After a while, Zhao Heng took Ruan Liuzheng and followed Liu Ziang to a ward of the Department of Brain Surgery.

As soon as he entered the ward, Zhao Heng saw that there was a middle-aged man lying on the hospital bed with a head covered with bandages, the bandages were still oozing blood, his face was pale, his eyes were closed, he looked in his thirties, and he was wearing a yellow takeaway horse coat, and his wife, a woman with a very sad face, twenty-seven or eight, with a man, a woman and two children, was sitting on the edge of the hospital bed with a dull face.

Zhao Heng took a look, the big boy was about seven or eight years old, and the little girl was less than three years old, with a small round face, which was cute and lovely.

The two children looked at their father who was lying on the hospital bed with his eyes closed, the older boy was a little sensible, sitting motionless, and the two-year-old girl still didn't understand a little, and kept asking her brother.

"Guo Guo, why did Daddy fall asleep and don't get up to play."

The immature child's voice echoed in the ward.

The little boy heard his sister's immature voice, his fists clenched, and he just touched his sister's head, he was already in the second grade, he was a little sensible, he knew that his father's hope of waking up was very slim, and he didn't know how to answer his sister.

"Senior, what's the specific situation?"

Zhao Heng saw the middle-aged man like this, with a serious head injury, unconscious, and the yellow takeaway horse coat he was wearing, he could somewhat guess what was going on, but he still asked Liu Ziang about this specific condition.

"Severe head injury, hemorrhage in the brainstem region."

Liu Ziang said with a solemn face, and then handed a cranial MRI film to Zhao Heng.

As the saying goes, the simpler the words, the bigger the matter.

A severe head injury is enough to kill him, this brain stem area hemorrhage is just one step away from death, and the middle-aged man is still alive, which can be said to be a miracle.

Brainstem hemorrhage, accounting for about 10% of clinical intracerebral hemorrhage cases, although the incidence rate is not high, but the onset is acute, the condition is dangerous, and the prognosis is poor, and it is a type of cerebrovascular disease with the highest mortality rate and disability rate and the worst prognosis among all cerebrovascular diseases.

So why is brainstem hemorrhage so dangerous?

If the brain is the headquarters of the whole body, then the brain stem is the commander-in-chief of the headquarters.

The brainstem is known as the "forbidden area of life", which is densely arranged with the nuclei of cranial nerves and the upper and lower conduction tracts connecting the limbs with the brain, and its main functions are divided into cardiovascular centers and respiratory centers, as well as the ascending activation system of the brainstem that maintains our wakefulness.

At the same time, it is also the only way for the brain to connect with the spinal cord, including the sensation and movement of the limbs, once damaged, the consequences are unimaginable.

The lethal mechanism of brainstem hemorrhage is mainly caused by the direct mechanical destruction and mechanical compression of neurons and glial cells caused by hematoma, which causes secondary damage, and at the same time produces cerebral ischemia, which can further lead to glutamate release, calcium influx, mitochondrial failure, as well as serious complications such as sodium pig retention, cytotoxic edema and necrosis.

"The situation is not optimistic."

Zhao Heng took the cranial MRI film handed over by Liu Ziang, and took a closer look, the bleeding part was very dangerous, basically, the injured part was a little bit off, it must have died on the spot, and it was too late to save it.

"Doctor, how is the child's father? Can I have surgery? ”

The woman, who had been in a state of sluggishness and despair, seemed to have finally forcibly mustered up a little courage because of the two children by her side, and asked Liu Ziang and Zhao Heng.

She is at home with two children, and the family of four has all the financial resources, relying on the children's father to deliver food day and night.

I get up at six o'clock in the morning every day, start taking orders at half past six, and be busy until half past eight in the evening, and if it is a holiday, in order to earn a little more money, I have to continue to work overtime until late at night.

Many people who have delivered food delivery say that the first reaction of a takeaway delivery person who falls on a bicycle is to see if the takeaway in the box is damaged; The second reaction is to look at the time, see if there is a timeout, and estimate whether the remaining time is enough; The third reaction is to focus on yourself.

Oops, my knee seems to hurt a little, and I hope it doesn't hurt my bones, after all, I haven't earned my rent yet.

The hand was scratched and a little bleeding, it was also a trivial matter, stand up and slow down, pick up the small motorcycle and start running!

"The patient is now suffering from a brainstem hemorrhage, which is very dangerous, and the operation is very risky."

