Chapter 369 Yes
Fang Haoyang also attached great importance to the patients in bed No. 5. He asked Fang Han to go to the office to inquire about the situation as soon as he went to work in the morning.
"The patient's condition has basically not improved much, so the operation should be done as soon as possible. It is not a good thing to delay it." Fang Han briefly talked about the situation, and then told his opinion in a realistic manner.
"Then how high do you think the patient's recovery of wounds after surgery is?" Fang Haoyang asked.
Fang Haoyang is very precious in this patient. If he does well, he will become a classic case in the emergency department of Jiang Intermediate People's Hospital.
Diabetic patients undergo liver resection surgery, and this situation is quite difficult even in a large hospital such as provincial hospitals or military medical university.
Diabetic patients have poor immunity, poor physical function, low immunity, very poor microcirculation, and poor blood circulation. In this case, a large-scale surgery such as liver resection is quite risky.
After the operation, once the wound fails to heal and the infection occurs, the patient will almost die for a lifetime.
Therefore, in the case of bed 5, the surgery is high, and the patient's mortality rate is very high. Generally, hospitals do not like such patients very much.
Not to mention the patient's severe diabetes, even a simple liver resection, the risk is not small. Combining the two, it is not as simple as one plus one equals two.
But high risks also mean high returns.
What do large domestic hospitals rely on to gain their reputation and maintain their reputation? They rely on top surgical procedures and superb skills.
How many colds and fevers have you cured in your Grade 3 hospital? What is your sense of accomplishment?
The more difficult the operation is, the more it can actually highlight the strength of a hospital.
The emergency department of Jiang Intermediate People's Hospital has only officially begun to be reorganized. If this surgery can be done well, it will be a good start for the emergency department.
When I went back last night, Fang Han had actually considered the situation of bed No. 5 and had probably had an idea in his mind.
He pondered slightly: "There are certain risks, but if we do the right method after the operation, the probability of the patient's wound recovery is still very high."
Fang Haoyang tapped the table with his fingers gently. After a long time, he said: "Then you will have surgery tomorrow morning, and let the patient be conditioned for another day today to adjust his condition to the best."
"Okay, then you'll have surgery tomorrow morning." Fang Han nodded.
......
Doctor's duty room.
Chen Yuan is sitting behind the desk and is also communicating with the patient's wife.
"Sit down, don't be restrained." Chen Yuan smiled and tried his best to make himself look kind.
However, no matter what smile Chen Yuan showed, the patient's wife was still a little nervous. She carefully sat down on the chair opposite the desk, looking at Chen Yuan with nervousness in her eyes.
"Relax, I'll ask you to come. Actually, I'm explaining your husband's condition. We will try our best to negotiate the best treatment plan."
Chen Yuan asked himself to maintain a very natural posture and said kindly: "I think you know your husband's situation?"
"Well, he should have a liver removal."
"Your husband's liver is seriously damaged and has even begun to ulcerate. It must be removed. There is another situation you should also understand, your husband's blood sugar is very high."
The woman nodded, and she naturally knew this. Her husband had been in high blood sugar for several years.
"Do you know that patients with high blood sugar have low immunity, poor physical function, and difficulty in recovering the wound?"
The woman shook her head.
Chen Yuan was not surprised. Most people don’t necessarily understand this situation. This is also one of the reasons why the hospital communicates with patients or their families in advance.
As patients and their families, they naturally have the right to know. Not to mention letting the families of patients understand the principles of treatment, at least they need to understand some risks during the treatment process.
"Patients with hyperglycemia have poor wound healing due to various reasons such as low immunity, poor microcirculation, poor blood flow, etc. Hepatitis resection not only leaves wounds on the liver, but also have a knife blade of about 30 cm in the abdomen. Once such a long wound cannot heal and infection occurs, it may cause life danger..."
"What should I do?" The woman suddenly panicked. What should I do?
"What I'm talking about is just a probability. Our hospital will take measures as much as possible to promote the healing of patients' wounds, but there are still risks..."
......
The woman walked out of the doctor's duty room with a pale face and did not go back to the ward directly. Instead, she came to the corner of the hospital corridor, took out the phone and dialed a number.
Leng Cen is holding a department meeting at this moment, and the phone number left by hand rings.
After looking at the caller ID, Leng Cen greeted the director and hurried out of the conference room with his cell phone.
"Hey, sister-in-law, I'm having a meeting now. If you have anything, I'll go back to you after the meeting."
"Second, your elder brother is almost out of reach, wuwu..."
As soon as Leng Cen finished speaking, a female voice came from the phone, followed by a choking sound.
"What, my elder brother is almost out of reach?" Leng Cen was stunned. He didn't care about the meeting at this moment and asked hurriedly: "Where are you now? I'll come here right away."
"In the emergency department of Jiang Intermediate People's Hospital." The woman replied.
"Okay, you're waiting there, I'll arrive soon."
After hanging up the phone, Leng Cen returned to the conference room and muttered a few words in the director's ear. The director nodded. Leng Cen hurriedly left the conference room. Before he even had time to change his clothes, he went to the parking lot in a white coat and headed straight to the emergency department of Jiang Intermediate People's Court.
