When doctors have a simulated operating room
Chapter 653
The more you go, the more you will be in trouble.
It is possible that this person was talking to him just fine one second ago, but the next second, he felt a pain in his chest, whimpered twice, and fell to the ground unconscious.
Compared with aortic dissection, aneurysms, which are also hemangioma diseases, do not have dissection.
Aneurysms are one or several small blood bubbles on the wall of the blood vessel. Intervention and surgery can block the blood supply of the blood bubbles, and the blood vessels can continue to be used.
But dissection is not good.
Dissection means that the blood vessel wall of the entire dissection area is damaged.
The pressure of the artery itself is high, and the blood vessels that are prone to bleeding are close to several large blood vessels around the heart.
Once the blood vessel wall ruptures and bleeds, it is simply incomparable to an aneurysm with small blood bubbles.
The patient died within a few minutes, and there was no way to save him.
The best way is to detect the disease early and perform surgery early, and replace the dissected blood vessels with artificial blood vessels to avoid heavy bleeding.
Zhang Yi persuaded the couple to go for a check-up as he suspected that there was something wrong with their heart.
Early detection and early treatment will not lead to irreparable consequences.
But the man just wouldn't listen.
He would rather believe in a certain andrology hospital near his home that has no reputation.
He was unwilling to believe in the 'Didu Union Hospital'.
This made Zhang Yi angry and helpless.
"Are you going to give us a painkiller injection or not?!"
The patient didn't understand, but he didn't expect his wife to be brainless.
Seeing Zhang Yi's hesitation, she even started to complain.
Zhang Yi only remembered a famous saying in the hospital: 'It's hard to persuade a damned ghost with good words'!
Forget it.
Persuade him one last time!
"I'm a doctor. My name is Zhang Yi. Have you heard of Zhang Yi? I was the doctor who performed surgery live in front of people all over the world and was on the news before.
I'm very serious to communicate with you again. Your disease may not be a simple stone, but the pain caused by heart disease.
There are many types of heart disease. It may be myocardial infarction or aneurysm?
In addition, your heart sound has systolic and diastolic murmurs, so I can't rule out the possibility of aneurysm.
So, I suggest you go for surgery as soon as possible.
Aneurysms on the heart vessels can kill people within a few minutes.
Once the blood vessel wall can't withstand the pressure, the blood vessel ruptures and bleeds, and the amount of bleeding per minute is not as simple as cutting your hand with a kitchen knife!"
Zhang Yi tried his best to make them understand.
But do you know what a real "damned ghost" is? ?
"Zhang Yi? What Zhang Yi?! We haven't heard of him! We are so busy at work every day, how can we have time to watch the news! Stop talking nonsense, aren't you saying so much just to scare me by telling me how serious my illness is? And then take the opportunity to make me do all kinds of miscellaneous examinations?
I tell you, I was not scared by you doctors. When I was a child, I was hit on the head by a hoe in the field, but I didn't die.
I am afraid that you will scare me here?? Ridiculous!
Forget it! I won't see you at Union Hospital. It just so happens that I don't seem to be in as much pain as before. Let's go, wife, let's go directly to the men's hospital near our home!"
"Okay." His wife pushed the tricycle behind him and looked at Zhang Yi, then pushed him out of the emergency room.
At this time, Wang Yufei came back after handing over the shift.
He looked at the patient who left angrily: "What's wrong with Zhang Yi? Why doesn't he see me again?"
Zhang Yi rolled his eyes speechlessly: "Don't believe what I said."
"Ah? Don't believe you?? Oh, he hasn't heard of your name?!"
Wang Yufei seemed a little bit unbelievable.
He has come to Union Hospital, but he hasn't heard of Zhang Yi's name?
That's Zhang Yi, who has nearly 40 million fans on the Internet and is well-known both at home and abroad!
The global live broadcast of the surgery has won a lot of face for the whole of China!
They don't know?
Zhang Yi sighed and waved his hand, saying: "It's normal not to know. Our country has a population of 1.4 billion. It's impossible for everyone to know me."
"Hey, it's just this person..." After thinking about it, Zhang Yi sighed again.
Although this person's words are not pleasant, he is a patient in the hospital, and Zhang Yi wants to save him in his heart.
But this guy is stubborn.
Do you think all doctors take kickbacks? ?
No, no, no!
There are good doctors like me!
"What's wrong with him? Is it serious?"
"I heard systolic and diastolic murmurs from the heart sounds.
, I was not sure, so I asked him to do a cardiac ultrasound and CT scan, but they were unwilling to do it. They thought I wanted to do more tests to get kickbacks, and they had to show the B-ultrasound report from the previous hospital and said it was stones. They left if I didn't give them painkillers. "
Wang Yufei said, but frowned after thinking about it:
"Huh? That's not right. How can there be heart murmurs when there is abdominal pain caused by stones? Generally, systolic and diastolic murmurs are the auscultation results of heart disease, such as mitral regurgitation, rheumatic heart disease, etc. The man looks only in his thirties. Do you suspect he has heart disease? "
Zhang Yi pursed his lips tightly, and it was hard to say that it was not a heart disease but a dissecting aneurysm.
Otherwise, wouldn't his golden finger be exposed?
He could only nod slowly: "I suspect it is related to heart disease, but he doesn't want to check. What can I do?"
"Hi~!" Wang Yufei patted Zhang Yi on the shoulder and said with a smile: "Don't be so nervous, big brother, heart murmurs may not be heart disease? There are so many strange diseases in this world, and he is still so young, don't be too nervous. "
Zhang Yi frowned and said nothing.
This kind of thing is hard to explain, and others can't understand his worries.
If he knew that this person had half of the blood vessel dissection, I guess Wang Yufei would definitely break out in a cold sweat.
Such a large area of dissection is still running around???
This is courting death!
"Oh no! "Zhang Yi suddenly thought of something!
He rushed to the office and got a copy of the responsibility notice.
This person had been to their hospital. What if, he said, something happened on the way, and he was afraid that the family would turn around and find trouble with the hospital.
People's hearts are unpredictable. What if the family insisted that it was Zhang Yi who didn't give them a checkup that caused the accident?
Doctors need to be warm-hearted, but they still have to follow the procedures.
Zhang Yi hurriedly strode out and stopped the couple who were about to get in a taxi.
The two turned around and saw that it was Zhang Yi, and said with displeasure:
"What are you doing? I've said we don't want to see the Union Hospital anymore, we don't care! We want to go to the men's department! "
The man thought Zhang Yi wanted to keep them in Peking Union Medical College for treatment.
Wouldn't it be possible for them as doctors to earn money and get commissions?
Unexpectedly, Zhang Yi handed them a notice of responsibility and said seriously:
"I would like to advise you again in the end, go get a check-up to confirm the cause of the disease, and get treatment early so you can feel relieved! Of course, if you still refuse, please sign it."
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