medical road high rise
Chapter 33 Coronary Artery Patients (2)
Chapter 33 Coronary Artery Patients ([-])
Chapter 33 Coronary Patient ([-])
"Has the patient's family come here?" Lu Ming shouted.
"The family members are already here, outside."
When Lu Ming took Qin Feng out of the door, he saw a middle-aged woman anxiously walking back and forth outside the rescue room, mumbling.
"Bodhisattva bless, there must be nothing wrong!"
"Qin Dezhu's family!" Lu Ming shouted.
"Here, here!" The middle-aged woman seemed to wake up, beckoning to Lu Ming, and ran over quickly.
Qin Feng took a look at the middle-aged woman's clothes, which were very ordinary and a little stiff.
Lu Ming told the middle-aged woman about the patient's condition. The condition was very bad and immediate surgery might be needed.
"Doctor, no matter how much it costs, you must save my husband. The child cannot live without a father." As she spoke, the middle-aged woman couldn't help but shed tears.
Qin Feng took out a pack of tissues from his pocket and handed it to the middle-aged woman. The middle-aged woman thanked her and took out the tissue to wipe the tears from her eyes.
For this kind of family members, Qin Feng can also understand their feelings very well. After all, a man is the head of the family and the pillar of the family. Once it falls, it will be a devastating blow to most families.
Lu Ming took the patient's family members to the office to sign the operation order and explain the operation.
After finishing all this, Lu Ming took the patient's family members to the hybrid operating room.
Qin Feng has been following behind, and the whole person fell into silence, because Qin Feng went to the training room to perform ten radial artery interventional operations just now when Lu Ming was explaining the operation, and Qin Feng found that all he encountered were The tortuous coronary artery calcification operation gave Qin Feng a premonition that this was the first time he had encountered such a situation.
Maybe this patient’s condition is calcified and tortuous coronary artery, which is particularly difficult in the coronary artery and belongs to the “sturdiest fortress” of coronary intervention.
Due to tortuous coronary artery calcification, it will lead to angulation and distortion of blood vessels, which will make it difficult for interventional instruments to pass through. If the interventional instruments cannot reach the designated position, subsequent operations cannot be performed.
Thinking of the CT room in the first hospital, Qin Feng thought of something.
"Director Lu, I propose to have the patient undergo an IVUS and OCT. I suspect that the patient may have calcification and tortuous coronary arteries." Qin Feng said.
Lu Ming was sitting in the locker room. The patient hadn't been brought over yet, and he was still undergoing corresponding examinations.
"Tortuous coronary artery calcification?" Although Lu Ming is not an interventional doctor, he is familiar with this disease. He also knows that this symptom is fatal to coronary artery patients, and it is also a test for doctors.
"But the neurosurgery doctors haven't found anything yet. How did you guess?" Lu Ming expressed his doubts. "Additional examinations are also a burden for the patient's family."
Lu Ming is the kind of doctor who is willing to save money for his patients, unlike some doctors who treat patients like wool.
"I paid the money for this examination, and these two examinations must be done for the patient." Qin Feng became firm this time.
Once on the operating table, it is also a life-and-death test for the patient to come down for an examination.
"Let's go out and talk to the patient's family."
Lu Ming once again took Qin Feng to find the patient's family, but this time Qin Feng negotiated directly with the patient's family.
"I suggest the patient to go for another IVUS and OCT, because I suspect that your husband may be drinking too much alcohol, which leads to coronary calcification and tortuosity, so IVUS and OCT images are needed to perform surgery more directly." Qin Feng told the patient's family directly Dao, "It's these two fees, which may be a bit expensive."
"Do it, doctor, as long as you think we can do it, we will do whatever you think needs to be done." The middle-aged woman said.
"That's fine, I'll give you a checklist first, and I'll take it with you for the checkup." Qin Feng said.
The middle-aged woman nodded, Qin Feng asked Lu Ming to write the checklist, and then took the middle-aged woman and the patient to the auxiliary department for further checkups.
However, not long after Qin Feng and others left, the neurosurgeon hurried over with the circulatory doctor.
Entering the operating room, I found that the operating room was empty.
"What's going on?" The neurosurgeon frowned and asked Lu Ming.
"I took someone here for IVUS and OCT imaging examination, and it may take more than an hour." Lu Ming explained.
"What's the matter with you? Don't you know I'm busy? Just call me over if you're not sure about the time." The circulatory doctor didn't give them a good look.
After all, he hurried over as soon as he got off the stage, but in the end he found that the patients hadn't been sent over yet, and the examination hadn't been completed yet.
