Chapter 1438： Silly son of the landlord's house

The person in the medical office has a serious expression, which means that things are big.

Either the patient itself is particularly important or involves complex medical disputes.

It’s just that Mr. Lin’s appearance is not very important.

That is the doctor-patient dispute.

A misunderstanding occurs and spreads unconsciously. Many of the directors who came to the consultation were very careful, for fear of being touched.

In 10 minutes, Ringer decided to find time to ask Su Yun.

He cleared his throat and looked at a little doctor at the door of Icu, saying: "Close the door and the consultation begins."

"First report the medical history." Ringer glanced at the director of icu, Wu Dong, Shen Sheng said.

The hospitalization immediately took a step forward, standing behind the director Wu Dong, and reported: "The patient is a 64-year-old female patient who was admitted to the hospital with progressive aggravation of dyspnea for 2 weeks. The patient developed progressive dyspnea in the past 2 weeks with hypotension. ......"

The general report of hospitalization reported a history of echocardiography after hospitalization, indicating a significant expansion of the right ventricle. Pulmonary ct manifestations: There is a large area of ​​filling defect in the pulmonary trunk from the pulmonary valve.

Comprehensive clinical symptoms and a large number of auxiliary examination results, consider acute pulmonary embolism (pe), given thrombolytic therapy.

However, the effect of thrombolysis is not good, the patient's breathing difficulties are still progressively aggravated, and the ventilator assisted breathing has begun to maintain vital signs.

The condition is relatively simple, and the controversy about the diagnosis is not large, pulmonary embolism ... This disease, clinical treatment methods are not many.

Early detection, early thrombolysis, is the best way.

Patients who have had progressive dyspnea have been admitted to hospital for 2 weeks and missed the best treatment time.

These things are clear to everyone.

I am afraid there is no good way.

A list of critically ill notices prepares the patient's family. As for people, when can you be able to stand up?

Icu's hospitalization report finished the medical history, and began to talk to the consultation staff of each department to discuss the condition.

Breathing, outside the chest, blood vessels, circulation, several professors each expressed their opinions.

Concise and concise.

The patient is afraid that there is no good way to do it. He can only continue to dissolve the thrombus and then look at it.

The director of the Department of Vascular Surgery had treated a patient with pulmonary artery embolism for 10 days 3 years ago.

But there are not many successful examples. That was just a coincidence and an accident.

Said, Ringer suddenly saw Director Wei of the Department of Gastrointestinal Surgery. He was curious. After the vascular department said the opinion, he asked: "Director Wei, how do you get busy, come to the consultation? Call you?"

If his own staff member makes a wrong call, he must train her back.

The directors of all departments are busy people, and they are going to make unrelated consultations. People's opinions will be great.

The Medical Service is not able to slap the clinical department, and it is always polite to do things.

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

Oh, like this. When Linger sees Director Wei, he probably knows the relationship.

Director Wei can come, it is estimated that it is a good friend's trust.

I don’t say a word, just listen. It means that it is not his friend's own business, but the person who trusts people.

The complex logic in the middle, with more contact, becomes an instinct.

Do you want to say that the people in the medical office are dirty?

"Who is." Although Linger is clear, but polite and cautious, he still asked.

"The mother of a friend's friend."

Ringer nodded and judged himself.

"The condition is very serious, Director Wei, let the family prepare." Ling Gedao.

Director Wei also knows the situation and comes by himself, also because of Zhang Weiyu's entrustment. Take a look, know what is going on, go out and give Zhang Weiyu an account.

When there is always exhaustion of human resources, there are some things that can't be done.

He nodded and sat in the corner and didn't talk much.

Soon, the consultation of the whole hospital was over, and the opinions were still relatively unified to continue the thrombolytic therapy, and communicate with the family members of the patients, so that the family members can understand the critical condition of the disease.

As for whether or not to give up, or to treat the last one second, the patient's family has the final say.

Specific observations, how to treat and communicate with the patient's family, and Linge has nothing to do with it.

He announced the meeting and walked out with his notebook.

"Director Wei, are you busy with that?" Ringer and Director Wei asked, and asked casually.

"It's okay, it's just like that." Director Wei said: "I still can't come back in the corridor."

This is the case in large-scale top three hospitals, where beds are added to the end of the corridor.

How many patients can be treated depends in part on the number of doctors, but what is interesting is that the bigger factor is the number of nurses.

Even some hospitals depend on the number of fellows.

Walking, Ringer suddenly felt a move, it seems that this director Wei and Zheng boss are a little familiar.

"Director Wei?"

"Ok?"

"You said, how high is the boss's surgery level?" Ringer bluntly pulled the topic directly to Zheng Ren, and did not hide it.

Director Wei gave a slight glimpse and immediately smiled: "High. So let me say, it is higher than me."

"Director Wei, you are modest."

"It's really not." Director Wei said with a smile: "The previous operation was not mentioned. The patient who took the medicine bottle sent by the emergency department the day before yesterday, do you remember?"

"Remember." The time is still short, and Ringer will not forget that Zhou, the chief of the emergency department, called himself and said this.

I was shocked at the time, not the unintentional in the clinic and the patient.

But after the investigation, the patient was buying medicine at the pharmacy. Because there was no card, the salesman on the other side was not happy, so he directly said his face and said such a sentence.

"Zheng Boss followed the surgery, and I also listened to Feng Jianguo." Director Wei said: "There was a piece of glass that pierced the stomach wall and scraped the superior mesenteric artery. At that time, Zheng boss used a laparoscopic device to **** blood. Exploring to stop bleeding in less than 1 minute."

Ringer did not speak.

Professional things, he has long been out of date.

When he was in the clinic, there was no laparoscopic equipment. Ringer only knows that the endoscope is a minimally invasive device and is now widely deployed in the clinic.

"Zheng boss will also do laparoscopic surgery." Linger finally could not help but inserted a sentence.

Director Wei looked at Ringer like a silly son of the landlord's family. He had been speechless for a long time.

"Don't be like this, you talk, Director Wei."

"Director Lin, Zheng boss will do more, and do a special job!" said, Director Wei gave a thumbs up.

"I know what you think, usually Zheng boss live surgery, rarely see him doing laparoscopic surgery, yes. And there are surgical instruments sent by Dr. Charles, he is still based on the traditional form of surgery." Director Wei Road.

Ringer nodded.