Lost at the start, the first surgery shocked the world

Throw the patient to him and run away by himself

? What

does it mean

? The patient is cured, it is his patient Zhou Boguang, and if something happens to the patient, it is the problem of the summer?

The hospital has regulations.

Hospitalized patients, misdiagnoses, deaths, the doctor who treated it is responsible.

After all, when the patient was admitted to the hospital, there was no danger to his life, and suddenly, the person was gone, and the patient's family would be held responsible, and how to divide this responsibility could only be divided into the doctor's head.

(Zhou Boguang: Anyway, when I gave the patient to you, he was still alive, and if he died, it was yours.)

Glancing at Wang Boyi.

Sneered.

"This Doctor Zhou is very smart, this brain has a Ph.D. degree from Tsinghua Medical College, right?"

This wave of operation 666.

Wang Boyi's cheeks flushed, and he didn't answer Xia's words, and shifted the topic to the patient.

"In the afternoon, you said that the patient is not myocarditis, so what is the problem with the patient?"

asked Summer.

"What were the symptoms when the patient first came?"

Wang Boyi said without reservation.

"The patient has dizziness, headache, chest tightness, chest pain with deep breathing.

"When I was admitted to the hospital, I listened to my heartbeat, which was accompanied by a murmur from time to time, but the situation was not serious, and Dr. Zhou said that it was myocarditis, so I ......"

Wang Boyi lowered his head again, and his self-blame was overflowing.

Glancing at him.

"I suspect it is a patent foramen ovale. "

Let's do an ultrasound first.

"Okay!" Wang Boyi nodded: "Do you want to call Dr. Zhou to come for a consultation?"

Xia sneered: "Call him, will he come?"

Wang Boyi lowered his head again.

One fifty a.m.

There was no queue in the ultrasound department, so Wang Boyi put the patient in a good position and personally performed an ultrasound examination for the patient in the summer.

Ten minutes later.

Xia said: "It's patent foramen ovale!" "

Patent foramen ovale belongs to pediatric surgery, which is generally a neonatal condition, and some babies do not develop well in the mother's womb, causing heart problems.

Brief overview: The foramen ovale is a foramen structure in the middle of the left and right atria of the heart, which is a physiological passage in the fetal period, ensuring that part of the venous blood is shunted to the left atrium through the foramen ovale, which is named because of its oval shape.

After birth, the lung resistance and right atrial pressure decrease during the first breath, and the foramen ovale gradually closes.

But there are also some people who don't close completely.

Under normal circumstances, the left atrial pressure is 9 mmHg and the right atrial pressure is 6 mmHg, and the unclosed foramen ovale will produce a left-right shunt of blood in the conscience side.

It is more common in young people.

The incidence rate of 1~~~29 years old is 30%.

30~~~79 is the incidence rate of 25%.

20.2% over 80 years old.

There was once a 25-year-old woman who was hospitalized for dizziness and headache, and was found to have a patent foramen ovale.

Later, the woman's mother reported herself.

Since she was a child, she has been arguing to read books and has a headache, and she thought that her daughter was the result of avoiding Xi.

It turned out to be a hole in ...... heart

Patent foramen ovale is severe and can cause complications.

Stroke is one of them.

Minor patent foramen ovale can be controlled with antiplatelet drugs, such as aspirin, or anticoagulants, warfarin.

The girl's condition is so serious that she can't be conservative anymore and has to undergo surgery.

"Inform Dr. Zhou and prepare for surgery.

"The patient's condition is critical, he has to have surgery, and if he drags it on, it is likely to cause a second stroke.

Summer said lightly.

Wang Boyi nodded and dialed Zhou Boguang's mobile phone number.

A minute later.

Wang Boyi's face was extremely ugly.

Dr. Zhou said that he could not perform surgery for patent foramen ovale, and told the patient to wait until tomorrow when the director went to work and let the director operate. "

Summer: (艹).

He meows ......

What kind of doctor the hell?

It's still an attending doctor, right?"

"Then you ask him, if the patient has a second stroke, causing a danger to his life, will he be responsible?"

Wang Boyi took his mobile phone in embarrassment and dialed Zhou Boguang's phone again.

This time, instead of leaving, he turned on the amplification.

"Hey, Dr. Zhou, Dr. Xia said that the patient is in danger and may not be able to wait for the next day, and needs to be operated on immediately, if something goes wrong...... We can't afford that. "

Patent foramen ovale surgery is not very difficult.

An attending physician is completely operable.

However, the patient had a stroke, which caused a cerebral hemorrhage, which greatly increased the difficulty of the operation.

Once the surgery is performed, there is a high chance that the patient will have a second stroke.

First intracerebral hemorrhage, hemorrhage 15%, mortality 50%.

The second intracerebral hemorrhage will be twice to three times the blood volume of the first one, and the mortality rate is as high as 75%.

Zhou Boguang is not unable to operate, but he does not want to take responsibility.

But Summer's words have already come to this, and as a doctor, he can no longer shirk his responsibilities.

You have to bite the bullet too.

Who knows, Zhou Boguang's next sentence made Xia stunned.

"I've transferred the patient to the emergency department.

"From now on, she is an emergency patient, and the emergency department will take care of it herself." "

Toot toot ......

phone, hung up ......

Summer: "......"

is in a groove

......! Is it serious?

In order not to take responsibility, the patients don't want it, and they are directly dumped at the emergency department?

Summer sneered at Wang Boyi and mocked.

"What about

you?" "Do you want to go?" "

This patient is in the emergency department, you are no longer an emergency doctor, you can also go, don't worry, I won't stop you." "

Damn, a bunch of scum!"

Wang Boyi's face turned red and he gritted his teeth.

"I'm not leaving. "

Can you do the surgery?"

"Yes!" Summer nodded.

"Okay, I'll go on stage with you, and I'll go inform the patient's family.

Wang Boyi strode away, looking at his back, and his mood was a little complicated in summer.

Compared

with that Zhou Boguang, Wang Boyi is still a conscientious doctor.

Hate him, a little less.