Unfortunately, this motivation lasted only 3 days, and Sun Yuenan began to have a fever. At first, she forced herself to fight, thinking that she was young and in good health, and she could get over it as soon as she stood up.

But soon she couldn't get up from bed and had no choice but to sip antibiotics in a nearby clinic.

She probably caused the size of her tattoo. At that time, the tattoo artist also said that such a large area of ​​tattoos may cause fever after surgery.

He had to catch up with any unlucky things, and Sun Yuenan had no choice but to be honest.

The condition is getting better and worse, almost a good day. She is a little more energetic and her body temperature starts to rise again when she is about to go to work.

Lying on the bed, Sun Yuenan could hear her heartbeat. Since the last time she changed the aortic valve, as the heart beat, the clicking sound of the mechanical valves made her start to get bored again like an alarm clock.

Half asleep and half awake, the sound of clicking in my ears echoed. In the hazy, Sun Yuenan felt very cold and she began to shivering. Her body seemed not her own, and she was not controlled at all, and she couldn't stop trembling.

The quiet spots in the past few days have no effect at all, and there is no sign of improvement in the condition.

The people from the small clinic took her body temperature at 40.5 degrees Celsius. After seeing this temperature, they were frightened.

With such a high body temperature, can't you burn someone up?

I wanted to ask Sun Yuenan's relative's phone number, but she was already half-comatose and knew nothing about what happened. Only her trembling body and the sound of the aortic valve that clicked as the heart beat, circling in her ears.

The 120 ambulance sent Sun Yuenan to the 912 emergency department.

Zhou Litao is reading New England magazine. This issue contains the case report he wrote under the guidance of Yun Geer.

Cases like eating 5 kilograms of iron nails can be entered in New England magazine. Their own cases are even more strange and rare, so it is appropriate to be able to get them.

It’s great to have Brother Yun here, Zhou Litao thought happily. He didn’t know how Boss Zheng’s Nobel Prize was like. He thought while smelling the smell of ink floating in the magazine.

The results may be coming out in the past few days, but Zhou Litao dared not ask. Yesterday, when Boss Zheng went to Mr. Cui's office to check the medical records, he asked, but he met Su Yun's disgusting gaze.

It’s nothing to be scolded by Brother Yun, who is so sarcastic. But Zhou Litao could clearly realize that Brother Yun was very concerned about the Nobel Prize. But then again, who can ignore it?

There is no need to be annoying. Brother Yun was too nervous. Zhou Litao gave Su Yun a breakup in his heart. And with Boss Zheng here, may he not win the Nobel Prize? He has already had a blind trust in Boss Zheng and the medical team.

"Mr. Zhou, there is a patient with a high fever. Mr. Tang is busy, so I ask you to take a look." The emergency physician knocked on the door and said outside.

"Oh, OK." Zhou Litao stood up, with the little freckles on his face flying.

Since Su Yun pointed out a clear path, Zhou Litao felt that life was full of momentum. As for the girlfriends who had been thinking about in the past, it was meaningless.

It will happen naturally, everything will happen, there is no need to worry about it.

When I arrived at the emergency room, the doctor began to report the condition. Not to mention anything else, just a body temperature of 40.5 degrees Celsius is enough to make people pay attention.

Zhou Litao began to check his body and took out a stethoscope to listen to the breathing sounds of the patient's lungs.

The symptoms of pneumonia were present, but not serious. When he listened to the patient's breathing sound on the left lung, he heard a clicking sound.

This is the standard heart sound after the valve replacement operation. Zhou Litao was stunned. The patient had a history of valve replacement. How could this happen if he was so young? Perhaps it was congenital heart disease, Zhou Litao made an prediction in an instant.

Uncovering Sun Chaonan's coat, Zhou Litao saw a bright plum tree.

Young people nowadays are really good at playing. Zhou Litao just took a look and didn't care about this. Instead, he noticed the surgical scars hidden under the plum tree. He probably had a heart surgery. He made a preliminary judgment and then began to perform physical examinations on the patient.

