Tang Xiu wore light makeup and looked smart and capable.
She had received an important mission — to interview Old Chief Physician Pan of the emergency department of Sea City General Hospital. First, she would stay at home and collect all the information about Doctor Zheng. Then, she would go to the Imperial Capital and wait outside the Imperial Capital Hospital for a few months in advance, waiting for the news of the Nobel Prize in October.
It was more than four months in advance, but Tang Xiu did not think that it was a big deal. For the Nobel Prize, no amount of attention could be paid to it.
In Tang Xiu's opinion, this was a long-term main mission. If she did it well, she would definitely be a candidate for the next chief editor of Sea City Metropolis Daily.
In order to fight for this spot, Tang Xiu had put in a lot of effort.
In the end, it was the interview with Doctor Zheng that had played a decisive role. She had the experience of contacting Doctor Zheng and had done related topics.
With the support of the old chief editor, Tang Xiu had obtained the biggest project of Sea City Metropolis Daily this year.
She had to do it well! Tang Xiu cheered herself on.
Although she also knew that this matter would definitely not come to fruition this year. Before and after receiving the mission, Tang Xiu searched for a lot of information. In the end, she came to a conclusion — Doctor Zheng would need at least ten years to win the Nobel Prize.
But who cared?
It would be best if he could win it. If he could not, just a nomination for the Nobel Prize would be enough to shock Sea City. After all, this was the first time Sea City was so close to the Nobel Prize.
She carefully planned and pestered Old Chief Physician Pan for a few days before she asked a lot of relevant things like squeezing toothpaste.
However, what surprised Tang Xiu even more was that from the few chief residents who came to support from the Imperial Capital Hospital, she obtained more information related to Doctor Zheng.
During the weekend, Doctor Zheng actually came back once but missed the opportunity. This made Tang Xiu feel very regretful.
When she interviewed Chief Wang and a few other doctors who came to support, their tone made Tang Xiu realize that what Chief Zheng had done in the Imperial Capital far exceeded her imagination.
Therefore, she brought the plan forward and applied. Without waiting for the process, she directly brought a few of her capable subordinates to the Imperial Capital.
She was about to collide with the major newspapers and television stations in the Imperial Capital. Tang Xiu had no confidence at all. She could only rely on the friendship she had with them in the past.
However, when she thought of this, Tang Xiu cursed Wei Feng for the nth time in her heart.
However, these were all indifferent emotions. Tang Xiu arrived at the Imperial Capital as fast as she could and prepared to wait for a long time.
..
…
Meanwhile, Zheng Ren was standing in the thoracic surgery department's office, looking at the radiographic films in front of him.
The big red stethoscope on Fang Lin's shoulder was so flashy and eye-catching.
This consultation was a difficult patient.
Male, 72 years old, malnourished, complaining of repeated coughing, phlegm, and wheezing for 30 years. Pulmonary function tests showed that he had severe obstructive ventilatory dysfunction. Inhalation therapy had been used for many years.
One week ago, the patient suddenly experienced chest tightness, chest pain, and dyspnea after an activity.
A CT scan of the lungs at the local hospital showed that the left pneumothorax and scattered inflammation in the lower lobe of the left lung.
Emergency left thoracic cavity closed drainage was performed, and the symptoms improved after continuous negative pressure drainage.
Because the patient's physical condition was relatively poor, the local hospital did not consider the possibility of surgery at all.
The patient would pant after taking a few steps and could not even climb a single floor. This was a relative contraindication for thoracic surgery.
If it was not done well, there might be a situation where the ventilator could not be taken off after the surgery. At that time, the patients suffered. Not only did the family spend a lot of money, but the doctors also had headaches every day.
During the surgery, he could barely survive, but after the surgery, he had to enter the ICU and rely on machines to keep him alive. This was something that no doctor wanted to encounter.
Excluding surgery, the local doctor decided to perform thoracic cavity closed drainage first and then observe the treatment.
However, in the state of drainage, the lungs had completely expanded, but there was still a large amount of gas being drawn out. This meant that the surface of the lung was very large, and according to the patient's physical condition, it would be very difficult to heal.
After a hospital consultation, the local hospital again ruled out the possibility of surgery and gave 50% glucose.
Thoracic cavity injection for pleural fixation treatment.
However, after the surgery, the patient continued to experience chest tightness and shortness of breath.
Review of chest radiographs showed repeated pneumothorax and found that there was a separation in the chest cavity. Multiple adjustments and chest drainage tubes were made.
At most, the local doctor placed three drainage tubes in the patient's left chest wall at the same time. However, everything was useless. The closed thoracic cavity drainage bottle continued to bubble, and the pneumothorax could not heal.
There was no other way. He would be transferred to a higher-level hospital. The biggest reliance of the local hospital was the higher-level hospital. If they could not treat it, why not admit defeat? Our skills are poor and we can't treat it. Please go to a higher-level hospital.
Therefore, the patient was sent to Fang Lin in the emergency department.
The chief resident was responsible for handling the emergency department. It was just a simple pneumothorax. Although Fang Lin felt that it was difficult, he was too embarrassed to look for a higher-level doctor.
If it had been a year ago, he would still have looked for such a difficult patient. However, Fang Lin now had a magic weapon and the ultimate magic — Summon Boss Zheng.
Zheng Ren looked at the radiographic films in front of him with his chin in his hand. He maintained a fixed position for a full 30 minutes.
'It's so difficult …' Zheng Ren sighed as he looked at the radiographic films.
The patient's basic conditions were too poor. It was very difficult to pass the anesthesia stage on the operating table. In the operating theater of the System, he had done 10 surgical training sessions. Although the surgery could be completed, the surgical completion rate was not high.
The highest was only 59%, and the lowest was only 43%.
With such a low surgical completion rate, it was better not to do it. If the tube could not be removed after the surgery, would he have to rely on the ventilator to live? If that was the case, it would be better to keep the chest tube inserted.
Zheng Ren ruled out surgery and kept thinking about what to do.
The patient's condition was really difficult to deal with. After admission, blood gas analysis: PH: 7.47, PCO: 51
mmHg，PO2
MmHg, actual bicarbonate: 37.1
Mmol/l, standard bicarbonate: 33.9
Mmol/l, alkali remaining: 13.4
Chest CT: After left pneumothorax drainage, left hydropneumothorax, partially wrapped, left chest wall subcutaneous accumulation of gas, both lungs emphysema with bullae, both lower lung inflammatory lesions.
These indicators gave almost every doctor a headache.
It was not only Zheng Ren. After looking at the radiographic films, Su Yun gave Fang Lin a good beating. As he punched, he said that he was unlucky. Why did he accept such a serious patient?
Such a serious patient was quite difficult to deal with for Su Yun, the rising star of the cardiothoracic surgery department.
Similar to advanced dilated cardiomyopathy, the patient's COPD was very serious. From a certain point of view, the patient was old.
Lung transplantation was a very good method, but the problem was still the same. The cost was huge and there was no lung source.
Eliminating the 'impractical' method of transplantation, Zheng Ren continued to think of other treatment methods.
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