Chapter 240 Economy Class Syndrome
“You kid, say something auspicious.” Daju’s mother was unhappy and said with a gloomy face, “I haven’t given birth yet, Daju can’t move. This is our family, and so are you, Yiyi, if you insist on me..."
Liu Yiyi didn't care what Daju's mother said and directly connected to the video.
"Professor Luo, take a look and see that there is non-pitting edema, obvious redness of the skin, accompanied by an increase in skin temperature, and blisters. It is venous thrombosis of the lower limbs, no problem."
"Yes, hurry up and come, I'll contact you for emergency surgery." Luo Hao glanced at it and replied hastily in a low voice.
"Hang up." Liu Yiyi's face also sank. She took off her floral hat and stuffed it into her pocket. She turned around and picked up the big orange, handled it gently, and carried it to the stretcher.
The stretcher bearer clicked his tongue.
Mr. Liu picked up a man weighing 140 to 50 pounds in a very awkward posture.
It would take a lot of trouble for both of them to replace them.
This core strength is really amazing.
"Auntie, get out of the way, otherwise the person will die and the paper will not be burned." After Liu Yiyi finished speaking, she looked at Daju, "Trust me, go to the hospital."
The scene was once awkward.
Daju’s family was at a loss. Liu Yiyi was so strong, as strong as a rock, so hard that she hit them with blood on their heads.
Death seems to be an extremely distant thing.
But once someone persists, from far to near, it is real but vague.
Liu Yiyi shook her head, biting her hair, and her white teeth and black hair rushed over like a rushing wave.
"Give it." Liu Yiyi carried the stretcher in front, regardless of whether the other party agreed or not. She bumped Daju's mother away with her shoulder and walked to the door while everyone was stunned.
When Liu Yiyi was about to go out, she paused and said, "Auntie, look after the child and ask uncle to follow him into the ambulance."
Daju's mother had no idea, and the child was still crying. , she hurriedly took the child from Daju's father. Daju's father whispered a few words and followed Liu Yiyi and the emergency doctor into the elevator.
"Yiyi, I know you mean well. Have you discussed going out to play?" Daju's father got on the elevator and asked with a smile, as if he had seen through everything.
Liu Yiyi was startled.
"Damn it, I have tried to persuade you many times. Your aunt insists on saying that she suffered a stroke when she was young and she is suffering from it now. Nothing I say is of any use. She insists that it was at that time that she suffered a stroke. Problem.”
“…”
“I support you, you guys don’t. Running around, step by step. The weather is really good today, God is kind." Daju's father raised his hand and patted Liu Yiyi on the head with a smile, "The acting is not bad, I almost got fooled by you."
< br>Liu Yiyi didn't explain, but the fierceness in her eyes softened and became gentler.
When he went out, Daju's father saw the 120 ambulance and was dumbfounded.
What is this?
A full set of acting? Or are you really sick? Or maybe these two kids got sick from playing like crazy.
Impossible.
Countless question marks rose in his mind.
"Uncle, come on up. You may need emergency surgery when you get to the hospital later." Manager Ma Liu Yiyi got in the car and breathed a sigh of relief. She spat out her hair and said softly.
"Yiyi, don't scare me."
"Why should I scare you!" Liu Yiyi scolded, "I told you how many times I have to exercise, but I'm usually lazy and I'm sick The child is even more lazy. Your mother doesn’t let you move, so you are so lazy!”
“I can’t…” Daju was still a little confused.
"Look at your legs, what they're like!" Liu Yiyi wanted to say a few harsher words, but she stopped them when she reached her lips.
"It's just...fat. By the way, there's also postpartum edema and so on. I checked it on the app and it's all normal."
Liu Yiyi did not continue to explain to Daju, but to Luo Hao made a phone call.
When something happens, you must communicate with Luo Hao.
Knowing that Luo Hao had arrived at the emergency room, Liu Yiyi's heart was completely relieved.
Although I haven’t had much contact with him, I don’t know when the name Luo Hao started to mean “safety”.
Whether it was surgery or diagnosis, Luo Hao pulled people back after they had walked onto the Naihe Bridge. The process was smooth and without any mistakes.
So this time Luo Hao "made a fuss out of a molehill" and Liu Yiyi directly asked for leave. She was only slightly confused for a moment before she woke up.
