Chapter 290: Don't commit suicide or you won't die, a difficult fracture
After the critically ill pregnant woman was carried over, Du Leng discovered that media reporters were interviewing her, and he probably thought it was an opportunity to show off.
In addition, there were no patients seeking treatment at his desk, so he also came forward to participate in the consultation.
It was nothing.
But after he participated in the consultation, he sadly discovered that, like Gao Jian, he could not get a word in.
Not to mention giving constructive suggestions.
Not to mention him, even an old comrade like Deputy Director Shi had to force himself to express a few opinions.
No matter how much theoretical knowledge you learn, it will be useless if you don’t have any practical experience in clinical practice.
Optics is not enough, you have to put your knowledge into practice to be considered a real skill.
Throughout history, how many nerds have done well?
Du Leng is not a nerd, he is just a little too ambitious, always thinking of soaring to the sky and doing great things, which led to his current embarrassing situation. To put it bluntly, he has high aspirations but low skills.
To put it in a more popular way in society, big money can't be earned, small money is not rare, seven people are not angry, eight people are not convinced, and it's nothing.
He attended the consultation with the pregnant woman because he wanted to show his face in front of the media and to save face when he returned to Tuya Hospital. It would also be of great benefit to his future career development.
With his innate conditions, as long as he really has some ability, Tuya Hospital would be very willing to help him become a famous doctor.
He is very clear about this.
But in fact, Tuya Hospital is now supporting Zhou Can. The various treatments given to Zhou Can are getting better and better. Du Leng doesn't say it, but his heart is like a mirror.
If he said he wasn't anxious, that would be a lie.
Seeing Zhou Can's great contribution again, Du Leng felt jealous and anxious. He was so confused that he openly questioned Director Zhang's diagnosis and treatment in front of so many people.
Perhaps in his opinion, he was questioning Zhou Can's diagnosis, but he did not think about whether it was a bit hasty to ask Director Zhang's diagnosis in front of so many media reporters, family members, patients, and medical staff from the two hospitals.
This is simply courting death.
Who is Director Zhang Bihua? She is the head of the Department of Obstetrics and Gynecology of Tuya General Hospital. She is the director of the department and a top expert. She is an authority in the Department of Obstetrics and Gynecology.
Not to mention Du Leng, even Dean Zhu had to be polite when talking to Zhang Bihua.
This is not an exaggeration. As the leader of a department, how can his responsibility be low?
Just look at how awesome Director Xie of the General Surgery Department is.
What was the result of trying to deal with Zhou Can again and again?
The hospital's top management at most warned him not to do it again. They never imposed any substantial punishment on Director Xie, let alone said harsh words to him.
Now, Du Leng, a newcomer, relying on his impressive resume as a returned overseas PhD, was so bold as to publicly question Zhang Bihua's hasty diagnosis.
If this isn’t courting death, what is?
Director Zhang usually spoke to Du Leng with a smile on his face. At this moment, Director Zhang still had a smile on his face, but his eyes had become extremely cold. There was a fierceness in his eyes and eyebrows, which made people feel an invisible oppressive force.
"Doctor Du feels that the diagnosis made by Doctor Zhou Can and I was too hasty. So I want to ask you, can you clearly diagnose the cause of this pregnant woman's illness?"
"I... I need time and more tests! I believe that as long as all the necessary tests are done, the diagnosis of the cause of the disease will be much more accurate."
Du Leng was at a loss when faced with Director Zhang's questioning.
"You need time, that's a very good point. But have you ever thought about this? This pregnant woman is in critical condition, and every minute and every second is extremely precious. By the time you finish a bunch of unnecessary or unimportant tests, the patient may have missed the best time for rescue, or even a tragedy that no one wants to see may happen."
Director Zhang Bihua’s speech is quite fluent.
Even though he was extremely angry, he did not point his finger at Du Leng and curse him. When talking about the possible condition that might happen to the patient, he tried to avoid using the word death.