There are no bulges or depressions in the precordial area, the heart boundary is roughly normal, the heart rate is 54 beats/minute, the heart rhythm is uniform, and the mitral valve auscultation area can be heard and the 3/6 diastolic period blasting sound can be heard.

The air-like noise, after the aortic valve replacement surgery... Zhou Litao's heart suddenly tightened. Could it be that the valve matter again?

Let’s do the examination first. Zhou Litao gave the patient a routine blood collection and a test item such as cardiac echocardiac, lung CT.

The inspection was carried out step by step, and Zhou Litao soon obtained the information.

There is nothing else to say, the problem arises on echocardiography.

After mechanical valve replacement surgery, aortic valve perival leakage aortic root dissection aneurysm formed, left ventricular outflow tract-mitral valve root fistula tract formed, root fused tract at the anterior mitral valve anterior mitral valve, root fused trabe at the anterior mitral valve, artificial mechanical valve neoplasm, and moderate mitral valve insufficiency.

When you have surgery, valve nematodes are the most likely to be caused by infection. This nematode causes infection and fever, and this is not the most terrible. Once it falls off and is tied to an important blood vessel, it may cause a series of complications such as cerebral infarction.

Zhou Litao made a judgment on the patient's condition, called Xinxiu, and Zhao Yunlong came to consult. After a glance at the patient, Zhao Yunlong took another look at the echocardiac and other information and then connected the patient.

912 emergency emergency, strict and precise.

But the problem is stuck with Zhao Yunlong.

If the entire hospital is a machine, Zhao Yunlong thinks he is just a part. It is very important, but insignificant.

He asked about the medical history and learned that the patient had undergone aortic valve replacement surgery several months ago, and this time the aortic valve once again showed nematodes.

What a fuck!

Zhao Yunlong knew how difficult it is to have a secondary valve surgery.

Since he had a heart separation surgery for a conjoined baby with Boss Zheng, Zhao Yunlong's surgery has made amazing progress.

Not only others, but even he looked back on himself and found it incredible.

But it didn't matter. Zhao Yunlong took the patient up and made a new judgment on the condition. He felt that if he opened his chest rashly, he might not be able to take it down.

This is different from the last time when the circulatory internal medicine department did not dare to remove the stent. The coronary artery bypass patients with extremely poor basic conditions. The local anatomical structure of the patients with secondary valve surgery is quite huge. If you want to ensure the success of the surgery, no one is sure...

Can't anyone do it? Zhao Yunlong suddenly thought of Boss Zheng.

He should be able, probably... maybe...is about the same.

However, Zhao Yunlong did not directly look for Boss Zheng, but reported it layer by layer. This patient is not considered an emergency department and has no right to undergo surgery directly. Unlike the patient who was on the ICU last time, it was a pure emergency department and there was no time to wait.

Zhao Yunlong clearly distinguished the differences.

Moreover, the past two days are the day when the results of the Nobel Prize were announced. If there was a point, Zhao Yunlong would not want to disturb Boss Zheng.

The patient was admitted to the hospital and improved the relevant examinations, but the problem immediately came. The colleagues in the unit were only a few girls in their 20s. They raised a wave of money, but they only had a pitiful three or five thousand yuan.

No matter how much they have, they don’t have it. And this little money is not enough to get between the teeth. ICU only has 10,000 yuan a day. Even if the operation is completed successfully, if the money is not available, the girl may not be able to survive.

But this is not a problem. If you encounter such a thing, just ask the medical department to take the blame.

We want to treat patients here. Whether the medical department will give virtual money is the medical department's business. Although part of this money will eventually fall into the department, the hospital will bear the big part after all.

Small hospitals may care about the costs of hundreds of thousands, millions or even millions per year, but hospitals of the size of 912 do not care much about them.

Treat it first, and then talk about the rest. In fact, the most feared thing in clinical practice is that if the medical department is so naughty and throws the blame back, the most headache is the surgeon.

