"Did the patient have vascular problems since childhood? The family members have not responded to this problem, but fortunately we did not rush the operation, otherwise the risk factor of the operation would have increased exponentially. ”

After hearing this, several directors were really a little shocked in their hearts.

Before surgery, the patient's past medical history and underlying diseases are usually understood, and the family members do not respond to such an important matter, and they do not ask.

This also reveals a question of responsibility.

It can even be understood as a bug in the program.

The Department of Cardiothoracic Surgery thought that the patient was originally a patient who had been admitted to the hospital, and had already been checked by the emergency department and the cardiovascular department. What is the medical history, isn't it clear a long time ago?

So I didn't think about it at all.

"Several directors are experts in cardiac surgery, what do you think is the cause of the patient's systemic arterial malformation?"

Zhou Can is more interested in the cause.

If a patient wants to have heart surgery, he or she must figure out the cause of the arterial disease.

This is also a duty of care that doctors need to fulfill, which can minimize the risk of the entire perioperative period and greatly improve the success rate of surgery.

"It is difficult to say the exact cause, but it is possible to find the cause only after examination and investigation of the patient's childhood history and whether parents and grandparents also have such diseases. However, there are many strange diseases in this world, and there is no specific reason for it. ”

"One thing should be certain, it has to do with the patient's long-term high blood pressure."

"Yes, I also think it has something to do with a long history of high blood pressure."

The crowd voiced their opinions.

Most of the top experts in cardiothoracic surgery gathered at the scene, all of them are knowledgeable, knowledgeable and have rich clinical experience.

"Were you born with high blood pressure?"

Zhou Can felt that this conclusion was a bit scary.

The last time she chatted with her family, Zhang Qilian's wife only told Zhou Can that Zhang Qilian had vascular disease since he was a child, which was difficult to treat in China. In order to cure the disease, he went to Japan to study.

It is not only for the purpose of studying medicine, but also for the purpose of curing diseases.

"The patient's condition is very critical and it is important to remove the obstacle and move forward with the operation as soon as possible. It is better to invite the family members directly to participate in the consultation. ”

Director Xue Yan proposed.

Every time she sees such an acute and critical patient in the department, she is very anxious.

It is precisely because of her strong sense of responsibility that the mortality rate of the department can be effectively controlled. The current mortality rate in cardiothoracic surgery has fallen to an all-time low.

Zhou Can has contributed a lot to this, and Director Xueyan's strong sense of responsibility also has a great credit.

"I think it's very good, and it is convenient for everyone to ask about the patient's past medical history in person."

Soon, the family was invited into the consultation room.

In normal times, when the doctor consults, if the situation is special, or if the status of the patient or family member is more noble, the family may be invited in to discuss together.

Of course, because the family members are not professionals, they are more likely to sit in and answer the doctor's questions.

Zhang Qilian's wife's eyes were red and swollen and her face was haggard.

Zhang Qilian's condition suddenly deteriorated again, which put her under great pressure and mental torture.

It can also be seen that she has a deep relationship with Zhang Qilian.

Oriental women have always been loved by men when it comes to husband and children. In Japan, most families are in which the man earns money to support the family, and the woman stays at home full-time.

Young adult women who are not married are more likely to be more active in the workforce.

Normally, when the husband comes home, the hostess will kneel to greet him.

Of course, this kneeling is kneeling.

Kneeling is a very common etiquette in Japan. Not to mention bowing, that really brings the number of people to a new level.

In any case, it can be seen from these details that women are dependent on and respect their husbands.

Zhang Qilian was able to marry a Japanese woman who was so beautiful and loved him so much, which was really a blessing that he had cultivated for several lifetimes.

"Hello doctors, my husband's illness is please!"

She bowed to everyone.

Etiquette is the standard Japanese salute.

"You're welcome, Mrs. Zhang, please take a seat! We asked you to come and join us because your husband is in critical condition and there are some situations that we have not yet grasped. In order to save time, it needs to be understood by you in person. ”

Director Xueyan invited her to sit at the head of the consultation table.

There are usually two people seated here, most of the time for nurses or family members.

"If you have any questions, just ask, as long as I know, I will provide them as much as possible."

She sat down a little shyly.

