Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 263 Don't want to operate on the elderly?
"However, the secondary responsibility still has to be taken up. For details, wait for the people from the Ministry of Health to come and ask."

When the family members heard this, they were not happy at the time.

But the police were on the opposite side, and they didn't dare to say anything.

In addition, they also watched the monitoring, and it was indeed their son who adjusted the speed...

Hey!
Silly son!

It's okay, what are you doing quickly!

People just disappeared!

Half an hour later, people from the health department came over.

After watching the entire surveillance video in the monitoring room, a preliminary determination of responsibility was made.

The primary responsibility of the patient is 90.00%, and the secondary responsibility of the hospital is [-]%.

Compensation may be paid, but it is estimated that the compensation can only be [-] to [-].

The family members were not reconciled and wanted to make trouble.

The police persuaded them for a while, and finally, the middle-aged couple could only wipe away their tears while arranging a car to take their son away.

Before Lin Yi had time to rest after returning home, a doctor in the neurology department said that there was a patient who needed Lin Yi's help.

After a while, the patient came to the consulting room.

Three middle-aged men and women walked in pushing a 70-year-old lady in a wheelchair.

The family members looked at Lin Yi carefully, with surprise flashing in their eyes!
Damn, the doctor said to ask the leader to come over and take a look, is this the young man? !
Damn, the leader of this hospital is so young? ? !

The doctor in the neurology department will soon be 40 years old, and looks much older than Lin Yi.

But when he saw Lin Yi entering the consultation room, he immediately stood up respectfully and said:

"Doctor Lin, you are here, please help me see this patient."

Lin Yi nodded and looked at the family members and the old lady in the wheelchair in the consultation room.

The expressions on the faces of several family members were not too enthusiastic, but they still took the initiative to introduce their old mother's condition first.

"Hello doctor, my mother was diagnosed with Parkinson's a year ago,
Then there is the medicine prescribed by Dr. Zhao. The family member said while pointing to the neurologist in front of him.

"But my mother has been taking the medicine for almost a year, and she hasn't seen any improvement at all. Her hands are still shaking, and she also said that she feels numb on one side of her body, and sometimes she can't even go to the toilet.

So we wanted to come here this time to take a closer look at what's going on.

When I came last time, Dr. Zhao also said that my mother just got sick, and he said that taking medicine would definitely have an effect, but my mother has no effect at all now. "

The family members became anxious while talking.

"Don't worry, some diseases are really difficult to deal with, and the effect of medicines varies from person to person, so don't worry, let me help you take a look first."

After Lin Yi comforted the family members, he turned his head and glanced at the old lady in the wheelchair.

The old lady's hand was indeed in a state of tremor all the time.

His hands were shaking, and he couldn't even calm down with the entire right half of his body.

"Where's the previous checklist and case information? Show me, and what kind of medicine is she taking?"

Lin Yi looked at the doctor Zhao in the consulting room and asked.

"The information is here." The doctor handed the stack of medical records on the table to Lin Yi and continued: "The prescriptions are Madopa, Cillin, Amantadine, and Entacapone, all of which should be taken for this disease. medicine."

This doctor Zhao is also very confused.

The medicines I prescribed are all correct. Levodopa preparations, anticholinergics for shock reduction, and amantadine can improve hypokinesia, rigidity, and tremor.

Medicine is fine.

So he couldn't figure out why the old lady wouldn't be able to take this medicine.

Just a few days ago, he heard from the emergency department that Lin Yi could even see Parkinson's, so Dr. Zhao asked Lin Yi to come over to see the situation.

At this time, Lin Yi stared at the patient's medical records and checklist in his hand, combined with the list of prescribed medicines, and found that the medicines he prescribed were indeed all right.

Since there is no problem with the medicine, the problem probably lies with the old lady herself.

Only a very small number of Parkinson's patients do not respond to medication, that is, shock-absorbing drugs do not work.

Levodopa-type preparations do not make patients produce more dopamine.

Therefore, surgery is the only option for patients who do not respond to medication.

Lin Yi put down the medical records and some checklists, and turned to check the old lady again.

What a coincidence!
This old lady turned out to be abnormal discharge of neurons in the lateral nucleus of the thalamus!

What a coincidence! !
It just so happened that his stereotaxic surgery had already achieved full marks!

I don't know... Will the family be willing to perform surgery on the old lady? ?

