Thank you doctor. My husband said with red eyes.

Don’t say anything, go to the ICU first. The condition is too serious and my heart function is probably poor and I need further examination. It may not work at any time. Be mentally prepared. The doctor said slowly.

At this moment, there is no other way except to agree to go to the ICU.

Signed and agreed.

I was sent to the ICU that night.

Ms. Jiang lived in the ICU for a few days. She hadn't woken up for a day because the doctor had been using sedative and analgesic drugs. The ICU is special and may be given various injections and punctures. The patients are generally more painful, and awake patients will feel scared. This is normal. Therefore, it is necessary to perform analgesic and sedation on the patients.

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During this period, Ms. Jiang's condition felt better, but once she left the ventilator, she became unhealthy and her breathing became very rapid. She had no choice but to pick up the ventilator again.

The doctor had an electrocardiogram again, but there was still no myocardial infarction.

It was also launched to do a heart color ultrasound. Because the heart color ultrasound can see some lesions, the patient is considering heart failure, but the color ultrasound result is a slap in the face. The patient's heart beats well and the ventricular wall movement is also very good, and there is no sign of heart failure.

What's going on?

The brain natriuretic peptide is so high, which indicates heart failure. However, the heart color ultrasound says there is no heart failure. Who do you believe?

They believe it, but they don’t believe it either! The doctor explained that clinicians cannot just look at one indicator, but they must look at it in a comprehensive way. Otherwise, the clinician will have a cold and just use a robot instead.

Your wife has difficulty breathing. In addition to considering heart problems, she also needs to be alert to lung problems. After all, there is still pneumonia. Some people have CT scans and don’t seem to be severe, but the symptoms may be obvious. This is not ruled out. The director of the ICU explained to the family.

In addition, after all, she has a history of lung cancer, so she may have metastasized the cancer. It is even possible to metastasize to the heart. The color ultrasound of the heart does not mean that it is 100% accurate.

If lung cancer is really metastasized, it is advanced cancer, and the hope for better treatment will be even more slim. The doctor said.

So now it seems that there is evidence of a transfer? Ms. Jiang's husband is almost crying. He never thought that the condition would be so serious. Isn't it just a cold? Why are there more and more problems? He still doesn't want to believe that all this is true.

But the medical fee urge bill I saw when I opened my eyes every day reminded him that this was true.

It is hard to say that it must be a metastasis. When the condition is better, we will ask the patient to go out for a systemic CT and see it clearly before the evaluation. The supervisor said.

After another 3 days of treatment, it still did not improve at all.

The doctor said that the patient's condition is not optimistic and the treatment effect is not good, so the family members should be mentally prepared at any time.

Ms. Jiang’s husband was anxious.

My son was anxious, too.

The two sons also hesitated and discussed: The hometown is about falling leaves returning to their roots. If the situation gets worse, they will give up treatment and let their mother spend their last time at home.

These decisions can only be discussed secretly with my father on his back, even if the funeral at home is ready.

Ms. Jiang’s husband seems to be a solution if this continues. The key is that the patient has been trapped in the ICU and can only visit him for 20 minutes a day and cannot be with him all the time. Sometimes I can’t find the doctor here, so I’m really anxious. I want to ask many questions but the doctor doesn’t find the right person, and I’m rejected!

Transfer to the hospital?

Transfer to the hospital again?

Before the father and son made this decision, they had a long struggle. On the one hand, the patient's condition was getting worse when he was transferred to the hospital, and on the other hand, they really didn't know whether the decision was correct: should I transfer home or to try my best?

At the insistence of Ms. Jiang’s husband, the father and son stomped their feet and turned!

This has to start from the other side. Ms. Jiang’s son knew a doctor, an ICU doctor from another local tertiary hospital. Let’s give him a name, and the Hua emergency department doctor put down Ms. Jiang (sedation) with a few seconds, and then inserted the tracheal tube into orally.

Connect the ventilator!

First give her 100% oxygen! The emergency department doctor wiped the sweat on his forehead and adjusted the ventilator parameters.

The situation finally reversed.

After rescue, Ms. Jiang's blood oxygen saturation quickly rose to 100%, her heart rate gradually slowed down to 100 beats per minute, but her blood pressure decreased.

Give her a tube of norepinephrine to increase her blood pressure. The emergency department doctor gave her a doctor's advice. Generally, patients who use sedatives and the use of a ventilator will lower their blood pressure. It is correct to use some phthalmic booster at this time.

Ms. Jiang is temporarily stable.

But her husband and son were frightened.

They just witnessed the rescue process.

Originally, the family members should not have witnessed the rescue of medical staff, but the situation was too sudden just now, and the nurse did not invite them out of the rescue room in time. No one cared about them at that moment. So they stood at the door in a daze and watched all this happen

Ms. Jiang's son told Brother Hua about her mother's condition and almost cried, saying that she hoped to go to Brother Hua's hospital to continue treatment and died without regrets.

Brother Hua said that the hospital you are in is already a relatively powerful hospital, and it is risky to transfer critically ill patients.

I don't care, I will die if I die, and I will die in your hospital. Ms. Jiang's son said.

OK, then come here.

I contacted 120 cars and evaluated the patient's condition. It was OK. The transfer procedures were completed on the same day.

When I arrived at Brother Hua’s hospital, Ms. Jiang’s son finally breathed a sigh of relief. As soon as we met, he confessed frankly that he had made some money in business in recent years. He originally wanted to build a house, but now he just saw that he could cure my mother. It doesn’t matter if he spent hundreds of thousands of dollars.

Brother Hua felt pressured, but it was also motivation. His past friends trusted him so much that he had no other way except to do his best.

The director also knew about the patient in advance because Brother Hua had already said hello.

As soon as the patient came, the department began to discuss. What is the diagnosis? Is it really heart failure?

Ms. Jiang was lying quietly on the hospital bed, using sedative medicines, using pressure boosters, and using ventilators... Of course, she wouldn't know what the others in the ward were doing.

Someone said that the patient has no underlying diseases such as hypertension, coronary heart disease, diabetes, etc., and the possibility of sudden heart failure is too low. Heart failure has a cause. Didn’t he do a heart color ultrasound? It’s normal.

This logic is OK. The director said, but how do you explain the patient's brain natriuretic peptide so high? This indicator is still of significant significance to the outstripping.

Could it be myocarditis? A young doctor suggested it.

That won't. Someone immediately refuted that myocarditis must have inflammation. The inflammation of myocardial cells will cause significant increase in myocardial enzymes, but it is basically normal for the hospitals over multiple reviews. Moreover, myocardial activity disorders were not seen in cardiac color ultrasound. Therefore, the diagnosis of myocarditis is not valid.
Chapter completed!