Back in 2002 as a doctor

Page 464

"It's useless, but that's what the patient's family thinks." Zhou Congwen shrugged, "We have encountered many similar situations in clinical practice. I remember telling you in the Third Hospital of Jianghai City that many emotions are true. .”

"I remember that the class was very busy that day."

On the night of the mysterious emergency room, the gossip case where the husband and wife cheated separately, these symbols popped up in Zhou Congwen's mind.

"Many old people didn't support them during their lifetime, and cried loudly after death. Those who had a grand funeral can't say that they didn't have the idea of ​​supporting their elders. But for various reasons, or their thoughts of supporting their elders, memories of the past, etc., are relatively light. Only It only gets stronger when the old man passes away."

"I have seen a patient." Shen Lang said, "The old couple are both college teachers with a lot of pensions. After the old lady passed away, none of the three children took care of the old man. Later, the old man found a nanny, and the nanny was pretty reliable. Take good care of the old man."

"As a result, the children in the family were unhappy, and they drove the nanny away noisyly."

"I guess I'm afraid that the nanny will become a stepmother and divide their property."

"In the end, the old man's opinion was completely useless. He became seriously ill in a fit of anger and was admitted to our department. Congwen, you still have an impression."

"Yes." Zhou Congwen said.

"Later, the old man was angry to death, and I didn't give his children a good face. But after the old man died, the children cried very sadly. Sometimes when I think about it, I think they don't want to cry in a fake way."

"Well, similar situations are not uncommon." Zhou Congwen smiled, "The name of this disease was later changed from Doctor Baodao to Tianbian Dutiful Son Syndrome."

"Uh..." Shen Lang was taken aback, but felt that it was too appropriate.

"Actually, it's not a disease. It can barely be regarded as a mental illness? It's more of a joke from a doctor." Zhou Congwen said, "In areas such as the elderly ward, ICU, and nursing homes, they are not with their families all year round, but once they come to see the elderly The performance is very filial.

They are even filial to the point of being radical, they desperately hope that the doctors and hospitals will cure the patients and leave the hospital on the same day; at the same time, they know that this is very difficult, and they keep picking on this and that every day, interfering with the doctors' treatment decisions.

He would even scold his family members who usually took care of the elderly, complaining that they "didn't take good care of them" and were full of resentment. "

"It's not that I hope that I will be less troublesome." Shen Lang muttered.

"Then do you know what happened to the family members of the patient just now?" Zhou Congwen asked with a smile.

Chapter 0796 This is called son-in-law syndrome

"The condition of this person just now has a scientific name, it's called son-in-law syndrome." Zhou Congwen said.

"Son-in-law syndrome?" Shen Lang recalled the "diagnosis" and instantly understood what Zhou Congwen meant.

"Son-in-law, hahaha, it's really impressive." Shen Lang said with a smile.

Referring to the man with the handbag just now, this "diagnosis" is simple and clear.

Yuan Qingyao had just returned to China not long ago, and he was relatively unfamiliar with the domestic situation. He asked suspiciously, "Brother Zhou, what does this mean?"

"It's an upgraded version of the California daughter syndrome." Zhou Congwen said, "For various reasons, the California daughter sincerely wants to use various means to retain the patient, regardless of objective conditions and actual conditions.

As for the son-in-law syndrome, it is mainly the son-in-law who talks about it, puts on a strong posture, and expresses his concern about this matter, but he doesn't care whether the patient's condition is serious or the operation is good or bad. "

"..." Yuan Qingyao clicked his tongue.

However, if you think carefully about the facial expressions, movements, stern posture of the patient's family members, and the appearance of changing the subject when it comes to substantive issues, what Zhou Congwen said really makes sense.

"The son-in-law is just one of the representatives. As for the truth... I won't say much about it." Zhou Congwen said, "What's even more unacceptable is that all kinds of relatives and friends who are out of reach at home will play tricks after coming to the hospital. , Offend the person who should be offended, and when it is time to sign the operation, there is no one to be found."

"Yes!" Shen Lang patted his thigh, "This is the case with some patients with advanced cancer in the Third Hospital!"

"Liu Di has a patient with advanced cancer, and the children of the family have signed to give up the rescue. Otherwise, the patient is skinny, and a row of ribs will be broken when a heart outside the chest is pressed down. Let the old man go well, but one day I will On duty, a group of people came from the patient’s hometown, and someone asked me if I was still alive.”

"What did you say?" Zhou Congwen asked with great interest.

"Of course I first comforted, and then praised the patient's children for their hard work. The old man's condition can no longer be saved, and it is a crime to keep it. The money that should be spent has been spent, and the heart that should be spent has been spent. Both the old man and the family members No regrets, it's good."

It is indeed very good, and Shen Lang's explanation is also very good.

Zhou Congwen nodded, there is nothing wrong with this reply.

"But the people over there kept asking if there would be a solution in other hospitals. Then he asked me anxiously, and I said that the higher-level hospital must be better than ours. If I still want to go to the higher-level hospital for a while I can now be automatically discharged from the hospital."

