Although it is very regrettable, it takes time, effort and money.
Both the hospital and the patients are unhappy.
The patient was relatively cooperative, but the hospital still felt very guilty. The failure of the patient's operation was inseparable from the hospital. At the very least, the hospital was responsible for whether the operation could be performed.
Of course, it is difficult, and the starting point is to do the best for the patient, but in fact, the patient's already weak body has undergone a major operation, and his death process will be further accelerated.
Price.
It’s a price for everyone.
When Hu Bolong came back, he held a summary meeting to discuss the reasons for the failure of today's operation. He criticized himself more. Preoperative risk assessment of this kind of operation is very important.
However, in fact, if it is the next patient, he may make the same mistake, because in this kind of case, it is really not possible to accurately judge before surgery. It is difficult to say whether surgery can be performed. One or two seminars can determine whether it is possible.
Surgery.
In other words, the patient's life or death may very well have to go to the operating table and open the abdominal cavity to determine whether the operation can be completed.
Of course, the discussion is still meaningful, and most patients can assess the risks.
Liu Muqiao participated in the discussion.
For him, this kind of seminar was of little significance. He didn't understand it at all. He didn't understand the steps and surgical procedures for pancreatic head cancer, so he gained nothing.
At the end of the discussion, Hu Bolong mentioned Liu Miqiao.
"Everyone should learn from Liu Miqiao! He was a big help during today's surgery. When I say learn from him today, that means you should learn from him the spirit of research. In order to practice his bare-handed hemostasis, he practiced on animals for three months.
It took hundreds of animals and this kind of perseverance to produce high-quality products. I hope that you are all high-quality products."
Almost everyone looked at Liu Muqiao.
You are an animal sadist!
Your heart is so hard and cruel!
I don’t know how many animals you have killed!
I shudder just thinking about it. In order to practice stopping bleeding with your bare hands, you actually killed countless animals for three months. Don’t you think it’s too much?
……
Liu Muqiao couldn't laugh or cry.
Have I ever killed an animal?
I have never killed a chicken!
Seeing the strange looks from his colleagues, Liu Maqiao got goosebumps all over his body.
"I...I didn't."
He defended feebly, but who heard it?
His voice was so thin and weak that even he himself didn't hear it.
……
As time went by, Hu Bolong's views on Liu Miqiao became more and more different, and he looked at Liu Miqiao in a different light.
The reason is still the two patients with wound infection. After a week, the wounds of these two patients have grown very well, and they can be discharged from the hospital in a few days.
Not only the doctors in this group knew about this, but doctors in other groups also knew about it. They all came to look at the wound and saw that it didn't matter at first glance. The inherent concepts that had been held for more than ten years and decades had to be shaken.
"Can infected wounds be sutured?" Someone asked Liu Miqiao.
"Infected wounds cannot be sutured and must be drained." Liu Miqiao replied.
"But, you sewed someone up."
"It was a minor infection, but I debrided it thoroughly, so I was able to suture it."
"How do you know whether the debridement is complete?"
"Based on experience."
"Based on experience? You mean based on experience?"
Among this group of people, the one who couldn't say this the most was Liu Miqiao. He actually said "based on experience." Where did you get the experience?
Liu Maqiao said without shame: "Yes, you have to practice more, use your hands more often, and accumulate a lot of experience before you can know whether the patient's wound is clean and whether it can be sutured."
"Do you have a lot of experience?"
"Yes, I do."
"Where do you get your vast experience?"
"Uh..."
Only then did Liu Muqiao realize how inappropriate and illogical his words were, and how ridiculous they were to others!
Oops, too much words lead to mistakes!
"Why don't you speak?"
"I...I, why didn't I tell you? I have done a lot of experiments." I should give people an answer, at least a little bit logical.
"You have done a lot of animal experiments? Don't you think this is too cruel?"
……
Liu Muqiao could only be speechless.
He tried his best to get rid of people's doubts.
However, after getting rid of other people's doubts, he was soon caught by Du Xiaoping, "Here, help me take a look at this patient. His wound has been around for almost a year. See how to deal with it."
This is no problem.
I followed Du Xiaoping to the ward, and as soon as I entered the door, I felt something smelled wrong.
"You have a Pseudomonas aeruginosa infection!"
Du Xiaoping looked at him in surprise, "You don't know the bacterial infection without looking at the wound? Hey, you really have a few brushes."
Smelling is also one of the components of debridement and suturing.
Pseudomonas aeruginosa infection has a special smell.
When he opened the wound and took a look, Liu Maqiao couldn't help but frowned and said, "The infection is not serious."
"Can it be debrided?"
Liu Maqiao shook his head, "Well, you have to give me half a month, and you have to cooperate with me and prescribe long-term medical advice for half a month to use carbenicillin to fight infection. I will help him change the medicine once a day, and then debridement."
Suture."
Du Xiaoping smiled. This patient had been bothering him for a long time. He had been admitted to the hospital, discharged, and re-entered several times.
"Are you sure?"
"Don't worry, I can't even handle this kind of wound, how can I be considered a master of debridement... Uh-huh, I'm bragging. Don't worry, Teacher Du, leave it to me, long, half a month, short
, a week."
After that, Liu Miqiao took over the patient, changed the dressing and drained the wound every day. After a few days, the secretion from the wound disappeared and the wound was very clean.
"Not bad, there is hope. He is a master after all!" On this day, Du Xiaoping said with emotion after looking at the wound.
"I'm going to sew today." Liu Maqiao said.
"Ah! Absolutely not!"
According to Du Xiaoping's past experience, it will take at least half a month before the second debridement can be performed, and even if it is the second debridement, drainage strips still need to be placed for a few days.
Liu Muqiao chuckled.
"Teacher Du, you can sew, don't miss this good opportunity. After a few days, Staphylococcus epidermidis and Candida albicans will start to infect again, and it will take half a month."
Du Xiaoping hesitated for a moment, "Are you sure? However, the stitching now really subverts my understanding."
"Teacher Du, I am very sure. Today is the best time."
"Then please explain why today is the best time and what are the reasons?"
"The reason is that in the past, the dominant bacteria in wounds was Pseudomonas aeruginosa, and other bacteria were basically unable to grow. Now, you use carbenicillin, which kills Pseudomonas aeruginosa, and Pseudomonas aeruginosa is gone. Other bacteria have not had time to grow.
After a few days, carbenicillin-resistant Staphylococcus epidermidis and Candida albicans will grow like crazy again. Do you think it would be more appropriate for me to sew him up at this time?"
