I really don't want to be a doctor

Chapter 168
It can be imagined, from the aorta to the renal artery, from the start of the cardiac ejection, through layers of blood vessels, and finally to the renal artery.

The intima and media of such a large section of blood vessels are completely torn, and blood enters between the intima and media.

On the way back from the CT room to the cardiology intensive care unit, Jing Xiaoran's heart was raised in his throat, and he was paying attention to the patient's changes all the time.

If such a large opening is torn, the patient may change his position or use a little force, and the torn blood vessel may rupture, causing hemorrhagic shock.

The original 10-minute journey took a full 10-[-] minutes to safely push the hospital bed back to the cardiology intensive care unit, and Jing Xiaoran finally breathed a sigh of relief.

"Xiao Jing, I have seen the results of CTA of the aorta." Zhu Zhu came to the ward, "I will communicate with the family members of the patient, and you can ask the doctor from the Department of Cardiac Surgery for consultation."

"Okay." Jing Xiaoran nodded.

At present, it seems that the critical disease of aortic dissection cannot be solved by cardiovascular medicine. It can only rely on cardiac surgery to implant stents or replace the entire blood vessel.

Jing Xiaoran found the phone number of the Department of Cardiovascular Surgery, and soon got in touch with the consulting doctor.

Cardiovascular surgery is also in the eighth inpatient department. In less than 10 minutes, a male doctor wearing a white coat and a green surgical gown walked into the intensive care unit.

"Who invited the consultation from the Cardiac Surgery Department?"

The male doctor shouted into the doctor's office.

"Teacher, our team invited us for a consultation." Jing Xiaoran immediately stood up and replied.

Zhu Zhu is communicating with the patient, while Teacher Cao and Li Wenlin are dealing with other patients.At this moment in the doctor's office, Jing Xiaoran was the only one in Zhu Zhu's group.

"I look at the video first, and then I go to the patient."

This heart surgeon is tall, with thick eyebrows and big eyes, but the top of his head is already a little bald.

"Okay, sir, sit here."

The computer screen in front of Jing Xiaoran was the CTA video of the patient's aorta.

The cardiac surgeon nodded, walked to Jing Xiaoran's side, picked up the mouse, and began to browse the entire aortic CTA image.

After a while.

"Oh, this tear is quite big!"

The cardiac surgeon frowned, stroked his chin with one hand, and kept going back and forth to browse the CTA images of the patient's aorta.

"Well, this is a Type I dissection." Jing Xiaoran said, "It has been torn from the beginning of the aorta to the renal artery."

"It's tricky. How is the patient's current condition? Is the blood pressure high?"

The cardiac surgeon looked at the patient's medical records again.

"The patient is currently in good condition, her vital signs are stable, and her blood pressure is currently maintained at around 150/80mmHg." Jing Xiaoran said, "She had a history of high blood pressure before, and her blood pressure was not well controlled."

"Well, I see." The cardiac surgeon stood up, "Take me to see the patient."

Jing Xiaoran then led him to the patient's ward, at this time Li Wenlin was helping the patient with an electrocardiogram.

"Senior sister, this is the teacher from the Department of Cardiology who came to see the patient's condition."

"Ok."

Li Wenlin had already finished the electrocardiogram, and hurriedly stepped aside.

The female patient on the hospital bed seemed to feel the unusual atmosphere.

"Doctor, doctor, what is wrong with me..."

The doctor from the Cardiac Surgery Department walked to the bed, leaned over and said, "Everything is stable now, don't worry. I'm a doctor from the Cardiac Surgery Department. I'm here for a consultation to see how you are doing."

"Doctor, where is my daughter?" The female patient said timidly, "Can she come in and accompany me?"

There are always several doctors gathered by the hospital bed, and the female patient's face is tense.

Hearing this, Li Wenlin said, "Auntie, we are in an intensive care unit, and family members cannot accompany you."

"Then, when can I be transferred out of the cardiology intensive care unit?" the female patient asked, "Can't I go to the general ward?"

"Auntie, don't worry, we will communicate with your family members according to the condition," Li Wenlin said.

"Alright then." The female patient stopped speaking.

Although patients have the right to know about their condition, in many cases, medicine needs "white lies".

Especially when facing a serious disease, such as cancer, or the current aortic dissection, it may be more important for patients to maintain a good attitude.

The consulting doctor of the Cardiac Surgery Department began to ask the patient some questions about his condition, and the patient answered them one by one.

"You take a good rest, and leave the rest to us." The heart surgeon said.

"Thank you doctor." The female patient said gratefully, "Please tell my daughter that I am fine now, and let her not worry."

The cardiac surgeon comforted the patient again, and then walked out of the ward.

"Take me to communicate with the patient's family members. If her family wants to actively treat and perform surgery, they can transfer to our group now. We happen to be doing dissection-related operations." The heart surgeon said.

"Okay, teacher, come with me, the family members should be in the interview room."

Jing Xiaoran brought the heart surgeon to the interview room, and Zhu Zhu was communicating with the family members.

"Mr. Zhu, the teacher from the Department of Cardiac Surgery is here."

Jing Xiaoran shouted softly into the interview room.

Zhu Zhu turned around and saw that it was Jing Xiaoran, and after talking with his family members a few more words, he walked to the consulting doctor of the Cardiac Surgery Department.

"Director Fang, you came here in person." Zhu Zhu said, "I'm really not sorry, it might have cost you a trip because the patient's family members want to be discharged from the hospital."

The Department of Cardiology and the Department of Cardiac Surgery usually have a lot of contact. Zhu Zhu happened to know this Cardiac Surgeon who came for consultation. He was the Deputy Director of the Department of Cardiac Surgery, Fang Ping.

"The family members want to be discharged from the hospital?" Director Fang was taken aback, "Should I go to the higher-level hospital after discharge?"

Although the Cardiac Surgery Department of Fancheng Central Hospital is not well-known in China, the city hospital is a provincial top three hospital after all.

Among all levels of hospitals in China, high-level hospitals, such as tertiary hospitals, are not allowed to transfer patients to low-level hospitals.

"No." Zhu Zhu shook her head and said, "I just revealed a little bit about the cost of aortic dissection surgery to the patient's family... It seems that her family can't accept it and wants to give up..."

Aortic dissection, especially those with large tear areas, has a very high mortality rate if it is not treated conservatively.

However, in addition to the high surgical fee, the current success rate of this type of surgery is only 50%, and the final outcome is very likely to be empty of money and people!
"Zhu Zhu, let me talk to the family." Director Fang said in a deep voice.

Zhu Zhu nodded, and called the patient's family to the interview room.

In fact, in many cases, the person who most wants the patient to survive is often not the patient's family, but the doctor in the ward.

……

In the interview room, Director Fang tried his best to explain the condition to the patient's family and persuaded him to actively treat it.

Hearing Director Fang's persuasion, the female family member's expression was a little hesitant, and her eyes were full of entanglement, but she never let go.

Jing Xiaoran knew that the female family members of this patient would most likely ask to be discharged from the hospital in the end.

"Ms. Zhu, I'll go back to the ward to see that patient." Jing Xiaoran said.

He didn't want to be in the interview room anymore, it contained most of the negative emotions.

Even a short time can determine a person's life or death.

Jing Xiaoran knew what this female family member was thinking.

There may still be children who are waiting to be fed at home, and there may be many places where money is urgently needed.

If she spent all her family's wealth for an inaccurate result, and even borrowed money and loans everywhere, what would she do in her future life?
But Jing Xiaoran couldn't understand this way of abandoning his relatives.

(End of this chapter)