Chapter 570 Infant Hypertension, Harms of Close Relative Marriage
"Has the patient had vascular problems since childhood? The family members did not inform us of this issue. Fortunately, the surgery was not rushed, otherwise the risk factor of the surgery would have increased exponentially."
After hearing this, several directors were quite frightened.
Before surgery, we usually learn about the patient's medical history and underlying diseases. However, the family members did not respond to such an important matter and they did not ask.
This also reveals a sense of responsibility issue.
It can even be understood as a program loophole.
The cardiothoracic surgery department thought that the patient had been admitted to the hospital and had been checked by the emergency department and the cardiovascular department. Hadn't they already asked about his medical history?
So I never thought about it again.
"You are all experts in cardiac surgery. What do you think is the cause of this patient's systemic arterial malformation?"
Zhou Can was more interested in the cause of the disease.
If a patient wants to undergo heart surgery, the cause of the arterial disease must be found out.
This is also the prudent obligation that doctors need to fulfill, which can minimize the risks of the entire perioperative period and greatly improve the success rate of the operation.
"It's hard to say the specific cause. Only after examination and checking the patient's childhood experience of the disease, parents and grandparents, etc., can we find the cause. However, there are many strange diseases in this world that have no specific cause."
"One thing is certain, it is related to the patient's long-term high blood pressure."
"Yes, I also think it is related to the long history of high blood pressure."
Everyone expressed their opinions.
Gathered at the scene were most of the top experts in cardiothoracic surgery, each of whom was knowledgeable, experienced, and had rich clinical experience.
“Have you been born with hypertension?”
Zhou Can found this conclusion a bit scary.
During the last chat with the family, Zhang Qilian's wife only told Zhou Can that Zhang Qilian had vascular disease since childhood, which was difficult to treat in China. In order to treat the disease, he went to Japan to study.
It is both for studying medicine and for curing diseases.
"The patient's condition is very critical now. We must remove the obstacles and move forward with the operation as soon as possible. It would be better to invite the family members to come and participate in the consultation."
Director Xueyan suggested.
Every time she sees such critically ill patients in the department, she becomes particularly anxious.
It is precisely because of her strong sense of responsibility that the mortality rate of the department can be effectively controlled. The current mortality rate of cardiothoracic surgery has dropped to the lowest level in history.
Zhou Can made an indispensable contribution to this, and Director Xueyan's strong sense of responsibility also played a big role.
"I think it's a good idea. Inviting the family members here will also make it convenient for everyone to ask about the patient's medical history in person."
Soon, the family members were invited into the consultation room.
During normal doctor consultations, if the situation is special, or the patient and family members are of distinguished status, the family members may be invited in to discuss the case.
Of course, since family members are not professionals, they are mostly just listening and answering the doctor's questions.
It can be seen that Zhang Qilian’s wife has red and swollen eyes and a haggard face.
Zhang Qilian's condition suddenly worsened again, causing her to suffer tremendous pressure and mental torture.
It can also be seen that she has a deep relationship with Zhang Qilian.
Japanese women have always been loved by men for their ability to take care of their husbands and children. In most families in Japan, men earn money to support the family, while women stay at home full-time.
Unmarried young adult women are more likely to participate in the workforce.
Normally, when the husband comes home, the hostess will kneel to greet him.
Of course, this kind of kneeling is kneeling sitting.
In Japan, kneeling is a very common etiquette. Bowing is even more common, which really takes the concept of courtesy to a new level.
In any case, these details can show women's dependence on and respect for their husbands.
It is truly a blessing for Zhang Qilian to be able to marry such a beautiful Japanese woman who loves him so deeply.
"Hello, doctors . My husband's illness is in your hands!"
She bowed to everyone.
Etiquette is the standard manner of greeting in Japan.
"Mrs. Zhang, you're welcome. Please take a seat! We asked you to come and join us in the discussion because your husband is in critical condition and there are some details we don't know about yet. In order to save time, we need to get to know you in person."
Director Xueyan asked her to sit at the head of the consultation table.
Generally, two people can sit here, and most of the time, they are for nurses or family members.
"If you have any questions, please feel free to ask. I will provide as much information as possible as long as I know it."
