At six o'clock in the afternoon, Zheng Jinfan was already getting ready to change clothes and get off work, when suddenly a nurse came in to inform him.
"Director Zheng, an emergency patient has arrived."
Zheng Jinfan had no time to waste, and hurried out with the nurse. When he arrived at the emergency passage, the ambulance had already arrived, and the two residents and the nurses had already carried the patient onto the flat car.
"Director Zheng!"
Zheng Jinfan stepped forward, and the doctor following the car hurriedly told Zheng Jinfan the situation: "The patient suddenly fell into coma and became confused. Judging from the symptoms, it should be cerebral hemorrhage."
"Um."
Zheng Jinfan nodded, and while calling the resident doctor to push the cart in, he followed the cart to examine the patient.
The patient is in his sixties and is obese. Such patients generally have high blood pressure, and the probability of sudden coma and cerebral hemorrhage is quite high.
"can you hear?"
"can you hear."
Zheng Jinfan gently patted the patient's face while shouting from the side.
"Unconscious and unresponsive."
"High fever, prepare ice packs, physical cooling, and do a brain CT first."
"Inform Shenai and Shenwai to come for consultation. It is suspected of cerebral hemorrhage."
Hospital manager He Yaoping hurriedly went to inform Shenai and Shenwai.
"Director Zheng!"
After an urgent examination, the patient's brain CT came out quickly. Zheng Jinfan took the film and looked at it carefully: "Hemorrhage in the right internal capsule and ventricle, cerebral hemorrhage, have you measured the blood pressure?"
"210/120!"
"Is your blood pressure so high?"
Zheng Jinfan frowned slightly: "Cerebral hemorrhage and hypertension are quite dangerous. Let's communicate with the patient's family. Are the doctors inside and outside the hospital here?"
"Director Zheng, here we come."
While he was talking, the doctors from Kannachi and Kannagai had arrived.
"Right internal capsule and intraventricular hemorrhage require immediate surgery. Have you communicated with the patient's family?"
Wu Xinping, the deputy director of Shenwai, came here. He examined the patient, looked at the patient's brain CT, and asked Zheng Jinfan.
"I have already communicated with the patient's family."
Zheng Jinfan said.
"Then let's do the pre-operative preparations first."
Wu Xinping said: "The patient has cerebral hemorrhage and high blood pressure. The situation is quite dangerous. He urgently needs surgery as soon as possible to reduce intracranial blood pressure and prevent further bleeding."
"Director Wu, the patient's high fever persists. In this case, the risk of surgery is not small."
Zhang Yansong, deputy director of Shenai, reminded: "And the patient is relatively fat..."
"What Director Zhang said is right, but the patient's current condition requires surgery as soon as possible."
Wu Xinping said: "If craniotomy and decompression are not performed, the patient's life may be in danger at any time."
The risks of surgery are indeed high. Considering the patient's current condition, death is almost certain without surgery.
Just as he was talking, He Yaoping, who was communicating with the patient's family outside, came in.
"Director Zheng, the patient's family cannot communicate at all at the moment."
"Can't communicate, what do you mean?"
Zheng Jinfan was a little puzzled: "Did he disagree with the operation and decide to give up the treatment?"
"The patient's son and daughter-in-law are quarreling outside right now, and I can't get in the way at all." He Yaoping smiled bitterly.
"You still want to argue now?"
As Wu Xinping said that, he turned around and left the emergency room. In the corridor outside the emergency room, a woman with disheveled hair was jumping and cursing.
"You heartless person, I worked as a cow and horse for your family. I took care of the old and the young. Is everything I did wrong?"
"My mother is getting older, so you don't know how to give in. Now she's better. You've made the old lady angry. Are you happy?"
Men are not to be outdone.
The two of them were yelling at each other, and they were quarreling happily.
"enough!"
Wu Xinping walked closer and shouted loudly: "Do you know where this is? This is a hospital. If you want to quarrel, take the patient back and have a loud quarrel at home."
Wu Xinping shouted loudly, and the patient's son and daughter-in-law became quiet.
After all, Wu Xinping is different from He Yaoping. In the hospital, older doctors are indeed more intimidating than younger doctors.
And as the deputy director of neurosurgery, Wu Xinping does have official authority.
"Doctor, how is my mother doing now?"
The man stepped forward and asked, but the woman snorted and turned her head away.
"Cerebral hemorrhage and high blood pressure are very serious and a craniotomy must be performed immediately."
Wu Xinping said.
To be honest, when Wu Xinping saw the appearance of the patient's family members, he was a little bit noisy and didn't want to do this surgery.
Many times, especially for critically ill patients, the emotions and attitudes of the patient's family can really affect the doctor, especially if the surgical risk is too high. If the patient's family is reasonable, even if the original surgeon may have thought of giving up, they will give it a try.
When encountering unreasonable family members of patients, the surgeon originally wanted to give it a try, but he probably wanted to give up.
Like the son and daughter-in-law of the patient just now, whose mother's life and death are unknown in the emergency room, they are already arguing outside. If the operation does not go smoothly, the probability of the patient's family members causing trouble is quite high.
"Doctor, does the operation cost a lot of money?"
the patient's son asked.
"Well, the surgery will definitely cost a lot, and you will most likely have to be admitted to the ICU, which is the intensive care unit, after the surgery. The daily cost is not low. What I want to explain is that the risks of surgery are not small. Please consider it."
