Translator: 549690339
âNext, letâs talk about a key case. Most of the patients who were sent to the ICU two days ago should have seen it.âHuo Congjun waited for Ling ran to finish talking before he asked someone to pull out a powerpoint, he said, âFor patients who fell from a height and suffered multiple injuries, there are multiple fractures from the cervical vertebra to the caudate vertebra. There are also multiple organ injuries and respiratory impairment. Shock, massive bleeding, and pneumothorax appeared during clinical resuscitation. All of them have been given targeted resuscitation. What suggestions do you have for the next plan. âYes, weâll make a suggestion first. Then, weâll bring it up during the consultation in the hospital.â
Such a patient was naturally not something that an emergency department could handle. It was also not something that the orthopedics department or the ICU could handle. Instead, they had to work together with the neurosurgery department, General Surgery Department, Anesthesiology Department, and the nursing department, etc. , they had to discuss countermeasures together in order to deal with it. It was a typical case that required multi-disciplinary joint diagnosis and treatment.
Huo Congjun liked to use similar cases for consultations now. It was like having Li Yuanba under his command, wanting to fight with others. Having Zhang Yi under his command, wanting to play diplomacy with others, having Sun Wukong under his command.., wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others, wanting to fight with others.
Huo Congjun looked around the entire hospital. As long as it was a surgery, there was not a single person who could fight when it came to multi-disciplinary joint diagnosis and treatment.
There had never been a clinical medicine that purely talked about theory. Theory was linked to practice, and practice was the most normal mode.
For the same multi-disciplinary consultation, the person who came up with the proposal first had to be able to put the proposal into practice. It was just like how everyone knew that a beating heart surgery had many advantages over a beating heart surgery. If you did not know how to perform it, no one in the hospital would even know how to perform it, or if you could not even invite someone to perform it.., then, the proposal would be meaningless.
This was the case in Mayo Medical Academy, and it was the same in Bazhaizi Village Hospital.
Huo Congjun was also not very sure about Ling Ranâs judgment, therefore, he said in a lively manner, âTraditionally, we usually use conservative treatment for such serious bone and joint injuries because the risk of surgery is relatively high. However, conservative treatment may not be able to stabilize the fracture satisfactorily. After treatment, it is also easy for it to produce active bleeding. âHowever, in recent years, with the in-depth clinical research, some scholars also believe that surgery should be carried out immediately after the patientâs condition is stabilized through early resuscitation... our hospital usually adopts a diagnosis-by-diagnosis model for this type of patients. Therefore, there is no need for everyone to feel too much psychological burden. If you have any thoughts, you can speak up and discuss them. This is also the purpose of today.â
âIs the patient awake? What do the family members think?âDoctor Zhou asked.
âThe patientâs mental state is not stable yet. As for the family members, they are mainly the patientâs wife. They are more inclined to take active treatment.âHuo congjun paused for a moment, he said, âConservative treatment may result in disability, and the risk of being in a vegetative state is more difficult for the patient to bear.â
With the last sentence, all the doctors present were clear in their hearts.
âThen, it can basically only be an active surgery?âThe attending physician, Zhao leyi, who was the same year as Doctor Zhou, suddenly felt a little emotional, he said, âThis is why we usually treat our wives a little better. In the emergency department, itâs the other party who makes the decision whether to perform the surgery or not. Everyone, if you have nothing to do, go back and quickly buy a bag for your wives.â
âAre you going on stage without buying a bag?âDepartment director Tao laughed out loud.
Department director Li, who was at the side, said seriously, âWhat if someone outside buys two bags for your wives?â
âYour sense of crisis is a little heavy.âDepartment director Tao clicked his tongue.n/o/vel/b//in dot c//om
Huo congjun coughed twice and changed the topic, he said, âThe patientâs familyâs opinion is one thing, but we have to come up with a strategy ourselves. In addition, the patientâs family also has the idea of transferring the hospital. If they are really not confident, the hospital transfer can also be accepted.â
Yun Hua Hospitalâs emergency department was already an emergency medical center. The fact that Huo Congjun was still able to consider transferring to another hospital meant that there were many problems. Hence, everyone became even more serious.
However, this time, Ling ran did not wait for the others to speak. He said directly, âThere are advantages to surgical treatment. This patient can be given to our group.â
The people who had been holding back their enthusiasm and were about to speak all vented their anger.
There were many things that could be said about whether a complicated case should be treated conservatively or actively. A doctor who was familiar with the situation could even stand up to him for tens of thousands of words.
In other words, whenever Ling ran put forward any opinion, there would be people who supported it and people who opposed it. However, when he added the last sentence, the opposition he received was almost non-existent.
If you can do it, you can do it. This happened almost every day in the surgical field.
