Chapter 2447 Hot Potato

It's a pity that this sub-motivation only lasted for 3 days, and Sun Yuenan started to have a fever. At first she resisted it, thinking that she was young and in good health, so she passed it.

But soon she was so feverish that she couldn't get out of bed. She had no choice but to administer antibiotics at a nearby clinic.

She estimated that it was caused by the large area of ​​her tattoo. At that time, the tattoo artist also said that such a large area of ​​tattoo may cause fever after surgery.

Sun Yuenan had no choice but to keep up with any unlucky things.

The condition was good and bad, almost a good day, a little more energetic, and when she was about to go to work, her body temperature began to rise again.

Lying on the bed, Sun Yuenan could hear her own heartbeat. Since the last time the aortic valve was replaced, as the heart beats, the sound of the mechanical valve clicking like an alarm clock has started to tire her again.

Half asleep and half awake, the sound of clicking click echoed in my ears. In the haze, Sun Yuenan felt very cold, and she began to shiver. The body didn't seem to be his own, and he couldn't control it at all, shaking uncontrollably.

The static point for the past few days has no effect at all, and the condition shows no sign of improvement.

The people in the small clinic took her temperature, which was 40.5 degrees Celsius. After seeing this temperature, they were frightened.

With such a high body temperature, why not burn people into confusion?

He wanted to ask Sun Yuenan's relatives for their phone numbers, but she was already in a semi-conscious state and had no idea what happened. Only the sound of the trembling body and the rattling of the aortic valve lingered in my ears as the heart beat.

The 120 ambulance sent Sun Yuenan to the 912 emergency department.

Zhou Litao was flipping through the "New England" magazine. This issue of the magazine contained the case report he wrote under the guidance of Brother Yun.

The case of eating 5 catties of iron nails can be published in the "New England" magazine. My own case is even more weird and rare, so it should be published.

It's good to have Brother Yun here, Zhou Litao thought happily. I don't know how Boss Zheng's Nobel Prize is, he thought while smelling the smell of ink wafting from the magazine.

Maybe the results will come out in the next few days, but Zhou Litao dare not ask. When Boss Zheng went to Mr. Cui's office to look at the medical records yesterday, he asked about it, but he met Su Yun's disgusting gaze.

It's nothing to be sprayed by Brother Yun, he has a knife mouth and a bean curd heart. But Zhou Litao could clearly sense that Brother Yun was very concerned about the Nobel Prize. But then again, who wouldn't care?

There's no need to be annoying, Brother Yun is too nervous, Zhou Litao excused Su Yun in his heart. And with Boss Zheng around, might he not be able to win the Nobel Prize? He already had a kind of blind trust in Boss Zheng and the medical team.

"Mr. Zhou, there is a patient with a high fever. Mr. Tang is busy. I want you to take a look." The emergency physician knocked on the door and said outside.

"Oh, okay." Zhou Litao stood up, the little freckles on his face were dancing.

Since Su Yun pointed out a clear path, Zhou Litao felt that life was full of ambitions. As for the girlfriends I've been thinking about before, it doesn't make any sense at all.

Everything will come when it will happen, there is no need to worry about it.

When he came to the emergency room, the physician began to report his condition. Not to mention anything else, just a body temperature of 40.5 degrees Celsius is enough to make people take it seriously.

Zhou Litao started the physical examination and took out his stethoscope to listen to the breath sounds of the patient's lungs.

Pneumonia symptoms, but not severe. When he listened to the breath sounds of the patient's left lung, he heard a clicking sound.

This is the standard heart sound after valve replacement. Zhou Litao was taken aback. Has the patient had a history of valve replacement? How could this happen at such a young age. Perhaps it was congenital heart disease, Zhou Litao made a prediction in an instant.

Uncovering Sun Chaonan's coat, Zhou Litao saw a bright plum tree.

Today's young people really know how to play. Zhou Litao just glanced at it and didn't pay attention to it. Instead, he noticed the surgical scar hidden under the plum tree. He should have undergone heart surgery. He made a preliminary judgment, and then began to perform physical examination on the patient.

