"Why are you so hysterical in the middle of the night?"
More than ten minutes later, Su Yun came downstairs, nagging unhappily.
"I suspect that his old man has dilated cardiomyopathy or is in an advanced stage. Let's take a look." Zheng Ren said.
Su Yun looked at the tears on the man's face and knew that the boss was causing trouble again. However, this time the person I "picked up" was a patient with a chest disease, so I could still tolerate it.
After calling a car, the man came to the hospital with Zheng Ren and Su Yun with a confused look on his face.
He took the film down and was almost sober from the wine.
The night breeze was slightly cool, and he was a little confused while holding the film and information. He didn't know why he believed the young man's words.
Even if it can be cured, I can't afford the cost of hundreds of thousands. Even if you sell your house and land, you won’t be able to raise hundreds of thousands. Lift money? That interest rate is enough to crush a person's bones into pieces.
I have met a kind-hearted person, but no matter how kind-hearted he is, he can help me pay for medical treatment? No one’s money comes from strong winds.
"You two, what's your name?" After the man came down with the film, he remembered to ask what the other person's name was.
"It's not important." Su Yun took the film bag and took out a chest X-ray.
Glancing at the light, his hands froze in mid-air.
"Hey, such a big heart!" Su Yun said in surprise.
The patient had left pleural effusion, and the image of the heart was mixed in the effusion and difficult to distinguish. But this was not a problem for Zheng Ren and Su Yun. They could tell at a glance how serious the patient's condition was.
The expansion of cardiac malformations is mainly in the left ventricle, and the right ventricle and left and right atria also have varying degrees of expansion.
The electrocardiogram showed severe right bundle branch block, extensive ST-T changes, left ventricular high voltage, left atrial hypertrophy, pathological Q waves due to myocardial fibrosis, and low voltage in each lead.
Echocardiography showed that the left ventricle was significantly enlarged, the left ventricular outflow tract was dilated, and the pulsation amplitude of the interventricular septum and left ventricular posterior wall was weakened.
The patient had a rapid ventricular rhythm associated with severe atrioventricular block. In other words, sudden death is possible at any time.
There was no medical advice, but Zheng Ren guessed that current conservative treatment with internal medicines would have limited effect.
The period of fighting heart failure and correcting arrhythmias has passed. The best thing that can be done now is a heart transplant, which is what men call heart transplantation.
If patients with advanced dilated cardiomyopathy undergo heart transplantation, the survival rate for more than one year will be over 85%-90%, and the effect is still good.
But the problem came again. The high cost and lack of donors made the operation difficult to perform. It’s not even a matter of money. If there is no donor, where can I go for a heart transplant
Unless Su Yun said that the project team in Chengdu and West China will win the 3D printing heart project as soon as possible.
"Boss, why don't you forget it? How much myocardium will be cut if we do this surgery?" Su Yun said with emotion as he recalled the countless data.
"It's about 350g of myocardium, which is too small to say." Zheng Ren said.
"..." The man was confused. Is the myocardium they are talking about the heart muscle? Can that thing still survive after being cut off
"That's right, we are 912 doctors." Zheng Ren then said seriously: "We happen to have a project that can perform surgeries for free on patients. After the surgery, there should be a certain amount of subsidies."
Immediately, Zheng Ren saw the man looking at him suspiciously.
When he said this, he sounded so much like a liar that Zheng Ren laughed in his heart.
"Let me tell you." Su Yun thought that what Zheng Ren said was wrong and interrupted him contemptuously.
"Your father is seriously ill and will die at any time." Su Yun told the truth.
Men know this, the doctor here has said it many times.
"The longest estimate is that you can live for another two or three months. We have a scientific research activity there that provides free surgery. The success rate of the surgery is not high. If you want to give it a try, just come to us."
"The specific free situation will be discussed in detail later." Su Yun looked into the man's eyes and suddenly blew a breath, his black hair floating in front of his forehead, "Do you think I'm lying to you?"
The man was silent.
"To put it bluntly, I can guess the situation of your family just by what you are wearing. How much oil can you squeeze out by breaking bones and squeezing it out? It's not enough to waste your time by lying to you."
The words don't sound good, but the truth is this.
"Discuss it with your family. The operation is very likely to fail. If it fails, the person will die on the operating table. You decide for yourself whether you want to give it a try."
"To be honest, this is a dead horse treating a living doctor, no matter what, there is a glimmer of hope." Su Yun said with a smile: "I would recommend you to have surgery. Come on, scan the QR code, add a friend, and I will send you the address."
The man felt that what Su Yun said made sense.
But is there such a thing as free medical treatment in the world? If it is a scientific research project according to what he said, then it is possible.
After scanning the QR code and adding friends, Su Yun sent him the address.
"If you want to have an operation, go to the hospital and see me. A great 912 doctor can't do anything wrong with your three melons and two dates."
When the 912 flag was raised, the man believed it.
"If you want to do it, hurry up. Your old man may not be able to do it anytime and anywhere. Don't discuss it for three to five days and then drag him over to die. This is unnecessary." Su Yun kept saying unpleasant things. truth.
The man nodded vigorously.
He was a little dazed and confused, and sometimes he even thought he was dreaming. Whatever you think about comes, what else could it be if it wasn't a dream.
If this is a dream, I hope I will never wake up.
"Okay, it's getting late, let's go back to sleep. If you decide, tell me on WeChat." After Su Yun finished speaking, he pulled Zheng Ren and turned around to leave.
In the night wind, the man watched the two departing figures fall into infinite trouble.
"Boss, is the surgery likely to be successful?" Su Yun asked.
"Not big." Zheng Ren said: "The left ventricle is malformed and dilated. Judging from the degree of myocardial hypertrophy, cutting 350g of myocardium is less. A normal heart only weighs a little more than 300g. It is still more to cut off one heart. Post-operative care is so important It’s very difficult to close.”
"I don't want to hear you talk like that." Su Yun said disdainfully: "You think you are the only one who can do it? Our 912 intensive care unit is very strong. What about liver transplant patients? Post-operative recovery is not yet complete. They are all going to be discharged from the hospital.”
Zheng Ren smiled.
"Have you forgotten about how the surgery is going to be done?" Su Yun asked.
"M=4.18×R3, calculated according to this formula... Without transesophageal ultrasound examination, we can only make a preliminary judgment..."
"Boss, it's just the two of us here, why don't you talk like you're explaining the condition to the patient's family, okay?" Su Yun said unhappily.
"Cut about 400g of myocardium." Zheng Ren finally gave an answer.
Su Yun confirmed his guess.
I calculated correctly, 400g! The weight of myocardium removed by successful left ventricular volume reduction surgery in the world is now 302g.
MD! Why is it so difficult