However, the most frustrating thing about the surgical field was that there were always some people who could really do it.
In fact, the probability of such a situation happening in a hospital was too high. Most of the department directors, Associate Department directors, and attending physicians were likely to go into action first before they scolded someone. They would do something that the lower-level doctors could not do before they started to scold someone.
âDonât say it so categorically.âHuo Congjun stood up and tried to persuade him. He smiled and asked, âWhat does the orthopedics department think?â
The attending physician of the orthopedics department was dumbfounded. How could he ask me about a case of this level?
âIâve never done this kind of surgery before.âThe attending physician of the orthopedics department directly gave up on the treatment. After all, they were in the emergency departmentâs meeting room, so the degree of embarrassment was not too great.
Huo Congjun was not surprised. He said calmly, âIf we come up with a plan, we will also discuss it with the orthopedics department. Letâs speak freely. Do you think there are any problems that need to be solved with this plan?â
The risk of rejecting a plan was far lower than that of agreeing with a plan. The attending physician of the orthopedics department was not too cowardly. He looked at Ling ran and said, âThis kind of trauma orthopedics surgery will definitely cause a lot of bleeding.â
âA lot of bleeding can be solved.âLing ran read the MRI scan carefully and calmly gave his answer.
âHMM... if the bleeding can be controlled, the surgery can indeed be done.âThe attending physician of the orthopedics department could not even be bothered to voice out any doubts. Since Ling ran had promised, there should basically be no problem.
Huo congjun nodded slightly. âthatâs right. It would be interesting if the other party could dodge and knock him down a little. Otherwise, it would be no different from hitting a wooden stake.â.
âWhat about the neurosurgery department?âHuo Congjun asked again.
The attending physician from the neurosurgery department smiled. âItâs difficult to determine the potential damage, but it should be meaningful to perform the surgery.â
âThe General Surgery Department?â
âNo objections.â
âHepatobiliary Department?â
âWe will definitely cooperate actively.âZhang Anmin almost had a flag on his forehead.
Huo congjun nodded. âIn that case, letâs push this surgery forward together with the other departments. Everyone should go back and communicate with each other. Ling ran, when do you want to perform the surgery?â
âAs soon as possible.âThere was not a hint of arrogance on Ling Ranâs face. It was really normal for him to show his face.
..
While the big shots were in the meeting, Yu Yuan quickly finished organizing some of her personal belongings. After she was done with these things, she carried the thermometer and food and went to visit Fragrant Park.
With the joint efforts of the children, their parents, and the children who were over the age limit, fragrant parkâs weight increased day by day. According to a rough estimate, the weight of the foie gras was at least two kilograms. Such a big, fat white goose naturally did not care about the pigeon-like food in Yu Yuanâs hands. Its first reaction when it saw Yu Yuan was usually to turn around and run away.
However, Xiang Manyuan pounced on it at the first moment today.
Yu Yuanâs nimble little hand grabbed it and chuckled, âWhatâs wrong? You still want to attack me?â
Xiang man garden shook its head vigorously. Someone behind it laughed and said, âItâs probably looking for someone to rely on and calling for help.â
Yu Yuan looked over in surprise. She saw Qin Min and her police dog, who had not seen each other for a long time, playing in the water under the shadow of the fountain.
âOfficer Qin, youâre back?âYu Yuan asked hesitantly. âI remember that you went to participate in some kind of security operation. Are You Feeling Alright?â
As a doctor, the worst thing one could do was to see an old friend or classmate suddenly appear.
Fortunately, Qin Min laughed out loud. She was dressed in casual clothes. She walked over and said with a smile, âIâm feeling well. Chestnut is also feeling well. This time, Iâm here for a physical examination to prepare for the following work. Oh right, whereâs Doctor Ling?â
Yu Yuan subconsciously chuckled. âDoctor Ling is also feeling well. Heâs always working.â
âHaha.âQin Min laughed out loud. She glanced at the fragrant garden in Yu Yuanâs hand and said, âThe Big Goose is probably afraid of my chestnut. Let It Go.â
âI thought it wanted to make trouble for me.âYu Yuan smiled.
Qin Min said, âThatâs not it. It was originally quite obedient and was not afraid of people. Perhaps chestnut was too fierce and scared it.â
Chestnut, who was called by his name, took a step forward and looked at Yu Yuan as if he was receiving a medal.
Yu Yuan unconsciously stretched out her hand, but when she considered the other partyâs identity as a police dog, she retracted it.
âYou can touch me.âQin Min smiled.
Yu Yuan raised her hand again.
At this moment, chestnut, the police dog, seemed to have received an order. It extended its furry claws and gently stroked the top of Yu Yuanâs head.
The air around the fountain suddenly froze.
âWhy did you bite me?âYu Yuan picked up the big white goose and started beating it up.