Zhou Can pursed his lips, now Cheng Gang can still scold him.

When he shows his face a few more times in the operating room and his status goes up, Cheng Gang may have to treat him with a different face.

Follow Dr. Ou to talk to the family.

The patient and his wife were anxiously waiting.

After the brain aneurysm was found to have ruptured, the patient and his family were already anxious. I am even more afraid of the rapid deterioration of my condition.

"Doctor Ou, when will the hospital treat my husband?"

The patient's wife was so anxious that tears welled up in her eyes.

From yesterday to now, she has been with her for a day, her hair is a little messy, and she can't care about combing it at all.

"I'm sure you already know the results. I really didn't expect his disease to progress so quickly. The aneurysm ruptured and could be life-threatening at any time. Therefore, it is necessary to treat it early. ”

When almost all doctors talk to family members, they start by stating that the consequences are serious.

It's not just about scaring families and patients.

It's about preparing for the worst.

Let the family be mentally prepared in advance.

After being cured, the patient will feel that the doctor is very skilled and saved my life. In case it is not cured, it has already been greeted, and the family can reluctantly accept it. There won't be too much psychological gap.

Also, if the consequences are more serious, it is easier for the family to accept the treatment plan when discussing the treatment plan.

Many family members and patients are particularly afraid of surgery and are often hesitant.

The patient's condition in front of him cannot be delayed any longer, and scaring them appropriately can avoid unnecessary consequences due to the hesitation of the family.

"Doctor, please, save my husband!"

As she spoke, the woman was about to kneel.

"Don't do this, don't do this!"

Dr. Ou held the woman up.

"It's our doctor's job to save lives, and we will definitely find a way to save your husband. Just now, the doctors in our hospital have discussed and drawn up two sets of surgical plans, you can listen to them and choose one of the two. ”

Dr. Ou's conversations with the family members were very skillful, and there was much to learn from Zhou Can.

For example, it was clear that Wu Baihe told him two surgical plans in advance, but he told his family that this was discussed by the doctors in the hospital after the patient's cerebral hemorrhage was detected.

This makes it more acceptable to the patient.

"The first option is to do a craniotomy. The scalp layer is cut, a skull is dug up, and then the aneurysm is found through the gap between the tissues in the brain, and the aneurysm is clamped with a special clip to prevent blood from flowing into the aneurysm. Bleeding stops at last, and the harm of the aneurysm is removed. This type of craniotomy is extremely risky and has a long recovery period. ”

"The second option is to do a new type of aneurysm interventional surgery, which threads a guide wire from the femoral artery and goes all the way upstream to the location of the cerebral aneurysm. Then a coil is placed to fill the aneurysm space, and a thrombus is formed around the coil, which finally seals the bleeding and removes the threat of the aneurysm. The cost of this option is slightly more expensive than craniotomy. ”

"But it is less harmful to the patient and the postoperative recovery is faster. If the situation is ideal, you can be discharged from the hospital in about three days. Compared with the hospitalization period of traditional craniotomy, it is less than ten days. The savings in hospitalization should be enough to smooth out the cost difference of traditional craniotomy. ”

There are two surgical treatment options, the second of which has only begun to develop in recent years.

Domestic technology in this area is far behind that of foreign countries.

Compared with traditional surgery, the emerging interventional surgery and robotic surgery do have more advantages.

Interventional surgery is less invasive and has a fast recovery, which is of great benefit to some patients with weak surgical tolerance.

For example, the patient is too old or too weak for the doctor to perform a craniotomy. Previously, in this case, patients could only receive conservative treatment.

It's almost like waiting for death.

Now he can choose to have interventional surgery, and maybe he can save his life.

"Doctor Ou, how much does my husband cost for interventional surgery?"

For ordinary people, the cost of treatment is a common concern.

"His aneurysm is large, but fortunately, there is only one, and the cost is conservatively estimated to be about 120,000. But as you know, things can change quickly during surgery. Once on the operating table, our doctors think about how to save the patient's life and how to cure the patient's disease, and the cost can only be calculated by the financial department after the operation is completed. ”

Dr. Ou's quotation is only an estimate based on patients who have undergone similar surgeries in the past.

"How much does it cost to have a traditional surgery?"

The patient's wife asked again.

"About six to eighty thousand."

The price of traditional surgery is indeed much cheaper than interventional surgery.

However, considering the long hospital stay and the high risk of surgery, interventional surgery is obviously more advantageous if the financial conditions allow.

The woman whispered to her husband.

Their family background should belong to the kind that is not up or down.

Because the couple seems to have a low level of education. Her dress is very close to the white-collar beauties in the city.

Hundreds of thousands, I will definitely be able to take it out.

Medicare should still be able to reimburse some of it.

"We do interventional surgery."

She had already discussed the results.

