Unfortunately, this motivation only lasted for three days before Sun Yuenan began to have a fever. At first, she resisted it. She thought that she was young and in good health, so she would be able to endure it.
However, soon, she had a fever and could not get out of bed. She had no choice but to get some antibiotics at a nearby clinic.
She guessed that it was because the area of her tattoo was too large. At that time, the tattoo artist had also said that such a large area of the tattoo might heat up after the surgery.
Sun Yuenan couldn't do anything about it, so she had no choice but to take the drip honestly.
Her condition was sometimes good and sometimes bad. It was almost a good day. When she was about to go to work, her body temperature began to rise again.
Lying on the bed, Sun Yuenan could hear her heartbeat. Ever since the last time she changed the aortic valve, the sound of the mechanical valve clicking along with the pulse of her heart was like an alarm clock, which made her annoyed again.
She was half-asleep, and all she could hear was the sound of clacking. In a daze, Sun Yuenan felt very cold. She began to shiver. Her body did not seem to be her own. It was not under her control at all, and she could not stop shivering.
The sedation over the past few days had no effect at all. Her condition did not show any signs of improvement.
The people at the small clinic took her temperature. It was 40.5 degrees Celsius. When they saw this temperature, they were frightened.
With such a high temperature, wouldn't it burn people silly?
They wanted to ask for Sun Yuenan's relatives' phone number, but she was already in a semi-conscious state and did not know what was happening. Only her trembling body and the sound of the aortic valve clicking along with the pulse of her heart lingered in her ears.
The first-aid ambulance sent Sun Yuenan to the emergency department of the 912.
Zhou Litao was flipping through the New England Magazine. This issue of the magazine had the case report that he had written under Brother Yun's guidance.
A case like eating five kilograms of iron nails could be published in the New England Magazine. His case was even stranger and rarer. It was only right that it could be published.
'It's good to have Brother Yun here,' Zhou Litao thought happily. 'I wonder how Boss Zheng's Nobel Prize is.' He thought as he smelled the smell of ink floating in the magazine.
The results might be out in the next few days, but Zhou Litao did not dare to ask. Yesterday, when Boss Zheng went to Cui Lao's office to ask about the medical records, he asked about it. In the end, he met Su Yun's disdainful gaze.
It wasn't a big deal to be scolded by Brother Yun, but he had a soft heart despite his sharp tongue. However, Zhou Litao could clearly sense that Brother Yun was very concerned about the Nobel Prize. But then again, who wouldn't care?
There's no need to be annoying, Brother Yun is just too nervous, Zhou Litao thought to himself. Moreover, with Boss Zheng around, how could he not win the Nobel Prize? He already had a blind trust in Boss Zheng and the medical team.
"Chief Zhou, there's a patient with a high fever. Chief Tang is busy and wants you to take a look at him," the emergency physician knocked on the door and said from outside.
"Oh, okay." Zhou Litao stood up, the little freckles on his face dancing.
Ever since Su Yun gave him a clear path, Zhou Litao felt that his life was full of hope. As for the girlfriend that he had been thinking about, it was completely meaningless.
Everything would happen when the conditions were right. There was no need for him to be anxious.
When they arrived at the emergency resuscitation room, the physician began to report the patient's condition. Not to mention anything else, just his body temperature of 40.5 degrees Celsius was enough to make people pay attention.
Zhou Litao began the physical examination and took out a stethoscope to listen to the patient's lungs.
There were symptoms of pneumonia, but it was not serious. When he listened to the patient's left lung breathing, he heard a clicking sound.
This was the standard heart sound after valve replacement. Zhou Litao was stunned for a moment. The patient had a history of valve replacement? How could this happen at such a young age? Perhaps it was a congenital heart disease, Zhou Litao instantly made a prediction.
Removing Sun Chaonan's coat, Zhou Litao saw a bright plum tree.
Young people nowadays really knew how to play. Zhou Litao only took a glance and did not pay attention to this. Instead, he noticed the surgery scar hidden under the plum tree. It should have been a heart surgery before. He had a preliminary judgment and then began to examine the patient's body.
