This doctor has a system

Chapter 502 565. Bizarre Suicide
"One big and one small, the big one wins!"

The result was that the son defeated the grandson.

"Haha, mine is big." Doctor A laughed. "Look at you. Now you have lost your breakfast for three months."

"You're just unlucky!" B said helplessly.

"Doctor, how was the operation on that sister just now?" the male patient asked nervously, "Was it successful?"

"It was very successful." Director Zhu said with a smile, "Don't be nervous, just lie down."

The male patient tried to take a deep breath, but still couldn't calm down.

He fears.

Wei Gaofeng recalled the days before he became ill, when he was still the vice president of a fairly large state-owned enterprise.

There is little work to do, good pay, and a considerate female secretary. Life is comfortable and enjoyable.

But all this changed six years ago. During that period, he always felt very tired and was always out of breath when communicating in depth with his secretary.

He thought he was too weak, so he went to see a Chinese doctor and took some supplements.

But it didn't work at all, and I started to feel obvious chest tightness afterwards.

When he went to the hospital for treatment, the doctor who saw him was very experienced. After carefully asking about his symptoms, he asked him to do a chest CT scan and cardiac ultrasound, and the diagnosis was quickly confirmed.

Wei Gaofeng never thought that he would be so unfortunate, and he also knew that there are many diseases in the world that cannot be cured even with money.

In order to live a quality life, he applied for internal retirement and sought medical treatment everywhere, but with little effect.

When he was feeling confused and anxious, Director Zhu told him that he could now undergo a surgery that would not only improve his chest tightness symptoms, but also delay the progression of the disease to a certain extent.

Wei Gaofeng was immediately attracted and was willing to give it a try.

In fact, there is no other way but to try. The waiting time for heart and lung transplantation is too long, and there has been no suitable donor.

An expert told him bluntly that if he couldn't wait for a donor, he would be like his grandfather's dead son - he would have no uncle at all.

Wei Gaofeng wanted to say something else, but the anesthesiologist had already started giving the medicine. A slight feeling of dizziness came over him, and he quickly closed his eyes.

"This is one of my old patients. He has stayed in our department several times," said Director Zhu. "He has a strong desire to survive."

Generally speaking, people do not realize the beauty of life. Only when they know they don’t have much time left, will they suddenly realize that having a healthy body is the most important thing.

With the experience of the first operation, Director Zhu seemed full of confidence.

"Professor Gao, shall we begin?"

Gao Feng nodded and signaled the other party to take action. He knew very well that he was not the protagonist today, so he just acted as a bystander this time.

Since he lost the lottery, Doctor B knew that he would definitely not have the opportunity to receive hands-on instruction next time, so he was very serious about the operation and stared at every detail of the operation without blinking.

Doctor A was very relaxed. He was even a little absent-minded at the moment. He was already hoping that Director Zhu would finish quickly so that he could take over.

Gao Feng noticed the two people's completely different performances.

Seeing that the young doctor next to him was so eager to learn, Director Chai simply exchanged places with him and said, "You can be the assistant. If you have any questions, ask me immediately."

Doctor B was delighted. After all, the operation was not in vain and it was not bad to be able to become an assistant.

Director Zhu's independent operation went extremely smoothly at first, but he soon encountered difficulties.

Wei Gaofeng had severe calcification of the blood vessel walls, which made it very difficult for the covered stent to move through them.

When encountering a narrow place, the stent just couldn't get through.

Director Zhu tried his best but failed to make the trip in the end.

"Professor Gao, how about you give it a try?"

Gao Feng stepped forward and exchanged seats with Director Zhu.

Although calcification of the coronary artery wall can cause narrowing of the original blood vessels, in theory, the covered stent should be able to pass through.

Because they have taken this situation into consideration when customizing the stent, the diameter of the stent is smaller than the aperture at the narrowest point.

Either the measurement is not accurate enough, or there may be new conditions in the patient's blood vessels recently.

Gao Feng tried to turn the guide wire, and the stent also started to turn, which made him feel relieved that it was not stuck.

As he slowly adjusted the angle, the stent graft began to slowly tilt. When it reached a suitable position, Gao Feng immediately applied light force, and the stent finally passed through the narrow area smoothly.