Lin Yi raised his head after checking and said:
"I looked at the checklist and medicine, and the medicine prescribed by Dr. Zhao is completely fine. Maybe the old lady's medicine is not well absorbed due to physical reasons, or the medicine is ineffective.

That's why her tremor symptoms have not improved.

And you said she can't even go to the toilet independently now, right?It shows that the situation of the old lady is still deteriorating. "

The three family members looked nervous.

"Then what should I do, doctor! Will I be completely unable to take care of myself after this disease?"

"How come the medicine doesn't work? I feed my mother the medicine on time every day."

The family members were emotional, and Lin Yi hurriedly comforted him:
"Don't worry, everyone. Besides medicine, there is another solution to this disease, and that is surgery."

As soon as these words came out, everyone in the consulting room looked at Lin Yi in unison.

"Operation?!"

"Can this disease be operated on??"

The family members must not know that this disease can be operated on, because there are still many sequelae of stereotaxic surgery.

There are very few examples of complete success in China.

Especially this kind of surgery involving cranial nerves.

Even if there are successful examples, they are only found in the top hospitals in the country.

And basically it takes a whole team of experts to be successful.

And they, Jiangcheng Central Hospital, do stereotaxic surgery?Don't even think about it!

Wu Jiang and Dr. Zhao from the Department of Neurology were stunned on the spot!
Wu Jiang: Damn!When will your kid even be able to do Parkinson's surgery?

Dr. Zhao: Does Dr. Lin mean that he can do stereotaxic surgery?

Just thinking about it, Lin Yi said:

"I read the checklist, the old lady had a problem with the nerve cells near the striatum under the thalamus, which caused abnormal discharge, so her hands kept shaking.

Originally, drugs could alleviate the symptoms, but now the drugs are ineffective, so we have to consider surgery.

The name of this procedure is stereotactic ventrolateral thalamic nucleus lesion for Parkinson's disease.

It means to use multi-layer rays to find the specific location of the abnormal discharge in the old lady's brain, which we also call the target point. We use modern medical technology to accurately find this target point, and then use microelectric level to shoot this target point.

In this way, the tremor of the old lady will be relieved a lot, and it can be managed for at least five years. "

The three family members opened their mouths slightly.

What the doctor said is so complicated! !
They are also very old, have not studied medicine yet, how can they understand...

Or an uncle in his early fifties in the family asked:
"What brains come and go, doctor, just tell me how much my mother's surgery will cost."

"Okay, let me put it bluntly, the inspection fee for this operation, that is, the set of machines to confirm the target may cost five or six thousand.

The difficulty of the operation is also very high. In general, if the operation and hospitalization are calculated, it is estimated that the cost is about 6 yuan. "

"Huh? Sixty thousand!"

"Sixty thousand... ouch... so expensive."

The family members were shocked and looked at each other, but no one said anything.

6 yuan is not a small burden for these children who already have families and even grandchildren.

Lin Yi saw that these family members seemed to be in a bit of trouble, so he said:
"You can think about this operation slowly and don't worry. You can tell me after you think about it."

The uncle nodded quickly:
"Okay, okay, let's... go out and discuss for a while before we talk, you are busy, you are busy."

After finishing speaking, the three family members pushed the old lady outside to discuss.

In the consulting room, the family members couldn't wait to come up as soon as they left Wujiang:

"Damn it! Lin Yi, you can do stereotaxic??"

On the side, Dr. Zhao said curiously:

"But I remember that our hospital seems to have never performed stereotaxic ventrolateral thalamic nucleus damage. Even the director of neurosurgery may not be able to perform this operation, and our hospital doesn't even have a stereotaxic head frame, right?"

Lin Yi looked at them both helplessly and said:

"No stereotaxic headgear? Just buy it now, why worry about it?
The director of neurosurgery can't do it?I will do it! "

Dr. Zhao immediately gave a thumbs up: You're still a dick, Lin Yi!

"But Lin Yi, the risk of this operation is very high, and there are many sequelae." Wu Jiang was a little worried.

This operation involves the depths of the brain.

It is easy to fail if you are not careful.

Although Wu Jiang had never done this kind of surgery.

But he usually read those papers and materials, and this kind of operation is very difficult.

The requirements for ray equipment are also very high.

It is best to be able to find the target with an accuracy of more than 99.9%, otherwise it cannot be regarded as a precision strike.

If you can't strike accurately and accidentally injure normal brain tissue, then the operation will be over.

