The pathogenesis of the same disease is almost the same, but the difference lies in the consequences, which depend on the specific location and severity of the disease.
Mr. Fang was diagnosed with a large-area cerebral infarction, and it was not discovered after he came to Fangze, but had already been diagnosed in the hospital where he had been treated previously.
It is a good thing that medical examinations can be done before patients develop symptoms, which can buy precious time for patients and doctors to treat the disease. However, the window of time left for doctors to save lives is always very short. For example, patients with myocardial infarction may die suddenly before medical measures can be taken even after the disease is discovered.
The advantage of cerebral infarction compared to myocardial infarction is that the time window is usually slightly longer than that of myocardial infarction.
The main problem is that the family suddenly requested that the patient be transferred to another hospital this morning. At this critical juncture, the family may have thought that transferring the patient to a better hospital for treatment would have better results, but sometimes it turns out to be a bad thing.
Doctor Tong flipped through the patient's medical records and said, "My advice to them at the time was not to rush to transfer him. A large area of cerebral infarction was found, and it was best to maintain the situation and not let it get worse. The bumpy transfer would be dangerous for the patient. The family thought that the patient was conscious and could speak, and that his condition was not as serious as we doctors thought, so they insisted on transferring him."
As Song's father said, he thought the situation would not be serious as long as his friend could send text messages. But he never expected that the situation would become completely different in just half a day.
Why do experienced doctors not advocate transfer to another hospital? Mr. Fang's condition is in the acute stage, and it is best to wait until the stable stage for surgery. Surgery is necessary in the acute stage unless it is urgent. Cerebral infarction has a very mature treatment procedure in the clinical setting without surgery. As long as it is a tertiary hospital in the capital, there will be no big difference in the treatment plan, and no matter who treats it, it will be the same.
On the contrary, if the patient insists on being transferred to another hospital and is shaken during the journey, you have a blocked water pipe. You can imagine what the result will be if you shake the blocked water pipe again.
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The patient and his family were laymen, and they could hardly understand what the doctor said. In addition, they were so anxious that they could not listen to a word. They just thought that as long as they came to find a good doctor and ask the doctor to perform surgery, they would be able to cure the patient. They never thought that medicine is reasonable and that finding a good doctor will definitely cure the disease.
This kind of patients and their families are also common in clinical practice, which can be called panic attacks in the face of death threats. And according to research, panic disorder has a family genetic tendency and a tendency to be transmitted within the family, so it is found that the entire family of such patients has almost the same attitude, and few can control themselves and stay rational.
Xie Wanying immediately thought of the old Xie family, who were so afraid of hospitals that they suffered from panic attacks frequently. This was true.
Song's father understood why his friend sent him a life-saving text message at the critical moment. He probably thought that only his friend could maintain a little rationality and help him: sweat~
"What will happen next?" Song's father tried hard to help his friend make a decision, and asked his son with his eyes.
The most common surgery for cerebral infarction is the minimally invasive intervention that the pregnant woman who was transferred to the hospital last time underwent, but this kind of surgery is definitely not suitable for large-area cerebral infarction. There is no radical surgery for large-area cerebral infarction, which is why Dr. Tong said there is no need to transfer to another hospital, but unfortunately the family members did not listen. There is only one type of surgery for large-area cerebral infarction: rescue surgery.
It means that Mr. Fang was thinking about having surgery, but he ended up needing surgery.
Dad Song: Sweat like a waterfall!
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