Now Professor Luo is in the emergency department. The boss of the vascular surgery department has already arrived. The vascular color Doppler has been arranged in the emergency room. Even the nurses and technicians working overtime in the interventional catheterization room are already rushing. On the way here, prepare to add a station.
If it were anyone else, Mr. Ma Liu Yiyi would not be so determined, but he is Luo Hao.
He is Luo Hao!
Liu Yiyi thought of Luo Hao, and there was a light. Although it was weak, it gave her infinite confidence.
Then Liu Yiyi opened the small iron plate between the driver's seat and the driver's seat, and asked the driver to sound the siren and return to the hospital at full speed.
Until the harsh sound of the flute came, Daju and her father were silent.
This is not a joke!
Liu Yiyi had nothing to do, so she started to pull up her hair, put it into a little flower hat, and put the little flower hat straight.
"Mr. Liu, why do your anesthesiologists like little flower hats?" asked the emergency 120 surgeon.
“Do you know which word we hate the most?”
“Ah?”
“Anesthesiologist, not anesthetist!” Liu Yiyi tilted her head and locked her chest. The lines of the mastoid muscles bulge, as if they are accumulating strength.
“Harm, it’s up to you.”
"The shadowless lamp in the operating room is too bright. It makes your eyes dazzled after looking at it for a long time. More colors will prevent accidents." Liu Yiyi did not directly give someone a big bag, but leaned back on the chair and closed her eyes.
The situation is a hundred times more serious than Daju said.
A few years ago, a reporter sprained his foot and died 12 days later. He died of pulmonary embolism caused by the detachment of a venous thrombus in his lower limbs.
Generally, this emergency occurs in the sequelae of sports system diseases such as fractures and sprained feet, but the highest incidence is among pregnant women.
The abominable "confinement"!
Although Daju has no spontaneous symptoms, pulmonary embolism has no spontaneous symptoms. Once it occurs, as Luo Hao and Chen Yong said, people will feel cold when they wake up the next morning.
The 120 ambulance can give Liu Yiyi a little sense of security, but not much. More sense of security and confidence comes from Luo Hao.
Soon, the 120 ambulance arrived at the emergency department of the First Hospital of Medical University.
To pick up patients across districts, they rushed as quickly as possible. The 120 ambulance drove its siren all the way, and the sound tore apart the silence under the night.
“This, this, this~” Luo Hao was wearing white clothes and standing at the door. There was a flat car beside him, and Chen Yong and Meng Liangren were also there.
Liu Yiyi was in a daze.
It seems that Luo Hao's medical team is always in a state of unity. Most of the night, the three of them were also there.
The people moved to the flat cart, and Meng Liangren skillfully pushed the cart and trotted into the emergency B-ultrasound room.
The vascular color Doppler probe gently pressed on Daju’s leg. Luo Hao frowned and kept saying some simple words in his mouth.
Ordinary people can't understand it, but Liu Yiyi and other doctors can probably understand it.
This is not standard communication for B-ultrasound, but comes from the familiarity and tacit understanding within the medical team.
The communication resistance within Luo Hao's medical team was so small that it was almost negligible. Chen Yong did not call the nurse and had already started collecting blood. After collecting the blood, he took the medical insurance card to issue an order and delivered the blood himself.
Meng Liangren is holding an A4 paper in his left hand and a ball pen in his right hand. There seems to be his name on the pen, and he is recording every word Luo Hao said.
The reason why Luo Hao did not dictate much and was unhappy was because he wanted to take care of Meng Liangren’s writing speed.
Not shorthand, but Luo Hao achieved a delicate balance in another way.
The entire consultation process was full of details, and Liu Yiyi was dumbfounded.
She is the general manager of the operating room. She has been exposed to countless emergencies. Which time did she not have chicken feathers flying all over the sky? Which time did she not scream?
That's it, there are still many mistakes, which gives people a very unprofessional feeling.
Even though Liu Yiyi herself has experienced countless emergency rescues, there are only a handful of textbook-like rescue procedures that she can really master.
Sometimes Liu Yiyi feels that the world is really just a grassroots team, as long as it is a little more professional.
But seeing Luo Hao's medical team's meticulous diagnosis and treatment process, which was average but beyond textbook, Liu Yiyi felt ashamed.
