Tang Xiu wears light makeup and is smart and capable.
She received an important task - to interview Director Pan of the emergency department of Haicheng City No. 1 Hospital. First, I collected all the information about Dr. Zheng at home, and then I went to the imperial capital and squatted outside the 912 Hospital several months in advance, waiting for the news of the Nobel Prize in October.
It was more than 4 months in advance, but Tang Xiu didn't think it was a big deal. The Nobel Prize cannot be overemphasized.
In Tang Xiu's view, this is a long-term main task. If he can do it well, he will definitely be a candidate for the next editor-in-chief of Haicheng Metropolis Daily.
In order to compete for this spot, Tang Xiu made great efforts.
In the end, the previous interview with Dr. Zheng played a decisive role. She had experience in contact with Dr. Zheng and did related topics.
With the support of the old editor-in-chief, Tang Xiu won the Haicheng Metropolis Daily's biggest project this year.
It must be done well! Tang Xiu encouraged himself.
Although she also knew that there was absolutely no way this matter would come to an end this year. Before and after receiving the assignment, Tang Xiu searched for a large amount of information, and finally she came to the conclusion that it would take at least 10 years for Dr. Zheng to win the Nobel Prize.
But who cares
If you can get it, it's the best. If you can't get it, just a Nobel Prize nomination is enough to shock Haicheng. After all, this is the first time that Haicheng is so close to the Nobel Prize.
She planned carefully and bothered Director Pan for several days, and then she asked a lot of relevant things like squeezing out toothpaste.
But what surprised Tang Xiu even more was that she got more information related to Dr. Zheng Renzheng from the mouths of several hospital managers who came to support from 912.
On the weekend, Dr. Zheng came back but missed it, which made Tang Xiu regretful.
When he interviewed Mr. Wang and several other doctors who came to support him, their tone made Tang Xiu realize that what Mr. Zheng had done in the imperial capital was far beyond his imagination.
So she advanced her plan, applied, and went straight to the imperial capital with a few of her capable men without waiting for the process.
About to collide with major newspapers and TV stations in the imperial capital, Tang Xiu has no confidence. All she can rely on is the friendship she has had with them in the past.
But when he thought of this, Tang Xiu scolded Wei Feng for the N+1 time in his heart.
But these were indifferent emotions. Tang Xiu came to the imperial capital as quickly as possible, preparing to stay there for a long time.
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At this time, Zheng Ren was standing in the thoracic surgery doctor's office, looking at the film in front of him.
The red stethoscope on Fang Lin's shoulder was so coquettish and eye-catching.
This consultation was with a difficult patient.
A 72-year-old male with poor nutritional status; he complained of recurring cough, phlegm, and wheezing for 30 years. Pulmonary function tests showed that he had severe obstructive ventilatory dysfunction, and he had been treated with inhalants for many years.
The patient developed chest tightness, chest pain and dyspnea one week ago after exercising.
A lung CT performed at a local hospital revealed left pneumothorax and scattered inflammation in the left lower lobe of the lung.
After emergency closed drainage of the left chest, the symptoms improved, and then negative pressure suction drainage was continued.
Because the patient's physical condition was relatively poor, the local hospital did not consider the possibility of surgery at all.
The patient was out of breath after walking a few steps and could not climb a floor, which was a relative contraindication for thoracic surgery.
If things go wrong, there may be a situation where the ventilator cannot be taken off after surgery. At that time, the patients were suffering, the expenses at home were huge, and the doctors had headaches every day.
During the operation, he was still alive, but after the operation, he had to go to the ICU and rely on machines to hang himself. No doctor would like to encounter this kind of thing.
Surgery was ruled out, and the local doctor decided to perform closed chest drainage first and then observe the treatment.
However, in the drainage state, the lungs have been fully expanded, but a large amount of gas is still being discharged. This means that the hole on the surface of the lung is very large, and depending on the patient's condition, it is difficult to grow it.
After a hospital-wide consultation, the local hospital ruled out the possibility of surgery again and administered 50 ml of 50% glucose into the chest cavity for pleurodesis treatment.
However, the patient continued to experience chest tightness and shortness of breath afterwards.
A review of the chest X-ray showed recurrence of pneumothorax and a separation in the chest cavity. The chest drainage tube was adjusted and reset several times.
Most of the time, the local doctor drains three drainage tubes on the patient's left chest wall at the same time. However, everything was of no use, the closed chest drainage bottle continued to bubble, and the pneumothorax could not heal.
There is nothing you can do, just transfer to a higher-level hospital. The biggest reliance of local hospitals is the higher-level hospitals. Isn’t it okay to give in when it can’t be cured? Our skills are poor and we cannot cure it. Please go to a higher-level hospital.
So the patient was sent to Fang Lin in the emergency department.
The resident general was responsible for handling the emergency. It was just a pneumothorax. Although Fang Lin found it difficult, he was too embarrassed to go to the superior doctor.
A year ago, we would still have to look for such a difficult patient. But now Fang Lin has a magic weapon, the ultimate spell - summoning Boss Zheng.
Zheng Ren held his chin up and looked at the film in front of him, keeping a fixed posture for 30 minutes.
It's so difficult... Zheng Ren sighed while watching the movie.
The patient's basic conditions are so poor that it is very difficult to go to the operating table and go through anesthesia alone. In the system operating room, 10 surgical trainings were performed. Although the surgery can be completed, the degree of completion of the surgery is not high.
The highest one was only 59%, and the lowest one was only 43%.
With such a low degree of completion of the surgery, it would be better not to do it. If the tube cannot be removed after surgery, will he still be living on a ventilator? In that case, it would be better to keep wearing a breast bottle.
Zheng Ren ruled out surgery and kept wondering what to do.
The patient's condition is really difficult to deal with. After admission, the blood gas analysis was checked: PH: 7.47, PHg, PO2 74 mmHg, actual bicarbonate: 37.1 mmol/l, standard bicarbonate: 33.9 mmol/l, base remaining: 13.4.
Chest CT showed: after drainage of the left pneumothorax, the left hydropneumothorax was partially wrapped, subcutaneous air accumulation on the left chest wall, emphysema in both lungs with bullae, and two pneumonia lesions.
These indicators give almost every doctor a headache.
Not only Zheng Ren, but also Su Yun used Fang Lin's old punches after watching the movie a few times. While beating him, he said he was weak, why did he admit such a serious patient
Such a serious patient is quite difficult to handle for Su Yun, a rising star in cardiothoracic surgery.
Similar to late-stage dilated cardiomyopathy, the patient's COPD is very severe. From a certain perspective, the patient is old.
Lung transplantation is a good solution, but the problem remains the same: it is very expensive and there is no lung source.
Excluding the "impractical" method of transplant surgery, Zheng Ren continued to think about other treatment methods.