In fact, the emergency department does not have noontime, lunch and dinner, and is on call 24 hours a day. Patients must be received when they come. However, if there are generally no emergencies, the emergency department is relatively free during the commuting hours of other departments.
There were not many patients at noon. During leisure time, the doctors were chatting in the duty room.
Fang Le won a bonus of 10,000 yuan today. He was treated to a treat at Changle Hotel in the evening. Naturally, some people were happy and some were sad.
If you have a big meal in the evening, the person on duty won't be able to go.
Of course, this kind of thing is just for fun and a topic.
At around three o'clock in the afternoon, Fang Le dealt with an emergency patient. As soon as he returned to the duty room, he saw Han Shengxue and Li Wanjiang talking in the duty room. There was also a man in his early forties sitting on the stool next to Li Wanjiang.
middle-aged people.
The middle-aged man has a sallow complexion, a haggard look, and is struggling to keep his spirits up.
"Doctor Fang!"
As soon as Fang Le entered the door, Li Wanjiang saw him and hurriedly greeted him with a smile. When Li Wanjiang said Dr. Fang, the middle-aged man who was sitting on the chair quickly stood up.
"Mr. Li."
Fang Le stepped forward, smiled and shook hands with Li Wanjiang.
"Dr. Fang, let me introduce to you, this is Mr. Hou from Wanfu Jewelry."
After being polite to Fang Le, Li Wanjiang introduced Hou Chengyang to Fang Le.
"Fang Da...doctor."
Hou Chengyang hurriedly stretched out his hand, subconsciously it was Master Fang, but as soon as he opened his mouth, Li Wanjiang stared back, and then he hurriedly changed his words.
"Hello, Mr. Hou."
Fang Le shook hands with Hou Chengyang, feeling a little strange, Doctor Fang?
What is this name?
At Fang Le's age, some people have called him Dr. Fang, but this is the first time he has heard of Dr. Fang.
"Doctor Fang, Mr. Hou is here to seek medical treatment this time."
Li Wanjiang explained to Fang Le.
"I see it."
Fang Le nodded.
Just from the look on Hou Chengyang's face, he knew that his illness was not serious, and it was liver disease.
"Then go to the examination room. I'll understand the situation first."
Fang Le greeted.
This is the duty room, naturally not a place to see a doctor. A person's condition is actually a personal privacy. All illnesses are considered big or small. It's just that some illnesses don't matter, and some illnesses don't matter to some people. But to the doctor,
, patients’ privacy must still be respected.
As for respecting patients' privacy, in fact, before Fang Le was reborn, some people on the Internet were even arguing about this, especially about unexpected pregnancies. Doctors respect patients and don't tell their husbands, etc., which feels bad.
How to put it, nothing can meet everyone's needs. Respecting patient privacy is respect for the patient. What disease he got sick and why he got sick. Doctors must know these things very clearly, but there are some reasons that cannot be treated.
Let outsiders know.
For example, it will make it difficult to get a wife, be disliked by others, affect work, etc.
Everyone gets sick, and some diseases are hard to talk about. As for unexpected pregnancy and the like, it can only be said that you didn't find the right person. What does it have to do with hiding it from the doctor?
In reality, there are many cases where patients jump off buildings because doctors leak patient privacy. If someone jumps off a building, the doctor must bear responsibility.
Hou Chengyang is the big boss after all, so it is naturally inappropriate to ask questions in the duty room. You should still pay attention.
Han Shengxue also followed him to the consulting room.
It made Hou Chengyang travel thousands of miles to seek medical treatment. This disease should not be simple, and Director Han was also worried.
"Doctor Fang, this is the examination I did when I was in Jiangzhong."
After entering the clinic, Hou Chengyang's assistant handed Fang Le the test results he had brought with him.
Fang Le first picked up the film and looked at it carefully.
"Liver tumors."
Fang Le said while looking at it: "Moreover, the location is quite bad and the tumor is relatively large. There is more than one."
"yes."
Hou Chengyang said hurriedly: "But they are all benign."
Fang Le didn't say anything, but looked at the film carefully, and then picked up other examination sheets and looked at them carefully. In addition to various examinations, there was also the diagnosis from Jiangzhou Provincial Cancer Hospital.
The tumors are indeed benign, but they are relatively large and there are more than one. They have caused a severe compressive reaction and may rupture at any time.
At the same time, Hou Chengyang also had mild symptoms of liver cirrhosis.
Benign liver tumors generally do not have a big impact on the body. If the tumor is small, it does not even need treatment. Regular review is enough. If the tumor is larger, conservative ablation treatment can be effective if the possibility of deterioration is ruled out.
It's just that Hou Chengyang's tumor is not small, and there is more than one. Although it is a benign tumor, it is already in danger of rupture.
Even if it is a benign tumor, rupture will lead to bleeding or infection. If a large amount of bleeding occurs, it will affect the coagulation function and lead to continued bleeding. The blood supply of the liver is very rich, and once it ruptures, it will be life-threatening.
For Hou Chengyang's situation, the best option is surgical treatment. Even if Fang Le comes for treatment, surgical treatment will be recommended.
If the tumor is not too big and there is no risk of rupture, Fang Le can do it without surgery. But in Hou Chengyang's case, no one knows when the tumor will rupture. In fact, in Hou Chengyang's case, he came all the way from Jiangzhong to Xijing City for medical treatment.
All involve considerable risks.
Some people may ask, since the best solution is surgical treatment, why not do surgery? The medical level in Jiangzhong should be higher than that in Xijing City.
This is actually where Hou Chengyang is helpless.
The location of Hou Chengyang's tumor is very bad, and the operation is very difficult. Several hospitals in the middle of the river are not very sure.
Let’s put it this way, in a normal liver resection, the patient lies flat, and a midline laparotomy or a combined thoracoabdominal surgery is used. However, no matter which kind of laparotomy is performed, the surgery is done from top to bottom.
In this case, if the tumor is above or on the side, the difficulty of resection is relatively low. But if the tumor is directly below, then the difficulty of resection is relatively greater. On the one hand, the surgical field is limited, and on the other hand, it is difficult to operate.
, the best way is to take out the liver and perform external resection.
However, at this time, there was no precedent for extracorporeal liver resection in China, not even semi-extracorporeal liver resection. Naturally, no one in Jiangzhong City dared to perform such an operation.
Hou Chengyang had originally asked someone to contact foreign experts, but there were not many foreign experts who could perform semi-external liver resection, so it was not easy to recruit.
Under such circumstances, Hou Chengyang entrusted Li Wanjiang to try his luck with Fang Le.
"hiss!"
After Fang Le read it, Han Shengxue also looked at Hou Chengyang's medical records carefully.
Although Han Shengxue cannot perform liver resection, as the director of the emergency department, Han Shengxue can still understand most of the examination reports and CT films.
After watching it, Han Shengxue took a deep breath in his heart.
This... this situation, even Fang Le can't do anything about it, right?
When this happens, it is beyond human power, and doctors are not omnipotent.
"Doctor Fangda..."
Hou Chengyang looked at Fang Le's face with a plea: "I have asked several experts about my situation, but almost no one dared to answer it. I also hope that Fang Da... the doctor can show mercy and save me."
The fate will be great in the future... I, Hou Chengyang, will never frown if the doctor has anything to do."
Fang Le looked at Hou Chengyang strangely. Mr. Hou opened his mouth like Dr. Fang and closed his mouth like Dr. Fang. What's wrong with this?