"When we were discussing it just now, we learned from Dr. Chow that your husband has had vascular disease since he was a child, which will be a huge risk for heart surgery. Do you know the specific cause? ”

"I know something, this matter is related to Qilian's privacy, and I ask you to keep it confidential."

With that, she stood up again and bowed to the crowd.

"Patient privacy is what we should do, and you don't have to worry."

Director Xueyan made a promise to her.

"When I was younger, Qilian once told me that he had high blood pressure less than three months after he was born. At that time, the medical conditions in his hometown were not very developed, and the doctor only said that this situation was very rare. Because considering the poor tolerance of the baby, the doctor is also extremely cautious in using the drug. The doctor also told Qilian's parents that because the child was still young, the flexibility of blood vessels was very good, and if the blood pressure did not continue to rise, there would not be much of a problem. ”

High blood pressure in children is rare, but there are still some.

Hypertension in infants is extremely rare.

Most people develop secondary hypertension as they age. Such as aortic stenosis, renal artery stenosis, renal artery aneurysm and so on.

At that time, Qilian did not receive treatment. Later, when he was five months old, he had obvious symptoms such as irritability, crying at every turn, even vomiting, and sweating. His family took him to the doctor again, and he relied on medication until he was 19 years old. ”

She told Zhang Qilian's childhood history to the doctors present for the first time.

Born with high blood pressure, this kind of baby is especially difficult to carry.

Sometimes, because parents don't understand medicine, their children can't speak. Parents will also complain to others that my child doesn't know why it's so difficult to serve, and is especially prone to crying.

The slightest alarm will wake you up and cry non-stop.

In fact, in this case, parents should be more vigilant and be more patient and careful with their children.

Because babies are not feeling well, they cannot express it as accurately as adults.

Crying is their only way of expression.

If one day, they don't cry or make a fuss, it will be even more terrifying.

Zhang Qilian has had this strange disease since he was a child, and he is indeed pitiful. Maybe it's the experience of growing up with illness since childhood that makes his personality a little weird. Zhou Can dealt with Zhang Qilian in the car that time, and his first feeling was that he felt that this person was a little cold.

Perhaps the word yin owl is not enough.

It's a little more figurative to use the word cold.

In addition, he is also extremely paranoid and ruthless.

It is said that children who have suffered too much since childhood tend to be ruthless when they grow up. There should be some truth to this.

The level of medical care in China has been relatively backward a few decades ago.

It is relatively advanced now, but there is still a gap between it and developed countries.

When encountering some diseases that are difficult to treat, it is more important to give full play to the medical characteristics of the country and use the method of combining traditional Chinese and Western medicine to treat them.

First of all, it should be explained that the slogan of integrating traditional Chinese and Western medicine is not only out of consideration of national conditions, but also a kind of helplessness.

Traditional Chinese medicine has declined, and Chinese medicine has almost disappeared.

Even if there are a small number of old Chinese medicine practitioners with a high level, they are unable to continue to practice medicine because of the restrictions on their medical qualifications.

In general, traditional Chinese medicine is still in serious decline, and the treatment effect is poor.

As a result, the common people have lost confidence in traditional Chinese medicine and have given preference to Western medicine for treatment. This is a terrible vicious circle that will further lead to the decline of TCM.

Because there is no market, Chinese medicine needs to eat, needs to support the family, and cannot do it.

In desperation, I had no choice but to change careers.

This is basically the current status quo of Chinese medicine in China.

Of course, it's a little better now. Some wise people have put forward the propaganda slogan of Western medicine to treat the symptoms and Chinese medicine to cure the root cause. This is very effective, the side effects of TCM treatment are small, and it has basically been deeply rooted in the hearts of the people.

This is a trace of survival space that Chinese medicine desperately fights for.

After talking about traditional Chinese medicine, let's talk about the current situation of Western medicine in China. Medical instruments, instruments, and medicines are the two major magic weapons of Western medicine.

Because China was very backward and poor, the development of Western medicine started very late, coupled with the technical blockade of foreign countries, there was a serious generation gap between the treatment level of Western medicine and that of developed countries.

Of course, we are trying to catch up now, and the results are quite good.

However, there are still significant gaps in many areas.

We must have a clear understanding of this.

