medical road high rise
Chapter 401 Postpone Surgery
Chapter 401 Postpone Surgery
Chapter 4 Postponed Surgery
"So, I believe him." The patient said.
I believe him. These four short words silenced Qin Feng. The trust of patients is always the driving force behind doctors.
The family members also looked at Qin Feng in shock. They didn't expect this young doctor in front of them to have so many honors.
As a mother, she never wanted her child to be healthy, free from disease and pain, but she was unwilling to gamble on the success rate of the operation with her child's life.
After all, it is an operation involving the brain. Once it fails, at a small scale, there will be several sequelae, and at a large scale, there may be direct brain death.
A mother who loves her child would rather her child live than take risks.
"I have a method that can reduce the risk of surgery and improve the cure rate." Qin Feng said.
This sentence made everyone in the ward look at Qin Feng.
"Doctor Qin, how much can you improve?" the patient's mother asked in a trembling voice.
"95%." Qin Feng said.
This is the number in Qin Feng's heart.
"What's the solution?" Dr. Che asked curiously.
"SEEG positioning technology and intracranial electrode coverage." Qin Fengdao, "SEEG positioning technology, you can understand it as a three-dimensional EEG positioning, which can accurately locate those intractable epileptic lesions that are difficult to locate. With cranial buried electrodes, seeg can cover the brain in all directions, with high safety, less trauma and accurate positioning.”
"And through the stereotaxic EEG positioning technology, the electrodes can be placed in the deep part of the temporal lobe and the medial surface of the brain by means of minimally invasive methods, which cannot be reached by conventional cortical electrodes."
The reason why the patient is not treated well and the hospital dare not operate is because the focus of the disease cannot be determined, so they can only be treated with drugs.
However, the two methods mentioned by Qin Feng can determine the extent of the lesion 90% of the time. After the lesion is removed, the vagus nerve stimulation can minimize the impact on the patient's brain and naturally reduce the risk of surgery.
After Qin Feng finished speaking, except for the family members who were still a little confused, everyone else understood.
"Can this method really guarantee the safety of the operation?" the patient's mother asked with some concern.
"I can't guarantee absolute safety, but the operation is 95% successful, and there are still some risks. It depends on how we avoid it during the operation." Qin Feng said.
Qin Feng's frankness has won the respect of the patient's family members. If he speaks to a doctor with a 100% success rate, the patient's family members will not agree to the operation.
"Mom, let Dr. Qin operate on me." The patient said.
He feels that this is an opportunity for him to be healthy, and he must seize it well.
"But……"
"mom!"
The patient's mother looked at Qin Feng, "Doctor Qin, can you wait for a while, if the effect of the medicine is really useless, can I ask you to have another surgery?"
The doctor following the car next to him couldn't help but said: "Dr. Qin's surgery, many people can't buy the qualifications for a lot of money, unless it is a surgery that Dr. Qin is interested in. Once you miss it, it will be difficult for Dr. Qin to operate again. .”
This is also something that everyone in the emergency department knows. Qin Feng always puts the surgery he is interested in first, and then goes to other surgeries.
As for those patients who spend money to have Qin Feng undergo surgery, unless it is particularly serious, generally Qin Feng will not take a second look, because he is causing trouble for himself.
The entire Ruijin Hospital can allow Qin Feng to postpone the operation, only for acute and severe cases or difficult operations that other doctors cannot solve.
The patient's mother fell silent, and the father, who had been silent on the other side, said, "Do it, Doctor Qin, when can you operate on my child at the earliest?"
"Understand as soon as possible. The patient still needs to make preoperative preparations and adjust his condition." Qin Feng said.
During this period, Qin Feng also asked for an operating room from the Imaging Department. Of course, it was after get off work. During work, the Imaging Department couldn’t get a single machine. After work, you can use it casually if you need it. You must know how to use it yourself.
But who is Qin Feng?A long time ago, those who have thoroughly understood [-]D reconstruction technology can do inverse [-]D reconstruction for Qin Feng. To do a combined SEEG technology is really nothing to Qin Feng.
After Qin Feng finished, it was already eleven o'clock in the evening. Qin Feng felt that the time passed really fast when doing things on the computer. The main reason was that the models needed to dig out the details, and messing around would affect the entire operation.
After packing his things, Qin Feng was about to go back to the locker room to change clothes when an ambulance stopped.
A middle-aged man was directly pulled in. The hospital always saw Qin Feng and waved quickly.
"Doctor Qin."
"What's the patient's condition?"