"What's the use of these two tests? Do you understand?" the neurosurgeon said directly to Lu Ming.
Lu Ming looked at the neurosurgeon in puzzlement, and asked back: "Prescribe an examination for the patient to make the examination more comprehensive. Did I do something wrong?"
Lu Ming didn't say anything about Qin Feng, but took the blame on himself, otherwise, Qin Feng's identity would be attacked by these people again.
"Of course you did something wrong. You delayed the best treatment time for the patient. You will be responsible for any problems with the patient." The neurosurgeon said, "And IVUS and OCT are used to identify calcified lesions. Coronary interventional surgery does not need to be used at all, and we have seen through CT films that the patient is only blocked in the coronary artery."
"It's just a blockage. Are you sure it's not a calcification?" Lu Ming sneered.
Listening to the conversation between the two, the circulatory doctor gradually frowned and said, "You said that the patient's coronary artery is blocked? Do you need coronary intervention?"
"But I can't do coronary intervention surgery!"
The last words from the Circulation Department instantly cooled down the scene.
"Can the director of the circulation department do it?" Lu Ming asked.
"The director should be able to do it, but the director went to another place to participate in the forum today." The circulatory doctor said.
The situation suddenly became awkward. After a long time, I had been arguing with the neurosurgeon for so long that the doctor in the circulatory department could not perform this operation at all.
"Okay, I still have a cerebral hemorrhage operation on my side, so I'll go there first." The circulatory doctor turned around and left.
The neurosurgeon also began to retreat in his heart. The most important interventional surgeon had not performed this operation, so why were he and others left here?
"Old Road, I'll leave it to you to finish the work here. I remember that there seems to be another patient on my side, so I'll leave first." The neurosurgeon found a reason to leave.
He doesn't want to be entangled by the patient's family, especially for this kind of critically ill patient. You tell the family that surgery cannot be done, but you still have to do a lot of checks. The family will definitely eat you alive.
Lu Ming looked at the ICU doctor in the corner. He sat there without speaking.
"Aren't you going?" Lu Ming asked.
Anyway, Lu Ming was going to bear this matter alone, no matter whether the patient's family members beat him or scolded him, he had to bear it.
"Don't go, is it only their circulatory department who can do interventional surgery? It's just right, I can do coronary intervention." The ICU doctor stood up and smiled.
(End of this chapter)
Chapter 33 Coronary Patient ([-])
"Has the patient's family come here?" Lu Ming shouted.
"The family members are already here, outside."
When Lu Ming took Qin Feng out of the door, he saw a middle-aged woman anxiously walking back and forth outside the rescue room, mumbling.
"Bodhisattva bless, there must be nothing wrong!"
"Qin Dezhu's family!" Lu Ming shouted.
"Here, here!" The middle-aged woman seemed to wake up, beckoning to Lu Ming, and ran over quickly.
Qin Feng took a look at the middle-aged woman's clothes, which were very ordinary and a little stiff.
Lu Ming told the middle-aged woman about the patient's condition. The condition was very bad and immediate surgery might be needed.
"Doctor, no matter how much it costs, you must save my husband. The child cannot live without a father." As she spoke, the middle-aged woman couldn't help but shed tears.
Qin Feng took out a pack of tissues from his pocket and handed it to the middle-aged woman. The middle-aged woman thanked her and took out the tissue to wipe the tears from her eyes.
For this kind of family members, Qin Feng can also understand their feelings very well. After all, a man is the head of the family and the pillar of the family. Once it falls, it will be a devastating blow to most families.
Lu Ming took the patient's family members to the office to sign the operation order and explain the operation.
After finishing all this, Lu Ming took the patient's family members to the hybrid operating room.
Qin Feng has been following behind, and the whole person fell into silence, because Qin Feng went to the training room to perform ten radial artery interventional operations just now when Lu Ming was explaining the operation, and Qin Feng found that all he encountered were The tortuous coronary artery calcification operation gave Qin Feng a premonition that this was the first time he had encountered such a situation.
Maybe this patient’s condition is calcified and tortuous coronary artery, which is particularly difficult in the coronary artery and belongs to the “sturdiest fortress” of coronary intervention.
Due to tortuous coronary artery calcification, it will lead to angulation and distortion of blood vessels, which will make it difficult for interventional instruments to pass through. If the interventional instruments cannot reach the designated position, subsequent operations cannot be performed.
Thinking of the CT room in the first hospital, Qin Feng thought of something.
"Director Lu, I propose to have the patient undergo an IVUS and OCT. I suspect that the patient may have calcification and tortuous coronary arteries." Qin Feng said.
