Chapter 463: The Big Waves Sweep the Sands
"How is it, have you found out?" Wang Ge stood at the corner of the corridor at the entrance of the emergency room, glanced back at the girl who was still sitting at the door, and turned around and asked Zhou Hua in a low voice.
"The fainting was due to myocardial ischemia, because the incident was sudden, and the patient had already fainted before he could experience angina. My judgment was correct, a blood clot formed in the blood vessel, and after peeling off the blood vessel wall, it followed the blood to the heart, blocking the blood vessels of the heart. We only found that there was a problem with the heart enzymes, but from the test results, the blood vessels in the heart are not blocked, and the heart is very healthy. So......" Zhou Hua touched his chin, "we did CT scans on almost all of the patient's organs, and finally found that the blood clot was stuck in the lungs. It's kind of a reason. The blockage of blood vessels in the lungs is not serious, so there are no acute symptoms of pulmonary embolism. Now there is still a danger to life. ”
"People can't move now, can they?" nodded the king pigeon.
"People are awake, in good condition, but can't speak, can't move, even others to move she has to be careful, before the blood clot is properly treated, must lie in bed, now her mood is still a little unstable, it is estimated that seeing her daughter may cry, that is beyond our control, may cause danger. The child's father hasn't come yet, although he is on thrombolytic therapy...... However, this effect comes too slowly, and there is no guarantee that it will be completely dissolved, if it only dissolves the surface of the thrombus, and the thrombus itself also enters the deadly organ with the blood flow, which is even more troublesome. After a few of our doctors, we discussed and prepared to directly perform angiography of the lungs, capture the thrombus through a probe, or directly break the thrombus and suck it out, which is still technically possible. Zhou Hua looked at the girl, still sitting alone on the bench in the emergency room.
After the diagnosis of the hospital, the patient's blood lipids are very high, but there is no hypertension at ordinary times, so the usual symptoms are not obvious, and the disease can not be detected, once the disease occurs, there is still a direct threat to life. These strange diseases are like this, I don't know when they will kill people all at once. Zhou Hua thought about it afterwards, if he wasn't there, then this patient might be dead.
"Go tell her, she's still strong. His dad just came over, and it would take about twenty minutes. Wang Ge patted Zhou Hua on the shoulder, "This operation should require the informed consent or signature of the family." ”
"I was scared like that just now, I'm really afraid that I'll faint again later. Zhou Hua glanced at the clock, "But twenty minutes is too long." Immediately get rid of the blood clot, and the person will be fine. ”
The patient's life hangs on a thin blood vessel, and nothing may happen for twenty minutes, but no one can guarantee this. Maybe the patient coughs, sneezes, and moves a little, and the blood clot will peel off the blood vessel again and flow elsewhere. Not to mention what the consequences of flowing into other places, it is not easy to locate the thrombus in one place, and now is the best opportunity, let it run away then it will be difficult to find, maybe there will be another whole body CT.
So anything can happen in these 20 minutes, even the death of the patient.
Zhou Hua doesn't want patients to take such risks, and of course, the sooner interventional treatment is done, the better.
"Don't worry, I told her that there will be no problem. I'll go with you. After saying that, the king pigeon took the lead out of the corner and walked towards the girl.
The girl is already familiar with the king pigeon, and in the past forty minutes, the king pigeon has been accompanying her and helping her deal with all kinds of troubles. "Brother...... How's my mom?"
"This is the doctor in the emergency department of the Second Affiliated Hospital of Yaxiang, you have seen it. Let him introduce you. Wang Ge stepped out of the way, and Zhou Hua walked out from behind him, holding his mask in his hand.
"According to the first diagnosis responsibility system, I will introduce the condition to you, but the next hospitalization will still be here, I am not the doctor of this hospital, they are still busy, and I am the only one who comes. Zhou Hua sat next to the girl.