Next, he handed the guide wire back to Director Zhu. The subsequent operation process was not smooth, but Gao Feng did not take over this time. He stood beside Director Zhu and began to patiently guide him, and even conducted a hands-on teaching in the middle.

"Oh, this is really difficult!" As the stent entered the designated position, Director Zhu finally breathed a sigh of relief. His back was soaked.
"It's only because Professor Gao is here, otherwise I wouldn't dare to be such a patient."

In fact, although the process was not smooth, Director Zhu found that compared with his previous operations, this time it did not take long.

"What do you mean, is it over?"

Due to the patient's poor vascular condition, Director Zhu felt that Gao Feng would not allow young doctors to perform the operation again.

Gao Feng originally didn't want to go through with it anymore, but seeing how eager to learn and serious Dr. B was, he felt that he should give him a chance.

"Come on, I'll show you how to do it step by step," he said to the doctor.

??? Doctor A.

Doctor B looked at Doctor A, then turned around and walked towards Gao Feng without any hesitation.

You are such a jerk! Doctor A was furious. I can’t accept this, you bastard!
Doctor B was fascinated by the feeling of hands-on teaching. He had never felt that time passed so quickly as he did at this moment.

He is standing in my position! Doctor A yelled in his heart, the person who was embraced by Professor Gao should be me!
It's a shameless thing. You can't learn it even if I teach you step by step!
Soon, the stent graft reached the appropriate position, which also marked the official end of the operation.

"Look at what this has caused." Doctor B was a little embarrassed. "I didn't want to do this, but Professor Gao called me directly."

"We don't dare to refuse, don't you think that makes sense?"

"Get lost!" A said angrily, "You are such a despicable person with no credibility!"

Many years later
"Let me tell you, some people don't even treat themselves as human beings." A, who has become a chief physician, said to his graduate student, "They can even eat their poop!"

"I was crazy to believe him at that time."

"I won't tell you who this Qin is. You can figure it out for yourselves."

B

"You are really capable of doing things." Academician Bao looked at his favorite disciple with a complicated smile on his face, "Now I don't know what you can't do." "It's not as exaggerated as you say, it's just a coincidence." Gao Feng said with a smile.

"Oh, this is the Maojian you brought back for me last time." Academician Bao held out a box and said, "Take it back."

"What's wrong? Is it not tasty?" Gao Feng wondered. This box was given by the father of Xiao Liu, who had arteriovenous fistula. He didn't drink tea much, so he presented it to Academician Bao.

"It tastes very good, but it's a pity that there is only a small box of tea." Academician Bao said as he opened the box, revealing bundles of hundred-yuan bills.

"Give it back to whoever gave it to you."

Gao Feng was a little helpless. The family members were well-intentioned, but he really didn't need this right now. Academician Bao probably hoped that it would be full of tea leaves.

After saying goodbye to Academician Bao, Gao Feng decided to go for a walk to Director Fan's place, but when he arrived at the clinic, he found that there was no one inside.

"I'm going to the intensive care unit for consultation. I just arrived." The triage nurse recognized Gao Feng and said, "You can rest here for a while, or go directly to the intensive care unit."

Gao Feng thought about it and simply took Li Youliang to the intensive care unit.

When the two arrived, Director Fan was changing clothes and was very happy to see Gao Feng.

"It just so happens that this patient is quite complicated."

The patient, Li Bin, male, 18 years old, is currently a senior high school student.

At the beginning of last month, Li Bin, who had just finished the college entrance examination, had health problems. He felt tired and wanted to sleep all the time during those days.

On the day of the onset of the disease, his parents returned home from get off work and found their son sitting naked on the living room floor, vomiting, and soon fell into a coma.

The family quickly sent Li Bin to the nearest hospital for treatment, but there was no improvement. In desperation, they finally decided to transfer him to Xhe.

"This patient's blood ammonia level is relatively high, 347." The attending physician said that the normal value of blood ammonia is generally 11-32, and 347 is obviously too high.

For comatose patients, if a genetic metabolic disorder is clinically considered, routine tests will include blood ammonia, blood lactate, blood gas, and blood tandem mass spectrometry and other metabolomic biochemical tests.