"Alright, I'll start arranging it for you right away. Before the surgery, I need to deposit the money into your account at the hospital, when will it be available? ”

Dr. Ou asked.

If the patient does not pay the money, the hospital will generally not arrange for surgery.

"I'll pick it up now."

The woman really has some family background, and she can withdraw more than 100,000 yuan of deposits.

……

Half an hour later, the woman had already paid 120,000 yuan for the operation.

The money was already in place, and Dr. Ou called Wu Baihe, who was in the middle of surgery. And it's a major surgery, which takes at least six to eight hours.

There is no choice but to find Director Wen.

After some communication, Director Wen finally agreed to give the patient an urgent interventional surgery.

On the one hand, the condition is indeed critical, and on the other hand, the time of interventional surgery is relatively short.

If the condition is not complicated, it usually takes only one to two hours to complete.

The next step is simple, arrange for the anesthesiologist to come over for a preoperative conversation and sign the anesthesia consent form. Dr. Ou asked the family to sign the consent form for surgery.

The hospital has temporarily arranged an operating room.

The whole operation was progressed in an orderly manner.

Zhou Can was very lucky to get an opportunity to follow Dr. Ou into the operating room to observe and learn.

In the operating room, he finally met Director Wen outside the gods.

An old man in his fifties, it is estimated that he should be fifty-five or sixteen years old. The hair was actually black, black and shiny like a young man.

However, age spots can already be seen on the face, back of hands, etc.

Wrinkles on the forehead and at the corners of the eyes are also very noticeable.

The years are merciless, and this Director Wen's hair is likely to be dyed black.

The whole person looks quite elegant, wearing glasses, speaking unhurriedly, full of the charm of a mature man.

It is not easy to be rated as the director of Tuya Hospital at the age of 56.

Look at Dr. Ou, who is in his early fifties and is still just an indicator.

One can imagine how difficult it is to evaluate a high professional title.

Not to mention the senior title, even if it is a deputy senior title, it is also difficult.

Many excellent doctors can only mix until they retire in their lifetime.

In the operating room, Dr. Wen is the chief surgeon, and in addition to Dr. Ou, there are two attending officers as deputies. One man and one woman.

The man was in his forties, and the woman looked to be thirty-five or sixteen.

The rest are resident doctors, graduate students, and so on.

As for Dr. Ou's presence in the operating room and his participation in the operation, it is likely that he is the attending doctor.

After the patient is helped onto the operating table, the anesthesiologist begins to attach multiple life monitoring probes to him, put on a respiratory mask, and administer inhalation anesthesia.

This type of anesthesia is also one that is more acceptable to patients.

Take a few puffs, become confused, and quickly fall asleep.

Nothing painful.

"The anesthesia was successfully implemented, and the patient's vital signs were normal, and the operation was possible."

Just waiting for this sentence.

Director Wen's gaze swept over the two attending doctors under him.

"To perform this interventional embolization of a brain aneurysm, the femoral artery at the base of the thigh is preferred as the puncture point. Remember, don't go far and near, and for convenience, puncture directly from the upper body artery. For example, carotid artery puncture, which is a major taboo. ”

The three graduate students under his command took out a small notebook and bowed their heads to quickly record.

Medical students, most of whom are diligent.

"Also, you must learn to watch movies. If the neck of the aneurysm is too wide, the effect of inserting a coil during interventional embolization surgery will not be too satisfactory. At this time, it is necessary to place a bracket to prevent the coil from protruding ......"

These surgical knowledge are very advanced and practical.

Zhou Can secretly remembered it in his heart.

His memory is not bad, and he didn't bring pen and paper with him, so he just needs to make up an operation record when he gets home from work.

"Before the operation, we were able to fully understand the location of the aneurysm based on the DSA 3D reconstruction. Femoral artery puncture is performed now. Which of the two of you will do it? ”

Director Wen's gaze looked at the two attending doctors, a man and a woman.

As for Dr. Ou, he is like a child who has no mother's pain, being indifferent to him. There is only a part of the observation and learning.

Not to mention Zhou Can.

Standing behind Dr. Ou, he was clearly distinguishable from the residents and graduate students under Director Wen.

"Can I do it?"

The female protagonist asked in a coquettish tone.

"Tang Li seems to have only completed two cases of coronary artery puncture, and I will see if she will operate it this time!"

Director Wen agreed, and the male director had to give up.

"Thank you, Director Wen!"

She smiled and thanked sweetly.

In front of male doctors, as long as the female doctor looks good, the advantage is still quite big.

Grab the opportunity to exercise surgery, one by one.

"I'll help you!"

The male attending doctor did not win, not only did he not get angry, but took the initiative to be courteous.

This kind of thing is usually done by a nurse.

Even if it is a secondary disinfection, it is mostly done by the resident doctor.

The chief executive did this, and he gave in.

"Thank you, Dr. Zou!"

She had already started to wash her hands.

