2448 A hot potato
Unfortunately, this energy only lasted for three days before sun yuenan started to have a fever. In the beginning, she held it in, thinking that she was young and in good health, so she would be fine after a while.
However, she soon had a fever and could not get out of bed. She had no choice but to get some antibiotics from a nearby clinic.
She guessed that the tattoo was too large. The tattoo artist had also said that such a large tattoo would cause heat.
Sun yuenan couldn’t do anything about all the unlucky things that happened to her, so she could only obediently take the drip.
Her condition was good and bad at times. It was almost a good day, but when she was a little more energetic, her body temperature started to rise again when she was ready to go to work.
Lying on the bed, sun yuenan could hear her own heartbeat. Since the last time she changed the heart valve, the sound of the mechanical valve was like an alarm clock that made her feel annoyed again.
She was half-awake and her ears were filled with clicking sounds. In her daze, sun yuenan felt cold and started to shiver. His body didn’t seem to belong to him. He couldn’t control it at all and couldn’t help but shiver.
These few days of silence had no effect at all, and his condition showed no signs of improvement.
The staff in the clinic measured her body temperature. It was 40.5 degrees Celsius. They were frightened by the temperature.
Such a high body temperature, wouldn’t it burn people silly?
She wanted to ask for the phone number of sun yuenan’s family, but she was already in a semi-coma and had no idea what had happened. There was only the sound of his trembling body and the pumping of his heart, as well as the sound of his aortic valve, lingering in his ears.
The ambulance took sun yuenan to the emergency department of No. 912.
Zhou Litao was flipping through The New England Magazine. This issue had the case report he had written under Brother Yun’s guidance.
If a case like eating five pounds of nails could be published in the New England Journal, his case was even stranger and rarer, so it was only right that it would be published.
‘It’s so good to have Brother Yun around,’Zhou Litao thought happily. He wondered how boss Zheng’s Nobel Prize would turn out. He smelled the ink on the magazine and thought to himself.
The results might be out in the next few days, but Zhou Litao did not dare to ask. Yesterday, when boss Zheng went to cui Lao’s office to ask about the medical records, he met Su Yun’s disdainful gaze.
It was fine to be scolded by Brother Yun. He had a sharp mouth but a soft heart. However, Zhou Litao could clearly sense that Brother Yun was very concerned about the Nobel Prize. But then again, who wouldn’t care?
There was no need to be annoying. Brother Yun was just too nervous. Zhou Litao exonerated Su Yun in his heart. And with boss Zheng around, how could they not get the Nobel Prize? He already had blind trust in boss Zheng and the medical group.
“President Zhou, there’s a patient with a high fever. President Tang is busy and would like you to take a look.” The emergency physician knocked on the door and said from outside.
“Oh, okay.” Zhou Litao stood up, the little freckles on his face dancing.
Ever since Su Yun pointed out a clear path, Zhou Litao felt that his life was full of hope. As for the girlfriend that he had always been thinking about, it was meaningless.
When the water flows, the channel will be formed. Everything will be there. He didn’t need to be anxious.
When they arrived at the emergency room, the internal medicine doctor began to report the patient’s condition. Not to mention anything else, just his body temperature of 40.5 degrees Celsius was enough to make people pay attention to him.
Zhou Litao began his physical examination and took out a stethoscope to listen to the breathing sounds of the patient’s lungs.
There were symptoms of pneumonia, but it wasn’t serious. When he listened to the breathing sound of the patient’s left lung, he heard a clicking sound.
This was the standard sound of heart after a petal transplant. Zhou Litao was stunned for a moment. ‘Did the patient have a medical history of petal transplant? He was so young. How could he be like this? Perhaps it was his first thought, but Zhou Litao instantly made a prediction.
After removing sun Chaonan’s coat, Zhou Litao saw a bright and juicy plum tree.
Young people these days really knew how to play. Zhou Litao only took a glance and didn’t pay much attention to it. Instead, he noticed the surgical scar hidden under the plum tree. He had a preliminary judgment that the patient should have had cardiac surgery before. Then, he began to do a physical examination on the patient.