I saw Lin Yi with a calm face:
"Are you still worried about my surgery?"

Wu Jiang: "I..."

Well, you cow!
When I didn't ask anything! !
"Then I'll go back first, Dr. Zhao, just wait here to see if these family members are willing to operate on the old lady, and if you are willing, you can let me know.

Remember to tell me if they decide not to have surgery. "

Dr. Zhao nodded again and again: "Okay, thank you, Dr. Lin, for letting you make this special trip."

Lin Yi waved his hand: "It's okay."

After finishing speaking, Lin Yi and Wu Jiang left the consulting room.

When the two of them passed the corner of the elevator entrance, they saw the three family members arguing at the corner of the corridor.

It's not that Lin Yi deliberately wants to listen to other people's communication!

I happened to be passing by and heard it!

"You can't even get 1 yuan?? You spent more than 30 yuan to buy a house for your son! Now that my mother is sick and needs surgery, you can't even get 1 yuan??"

The eldest uncle questioned another family member standing next to him.

The family member is a middle-aged man in his 40s, who looks like the uncle's younger brother.

I saw his eyes flicker a few times and then said:
"I... I happen to have no money because I bought a house for my son, so what can I do?? I have no money now!"

"I don't believe it! Heartless and unfilial son, when Dad passed away, the house was divided into more than 1 yuan for you! Now you can't make up [-] yuan!" The uncle scolded her angrily.

The man was also angry when he heard it, and said with his waist:

"Huh! Give me no conscience? Am I an unfilial son?! What? Didn't you take more than [-] yuan from your parents' property? ?
During the year when my mother was sick, she lived with me for at least half a year. What kind of shit did I not do? !

I eat every bite!Return my unfilial daughter? ?

Anyway, let me tell you straight, I have no money now! I can't get 1 yuan! "

This younger brother is piercing his waist, and his voice is also very loud.

I don't know if I really have no money.

The uncle also made a gesture and was about to quarrel with his younger brother, another female family member next to him quickly acted as a peacemaker and persuaded:
"Oh, big brother, second brother! What are you arguing about? Mom is still here!"

Speaking of this, the three of them looked at the old man who was pushed in the corner.

There were tears in the old lady's eyes, and there was a hint of despair and pain in her eyes.

In the next second, I heard the family member who persuaded the fight say:

"I'll pay [-] yuan for this money, and the remaining elder brother and second sister, you two, think of a way.

My parents' property has already been distributed to us, and now my mother must have nothing.

I have always been sick in the past few years. I really have no money.

But I can still scrape together 1 yuan.

We all know that this operation is good for mom and for us.

But don't do it, I feel very sorry for Mom... "

After these words were finished, the three of them fell into silence for a while.

Looking at this scene through a corridor door, Lin Yi couldn't help sighing.

Parents have worked so hard to raise them, but now they are old and sick and have to undergo surgery, but they can't even make up 5 yuan?

These three 50- and [-]-year-old uncles and aunts have struggled for decades and can't save tens of thousands of dollars?
Lin Yi didn't believe it.

Just when Lin Yi was hesitating whether to go in and persuade these uncles and aunts, Wu Jiang grabbed Lin Yi's wrist and hurriedly dragged Lin Yi away.

Emergency Department.

"What did you pull me for?"

Wu Jiang shook his head and sighed:
"Just now, I saw your posture as if you were about to rush in and argue with your family members, so I quickly took you away.

Brother Yi, there are too many hospitals with this kind of thing, every department and every corner.

If we can't persuade you, don't try to persuade me, and you don't want to feel any compassion.

The old lady's children are all rich at first glance, and they all pretend to be ignorant.

Willing to spend hundreds of thousands to buy a house for his son, but unwilling to pay his old mother for surgery? ?
This kind of person, I bet she will be in bad luck in the future. "

"Hey!"

After listening to Wu Jiang's words, Lin Yi could only sigh helplessly.

This matter is complete, and the stereotaxic ventrolateral nucleus lesion surgery that is about to be available may be about to fly.

But the old lady looked very pitiful.

When the children were pushing each other away just now, the old lady was listening and didn't say anything, but tears were rolling in her eyes.

Hey, people, should children play football with each other when they are old?

After thinking for a while, Lin Yi said, "Let's wait and see, what if the three children realize that they decide to raise money to perform surgery on the old lady."

(End of this chapter)