"Next, let's discuss an important case. Most of you should have seen most of the patients who were sent to the ICU two days ago." Huo Congjun waited for Ling Ran to finish talking before he asked someone to pull out a PowerPoint and said, "The patient fell from a high place and suffered multiple injuries. He had multiple fractures from the cervical vertebrae to the coccyx, multiple organ injuries, and respiratory impairment. He suffered from shock, massive bleeding, and pneumothorax during clinical resuscitation. We did targeted resuscitation. Do you have any suggestions for the next plan? Hmm, let's come up with a suggestion first, and we'll bring it up during the hospital's consultation. "
Such a patient was naturally not something that could be handled by the Emergency Department alone, nor could it be handled by the Orthopedics Department or the ICU. They had to work together with the Neurosurgery Department, the General Surgery Department, the Department of Anesthesiology, the Nursing Department, and other departments to discuss countermeasures. It was a typical case that required multi-disciplinary joint diagnosis and treatment.
Now, Huo Congjun liked to bring out similar cases for consultation. This was just like how a person who had Li Yuanba as his subordinate wanted to fight against others. A person who had Zhang Yi as his subordinate wanted to play diplomacy with others. A person who had Sun Wukong as his subordinate wanted to compete with others. A person who had Takashi Kato as his subordinate wanted to compete with others. A person who had Einstein as his subordinate wanted to compete with others.
Huo Congjun looked at the entire hospital. None of the surgeries that were involved in multi-disciplinary joint diagnosis and treatment had a fighting chance.
Clinical medicine never only talked about theory. It was the most normal way to integrate theory with practice, and practice played a larger role.
In the same multi-disciplinary consultation, the person who came up with the plan must first be able to implement the plan. It was just like how everyone knew that cardiac surgery that did not stop beating had many advantages over cardiac surgery that stopped beating. If you did not know how to do it, no one in the hospital knew how to do it, or if you could not even invite someone to do it, then the plan would be meaningless.
This was the case in Mayo Medical College, and it was the same in Bazhaixiang hospital.
Huo Congjun was also not very sure about Ling Ran's judgment, so he said in a lively manner, "Traditionally, we usually use conservative treatment for this kind of serious bone and joint trauma because the risk of surgery is higher. However, conservative treatment may not allow the fracture to be fixed satisfactorily. After treatment, it is easy to have active bleeding. However, in recent years, with the development of clinical research, some scholars also believe that early resuscitation treatment should be carried out immediately after the patient's condition is stabilized … Our hospital usually uses a one-diagnosis model for this type of patient. Therefore, you don't have to feel too burdened. If you have any ideas, you can speak up and discuss them. This is also the purpose of today's meeting. "
"Has the patient woken up? What do the family members think? "Doctor Zhou asked.
"The patient's mental state is not very stable. The family members, mainly the patient's wife, are more inclined to take active treatment." Huo Congjun paused for a moment and said, "Conservative treatment may result in disability and the risk of becoming a vegetable. This is something that the patient can't bear."
With the last sentence, all the doctors in the room knew what was going on.
"So, we can only perform active surgeries?" Zhao Leyi, an attending physician who was in the same year as Doctor Zhou, suddenly felt a little sentimental. He said, "This is why we usually treat our wives better. When we're in the Emergency Department, it's up to them to decide whether they want to perform surgery or not. If you guys have nothing to do, go back and buy a bag for your wives. "
"Are you going to go on stage without buying a bag?" Chief Physician Tao laughed.
Chief Physician Li, who was next to him, said seriously, "What if someone outside buys two bags for your wife?"
"You have a strong sense of crisis." Chief Physician Tao clicked his tongue.
Huo Congjun coughed a few times and changed the topic. He said, "The opinions of the patient's family members are one thing. We also have to come up with a strategy. Besides, the patient's family members also have the idea of transferring the patient to another hospital. If they are really not confident, transferring the patient to another hospital is also acceptable. "
The Emergency Department of Yun Hua Hospital was already an Emergency Medical Center. If Huo Congjun still considered the problem of transferring the patient to another hospital, it could explain a lot of things. Everyone became even more solemn.
However, this time, Ling Ran did not wait for other people to speak. He said directly, "Surgical treatment has its advantages. This patient can be given to our group."
Those who were originally a little angry and prepared to speak up all lost their anger.
A lot of things could be said about a complicated case whether to take conservative treatment or active treatment. A doctor who was familiar with the situation could even argue with himself for tens of thousands of words.
In other words, no matter what Ling Ran said, there would be people who agreed with him and people who opposed him. But when he added the last sentence, there were almost no objections.
If you can do it, you do it. This happened almost every day in the field of surgery.
