20 1 1 When I was in Beijing, I got a call from my mother and rushed back to my hometown Qingyang. My father fell down and was hospitalized. Two falls led to cerebral hemorrhage and coma. According to the CT results, dad's bleeding is not big, but he is unconscious. The doctor asked him to sign the operation sheet. There are two options for us to choose: one is craniotomy, which can drain hydrocephalus caused by bleeding in time and make patients wake up in time, but it does not rule out other cerebral vascular rupture and brain injury during operation; Another minimally invasive surgery is to open a hole in the brain and drain the hydrocephalus through drainage. This operation is minimally invasive, but if the patient is awake, he will recover quickly. The confirmation form of family members of these two kinds of operations is very terrible. It is nothing more than the patient's family agreeing to the operation method. All the consequences after the operation, including death, are borne by the patients' families themselves, and have nothing to do with the hospital and doctors. I was shocked when I saw this thing. I feel that the IQ of the whole person has become zero, and my brain is blank, just like a collapse. I don't know what to do. Because I don't even have anyone to talk to? Mother is old, don't let her worry, and her two brothers are still on their way back. What shall we do? I want to make a decision in one day!
At that time, I also asked the attending doctor in detail, but what the doctor said was basically the same as that on the surgical confirmation form. The two schemes have their own advantages and disadvantages. I can choose by myself. The worst result of these two schemes is the risk of death of patients. Time is also tight. What shall we do? I searched many cases and treatment plans about cerebral hemorrhage on the Internet through my mobile phone. I came across this description in a blog post: there is such a story about choice. Patients and relatives of attending doctors need surgery for the same situation, and there are two options? As a surgeon, how did he choose? One option is conservative treatment through minimally invasive surgery. After the operation, the patient's quality of life is not high, but he can live a normal life and eventually die. Every day is either an injection or medicine. The other is direct surgery. After the operation, the patient's tissue was removed. After treatment, the quality of life after discharge is the same as before illness, but the life span of patients is only half that of normal people. If that patient is your relative, which plan would you choose? At the end of the article is a survey data. As a group of doctors and professionals, the latter is chosen, and it accounts for 80%. Because as doctors, they are in contact with patients in this field every day, and they choose the quality of life after surgery instead of taking medicine every day after surgery. Basically, their future lives are related to medicine and hospitals.
At that time, I chose minimally invasive surgery for my father, because I thought my father was young and wanted to make him recover quickly and have less brain damage through minimally invasive surgery. In fact, there is no right or wrong between these two choices, but when our loved ones are faced with life and death choices, we are not professionals. How can we know what bad consequences these two choices will eventually cause? There are many examples around our friends. After craniotomy, the sequela of the patient is hemiplegia, and he can only rely on crutches after operation, or he can't take care of himself for the rest of his life. I am not a professional or a doctor. I just tell you my own feelings and doubts through my father's experience in choosing a surgical plan when he was ill.
So in the book, Zhang Jie reflected on her mother's choice of treatment plan and operation afterwards. I don't know how to choose when you face this situation.