Shen Lang said slightly angrily.

"Then the group disappeared and no one asked me about it anymore. After a few months, a stranger rushed in one day while I was on duty and asked me to go out and talk to him."

Zhou Congwen frowned, "Is it the patient's family?"

"Yes, he was the one who kept asking other hospitals if they could do anything, and I kept resenting him for saying something. The other day, his daughter was stabbed in the throat by a fishbone while eating fish. He ran away when he took his daughter to pull out the fishbone. Come and find me. It just happened that I was on duty, and I was looking for trouble by the way."

"What did you do?"

"Of course I don't go out with him. If I want to fight, I will fight in the office. This is my home game." Shen Lang said.

Zhou Congwen sighed.

Fortunately, it's not yet the 1.0 era of doctor-patient disputes, let alone the future 2.0 and 3.0 eras, Shen Lang has picked it up.

"In the future, if you encounter patients with son-in-law syndrome, don't bother with them. This matter will be over like this." Zhou Congwen warned, "Be kinder and less troublesome."

Shen Lang wanted to refute, but when he thought about the situation that day and the man coming to the hospital for no reason, he wanted to vent his anger on himself, so he fell silent.

"Brother Zhou, how many similar patients are there?" Yuan Qingyao asked.

"We don't have many here, mainly in internal medicine and some end-stage patients." Zhou Congwen said, "Isn't this just a chat, let's talk about the relevant situation. You still have to pay attention to what Shen Lang just said, why bother?" Get angry with those people."

"I'm not angry!" Shen Lang argued.

"I know, I know, all the good words, the patient's distant relatives usually know to make trouble when they don't see each other." Zhou Congwen reassured.

"It seems that if you don't say something, you can't reflect their value."

"Yes, yes, but there is absolutely no need to argue with them, just tell them what they like to hear, and the matter will be over. Otherwise, what if you meet a vengeful master and rush in with a knife after drinking too much?"

Shen Lang was silent.

The scene Zhou Congwen described was indeed scary.

"There are police officers." Yuan Qingyao said seriously.

Zhou Congwen smiled, Yuan Qingyao didn't understand the domestic situation yet.

In China, similar situations belong to conflicts among the people. If you really look at it carefully, you can say it for a few days and nights.

"I'm going to talk to Director Teng Fei these few days." Zhou Congwen changed the subject and got down to business, "Look for elderly patients with three-vessel disease, and then leave a message with each hospital in the province. There are similar patients. Just turn around and do a small incision coronary artery bypass surgery."

"Brother Zhou, you always talk about small incisions, but how big is the incision?" Yuan Qingyao asked, "There is no information about Dr. Kolessov's surgery in the former Soviet Union."

"The position of the apex of the heart is used as the midpoint of the incision, and a small incision of about 6 cm is made. Because it is a three-vessel lesion, a small incision of 1.5 cm is also made at the position of the xiphoid process."

The maximum incision is 6cm, and there is no need to split the sternum!

Compared with normal coronary artery bypass surgery, it is indeed a small incision, and there is no doubt that it is a minimally invasive surgery.

No wonder Zhou Congwen added the word "old age" when talking about indications.

There is a certain limit to the surgical shock that elderly patients can bear, and the smaller the incision, the better.

Many patients are too old, doctors dare not perform surgery and can only choose conservative treatment, and finally die of acute myocardial infarction.

If there is only such a small cut... Yuan Qingyao's heart is burning.

"Qingyao, you and Li Ran will do the postoperative follow-up visit together." Zhou Congwen arranged.

Yuan Qingyao and Li Ran nodded at the same time.

"Although it was carried out a little later, the postoperative follow-up time may not be enough, and the data is not enough, but it is always necessary."

"Brother Zhou, will it open after the next year? Can I go?" Yuan Qingyao asked.

"Of course, a full set of people with a heart and a heart and a full set of circulation interventions are required." Zhou Congwen said, "Although it is a small incision, the trauma to the patient is relatively small. In terms of the complexity of the operation, it is many times more difficult than normal."

Yuan Qingyao knew it, but when he thought that the operation that was supposed to split the sternum and the major surgery area, which most cardiothoracic surgeons could not perform, could solve the problem with two small incisions, he became a little excited.

Chapter 0797 intractable syncope

Patients were admitted in the second grade of junior high school, and surgery began in the third grade of junior high school.

Everything went well. Before everyone went to work, Zhou Congwen's medical team had finished the second batch of patients.

During this period, everything that Zhou Congwen and the medical team did was in the eyes of caring people.

Teng Fei has been paying attention to Zhou Congwen's actions, because Zhou Congwen talked to her about the small incision coronary artery bypass surgery in the next year.

This is an operation to participate in the World Surgery Competition, not only to treat the disease, but also to talk with the patient's family about the surgery video and other issues.

