Zhou Jun's temper has been very bad these days. Even if Sun Lien is a blind man, after the Zhou Army's Joint Security Office conducted three "anti-medical trust scalpers" exercises in two days, he could guess that his senior brother was in a very bad mood, and it was estimated that it had something to do with medical trust or scalpers. But now there are several Zhou Jun in the emergency room, and Liu Pingchuan, who is in charge of "supervision", not only did not oppose Zhou Jun's behavior, but also gave all kinds of support.

There is nothing to say about this kind of exercise, which has no precedent or plan, and the basic routine is that the medical personnel leave the scene of the conflict as soon as possible, and let the staff of the security department quickly intervene. It's just that there are too many exercises, and Sun Lien gradually feels that something is not quite right. So at the end of the third exercise, when everyone was gone, Sun Lien had the courage to ask Zhou Jun what was going on. And then I got a shocking answer.

"Director Liu was arrested?" Sun Lien was shocked, he was so surprised that he didn't even notice that his words were almost shouted.

"I spent the night at the police station. Zhou Jun frowned and explained, "Are you afraid that others won't know or what?"

What the comrades of the police in the capital feared really happened. The five doctors insisted that they didn't mean to guide others, and they were just bragging and chatting. As for the later action, it was just four people who acted bravely. insisted that he had no malicious intent, and at the same time, these five people really had no criminal record, and the result was that Liu Tangchun would not be able to leave for a while. The whole case can only be handled as "picking quarrels and provoking trouble". Here, Liu Tangchun was left behind to record a confession overnight, while on the other side, several police comrades took turns to go into battle and interrogated the five medical trustees over and over again. Finally, the surveillance video near the unlicensed small clinic was found, and ironclad evidence proved that these five people often took other people to the clinic together, and also found two deceived patients in the clinic, which can be regarded as digging Liu Tangchun out of this trouble.

Criminals will do everything they can to crack down on the righteous and courageous masses. Only by letting everyone start to worry about the consequences of their righteous and courageous actions can they be more unscrupulous and deceived without worrying about being discovered. And Liu Tangchun insisted on his own opinion - these people's actions are considered lenient according to fraud. Think about the example of Xiao Yanran, fooling a patient who needs to see a doctor to go to such an unlicensed small clinic for treatment, which should be treated as murder.

Although the troubles on the capital's side have finally come to an end. But the news that Liu Tangchun was detained by the police comrades for a day still reached Zhou Jun's ears. And the method used by Zhou Jun to exert pressure was also very simple, he directly called the office of the president of the First Hospital of Beijing Medical University and told the president the "truth" for a long time.

As mentioned earlier, Zhou Jun's greatest ability is that a person who doesn't spit out dirty words, but can scold is uncomfortable.

Although the director of the First Hospital of Beijing Medical University was also innocent, and he was scolded for some reason, Zhou Jun could not manage this, his mentor was in their territory, and in order to protect their patients, he was taken into the police station for a whole day. And you didn't even go to the police station to offer condolences in your hospital. With this, if it weren't for the fact that he couldn't leave at all now, Zhou Jun would even want to fly to the capital to have a passionate collision between fists and flesh with this dean.

Sun Lien sighed. Zhou Jun was in a bad mood, and it was these emergency doctors who suffered. The drills that have come and gone have made many doctors already complain -- Our Fourth Central Hospital is an emergency center hospital with a large emergency model, when do patients have to make an appointment to come to see a doctor? Even if they want to exercise, it should be an outpatient clinic to practice, right? Even if the medical trust is skillful, it may not be able to fool patients with broken arms and legs, internal bleeding, and poisoning to unlicensed small clinics? Even if they dare to fool, which family member dares to believe it?

The Fourth Central Hospital can be said to have no conflict with medical trusts and scalpers by nature. Because it is impossible for them to intervene from here, not to mention that Lao Wu, who is on call at the gate every day, is full of hope to catch a group of scalpers to relieve his boredom.

Sun Lien finished checking today's room, looked at Yang Jianqiang's wife sitting quietly on the stool outside the ICU, sighed, and didn't bother her.

Yang Jianqiang's condition is still very dangerous, as Sun Lien feared and expected, after the use of sulfadiazine and pyrimethamine, abscesses gradually began to appear in multiple organs in his body. Fortunately, his immune system has been suppressed to a very low level, and the life support measures in the ICU are quite in place. Yang Jianqiang's brain abscess has begun to show signs of decreasing, and his heart edema and liver damage are barely safe, but the kidney performance is relatively poor. Thankfully, his kidney function has not been completely lost and he does not need to use a continuous blood purification regimen. As long as you have dialysis every two days.

If there are no other mistakes, Yang Jianqiang still has a great chance of surviving. And Yao Zhuangxian, who "put his heart in his stomach", the situation is not so optimistic.

The knife that was inserted in the chest cleanly penetrated Yang Jianqiang's chest wall, and although it did not directly injure the lung lobe, it still caused very serious problems. Doctors at the Fourth Central Hospital transferred Yang Jianqiang to the inpatient ward of the Department of General Surgery after giving him emergency closure and chest drainage. It stands to reason that this patient has nothing to do with Sun Lien. But in such a rare case, how could Sun Lien not have any curiosity at all?

