Chapter 1411 Why Did You Bite?

"Next, let's discuss a key case. Most of the patients who were sent to the ICU two days ago should have seen it." Huo Congjun waited for Ling Ran to finish chatting, and then asked someone to pull out the PPT, saying: "Falling from a high place , The patient with multiple injuries has multiple fractures from the cervical spine to the tail spine, as well as multiple organ injuries and impaired respiratory function. Shock, hemorrhage, and pneumothorax occurred during clinical rescue, and targeted rescue was performed. Plan, do you have any suggestions? Well, let’s come up with a suggestion first, and then put it forward during the consultation in the hospital.”

Naturally, such patients cannot be handled by a single emergency department, nor can they be handled by the orthopedics department or the ICU. It is a typical case that requires multidisciplinary joint diagnosis and treatment.

Huo Congjun now likes to use similar cases for consultation. It’s like if you have Li Yuanba under your command, you want to fight with others. If you have Zhang Yi under your command, you want to play diplomacy with others. If you follow Shunshuomao, if you have Kato Taka under your hand, you want to follow Shunshu Maomo, and if you have Einstein under your hand, you want to follow Shunshu Maomo.

Huo Congjun looked at the whole hospital, but there was not a single one who could do anything surgical in nature, and any multi-disciplinary joint diagnosis and treatment.

Clinical medicine has never been purely about theory. It is the most normal mode to combine theory with practice and practice with a greater proportion.

For the same multidisciplinary consultation, the person who proposes the plan must first be able to implement the plan. It's as if everyone knows that beating heart surgery has many advantages over beating heart surgery. You don't know how to do it, and no one in this hospital can do it, or you can't even invite someone to do it. That proposal would be meaningless.

This is true at Mayo School of Medicine, as well as at Bazhaizi Township Hospital.

Huo Congjun was not very sure about Ling Ran's judgment, so he said briskly: "Traditionally, we usually use conservative treatment for this kind of severe bone and joint trauma, because the risk of surgery is relatively high, but conservative treatment is not necessarily The fracture site can be satisfactorily fixed, and active bleeding is prone to occur after treatment. However, in recent years, with the deepening of clinical research, some scholars also believe that surgical treatment should be performed immediately after the condition is stabilized through early resuscitation... For this type of patients, our hospital usually adopts a one-case-one-diagnosis model, so everyone does not need to have too much psychological burden, and you can talk about any ideas you have, which is also the purpose of today."

"Is the patient awake? What do the family members think?" Dr. Zhou asked.

"The patient's mental condition is not stable yet. The family members, mainly the patient's wife, tend to adopt active treatment." Huo Congjun paused, and said: "Conservative treatment may cause disability, and the risk of vegetative state is the other party's treatment. rather unbearable."

With the last sentence, all the doctors present knew it clearly.

"Then basically it can only be an active operation?" Zhao Lele, the attending doctor who was the same year as Dr. Zhou, suddenly felt a little emotional, and said: "This is why you should treat your wife better. When you go to the emergency department, whether to have an operation or not is a matter of choice." People make the decision. Everyone has nothing to go back, so hurry up and buy a bag for your wife."

"Come on stage without buying a bag?" Director Tao laughed.

Director Li next to him said seriously: "What if someone outside buys two bags for your wife?"

"Your sense of crisis is a bit heavy." Director Tao clicked his tongue.

Huo Congjun coughed twice, brought the topic back, and said: "The opinions of the patient's family members are one aspect, and we have to come up with strategies ourselves. In addition, the patient's family members also have the idea of ​​transferring to another hospital. acceptable."

The emergency department of Yun doctor is already an emergency center, and Huo Congjun can still consider transferring to another hospital, which can explain a lot of problems, so everyone became more serious.

However, this time, Ling Ran did not wait for others to speak, and said directly: "Surgical treatment has advantages.

This patient can be given to our group. "

Those who were holding back their energy, but who were about to speak, all vented their anger.

For a complicated case, whether to adopt conservative treatment or active treatment, there is a lot to say. A doctor who is familiar with the situation can even talk to himself tens of thousands of words.

In other words, whenever Ling Ran puts forward any opinion, there will always be supporters and opponents. But when he added the latter sentence, he got almost no objection.

You do what you want, this happens almost every day in the surgical industry.

However, the most frustrating thing in the field of surgery is that there are always some people who can really do "I will do it if you can't".

