The people at the medical office looked solemn, which meant that something serious was going on.
Either the patient himself is particularly important, or it involves a complex doctor-patient dispute.
But it's just Director Lin who comes forward, and the patient himself is unlikely to be important.
That is a doctor-patient dispute.
A misunderstanding arises and spreads unconsciously. Many directors who come for consultation are cautious for fear of getting covered in feces.
After 10 minutes, Lin Ge decided to find time to ask Su Yun first.
He cleared his throat, looked at a junior ICU doctor standing at the door, and said: "Close the door, the consultation begins."
"Let's report the medical history first." Lin Ge glanced at Wu Dong, the director of the ICU, and said in a deep voice.
The hospital manager immediately took a step forward, stood behind Director Wu Dong, and reported: "The patient is a 64-year-old female patient. She was admitted to the hospital with progressively worsening dyspnea for 2 weeks. The patient developed progressive dyspnea and hypotension in the past 2 weeks. …”
The hospitalization general reported the medical history. The patient's echocardiogram after hospitalization showed that the right ventricle was significantly dilated. Lung CT findings: There is a large filling defect originating from the pulmonary valve in the pulmonary trunk.
Based on the clinical symptoms and a large number of auxiliary examination results, acute pulmonary embolism (PE) was considered and thrombolytic treatment was given.
However, the effect of thrombolysis was not good, and the patient's dyspnea continued to worsen, and he began to use a ventilator to assist breathing to maintain his vital signs.
The condition is relatively simple, and there is not much controversy about the diagnosis. Pulmonary embolism... There are not many clinical treatments for this disease.
Early detection and early thrombolysis are the best ways.
However, the patient was admitted to the hospital after 2 weeks of progressive dyspnea, missing the best time for treatment.
Everyone knows these things clearly.
I'm afraid there is no good solution.
One critical illness notice after another makes the patient’s family mentally prepared. As for people, how long they can survive depends on fate.
After the resident general of the ICU reported the medical history, the consultants from each department began to speak and discuss the condition.
Respiratory, cardiothoracic, blood vessels, circulation, several professors each stated their opinions.
Be concise and to the point.
The patient is afraid that there is no other way but to continue thrombolysis and wait and see.
Director Mao Chi of the Vascular Department once treated a patient with pulmonary embolism 10 days after onset three years ago.
But there are not many successful examples. That one was just a coincidence or an accident.
As he said that, Lin Ge suddenly saw that Director Wei from the gastrointestinal surgery department was also there. He was a little curious. After the vascular department finished giving his opinion, he asked: "Director Wei, why do you have time to come for consultation? Have you called me?"
If one of your department staff makes the wrong call, you must give her a good lesson when you get back.
The directors of various departments are all very busy people. If they are dragged away to do irrelevant consultations, people will get very angry.
The medical office is not allowed to ravage clinical departments wantonly, and things must always be done in a polite and courteous manner.
Director Wei shook his head and said, "A friend asked me to take a look at it."
Oh, like this. Lin Ge roughly knew the relationship when he saw Director Wei.
Director Wei is here probably because he is entrusted by a very good friend.
Say nothing, just listen. This means that it is not his friend's own business, but something that is entrusted to others.
The complicated logic in the middle becomes a kind of instinct after being exposed to it more.
Otherwise, the people in the medical office have bad hearts.
"Who is he?" Although Lin Ge knew clearly, he still asked out of politeness and caution.
"A friend's friend's mother."
Lin Ge nodded, his judgment was correct.
"The condition is very serious, Director Wei, let the family be prepared." Lin Ge said.
Director Wei also knew the situation and came because of Zhang Weiyu's entrustment. Take a look and know what's going on. Go out and give Zhang Weiyu an explanation.
There will always be times when manpower is exhausted, and there are things that can’t be helped.
He nodded and sat in the corner without saying much.
Soon, the hospital-wide consultation ended, and the opinions were relatively unified - continue thrombolytic treatment and communicate with the patient's family to let them understand the critical nature of the condition.
As for whether to give up or treat the patient until the last second, it is the patient's family who has the final say.
The specific observation of words and expressions, how to carry out treatment and communicate with the patient's family has nothing to do with Ringer.
He called the meeting to an end and walked out with his notebook.
"Director Wei, are you busy there?" Lin Ge walked with Director Wei and asked casually.
"It's okay, just leave it like that." Director Wei said, "I still can't turn around in the corridor."
Large tertiary hospitals are like this, with beds added to the end of the corridor.
The number of patients that can be treated depends to some extent on the number of doctors, but interestingly, the bigger deciding factor is the number of nurses.
Some hospitals even depend on the number of trainees.
While walking, Lin Ge suddenly felt something in his heart. It seemed that Director Wei and Boss Zheng were somewhat familiar.
"Director Wei?"
"Um?"
"Tell me, how good is Boss Zheng's surgical skills?" Lin Ge brought the topic directly to Zheng Ren very bluntly, without covering up at all.
Director Wei was stunned for a moment, then smiled and said: "Very tall. Let's put it this way, taller than me."
"Director Wei, please be humble now."
"It's really not the case." Director Wei smiled and said, "I won't talk about the previous surgery. Do you still remember the patient who took the medicine bottle that was sent to the emergency department the afternoon before yesterday?"
"Remember." The time was still short, and Ringer would not forget that Mr. Zhou from the emergency department called him and said this.
I was shocked at that time, especially because I was careless with the patients in the outpatient clinic.
However, subsequent investigation revealed that the patient bought the medicine at a pharmacy. Because I didn't apply for a card, the salesperson over there was a little unhappy, so I just said something like this.
"Boss Zheng followed what Feng Jianguo said about the surgery." Director Wei said: "A glass fragment penetrated the stomach wall and scratched the superior mesenteric artery. At that time, Boss Zheng used endoscopic equipment to suck blood and After probing, the bleeding was successfully stopped in less than 1 minute.”
Ringer said nothing.
As for professional matters, he was already out of date.
When he was in clinical practice, there was no endoscopic equipment. Ringer only knew that laparoscopy was a minimally invasive device that was now widely used in clinical practice.
"Boss Zheng can also perform laparoscopic surgery." Lin Ge finally couldn't help but interjected.
Director Wei looked at Lin Ge like a silly son of a landlord, and was speechless for a long time.
"Don't be like this, tell me, Director Wei."
"Director Lin, Boss Zheng not only knows how to do it, but he is also very good at it!" Director Wei gave a thumbs up as he spoke.
"I know what you are thinking. Boss Zheng usually broadcasts live surgeries, but it is rare to see him perform laparoscopic surgery, right? And even with the surgical instruments sent by Dr. Charles, he still mainly performs traditional surgeries." Director Wei road.
Ringer nodded.