However, this case is so rare that the psydiatric doctors in the Fourth Central Hospital are not psychologically prepared for Yao Zhuangxian's situation at all. The long-term compression of the heart, as well as the long active veins connecting the heart, caused Yao Zhuangxian's heart to be extremely heavy. And the knife on the chest was like a finger that pulled the trigger, which made Yao Zhuangxian's condition deteriorate sharply.

According to the discussion between Sun Lien and Yuan Ping'an, the situation is probably like this.

Congenital ectopia is not "without side effects" for Yao Zhuangxian. In fact, because the aorta is about 30% longer than normal, Yao Zhuangxian himself should have the problem of increased systolic ejection resistance of the left ventricle. In order to overcome this resistance, in most cases, the ventricular muscles will be compensated for hypertrophy, increasing the muscle density and thus ensuring the amount of heart ejection during contraction. However, due to the fact that his heart is in a different position from ordinary people, and there are many organs around the heart that are compressed, Yao Zhuangxian's myocardial hypertrophy does not actually manifest as outward expansion hypertrophy, but takes another way of compensation - his resting heartbeat rate is nearly twice as high as that of normal people. At the same time, Yao Zhuangxian's coronary arteries underwent compensatory hyperplasia. According to the ultrasound results, Yao Zhuangxian's coronary arteries are about 60% longer than normal, which helps his heart muscle get more blood to keep beating at a high frequency.

However, there is a limit to the normal metabolism of the human body. No matter how much oxygen the heart muscle gets, it can't be turned into an electric motor that jumps non-stop. A large number of hyperplastic coronary arteries, like the compensatory cerebral blood vessels of moyamoya disease, are complex in shape and small in diameter, which means that they can be easily blocked.

Yao Zhuangxian, who was frightened after being stabbed, had a higher heartbeat rate. And primary myocardial ischemia, caused by a blockage of hyperplastic coronary arteries, became the straw that broke the camel's back — even though the straw itself could have crushed the camel to death — and Yao's heart quickly showed signs of expansion and failure. The most direct symptom of the expansion of the heart that compresses the stomach is Yao Zhuangxian's frequent vomiting and acute dyspnea.

In order to correct his vomiting and support his breathing, the Department of Cardiac Surgery and Intensive Care Medicine carried out preventive treatment. Although it has not yet reached the point where ECMO support is needed, if his heart cannot be put back in the right position as soon as possible, then Yao Zhuangxian can only gamble on a heart transplant.

The problem is that the Department of Cardiac Surgery at the Fourth Central Hospital is not very good at this kind of surgery. In fact, the best hospitals that specialize in heart ectopic correction surgery are children's hospitals everywhere. The reason is simple: very few children with ectopic heart do not show obvious malformations. Sun Lien and Yuan Ping'an couldn't figure out this question the most, it was obviously a symptom that was easy to be found in infancy and early childhood, why did Yao Zhuangxian's heart ectopic not be discovered?

However, this question is destined to never be answered. Yao Zhuangxian has no relatives, at least according to the police investigation, he has no living relatives. Fortunately, Yao Zhuangxian's company is quite kind, and the company has bought supplementary commercial insurance for everyone. At the same time, because Yao Zhuangxian's injury was during the company's team building, his injury was characterized as a "work injury". This allowed the company's leaders to become Yao's medical agent, making some key medical decisions for him. This characterization is very important, especially after the hospital must not induce a coma with anesthetics in order to correct his vomiting and struggle.

"In his current situation, it is definitely unrealistic to transfer to the hospital. Sun Lien and Yuan Ping'an discussed for a while, and even attracted Xu Yourong and Zhou Ce to join. "Or might you consider having a cardiologist at a children's hospital come for a consultation?"

"In infants and young children's heart ectopia, the biggest difficulty in surgery is actually that their organs are too small, and the anastomosis of blood vessels is not easy to do. Xu Yourong thought for a while, shook his head and said, "It's okay to say if it's just a relatively common heart exposed, but to sum it up, open the chest cavity and put the heart back to its normal position." ”

Sun Lien smiled bitterly twice, "Your summary is really concise. ”

Xu Yourong ignored Sun Lien and continued to analyze, "Abdominal ectopic heart is different. His heart is first cut out of the abdominal cavity, and then the aorta and vein connecting the heart are ligated, and signs are maintained by cardiopulmonary bypass. Then open the thoracic cavity, trim off the excess blood vessels, and then use the remaining blood vessels to recreate the arteries and pulmonary arteries, and at the same time connect the left and right pulmonary veins and the upper and lower vena cava, and six anastomoses need to be sutured. ”

Zhou Ce continued, "In terms of workload, this is roughly equivalent to a heart removal, an aortic replacement, and a heart transplant. ”

"There was also a PCR intervention. Don't forget that he had a myocardial infarction. Yuan Ping'an added, "Roughly calculated, this is basically equivalent to three fourth-level surgeries and one third-level surgery with special access." ”

The three men shook their heads together in Xu Yourong's calm gaze, "It's not easy to do!"