Back in 2002 as a doctor

This topic flew directly into the sky.

But this is what Mr. Bao has been thinking about, so he said it casually.

Feng Ming was stunned for a moment, then smiled apologetically, "Of course he's amazing."

"Vice-Governor Jin, they explained that they will start asking for the National Natural Science Foundation of China the year after next. If not, don't think about advancing."

"!!!"

"Hurry up, there are not enough people in the clinic..." The chief resident said a lot of words, and finally sighed, "Come on, take a look at the patients."

"President Bao, you said that the patient should have nothing to do." Feng Ming asked tentatively.

Feng Ming felt a lot more at ease since no one knew about his being a second-five boy.

"I guess it's enough." The hospital chief said, "You don't know the person who gave the opinion, but I do. He is Zhou Congwen with a heart, and he is said to be Mr. Huang...he is one of the chief editors of the Department of Surgery. You will know when you go back and have a look." .”

"Oh oh oh." How could Feng Ming dare to say that his dean was with Zhou Congwen, and he had just tipped off the news.

"Zhou Congwen said that there might be something wrong, and the patient's condition is not right after he comes back. Why do I always feel that what he said is right." The hospital manager said hesitantly.

Feng Ming didn't dare to speak, this kind of thing has nothing to do with him.It is true to do the thing at hand well and not to make mistakes.

Before entering the ward, I heard the patient's painful voice coming from the ward.

I went in and took a look, the hospital manager appeased the patient's family and came out with a sad face.

"Doctor Feng, am I dazzled?"

"President Bao, you mean the patient has jaundice?" Feng Ming asked.

"Well, why do I think the patient has severe jaundice?"

"I think so. Ordinarily, the stones have been taken out, so the jaundice should be mild. When you turned the patient's eyelids just now, I can see that the sclera is yellow. This is worse than the preoperative symptoms."

The hospital always picked up the phone, hesitated for a long time, and still sighed deeply, and didn't dare to call.

I was scolded just now, and calling now is just asking for trouble.

Wait, you can continue to observe anyway.

12 hours later.

It was already late at night, Feng Ming squatted in the ward, observed for so long without blinking his eyes, but he was not tired, but became more and more serious and cautious.

The telephone communication with Dean Xiao has been going on, and the patient's postoperative condition... Gradually deteriorated to the point where it could no longer be concealed.

Pain, fever, jaundice, these gradually became serious, and even Feng Ming believed that the patient had already had initial symptoms of shock.

After reporting the situation with Dean Xiao, Feng Ming stood in the corridor, feeling a deep fear of the application of new technologies.

It is said that there should be an immediate effect, but after the operation, the patient's symptoms gradually worsened, and there was even a trend of acceleration.

What is the difference between doing and not doing this new technology?

Of course, there are differences. If ERCP surgery is not performed, the situation may not be so serious.

"Mr. Bao." Feng Ming saw the inpatient come out of the ward in a hurry, and he rushed to meet him.

Chapter 1179 I order you to cure the patient!

"It's not right, I think the patient has symptoms of septic shock." The hospital was always nervous, but he didn't forget to lower his voice.

The bigger the thing, the quieter the voice is, which is common sense.

Septic shock!This is a very serious clinical diagnosis.

The hospital always rushed to the nurse's station, picked up the landline and made a call.

This time he didn't hesitate.

The patients were already in shock, so there was no hesitation.

Report the situation to the director, and the other side will probably wake up immediately, this is the rhythm of something big going to happen!

The tense atmosphere in the department × 10, the night shift nurses walked faster involuntarily.

Soon, the director of hepatobiliary surgery rushed over. After seeing the patient, he looked sad and kept calling.

The patient had the Charcot triad of abdominal pain, fever, and jaundice before the operation; but the Rtynolds pentalogy of abdominal pain, fever, jaundice, shock, and nerve depression appeared after the operation!

In other words, instead of solving the problem, that world-renowned expert added two more problems to the triad—shock and nerve depression.

This is so special!