"Doctor Du, you are also a doctor of medicine who graduated from a prestigious overseas university. You don't need me to teach you the big principles. As an old doctor with more than 30 years of medical experience, I advise you that practicing medicine is not like writing articles. You should save as much as possible on those flashy and superficial things. To save the patient's life, you should race against time and avoid dogmatism. You must not stick to formalities and engage in formalism, disregarding the patient's life. This pregnant woman is in a very critical condition. We should use the least and fastest examination methods to find out the cause of her illness and give her the correct rescue. This is the correct way to rescue her."
"From your words and actions, you still haven't learned your lesson from yesterday. I'll stop here. I hope you can listen to me and truly respect life and put patients first."
Ginger is definitely spicier when it’s older.
Director Zhang Bihua criticized Du Leng harshly in her lecture.
At the same time, it won applause from the audience.
During the time she criticized Du Leng, the patient had already been sent to the emergency room to have a catheter inserted and a urine sample taken for testing.
It is simply wishful thinking for him to challenge Director Zhang Bihua's status and authority.
No one would pay attention to his questions at all.
Du Leng's face turned red, white, and blue.
If yesterday's embarrassment was due to the fact that the family members were difficult to fool, then today's humiliation in public was purely self-inflicted.
Sometimes, even the smartest people can make stupid moves.
This is a typical case of being too clever.
"I will listen carefully to your teachings, reflect deeply, and strive to do better in the future."
After Du Leng finished his polite words, he sat back at his desk dejectedly.
At this moment, he probably wanted to die.
Faced with countless strange looks and media reporters taking pictures, he felt humiliated, ashamed and angry.
Not long after, bad news came from the emergency room.
"Chief Tang, it's bad. The pregnant woman who was sent to the hospital for emergency treatment has a sudden drop in blood pressure and is having difficulty breathing. She has fallen into a coma."
Upon hearing this bad news, Section Chief Tang almost collapsed to the ground.
What you fear will come true.
Now the entire treatment process of this pregnant woman has been recorded by the media, and there are many family members taking photos on the spot.
What if something goes wrong?
Holding this expert consultation activity is like a double-edged sword. If it fails, it will be fatal.
Someone almost lost his life yesterday, and this thrilling incident happened again today.
His life as the head of the Propaganda and United Front Work Department is really difficult.
"Director Zhang, you are an authoritative expert in this field. Please take your people over there and think of a solution."
Section Chief Tang could only ask Director Zhang Bihua for help.
Xinxiang Women's and Children's Hospital is not weak in fact. The emergency room has the chief physician of the hospital in charge. If there is no other way, they will definitely not ask Chief Tang for help.
"Members of the crisis team are heading to the emergency room with me!"
Zhang Bihua had no choice but to go ahead with it.
Plans cannot keep up with changes.
Originally, according to her idea yesterday, if such a situation occurred that required rescue, the crisis management team and the medical staff of Xinxiang Women's and Children's Hospital could work together to rescue the patient.
But the current situation is special. She is the attending doctor and the patient is a pregnant woman, so she cannot refuse.
"Please hurry up for the laboratory test results. The cause of the pregnant woman's illness is still unknown, which is extremely unfavorable for the rescue work."
Director Zhang Bihua is well aware of the danger involved.
Only by finding the cause of the disease can we give correct rescue measures.
At this time, Section Chief Tang's cell phone rang again.
"I am Tang Jiuyin, please speak!"
Section Chief Tang was in a very anxious state at the time, so naturally his tone was not very good.
But soon, he shouted in great surprise, "Okay, okay, your test results came just in time." After hanging up the phone, Section Chief Tang shouted to Director Zhang Bihua, who was already leading the team to the emergency room, "Director Zhang, the test results are out, blood free fat droplets are positive. Urine fat droplets are positive."
At this critical moment, the test results came out, which greatly encouraged Director Zhang, Zhou Can and others.
"The possibility of fat embolism is already very high. This disease is extremely dangerous and has a very high mortality rate. I hope there is still time for rescue." Director Zhang Bihua took Zhou Can and others to the emergency room and implemented various rescue measures on the patient as soon as possible.
Because it is difficult to pinpoint the exact location of embolism, there is no special treatment for this disease.
There are three aspects to consider: respiratory support. Generally, non-invasive ventilators are given priority. In severe or special cases, invasive ventilator support is required.