She sat down a little shyly.
"When we were discussing just now, I learned from Dr. Zhou that your husband has had vascular disease since childhood, which would be a huge risk for heart surgery. Do you know the specific cause?"
"I know a little bit. This matter concerns Qi Lian's privacy. Please keep it confidential."
After saying that, she stood up again and bowed to everyone.
"It is our responsibility to protect patient privacy. You don't have to worry."
Director Xueyan made a promise to her.
"When he was young, Qilian once told me that he had high blood pressure when he was less than three months old. At that time, the medical conditions in his hometown were not very developed, and the doctor only said that this situation was very rare. Because of the poor tolerance of infants, doctors were also very cautious in using medication. The doctor also told Qilian's parents that because the child was still young, his blood vessels were very flexible, and there would not be any big problems if the blood pressure did not continue to rise."
High blood pressure is rare in children, but it still occurs in some.
It is indeed extremely rare for infants to develop hypertension.
Most people will develop secondary hypertension as they age, such as aortic stenosis, renal artery stenosis, renal artery aneurysm, etc.
"At that time, Qilian did not receive treatment. Later, when he was five months old, he showed obvious symptoms such as irritability, crying easily, vomiting, and sweating. His family took him to see a doctor again, and he relied on medication to maintain and treat him until he was 19 years old."
For the first time, she told the doctor present all of Zhang Qilian's childhood medical history.
Babies born with high blood pressure are particularly difficult to raise.
Sometimes, because parents do not understand medicine and their children cannot speak, they will complain to others, saying that their children are so difficult to take care of and cry easily.
The slightest disturbance will wake him up and he will cry non-stop.
In fact, in this situation, parents should be more vigilant and be more patient and attentive to their children.
Because babies are not feeling well, they cannot express it as accurately as adults.
Crying is their only way of expressing themselves.
It would be even more terrifying if one day they stopped crying or making a fuss.
Zhang Qilian had this strange disease since he was a child, which was indeed very pitiful. Perhaps it was the experience of growing up with illness that made his personality a little weird. When Zhou Can interacted with Zhang Qilian in the car that time, his first impression was that he was a bit cold.
Perhaps sinister is not enough to describe it.
The word "cold" is more vivid.
In addition, he also acts in an extremely paranoid and cruel manner.
It is said that children who have endured too much pain since childhood tend to be cruel and ruthless when they grow up. This should be true to some extent.
The medical level in China was relatively backward decades ago.
It is relatively advanced now, but there is still a gap with developed countries.
When encountering some more difficult-to-treat diseases, we tend to make use of our country’s medical characteristics and adopt a combination of Chinese and Western medicine to treat them.
First of all, one thing needs to be clarified. The slogan of combining Chinese and Western medicine was proposed not only out of consideration for national conditions, but also out of helplessness.
Traditional Chinese medicine is in decline and great Chinese medicine practitioners are almost extinct.
Even if there are a few experienced Chinese medicine practitioners with high skills, they cannot continue to practice medicine due to restrictions on their medical qualifications.
Overall, traditional Chinese medicine is in serious decline and its treatment effects are poor.
This has caused ordinary people to lose confidence in traditional Chinese medicine and turn to Western medicine for treatment. This is a terrible vicious cycle that will further lead to the decline of traditional Chinese medicine.
Because there is no market, Chinese medicine practitioners need to eat and support their families, so they can't continue their practice.
I had no choice but to change my career.
This is basically the current status of Chinese medicine in China.
Of course, things are better now. Some wise people have proposed the slogan that Western medicine treats symptoms while Chinese medicine treats the root cause. This is very effective. Chinese medicine has few side effects and has basically been deeply rooted in people's hearts.
This is a tiny bit of survival space that traditional Chinese medicine has fought hard for.
After talking about traditional Chinese medicine, let's talk about the current situation of Western medicine in China. Medical instruments and equipment, and drugs are the two magic weapons of Western medicine.
Because my country was very backward and poor at that time, the development of Western medicine started very late. Coupled with the technological blockade by foreign countries, there was a serious gap between the level of Western medical treatment and that of developed countries.
Of course, we are working hard to catch up, and the results are quite good.