However, the most helpless thing in the field of surgery was that there were always some people who could really do it if you can't do it.
In fact, the probability of this happening in the hospital was too high. Most of the chief physicians, associate chief physicians, and attending physicians might first go up and do things that the doctors below them could not before they scolded others.
"Don't be so absolute." Huo Congjun stood up and persuaded them. He smiled and asked, "What do the Orthopedics Department think?"
The attending physician from the Orthopedics Department was dumbfounded. 'Can you ask me about this kind of case?'
"I have never done this kind of surgery." The attending physician from the Orthopedics Department directly gave up on the treatment. Anyway, they were in the conference room of the Emergency Department, and the degree of embarrassment was not too great.
Huo Congjun expected this and said calmly, "If we come up with a plan, we will also discuss it with the Orthopedics Department in detail. Let's speak freely. What problems do you think need to be solved in this plan?"
The risk of rejecting a plan was far lower than agreeing to it. The attending physician from the Orthopedics Department was not too afraid. He looked at it and said, "This kind of traumatic orthopedics surgery will definitely cause a lot of bleeding."
"A lot of bleeding can be solved." Ling Ran seriously read the MRI scan and calmly gave his answer.
"Hmm … If the bleeding can be controlled, the surgery can indeed be done." The attending physician from the Orthopedics Department did not even bother to question Ling Ran. Since Ling Ran promised, there would basically be no problem.
Huo Congjun nodded slightly. 'That's right. It'll only be interesting if the other party dodges a little before we knock him down. Otherwise, it's no different from hitting a wooden dummy.'
"What about the Neurosurgery Department?" Huo Congjun asked again.
The attending physician from the Neurosurgery Department smiled slightly. "It's difficult to determine the potential damage, but it should be meaningful to do it."
"How about the General Surgery Department?"
"No problem."
"Liver and gallbladder?"
"We will definitely actively cooperate." Zhang Anmin almost stuck a flag on his forehead.
Huo Congjun nodded. "In this case, our departments will push forward this surgery together. Everyone, go back and communicate with each other. Ling Ran, when do you want to perform the surgery?"
"As soon as possible." There was not a trace of arrogance on Ling Ran's face. Showing his face was really normal for him.
…..
While the bosses were in a meeting, Yu Yuan took the time to sort out some of her personal belongings. After she was done, she took the thermometer and food and went to visit Fragrance Yard.
With the joint efforts of the children, the children's parents, and the overage children, Fragrance Yard's weight increased day by day. A rough estimate showed that the weight of foie gras was at least more than two kilograms. Such a plump and strong big white goose naturally did not care about the foie gras in Yu Yuan's hands, which looked like it was feeding pigeons. Its first reaction when it saw Yu Yuan was usually to turn around and run away.
However, today, Fragrance Yard was the first to pounce on Yu Yuan.
Yu Yuan grabbed it with her nimble little hand and chuckled. "What's wrong? Do you want to attack me? "
Fragrance Yard shook its head vigorously. Someone behind her laughed and said, "It's probably looking for someone to rely on and is crying for help."
Yu Yuan looked over in surprise. She saw Qin Min and her police dog, whom she had not met for a long time. They were playing in the shadow of the fountain.
"Officer Qin, you're back?" Yu Yuan said a little hesitantly, "I remember that you went to participate in some kind of security operation? Are you okay? "
As doctors, the thing they were most afraid of was the sudden appearance of an old friend or classmate.
Fortunately, Qin Min laughed out loud. She was dressed in casual clothes. She walked over with a smile and said, "I'm fine, and Chestnut is also fine. This time, we're here for a physical examination to prepare for the upcoming work. By the way, where's Doctor Ling? "
Yu Yuan subconsciously snorted. "Doctor Ling is also fine. He's always working."
"Haha." Qin Min laughed out loud. She then glanced at Fragrance Yard in Yu Yuan's hand and said, "The big goose is probably afraid of my Chestnut. Let it go."
"I thought it wanted to pick on me." Yu Yuan smiled.
Qin Min said, "No, it's quite obedient and not afraid of people. Maybe Chestnut is too fierce, and it scared it."
Chestnut, whose name was called, took a step forward and faced Yu Yuan as if it was receiving an award.
Yu Yuan subconsciously extended her hand, but when she thought about the other party's identity as a police dog, she retracted her hand.
"You can touch it." Qin Min smiled.
Yu Yuan raised her hand again.
At this time, the police dog Chestnut seemed to have received an order. It extended its furry paw and gently stroked Yu Yuan's head.
The air near the fountain suddenly froze.
"Why are you biting me?" Yu Yuan picked up the big white goose and started beating it up.
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