"We have already boarded the airport ambulance!" Officer Wang had a smile on his face.
Director Han gently punched Yang Ping: "Don't worry!"
The rest will be handed over to the chest pain center nearest to him. This patient at least has hope.
I have done my best in my duties.
Everyone dispersed, Director Han expressed his gratitude to Officer Wang, and everyone returned to the Comprehensive Orthopedics Department.
Yang Ping and Song Zimo no longer need to go out of the clinic. They didn't need to go out in the first place, just because everyone was more active on the first day of the clinic and opened several clinics at the same time, making the scene more grand.
The first patient admitted, Yang Ping took everyone to the ward round.
A 62-year-old female, her right knee joint has been weakened for three years. She has undergone two arthroscopic surgeries. The first time was thought to be caused by loose bodies, and the second time was thought to be caused by the lateral high-mobility meniscus.
After the first operation, the symptoms were not relieved at all.
A weak leg means that during walking, the leg suddenly loses its support ability and has to kneel or fall down.
The most common cause is internal compression of the knee joint. The knee joint is suddenly compressed, and the joint mobility function is instantly lost. Naturally, it is impossible to walk. The direct manifestation is to kneel down or fall.
The patient has given up hope for treatment, but in the past three months, the leg weakness has become more and more frequent, almost every day, causing him to dare not go out and can only stay at home.
This caused a lot of trouble. Originally, she was the axis of the family's operation. Her daughter and son-in-law were busy with work, cooking three meals a day, keeping the house clean, and picking up and dropping off the grandson. She usually did everything.
Now she is so annoyed that her legs are weak, making it difficult for her to walk even an inch. She even has to be careful when going to the toilet. She is afraid of falling. If a fracture occurs, her daughter and son-in-law will have to take care of it, which would be the worst thing.
A small problem affects the normal operation of the entire family.
"Doctor, I saw an introduction in the outpatient hall that comprehensive orthopedics can treat difficult and complicated diseases. I should be considered a difficult and complicated disease, right? After two operations, the old lady in the same ward with me had very good results after the operation. I finished it
Same as before, no improvement."
The old lady is very depressed.
Yang Ping carefully examined his knee joints, and then focused on his heart, lungs and other organs.
The physical examination concluded that the compression comes from the outside of the right knee joint? What exactly causes the compression?
The new office is spacious and bright. X-rays and magnetic resonance imaging of the knee joint are hung on the reading lamp. This patient's head and entire spine also underwent magnetic resonance imaging. The other hospital suspected pseudosoft legs.
The so-called pseudo-soft legs are caused by other reasons, such as cerebellar imbalance, uncoordinated motor function of the brain, spinal cord lesions, insufficient muscle strength of the affected limb, etc. These have been ruled out.
All the examinations returned to the right knee joint, but the magnetic resonance imaging showed no loose bodies and no torn meniscus. Two arthroscopes were performed, and the synovial hyperplasia should have been cleaned.
"Is it difficult to diagnose the first patient?"
Song Zimo frowned.
"Otherwise there would be no need for comprehensive orthopedics to exist!"
Director Han came in, and Director Tian was still downstairs sitting in the clinic.
Director Han seemed to have no interest in the patient's condition: "Xiao Yang, you are the team leader now. Unless there is something special, you will lead your own team to solve the problem. Director Tian will be responsible for the VIP patients, and you will be fully responsible for the patients in the general ward here." After saying a few words, he left and no longer cared about the patient's diagnosis. He was only responsible for admitting the patient, and the rest was left to the team led by Yang Ping to solve.
Free movement! This is how we will work in the future, free movement under the trust and limited supervision of Director Han.
"Senior brother, is this our independent branch?" Song Zimo was very happy.
"Grown wildly!" Yang Ping was still watching the movie.
The anatomy of the knee joint took shape in my mind, and I began to simulate the movement, looking for any possible cause of this symptom.
Only wild growth, controllable wild growth, is the fastest and strongest. Geniuses should not be cultivated in an ordinary way. Director Han knows this well.
He was sitting in his new office, sipping tea. He was very satisfied with the new office. The windows faced south and there was plenty of sunlight. He squinted his eyes, leaned on the backrest, and hummed Peking Opera softly.
He recalled every detail of today's events. He was deeply moved by Yang Ping's confidence and seriousness. Coupled with Director Tian's report on Yang Ping's performance at Nanqiao Hospital, he believed in his own judgment and decision even more, allowing them to grow wildly.
