"Don't worry, auntie. Although the uncle's condition is very dangerous, it is still within the controllable range." Lin Yi can fully understand the family's anxiety. Anyway, he has to talk to the other party before the operation. It is better to explain it to the patient's family in advance. The preoperative signature at that time can also go more smoothly. "The disease your husband has is called coronary atherosclerosis, which is what we commonly call coronary heart disease." "I have heard of the name of coronary heart disease, but I still don't understand what kind of disease is it, doctor? Is it necessary to operate..." After hearing the man's symptoms, the auntie was still at a loss. Coronary heart disease sounds like a heart disease, but what kind of disease is it and whether it is harmful to the human body is not clear at all. The old man is almost 70 years old. What if he can't get off the operating table at such an old age? The more the aunt thought about it, the more she felt uneasy... "The left and right coronary arteries are two arterial blood vessels connecting the aorta of the heart. Its branches are densely packed, wrapping our heart like a crown, supplying blood to the heart..." Lin Yi found a pen and paper, and while drawing a simple diagram, he explained it in detail to the patient's family members with reference to the diagram.
"Coronary atherosclerosis can be simply understood as a blockage in the blood supply to the heart, and your husband's blockage is extremely serious. If it is not cleared by external force, a thrombus will form in the blocked part, completely blocking the entire blood vessel, and the patient will face the risk of cardiac arrest at any time..." "What we have to do now is to clear or remove the thrombus in the patient's artery through vascular intervention or surgery, so that the heart's blood supply can return to normal." Introducing the patient's family members to the condition before the operation is also a compulsory course for the surgeon. Only by completely dispelling the family members' concerns can the family members cooperate with the doctor and give the patient the most accurate treatment plan. Lin Yi patiently explained the patient's current condition in detail in the simplest way possible... "I understand, doctor. That is to say, there is rust in the water pipe that my husband uses to supply blood to his heart, and it is almost blocked." Although the aunt's words were rough, she understood it very well... "Is there any medicine that can completely dissolve the rust inside?" "To tell you the truth, doctor, our family is not very wealthy. We don't have a pension yet, and we usually rely on our children for support." "It's better to take medicine than to have surgery. We don't want to add extra burden to our children." "The old man is so old. After all, it's a heart operation. I'm afraid he can't bear this pain..." Facing the dedicated doctor, the aunt did not hide anything and told her actual situation and concerns. With her children not around, she and her old man are the only ones left. She would rather serve him more than let him die before her... "Aunt, I can fully understand your concerns, but the blockage of the patient's coronary artery is very serious, at least 75%, and there is a possibility of blockage at any time, which may lead to life-threatening situations." "Ordinary thrombolytic drugs are completely ineffective. If you are concerned about the cost of surgery, I can provide two options for you to choose from and try to save you the cost of surgery." Lin Yi must insist on the surgical treatment plan. Regardless of his diagnosis or the system prompt, the patient's condition has reached a very serious level. If the golden surgical time is delayed and the patient suffers a myocardial infarction, the success rate of rescue will be greatly reduced at such an old age... "Doctor, what are the two specific surgical plans?" Hearing that Lin Yi said it was so dangerous, the aunt gritted her teeth and decided to go for surgery. No matter what difficulties there are, we can't just watch the old man fall into danger immediately...
"The first is interventional treatment through blood vessels, which is commonly known as heart stents. The advantage of this operation is that there is no need for chest surgery, but due to vascular trauma and radiation, it may cause risks such as vascular occlusion, and patients need to take antiplatelet drugs such as aspirin and ticagrelor within six months to one year after surgery. Patients with low platelets will also increase the risk of bleeding in the body..." "The second is to open the chest cavity and directly remove the thrombus from the blood vessels, completely eliminating the hidden dangers of vascular blockage in patients, and the patient will recover better after surgery." "Compared with these two options, if the second option is adopted, the cost of surgery should be saved by about half." When Lin Yi told the patient about the two surgical options, he actually preferred the second option of vascular thrombectomy. After all, in this option, patients can be exempted from many unnecessary examinations and stent placement costs, and the economic impact on patients will be smaller. Although the patient is relatively old, Lin Yi believes that with his perfect suture technique, the later healing and recovery will not be a big problem... "This...this..." After listening to the two surgical options introduced by Lin Yi, the aunt groaned and couldn't make up her mind. Living at home, the less money spent on treatment, the better. The second option sounds good in all aspects, but thinking of the big hole in the man's chest, the aunt still couldn't let it go. At his age, the old man’s healing and recovery abilities are definitely not as good as when he was young. If he gets infected, he will die. Although the first type has less trauma, the sequelae mentioned by the doctor also make the aunt worried. Compared with the old man’s life, it doesn’t matter if he spends more money, but if there are sequelae, the old man will be tortured to death... “Doctor, do you think this is okay? I’ll call my children to discuss it.” “For such a big operation, I really don’t dare to make a decision!” The aunt, who has lost her backbone, can only pin her hopes on her children. After all, they are well-informed and know more about which surgical plan to adopt than a housewife like her... "Aunt, you have to hurry up. Uncle's illness can't be delayed any longer." Lin Yi had to urge the aunt to hurry up and quickly decide on a specific surgical plan. The patient's condition can't stand too much delay... "Doctor Lin, is this the patient who needs emergency coronary artery surgery?" Just as the aunt called her children, Zhuang Shu and Lu Chenxi also entered the emergency room one after another. "Can I see the patient's film and report so that I can decide on the specific surgical plan?" Zhuang Shu took the initiative to ask to see the patient's examination report. After all, he thought he still had a certain say in heart-related diseases. "No examination report." Lin Yi responded casually. "No examination report? Then how can we determine that the patient has coronary atherosclerosis and what is the degree of blockage?" Zhuang Shu looked at Lin Yi in disbelief and asked. Without doing any examination, this person can't be guessing the patient's condition out of thin air...