The patient probably had a hard time getting through it. The director of the Department of Hepatobiliary Surgery did not dare to delay. He knew that although this patient lived in his own ward, he was definitely not something he could handle.

Call the dean in charge and report to the director of medical affairs, let the front line start to write critical records, and explain the situation to the patient's family first, so that the patient's family will not be full of joy, thinking that the world-renowned expert will recover soon after surgery stand up.

This huge psychological gap is the most terrible thing.

More and more people came to the hospital, and everyone looked dignified. Within half an hour, even Dean Lin rushed over.

Glancing at the patient, everyone was sitting in the doctor's office, but no one spoke.

The atmosphere in the office was oppressive and suffocating.

During the day, Zhou Congwen's words seemed to echo in his ears, and he slapped his hands.

"What do you think of the patient's condition?" Dean Lin asked the director of the Department of Hepatobiliary Surgery with a gloomy face.

"Linyuan, abdominal pain, fever, jaundice, shock, nerve depression Rtynolds five syndrome manifestations indicate that the patient now has acute severe cholangitis, this disease is fatal."

Although he knew that everyone who spoke bad news would end badly, but the matter was of great importance, the director of the Department of Hepatobiliary Surgery still bit the bullet and told the truth.

And he knew very well that Dean Lin was not from a clinical background, and his last four words were extremely clear.

Dean Lin's face was overcast, as if it was going to rain cats and dogs in the next second.

"The anti-infective drugs have already been given to Meiping and Wangu, and there is no use for them any further." The director of the hepatobiliary surgery saw that Dean Lin did not speak, and did not go to that damn expert, so he gritted his teeth and continued. .

"Assay WBC 30.5*10＾9/L, HGB 110g/L, neutrophil ratio 95%, total bilirubin 150mmol/L, direct bilirubin 56umol/L, indirect bilirubin 94umol/L, glutathione Transaminase 128IU/L.

The patient's body temperature is now 39.9 degrees Celsius and cannot be controlled. "

A flash of lightning appeared on Dean Lin's face, and the silver snake danced wildly.

He didn't have a clinical background, so he couldn't understand the laboratory test sheet, but his body temperature was nearly [-] degrees, and he still knew what it meant to be uncontrollable.

Recalling what the director of the Department of Hepatobiliary Surgery said just now—this disease is fatal, Dean Lin's face flashed with lightning.

The director of the hepatobiliary surgery department saw that Dean Lin hadn't made a statement. After a few seconds of silence, he gritted his back molars and continued to clarify the matter.

"I took the patient for an examination just now, and both B-ultrasound and CT showed obstruction of the extrahepatic bile duct. That is to say, the patient's condition did not improve after Dr. Laurent Fabius performed the ERCP operation, but became more serious."

"Whoa~"

Dean Lin's face began to rain heavily.

The director of the hepatobiliary surgery told the actual situation and also reported his own understanding, so he remained silent.

The wind and rain are at stake.

But Dean Lin remained silent for a full minute, despite the pouring rain.

The director of the hospital office felt the awkward atmosphere and hesitated for a moment. Seeing that Dean Lin didn't speak, he asked, "Director Sun, what do you think the next step should be?"

"Surgery, laparotomy, find the problem."

"Are you sure?" asked the director of the hospital office.

The director of the Department of Hepatobiliary Surgery mourned, "The patient is now in septic shock, and his condition is not good, and he has also undergone ERCP surgery. I don't understand the new technology, and I don't know what's going on inside. If he reluctantly comes on stage, it may be a disaster." few."

"You..." Dean Lin glared angrily at the director of the Hepatobiliary Surgery Department when he heard the words "more than good, no good".

The director of the Department of Hepatobiliary Surgery said bravely, "The patient has already developed the five syndromes of acute severe cholangitis, and there is at least a 90% probability that he will not survive the surgery."

After hearing this appalling number, Dean Lin fell silent.

The director of the Department of Hepatobiliary Surgery seemed to think it was not enough, and continued, "Even if the patient reluctantly undergoes the operation, the possibility of death in the ICU is extremely high."