Protection and monitoring of brain function, including intracranial pressure monitoring, prevention of cerebral edema, etc.
Circulatory support mainly involves monitoring of central venous pressure and hemodynamics through pulmonary artery floating catheter. Because the pregnant woman was diagnosed in time and was still in the early stages of the disease, Zhou Can consulted with Director Zhang and used fluid resuscitation and vasoactive drugs to help her through this difficult time.
…
More than three hours later, the pregnant woman's vital signs had stabilized after a series of rescue efforts.
"Director Shi, Zhou Can, I leave this to you."
Director Zhang said to the two team leaders with a tired look on his face.
The entire process of rescuing the pregnant woman was extremely dangerous. Ordinary medical staff were just busy, but Director Zhang, Deputy Director Shi, and Zhou Can were under tremendous pressure.
Fortunately, Zhou Can is an expert in rescue. Whether it is invasive intubation, putting on invasive ventilator, establishing central venous pressure monitoring, etc., all are operated by Zhou Can.
Some important rescue measures were also formulated, and Zhou Can also made great contributions by providing advice and effort.
On the contrary, Deputy Director Shi, who ostensibly serves as the leader of the crisis management team, actually spends most of his time standing by and doing nothing.
"You go ahead and do your work. We will take good care of her. If we encounter a situation that we can't handle, please come over to help." Deputy Director Shi quickly expressed his opinion.
Director Zhang Bihua criticized Du Leng in public, and the authority she established invisibly was enough to make Deputy Director Shi and others feel uneasy.
It can be clearly felt that Deputy Director Shi's attitude towards Director Zhang has become very respectful.
Zhou Can, on the other hand, didn't feel much.
It is also possible that he and Zhang Bihua already had a close relationship.
In his opinion, Du Leng was asking for trouble.
You really can’t blame Director Zhang for being strict.
"The patient's condition is now more stable. You can take turns eating. Doctors and nurses are also human beings, not made of iron. You should also take care of your health."
Although Zhang Bihua is strict, she is also very concerned about the health of medical staff.
"I've asked the canteen's chef to prepare some hot meals and dishes, and I'll call to arrange for someone to deliver them right away. Thank you for all your hard work today. If it weren't for everyone's efforts to save her, this pregnant woman would have died a long time ago."
Section Chief Tang was also very happy to see that the pregnant woman was out of danger.
During the entire rescue process, the two people who were most frightened were not Director Zhang and Zhou Can, but Section Chief Tang and Dean Tian.
Although Dean Tian did not show up, the fact that he made a phone call every fifteen minutes to inquire about the progress of the rescue was enough to show that Dean Tian, who was sitting in the office, was more anxious and worried than anyone else.
Now that the danger has been averted, everyone is happy.
These doctors and nurses who rescued the pregnant woman are all heroes.
Naturally, you should be rewarded well.
As soon as Director Zhang walked out of the emergency room door, several reporters immediately surrounded him.
"Director Zhang, how is the pregnant woman doing?" These reporters are more concerned about the safety of the pregnant woman than her family members. It's really laughable.
I can only say that they are so dedicated.
It is estimated that they had already taken photos . Now they are just waiting for a result so that they can complete the writing of the press release in advance.
"Thank you for your concern. The pregnant woman has been rescued by many medical staff from Tuya Hospital and Xinxiang Women's and Children's Hospital. She is now out of danger. Director Zhang has been busy rescuing patients and has not eaten yet. Please make way for her."
Section Chief Tang directly blocked the group of reporters for Director Zhang.
"Excuse me, why haven't the medical staff involved in the rescue come out yet?"
Mu Ming was thinking about Zhou Can.
Since she didn't see Zhou Can come out, she naturally thought that there was something going on inside.
Maybe the patient is still being rescued.
After all, what Chief Tang, a propaganda man, says cannot be taken too seriously.
"The remaining medical staff are still guarding the pregnant woman to ensure the safety of the pregnant woman and the fetus. Our medical staff are working very hard, so please do not interfere with their work as much as possible."
These reporters are not so easy to deal with.