"The patient has chest tightness and discomfort. An electrocardiogram has been done, but apart from a fast heart rate, there are no other abnormal findings, but the patient has a history of hypertension and coronary heart disease." The hospital chief said.
"Send it to the emergency room first."
By the time Qin Feng arrived at the emergency room, the patient had already been monitored by ECG, and at the same time, the intravenous access and oxygen inhalation were opened.
"Do another ECG on the patient." Qin Feng commanded.
Hospital always nodded.
"My old Han went to the bathroom in the middle of the night and suddenly had chest tightness and wheezing. This time it was much worse than before. Doctors, you must check it out carefully." The patient's wife worried.
Before the machine came, Qin Feng asked his family, "Isn't this the first time?"
"Yes, my old Han has always had some minor problems. Fortunately, I didn't go out to play mahjong today. If I went out, what happened to him, how would I live!" said the patient's wife.
Qin Feng frowned, "How long has it been since chest tightness and wheezing?"
"It's been almost an hour. Oh, doctor, help my old Han, he looks so uncomfortable." The patient's wife tugged at Qin Feng's clothes.
The family members are in a panic now, but Qin Feng is calm.
The patient is 42 years old, which is not very old. He can only be regarded as middle-aged. However, he has a history of hypertension and coronary heart disease. Qin Feng feels that the possibility of myocardial infarction in this patient is still very high, because patients with myocardial infarction do not It’s not all chest squeezing pain, chest tightness and wheezing are also one of the manifestations, so the electrocardiogram needs to be done several times.
"Check cardiac enzymes and troponin for the patient." Qin Feng ordered in an orderly manner.
Ten minutes later, the electrocardiogram came out, and Qin Feng glanced at it.
The patient had sinus tachycardia with a heart rate of 120 beats/min, and the ST segment seemed a little depressed, but there was no typical myocardial infarction pattern.
Qin Feng listened to the patient's heart with a stethoscope. Apart from a fast heartbeat, there were no other significant abnormalities.
The patient's blood pressure also came out, 160/90mmhg.
This blood pressure is high, but not too high, and it does not match the patient's performance. Because the patient has shortness of breath and hypoxia, it is normal to have high blood pressure. This is normal onset blood pressure. If the patient's blood pressure is not high at this time, Qin The wind is about to worry.
(End of this chapter)
Chapter 4 Postponed Surgery
"So, I believe him." The patient said.
I believe him. These four short words silenced Qin Feng. The trust of patients is always the driving force behind doctors.
The family members also looked at Qin Feng in shock. They didn't expect this young doctor in front of them to have so many honors.
As a mother, she never wanted her child to be healthy, free from disease and pain, but she was unwilling to gamble on the success rate of the operation with her child's life.
After all, it is an operation involving the brain. Once it fails, at a small scale, there will be several sequelae, and at a large scale, there may be direct brain death.
A mother who loves her child would rather her child live than take risks.
"I have a method that can reduce the risk of surgery and improve the cure rate." Qin Feng said.
This sentence made everyone in the ward look at Qin Feng.
"Doctor Qin, how much can you improve?" the patient's mother asked in a trembling voice.
"95%." Qin Feng said.
This is the number in Qin Feng's heart.
"What's the solution?" Dr. Che asked curiously.
"SEEG positioning technology and intracranial electrode coverage." Qin Fengdao, "SEEG positioning technology, you can understand it as a three-dimensional EEG positioning, which can accurately locate those intractable epileptic lesions that are difficult to locate. With cranial buried electrodes, seeg can cover the brain in all directions, with high safety, less trauma and accurate positioning.”
"And through the stereotaxic EEG positioning technology, the electrodes can be placed in the deep part of the temporal lobe and the medial surface of the brain by means of minimally invasive methods, which cannot be reached by conventional cortical electrodes."
The reason why the patient is not treated well and the hospital dare not operate is because the focus of the disease cannot be determined, so they can only be treated with drugs.
However, the two methods mentioned by Qin Feng can determine the extent of the lesion 90% of the time. After the lesion is removed, the vagus nerve stimulation can minimize the impact on the patient's brain and naturally reduce the risk of surgery.
After Qin Feng finished speaking, except for the family members who were still a little confused, everyone else understood.
"Can this method really guarantee the safety of the operation?" the patient's mother asked with some concern.
"I can't guarantee absolute safety, but the operation is 95% successful, and there are still some risks. It depends on how we avoid it during the operation." Qin Feng said.
