Chapter 430： Cardiology

Wei Jiayou is tall and thin. He always likes to stick his hands when walking, and always hides in the shadows when standing.

He doesn't like communicating with people, and ordinary people don't like communicating with him. Yun Yi's doctors and nurses don't like to talk to him, even patients and family members don't like to talk to him.

Even in the ward, patients and their families were more lazy to ask Wei Jiayou's indifferent expressions-this is extremely unusual. If you change to another surgeon doctor, the patients and their families can have countless questions to ask. If the main knife does not leave, the patients and their families can almost always ask the question forever, and ask again after reincarnation.

Wei Jiayou is different. He walks and walks, but the style of doing things is high-profile, and the attitude of people is arrogant. If you want to say that he has been crowded out by anyone, it is better to say that the whole world is crowding him out.

Only a small number of people, such as Di Mao, would accept Wei Jiayou as a leisurely and unaffected doctor.

However, Di Mao is not like the type of chat, when he and Wei Jiayou stand together, they will not talk about gossip.

When Yunyi's anesthesiologists and imaging doctors worked with Ling Ran, at least they could look at Ling Ran's handsome face to relieve boredom, and change to Wei Jiayou ... Seeing the comrades who used to Ran Ran, how could they return Before.

"Not an aortic dissection." The chief attendant of the imaging department called and said a few words before hanging up.

Wei Jiayou operated it twice on the computer in front of him, printed the report form himself, and looked at it.

"How?" Di Maocai stood behind Wei Jiayou, and was too lazy to look at his eyes.

He is old enough to look at Huo Congjun like a child. It is rare for a doctor to reach his age and pursue new technologies and breakthroughs. In Di Maocai's view, it is the right way to train the disciples and bring them out.

Wei Jiayou is just the opposite. He does not like to communicate with others, but he likes new technologies and methods. So he is a rising star in cardiac surgery, but he sneaks up to learn all kinds of endoscopes, even for cardiac surgery. Less surgery was done.

On the day he arrived at Yunyi, Wei Jiayou learned most of the functions of Yunyi's electronic system. In contrast, Zuo Cidian had been here for a few months and was still very unskilled with it.

Wei Jiayou carefully scanned the checklist before answering the question of Academician Di: "That's right, there is no aortic dissection."

"Okay. The quality of the patients on Yunhua's side is not good." Di Mao shook his head. "It's been a week and I changed two hospitals. I didn't encounter an aortic dissection. Did the ambulance be dispatched out?" "

His voice was getting louder, and saliva was about to be sprayed on Director Lei's face.

Director Lei, as the director of the Medical and Political Department, can only take the initiative to slap himself at this time, smirking two times: "This kind of illness, the patient does not want it, our hospital can't think of it."

"Maybe the county hospital where the patient died, you don't know." Di Mao just hummed, meaning that the aortic dissection could not be found, not because the patient has a low incidence, but because the diagnosis rate is low .

This remark needs to be changed by another person. Director Lei must have refuted it, but he was replaced by Academician Comrade Di Maocai, and he kept silent.

The key point is that Di Maocai is right. The incidence of aortic dissection is not as low as imagined, at least ten-thousandths of a million. Americans do autopsy and the discovery rate is percent. One.

In domestic tertiary hospitals, the discovery rate of aortic dissections is as low as 1 in 100,000, and most of them have no data.

As for the local county-level hospitals, it is not possible to find an aortic dissection in ten or eight years. However, if any hospital really dissects patients with acute myocardial infarction, aortic dissection is certainly not a minority.

In other words, those county-level hospitals that have never been diagnosed with an aortic dissection are equivalent to opening a fast track for the Nau Tau Ma Noodle in this county. If aortic dissection patients have an onset in this county, there is basically no way out.

It is also conceivable that Yunhua Hospital's weak aortic dissection has a low detection rate of aortic dissection, which inevitably has an impact on the entire emergency system and further reduces the survival rate of patients in Yunhua City.

Di Mao only spoke from this height, and Director Lei had no desire to resist. Director Lei is quite experienced with this type of attack jet, he quickly digs a pit to bury himself, and allows Di Mao to play without a word.

Compared with Huo Congjun, Di Maocai is still somewhat academically conscious. He will not torture the body at will, but Director Jiao Lei, who disdains him, said to Wei Jiayou: "There is no way without aortic dissection, you can only do what What is it. "

"Well ... this case is boring, and it can be handled in my heart ..." Wei Jiayou expressed his opinion with great humility.

Di Maocai also agreed: "Then wait for one more, there will be less aortic dissection, and there will always be less heart disease."

"Just the next one." Wei Jiayou looked at the time, and said, "Done well for dinner."

Director Lei also looked up at the clock. It was five o'clock, so he was confident.

Director Lei secretly said: You are doing extra drama for yourself.

However, they are apprentices brought by academicians, not to mention that the level has exceeded the director of Yunyi's heart, but if they can't reach it, they are also qualified to be admitted to the emergency department.

The other party wants to go with a diagnosis and surgery, so they have to let the other party go.

In the state of not picking the disease, the 120 command center quickly sent a report: "Suspected myocardial infarction patient, chest tightness, sweating a lot, urinary incontinence ..."

Wei Jiayou asked the distance and immediately said, "Tell them, they can come over."

After a short wait, an ambulance rushed into the consultation area.

Wei Jiayou stepped forward and asked about the situation.

His expression was calm and he was methodical in speaking, so he didn't need to say anything, so he calmed down the patient's family members.

As a professional cardiac surgeon, Wei Jiayou is very skilled in facing myocardial infarction. Therefore, his mentality is very peaceful.

Of course, the heart surgery room has always faced the place where death was most recent, and conditions such as myocardial infarction can not always be saved. In this regard, Wei Jiayou's mentality is also peaceful.

"The operation must be carried out immediately. The family sends a person to pay the money, and the immediate family members sign the informed consent form." Wei Jiayou whispered, without consulting the patient's family.

From his point of view, there is really nothing to discuss.

"What kind of surgery are you going to do?" The middle-aged man who came with the ambulance stunned instead.

Wei Jiayou gave him a strange look and stood still: "Now judging that it is an acute myocardial infarction, first do thrombolysis ..."

"Heart stent, right? This is expensive ~ www.novelhall.com ~ Men are more hesitant.

Wei Jiayou frowned: "If you don't do it, you have a great chance of dying."

"I know, we are all his relatives. It is up to his son to decide such a big thing."

"You sign first and discuss it in private."

"Wait for me, I'll make another call to his son." The man said he was unwilling to sign, and the same was true of the fellow passengers, who just called frantically with the phone.

Di Mao slowly paced to the side of Wei Jiayou, who felt helpless, and said softly, "Look, this is also the difference between emergency surgery and elective surgery."

Wei Jiayou's face was even more gloomy: "It's not good for anyone to drag on like this."

"They don't have to take responsibility." Di Mao just looked at the monitor and said, "Ready for CPR."

No operation can be performed without the consent form, but rescue must be performed.