There was no bulge or depression in the anterior heart area, the heart realm was generally normal, the heart rate was 54 beats per minute, the rhythm was in sync, and wind-like murmurs of Level 3/6 dilapidation could be heard in the atrial septal defect.
It sounded like a gust of wind. He had just undergone an aortic valve replacement surgery … Zhou Litao’s heart tightened. Could it be another heart valve problem?
He would do the examination first. Zhou Litao gave the patient a routine blood test, as well as a cardiac ultrasound, lung CT scan, and other examination items.
The inspection was carried out step by step, and Zhou Litao got the information very quickly.
There was nothing else to say, but the problem lay in the ultrasound.
[After the mechanical valve replacement, there will be an aneurysm at the base of the aorta around the mechanical valve. A foul will be formed at the base of the anterior meniscus of the left lobe. There will be a tumor at the base of the anterior meniscus. There will be a tumor at the artificial mechanical valve of the aorta. There will also be a moderate atrial septal defect.]
“Let’s go for the surgery. There’s a high chance that a valve mutate is caused by an infection. This kind of tumor could induce infection and fever, but these were not the most terrible things. Once it fell off and was tied to an important blood vessel, it could cause a series of complications such as cerebral infarction.
Zhou Litao made a judgment on the patient’s condition, then called Chui Xiong for Zhao Yunlong to come down for a consultation. After taking a look at the patient, Zhao Yunlong looked at the ultrasound scan and other information before he took the patient in.
The 912 emergency first aid was strict and accurate.
But the problem was with Zhao Yunlong.
If the entire hospital was a machine, Zhao Yunlong felt that he was just a spare part. It was very important, but it was insignificant.
He asked about the patient’s medical history and learned that the patient had undergone an aortic valve replacement surgery a few months ago, and this time, there was a tumor on the aortic valve.
Really F * cking hell!
Zhao Yunlong knew very well how difficult it was to perform a second valve surgery.
Ever since he had followed boss Zheng to perform a heart separation surgery for conjoined twins, Zhao Yunlong’s improvement in surgery was amazing.
It wasn’t just the others, even he himself found it unbelievable when he turned around to look.
However, this was not important. Zhao Yunlong took the patient in and made a new judgment on his condition. He felt that if he opened up his chest rashly, he might not be able to take it off.
This was different from the previous patient who had undergone coronary artery bypass surgery, who had poor basic conditions and did not dare to put in a stent. The local anatomical structure of the patient who had undergone a second valve surgery changed quite a lot. No one was confident that the surgery would be successful …
No one? Zhao Yunlong suddenly thought of boss Zheng.
He should be able to, should … Probably … Almost.
However, Zhao Yunlong did not go directly to boss Zheng, but reported it to the higher ups one by one. This patient was not considered an emergency patient, and he had no right to perform the surgery directly. It was unlike the patient at ICU, which was an emergency, and there was no time to wait.
Zhao Yunlong was very clear about the differences.
Furthermore, the results of the Nobel Prize would be announced in the next two days. If there was a chance, Zhao Yunlong didn’t want to disturb boss Zheng.
The patient was admitted into the hospital, and the relevant examinations were completed, but a problem immediately came. His colleagues were only a few young girls around the age of 20. They had put together a wave of money, but they only had a pitiful three to five thousand Yuan.
They didn’t have any more. And this bit of money wasn’t even enough to fill the gaps between his teeth. The ICU was charging 10000 Yuan a day. Even if the operation was successful, the girl would not be able to survive without the money.
However, this wasn’t a problem. If he encountered this kind of thing, he could just find the medical Affairs Department to take the blame.
The patient is here, and we want to treat him. It’s up to the hospital administration Department to decide whether they pay for the virtual service or not. Even though a part of the money would eventually go to the Department, the hospital would bear the majority of the cost.
Small hospitals might care a lot about the annual expenses of hundreds of thousands, millions, or even millions, but hospitals of the size of 912 RMB did not care much about it.
Treat him first, and we’ll talk about the rest later. In fact, clinical doctors were most afraid of encountering this kind of problem. If the hospital administration department’s face turned black and they directly threw the blame back at the surgeon, the one who would have the most headache would be the surgeon.
