177 Daughter-in-law
Should patients eat and live in their own homes, this is the question that Section Chief Duan has been pondering. Obviously, this is the worst-case scenario. Even if it is 1200 a month as Wu Mian said, Section Chief Duan absolutely cannot accept it.
He earns more than 5,000 a month, and his wife also has an income and lives a well-off life. But if you raise such a "little mother", I'm afraid you won't be able to live your life.
With a sad face, Section Chief Duan kept reflecting on how he had supported such an unconscious son, and he said to Wu Mian, "Xiao Wu, why don't you take a look?"
Wu Mian's hand was on his knee, leisurely. Hearing Section Chief Duan's question, Wu Mian said with a smile, "I won't go to see the patient, wait for me to make a call." ”
“......”
Section Chief Duan really didn't expect Wu Mian to refuse the request of such an old man as himself, and his aggrieved throat was blocked.
Why do today's young people not know how to respect their old comrades so much?
"Girl, did Section Chief Duan's son meet a patient suspected of pulmonary hypertension last night, you go and take a look, it's in the emergency department, I won't get started." ”
There was a silver ringing laugh on the other end of the phone.
Wu Mian hung up the phone and said, "Section Chief Duan, wait a minute." ”
"Oh. Oh. "Section Chief Duan really has the heart to refuse, this Xiao Wu is quite fucked, what's wrong with you following to see the patient? If you don't let your assistant see it, this is a show!
Section Chief Duan sighed that people's hearts are not ancient, but he didn't dare to say a word about it.
The lord in front of him, who dared to fight with the doctor and slept in the coffin, God knows what was wrong with him wearing sunglasses all the time before. And now that he has something to ask for, if he is really false, Wu Mian may be able to get better.
Looking at the teapot in front of him, Section Chief Duan's thoughts were in chaos.
"Section Chief Duan, in fact, the best way is for you to contact the civil affairs department. If you have acquaintances, things should be easy. ”
Section Chief Duan of the Civil Affairs Department shook his head slightly, he had already thought of what Wu Mian said.
"Then let's contact the hospital, how much does our medical department have every year? You, as the chief of the medical department, should have this authority. Wu Mian asked.
"What kind of funds?" asked Section Chief Duan in surprise.
"Huh?" Wu Mian was also stunned by the question, and then said, "If there is such a three-no-patient in the clinic, the hospital will give it to the medical department every year...... How much does it cost to solve the problem?"
Section Chief Duan almost didn't cry.
How can you be rich, you really have a dime.
Wu Mian knew the general idea when he saw Section Chief Duan's expression, and he sighed.
In super first-tier cities such as the imperial capital and the magic capital, there are more than three patients every year. There are various problems in the process of treatment, exceeding the budget, people are still lying in the ICU, and they can live with extra strength, so what should I do?
Clinicians call the medical office, virtual charges, which is the norm.
The better hospitals will have the hospital bear the money, but the non-human hospital leaders will let the department bear the money.
There are too many things involved in this, and it is difficult to describe them in one word, such as financial appropriations or something.
It seems that Bajingzi Traditional Chinese Medicine Hospital does not have this fee, or it is all confused.
Wu Mian groaned, there is always a solution, and how to solve it will have to wait for the girl to have a physical examination, so you have to look at the patient's situation first.
A few minutes later, Chu Zhixi appeared in the office of the head of the medical section.
Section Chief Duan and Chu Zhixi went to see the patient, Wu Mian didn't want to go to the clinic at all, he returned to his seat and lazily watched the sun rise outside the window.
The intense sunlight shines through the fat green leaves, and the shadows are mottled and vivid. Wu Mian listened to the chirping of the birds outside, and his heart was happy.
The mountain behind Lao Ou Mountain should be cleaner...... Just returned from Lao Ou Mountain, Wu Mian wanted to go again.
Following the window, Wu Mian saw Chu Zhixi's back walking towards the emergency department...... Seeing that figure full of youthful vitality, the frost on Wu Mian's face melted, and a smile appeared at the corner of his mouth.
Married to a girl, had a child, and like those young people, he began to snap every day, and then quarreled every day. Wu Mian thought messily in his heart, smiling.
"Brother, the patient has pulmonary hypertension due to a ventricular septal defect. ”
I don't know how long it took, Wu Mian had reached the age of 52 in another ordinary time and space, the child graduated from college, and he was saving money with Chu Zhixi to buy a house for the child in Pengcheng, when Chu Zhixi's voice interrupted Wu Mian's thoughts.
"Congenital heart disease?" Wu Mian's brows furrowed.
Pulmonary hypertension caused by congenital heart disease belongs to type 1, but congenital heart disease is really complicated, and even Wu Mian has a headache.
However, in general, congenital heart disease is easy to treat. That patient can live to be in his 20s and continue his life with sildenafil citrate, which should not be a super complicated congenital heart disease.
"What's the situation?" Wu Mian asked softly.
There was a hint of tenderness in the voice, warmth.
"Brother, what were you thinking just now? I want to see you smile. Chu Zhixi asked with a smile.
"I didn't think about anything, let's talk about the physical examination. ”
"Eisenmenger syndrome is positive, and the 3rd and 4th intercostal spaces at the left sternal border can be heard with a rough holosystolic murmur of the third ~ fourth grade, which is widely transmitted to the fourth. ”
"There is no echocardiogram in the TCM hospital, and other information is missing, so I asked the patient to do a plain film, which is estimated to be helpful. ”
The white jade-like fingers began to gently tap on the armrests of the chair, silently, but like a morning bell and a dusk drum, Section Chief Duan felt that he was beginning to palpitate.
"Brother, I can't judge whether the surgery can be done for the time being, but for the time being, I don't consider the provocative lesion of the aortic valve......"
The communication between Chu Zhixi and Wu Mian was like a book from heaven in the ears of Section Chief Duan and the two eldest sisters, and there was no way to understand it at all.
"Okay, wait and see. Wu Mian said softly.
"Uh...... Xiao Chu, what did you mean by Ai Ge syndrome just now?" asked Section Chief Duan.
"Wait a minute, Section Chief Duan. Chu Zhixi's words were not finished, she continued, "The patient's lungs are considered to have an infection on auscultation, and the congestion of the lung tissue is very serious. It is recommended to complete the examination and seize the time of surgical treatment. ”
Seeing that Wu Mian didn't speak, Chu Zhixi turned his head, his shawl hair was not flattened by the sterile cap, it was as smooth as a waterfall, and the wisps of sunlight fell on his hair, and the sunlight became more beautiful.
When the resistance of the pulmonary circulation is close to or exceeds the resistance of the systemic circulation, the systolic blood pressure of the left and right ventricles is equal, and the bidirectional shunt or right-to-left shunt is generated through the ventricular defect, and part of the blue hypoxic venous blood flows into the systemic circulation through the ventricular deficiency, and the patient develops cyanosis. This is clinically known as Eisenmenger syndrome. Chu Zhixi explained.
“......”
Section Chief Duan looked confused.
"Well, without saying too much, you just know it's a serious problem. The patient is your daughter-in-law? Why don't you treat it sooner. Chu Zhixi asked slightly unhappily.
Daughter-in-law...... These three words smashed on Section Chief Duan's head like three thunderbolts.