There was no uplift and depression in the precordial area, the heart border was generally normal, the heart rate was 54 beats/min, and the heart rhythm was regular. A grade 3/6 diastolic blowing murmur could be heard in the mitral valve auscultation area.

A blowing noise, after aortic valve replacement... Zhou Litao's heart suddenly tightened, could it be the valve again?

Do the examination first, Zhou Litao gave the patient routine blood sampling, a heart echocardiography, lung CT and other examination items.

The inspection was carried out step by step, and Zhou Litao got the information soon.

Nothing else to say, the problem was on the echocardiogram.

After aortic valve mechanical valve replacement, dissection aneurysm formation at the aortic root with mechanical valve leakage, left ventricular outflow tract-mitral anterior leaflet root fistula formation, vegetation at the anterior mitral valve leaflet root, aortic artificial mechanical Valve vegetation, moderate mitral regurgitation.

Get surgery, valve growth, most likely infection. This kind of vegetation induces infection and fever, and these are not the most terrifying. Once it falls off and is tied to an important blood vessel, it may cause a series of complications such as cerebral infarction.

Zhou Litao made a judgment on the patient's condition, called Heart and Chest, and Zhao Yunlong came down for consultation. After taking a look at the patient, Zhao Yunlong took another look at the echocardiogram and other information before connecting the patient.

912 emergency first aid, strict and precise.

But the problem is stuck with Zhao Yunlong.

If the whole hospital is a machine, Zhao Yunlong thinks he is just a part. Important, yet insignificant.

He inquired about the medical history and learned that the patient underwent aortic valve replacement surgery a few months ago, and this time the aortic valve had vegetation again.

What the hell!

Zhao Yunlong knew how difficult the second valve surgery was.

Since Boss Zheng performed a heart separation operation on conjoined twins, Zhao Yunlong's progress in surgery is amazing.

Not only others, but even he himself finds it incredible when he looks back.

It's just that it doesn't matter, Zhao Yunlong re-judged the condition after taking the patient in. He felt that if he opened his chest rashly, he might not be able to take it off.

This is different from the last coronary artery bypass graft patient who did not dare to get a stent in the circulatory department and had extremely poor basic conditions. The local anatomical structure of the patients undergoing the second valve surgery has changed quite a lot. No one is sure that they want to ensure the success of the surgery...

Can't anyone? Zhao Yunlong suddenly thought of Boss Zheng.

He should be able to, should be... maybe... almost.

However, Zhao Yunlong did not go directly to Boss Zheng, but reported it layer by layer. This patient is not considered an emergency, and he has no right to undergo surgery directly. Unlike the patient in the ICU last time, it was a pure emergency and there was no time to wait.

Zhao Yunlong clearly distinguishes the difference.

Moreover, the last two days are the days when the results of the Nobel Prize are announced. If there is a possibility, Zhao Yunlong does not want to disturb Boss Zheng.

The patient was admitted to the hospital and the relevant examinations were completed, but the problem came immediately. There are only a few 20-year-old girls among the colleagues in the unit. They have collected a lot of money, and they only have a pitiful three to five thousand yuan.

No matter how much, they don't have it. And this amount of money is not enough to plug the teeth. The ICU costs 10,000 a day. Even if the operation is successfully completed, the girl might not be able to survive without money.

But this is not a problem. When encountering such a thing, just ask the medical office to take the blame.

The patient is here, we want to treat it, and whether the medical office will give virtual money is the business of the medical office. Although part of the money will fall to the department in the end, the big part is borne by the hospital after all.

Small hospitals may be very concerned about the annual cost of hundreds of thousands, millions or even millions, but hospitals with the size of 912 don't care much.

Treat it first, and talk about the rest later. In fact, I am most afraid of encountering this kind of problem in clinical practice. If the medical office turns black and throws the blame back, the surgeon will be the most troublesome.

