Chapter 1438

The solemn expression of the people in the medical office means that things are big.

Either the patient itself is particularly important, or it involves complex doctor-patient disputes.

Only deputy director Lin comes forward, and it is unlikely that the patient itself is important.

That's a doctor-patient dispute.

A misunderstanding arises and spreads unconsciously. Many directors who came to the consultation were careful for fear of being stained with shit.

After 10 minutes, linge decided to ask Su Yun first.

He cleared his throat, looked at a little doctor in ICU standing at the door and said, "close the door and start the consultation."

"Report your medical history first." Ringer glanced at Wu Dong, director of ICU, and said in a deep voice.

The general manager of the hospital immediately took a step forward, stood behind director Wu Dong and reported: "the patient is a 64 year old female patient who was admitted to the hospital with progressive dyspnea for 2 weeks. The patient has progressive dyspnea with hypotension in recent 2 weeks..."

The general inpatient reported the medical history. The echocardiography showed that the right ventricle was significantly dilated. Pulmonary CT findings: there was a large filling defect in the pulmonary trunk derived from the pulmonary valve.

Based on clinical symptoms and a large number of auxiliary examination results, acute pulmonary embolism (PE) was considered and thrombolytic therapy was given.

However, the effect of thrombolysis is not good. The patient's dyspnea is still getting worse. Ventilator assisted breathing has been started to maintain vital signs.

The condition is relatively simple, and there is little controversy about the diagnosis. Pulmonary embolism... There are not many clinical treatments for this disease.

Early detection and early thrombolysis are the best way.

But the patient had progressive dyspnea for 2 weeks and missed the best treatment time.

These things are clearly reflected in our hearts.

I'm afraid there's no good way.

A critical notice, so that the patient's family members have psychological preparation. As for people, when they can survive depends on their life.

After reporting the medical history, the general inpatient of ICU began to speak to the consultants of each department to discuss the condition.

Several professors expressed their opinions on respiration, cardiothoracic, blood vessels and circulation.

be concise and to the point.

The patient is afraid that there is no good way, so he can only continue thrombolysis and see his life.

Mao Zhi, director of vascular department, once treated a patient with pulmonary embolism for 10 days three years ago.

But there were few successful examples. That time was just a coincidence and accident.

With that, ringer suddenly saw Director Wei of gastrointestinal surgery. He was a little curious. After the vascular Department finished his comments, he asked, "Director Wei, how are you free to come for consultation? Have you called you?"

If your staff calls the wrong number, you must give her a good training when you go back.

The directors of all departments are busy people. If they pull people for irrelevant consultation, people will have great opinions.

The medical department is not able to ravage the clinical departments wantonly, and always do things with courtesy and integrity.

Director Wei shook his head and said, "a friend entrusted me to take a look."

Oh, so. When ringer saw Director Wei's appearance, he probably knew the relationship.

Director Wei's coming is probably entrusted by a good friend.

Not a word, just listen. It means that it's not his friend's own business, but someone's trust.

The complex logic in the middle becomes an instinct when there is more contact.

Let's say the people in the medical office are dirty.

"Who is it?" Although ringer was clear, he asked out of politeness and caution.

"A friend's friend's mother."

Ringer nodded. He was right.

"The condition is very serious, Director Wei. Let the family be prepared." Ringer road.

Director Wei also knows the situation. He came by himself because of Zhang Weiyu's entrustment. Take a look and know what's going on. Go out and explain to Zhang Weiyu.

Manpower is always exhausted, and there are some things I can't help.

He nodded and sat in the corner without talking much.

Soon, the consultation of the whole hospital was completed, and the opinions were relatively unified - continue thrombolytic therapy, communicate with the patient's family members, and let the family members understand the severity of the disease.

As for whether to give up, or to cure the last 1 seconds, the families of patients has the final say.

It has nothing to do with Ringer how to treat and communicate with the patient's family.

He announced the adjournment of the meeting and went out with his notebook.

"Director Wei, are you busy?" Linge walked with Director Wei and asked casually.

"OK, that's it." Director Wei said, "I can't go back in the corridor."

Large class III hospitals are like this, and the beds are added to the end of the corridor.

How many patients can be treated depends to some extent on the number of doctors, but interestingly, the greater determinant is the number of nurses.

Even, some hospitals depend on the number of trainees.

As he walked, linge suddenly felt a little familiar with Director Wei and boss Zheng.

"Director Wei?"

"Huh?"

"You say, how high is boss Zheng's surgical level?" Ringer was very blunt and directly brought the topic to Zheng Ren, without concealing it at all.

Director Wei was stunned, then smiled and said, "very tall. Let's say, taller than me."

"Director Wei, you are modest now."

"Not really." Director Wei said with a smile, "I won't talk about the previous operation. Do you remember the patient who took the medicine bottle sent by the emergency department the afternoon before yesterday?"

"Remember." It's still a short time. Ringer won't forget that President Zhou of the emergency department called himself and said it.

At that time, I was shocked. Don't be the one who didn't know what to do with the patient in the clinic.

But after the investigation, the patient bought medicine at the drugstore. Because there was no card, the salesperson on that side was a little unhappy, so he threw his face and said such a sentence.

"Boss Zheng followed the operation. I also listened to Feng Jianguo." Director Wei said, "a glass fragment broke through the stomach wall and scratched the superior mesenteric artery. Boss Zheng used endoscopic equipment to suck blood and explore at the same time. He succeeded in hemostasis in less than 1 minute."

Ringer didn't speak.

Professional things, he is long out of date.

When he was in clinic, he didn't have endoscopic equipment. Ringer only knows that endoscopy is a minimally invasive device, which has been widely spread in clinic.

"Boss Zheng can also do endoscopic surgery." Ringer finally couldn't help but interrupt.

Director Wei looked at ringer like a silly son of the landowner's family and was speechless for a long time.

"Come on, tell me, Director Wei."

"Director Lin, boss Zheng can not only do it, but also do it very well!" Then director Wei gave a thumbs up.

"I know what you think. Usually, boss Zheng broadcasts the operation live. It's rare for him to do endoscopic surgery, isn't it? Moreover, with the surgical instruments sent by Dr. Charles, he still focuses on the traditional form of surgery." Director Wei said.

Ringer nodded.