This doctor has a system

Chapter 495 559. The truth is so funny

"Could you please stop being unreasonable?" Even though Director Zhang was well-mannered, he was furious at this moment.

"It was obviously your fault for not taking good care of the baby and causing him to fall. What does this have to do with me?"

"I have diagnosed it, could it be wrong?"

"If you hadn't cursed us, how could you have had a brain hemorrhage!" the aunt insisted, "We were fine before!"

Director Fan, who was standing by, was stunned. He turned and left the clinic. Just as he was about to say something to the triage nurse, he heard the old lady howling.

"Everyone, come and see! The quack doctor is killing people!"

"He was fine when we came, but he gave me a brain hemorrhage after seeing me!"

"My poor grandson!"

The pediatric clinics are all together, and there are quite a few people seeing the doctors. As soon as the auntie shouted, the crowd gathered around immediately.

"Can you please be reasonable?" Director Zhang said speechlessly, "I just looked at the child and he had a brain hemorrhage? Do you believe what you said?"

"Did you hit someone's kid on the head?" asked a bystander.

"How is that possible!" Director Zhang was so angry that he laughed, "The baby fell off the bed at home. I told her that there was a high possibility of cerebral hemorrhage, so I asked her to do a CT scan."

"The results are out, it's a cerebral hemorrhage."

"and then?"

"Then she said it was my curse." Director Zhang said to everyone.

"No way, this is pure extortion." A patient's family member whispered.

"That's right. It's clearly your fault, but you have to blame the doctor." An old man at the back couldn't help but say, "The world is going downhill!"

"There are evil doctors, and there are also many evil patients!"

"Let me ask you, can she succeed in blackmailing her like this?" asked an older sister.

"I don't think so." Someone answered, "What's wrong?"

"I was just diagnosed with diabetes," said the elder sister. "If she can blackmail the hospital, then I also think it was the doctor who diagnosed me just now."

“I was fine when I came.”

"I just heard you say that ants keep crawling on your urine." The older brother next to him said with a smile, "It's obvious that there is sugar in your urine. You must have diabetes. What does this have to do with the doctor?"

"I broke my arm two years ago, and I think it has a lot to do with my visit to the hospital today." A young man said with a smile, "The hospital should be held responsible!"

Everyone was talking at once and expressing their opinions, and the aunt holding the baby was a little overwhelmed.

"Shut up!" she said unhappily. "What does this have to do with you? Who asked you to gather here?"

"Didn't you call us over?" The old man was old but had a very good memory. "Are you suffering from Alzheimer's?"

"You're the one suffering from Alzheimer's!" the old lady was angry. "You old fool!"

"How can you talk like that!" A young man with tattoos stood up, "Apologize to my dad right now!"

"Or I'll beat you!"

"You dare! I'll call the police if you do anything!" The old lady was obviously scared, but she still refused to admit defeat.

"Call the police? That's really hilarious." The old man laughed, "My son just came out of there, am I afraid that you will call the police?" He actually felt a sense of pride when he said this.

"Son, what are you waiting for? Beat him up!" the old man urged. "I'll bring you food every day after he goes in!"

Everyone
"Don't be like this." Director Zhang was speechless. The environment in the hospital was too complicated, and there were all kinds of people there.

"Dad, why don't we just forget about it today?" The tattooed young man hesitated. "Although it's like going home when I go in, your grandson has just recovered from his cough these past two days, so I'd better take care of him for a few more days."

"I can do it all by myself." The old man said, "Everything I raise is fine with or without you."

After hearing this, the old lady's face turned pale. Could it be that she was really going to be beaten today?

The young man with tattoos was just about to take action when the security guard rushed over and the old lady's son and daughter-in-law also showed up. They had just gone to get the report.

"Baogang! Where have you been!" The old lady finally saw her savior, "Someone is going to beat your mother!"

"How could that be? This is a hospital." The man named Baogang said calmly, "Mom, we're not at home. Don't cause trouble for others."

"Yes, Mom, if you make a mistake, just admit it to others." The daughter-in-law also said, "We still have to take the baby to see a doctor."

The aunt just felt a chill and her mouth trembled, and she didn't say another word.