In fact, the probability of this happening in the hospital is too high. Before cursing, most directors, deputy directors, and attendings may go to the battle first, do what the doctors below can't do, and then swear.

"Don't be so absolute." Huo Congjun stepped forward to persuade him, and asked with a smile, "What do you think about orthopedics?"

The attending orthopedic doctor looked confused. Can you ask me about a case of this level?

"I've never had this kind of surgery." The orthopedic surgeon directly gave up the treatment. Anyway, it was in the conference room of the emergency department, and the degree of embarrassment was not too severe.

As expected, Huo Congjun said calmly: "If we have a plan here, we will discuss it with the orthopedics department in detail. Let's talk freely. What problems do you think need to be solved in this plan?"

The risk of denying a plan is far lower than that of agreeing to a plan, and the orthopedic surgeon is not too timid. He looked at it and said: "This kind of traumatic orthopedic surgery will definitely cause massive bleeding."

"Hemorrhage can be resolved." Ling Ran read the MRI film carefully, and calmly replied.

"Hmm... If the bleeding can be controlled, surgery can indeed be done." The orthopedic surgeon didn't even bother to raise any doubts. Since Ling Ran guaranteed it, there would basically be no problems.

Huo Congjun nodded slightly, that's right, it's interesting if the opponent dodges a little before knocking him down, otherwise it's no different from hitting a stake.

"What about neurosurgery?" Huo Congjun asked again.

The neurosurgery attendant smiled slightly: "It's difficult to judge the potential damage, but it should be meaningful to do it."

"Puwai's side?"

"No comment."

"Heart and gallbladder?"

"We will definitely cooperate actively." Zhang Anmin almost planted a flag on his forehead.

Huo Congjun nodded: "In this case, several of our departments will advance this operation together, and everyone will communicate with each other when they go back. Ling Ran, when do you want to have the operation?"

"As soon as possible." There was no trace of arrogance on Ling Ran's face. It was normal for him to show his face.

...

During the time when the bosses were meeting, Yu Yuan hurriedly finished sorting out some personal belongings. After finishing these things, she took the thermometer and food and went to visit Xiangmanyuan.

Thanks to the joint efforts of the children, their parents, and the overage children, Xiangmanyuan's weight is increasing day by day. It is roughly estimated that the weight of the foie gras is at least 2 kg. Such a big white goose, fat and strong, naturally does not care about the pigeon-like feed in Yu Yuan's hands. When it sees Yu Yuan, its first reaction is usually to turn around and run away.

However, today's Xiangmanyuan rushed over immediately.

Yu Yuan grabbed it with her nimble little hand, and laughed, "What's the matter? You still want to attack me?"

Xiang Manyuan shook her head vigorously, while someone behind her smiled and said, "It is probably looking for support, calling for help."

Yu Yuan looked over in surprise, and saw Qin Min, whom she hadn't seen for a long time, and her police dog, playing with water under the shadow of the fountain.

"Officer Qin, you're back?" Yu Yuan said hesitantly, "I remember you went to participate in security operations or something? Are you in good health?"

As a doctor, what I fear most is the sudden appearance of an old friend or classmate.

Fortunately, Qin Min laughed aloud. She walked over in casual clothes and said with a smile: "I am in good health, and chestnut is also in good condition. This time, I am here to do a physical examination and prepare for the next work. That's right, Ling Where's the doctor?"

Yu Yuan snorted subconsciously: "Doctor Ling is fine too, and has been working all the time."

"Haha." Qin Min laughed out loud, then looked at the Fragrant Garden in Yu Yuan's hand, and said, "The big goose is probably afraid of my chestnuts, you should put it away."

"I thought it was trying to trick me." Yu Yuan smiled.

Qin Min: "No, it was quite obedient and not afraid of people, maybe the chestnut is too fierce and scared it."

Li Zi, whose name was called, took a step forward, facing Yu Yuan as if receiving an honor.

Yu Yuan stretched out her hand unconsciously, but took it back considering the other party's status as a police dog.

"You can touch it." Qin Min smiled.

Yu Yuan then raised her hand again.

At this time, the police dog Lizi stretched out its fluffy paws as if it had received an order, and gently stroked the top of Yu Yuan's head.

The air near the fountain suddenly condensed.

"Why did you bite?" Yu Yuan picked up the big white goose and started to beat it. 8)