"Venous thrombosis of both lower extremities, emergency surgery, the patient's family will follow." Luo Hao asked.
"Here we come."
"Liu Yiyi, you are responsible for signing before the operation. Ask the resident manager of the vascular department for the signature."
After saying that, Luo Hao put the probe Throw it to the doctor in the B-ultrasound room, grab a handful of tissues and throw them into Daju's lap.
Liu Yiyi sighed.
Wipe it yourself, this is a dirty joke that occasionally appears during surgery.
But now through personal experience, I found that Luo Hao really didn't have time.
Luo Hao has already pulled up the flat car and started running towards the elevator.
“Daju, are you having trouble breathing?”
"What?" Daju was confused. It was obvious that she was out of her mind now.
"Pan, can you breathe again?" Liu Yiyi asked in a different way.
“I can’t breathe after I gain weight.”
Gan!
To the north!
Liu Yiyi cursed in her heart.
After getting off the elevator, the door of the interventional catheterization laboratory opened. Technician No. 66 just opened the door, and there were nurses inside busy preparing surgical items.
Everything is in order.
After the patient was sent to the interventional catheterization laboratory and carried to the operating table, Liu Yiyi finally breathed a sigh of relief.
She habitually moved a stool and sat on the side of Daju’s head.
But the next second, Liu Yiyi felt a sharp gaze falling on her like a substance.
Luo Hao!
He is glaring at himself!
Liu Yiyi was habitual to stare back, but with a snap of her fingers, Liu Yiyi remembered that Luo Hao had arranged a task for herself.
When arranging tasks, Professor Luo Haoluo even called himself Mr. Ma and not Mr. Liu politely, but Liu Yiyi.
It was as if she was a member of his medical team.
“Brush~~~”
Liu Yiyi felt her face suddenly turn red. It turned out that she was the most unprofessional and most primitive member of the team.
She immediately stood up and walked out quickly, "Professor Luo, I'm going to explain to the patient's family. Mr. Wang, give me the pre-operative explanation."
Out of the interventional catheterization laboratory , Liu Yiyi took a deep breath. "Uncle, Daju has already come on stage. The best interventional doctor from our first year of medical school will perform the surgery." Liu Yiyi held out her chest and said firmly.
When talking about the best interventional doctor, Liu Yiyi even felt a sense of pride in her heart.
But Daju’s father and mother, who had just arrived, were in a trance, as if they were dreaming.
"Let's put it this way, let me tell you the situation first." Liu Yiyi briefly told the relevant things.
But she used too many professional words to explain her condition. Daju’s parents obviously didn’t listen to half of it and were confused.
Liu Yiyi didn't think anything of it. She was waiting for the resident manager of the vascular department to give her pre-operative explanation.
A few minutes later.
Liu Yiyi saw Chen Yong running in quickly, and a sincere and majestic voice came from behind.
"Mr. Liu, let me explain to the patient's family before the operation."
It's Meng Liangren!
The licking dog in the medical team who couldn't go to the operating table at all and could only pick up the lead clothes behind Professor Luo Haoluo's butt.
Liu Yiyi was slightly dissatisfied.
But now the roles and identities are reversed. Daju’s parents are no longer the parents of his best friend, but the family members of the patient.
So Liu Yiyi said nothing and did not offend Meng Liangren.
"You two are the parents of the patient Zhao Liju."
"Yes, yes." Daju's father nodded quickly.
Meng Liangren said "you", but it gave people a condescending feeling.
But this condescension does not come from attitude, but from professionalism, and... and his facial features, micro-expressions and subtle movements.
Meng Liangren has good facial features, just like Zhu Shimao when Chen Peisi and Zhu Shimao stand together.
At first glance, he is a good person in the standard sense, a decent person.
"The patient's condition is very serious. Let me just say a few words." Meng Liangren started to say a few words as if he were a leader sitting on the podium during a meeting.
......
In the operating room, Daju asked blankly, "Doctor, what's wrong with me?"
"Economy class syndrome." Luo Hao was there Explain to Daju in the operating room.
“Economy Class Syndrome.” Meng Liangren explained to Daju’s parents outside the operating room.
"Huh?"
