the life of the patient, sometimes spend money and live as long as no money, the quality of life is not even as high as not having surgery, so it is more recommended to carry out conservative treatment, how long can you live is how long.

Of course, people who have undergone coronary artery reconstruction surgery, as long as the operation is successful, the recovery is better, the postoperative quality of life is very high, except for smoking, drinking, heavy physical labor, usually no different from normal people, prolonging life is very effective, basically in five to twenty years, a person in his sixties has undergone surgery, can live to eighty, the hundreds of thousands of dollars of surgery fees are not in vain, not to mention the reimbursement of medical insurance, after all, not everyone can use money to buy life.

Unless the patient's hypertension, hyperglycemia, and hyperlipidemia are very serious, and the patient does not pay attention to maintenance after surgery, or the effect of the operation is not good, it will lead to recurrence of the disease within a short time after the operation.

At the moment, this patient is obviously from the fourth stage, coronary artery reconstruction surgery, which requires a large opening in the chest, which is difficult to perform a second operation. Once this surgery is performed, the blood vessel becomes clogged again, and the person is in danger and there is no way to completely cure it. Cao Shan even found an ashtray full of cigarette butts on the bedside table, as well as a box of half-smoked cigarettes, and if you smell it carefully, there is still a residual smell of smoke in the room.

Cigarettes have a greater impact on the heart than drinking. Some doctors will also advise patients who have undergone surgery that in some cases quoting a few tens of milliliters of alcohol may help the body's blood circulation, but cigarettes should never be touched, and touching them would be self-defeating.

The patient has little chance of survival. The first reaction in Wang Ge's mind was when death would come! According to Cao Shan's judgment of the patient now, this patient must be on the book of life and death, and the countdown to life is underway, it is just a matter of time or time.

It's a bit like boiling a frog in warm water, and now the patient doesn't seem to die all at once, but the bodily functions are slowly being eaten away, and every day takes a step back.

"Let's lift people into the car first, inhale oxygen after getting in the car, do an electrocardiogram, and then monitor the electrocardiogram and measure the cardiac enzymes. Cao Shan wanted to know how bad the situation really was, or how long the patient had left.

Not to mention whether this patient can withstand the high-intensity and high-cost surgery of heart transplantation, it will take more than half a year to wait for the heart source to queue up in Xiangsha City, and it is still a question whether it can hold up for half a year.

The patient is relatively thin and does not weigh very much, but the patients with coronary heart disease angina should pay more attention to transport, Wang Ge and Feng Ji still spent some thought, and finally with the help of Uncle Jiang, the patient was moved to the hospital bed without much change in position.

"I brought my ID card, bank card, and medical insurance card, and he knew the password. Uncle Jiang touched the pocket of his tunic coat, "Let's go." "When he left, he didn't forget to lock the doors of other people's homes.

Downstairs, Wang Ge and Feng Ji carried the patient into the car, but Uncle Jiang pulled Cao Shan before getting into the car, "Delay you for a while, is he not good?"

Cao Shan was stunned for a moment, confirming that the patient could not hear the conversation outside the vehicle, but he still hesitated. It's a little uncomfortable to talk about this in front of the elderly.

"Just tell the truth, it's okay for him to hear it, they are all people who have lived to this age, and they are a little prepared in their hearts. Tell me the truth, is he dying? I'll contact the family. How much longer?"

"Look at what you said, now people have to call their families anyway. Is it possible that you will be hospitalized to eat, drink, and Lazar, and you will have to be served? Besides, large and small treatments, signatures, that are all subject to the consent of the family, you are present or sign does not count, and the family members will rely on your head again......" Wang Ge came out of the carriage and persuaded one more sentence.

"I know that, too, but it's not as simple as you think. He has a son in his forties, just such a son, and now in the army, the secret department will not say much, and it is not easy to come back. His son entrusted him to me, and the owner in the car knew that his son worked for the country, and he would never ask his son to come back if there was no major matter, and if I had made a claim, he would have died a few days earlier, and I would have been angry with him. Dr. Cao, we have known each other for more than ten years, since I retired, you have been in contact with the emergency department since the beginning of your internship, and you will tell me the truth, so that this old boy can also meet his son before leaving. Uncle Jiang sighed, and his heart was actually uncomfortable.

But if people want to go, they can only choose to accept this fact.

Cao Shan hesitated for a while, although there was no laboratory examination, but looking at the current situation, combined with the patient's previous cases, although this angina is easy to relieve, it will recur in a short time, sometimes it will continue in the morning and afternoon, and every time it recurs, there will be a large number of heart muscle deaths, and if there is a myocardial infarction, the person who can't be rescued will soon be gone.

"It depends, I can't say it either. Go back and check how bad it really is. Soak in medicine...... The long is two or three years, and the short is one and a half years...... If the situation is particularly bad, it may be three to five days a week. Cao Shan told the truth.

"You ......" Uncle Jiang sighed, he knew that two or three years were lying nonsense, and it was Cao Shan's polite words to the patient's family, and he always had to give people some hope, Cao Shan even said "It may be a matter of three or five days and a week", proving that this person may die at any time.

"Let's go to the hospital first, and I'll contact the family after completing the formalities. Uncle Jiang patted Wang Ge and Cao Shan on the shoulders, "Xiao Wang, hurry up, Xiao Cao, you can also serve snacks, at least ...... Let him live well before his son comes back to see him. ”