medical road high rise

Chapter 218 Cheap is not necessarily a good thing
Chapter 218 Cheap is not necessarily a good thing
The patient's wife understood and nodded to express her understanding.

Since he is a patient with myocardial infarction, it is not suitable to live in a group ward. Qin Feng asked the general manager of the hospital and arranged a single patient for the patient.

Although the single ward is not cheap, it is much cheaper than the high-cost ICU ward.

The [-] yuan operation fee is ready to be spent, and the hospitalization fee is naturally impossible to leave. The patient's wife still understands which is more important.

Qin Feng glanced at the monitor and said, "Nurse Lin, remember what time I tell you."

Lin Xue nodded.

"When the patient's blood oxygen saturation drops, remember to give the patient high-flow oxygen inhalation to ensure that the blood oxygen saturation is above 95%."

“160-325mg阿司匹林喂服，5-20pg静脉滴注0.5mg的硝酸甘油。”

Aspirin can resist platelet aggregation in the body and can be used to prevent myocardial infarction.

Nitroglycerin can directly relax vascular smooth muscle, especially the smooth muscle of small blood vessels, so that the peripheral blood vessels stretch, reduce peripheral resistance, reduce blood return to the heart, reduce cardiac output, reduce myocardial oxygen consumption, and reduce cardiac output, etc., thereby Reducing the load on the heart can also prevent and relieve myocardial infarction.

Qin Feng also reminded one point, "If the patient has chest pain, intravenous injection of morphine can be repeated multiple times if it cannot be relieved after the injection."

Lin Xue recorded it in the notebook he carried with him, and Qin Feng turned to look at the patient.

Chest tightness can lead to chest pain, especially for patients with acute myocardial infarction. Usually they just feel chest tightness and some can’t breathe. Once chest pain occurs, it will lead to death.

"But, Brother Qin, the emergency department doesn't seem to have a heart bypass device." Lin Xue suddenly thought.

"It's okay, I'll go to the vascular department to get some later." Qin Feng said casually.

Generally speaking, emergency doctors go to others to borrow tools, that is to grab their jobs, and they will be looked down upon. Although they will not refuse to give tools, they will also be publicized as a bad image.

Therefore, doctors care about their reputation, and they will not do surgery if they can not do other departments, unless it is a multi-department consultation.

Qin Feng is borrowing tools to go, not once or twice, you say he is from the emergency department, but he is from the vascular department, and you say he is from the vascular department, but he can do emergency surgery.

Naturally, Qin Feng has become a strange thing in the Second Hospital, and with the dean standing behind him, as long as Qin Feng's request is not excessive, other departments will not refuse.

"I'll give you a perfusion treatment first." Qin Feng told the patient in advance.

Because the patient's previous ECG showed significant improvement in the ST segment, perfusion therapy was the best choice.

Within 12 hours of onset, opening the blocked coronary artery and restoring blood supply can reduce the size of myocardial infarction and reduce the probability of death. The earlier the time, the higher the probability of survival of the patient.

Generally, when encountering patients with acute myocardial infarction with ST segment elevation, the consulting doctor needs to make a diagnosis as soon as possible, and then arrange perfusion therapy.

Perfusion therapy is actually a method of reopening completely occluded blood vessels and reperfusing ischemic tissues through thrombolytic drugs, interventional therapy or surgical treatment.

However, due to the patient's left main lesion, which is not suitable for interventional surgery, and the patient's family background, Qin Feng chose cheap thrombolytic drugs for infusion therapy.

It is easier to cure thrombolytic infusion, through intravenous injection, systemic or selective administration of thrombolytic drugs such as urokinase.

Before the infusion treatment, Qin Feng also had to do several checks on the patient.

Because perfusion therapy has contraindications, such as intracranial hemorrhage, cerebrovascular injury and so on.

Qin Feng needs to conduct a comprehensive examination of the patient and confirm the situation before performing perfusion therapy.

Half an hour later, all the examinations of the patient were brought over.

Qin Feng took a glance and found that apart from acute myocardial infarction, he had no other symptoms, and he didn't have any contraindications to perfusion.

This made Qin Feng also heave a sigh of relief, and after a brief preparation, Qin Feng began to administer intravenous thrombolytic drugs to the patient.

After the injection, Qin Feng was about to leave, but was stopped by the patient.

"Doctor, I want to ask a few questions."

Qin Feng stopped, "You ask."

"It's just that my heart has never had any problems, why did I suddenly have a myocardial infarction?" the patient asked.

This is the biggest doubt in the hearts of patients.

"Oh, you ask this. Myocardial infarction is caused by the left main lesion of your heart. The so-called left main lesion is worth more than or equal to 50.00% stenosis of the left main coronary artery, and your vascular stenosis has reached 80.00% , so a heart bypass surgery must be performed." Qin Feng explained, "Heart bypass, you can understand that there is a traffic jam on the road, just rebuild a road and clear the blood flow."

The patient understands, what Qin Feng said has been detailed enough.

"Doctor, can my surgery be cheaper? Is there a cheaper surgery plan?" the patient asked.

He didn't want the property he had worked hard for so many years to be squandered because of his illness.

When Qin Feng heard this, he sighed in his heart.

There must be a reason for the expensive surgery fees in hospitals, such as reducing pain, improving postoperative recovery, and so on.

To reduce the price of the operation fee is to make yourself suffer.

Still considering the patient's situation, Qin Feng still spoke out one by one.

"Yes, except for the cost of equipment, other aspects are different charges, such as the number of bridges, if you only build one blood vessel, it will definitely be cheaper than three, and the fees for taking veins and ordinary blood vessels for bridges are also different. The charges are also different in the creative and open areas." Qin Feng explained.

"Doctor, is there any difference between minimally invasive and open surgery? Is there a big price difference?" the patient asked with a bright eye.

"Yes, a minimally invasive wound is a small wound, while an open wound is a large wound. The postoperative recovery is not very good." Qin Feng said.

"Are the blood vessels taken out from the two the same? Or are the blood vessels in the open area almost the same?" the patient asked.

Qin Feng frowned, "There is no difference between the blood vessels of the two, mainly because of the doctor's technique."

"Doctor, except for the number of blood vessels you arrange, how much will I use the cheapest one?"

"It's about 5 yuan. It should be cheaper to take medical insurance. The level [-] surgery in municipal hospitals is much higher than that in provincial hospitals." Qin Feng gave a figure.

"It's half cheaper?" The patient instantly became happy, "Doctor, just arrange it for me like this."

Qin Feng took a distressed look at the patient, it was half the price, but the postoperative pain was more than doubled!

As a doctor, Qin Feng naturally knows what is the best postoperative state for the patient.

(End of this chapter)