This Doctor is Great
Chapter 21: Survival in old age with sons and daughters
In the ward, Zhou Mo found Senior Brother Chen Bing who was doing rounds.
"Aortic dissection?"
When Brother Chen Bing heard that it was aortic dissection, his face suddenly became serious.
"Why hasn't it been delivered yet? This disease is very dangerous. As soon as it explodes, Wuhu will be destroyed..."
"The girl in the emergency department said that the family is discussing..." Zhou Mo said with a wry smile.
"Negotiate? What's there to discuss? It's all dead, so you still need to discuss?" Brother Chen Bing was very happy on the spot when he heard it.
"The emergency girl said that the patient has three sons..."
"Three sons... oh, that's no wonder..."
Senior Brother Chen Bing suddenly showed the expression of 'so it is'.
"Let me tell you, Zhou Mo, you are only clinical, and you don't know much about our experience..." When he said this, Chen Bing glanced at the patients in the ward rounds, as well as the patients in the next bed... Well, it was his daughter who was there. **** aside.
"Forget it, I'll go back and tell you..."
Brother Chen Bing felt that this kind of thing should not be said in front of the patients. If these two patients had sons, wouldn't it be heartbreaking?
"Are you free?" Brother Chen Bing asked.
"Yes, mine is done..." Zhou Mo said.
"Then go round the room with me, you study..."
"okay!"
Zhou Mo is very motivated and will never let go of any learning opportunity.
Soon, a voice came from the system:
"Ding...you completed a ward round about myocarditis...you got..."
All of this is due to my hard work!
Dark blue, +!
…
16:30…
Senior Brother Chen Bing finished checking the room, then left the ward and dragged Zhou Mo into the duty room.
"Do you know why the emergency girl specifically mentioned 3 sons?"
"why?"
"Hey... I've been working in this hospital for three or four years. I've found that every time an elderly person gets a major disease, the risk is very high and the cost is very high. The more sons are born, the better the survival rate. The lower it is. On the contrary, the more daughters you have, the higher the survival rate.”
Zhou Mo: "..."
"If it is a daughter, then whether the daughter is married or not, even if the family goes bankrupt, the parents must be cured... If there are two or three daughters, they will be more active in raising money..."
"If it is a son, 50% will be saved, 50% will not be saved... If there are more than two sons, the economy is average, and there is a high probability that treatment will eventually be given up... The more sons, the easier it is to argue, especially if there are no sons. When it comes to money..."
After Zhou Mo heard it, he wanted to refute.
However, it seems to make sense.
Because among the patients he observed this week, the family members who accompanied him were usually daughters and wives, and the sons had hardly ever seen them.
Senior Brother Chen Bing: "That's why I don't dare to say this in front of the patients in the ward. If any of these elderly people have two sons, wouldn't they sound angry..."
Senior Brother Chen Bing asked again, "Do you know how much the interventional surgery costs for aortic dissection?"
Zhou Mo: "I know, if you get involved, it will be at least 50,000 yuan, but if you have medical insurance, it seems that you can reimburse a lot..."
Senior Brother Chen Bing: "That's the problem, the price is high, and there is a certain risk of aortic dissection surgery... So, their three sons may be afraid that the money will be spent, but they will not be rescued, or they will be paralyzed... So Ah, sometimes people's hearts are more dangerous than diseases..."
Zhou Mo: "Thank you, Senior Brother..."
I have to say, it has benefited a lot.
Sure enough, there are some experiences that cannot be learned from books.
Zhou Mo asked, "What about this patient?"
Senior Brother Chen Bing: "The patient is definitely a type B dissection, right?"
According to the location of aortic dissection in patients, it can be divided into type A and type B.
Type A dissection, which involves the aorta, which is connected to the heart, has the highest blood pressure and is the most likely to rupture. The only treatment is emergency surgery to replace the aorta, which is attached to the heart, with an artificial blood vessel. This kind of operation costs 200,000 yuan, but there are medical expenses that can be reimbursed, but the risk is very high.
Type B dissection is limited to the thoracic and abdominal aorta, and can be treated conservatively with interventional stents or drugs. The cost is more than 50,000 yuan, and the foreign stent is more than 130,000 yuan.
However, the price of the bracket has been reduced recently.
simply say,
Type A dissection heart surgery.
B-type dissection was sent to the Cardiology Department.
Zhou Mo nodded: "Yes, it's type B... The current emergency plan is sedation, analgesia, and blood pressure control..."
Senior Brother Chen Bing thought for a while: "Notify the interventional diagnosis and treatment center first, and leave a surgeon, so as not to intervene at night...I'll just contact you..."
Zhou Mo nodded: "Yes, Senior Brother."
…
17:00, get off work...
The nurses start their shifts...
After Sister Chen finished her shift, she saw Zhou Mo and said hello very happily: "Your luck is really good, it's not black..."
Then, walking briskly, he left for get off work.
…
18:00…
The old man with aortic dissection in the emergency department finally came.
In a coma.
Pushing a flat cart into the Cardiology Department. Wife and three sons are there.
It took half an hour to complete the admission procedures.
Then the doctor rounds the room, asks about the condition, does a physical examination...
Brother Chen Bing was afraid that Zhou Mo would not be able to do it, so he deliberately joined Zhou Mo to communicate with patients and their families.
And Zhen Zhihang, the chief physician of the interventional diagnosis and treatment center, also came along. UU read www.uukanshu.com to learn about the condition.
"Doctor, does my dad's body have to undergo interventional surgery? Is it okay not to?" the patient's eldest son asked while the patient was in a coma.
The patient's wife was crying beside the bed.
The second and third sons next to each other were playing with their mobile phones, while the other pretended to hold the old man's hand, but they were obviously absent-minded. They should be listening with their ears open.
Dr. Zhen Zhihang said with a serious face: "Of course not, if this aortic dissection is not treated, it will always exist, and it may become bigger and bigger as time goes by, and it will become more dangerous..."
The eldest son looked troubled: "How much does it cost?"
Dr. Zhen Zhihang: "It's hard to say, tens of thousands... It depends on the operation process..."
The atmosphere suddenly became silent.
The patient's wife cried a little louder.
The atmosphere is silent...
After more than a minute, the second son suddenly said, "Doctor, if you want to stabilize the condition first, we will discuss it first, and then decide whether to do surgery or not..."
Zhou Mo and the three looked at each other.
"Okay, let's treat it with drugs first... But you have to decide as soon as possible... The longer the time, the greater the risk..."
"OK!"
Senior Brother Chen Bing suggested: "Do you want to have a pre-operative conversation with you first? So that you won't be in a hurry when deciding on an operation?"
"This... No need, let's discuss it first..." The eldest son hesitated for a while, and finally spit out a sentence.
The second and third sons were silent and did not object.
Senior Brother Chen Bing could only nod his head: "Okay..."
Zhou Mo shook his head and sighed in his heart.
Hope tonight, the old man spends safely!
————
ps: Recommended vote for Appetite…
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