,They can do it!
The phone rang. It belonged to Director Xiong of the emergency department. The patient with acute myocardial infarction just now is being sent to Sanbo Hospital. He is on the way and will be there soon.
The chest pain center closest to the airport is in a district people's hospital. It only has one interventional operating table, and you have to wait for two hours.
In this way, the ambulance can be sent directly to Sanbo Hospital, and the chest pain center of Sanbo Hospital can easily open several stations at the same time.
Let’s go and have a look!
Director Han called Yang Ping, who was still watching a movie in the office.
Since I left the Department of Traumatology and Orthopedics, I haven’t been to the emergency department for several days.
The ambulance was parked at the entrance of the emergency department, and the words Airport Emergency Center were very eye-catching.
The stretcher was brought down from the car and quickly pushed inside. Someone followed the car and performed heart compressions.
The doctor from the emergency department rushed over, knelt on the car, took over, and continued to perform heart compressions.
"Defibrillation!"
The flat car was pushed to the emergency room of the emergency department.
The two electrodes of the defibrillator are attached. The right subclavian and apical areas.
"Leave!"
Bang, defibrillation, defibrillation again, defibrillation for the third time, the flat ECG lines turned into wavy shapes.
Because we already communicated about the condition on the phone on the road, now we only need a simple handover.
"Please call the chest pain center!" The nurse had already dialed the dedicated hotline of the chest pain center.
A few minutes later, an attending physician arrived at the emergency room and ran in.
Director Guan was still on the operating table, and the attending physician in charge of emergency consultation came over.
After spitting out the electrocardiogram paper, the doctor pulled it open and said: "Acute myocardial infarction, mainly concentrated on the anterior wall. Quickly, send to the cath lab!"
Doctors in the emergency department never walk with their heels touching the ground. Doctors and nurses push flat carts. There is a chest pain center and a dedicated transfer route.
The heavy lead door was opened, the flat car was pushed in, and the patient was moved to the interventional operating table.
The heart stopped again! Compression and defibrillation! The ECG returned to normal.
The doctor has washed his hands and dressed, put on heavy lead clothes, punctured, inserted the catheter and guide wire, extracted the guide wire, and injected the contrast agent.
"The left anterior descending coronary artery is completely blocked!"
The contrast agent on the screen is stuck somewhere and can no longer pass through.
Director Han and Yang Ping rushed to the emergency department, and the nurse said that the patient had gone to the cath lab of the chest pain center.
The two people rushed to the cath lab, and a few minutes later, an anxious young woman came in accompanied by her family.
The heavy lead door is closed to separate family members and patients.
Next to a doctor's entrance and exit, a doctor came out.
"Xie Dongsheng, Xie Dongsheng's family!"
The young woman burst into tears, and the accompanying family members responded.
"Come here!"
The doctor took them to a nearby interview room, holding an informed colleague's letter in his hand.
"Doctor! How is my husband?"
"Who are you?"
"She is Xie Dongsheng's wife, and I am his brother-in-law!"
The doctor pondered and said: "Xie Dongsheng, he had acute myocardial infarction. He came too late. He is currently undergoing intervention. He stopped cardiorespiratory on the operating table. He is now being rescued. He has been admitted to the emergency department. This is the third time he has suffered cardiorespiratory arrest.
Now, you must be mentally prepared!"
Xie Dongsheng's wife's vision went dark and she fainted.
"Here comes someone! In the interview room, the family member fainted."
The nurse on the opposite side heard the cry for help and came over immediately. The doctor felt the carotid artery and nostrils, and found that there was no problem with the heartbeat and breathing.
"Take it to the observation room and take a rest."
The nurse helped Xie Dongsheng's wife to the observation room.
Doctors have seen it so often that they are used to it.
"Doctor, please, please think of a way. He is the backbone of the family. The child is only four years old and he is only in his thirties." The brother-in-law's eyes were also red.
"We are working hard, but we came too late and wasted too much time. This is the informed consent for the surgery. Please sign it. Wait for his wife to wake up and then sign it again."
After signing, the doctor put away his pen, put on his mask, and went in again.
Yang Ping and Director Han sat on plastic chairs and waited. They participated in the whole process and wanted to know the final result.
Yang Ping was unusually calm. Director Han put his hand on his shoulder: "You will get used to it in the future. We cannot save everyone."
"Don't worry about me, I've done my part. Only God knows the outcome!"
The family members walked to the front door and felt that standing at the door would give them greater hope.