This was the first time that Li Bin had his blood ammonia tested. The hospital he had stayed in before did not have the conditions to do so.

The blood ammonia and blood lactate tests have strict requirements for test submission. They need to be tested within half an hour, and the test samples need to be kept at low temperatures during transportation.

"What are you thinking about?" Gao Feng asked.

"I have no idea." The doctor in charge said embarrassedly, so he thought of asking Director Fan to come and take a look.

And there is another reason, that is, the patient's father had mental disorders 8 years ago, but there has been no recurrence in recent years.

But he usually appears a bit slow and his emotions fluctuate easily.

Gao Feng carefully looked at the patient's test results and conducted a comprehensive physical examination. He made a number of discoveries, but it was obviously still a long way from a clear diagnosis.

"Doctor, how is my son?" As soon as the doctor appeared, Li Bin's parents and sister surrounded him.

"The vital signs are stable." The doctor in charge replied, "These are Director Fan and Director Gao who are here for consultation. They have some questions for us."

"Tell me anything." Li Bin's sister suddenly said, "I've always taken care of my brother."

According to her description, Li Bin had experienced several abnormal mental symptoms at this time last year, mainly walking back and forth, shouting, temporary loss of consciousness, and sometimes a little manic.

"We went to the hospital for a check-up and even did an MRI." Li Bin's sister took out several reports.

Gao Feng took it and looked at it. The results of the lumbar puncture and cerebrospinal fluid examination showed no obvious abnormalities.

Only the MRI showed abnormal signals in the brain callosity. The doctor at the time said that it did not seem to be an organic disease and suggested that they see a psychiatric department.

"Did you go to see it?" Gao Feng asked.

"No." Li Bin's sister's tone was a little complicated. Gao Feng always felt that she was hiding something.

Seeing that there was no clue, the doctor in charge decided to hold a multidisciplinary consultation. Gao Feng re-read the patient's medical records and felt that he had missed something.

When I was about to leave the intensive care unit, someone followed me.

"What can I do for you?" Li Youliang asked. The person who came was Li Bin's sister.

"Are you sure my brother is mentally ill?" Her tone was very complicated. "Will he not live long?"

"Why do you say that?" Gao Feng felt very strange.

"Actually, my parents have concealed some information from you." Li Bin's sister hesitated and said, "In addition to this brother, I also have an older sister and a younger sister."

But the information provided by Li Bin's parents is that they only have two children.

"My oldest sister died when she was 12, and my third sister died three years ago when she was 3."

Her words undoubtedly exploded in Gao Feng's mind like a thunder.

Li Bin was only one year old when his eldest sister died. According to Li Bin’s second sister, his eldest sister accidentally fell into a ditch and broke her arm during that time.

"Then she became very strange and very sensitive to everything."

One night, he suddenly became mentally abnormal, yelling, swearing, and running back and forth at home.

"When my parents took her to the hospital, my eldest sister was completely limp. She stayed in the hospital for a long time, but ultimately she couldn't be saved."

Li Bin's third sister died even more suddenly. She jumped into the river and committed suicide on her way home from school during the holidays.

It caused a big uproar at the time, and the teachers at the school once suspected that the child had been murdered.

Because Lin Bin's third sister was a good girl with good academic performance and had never suffered any injustice at home or at school, everyone really couldn't understand why she would jump into the river by herself.

Several witnesses were terrified at the time and said that the girl seemed to be possessed by a ghost. She stood by the river for a long time, ignored people who spoke to her, and finally jumped into the lake.

After Li Bin's sister finished talking about these situations, she was a little depressed. "Doctor, will I be like this in the future?"

The eldest sister and the third sister all had accidents. The family finally had peace for a few years, and now the younger brother has become like this. One can imagine the pressure Li Bin’s second sister is under.

"The information you provided is very valuable." Gao Feng said to her, "Don't worry, we will definitely find the reason."

He comforted the other person a few more words and turned back to the intensive care unit.

"Professor Gao, why are you back again?" asked the attending physician.

"This patient may need genetic testing for inherited metabolic disorders." Gao Feng said to him, "His sister just told me some information."

After listening to his story, the doctor in charge was stunned, and then he came to his senses and felt very angry.

"How could this family hide these conditions from the doctor!"

(End of this chapter)