There were no bulges or depressions in the precardiac area, and the heart realm was roughly normal. The heart rate was 54 beats per minute, and the heart rhythm was normal. A level 3/6 diastolic wind-like murmur could be heard in the mitral valve auscultation area.
A wind-like murmur, after an aortic valve replacement … Zhou Litao's heart suddenly tightened. Could it be about the valve again?
He would do the examination first. Zhou Litao gave the patient a routine blood collection, a cardiac echocardiogram, a lung CT, and other examination items.
The examination was carried out step by step. Soon, Zhou Litao received the information.
There was nothing else to say. The problem appeared on the echocardiogram.
After aortic valve replacement, the mechanical valve had perivalve leakage, aortic root dissecting aneurysm formation, left ventricular outflow tract-mitral anterior lobe root fistula formation, mitral anterior lobe root neoplasm, aortic artificial mechanical valve neoplasm, and moderate mitral insufficiency.
Let's go for surgery. The valve neoplasm is most likely caused by infection. This kind of neoplasm could induce infection and fever. Moreover, this was not the most terrifying thing. Once it fell off and was tied to an important blood vessel, it could cause a series of complications such as cerebral infarction.
Zhou Litao made a judgment on the patient's condition and called the cardiothoracic surgery department. Zhao Yunlong came down for a consultation. After taking a look at the patient, Zhao Yunlong looked at the echocardiogram and other information before connecting the patient.
The emergency treatment of the 912 was strict and precise.
However, the problem was with Zhao Yunlong.
If the entire hospital was a machine, Zhao Yunlong thought that he was just a part. It was very important, but also insignificant.
He asked about the patient's medical history and learned that the patient had an aortic valve replacement surgery a few months ago. This time, there was another neoplasm in the aortic valve.
What the f * ck!
Zhao Yunlong knew very well how difficult the second valve surgery was.
Ever since he followed Boss Zheng to perform a heart separation surgery for conjoined twins, Zhao Yunlong's progress in the surgery was amazing.
Not only others, but even he himself felt that it was unbelievable when he looked back.
However, this was not important. After Zhao Yunlong took the patient in, he made a new judgment on the patient's condition. He felt that if he rashly cut open the chest, he might not be able to take it down.
This was different from the last time when the Department of Circulation did not dare to place a stent and had extremely poor basic conditions for coronary artery bypass surgery. The changes in the local anatomical structure of the patient who had a second valve surgery were quite huge. No one was confident that the surgery would be successful …
Could no one do it? Zhao Yunlong suddenly thought of Boss Zheng.
He should be able to do it. He should … probably … almost.
However, Zhao Yunlong did not look for Boss Zheng directly. Instead, he reported it level by level. This patient was not considered an emergency. He did not have the right to perform the surgery directly. Unlike the patient in the ICU last time, it was purely an emergency. There was no time to wait at all.
Zhao Yunlong was very clear about the difference.
Moreover, the results of the Nobel Prize would be announced in the next two days. If there was a chance, Zhao Yunlong did not want to disturb Boss Zheng.
The patient was admitted to the hospital and the relevant examinations were completed. However, the problem immediately arose. Among the colleagues in the unit, there were only a few girls in their twenties. They had pooled together a wave of money, but they only had a pitiful three to five thousand yuan.
No matter how much money they had, they did not have it. And this little bit of money was not even enough to fill the gaps between their teeth. The ICU cost 10,000 yuan a day. Even if the surgery was successfully completed, this girl would not be able to live without money.
However, this was not a problem. If they encountered such a thing, they could just find the Medical Administration Division to take the blame.
The patient was here. They wanted to treat him. Whether the Medical Administration Division gave virtual money or not was the Medical Administration Division's business. Although a portion of this money would still fall into the department in the end, the majority of it was still borne by the hospital.
A small hospital might care about hundreds of thousands, millions, or even millions of dollars a year, but a hospital of the size of the 912 did not care very much.
They would treat it first and talk about the rest later. In fact, this kind of problem was the most feared in clinical practice. If the Medical Administration Division's face darkened and they directly threw the blame back, the one who would have the most headache would be the surgeon.