Leng Cen was anxious along the way.
Leng Cen is very respectful and grateful to his elder brother. His elder brother has made great contributions to his achievements like this today.
Leng Cen and his sister are the eldest, Leng Chen, the second, Leng Cen, and the third, Leng Ling.
The Leng family's original family background was actually not very good. Now everything in the Leng family can be said to be Leng Chen's hard work. Leng Chen is nine years older than Leng Cen. When Leng Cen was still in middle school, Leng Chen had already started his business outside.
Leng Chen took care of the tuition and living expenses for Leng Cen studying abroad in recent years, and Leng Ling went to school in one hand.
The elder brother is like a father, Leng Chen, the elder brother is not just like a father, he is really like a father, taking care of their brother and sister's growth.
In more than half an hour, Leng Cen's car rushed into the parking lot of Jiang Intermediate People's Court. The car stopped steadily, Leng Cen ran all the way and headed straight to the emergency department of Jiang Intermediate People's Court.
"Second."
Leng Cen just ran into the emergency department, and a female voice came from beside her, which was Leng Cen's sister-in-law.
"Sister-in-law." Leng Cen hurriedly came forward and asked anxiously: "How is my brother doing now?"
"I'm still in the observation room, but the situation is not good."
As soon as he heard that the person was living in the observation room, Leng Cen knew that his condition was not very critical and hurriedly comforted the woman.
"Don't worry, what's going on, tell me slowly. I know a lot of experts. I will definitely find the best expert for my brother. Even if it's an expert from Yanjing or Shanghai, I can invite him."
As a top student who graduated from Harvard Medical School and returned from an internship at Puhawkins Hospital, Leng Cen is indeed a rising star in the medical field and has a good connection.
Some of his mentors and classmates at that time were in Shanghai and some were in Yanjing. If Leng Cen asked for help, many people would be willing to invest in Leng Cen, the future star.
"Your brother has diabetes. He fell again not long ago and didn't pay much attention. He was sent to the hospital and found out that it was liver damage. It seemed that he had ulcerated. What kind of liver resection is needed." The woman didn't understand very well, and she stammered and told the situation.
"Do you need a liver resection?"
Although the woman didn't understand what she said, Leng Cen understood. As an expert on external chest, Leng Cen naturally understood the significance of liver resection and also understood the risks of liver resection in diabetic patients.
"Why is it still left in Jiang Intermediate People's Court for liver resection?" Leng Cen was a little puzzled. As far as he knew, there was no conditions for liver resection in Jiang Intermediate People's Court.
"I don't know much about this either. At that time, your brother felt uncomfortable, so we came to the emergency department of Jiang Intermediate People's Hospital. I thought it was just a small problem, but who knows..."
"Who is the attending doctor? I'll see you first. How can my brother stay in Jiang Intermediate People's Hospital in this case? I'll contact the hospital later and transfer my brother to our medical affiliation hospital first. Although our medical affiliation hospital is not as good as Yanjing and Shanghai, it's quite good in our Jiangzhou Province."
"The attending doctor's surname is Chen, and his name is Chen Yuan."
"I'll go and see you first. In this case, Jiang Intermediate People's Court dares to keep people. What are their thoughts?"
As he spoke, Leng Cen's face turned pale and followed the woman straight to the duty room.
The woman took Leng Cen to the door of the duty room, and Chen Yuan happened to go out.
"Doctor Chen, this person..."
The woman was also planning to introduce Leng Cen to Chen Yuan. After she said something, she was interrupted by Leng Cen. Leng Cen looked at Chen Yuan bluntly: "Are you Leng Chen's attending doctor?"
"It's me." Chen Yuan nodded, looked at Leng Cen, who was also wearing a white coat in front of him, and asked politely: "What are you?"
"You don't have to worry about who I am. I just want to ask, since your Jiang Intermediate People's Hospital diagnosed Leng Cen with liver damage and diabetes, why did you still keep the patient in the hospital? Could it be that your Jiang Intermediate People's Hospital has the ability to undergo hepatic resection surgery?"
Chen Yuan nodded: "Yes, if not, why should we leave the patient in the hospital?"
"Uh..." Leng Cen was choked in an instant.
He had thought about all kinds of possibilities, but he had never thought that the other party would actually answer.
Jiang Intermediate People's Court can also have liver resection now, why don't he know?
"Yes?" Leng Cen sneered: "If I remember correctly, Jiang Intermediate People's Hospital is a traditional Chinese medicine hospital. When will the traditional Chinese medicine hospital be qualified for liver resection?"
As a top student who has returned from Harvard Medical School, Leng Cen has very clear about the channels of the medical industry.
There are policy restrictions on any hospital that has the qualifications to perform the surgery of what type of standard. In layman's terms, doctors with the qualifications to practice traditional Chinese medicine can only adopt traditional Chinese medicine treatment methods, while doctors with the qualifications to practice Western medicine can only adopt Western medicine treatment methods.
As a traditional Chinese medicine hospital, the Jiang Intermediate People's Hospital may be qualified to do some simple debridement and sutures in the emergency department, so it can be resectioned?
Not to mention the liver removal, or joint replacement, it is illegal.
Chapter completed!