"Economy class syndrome refers to sitting still for a long time in a small space with limited movement, which slows down the venous return of the lower limbs and stagnates the blood flow, causing deep vein thrombosis or pulmonary embolism in the lower limbs. , which can lead to sudden death in severe cases," Luo Hao continued to explain.
"Economy Class Syndrome" refers to sitting still for a long time in a small space with limited movement, which slows down the venous return of the lower limbs and stagnates the blood flow, causing deep vein thrombosis or pulmonary embolism in the lower limbs, which is serious. Sometimes it can lead to sudden death." Meng Liangren explained to Daju's parents outside.
“The recent epidemic of special forces among college students requires them to sit in cars or planes for long periods of time. There have been three similar cases across the country.” Luo Hao said.
"The recent epidemic of special forces among college students involves long hours of riding in cars and planes. There have been three similar cases across the country." Meng Liangren said.
At the same time and in different places, Luo Hao and Meng Liangren said almost the same words, as if they were reenacting.
The empty valley echoes and buzzes.
"Nationally? How do you know?" Daju immediately discovered the problem.
"I am a graduate of Xiehe Union Medical College. My classmates and seniors are almost all over the country. They are basically department directors. We have a WeChat chat group."
Luo Hao called on the resident manager of vascular surgery to come on stage and said that he Take the position of an assistant.
Daju was confused.
“If you are inactive for a long time, blood clots will appear in the veins of the lower limbs. In 2018, a reporter from a daily newspaper died suddenly from his sprained ankle. Do you remember, it was a hot search at the time.”
“Remember ." Daju nodded blankly.
"Similar to you, we all have economy class syndrome." Luo Hao said.
“Looking at the injury process of the young female reporter, after the ankle sprain, the soft tissue swelling and strong pain extended from the sprained ankle to the calf, and a numbness appeared on the toes. Such symptoms reminded her of the injury. The lower limbs are most likely to have deep vein thrombosis of the lower limbs
Many people will ignore this symptom, thinking that it is just a normal reaction to a sprain, but they do not know that this is a fatal negligence.
Because if timely intervention and treatment are not obtained at this time, the thrombus located in the calf is likely to break off, fall to the heart, enter the pulmonary circulation, block the pulmonary artery, cause respiratory and circulatory failure, and in severe cases, sudden death. "
"Sprains, fractures, and economy class are high risk factors, but they are not the highest incidence of this type of disease. ”
“Pregnant and postpartum women are the highest recipients. ”
“During pregnancy, as the uterus becomes larger, it compresses the veins in the abdomen, causing blood return to be blocked, causing varicose veins in the lower limbs and pelvic cavity.
In addition, under the action of progesterone, the coagulation factors in the blood increase and become sticky, which can easily form blood clots in the veins of the pelvis or lower limbs, leading to pulmonary embolism.
The blood during pregnancy is in a physiological hypercoagulable state. After delivery, whether it is a vaginal delivery or a caesarean section, the body will activate the coagulation mechanism to suppress postpartum hemorrhage. In addition, postpartum bed rest will significantly increase the chance of causing pulmonary embolism. ”
“As for you. "
" Confinement without going to the ground or moving for a month is simply nonsense! "Luo Hao scolded sternly.
"Confinement without going to the ground or moving for a month is just nonsense! "Meng Liangren's expression was stern, his tone was low, and he reprimanded majestically.
Daju’s parents were in a cold sweat.
Economy Class Syndrome They seemed to understand but Meng Liangren gave them a kind of coercion. The pressure was so great that they couldn't breathe.
“Fortunately, when the patient was chatting with Mr. Liu, he said that he felt like a paraplegic when he went to the ground today. Mr. Liu felt something was wrong and consulted our Professor Luo.” Meng Liangren has thick eyebrows and big eyes, a Chinese character face, and a sense of pressure Full.
Under the rebuke from Wei Guangzheng's expression, facial features, words, and attitude, not only Daju's parents, but also Liu Yiyi felt that he was a villain.
"The patient is in danger now. According to the surgical angiography, if he is lucky and can dissolve the blood clot, he will save his life. If he is not lucky... we will try our best." Meng Liangren said firmly.
"Wow~~~" Daju's mother burst into tears.
After a few minutes of communication, Meng Liangren was completely condescending, taking all the initiative, gaining the trust of the patient's family, and making them go from being indifferent to being panicked.
