The people from the medical administration division had solemn expressions, which meant that the matter was serious.
Either the patient herself was particularly important, or it involved a complicated doctor-patient dispute.
If it was just Chief Lin, the possibility of the patient being important was not high.
That was a doctor-patient dispute.
A misunderstanding had unknowingly arisen and spread. Many of the chief physicians who came for consultation were careful, afraid of being stained with feces.
Ten minutes later, Lin Ge decided to find time to ask Su Yun first.
He cleared his throat, looked at a young doctor from the ICU standing at the door, and said, "Close the door, let's start the consultation."
"Report the medical history first," Lin Ge glanced at ICU Chief Wu Dong and said in a deep voice.
The chief resident immediately took a step forward, stood behind Chief Wu Dong, and reported, "The patient is a 64-year-old female patient who was admitted with progressive dyspnea for two weeks. The patient had progressive dyspnea and low blood pressure in the past two weeks … "
The chief resident reported the medical history. After the patient was admitted, the echocardiogram showed obvious dilation of the right ventricle. Lung CT findings: There was a large filling defect originating from the pulmonary valve in the trunk of the pulmonary artery.
Combined with the clinical symptoms and a large number of auxiliary examination results, it was considered acute pulmonary embolism (PE), and thrombolysis was given.
However, the effect of thrombolysis was not good. The patient's dyspnea was still progressively worsening, and the ventilator had begun to assist with breathing to maintain vital signs.
The condition was relatively simple, and there was not much controversy over the diagnosis. Pulmonary embolism … There were not many clinical treatments for this disease.
Early detection and thrombolysis was the best way.
However, the patient had been admitted to hospital with progressive dyspnea for two weeks, missing the best time for treatment.
Everyone knew these things in their hearts.
There was probably no good way.
The critical illness notice made the patient's family mentally prepared. As for the patient, it was up to fate how long they could hold on.
After the ICU chief resident reported the medical history, the consultation staff from each department began to speak and discuss the condition.
Breathing, cardiothoracic, vascular, and circulation. Several professors each expressed their opinions.
Concise and to the point.
There was probably no good way for the patient. They could only continue with thrombolysis and then rely on fate.
Chief Mao Chi of the vascular department had treated a patient with pulmonary embolism for ten days three years ago.
However, there were not many successful cases. That time was just a coincidence.
As he spoke, Lin Ge suddenly saw that Chief Wei of the gastrointestinal surgery department was also there. He was a little curious. After the vascular department finished speaking, he asked, "Chief Wei, why are you so free to come to the consultation? Did he call you? "
If one of his staff members called the wrong number, he would definitely teach her a lesson when he got back.
The department directors of each department were all busy people. If they were dragged over for an unrelated consultation, they would have a lot of opinions about it.
The Medical Administration Division was not a clinical department that could be wantonly trampled on. They had to be polite and restrained when doing things.
Director Wei shook his head and said, "A friend asked me to help take a look."
Oh, I see. When Lin Ge saw Director Wei's expression, he roughly knew the relationship.
Since Director Wei could come, it was probably a request from a very good friend.
He listened without saying a word. This meant that it wasn't his friend's business, but someone else's.
The complicated logic in the middle had become a kind of instinct after being exposed to it for a long time.
The people in the medical administration division were all dirty.
"Who is it?" Although Lin Ge knew clearly, he still asked out of politeness and caution.
"A friend of a friend's mother."
Lin Ge nodded. His judgment was right.
"His condition is very serious, Director Wei. Let the family be prepared," Lin Ge said.
Director Wei also knew the situation. He came because of Zhang Weiyu's request. He took a look and knew what was going on. He went out to give Zhang Weiyu an explanation.
There would always be a time when manpower was exhausted. There were some things that could not be helped.
He nodded and sat in the corner of the wall without saying much.
Soon, the consultation of the whole hospital ended. The opinion was still relatively unified — continue the thrombolysis treatment, communicate with the patient's family, and let the family understand the seriousness of the condition.
As for whether to give up or not, or whether to treat the patient until the last second, it was up to the patient's family.
As for how to observe the patient's expression, how to carry out the treatment, and how to communicate with the patient's family, it had nothing to do with Lin Ge.
He announced the end of the meeting and walked out with his notebook.
"Director Wei, are you busy over there?" Lin Ge walked with Director Wei and asked casually.
"It's okay, just like that," Director Wei said. "I can't even turn around in the corridor."
Large-scale tertiary Grade A hospitals were like this. The number of beds was added to the end of the corridor.
The number of patients admitted to a certain extent depended on the number of doctors, but interestingly, the more decisive factor was the number of nurses.
Some hospitals even depended on the number of people for training.
As he walked, Lin Ge suddenly had a thought. It seemed that this Director Wei and Boss Zheng were a little familiar.
"Director Wei?"
"Hmm?"
"Tell me, how good is Boss Zheng's surgical skills?" Lin Ge bluntly brought the topic directly to him, not hiding it at all.
Director Wei was slightly stunned, then immediately smiled and said, "Very good. Let's put it this way, better than me. "
"Director Wei, you're being humble."
"It's really not." Director Wei smiled and said, "Let's not talk about the previous surgery. The day before yesterday afternoon, the emergency department sent a patient who took a bottle of medicine. Do you still remember?"
"Yes." It was still a short time, so Lin Ge would not forget Chief Zhou from the emergency department to call him about this matter.
At that time, he was shocked. Could it be that ignorant doctor who did not know the gravity of the situation and was talking nonsense with the patient in the outpatient clinic?
However, after the investigation, the patient bought the medicine from the pharmacy. Because he did not get a card, the salesperson was a little unhappy, so he directly said such a thing.
"I also heard from Feng Jianguo that Boss Zheng participated in the surgery," Director Wei said, "There was a glass fragment that penetrated the stomach wall and scraped the superior mesenteric artery. At that time, Boss Zheng used a laparoscope to suck the blood while examining it. In less than a minute, the bleeding was successfully stopped. "
Lin Ge said nothing.
When it came to professional matters, he had long been out of date.
When he was in the clinic, there was no laparoscope. Lin Ge only knew that laparoscopes were minimally invasive devices, which had now been widely used in the clinic.
Lin Ge finally could not help but interject, "Boss Zheng also knows laparoscopy."
Director Wei looked at Lin Ge as if he was looking at a stupid landlord's son, speechless for a long time.
"Don't be like that. Tell me, Chief Wei."
"Chief Lin, Boss Zheng not only knows how to do it, but he also does it very well!" Director Wei said as he gave a thumbs up.
"I know what you're thinking. Usually, Boss Zheng broadcasts surgeries, and it's rare to see him perform laparoscopy, right? Moreover, with the surgical instruments given by Dr. Charles, he mainly performs the traditional method of surgery, "Director Wei said.
Lin Ge nodded.
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