"Your mother fainted because of a naturally formed blood clot in the blood vessels, which blocked the heart blood vessels after peeling off, and now the person is awake and the condition is relatively stable, which you can rest assured. After examination, the blood clot followed the blood flow to the lungs, blocking half of a pulmonary artery vessel, and now we need to do an operation to remove her blood clot, or directly break it, and completely remove this hidden danger. After follow-up treatment, I was basically fine after a period of hospitalization. When Zhou Hua described the condition to the family members of patients who did not understand the situation, he used as simple and easy-to-understand language as possible, not as much as he said with Wang Ge. It's just that he noticed that when the girl heard the word surgery, the hand holding the exam bag was obviously nervous.
"I still need surgery...... Why is it so serious, is it necessary to have an operation on the chest?" Sure enough, the girl's focus was on the operation.
Zhou Hua shook his head, "It's just a minor operation, minimally invasive." Puncture the femoral vein on your mother's inner thigh, thread the catheter through the blood vein, and use a contrast agent to observe the blood flow and the location of the blood clot, and then choose to break or capture it as appropriate. The whole process may only take 40 minutes to an hour, and the danger is relatively small, so please rest assured. After the procedure, only pressure is needed to stop the bleeding, and there is no need for stitches and no recovery period. Of course, the surgical process will also be affected by many conditions, and I also have the responsibility to inform you of the danger, if there is an accident, the patient may be aggravated or even die, but the probability of occurrence is relatively small. Of course, there is another option, conservative treatment, using thrombolytic drugs to dissolve the blood clot. In fact, we are already doing it, but the effect is not obvious, and there is a possibility that after the external dissolution of the thrombus, the main body will peel off and block other blood vessels. It's not certain, where there will be problems, and it will take a long time to recheck the positioning. ”
"I see. As long as it can save my mother's life...... Anything goes. I agree to have surgery. The girl nodded and said solemnly.
"Don't need to ask your father?" Zhou Hua was stunned for a moment, glanced at the king pigeon, and thought to himself What kind of ecstasy did this king pigeon this kid pour into the child, how long has it been since a weak girl has become a strong person?
"My dad must have agreed to the surgery, he should be on the way over, still driving, now let him decide...... Driving can be distracting and dangerous. Doctor, my mom will ask you. The girl turned her head and looked directly into Zhou Hua's eyes.
"The nurse will come over later and ask you to sign for it. I...... Let's go back and get ready. Zhou Hua stood up again, "Kid, don't worry, the chance of success is more than ninety percent." ”
Zhou Hua entered the emergency room again, and Wang Ge was also relieved, this child's performance did not disappoint him.
"I'll just say, your mother must be fine. Wang Ge also sat down, "Maybe when your father comes, your mother will be lying in the inpatient ward after surgery." This surgery is also a local anesthetic, as soon as it is done, you can talk to her without worrying about anything. ”
"I suddenly wanted to be a doctor. The girl said.
"What's wrong with being a doctor, being a doctor ......" Wang Ge laughed, disapproving, this child is afraid that he saw the doctor save the life and help the wounded, and he just had a beautiful vision. Doctors are hard, and studying medicine is even harder.
In these years, whoever persuades people to study medicine is designated as having a grudge against others. Unless you have such a strong force in your heart, strong enough, and persistent in the cause of saving mankind, you can survive in this dangerous industry.
"The Dr. Zhou just now, he skipped several levels in high school and college, studied for bachelor's and master's degrees, and was admitted to the doctorate during the internship. He's about my age, so he's a genius. Ordinary doctors, starting with master's students, four years of undergraduate, three years of graduate students, rotation internships, are in their early thirties when they can really take charge on their own...... I have roughly read the textbooks of the things he learned in college, and the whole book is more than ten centimeters thick. I don't know how many of these things I have to memorize during my studies. And...... The family members of patients like you are not bad, family members and even patients often beat and scold medical staff, and you should know a lot when you watch the news, this line is not as glamorous as you think. Especially for emergency treatment, don't think about it on vacation, usually overtime is called a terrible, although the normal working time is eight hours, day and night shifts, but the doctors do not work until eleven or twelve hours will definitely not be able to get off work. If there is an emergency, the emergency plan is activated, and it is the norm to not rest for a few days and nights. With such a busy work, the family naturally has no time to take care of it, and the family members are complaining, and how many can really understand? In addition, those things that are usually touched, bacterial and fungal infectious diseases, broken arms, broken legs, brains, nausea, not to mention, may also kill people!"