He reported it to the Medical Administration Division and the professor on duty. Today's professor was surnamed Chen, and his standard was not bad. However, Zhao Yunlong thought that his standard should not be as good as his. However, according to the treatment procedure, he still called Professor Chen to see the patient.
Professor Chen glanced at the patient and then looked at the echocardiogram image. He was also very worried.
"Little Zhao, what do you think?" Professor Chen asked.
"I can't perform the surgery." Zhao Yunlong's carrot-like finger pointed at a point on the echocardiogram image. "The vegetation on the biological valve is not a big problem, but I think it is an abscess here, and the erosion is very deep. There is at least a 70% chance that he will not be able to get off the stage after the surgery. "
"Even if he can get off, bleeding after the surgery is also troublesome," Zhao Yunlong added.
This was also what Professor Chen was worried about. He knew Zhao Yunlong's standard, so he did not just treat him as the chief resident. Instead, he subconsciously discussed it.
"The left atrium is involved. I think a part of it will have to be removed," Professor Chen said. "If the surgery is performed under extracorporeal circulation, the recurrence is very likely to fail."
The two of them meant the same thing. The possibility of the surgery succeeding was not high.
No money, no immediate family, and the condition was serious. As long as there was a trace of possibility, no one would be willing to perform the surgery on the operating table.
If it was done well, the entire department would lose money together. It was fine for him, but the nurses' income was not high. Not to mention the fact that it was hard to work the night shift, they would not be able to earn money and still have their pay deducted. This was unbearable.
However, if it was not done well and there were no family members now, all kinds of family members would come one after another and make a ruckus every day. Just thinking about it made the doctor who took over feel like he was on the verge of death.
If the patient's fever was not so high, he would definitely not be admitted to the hospital without thinking. No one would be able to do such a difficult surgery. How could they do a surgery with a 50% chance of success or failure?
However, the patient was now in a coma from the fever. This could not be pushed away. Emergency treatment, the first diagnosis responsibility system, and countless rules and regulations surrounded the doctors.
However, even a man like Zhao Yunlong had a headache when faced with such a troublesome patient.
The two of them stared at the radiographic films. The chief was not at home, so the second-string Professor Chen had to make a decision.
"Professor Chen, anti-inflammatory treatment. Tomorrow, let's find a whole hospital consultation. If it really doesn't work … let's do it. We have to give it a try, "Zhao Yunlong said through gritted teeth.
"Little Zhao, why don't we ask Boss Zheng to try? Can't he perform the surgery for free on his side? Moreover, Boss Zheng's level is also high. At the very least, he has a higher chance of success than the two of us, "Professor Chen said softly in the end.
"The surgery is too difficult. I'm worried that Boss Zheng …" Zhao Yunlong did not finish his sentence.
Professor Chen sighed. Boss Zheng also put his head on his belt to do a live broadcast of the surgery. If he directly pushed the patient with such a difficult difficulty over, it would really be unrighteous.
This problem was almost impossible to solve. After the patient used the anti-inflammatory suppository, he was sweating all over. However, the body temperature only dropped to 39 degrees Celsius before it rose again.
The abscess in the heart had eroded the heart muscle. Even if it was a surgery, at least the top of the left atrium had to be cut. It would be strange if this kind of inflammation could casually lower the body temperature.
The next morning, after everyone went to work, Professor Chen told them about the patient's situation. After looking at the radiographic films and examination reports, everyone shook their heads.
The patient's parents could not be contacted. It was said that they were working in other places. There was not even a signal on their cell phones every day.
No money, no family, and the illness was so serious that it made people gnash their teeth.
The whole hospital consultation was as expected. The only way out was surgery. However, this road was too steep. No one dared to take it.
Time passed bit by bit. Zhao Yunlong and Professor Chen looked at each other, helpless. In the end, Zhao Yunlong sighed and said, "I'll send the video to Su Yun and let him see if it's okay."
Helpless, Zhao Yunlong sent the message to Su Yun, asking for help again.
Soon, Su Yun replied with a surprised emoji, followed by a series of exclamation marks. If Zhao Yunlong did not know the radiographic films, he would definitely think that there was a big problem with Su Yun's phone.
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