Report to the medical office and the professor on duty. Today's professor is surnamed Chen, and his level is not bad. It's just that Zhao Yunlong thought that his level should not be as good as his own, but according to the diagnosis and treatment process, he still called Professor Chen to see the patient.

Professor Chen glanced at the patient, and then looked at the echocardiography images, feeling very worried.

"Xiao Zhao, what do you think?" Professor Chen asked.

"Surgery, I can't do it." Zhao Yunlong tapped a spot on the echocardiogram with a finger as thick as a small carrot, "The vegetation on the bioprosthesis is not a big problem, but here I think it is an abscess with deep erosion. After surgery, there is at least a 70% chance of not being able to step down."

"Even if you can come down, postoperative bleeding is still troublesome." Zhao Yunlong added.

This is also what Professor Chen has doubts about. He knew Zhao Yunlong's level, so he didn't just think of him as the hospital chief, but subconsciously discussed it.

"The left atrium is affected, and it is estimated that part of it will be removed." Professor Chen said, "If the operation is performed under extracorporeal circulation, the rejuvenation may fail."

What the two said meant the same thing, the possibility of the operation being successful was unlikely.

No money, no immediate family members, and a serious illness. As long as this kind of patient has a chance, no one is willing to go to the operating table for surgery.

If it is done well, the whole department will lose money together. It's okay for me to say that the income of the nurse is not high, let alone the hard work of working the night shift, and deducting money if I don't earn money, this is unbearable.

But if it is not done well, there will be no family members now, and all kinds of family members will come in one after another, making noise every day. Thinking about it, the doctor who took over will feel like he is dying.

If the patient's fever is not so high, he will definitely not be admitted to the hospital without even thinking about it. For such a difficult operation, no one's skull was covered, so how could a surgery with a 50/50 chance of success or failure be performed.

But the patient is now in a coma, and this cannot be ruled out. Numerous rules and regulations for emergency first aid and first-diagnosis responsibility system make the circle of doctors rigid.

But even for a man like Zhao Yunlong, when faced with such a difficult patient, it is still a big lawsuit.

The two watched the film with big eyes and small eyes. The director was not at home, and the second-line Professor Chen had to make up his mind.

"Professor Chen, anti-inflammatory and symptomatic treatment, I will find a consultation with the whole hospital tomorrow. If it doesn't work... go ahead and try it." Zhao Yunlong gritted his back molars and said.

"Xiao Zhao, why don't you try to find Boss Zheng, isn't he able to perform surgery on patients for free? Besides, Boss Zheng is also high-level, at least he is more confident than the two of us." In the end, Professor Chen had no good solution. Then he said softly.

"The operation is too difficult, I'm worried about Boss Zheng..." Zhao Yunlong didn't finish his sentence.

Professor Chen sighed, and Boss Zheng also performed live surgery with his head pinned to his belt. It would be really dishonest to directly push patients of this difficulty over.

There is almost no solution to this problem. After taking the indomethacin suppository, the patient sweated all over his body. But the body temperature only dropped to 39 degrees Celsius, and then rose again.

The abscess in the heart erodes the myocardium. Even if it is a surgical operation, at least the top of the left atrium must be cut. If this kind of inflammation can lower the body temperature casually, it will be hell.

Early the next morning, after everyone went to work, Professor Chen talked about the patient's condition. After seeing the film and inspection report, everyone shook their heads.

The patient's parents could not be contacted. It is said that they are working in other places, and there is no mobile phone signal every day.

People who have no money, no family members, and serious illnesses make people suck their teeth.

The whole hospital consulted, as expected, and the only way was surgery. But this road is too steep, no one dares to walk.

Time passed bit by bit, Zhao Yunlong and Professor Chen looked at each other, helpless. In the end, Zhao Yunlong sighed and said, "I'll send the video data to Su Yun and let him see if it's okay."

In desperation, Zhao Yunlong sent the message to Su Yun, asking for help again.

Soon, Su Yun replied with a surprised expression, and then replied with a series of exclamation marks. If Zhao Yunlong hadn't known about this movie, he would definitely think that there was something wrong with Su Yun's phone.