The professor who reported to the medical office and the team on duty was named Chen. Today's professor was named Chen and his level was pretty good. However, Zhao Yunlong believed that his level should not be as good as himself, but according to the diagnosis and treatment process, he still called Professor Chen to see the patient.

Professor Chen looked at the patient, then looked at the echocardiac image data, and was also very worried.

"Xiao Zhao, what do you think?" Professor Chen asked.

"I can't do the surgery." Zhao Yunlong's finger as thick as a carrot pointed a dot on the echocardiac image. "The growth on the biological valve is not a big problem, but here I consider it an abscess, which has a deep erosion. If you do surgery, you will be at least 70%.

"Even if it can get out, postoperative bleeding will be a problem." Zhao Yunlong added.

This was also something Professor Chen was concerned about. He knew Zhao Yunlong's level, so he did not only treat him as the hospitalization officer, but subconsciously discussed it.

"The left atrium is affected, and part of it is probably to be removed," said Professor Chen. "If the surgery is performed under external circulation, the re-jumping is likely to fail."

What the two of them mean is that the operation is unlikely to be successful.

No money, no immediate family, and the condition is getting worse. As long as there is a slight possibility of such patients, no one is willing to go to the operating table for surgery.

After doing it, the entire department will pay the money together. It’s okay for me to say that the nurse’s income is not high, so I won’t talk about the hard work of the night shift for the time being. If I don’t make money, I will have to deduct money. I can’t stand it.

But if you can't do it well, now you see that you have no family members, and then all kinds of family members will come in a crowd and clamor every day. Thinking about it, it will make the doctor who takes over feel a sense of dying.

If the patient had a fever that was not so high, he would definitely not go back to the hospital without thinking. If anyone had no brains to cover this difficult operation, how could he have a successful and failed operation?

But the patient is now confused and cannot be defeated. Emergency emergency treatment, the first-patient responsibility system has made the doctor circle tightly.

But even a man like Zhao Yunlong is still a lawsuit when facing such a difficult patient.

The two of them watched the movie with big eyes staring at each other. The director was not at home, and Professor Chen from the second-tier line had to make an idea.

"Professor Chen, treat anti-inflammatory symptomatic treatment. I will find a hospital consultation tomorrow. If it really doesn't work... just go there, and I will always give it a try." Zhao Yunlong said, biting his back teeth.

"Xiao Zhao, why don't you try it with Boss Zheng? Can't he perform surgery on the patient for free? Moreover, Boss Zheng is also of high level, so he must be better than the two of us." Professor Chen had no good idea in the end, so he said softly.

"The operation is too difficult, I'm worried about Boss Zheng..." Zhao Yunlong didn't finish his sentence.

Professor Chen sighed, and Boss Zheng also blocked his head on his belt for live broadcast surgery. If he directly pushed patients of this difficulty, he would be really unrighteous.

This question is almost unsolvable. After using anti-inflammatory tamps, the patient sweated all over the body. However, his body temperature only dropped to 39 degrees Celsius and then rose again.

The abscess in the heart erodes the myocardium, and even if you undergo surgery, you must at least cut the top of the left atrium. If this inflammation can easily reduce the body temperature, then you will be able to see the ghost.

The next morning, Professor Chen told the patient about the situation after everyone went to work. After watching the film and examination report, everyone shook their heads.

The patient's parents cannot contact him. It is said that he works in another place and does not even have a signal on his mobile phone every day.

He has no money, no family, and is so ill that it makes people suck.

The consultations in the whole hospital were as expected, and there was only one way to operate. But this road was too steep and no one dared to walk.

As time passed by, Zhao Yunlong and Professor Chen looked at each other and were helpless. Finally, Zhao Yunlong sighed and said, "I'll send the video information to Su Yun to see if it's OK."

Helplessly, Zhao Yunlong sent the message to Su Yun and asked for help again.
Chapter completed!