Liu Ziang sighed imperceptibly, and then said very seriously.

He didn't say that he couldn't be operated, with the amount of brain stem hemorrhage that this delivery man is now, if he doesn't have surgery, he is basically waiting to die.

It's cruel to let a mother and two children watch the pillars of the family slowly die!

But the risk of brainstem surgery is too great, even if it is a brain surgery god like Liu Ziang, he can't say how sure he is.

Brainstem surgery is an extremely difficult and risky operation in the surgical field.

Surgery in the brainstem area, the internal space that can be operated is very small, basically only the thickness of a finger, as thin as a piece of paper, all kinds of nerves and blood vessels criss-cross, connecting the brainstem is the spinal cord, cervical spinal cord and respiratory center, a little carelessness in the operation, paralysis and even respiratory arrest.

Therefore, surgery in the brainstem region requires not only rich clinical experience and superb technical level of doctors, but also high-tech surgical equipment such as intraoperative magnetic resonance imaging (IMRI), intraoperative neurophysiological monitoring, and intraoperative neuronavigation system to ensure the accuracy and safety of the operation.

"Doctor, you must save him!"

The woman pleaded and said, in this huge city, if the child's father dies, she is alone with two children, and she really doesn't know how to live.

"We'll do our best, and we'll have a consultation here now, and we'll tell you when the results come out."

Liu Ziang said.

Next, Liu Ziang and Zhao Heng came to Liu Ziang's office and sat on the sofa, Liu Ziang made coffee for Zhao Heng and Ruan Liuzheng who accompanied him, and then sat on the sofa with a very solemn face.

Drinking the coffee brewed by Liu Ziang, the great god of brain surgery, Ruan Liuzheng was a little flattered.

In everyone's rumors, Liu Ziang of the Department of Brain Surgery can be said to be the coldest, the most demanding and difficult surgical expert in the entire Oriental Hospital.

But Ruan Liuzheng now looks at Zhao Heng and Liu Ziang getting along, and feels as if Liu Ziang is not as difficult and cold as rumored.

What Ruan Liuzheng didn't know, only in front of Zhao Heng, Liu Ziang was so easy-going.

After Liu Ziang sat down, he naturally paid attention to Ruan Liuzheng, in his impression, this was the first time that his junior brother Zhao Heng brought someone to the consultation, and he had come alone before.

"Director Liu."

Seeing Liu Ziang looking at him, Ruan Liuzheng said a little nervously.

Liu Ziang nodded slightly to Ruan Liuzheng and didn't say anything.

"Senior, this patient's chances of success are not very high."

Zhao Heng looked at Liu Ziang, who had a solemn face, and said slowly.

With the amount of bleeding in the brainstem region of this patient, even if it is a craniotomy, the chances of success are not very high.

"But if you don't do it, you can't do it, if you don't do it, you're waiting to die."

Liu Ziang said.

"Is there something else going on with this patient?"

Zhao Heng continued to ask, if it was just a matter of surgery, even if it was a difficult and risky operation, Liu Ziang would not be like this.

After all, in the area of extracerebral surgery, if Liu Ziang of the entire East Hospital said no, no one else could do it.

"The patient is delivered to takeaway, you know, the most tricky thing now is that the takeaway platform only bought him the lowest-grade life insurance with a compensation amount of no more than 20,000 yuan, and the patient himself did not buy medical insurance."

Liu Ziang said slowly.

In the case of brainstem surgery, the cost is not a small amount, let's just say that the cost of the first stage of surgery is at least 100,000 yuan, not to mention, the patient has brain hemorrhage and brain damage, and the cost of rehabilitation physiotherapy in the later stage.

This is a rough calculation, and all medical expenses and nursing expenses start at least 500,000 yuan.

This personal insurance with a payout amount of only 20,000 yuan is a drop in the bucket.

This is Liu Ziang's compassion, after all, the middle-aged man who relies on food delivery to support the whole family makes Liu Ziang, who is also middle-aged, feel a little empathy.

Although Liu Ziang is very good, this does not prevent him from empathizing with this patient.

Moreover, Liu Ziang has set up a fund outside his mind, but this fund is already subsidizing many patients, and the situation of these patients is not much better than the current one.

In general, even if there is a fund, it can only be said to have a comforting effect on a patient, and it is not of much use, after all, there are countless patients with financial difficulties.