He reported it to the hospital administration Department and the professor on duty. The professor’s surname was Chen, and he was quite good. However, Zhao Yunlong felt that Chen fan’s level was not as good as his. According to the procedure, he still called professor Chen to see the patient.
Professor Chen looked at the patient and then looked at the ultrasound scan. He was also very worried.
“Little Zhao, what do you think?” Professor Chen asked.
“I can’t do the surgery.” Zhao Yunlong’s finger, which was as thick as a small carrot, pointed at a point on the ultrasound scan.”The tumor on the biological valve is not a big problem, but I think it’s a abscess here. The erosion is very deep. There’s at least a 70% chance that you’ll be put in a difficult position during the surgery. “
“Even if he can come down, the bleeding after the surgery will be troublesome.” Zhao Yunlong added.
Professor Chen was also worried about this. He knew Zhao Yunlong’s standard, so he did not just treat him as a chief resident. Instead, he subconsciously discussed with him.
“The left lobe of the patient’s heart is affected, so I think we’ll have to remove a part of it.” Professor Chen said,”if you perform surgery under cardiopulmonary bypass, the resuscitation is likely to fail.”
The two of them had the same idea. The success rate of the surgery was not high.
No money, no immediate family, and no serious illness. As long as there was a possibility, no one was willing to go to the operating table for surgery.
If it was done, the entire Department would pay for it. It was still fine for him, but the income of the nurses was not high. Putting aside the hard work of working night shifts, if he did not earn money, his pay would be deducted, which was unbearable.
However, if they did not do it well, there might be no family members now, but when the time came, all kinds of family members would come and make a ruckus every day. Just thinking about it made the doctor Who took over feel like he was on the verge of death.
If the patient’s fever was not so high, they would definitely not be admitted without even thinking. No one would be stupid enough to perform such a difficult surgery, so how could they perform a surgery that had a 50% chance of success and failure?
However, the patient was already in a daze from the fever, so he could not turn it down. Emergency first aid, the first diagnosis system, and countless other rules and regulations had completely restricted the medical circle.
However, even a man like Zhao Yunlong would have a head full of lawsuits when facing such a difficult patient.
The two of them stared at each other as they looked at the film. The director was not at home, so the second-string professor Chen had to make the decision.
“Professor Chen, let’s have a hospital consultation tomorrow to prevent the infection. If it really doesn’t work … Let’s go, we have to try. ” Zhao Yunlong said through gritted teeth.
“Zhao, why don’t you try boss Zheng? he can operate on patients for free, right? Besides, boss Zheng’s skill level is also high. At the very least, he has a higher chance of winning than the two of us. ” Professor Chen didn’t have any good ideas, so he said softly,”
“The surgery is too difficult. I’m worried that boss Zheng …” Zhao Yunlong did not finish his sentence.
Professor Chen sighed, and boss Zheng also put his head on his belt as he performed the live surgery. If he pushed a patient of such difficulty over directly, it would be really unrighteous.
There was almost no solution to this problem. After the patient was given the anti-inflammatory pain plug, he was sweating all over. However, his body temperature only dropped to 39 degrees Celsius before rising again.
The abscess in the heart would corrode the heart muscle. Even if surgery was carried out, the left roof would have to be cut at the very least. It would be a miracle if this kind of inflammation could easily lower the body temperature.
The next morning, professor Chen explained the patient’s condition to everyone. After looking at the X-ray and examination report, everyone shook their heads.
The patient’s parents could not be contacted. It was said that they were working in another city, and there was no signal on their cell phones every day.
He had no money, no family, and his illness was so serious that it made people gnash their teeth.
As expected, the hospital held a full-body consultation, and surgery was the only option. However, this road was too steep, and no one dared to take it.
Time passed by bit by bit. Zhao Yunlong and professor Chen looked at each other helplessly. In the end, it was Zhao Yunlong who sighed and said, “I’ll send the video to Su Yun and let him see if it’s okay. “
Helpless, Zhao Yunlong sent a message to Su Yun to ask for help.
Very quickly, Su Yun replied with a surprised emoji, followed by a series of exclamations. If not for Zhao Yunlong’s understanding of the film, he would definitely think that there was a huge problem with Su Yun’s phone.