However, there are still large gaps in many areas.
We must have a clear understanding of this point.
In the early years, most people who studied Western medicine were native to English, which required them to learn English before studying medicine.
This has invisibly increased the difficulty of studying medicine for medical students.
To this day, some top international medical journals still require full English publication, including the most well-known SCI and SSCI.
If that's all, it can still be overcome.
However, the technological blockade on instruments, equipment and medicines is a fatal flaw.
A good cook cannot cook without rice.
If these hard conditions cannot be resolved, it will be impossible to improve the medical level.
Let me expose a cruel medical reality.
When rescuing critically ill patients, doctors always consider imported drugs and equipment first, because domestic products are much less effective, and the effects may not be obvious or even have serious side effects.
For example, the same medicine has the same ingredients.
With current technology, it is not difficult to detect the ingredients of drugs.
However, if you think that the ingredients of all medicines are the same and their effects are the same, you are completely wrong.
Imported drugs have advanced sustained-release technology, which can accurately control the length of time that patients absorb the drug. Domestic drugs still have great technical barriers in this regard.
Come to think of it, they have accumulated and refined technology for more than 200 years. It is too difficult to reach the same level as them in just a few decades.
To sum up, it is normal that our level of Western medicine lags behind that of developed countries.
Traditional Chinese medicine is in decline, and Western medicine has not been able to catch up with its advanced level, which has resulted in a lack of resources in treating difficult diseases.
What should I do then?
We can't just watch the patient die like this, can we?
This does not pose a problem for some wise people in our country.
The slogan of combining Chinese and Western medicine came out naturally. Take the best of both worlds to fight against diseases.
Although it has not been widely recognized yet, I believe that as long as we continue to work hard and dig deep in this direction, we will reach a very high level one day.
"Your husband has had high blood pressure since birth. Is it hereditary? Do his parents or grandparents have similar diseases?"
Director Xueyan asked.
"No, they don't have this disease. The reason why my husband got this disease may be...his parents married with close relatives."
When it came to the specific cause, she hesitated.
In the end, he went to the doctor and told the real reason.
Marriage between close relatives is very harmful, so many countries do not encourage it.
This goes against human ethics and is also detrimental to future generations.
The birth rate of deformed children in marriages between close relatives is very high, and the incidence rate of various rare and strange diseases is also extremely high.
"We now have a basic understanding of the cause of the disease. The patient has suffered from high blood pressure since childhood, which has led to systemic arterial disease. We will do some necessary tests on your husband to determine whether he meets the criteria for surgery."
"Please, everyone!"
She was smart enough to stand up, bow, and leave.
Because calling her in means understanding this issue.
"Zhou Can, I know you are very busy in the emergency department. But this patient's condition is very critical. Please help us make a clear diagnosis and then draw up a surgical plan. If necessary, I'm afraid I'll have to ask you to help complete the operation before I leave."
Director Xueyan made a request to him.
"No problem. Saving the patient's life is the top priority. I am willing to cooperate fully."
Zhou Can readily agreed.
"Considering that the patient has a history of hypertension for more than 50 years and the blood vessels in his body are in extremely poor condition, it is recommended that he undergo heart surgery first. A heart transplant can only be used as a backup measure."
He could almost foresee that the biggest challenge in performing surgery on patients would come from the arteries.
…
More than an hour later, Zhang Qilian had completed all the necessary examinations.
The anesthesiologist is Director Feng, the highest-ranking director of Tuya Hospital, who will participate in surgical discussions and patient assessments.
The risks are very high.
The family was willing to take the risk and was very cooperative, which enabled the operation to proceed.
Director Xueyan personally served as the lead surgeon, and Zhou Can was the de facto second-in-command. They mobilized the strongest backbone forces of the cardiac surgery department and went all out to perform this operation.
Vice President Ye and Vice President Bai both attached great importance to this operation.
Because this is related to an important publicity of Tuya Hospital.
The hospital planned to use this case to publicize it widely, to push the Third Hospital into a quagmire, and to help Tuya's cardiothoracic surgery and cardiovascular departments establish a good reputation.
This is a major strategic decision for the hospital.
Therefore, the hospital leaders attach great importance to it.