"Doctor, what should we do next?" the baby's mother asked, "I saw in the report that it was a small amount of cerebral hemorrhage, which is not serious, right?"

"That's not the case. Even if there is a small amount of bleeding, it is still very important to be very careful with a 3-month-old baby." Director Zhang explained, "He needs to be hospitalized for observation, and then further MRI examination can be done. This way..."

"Still checking!" the old lady cried, "Can the child be exposed to so much radiation?"

Director Zhang explained to her that MRI has no radiation, "Its principle is..."

"You're talking nonsense!" the aunt interrupted, "Why don't you let your child do an MRI?"

"Do you think your mother-in-law also needs treatment?" Director Zhang said to the baby's mother who left last, "Don't you think there's something wrong with her?" He pointed to his head.

"Then can you prescribe some medicine for her?" The baby's mother still cared about her mother-in-law, "The kind that will make her unable to wake up the next day after taking it."

"You wish." Director Zhang handed her the hospitalization certificate and said, "Go and get admitted quickly. It's best to let your mother-in-law go back first. Her presence here will affect the treatment effect."

After treating this patient, Director Zhang suddenly felt exhausted.

"Mr. Zhang, have some tea." Director Fan consoled him. "Take a rest. I just asked the nurse to transfer the remaining patients to other clinics for you."

"I was wondering why there were no patients." Director Zhang suddenly realized.

"I want to consult you again." Director Fan said with a smile, "Can you do the Potts shunt surgery?"

"Of course!" Director Zhang replied, "Our hospital has already performed several cases!"

Director Zhang was somewhat proud when he said this. Although the Potts shunt was invented decades ago, it has not been widely used. It is mainly used to treat children with cyanotic congenital heart disease and oligopulmonary anemia.

It has only been used in recent years for children with pulmonary hypertension, but the operation is very difficult, risky and has an alarmingly high failure rate.

Ordinary doctors would never dare to touch it.

Director Zhang is a cautious person. He sets very strict criteria when selecting patients. Even so, there was one child who ultimately failed to make the procedure.

"And we only treat children with congenital heart disease, but never children with pulmonary hypertension."

"Besides, you're an adult, the risk is even greater."

"Shouldn't the risk be lower for adults than for children?" Director Fan wondered, "Children's organs are so delicate, it must be difficult to deal with them." He thought that if it could be done on children, then there would definitely be no problem for adults.

"That's your assumption!" Director Zhang said, "Each individual is different, how can you compare them together?"

"Forget it, it's a wasted trip." Director Fan said disappointedly, "You too, if you can't do it, just tell me earlier, you're just wasting my time."

"I didn't ask you to come!"

Director Fan walked towards the rare disease clinic in a depressed mood. Along the way, he was thinking about how to communicate with Qin Mengying.

"Fortunately, I didn't mention this operation to her." He secretly thanked his luck, otherwise the patient would be so disappointed.

"Director Fan!" Gao Feng shouted.

"Gao Feng! You're here." Director Fan was very happy to see him. "I haven't seen you for a long time."

Gao Feng explained that he was working hard in the laboratory, "I saw that you were absent-minded just now, what's the matter?"

"There is a patient with pulmonary hypertension, and it's quite serious." Director Fan took a general look at Qin Mengying's condition and said, "She's only 29 years old, what a pity."

"If it doesn't work, I'm going to suggest that she go abroad to have a look."

But to be realistic, even if you go abroad, treatment will not be smooth sailing.

Director Fan searched articles from recent years and found that there was only one successful case of Potts shunt treatment for adult pulmonary hypertension, but the patient died half a year after the operation.

As a respiratory physician, Gao Feng is naturally familiar with idiopathic pulmonary hypertension. As a rare disease, there are currently not many effective treatments.

He had previously treated a patient with the disease, a 42-year-old man, who died in just seven months from diagnosis.

"This patient was very beautiful, what a pity." Director Fan sighed.

Gao Feng didn't feel anything about this sentence. Misfortune usually doesn't look at appearance when choosing unlucky people.

But Li Youliang became interested, "How beautiful is it?"

"Come on, I just need to talk to the patient about his condition, let's go together."

When Gao Feng saw Qin Mengying for the first time, he was stunned for a moment. He had to say that this was the most beautiful girl he had ever seen in real life.

