The Department of Orthopedics admitted three seriously ill patients.
Bedside X-rays were taken, and they were all patients with multiple fractures. Logically speaking, multiple fractures are not terrible, and surgery is enough.
However, the patient's condition is relatively poor. His breathing, pulse, and even consciousness are not very good.
Liu Muqiao turned around and returned to the Department of Orthopedics.
He felt that these patients were not that simple, so he decided to take charge.
Director Tao asked for instructions, "Should we operate as soon as possible? I'm worried that the patient will be in danger."
Liu Miqiao stretched out his hand, folded his fingers and said: "First, invite a general surgeon for consultation, one from both hepatobiliary and intestinal surgery; second, ask Zhu Yaguang from the neurosurgery department for consultation; third, ask the cardiology department to come for consultation as soon as possible;
Fourth, notify the ECG to do bedside ECG and notify B-ultrasound to do bedside emergency B-ultrasound."
Director Tao quickly complied.
The doctor from the electrocardiogram and B-ultrasound room came with the machine.
After they finished the examination, Liu Miqiao said eagerly: "How was it?"
The electrocardiogram doctor said: "Aside from increased sinus rhythm, the three patients have no other problems."
The B-ultrasound doctor said: "No problems were found in the abdomen of patients in bed 4. There was a small amount of fluid in the abdominal cavity of bed 8. There was also a small amount of fluid in bed 9. The liver seemed to have a subcapsular hematoma."
Liu Muqiao was slightly surprised.
This is not good news.
At this time, Du Xiaoping arrived.
Xu Fansheng has also arrived.
Hua Bucheng has also arrived.
Zhu Yaguang is on the road.
They heard that the boss, Liu Muqiao, was in charge of the Department of Orthopedics, so how dare they neglect him?
Among them, Xu Fansheng and Hua Bucheng came off the operating table and left the surgery to others.
They are all a little strange. You, Liu Muqiao, are here. Do you still need us to come for consultation?
You, Liu Muqiao, are still our teacher.
None of them expected that Liu Miqiao's mastery of general surgery was not as good as neurology. He had learned the "Encyclopedia of Neurology" in neurology, which is a skill that integrates diagnosis and treatment.
As for the other pancreas, liver, and large intestine, what he prescribed was surgical skills, not diagnostic skills. Of course, it does not mean that he has no diagnostic skills, because imaging is a diagnostic technology.
There is no problem with imaging diagnosis for Liu Muqiao, but manual physical diagnosis, that is, looking, touching, percussing and listening to the abdomen, is not what he is good at.
Several big names gather in orthopedics.
Xu Fansheng, Du Xiaoping, Zhu Yaguang, and Hua Bucheng carefully examined the patient. They began to discuss and came to a surprising conclusion.
Except for the 4-bed patient, the other two patients must undergo laparotomy immediately.
They suspected internal organ damage.
How dangerous!
If Liu Muqiao hadn't been vigilant, these patients might have ended up on the orthopedic operating table, where their bones were reattached but their bodies were gone.
Zhu Yaguang saw 4 beds of patients and came to the same conclusion as Liu Miqiao. This patient had a brainstem contusion and needed nerve protection.
The main method of protection is to reduce edema in the injured area.
Of course, so-called nerve-nourishing drugs must also be used.
It is certain that the only drug that nourishes the brain nerves is Huatuo Regeneration Pills. Most of the others are placebos or have slight nutritional effects.
This is not surprising. When it comes to treating diseases, regular doctors still have a good idea. There are not many drugs with real therapeutic value. Most of them are placebos or have theoretical effects.
Many doctors do not use a large amount of medicine when they are sick. Medicines that protect the liver, stomach, and brain are all theoretical.
They don't take it seriously either.
In order to relieve the symptoms of a cold, doctors will use some cold granules or something like that. They don’t expect the cold granules to cure colds.
Of course, there are some doctors who take a lot of medicines when they have a cold. It can be said that such doctors are definitely not knowledgeable and have not even entered the door of medicine.
Medicine is both complex and simple.
Treatment is based on symptoms and causes. Which diseases require symptomatic treatment and which diseases require treatment based on the cause? It is actually not difficult.
Zhu Yaguang does not recommend that 4-bed patients undergo orthopedic surgery immediately. If external fixation can be performed, it is best not to undergo surgery.
However, the patient had a femur fracture, a clavicle fracture, and a compression fracture of the spine.
If a femur fracture is prepared for intramedullary pinning, this fixation method is more suitable.
Clavicle fractures are also treated with intramedullary needles.
Spinal compression fracture, they are going to use bone cement.
This is correct.
If he was wrong, Director Tao almost sent the patient to the operating table directly. If he said that, the patient might die.
Zhu Yaguang said external fixation, which means no surgery. It was purely layman's talk and he didn't know anything about orthopedics. Director Tao sneered a few times in his heart.
However, Liu Muqiao didn't think so.
He thought, the key now is whether he can survive the brain stem injury. Orthopedic surgery is definitely not possible.
If it cannot be done, logically, the fracture should be externally fixed, and temporary external fixation should also be done.
However, I can do external fixation except for my arms, but not other parts.
"Director Tao, can you do external fixation?"
Director Tao shook his head and said, "It's pointless. You have to have surgery. If you can't do it now, then just wait a week or ten days."
"What should I do these days?"
These days, the patient has to move even if he has to poop or urinate. Isn’t this pain too excruciating?
In particular, there is another problem: if it is not fixed, new injuries will be caused when the patient moves.
Where bones are broken, there are often sharp pieces of bone that can cut blood vessels and nerves.
This is a serious complication to consider.
In the past few times, patients who had suffered femoral fractures died. Some of them died of blood loss due to severed aorta.
It seems that the level of orthopedics is like this.
Must be fixed.
Liu Muqiao gave the instructions.
Director Tao had no choice but to use traction to fix the femoral fracture, the figure-of-eight lock to fix the clavicle, and a hard bed to fix the spinal fracture.
During the discussion, a call came from the operating room. The patients who had just undergone laparotomy were one with intestinal perforation and the other with liver rupture.
How dangerous!
Director Tao and Dr. Chang both broke out in a cold sweat.
Otherwise, today is not a dispute, but a group of disputes.
Liu Muqiao breathed a sigh of relief.
He got up and went to the operating room.
He is going to go for surgery.
Not for laparotomy, but for orthopedic surgery.
For these two patients, their intestinal perforations were repaired and their livers were also repaired. Next, it was the orthopedic surgeon’s turn.
Liu Muqiao really wanted to develop an orthopedic surgery skill, so he had to do it during orthopedic surgery.
Director Tao and Dr. Chang each performed one operation.
Dr. Chang is also the chief physician of the Department of Orthopedics. He leads a group of doctors. In this group, there is a chief physician, a deputy chief physician, an attending physician, and two resident physicians.
It stands to reason that this combination is powerful enough.
However, Dr. Chang was still unsure and chose a relatively simple surgery.
The combination of Director Tao's team is much different. The one he works with is Dr. Fan, who is the attending physician. Since this person is not easy to lead, Director Tao has to take him in himself.
His surgery is more difficult, and because his liver is ruptured and his condition is relatively serious, others will naturally not choose this surgery.
Liu Muqiao wants to see this operation.
Firstly, he wanted to see how orthopedic surgery was done; secondly, he wanted to see what Director Tao's surgical skills were like; thirdly, he was ready to wait for an opportunity to open the treasure box.
He dreams of developing advanced skills in orthopedics.
Now he has a high-end treasure box in his hand, and Liu Maqiao has recited the Buddha's name a thousand times.
This chapter has been completed!