There is no shortage of similar patients Teng Fei, and she also believes in Zhou Congwen's level.

After a period of observation, Teng Fei not only believed in Zhou Congwen's surgical level, but also expressed surprise at the performance of the entire medical team.

During the Chinese New Year break, Zhou Congwen's medical team completed fifty operations.

The amount of surgeries is one thing. If so many surgeries are completed within a unit of time, switching to another medical team will inevitably be too busy, and even the surgical records will be confused, and there may even be a blank sheet of paper when you leave the hospital.

But Zhou Congwen's medical team not only did the surgery well, but also wrote the medical records well, and they had to send the patient out of the hospital safely.

From Teng Fei's point of view, although there are some minor flaws, she is very clear that similar problems are not worth mentioning at all.

The characteristics of each medical group are related to the personality of the leader, which is a natural imprint.The "character" of Zhou Congwen's medical team must be close to Zhou Congwen's person, one word - stable.

Although the speed of the entire medical team has increased, it is still as safe as an old dog, showing no flaws under such a heavy surgical workload.

Cooperation with Zhou Congwen definitely has a future, even if he must go to 912 in the future, the medical team who stayed in the provincial capital is contaminated with this kind of personality, and the future is bound to be bright.

Teng Fei went to the outpatient clinic after work on August [-] of the Lunar New Year, and began to find relevant patients for Zhou Congwen.

Trust is built unconsciously.

Teng Fei saw 50 patients in the morning, exhausted and dry mouth.When I went back to the hospital, I didn’t even have time to take a sip of water when I was eating, so the hospital always came to my door.

"Director, patient No. 3 is still not working." The hospital chief reported immediately.

The patient is a middle-aged woman, 34 years old, who lives in Switzerland all the year round.Going home in time for the Chinese New Year, he suffered a heart attack and came to Teng Fei's hospital for treatment.

Her condition is also quite special-the patient was hospitalized because of repeated syncope after returning to China.

Electrocardiogram showed third-degree atrioventricular block, accompanied by ventricular escape rhythm, 33 beats/min. Cardiogenic syncope was initially considered.

Further head CT showed no obvious abnormal signal shadow, which could rule out the possibility of syncope-related brain injury, so he was admitted to the hospital for cardiogenic syncope.

Transthoracic echocardiography was performed to further exclude the possibility of structural heart disease such as hypertrophic cardiomyopathy, and there was no evidence of myocardial ischemia.

Third-degree atrioventricular block is a serious condition, and the patient's 33 beats/min ventricular escape rate meant she was in critical condition.

But the strangest thing is that all the tests that should be checked have been checked, and all the medicines that should be used have been used. The patient's third-degree atrioventricular block has not improved, and syncope still occurs frequently, 2-3 times a day.

During the Chinese New Year period, coupled with other factors, the patient's family asked people to find Teng Fei more and more times, and their words became more and more irritable.

Teng Fei groaned in her heart, she had done her best, and she even had the director of the MRI room come over to do a heart MRI examination during her annual vacation.

However, cardiac magnetic resonance imaging showed no positive signs, which ruled out the possibility of inflammatory infiltration.

She was so worried that she straightened her hair down. Teng Fei was very distressed and couldn't figure it out.Ordinarily, it was just cardiogenic syncope, and the patient was not very old, so it should be easy to treat.

"I'll take a look later." Teng Fei said helplessly.

She was ready to explain the situation to the patient's family and transfer the patient to the imperial capital for medical treatment.

After taking a quick drink of water, Director Teng first called Zhou Congwen and told him that he had seen a few patients in the morning and that the films were in his hands, so that Zhou Congwen could confirm whether he was suitable for surgery.

If it can be done, Teng Fei is going to take the patient in immediately.

Similar cooperation belongs to playing side-by-side. After staying in the ICU for 2-3 days, I do not return to the cardiothoracic surgery department, but directly return to the circulation.

Although it was not in compliance with the regulations, Zhou Congwen was very stable in his work, so Teng Fei admitted it with a pinch of his nose.

After explaining to Zhou Congwen, Teng Fei went to the ward to see the fainting patient, inquired carefully about the syncope in the morning, and took another electrocardiogram.

When she was watching carefully with the ECG, Zhou Congwen's voice came from behind her.

"Director Teng is busy."

"Xiao Zhou, are you familiar with the 912 cycle?" Teng Fei asked in distress.

"Familiar...I'm not familiar with it, but Director Deng is very familiar with it." Zhou Congwen smiled, "What kind of patient should be transferred to 912?"

Teng Fei told the patient's situation again.

"I can't do it anymore. After taking the medicine, the patient's third-degree atrioventricular block is not getting better at all. I have to be beaten by the patient every day..."

"What happened to the patient?" Zhou Congwen asked with a smile.

"Let me say that my medical level is not good. The patient said that if this were in Switzerland, I would definitely be discharged within a week." Teng Fei sighed.

"Oh? Swiss Chinese?"

"Yes." Teng Fei nodded.