Her skin was whiter than Li Xinyao's, and she had a slim figure with curves in all the right places. Her eyes were as clear as lake water, shining like deep stars, and her soft pink lips were as pure and beautiful as flower petals.

However, her master's mental state was obviously not very good, with a hint of sadness between her brows.

"This is too beautiful." Li Youliang whispered to his boss, "Please save her."

This is indeed a world where appearance matters. Gao Feng thought, it would be such a pity if such a beautiful girl really died.

But there seems to be no other way now.

Director Fan had a brief conversation with Qin Mengying and told her that the only surgical procedures currently available in China were atrial septostomy and lung transplantation/combined heart-lung transplantation.

"But atrial septostomy is not suitable for me. Many doctors do not recommend it for me." Qin Mengying frowned and said, "They said it is not very meaningful, it will not significantly improve the symptoms, and it cannot delay the progression of the disease."

As for lung transplantation/heart-lung combined transplantation, this will definitely have the best effect, and she has always placed her hopes on this, but after waiting for more than two years, there is still no suitable donor.

Qin Mengying felt that she might not be able to wait for that day.

"There is actually another surgical method," Director Fan hesitated, "called Potts shunt, but..."

"But what?" Qin Mengying felt a little hope in her frustration. "You said, it has come to this point, there is nothing to hide."

"It has not yet been carried out in China. It is also very rare abroad, and the prognosis is difficult to assess." Director Fan said.

Now Qin Mengying was completely disappointed.

"Director Fan, I just heard you mention Potts shunt surgery?" Gao Feng asked after walking out of the ward, "Isn't this a surgical method for treating children with congenital heart disease?"

“Why are you still in contact with the patient?”

"It seems that you don't know it sometimes." Director Fan said, "A few years ago, someone abroad used it on children with pulmonary hypertension, and it is said that the effect is quite good."

Gao Feng really didn't know. After all, this was a pediatric cardiac surgeon. How could he, a respiratory doctor, pay so much attention to it?

"Not for adults?"

"I don't know." Director Fan shook his head. "There was only one case reported abroad, but the patient died six months later." He added concisely.

After returning to the residence, Gao Feng made a video call to Li Xinyao. His son was growing well and looked chubby. She laughed out loud with joy when she saw him.

After playing for half an hour, Gao Feng hung up the phone and prepared to dream about Zhou Gong.

But when he closed his eyes, Zhou Gong did not come, but Qin Mengying's pretty face appeared in his mind.

Gao Feng suddenly felt a little ashamed, but he quickly adjusted himself.

It is normal for people to like beautiful things. You can think about them, but don't do them.

He simply entered the system space and began to search for the Potts shunt. The principle of this operation is very simple, which is to create a shunt between the systemic and pulmonary arteries by performing side-to-side anastomosis between the descending aorta and the pulmonary artery, which can increase the amount of blood circulating in the lungs and ultimately improve the systemic hypoxic state.

After watching a few videos, the overall process is quite bloody and violent. The operation requires opening the chest and puncturing from the descending aorta to the pulmonary artery. Even the slightest mistake will lead to heavy bleeding.

Gao Feng thought about it for a while and felt that this operation was quite suitable for patients like Qin Mengying.

It's just that the risk is a bit higher.

However, if the warlocks can be improved, the mortality rate should be able to be reduced.

Gao Feng fell into a deep sleep during the brainstorming session.

The next morning, he found Director Fan.

"Interventional department?"

"Yes, I have some ideas." Gao Feng naturally did not hide anything from Director Fan, "Interventional descending Potts shunt."

"Isn't this possible?" Director Miao Xingyuan of the Interventional Department frowned and said, "Isn't this done by thoracotomy?"

Children's blood vessels are relatively thin, so catheterization is undoubtedly a fantasy. Their first choice is still surgical open-chest Potts shunt.

"It's not a child. The patient is 29 years old." Director Fan said.

"Why do adults need to undergo Potts shunt surgery?" Director Miao Xingyuan was even more puzzled.

"The patient has severe pulmonary hypertension," Gao Feng explained. "I think the Potts shunt is also suitable. Some scholars abroad are also trying it."

"Is that so?" Director Miao hesitated for a moment, "We really didn't notice this."

(End of this chapter)