In this way, it seems that the profession of ambulance driver is much more comfortable than that of doctors.
Generally, when he meets a child who wants to become a doctor, he must persuade others first, regardless of whether they insist on it or not. Some people may be hot-blooded for three minutes, although they are hard-mouthed, after calming down, they will still weigh the pros and cons, and will quickly erase the desire to become a medical worker from their minds. This is also a role of screening. Such a person who can't endure hardship is estimated to have really become a doctor, and he won't be a good doctor, thinking about how to make money all day long, stealing and playing tricks and not saving people, that is the scum of the team.
Of course, after listening to these things, some people will feel that this is a very challenging job, so they want to become a doctor more and more, strengthen their faith and confidence, challenge themselves, challenge death, and devote themselves to medical work to save others. Only this kind of person can become a good doctor, such as Wu Gang, Song Ping'an, Jin Jing, Liu Ya, and Zhou Hua.
What can withstand the pressure and suffering, and what really stays, is the real gold that comes out of the big waves and sands!
Therefore, everyone in the circle knows that a good doctor may have a few character traits that are not very good, such as a bad temper, a bull's horn, a confession of death, sullenness, and a masochist.
"Is it so scary?" the girl glanced at the king pigeon in surprise, "It's kind of interesting to think about." Her eyes were filled with longing and anticipation. "But...... It's not easy to be an ambulance driver. In a situation like today, I don't understand anything, it's all about you helping. ”
Wang Ge didn't speak, just looked at her eyes, like Jin Jing's eyes when she encountered an unknown situation when she got out of the car. He just smiled bitterly and shook his head, "Don't hit the south wall and don't shed tears, you are all this kind of people." "Maybe in 10 years, this girl will really be a good doctor.
In fact, Wang Ge knows that he is also this kind of person.
"I don't know if there are any female drivers in your profession?" said the girl, feeling that her grades were not so good, so she actually retreated to the second best thing and wanted to do the king pigeon industry, anyway, it was related to medical treatment.
"I heard that other hospitals have them, the kind of five big and three coarse, but our hospital and the fourth hospital don't have them. The king pigeon shook his head and smiled wryly. The driver industry, the physical requirements are still relatively high, sometimes to carry patients, thin patients are better, more than 150 pounds of patients, no strength in the hands, want to move can not move. Women's sense of spatial judgment is inherently inferior to that of men, so from the perspective of big data, driving an ambulance does need to be done by men, which is really not sexism, but a characteristic caused by gender differences.
"You'd better be a doctor, I'm not for women. ”
Less than forty minutes later, the girl's father arrived in a hurry, his expression was panicked, he dragged his child and did not let go, and kept watching into the emergency intervention operating room.
"The person is fine, the blood clot has been removed. However, the cause of blood clots can only be determined after diagnosis. The preliminary inference is that the cholesterol is too high, the blood is thicker, and I will go to the hospital later, and I need to undergo thrombolytic therapy for a few days to regulate cholesterol, and I should pay attention to my eating habits in the future, and the follow-up examinations will be done in the outpatient department. The doctor of the fourth hospital hurriedly said a few words, and hurried all the way to the emergency hall, where there were more patients waiting for him.
"Brother, ...... today Thank you. I really don't know what to do without you. You're right...... This is much more important than the college entrance examination. The girl turned to look at the pigeon, and stretched out her hand like an adult, "I'm not afraid of what you said, I'll be a doctor." ”
The king pigeon was a little surprised, and stretched out his right hand to shake the girl's tender little hand. "Then I'll wait!"