"!!!"

"!!!"

"Director Sun, don't worry, tell me how you are going to solve the problem now. I heard you mean that you will die if you have surgery, and you will die if you don't have surgery. This is more difficult." The director of the hospital office still kept a trace of Sensible, he asked.

The director of the hepatobiliary surgery almost turned up the table and scolded his mother.

The people were invited by the courtyard, with such fanfare that they almost set off firecrackers.No one asked me what to do before, why didn't I talk when something happened, and threw the blame on myself.

The words of the director of the hospital office sound ordinary, but they are actually murderous.

The director of the hepatobiliary surgery gritted his silver teeth and said directly, "I suggest seeing Dr. Laurent Fabius. After all, we have no experience in ERCP surgery, and we don't know what is blocked in the bile duct. What."

"We've contacted the hospital." The director of the hospital office didn't bother him, rubbed his hands, and said in embarrassment, "Dr. Laurent Fabius has already shut down his phone and rested, so don't bother him."

"!!!"

The director of hepatobiliary surgery spread his hands and lowered his head.

"Can it be done until tomorrow morning?" Dean Lin asked.

"That's enough." The director of the Department of Hepatobiliary Surgery lowered his head and said in a muffled voice, "The longer the time, the more severe the infection, and the patient's jaundice is also progressively worsening. There may be no chance tomorrow morning."

Dean Lin's face was as dark as a black hole, not even light could escape.

Looking at the dejected director of the Department of Hepatobiliary Surgery, Dean Lin thought of Dr. Laurent Fabius cursing directly on the table, and also thought of Zhou Congwen from the Second Hospital, and his heart was very disturbed.

He slapped the table and stood up, "The patient is the result of your cholecystectomy. Hurry up and cure the patient. This is an order!"

"..."

The director of hepatobiliary surgery almost passed out.

Chapter 1180 Erwu Boy's Excuse

Seeing Dean Lin throwing his sleeves away, the director of the Hepatobiliary Department grinned, and his whole body turned into a log.

What's the matter!

Before the operation, the patient did have stones in the common hepatic duct, but there was no surgical operation to remove the stones in the common hepatic duct.

After the operation, because the gallbladder was removed, the local anatomical structure changed, and the stones fell from the common hepatic duct to the common bile duct.

But Dean Lin turned around and left as thoroughly as possible.

What a surprise!

The director of the hepatobiliary department sat on the chair stupidly, thinking about this, he was a little dazed.

If there is a medical dispute in this matter, it has nothing to do with him. He can be sure that in the end, the hospital must help clean up the mess.

Most of the things in itself are caused by the courtyard, and it can even be said that most of them are caused by the courtyard.

Counting on the French experts to take the blame is just a dream. Their mobile phones are turned off in the middle of the night, and they don't care if the sky falls.

Look at others, then look at yourself!

The director of the hepatobiliary department wanted to cry, but he didn't stand up, but sat slumped on the chair, looking in the direction of Dean Lin's departure.

It has nothing to do with medical disputes. The main reason why I was angered was that the operation failed and the patient was on the verge of death.

Dean Lin had planned for a long time to overwhelm the Second Hospital of Medical University in the ERCP, but he did not expect such a poor result in the end.

"Director." The chief inpatient asked cautiously.

The director of the hepatobiliary department seemed not to hear, and stared at the door in a daze.

"director?"

"director!"

"What are you doing!" the director of the hepatobiliary department asked blankly.

"Have a cigarette, Director." The inpatient said blankly, also wanting to cry without tears.

At this time, I can only smoke a cigarette, then call relatives and friends, and ask other people what else they can do.

It's just that it's not easy to make phone calls with relatives and friends. This is the last resort when you have nowhere to go.

The director of the hepatobiliary department followed the hospital manager to the fire escape with a dazed expression. They were silent and extremely depressed.

No one speaks, the world is gloomy, the time for a cigarette, and then we have to face patients with septic shock.