"Have the patient's family found a takeaway platform?"

Zhao Heng couldn't help asking.

It stands to reason that this delivery man should be an employee of the delivery platform.

If you are injured on the way to deliver food, the delivery company should be responsible.

"Looking for it, the takeaway company can only pay three yuan a day, and the total compensation amount does not exceed 20,000 yuan for this life insurance. Moreover, the delivery person is affiliated with the delivery company, and does not belong to the employee of the delivery platform company in the legal sense. ”

Liu Ziang shook his head slightly and said.

He also knew about it, and it was because he understood these situations that he found it tricky.

For this patient, the medical expenses of 500,000 yuan are just a foundation, and more money will definitely be needed in the future.

After all, the injury is so serious that even if the surgery is successful, the recovery after surgery is a very long process.

"Director Liu, how can this takeaway not be an employee of a takeaway platform company? They are all orders received from the platform, and the salary commission is also paid by the platform, which should constitute an employment relationship, right? ”

Ruan Liuzheng suddenly said with some puzzlement.

"Regarding your question, I specifically consulted a college law classmate, and he said that now the food delivery platform mandates all riders to register as individual industrial and commercial households, so as to avoid the main responsibility of employment."

Liu Ziang shook his head slightly and said.

"Ugh.

This is really a policy and a countermeasure! ”

Ruan Liuzheng was shocked by the operation of the takeaway platform company, and couldn't help complaining.

Ruan Liuzheng, who has had good academic performance and a good family background since he was a child, is a little unable to understand the hardships of working outside.

"Senior, what do you think?"

Zhao Heng asked Liu Ziang.

Liu Ziang must have already had an idea, so he was called over, cooperating with the operation is one thing, there should be other things that Zhao Heng needs to do.

"Brother, you seem to know a very powerful reporter, right?"

Liu Ziang asked directly.

With the relationship between him and Zhao Heng, there is no need to make these twists and turns, just say something directly.

This time, Liu Ziang was really disgusted by the work management of the takeaway platform, and after the takeaway worker was injured and fell into a coma, the staff of the platform also came, but the kind of person who is a self-employed business, and the arrogant and uncaring appearance that has nothing to do with us really makes a person with a cold personality like Liu Ziang hate it with hatred.

Moreover, Liu Ziang also learned from the delivery man's wife that when he started delivering takeaways, he wanted to force the delivery man to register this individual industrial and commercial household, in order to avoid this responsibility.

Therefore, Liu Ziang felt that with his turbulent temperament, he was holding his breath in his heart for this matter, and he decided to do something.

But the media people he knows are not very powerful, and he knows that Zhao Heng knows a female reporter, who is very powerful, and he saw it last time.

"Senior, are you talking about Wei Wei?"

Zhao Heng didn't expect Liu Ziang to mention Wei Wei.

However, Wei Wei is indeed a very powerful reporter, and her relationship background in all aspects is also quite deep, if she is willing to intervene in this matter, she may be able to put a lot of public opinion pressure on the takeaway platform, so that maybe the medical expenses will be settled.

If Zhao Heng is just an instrument and Liu Ziang is just an ordinary resident doctor, then the two of them naturally can't manage such a thing.

】

But with the status of the two of them, they can be managed, life in the world is to have a happy heart, who when they are young, they don't have a heroic dream of doing the right thing for heaven!

"Yes, that's her."

Liu Ziang nodded and looked at Zhao Heng expectantly.

"Okay, I'll get in touch first."

Zhao Heng didn't shirk at all, and simply agreed.

"I knew that only you could be relied on, junior brother."

Seeing that Zhao Heng agreed, Liu Ziang was very happy, he was the kind of person who would rarely ask others for help.

In the vast majority of cases, only others come to him for his share!

"The patient's current condition must be stable before the operation, if the operation is to be performed, the senior will tell me directly."

After a pause, Zhao Heng said again.

He knew that Liu Ziang would definitely need his cooperation for such a difficult operation as brainstem hemorrhage.

"Okay."

Liu Ziang nodded.

After saying that, Zhao Heng drank coffee for a while and left Liu Ziang's doctor's office with Ruan Liuzheng.

Out of the office, Ruan Liuzheng said indignantly: "Now these food delivery platform companies are really hateful, they should simply hang street lights." ”

"It's not just his takeaway platform that should hang street lights."

Zhao Heng said a word.