After a needle, the blood was actually dark red.

The corners of Zhou Can's mouth twitched twice, this woman is afraid that she doesn't have much real skills in her hands except for being coquettish to the male doctor.

At the age of thirty-five, he became an attending doctor, and his education should not be low.

Coupled with a good relationship with the chief physician of the department, this is the only way to get the position.

The young doctors in Tuya Hospital generally have a high degree of education.

Basically, ninety percent of them have a graduate degree or above.

She pricked the needle, and the blood drawn out was dark red, indicating that it had pierced the veins.

To do a puncture or an indwelling needle, be sure to observe the color of the blood after the puncture.

If it is dark red, it is usually venous blood. Bright red, rich in oxygen, blood bright red.

It's easy to tell the difference after just looking at it a few times.

"Oh, Director Wen, help me see if the piercing is wrong!"

She looked frightened.

"It may have pierced a vein. I'll do it! ”

Director Wen's tone was gentle, without any reproach.

This kind of performance greatly reduced Zhou Can's impression of this Director Wen.

Not every chief physician is decent and rigorous.

People like Dr. Ou, Dr. Xu from the emergency department, and Director Shen from the Department of Orthopedic Surgery are only a few people with a rigorous and upright style.

In particular, in recent years, the Kamata hospital has invaded and developed rapidly.

Many of the hospital's departments are contracted out to Kamata doctors. Those people, one by one, are the masters who eat people and do not spit out bones.

However, because those people are particularly able to generate income and treat patients as ATMs, they use money to open the way, and they have become a huge cancer in the medical field that is difficult to remove in China.

What's even more terrifying is that the doctors who originally regarded themselves as high have been dragged into the water and even imitated.

Excessive medical treatment, no illness says you are sick, as soon as you enter the hospital, it is all kinds of unnecessary examinations, a lot of consumables are prescribed for surgery, and expensive drugs are prescribed, and cannot be reimbursed by medical insurance.

It even induces patients to buy all kinds of nutritional products that have no medicinal value.

These practices have spread throughout the medical community.

Countless patients have suffered from it.

Zhou Can was not sure that Director Wen must have a bad style. But the female doctor under her command punctured the patient's vein, without a word of reproach, which in itself is very unreasonable.

Unless the female doctor was his daughter, it would be possible to be so forgiving.

Under normal circumstances, if the doctor under his command makes a mistake, even if the chief surgeon will not scold and warn, it is necessary.

Director Wen's gaze swept and fell on Zhou Can.

Because in the operating room, there was only this strange young doctor who was not his student. If you do odd jobs, you must give priority to this kind of person.

"You skin the base of the patient's other thigh!"

That thigh femoral artery puncture failed, and for a short time it was better to change the leg to be on the safe side.

Zhou Can honestly stepped forward to clean the patient's skin.

He has done this kind of thing countless times.

Quite skilled.

"Director Wen, it's okay!"

He finished his skin and stepped down from the operating table.

This position is certainly impossible for him to have a regular trainee standing.

Director Wen personally performed the puncture.

One stitch down, this time the puncture was successful. But after Zhou Can saw the other party's operation methods, he shook his head secretly.

is a chief physician, and it stands to reason that the level of puncture is at least above the level of the deputy director.

As a result, the level of the needle just now was dead, that is, the level of the main rule.

No wonder the female doctor brought out is so bad, the master is only at this level, how good can the student be?

"See? When piercing, you must be aware of it, and it is not okay to puncture too deep or too shallow. ”

Director Wen successfully completed the puncture, and his face was slightly colorful.

Next, a catheter is used to travel from the femoral artery to the abdominal aorta, thoracic aorta, aortic arch, and finally into the aneurysm sac.

Although the whole process was a bit bumpy, it was quite smooth.

"The most critical step is to introduce a coil through a microcatheter to fill the space inside the aneurysm. To complete this step, it is very difficult for a doctor to perform the implantation. ”

With that, he had already started to introduce the first coil.

The entire operation can be clearly seen on the display.

The introduction of the coil did not go well.

Stuck in the neck of the aneurysm, it is always inaccessible.

Director Wen's forehead began to sweat.

"The insertion of the spring coil is really not easy to operate, I have practiced for more than ten years, and it has only been a little successful."

His efforts to explain are more like saving face.

Everyone else is watching and learning.

No one dared to speak.

As the minutes ticked by, Director Wen's face began to turn red.

An awkward, solemn, tense atmosphere permeated the operating room.

Zhou Can watched the whole process, and he felt that if he could be given a chance to get started, he should be sure to put the coil into the aneurysm sac.

However, if you take the initiative to ask for help at this time, you will only be scolded by Director Wen for being bloody.

The placement of others as directors was unsuccessful, and one of your regular trainees stepped forward and said, let me try it, I'm afraid that no director can bear this breath.

(End of chapter)