In his early years, he studied Western medicine, and basically he was originally from English. This requires that you must learn English before studying medicine.

It has virtually increased the difficulty of medical students to study medicine.

Until now, some top international medical journals are still required to be in English. Including the most well-known SCI, SSCI.

If that's all there is to it, it can still be overcome.

However, the technical blockade of instruments, instruments, and medicines is a hard wound.

It is difficult for a good woman to cook without rice.

These hard conditions cannot be solved, and it is impossible to improve the level of medical care.

Expose a cruel medical status quo.

When rescuing critically ill patients, the first thing doctors consider is always imported drugs and equipment. Because the effect of domestic production is much worse, the effect may not be obvious when used, and even have serious negative effects.

For example, the same drug has the same ingredients.

With current technology, it is not difficult to detect the ingredients of drugs.

But if you think that the ingredients of the medicine are the same, and the effect is the same for everyone, that is really a big mistake.

Imported drugs have advanced sustained-release technology, which can accurately control the duration of absorption of this drug by patients. At this point, there are still big technical barriers to domestic production.

Think about it, people have accumulated and precipitated technology for more than 200 years, and it is too difficult to reach the same height as others in a few decades.

To sum up, it is normal for our Western medicine to lag behind developed countries.

The decline of traditional Chinese medicine and the failure of Western medicine to catch up with the advanced level of others have resulted in a shortage of treatment for difficult diseases.

So what to do?

You can't just watch a patient die like this, right?

This is not difficult for some wise people in our country.

The slogan of integrated Chinese and Western medicine also came out. Take the best of two families and use them to fight the disease.

Although it has not yet been widely recognized, I believe that as long as we continue to work hard in this direction, we will one day reach a very high level.

"Your husband has been with high blood pressure since birth, is that genetic? Did his parents and grandparents have this similar condition? ”

Director Xue Yan asked.

"No, none of them have the disease. The reason for my husband's illness may be ...... His parents are married by close relatives. ”

She hesitated when it came to the specific cause of the cause.

In the end, he still did not shy away from the illness and told the real reason.

The harm of consanguineous marriage is very great, so many countries do not encourage consanguineous marriage.

This is unethical and detrimental to future generations.

The birth rate of deformed children married by close relatives is very high, and there are various rare diseases, and the incidence of strange diseases is also extremely high.

"The cause is now largely understood. Because the patient has suffered from high blood pressure since childhood, this causes systemic arterial disease. We will do some necessary tests on your husband to determine if he meets the criteria for surgery. ”

"Please, everybody!"

She was smart, stood up and bowed, and left.

Because to call her in, that is, to understand the problem.

"Zhou Can, I know that your work in the emergency department is also very busy. However, this patient's condition is critical, and you can help to diagnose it together and then formulate a surgical plan. If necessary, I'm afraid I will have to ask you to help you finish the surgery together before leaving. ”

Director Xue Yan made a request to him.

"No problem. Saving the lives of patients comes first, and I am willing to cooperate with them with my full satisfaction. ”

Zhou Can readily agreed.

"Considering that the patient has a history of hypertension for more than 50 years and the blood vessels in the body are in extremely bad condition, heart surgery is recommended. A heart transplant should only be used as a backup. ”

He almost foresees that the biggest challenge in operating on patients will come from the arteries.

……

More than an hour later, Zhang Qi had even finished the examination that should have been done.

The anesthesiologist is the highest director of Tuya Hospital, who is involved in the discussion of the operation and the evaluation of the patient.

The stakes are very high.

The family's willingness to take risks and their cooperation allowed the operation to proceed.

Director Xue Yan personally served as the chief surgeon, and Zhou Can was the actual second chief surgeon, mobilizing the strongest backbone of cardiac surgery to go all out to do a good job in this operation.

Vice President Ye and Vice President Bai of Administration both attach great importance to this operation.

Because this is an important publicity related to Tuya Hospital.

The hospital is ready to use this case to hype up a wave, step the Third Hospital into the mud pit, and help Tuya's cardiothoracic surgery and cardiovascular departments to set up golden signboards.

This is a major strategic decision for the hospital.

Therefore, the leaders of the hospital attach great importance to it.

(End of chapter)