Qin Feng's frankness has won the respect of the patient's family members. If he speaks to a doctor with a 100% success rate, the patient's family members will not agree to the operation.
"Mom, let Dr. Qin operate on me." The patient said.
He feels that this is an opportunity for him to be healthy, and he must seize it well.
"But……"
"mom!"
The patient's mother looked at Qin Feng, "Doctor Qin, can you wait for a while, if the effect of the medicine is really useless, can I ask you to have another surgery?"
The doctor following the car next to him couldn't help but said: "Dr. Qin's surgery, many people can't buy the qualifications for a lot of money, unless it is a surgery that Dr. Qin is interested in. Once you miss it, it will be difficult for Dr. Qin to operate again. .”
This is also something that everyone in the emergency department knows. Qin Feng always puts the surgery he is interested in first, and then goes to other surgeries.
As for those patients who spend money to have Qin Feng undergo surgery, unless it is particularly serious, generally Qin Feng will not take a second look, because he is causing trouble for himself.
The entire Ruijin Hospital can allow Qin Feng to postpone the operation, only for acute and severe cases or difficult operations that other doctors cannot solve.
The patient's mother fell silent, and the father, who had been silent on the other side, said, "Do it, Doctor Qin, when can you operate on my child at the earliest?"
"Understand as soon as possible. The patient still needs to make preoperative preparations and adjust his condition." Qin Feng said.
During this period, Qin Feng also asked for an operating room from the Imaging Department. Of course, it was after get off work. During work, the Imaging Department couldn’t get a single machine. After work, you can use it casually if you need it. You must know how to use it yourself.
But who is Qin Feng?A long time ago, those who have thoroughly understood [-]D reconstruction technology can do inverse [-]D reconstruction for Qin Feng. To do a combined SEEG technology is really nothing to Qin Feng.
After Qin Feng finished, it was already eleven o'clock in the evening. Qin Feng felt that the time passed really fast when doing things on the computer. The main reason was that the models needed to dig out the details, and messing around would affect the entire operation.
After packing his things, Qin Feng was about to go back to the locker room to change clothes when an ambulance stopped.
A middle-aged man was directly pulled in. The hospital always saw Qin Feng and waved quickly.
"Doctor Qin."
"What's the patient's condition?"
"The patient has chest tightness and discomfort. An electrocardiogram has been done, but apart from a fast heart rate, there are no other abnormal findings, but the patient has a history of hypertension and coronary heart disease." The hospital chief said.
"Send it to the emergency room first."
By the time Qin Feng arrived at the emergency room, the patient had already been monitored by ECG, and at the same time, the intravenous access and oxygen inhalation were opened.
"Do another ECG on the patient." Qin Feng commanded.
Hospital always nodded.
"My old Han went to the bathroom in the middle of the night and suddenly had chest tightness and wheezing. This time it was much worse than before. Doctors, you must check it out carefully." The patient's wife worried.
Before the machine came, Qin Feng asked his family, "Isn't this the first time?"
"Yes, my old Han has always had some minor problems. Fortunately, I didn't go out to play mahjong today. If I went out, what happened to him, how would I live!" said the patient's wife.
Qin Feng frowned, "How long has it been since chest tightness and wheezing?"
"It's been almost an hour. Oh, doctor, help my old Han, he looks so uncomfortable." The patient's wife tugged at Qin Feng's clothes.
The family members are in a panic now, but Qin Feng is calm.
The patient is 42 years old, which is not very old. He can only be regarded as middle-aged. However, he has a history of hypertension and coronary heart disease. Qin Feng feels that the possibility of myocardial infarction in this patient is still very high, because patients with myocardial infarction do not It’s not all chest squeezing pain, chest tightness and wheezing are also one of the manifestations, so the electrocardiogram needs to be done several times.
"Check cardiac enzymes and troponin for the patient." Qin Feng ordered in an orderly manner.
Ten minutes later, the electrocardiogram came out, and Qin Feng glanced at it.
The patient had sinus tachycardia with a heart rate of 120 beats/min, and the ST segment seemed a little depressed, but there was no typical myocardial infarction pattern.
Qin Feng listened to the patient's heart with a stethoscope. Apart from a fast heartbeat, there were no other significant abnormalities.
The patient's blood pressure also came out, 160/90mmhg.
This blood pressure is high, but not too high, and it does not match the patient's performance. Because the patient has shortness of breath and hypoxia, it is normal to have high blood pressure. This is normal onset blood pressure. If the patient's blood pressure is not high at this time, Qin The wind is about to worry.
(End of this chapter)
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