As a general manager, Liu Yiyi has seen many people give emergency pre-operative instructions, and she has done so many times herself.
But Meng Liangren’s explanation... seems to be different.
He started by telling a "gossip", and then pressed forward step by step. Coupled with Meng Liangren's unique appearance, he quickly took the initiative.
Is this a very clever PUA method?
Liu Yiyi was a little confused.
Unknowingly, Daju’s parents and himself were robbed by the licking dog next to Luo Hao.
Although it is hard to believe, Liu Yiyi still thinks so.
"The operation is about to begin, please sign." Meng Liangren did not "sympathize" with Daju's parents, but pressed the signature sheet on the table, "The risk of the patient's death is very high, we will do our best. for.”
"Don't worry, you two are friends of Mr. Liu, and we are also friends of Mr. Liu. We will do our best."
Then Meng Liangren briefly talked about the various items in the pre-operative informed consent form. The content is countless times simpler and more sloppy than chatting with the patient’s family about “Economy Class Syndrome”.
Daju’s father’s hands trembled, as if Parkinson’s disease had suddenly descended on him.
I burst into tears while signing the autograph.
After receiving the signed document, Meng Liangren stood up, raised his hand and gently patted Daju’s father on the shoulder to express comfort.
Then he glanced at Liu Yiyi calmly and turned back to the interventional catheterization laboratory.
Liu Yiyi had no time to comfort Daju’s parents. She was shocked by Meng Liangren’s professional pre-operative explanation. She kept replaying the entire process of Meng Liangren’s pre-operative explanation in her mind, down to every detail.
It’s not that Meng Liangren said anything, but that he made at least 10 psychological suggestions in just a few minutes to match his own image.
This is a pua, a typical pua!
Liu Yiyi finally confirmed this.
Professor Luo Haoluo's medical team is full of scoundrels, and there is no good person at all! Liu Yiyi cursed in her heart.
She followed him into the operating room, put on a lead gown randomly and entered the operating room.
“It’s out, it’s out.” The resident manager of the vascular surgery department cheered, which made Liu Yiyi a little nervous.
A second ago, Meng Liangren said that if he signed, he would not be able to operate.
The next second, what comes out?
Taking a closer look, Luo Hao pulled out the thrombectomy catheter, and a thrombus about 5cm long was pulled out tremblingly.
The blood clot, which was more tender than tofu, was completely removed.
Amazing skills.
Liu Yiyi was dumbfounded.
"Also, continue." Luo Hao knocked the resident boss of the vascular department with the hemostatic forceps in his hand, and then started the operation again.
"Mr. Liu, come out, you're already menopausal, don't take the thread anymore." Chen Yong's voice appeared on the loudspeaker.
Liu Yiyi glared at Chen Yong fiercely through the leaded glass.
Just after the blood clot was removed, Luo Hao continued to lower the tube without stepping on the line for the time being.
Chen Yong kicked open the airtight lead door, walked in, took off his lead hat and put it on Liu Yiyi's head.
"The little flower hat is so naughty. I can't stand the little flower hat of your anesthesiologist." Chen Yong said scornfully while putting the lead hat on Liu Yiyi.
"I can't bear to say that if you have the ability, you should never go to the operating room for the rest of your life." Liu Yiyi replied.
"It's stabbed~" Chen Yong tore off the lead scarf and put it on Liu Yiyi, "Can your little body and bones resist it?"
"It's stabbed~"
The lead skirt was torn open and Chen Yong tied it up for Liu Yiyi.
Liu Yiyi's waist is very thin, and with a pinch, it barely hangs on her hip bones.
"Are all your country's first-level athletes in such good shape?" Chen Yong asked jokingly.
“Damn, so much nonsense!”
“I advise you to be a rat tail juice, you won’t have friends if you talk like this.” Chen Yong reluctantly tied up the lead skirt and gently pulled it down I tugged on it and saw that the lead skirt had not fallen off, so I straightened my waist with satisfaction.
Luo Hao has been watching this scene out of the corner of his eye. Although Chen Yong talks a lot, he moves very quickly without any delay.
When Chen Yong put the heavy armor on Liu Yiyi neatly, he immediately turned around and left the operating room and closed the door.
"Imaging."
(End of this chapter)