Lu Ming was sitting in the locker room. The patient hadn't been brought over yet, and he was still undergoing corresponding examinations.
"Tortuous coronary artery calcification?" Although Lu Ming is not an interventional doctor, he is familiar with this disease. He also knows that this symptom is fatal to coronary artery patients, and it is also a test for doctors.
"But the neurosurgery doctors haven't found anything yet. How did you guess?" Lu Ming expressed his doubts. "Additional examinations are also a burden for the patient's family."
Lu Ming is the kind of doctor who is willing to save money for his patients, unlike some doctors who treat patients like wool.
"I paid the money for this examination, and these two examinations must be done for the patient." Qin Feng became firm this time.
Once on the operating table, it is also a life-and-death test for the patient to come down for an examination.
"Let's go out and talk to the patient's family."
Lu Ming once again took Qin Feng to find the patient's family, but this time Qin Feng negotiated directly with the patient's family.
"I suggest the patient to go for another IVUS and OCT, because I suspect that your husband may be drinking too much alcohol, which leads to coronary calcification and tortuosity, so IVUS and OCT images are needed to perform surgery more directly." Qin Feng told the patient's family directly Dao, "It's these two fees, which may be a bit expensive."
"Do it, doctor, as long as you think we can do it, we will do whatever you think needs to be done." The middle-aged woman said.
"That's fine, I'll give you a checklist first, and I'll take it with you for the checkup." Qin Feng said.
The middle-aged woman nodded, Qin Feng asked Lu Ming to write the checklist, and then took the middle-aged woman and the patient to the auxiliary department for further checkups.
However, not long after Qin Feng and others left, the neurosurgeon hurried over with the circulatory doctor.
Entering the operating room, I found that the operating room was empty.
"What's going on?" The neurosurgeon frowned and asked Lu Ming.
"I took someone here for IVUS and OCT imaging examination, and it may take more than an hour." Lu Ming explained.
"What's the matter with you? Don't you know I'm busy? Just call me over if you're not sure about the time." The circulatory doctor didn't give them a good look.
After all, he hurried over as soon as he got off the stage, but in the end he found that the patients hadn't been sent over yet, and the examination hadn't been completed yet.
"What's the use of these two tests? Do you understand?" the neurosurgeon said directly to Lu Ming.
Lu Ming looked at the neurosurgeon in puzzlement, and asked back: "Prescribe an examination for the patient to make the examination more comprehensive. Did I do something wrong?"
Lu Ming didn't say anything about Qin Feng, but took the blame on himself, otherwise, Qin Feng's identity would be attacked by these people again.
"Of course you did something wrong. You delayed the best treatment time for the patient. You will be responsible for any problems with the patient." The neurosurgeon said, "And IVUS and OCT are used to identify calcified lesions. Coronary interventional surgery does not need to be used at all, and we have seen through CT films that the patient is only blocked in the coronary artery."
"It's just a blockage. Are you sure it's not a calcification?" Lu Ming sneered.
Listening to the conversation between the two, the circulatory doctor gradually frowned and said, "You said that the patient's coronary artery is blocked? Do you need coronary intervention?"
"But I can't do coronary intervention surgery!"
The last words from the Circulation Department instantly cooled down the scene.
"Can the director of the circulation department do it?" Lu Ming asked.
"The director should be able to do it, but the director went to another place to participate in the forum today." The circulatory doctor said.
The situation suddenly became awkward. After a long time, I had been arguing with the neurosurgeon for so long that the doctor in the circulatory department could not perform this operation at all.
"Okay, I still have a cerebral hemorrhage operation on my side, so I'll go there first." The circulatory doctor turned around and left.
The neurosurgeon also began to retreat in his heart. The most important interventional surgeon had not performed this operation, so why were he and others left here?
"Old Road, I'll leave it to you to finish the work here. I remember that there seems to be another patient on my side, so I'll leave first." The neurosurgeon found a reason to leave.
He doesn't want to be entangled by the patient's family, especially for this kind of critically ill patient. You tell the family that surgery cannot be done, but you still have to do a lot of checks. The family will definitely eat you alive.
Lu Ming looked at the ICU doctor in the corner. He sat there without speaking.
"Aren't you going?" Lu Ming asked.
Anyway, Lu Ming was going to bear this matter alone, no matter whether the patient's family members beat him or scolded him, he had to bear it.
"Don't go, is it only their circulatory department who can do interventional surgery? It's just right, I can do coronary intervention." The ICU doctor stood up and smiled.
(End of this chapter)
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