Standing at the door and unwilling to leave.
On the contrary, the pregnant woman's family members were overjoyed to hear that she was out of danger.
After a while, someone from the hospital cafeteria delivered food.
The medical staff in the emergency room took turns coming out to eat.
In fact, after the pregnant woman's vital signs become stable, she can be observed for a while. If there is no major problem, she can be admitted to the hospital and transferred to the general ward for follow-up treatment.
Most people with fat embolism syndrome recover completely with treatment.
At present, as long as the pregnant woman's condition does not deteriorate further, her life will definitely be saved.
It is estimated that after staying in the emergency room for about three or four days, the ventilator can be removed.
In general, fat embolism syndrome is much less malignant than amniotic fluid embolism.
Even if the pregnant woman survived the current crisis, she still had a hard time. Her femoral head was fractured and no doctor would dare to operate on her.
But if she waited until after giving birth to have the surgery, the callus would have already formed and there was even a possibility of abnormal healing.
These are all very difficult questions.
Zhou Can took the X-ray of the pregnant woman's femoral head and studied it carefully.
Her fracture was quite serious and surgery was not possible, so she could only try to use external fixation to help the fracture site heal in situ.
However, the structure of the femoral head is one of the most complex bone joints in the body.
Even with surgery, sometimes the condition cannot be cured and the entire hip joint needs to be replaced.
Now we want to fix it without surgery, which is a great test of the doctor's fracture external fixation technology and level.
Zhou Can’s fracture external fixation skills are currently at level three, which is the middle level for resident physicians.
This is because after completing the orthopedic surgery residency, I occasionally get the opportunity to gain experience in fracture external fixation by performing surgeries in multiple departments.
Otherwise, he would still be at the lower level of resident physician.
"Doctor Zhou, we have finished our meal, you and Ji You should go eat!"
Deputy Director Shi and other medical staff came back after dinner.
It was Zhou Can and nurse Ji You's turn to go eat.
Ji You had worked in the critical care department and had extensive experience in rescue assistance. She performed very well in today's rescue. She also had a gentle personality and never hesitated to do things. She had a high level of professionalism in critical care and rescue.
There are not many nurses who are both gentle and capable, and Zhou Can is particularly satisfied with her.
However, the two were only assigned to this newly established crisis management team yesterday, so they are far from familiar with it.
"Doctor Zhou, let's go! If you want to study fracture treatment plans for pregnant women, you can come back after dinner to study! Working so hard that you forget to eat and sleep is very bad for your body!"
She greeted Zhou Can with a smile.
"Let's go eat!"
Zhou Can quite enjoys the feeling of being cared for.
Put down the X-ray.
"Director Shi, I'll leave the situation here to you for now. You must closely monitor her central venous pressure and blood oxygen index. Call me at any time if you have any questions. Don't worry about me not finishing my meal."
Zhou Can was still a little worried before leaving.
There is a huge amount of variability in all types of vascular embolism.
Sometimes things really change in a flash.
Just like a battlefield, it seemed calm yesterday, but fierce fighting suddenly broke out the next day, and the side that was in a good situation was defeated.
After efforts to rescue the pregnant woman, she is temporarily out of danger, but there is still a possibility of relapse.
Deputy Director Shi’s skills in rescue are actually far inferior to Zhou Can’s.
Director Shi himself is very clear about this.
"Don't worry, I'm watching! Go eat!"
Deputy Director Shi urged him.
Zhou Can and Ji You walked out of the emergency room, and the female reporter Mu Ming, who had been squatting at the door, immediately came over to greet them.
Others may not know Zhou Can's strength and hidden status, but she knows it very well.
We wanted to know the specific condition of the pregnant woman, but Director Zhang refused to be interviewed. It was difficult to get accurate information from other medical staff. So, when other reporters left, she stayed here.
Zhou Can is her target.
Especially when she saw that other medical staff came out of the emergency room to eat and only Zhou Can hadn't shown up, she became more certain of her guess.
"Hi! Doctor Zhou, can I ask you about the pregnant woman's condition?"
Mu Ming waved and greeted Zhou Can with a faint smile on her face.
