The sweetest thing in the world

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Min Yue asked her family members to wait for her first, went around to bed 11, took a look at the gauze, and said with relief: "You just had an operation two days ago, and the wound is healing now, it's normal to feel uncomfortable, as long as you If you don't have an infection, you'll be fine."

The man asked again: "It's been two or three days, why is it not getting better at all, I see that others have grown new flesh."

"Some people recover quickly and others recover slowly. Don't worry." Min Yue looked at her nursing records and saw that her dressing hadn't been changed today, so she said, "May I change your dressing first? Use rubbing alcohol to stop the pain." itch."

The patient nodded immediately: "Okay, then I will trouble the doctor."

Min Yue went to the nurse's station to fetch the medicine, quickly tore off the gauze and wiped the iodine.

The patient is a woman in her 50s. Her children are busy with work and have no time to accompany her. She hired a nurse who works hard but talks little.She was so bored all day long, seeing that Min Yue was polite and easy to talk, she tried to chat: "How old is Dr. Min? Is there someone to talk to?"

Min Yue blushed: "We talked about..."

"What does the other party do?" asked the aunt enthusiastically.

"It's a doctor." Min Yue blushed even more.

"Oh, my colleagues, that's pretty good." The aunt said a lot to herself, and Min Yue was so ashamed that she couldn't lift her head, she quickly changed the medicine, got up and was ready to leave.

Xu Mai pushed the door open and came in, putting one hand in the pocket of his white coat. "The family members are waiting, how long will it be on your side?"

"Okay, here we come." Min Yue hurriedly packed up the medical waste.

Seeing Xu Mai, the aunt smiled more enthusiastically: "Director Xu is here, we are talking about Dr. Min's partner."

"Oh?" Xu Mai glanced over, and Min Yue lowered her head in shame.

"Has Director Xu talked about friends?" the aunt asked familiarly.

Xu Mai looked at the little apprentice: "Yes."

"Director Xu is so good, the other half must not be bad, dare to ask where the other party is high?"

Xu Mai got up gently: "It's in our hospital."

Chapter 70 Excellent

"Director Xu's is also a doctor, what a coincidence." The aunt sighed, and continued: "It must be a very good doctor, right?"

Xu Mai smiled and said, "Well, she is excellent."

Unexpectedly praised, Min Yue blushed and raised the tray high to cover her face.

Seeing that she had packed up, Xu Mai turned and walked out, beckoning her to follow.The two walked into the conference room. The family members had been waiting for a while, and finally saw the doctor coming, and hurriedly got up to greet them.

Asking Min Yue to sit in the main seat, he took a seat next to him, Xu Mai said: "Sorry, I was delayed for a few minutes, and now Dr. Min will introduce the situation of the operation the day after tomorrow."

After Xu Mai finished speaking, he withdrew back, leaned on the back of the chair, and quietly looked at the little apprentice, with an expression of entrusting the power to you.

Min Yue swallowed nervously, silently said "I hold" three times, and raised her eyes to observe the three family members opposite.

The two elderly people were the patient's parents, and they looked a little uneasy.The other woman is his wife, who wears rimless glasses, has a strong bookish look, and is relatively calm. She should be the backbone of the three and have the most right to speak.

Min Yue looked into her eyes and said, "Your husband complained of palpitation and shortness of breath. After hospital examination, he was diagnosed with an atrial septal defect. In layman's terms, it means the blood from the left atrium shunts to the right atrium. It is a common congenital heart disease. One or two-year-old children generally have small shunts and have no obvious symptoms. As they age, the shunt flow increases, and symptoms such as dyspnea and fatigue will begin to appear."

"Sick children under one year old have the possibility of self-healing, and the probability is about 40%. Over one year old, the possibility of self-healing is very small. Once diagnosed, no matter whether there are symptoms or not, no matter how old they are, surgical repair is recommended .”

Min Yue pulled out the echocardiogram and drew the defect with her fingertips for them to see. "This gap is in the middle of the atrial septum, with a size of about 40*27mm. There is an obvious left-to-right shunt signal during diastole, and there is also a regurgitation signal from the tricuspid valve."

Seeing that the three family members were still at a loss, Min Yue repeated it again: "Your husband's disease is called a secundum atrial septal defect, which is the most common type. It is also accompanied by mild tricuspid regurgitation. It is recommended to repair it." Operation."

"The mortality rate of this operation is less than 1%. After the operation, patients can work and work normally without affecting their lives. The recurrence rate is also relatively low, only 2%." Min Yue paused and gave another result.

"If you don't do surgery, if you continue to develop, with intimal hyperplasia and medial thickening, pulmonary hypertension will occur, which is likely to lead to right-to-left shunt, heart failure, cardiac arrhythmia, and may also be combined with endocarditis, pulmonary local infection."

"By that time, it will be life-threatening, and the difficulty of surgery will be greatly increased. There are no contraindications at present, so I personally recommend surgery as soon as possible, early treatment and early recovery. But his symptoms are not particularly serious now, should he be observed? Let's talk about it later, it's up to you to decide." Min Yue quieted down after the introduction, leaving time for the family to think.

The three of them looked at each other, and after unifying their opinions, the wife said: "We all listen to the doctor, and it is best to have an operation as soon as possible, so as not to leave future troubles and worry every day."

Min Yue smiled: "Your husband's operation is initially scheduled for the day after tomorrow, and our Director Xu will perform the surgery."

The family members all looked at Xu Mai, who nodded in response.

Min Yue went on to introduce: "At present, there are five main methods of repairing atrial septal defect, three of which are suitable for your husband's situation. The first is total thoracoscopic surgery, which only uses three holes in the chest cavity without sawing. For the sternum, the surgical incision is small, with less bleeding and faster recovery. The second is robotic surgery, which is similar in principle to the first, but has a better surgical field of view and is more expensive. The third is traditional median thoracotomy, which requires sawing Broken sternum is very traumatic, but the surgical field of view is the best, and it is also the method most hospitals use. You can discuss it and decide which surgical plan to use.”

The family members were undecided, so they asked for advice: "Which one does Dr. Min think is suitable for us? How much is robotic surgery expensive, and will the medical insurance cover it?"

Min Yue replied: "I think total thoracoscopic surgery is the most suitable. Your husband's gap is not too big, and the symptoms are not serious. There is no need for traditional thoracotomy. Robotic surgery requires four holes, which is more than total thoracoscopic surgery." One hole, and the price has doubled several times, it’s not worth it.”

What she said was reasonable and thoughtful, and the family members didn't hesitate after hearing it, and said, "Then let's do the thoracoscopy one."