"That is to say, even if you spend money, you may not be able to save it?"
The patient's daughter-in-law asked in return.
"You can understand it that way."
Wu Xinping nodded directly. He didn't really want to do this surgery. Now it depends on the wishes of the patient's family. If the patient's family insists on doing it, Wu Xinping naturally can't refuse. But if the patient's family is unwilling, then he won't do it.
.
In the operating room, Fang Le was chatting with Li Xiwen, Cheng Yunhai and others while performing the operation.
"Xiao Cheng, have you graduated too?"
"Yes, graduated."
Cheng Yunhai said: "The graduation ceremony of our Military Medical University is a few days earlier than that of your College of Traditional Chinese Medicine."
"Is the formal training starting now?"
Fang Le asked.
"Um."
Cheng Yunhai nodded: "I would also like to thank Dr. Fang. If it weren't for you, I might not even be able to stay in Xijing Hospital."
"Xiao Cheng, where do you live from?"
Li Xiwen asked.
"Back to Dr. Li, my family is also from Xijing City, but in Hongqing Township." Cheng Yunhai said.
"Hong Qingxiang?" Fang Le was stunned for a moment.
To be honest, I have never heard of this name Fang Le.
"On the Chanhe River..."
Cheng Yunhai hurriedly explained to Fang Le.
After listening to Cheng Yunhai's words, Fang Le knew the general area, which was Baqiao District. The place where Cheng Yunhai's home is located should be renamed Baqiao Town next year.
Fang Le subconsciously said: "Xiao Cheng is pretty good, but from now on we will have to wait for demolition."
Fang Le, Baqiao District, Xijing City, is well known. It later developed quite well. After the expressway was built, there was a toll station there, also in Hsinchu Town.
That area should be demolished not far away due to the construction of a highway.
This is the future demolition house.
"What's good is that it's the countryside."
Cheng Yunhai was a little embarrassed: "Dr. Fang, please don't hit me. Our family is very poor. When I went to college, I almost couldn't get into it."
"Are you the only one in the family?"
Li Xiwen asked.
"There is also a brother and sister."
Cheng Yunhai said: "My brother is five years older than me, and my sister is one year younger. In order for me to go to college, my sister dropped out of school."
Speaking of the past, Cheng Yunhai couldn't help but feel a little sad: "Speaking of which, I actually feel sorry for my sister. Not only did I not be able to go to a senior high school, but my later school fees and living expenses were basically all earned by my sister.
.”
"Don't you still have a brother? Your brother doesn't care about you?"
Guo Jun asked curiously.
"my brother....."
Cheng Yunhai sighed: "It used to be okay, but since I got married, it's like a different person. My sister-in-law... also has a bad temper, and she quarrels with my mother at home all day long.
.....”
"I just want to make some money as soon as possible, buy a house of my own, and bring my mother out to live there."
"Study hard and you will definitely be able to do it."
Fang Le smiled and encouraged.
"Well, thank you Dr. Fang."
Cheng Yunhai nodded hurriedly, and the young man's eyes turned a little red.
He was really grateful to Fang Le.
It is indeed easy for college students to find jobs these days, and it is easy for medical students to get into hospitals. However, the threshold of Xijing Hospital is still very high. Without Fang Le, Cheng Yunhai would have to go to other hospitals, and maybe even to the county level.
Hospital.
I went back to school to attend the graduation ceremony a few days ago. Cheng Yunhai also talked to some classmates in the class. It didn't matter. They weren't particularly good. It was still difficult to get into a tertiary hospital.
"Okay, Guo Jun, let's finish."
Fang Le said the explanation, got off the operating table, and said to Cheng Yunhai as he walked: "Xiao Cheng, you need to practice your basic skills more. The principle I give you is that if you can follow the operation, just help. If you don't have the operation, just go
Treatment room, practice room. Improve your suturing skills as soon as possible."
"Yes, I understand, Doctor Fang." Cheng Yunhai nodded again.
"The medical resources of the hospital are limited, and it is impossible to take care of each of you indefinitely. If you want to learn something, if you want to undergo surgery, you have to find your own way. The opportunity is given to you. Do you have the ability and can you keep up?
It’s up to you.”
It was completely Fang Le's bad taste to let Cheng Yunhai follow him. Cheng Yunhai had the same name as the director of cardiac surgery at Xijing Hospital in the previous time and space, but given the opportunity, whether Cheng Yunhai has the talent and ability depends on Cheng Yunhai himself.
If Cheng Yunhai really couldn't keep up, Fang Le would still make the substitution decisively.
...
"The patient's condition is very critical. You should make a decision as soon as possible."
Outside the emergency room, Wu Xinping replied and turned back to the emergency room.
"Save, save, how to save?"
Before Cheng Donghai could say anything, Cheng Donghai's wife said: "Not to mention whether you can save him or not, do you have that much money?"
"I didn't say save, and I didn't say not to save. Why are you yelling? If it weren't for you, where would this come from?"
Cheng Donghai cursed impatiently.
"So it's my fault?" Cheng Donghai's wife showed no sign of weakness.
The two people quarreled again.
"okay."
Cheng Donghai scolded: "Let me think about it carefully, after all, she is my mother."
"It's not like you have only one son. Isn't your younger brother a college student or a doctor?" Cheng Donghai's daughter-in-law asked.