Wei Jinshui was rushed to the hospital by 120 two days ago in the morning. Because of the spontaneous hemorrhage of the left anterior traffic aneurysm, he fainted on the way to school on an electric scooter.

"The patient's narrow neck left anterior communicating aneurysm was treated with platinum coils and the results were good. Sun Lien found Wei Jinshui's case record from the file book in his hand, "The surgeon is Dr. Dong Xin, a doctor with a 95% degree of aneurysm embolism, and the patient currently has a good level of consciousness, except for slight numbness in both lower limbs, there are no other neurological dysfunctions." ”

Liu Tangchun nodded, and suddenly asked, "What is the difference between GDC (Guglielmi Detachable Coil) treatment and traditional craniotomy and balloon dilation treatment, and what should patients pay attention to after surgery?"

This is to teach Sun Lien. GDC treatment is typical of neurosurgical treatment, and it is not something that emergency physicians need to master.

After a moment of silence, Sun Lien replied, "GDC performs electrolysis while placing the coil, and the treatment time is short, and it will not damage other brain tissues and will not cause iatrogenic brain damage." The platinum ring attracts blood cells under the action of electricity, forming an embolic filling of the fragile aneurysm body. It is more adaptable to the complex shape of the aneurysm than balloon dilation, and it is less likely to cause aneurysm rupture. ”

"What should I pay attention to after surgery?" Liu Tangchun was quite satisfied with Sun Lien's answer. "You gave him his orders?"

"The patient's medical order was given directly by Dr. Dong Xin. Sun Lien spread his hands, "After surgery, we mainly need to pay attention to the appearance of complications such as hydrocephalus. Repeat angiography imaging will be performed within three months. ”

"Huh?" Before Liu Tangchun could speak, Wei Jinshui, who was lying on the hospital bed, shouted first, "Do you still want to come for an examination?"

Liu Tangchun smiled and asked, "What, don't you want to come to the hospital?"

Wei Jinshui's face was not very good-looking, and he hesitated, "I'll take the college entrance examination next year, isn't this a delay in time?"

Liu Tangchun continued to ask, "What is the college entrance examination for?"

"In order to go to a key university, I will honor my parents after I come out to work. Xiao Wei replied without hesitation, and it could be seen that he really thought so. "They work too hard early and late at night, and I want to be self-reliant as soon as possible to make it easier for them. ”

"Then you have to check it on time. Liu Tangchun said, "If there is a problem in the early examination, maybe it can be solved by taking medicine." But if you don't want to come, then maybe you have to have another operation. Do you know how much it cost you to have this surgery?"

Xiao Wei's face deteriorated, "Did you spend a lot of money? My family has no money!" He lowered his head and cried quietly, "The two of them borrowed money to buy an electric car for me in order to make it easier for me to go to school." What can I do if I borrowed money from a relative and haven't paid it off?"

No one knows how much stress this seventeen-year-old boy has carried in his past life. But this sudden illness suddenly broke through the last line of defense in his heart. He sat on the hospital bed, his head bowed, tears streaming down his cheeks. One by one, they landed on the bed, on the white quilt of the hospital.

Liu Tangchun was stunned, he walked to Wei Jinshui's bedside, sat down and touched the young man's hair. "Don't cry, boy. ”

Wei Jinshui wiped the tears on his face in a panic, "I'm sorry...... I...... I couldn't hold back. ”

"You're still young. Seventeen years old, not yet an adult. Liu Tangchun is like an old grandfather chatting with the little grandson next door, "It's a little early to worry about making money." ”

"But......" Wei Jinshui wiped his tears, his body trembling because of sobbing, "our family really has no money......

"Leave these things to the adults to worry about. Liu Tangchun's answer was categorical, "Now that you are worried about this, you can't help anything." Get well quickly and come back on time. Don't add a new burden to your family, that's what you can do. Do you understand?"

Leaving Wei Jinshui's ward, Liu Tangchun walked a long way with the group before he lowered his voice and said, "Why didn't I tell him about insurance just now, does anyone know?"

After a long silence, Zhou Jun broke the silence, "Because we don't know the explanation of the patient's family to this problem, and the problem of payment for treatment that has arisen is not what the patient needs to know." ”

"If you over-answer, it can lead the patient's family into some kind of moral trap. For example, if they often lie to their children. Liu Tangchun shook his head and turned to look at Sun Lien, "You saved a good child." In this day and age, it is rare to be able to think so much about parents. ”

Liu Tangchun said that the rescue is not just a treatment. is also because Sun Lien used his body to block Zheng Xiaoyu's flying kick for Wei Jinshui, who was in a coma. Liu Tangchun has watched the surveillance video, if it weren't for Sun Lien blocking it with his chest, I'm afraid that Zheng Xiaoyu would kick Wei Jinshui's head directly - no one knows if this foot will kick through the cerebral aneurysm that has spontaneous hemorrhage.

Ward rounds continued, and nearly 400 people were admitted to the emergency department yesterday, of which about 300 were discharged on their own after simple treatment. There are 68 people newly admitted to the general ward awaiting surgery, and 31 people who have already been operated. Four firefighters and three flight ambulance crews were placed in the ICU for enhanced observation.

"This patient is in a special situation. "Finally, it was Zheng Guo's turn to have a ward. Liu Tangchun stood at the door with a wicked smile on his face, and said to the many doctors behind him, "In order to ensure the quality of ward rounds, I specially invited Xiao Lirong, director of the nursing department of our hospital, to participate in ward rounds. Everyone applauds and welcomes!"

There was a round of applause in the corridor of the inpatient ward, as if a leader had come to inspect it. Director Xiao Lirong wore a white coat and nodded and smiled at the young doctors who applauded around her. Then walked in front of Liu Tangchun. "I knew that Lao Liu, you have a bad stomach, and it must not be good to ask me to come to the ward round. ”

"I'm trying to equip young doctors with more knowledge. Liu Tangchun smiled, moved his body slightly, and blocked the name of the patient at the door with his body. "Director Xiao, you are an authority on the postoperative care of patients and the doctor's order examination, and it is also a valuable experience for these young doctors to invite you to participate in the ward rounds!"

Liu Tangchun buttoned Xiao Lirong's big hat, and suddenly there was a crisp footstep in the distance. Sun Lien turned his head to look, but found that the person who came was Xu Yourong.

"I'm sorry, I'm late. Xu Yourong nodded coldly to the doctors around him, and explained to Liu Tangchun, "I didn't know that today was the day of ward rounds, and no one informed me yesterday." ”

"It's okay, you've only been in our emergency department for a short time, so it's understandable. Liu Tangchun nodded, took half a step back, and revealed Sun Lien, who was blocked by himself, "You can ask Lien about the ward rounds in front." Well, the last patient. He turned his head and pushed open the door behind him, "Director of the Department of Orthopedics of the Fourth Central Hospital, Zheng Guoyou!"