Chapter 166 Unexpected Disaster
Although the Piyang Barbeque Restaurant is close to the hospital, the young patient obviously has central nervous system symptoms. After a simple physical examination, Lin Yuming initially judged that the child seemed to have spinal damage, and cautiously let other people know. Touch the child and call 120 emergency number.
Even if Lin Yuming and Li Qiubo are the medical director and chief dean of the General Mine, they do not have the authority to allocate the 120 emergency ambulance. They can honestly call and wait for their own 120 emergency doctor to arrive.
After putting the little patient on the 120 ambulance, half an hour had passed.
The room was still very lively, and some people had no idea what was happening outside.
Lin Yuming rubbed his hands, feeling that the child was a little strange.
Boss Ding of Piyang was not in a good mood, "Director Lin, what do you want? I'll hurry up and bake it and I have something else to do."
"Want to see the child?" Lin Yuming asked.
Boss Ding nodded.
Although it had nothing to do with him, after all, it happened on his own territory. Boss Ding felt uneasy, and he didn't even seem to see the plump figures passing by.
Lin Yuming asked for something casually, and when he came back, he saw Boss Ding disappearing in a hurry.
“What a sudden disaster.” Lin Yuming sighed, “Dean Qiubo, come on, have something to eat.”
“I remember that Boss Ding from the Piyang BBQ and Ronaldinho The relationship is good."
"It's really good." Lin Yuming said with a smile, "When Boss Chai came, Xiaoluo specially asked Boss Ding to cook the barbecue."
"After that time. Some people say that Boss Ding has become a food delivery person," Li Qiubo joked with a smile.
"Harm, it's all nonsense. Although this kind of thing is not a huge wealth, it is always a chance. There is an aunt next to the imperial capital high school who has been selling pancakes and fruits for more than 20 years. It is said that once the boss of a listed company came to the imperial capital for a meeting. I went to her place to eat pancakes and fruit.”
“It’s all memories, but it’s a pity that the shops around me were all gone when I was in school.” Li Qiubo felt a little regretful.
This kind of opportunity is useless, but once it is useful, it is definitely not something ordinary people can imagine.
Lin Yuming remembered something and said while making string strings, "More than ten years ago, there was demolition in the Imperial Capital. Because the price could not be agreed upon, a small shop owner was injured and sent to the hospital."< br>
“It seems that less than three days later, the local black boss responsible for the demolition came to kowtow and admit his mistake.”
"Why does it sound like those cool articles pushed on mobile phones now?" Li Qiubo asked.
"Zhanli, I am an old acquaintance, so I can help you by the way. Who doesn't have an Ultraman in their heart?"
"Yu Ming, let me remind you, I became a deputy Dean Hou, please don’t do so-called serious things.”
Lin Yuming nodded solemnly.
"The mine boss is just a big broken ship. If you do too many serious things that you think, the ship will fall apart."
"Yes, Dean Qiubo, don't worry. I only focus on clinical practice. I won't cause any more trouble and we will all have peace of mind. Apart from that, I..." Lin Yuming said seriously.
"Let there be less trouble and save everyone some worry. As for annual gross profits and the like, do you think this is what doctors should think about?!"
"I want to prescribe Special needs ward," Lin Yuming said softly.
“Then what?”
“Find Xiaoluo to contact Union Medical College’s experts for special surgery.” Lin Yuming said, “Whether it is in the city or in the mining area, it is needed. Whether it is the leader Ordinary people, even if they need RMB 8,000, can enjoy the first-class medical resources in the country, and..."
And what, Li Qiubo knew very well.
In the past, he suffered from lack of resources, but Lin Yuming did take the right approach. He would know what to do if he asked himself.
It would be good for everyone if we really controlled the top medical resources in the city. Even ordinary people who no one cares about can get a lot of benefits.
It was like... Li Qiubo thought of the hyperbaric oxygen chamber.
The two chatted while eating. After more than half an hour, Li Qiubo paid and left.
Lin Yuming didn't snatch him away.
"Let's go back and take a look." Li Qiubo said, "I hope nothing big happens."
Lin Yuming sighed inwardly, the little snail horn has not sounded for three years, and it has become a blockbuster.
Now that Xiaoluohao usually walks closer to people, Dean Qiubo will look at him differently.
Even if he is just a barbecue restaurant owner in society, Dean Qiu Bo wants to go back and take a look.
For nothing else.
As I just said, when Xiaoluohao returns to his hometown, Huanyang BBQ will be a topic of conversation.
No matter how broken this place is, sitting inside and eating, everyone will always have a harmonious relationship.
Who needs this food now? All they need is the atmosphere of reminiscing about the past.
If you take care of me more often, your goodwill will naturally increase by +1 when we talk about it.
Although this was only a trivial detail, Dean Qiubo was as meticulous as his hair and did not miss anything.
This also proves from the side that Xiaoluo seems to be doing really well, and it is worthy of Dean Qiubo's consideration.
It’s a pity that this kid didn’t tell me the truth. Even my uncle didn’t know what he was doing, so he could only find out through his classmates.
When we arrived at the hospital, there was a crowd of people at the door. A woman was grabbed by someone as if she was crazy. She wanted to pounce on Boss Huanyang Ding with all her teeth and claws.
Boss Ding’s face, which was originally a bit dark due to exposure to the sun, is now as black as the bottom of a pot. He doesn’t defend himself, squatting on the ground and smoking a cigarette sadly.
"What's going on?" Li Qiubo frowned.
It is said that the female student just ate some skewers at Haoyang BBQ and then fell down inexplicably. It had nothing to do with Haoyang BBQ or Boss Ding. There were many witnesses.
But the patient’s family members are often unreasonable when they are emotional.
Lin Yuming did not participate in the commotion at the door and went straight to the emergency department.
"Xiao Song, what happened to the female student we sent just now?" Lin Yuming asked directly.
Dr. Song from the emergency department had just come out of the emergency room and felt nervous when he saw Lin Yuming and Li Qiubo coming over in the middle of the night.
"The CT room said that the child was suspected of spinal epidural hematoma."
Epidural hematoma?
Trauma?
This was the first thing Lin Yuming thought of.
Just a small fall, how could it cause such a big incident? This is truly a disaster.
"Where are the people."
"Here, Dean Qiu Bo, Director Lin." Emergency doctor Song led the two of them to the emergency room.
The child's father cried like a dog, but he did not dare to make any sound for fear of disturbing the child.
He was sobbing, and his silent crying filled the air with sadness and helplessness.
If someone's baby suddenly encounters something like this, the parents cannot accept it.
If Boss Ding of Paiyang was a disaster from heaven, then this family was hit by a meteorite.
Lin Yuming went up and took a look. There was a cut in the little patient's lip, and blood was still oozing out.
The place where the IV was inserted was all blue and purple, very miserable.
"How did it happen? This kind of patient is not in hemorrhagic shock, so why is he bruised?" Lin Yuming scolded in a low voice.
Dr. Song from the emergency department lowered his head and said nothing.
Although it was the nurse's fault, he could only bear it when Director Lin scolded him.
"Let's do an MRI." Li Qiubo suddenly said.
"Okay." Lin Yuming agreed without hesitation.
The MRI is not open 24 hours a day. To do the MRI at night, the doctor needs to come from home to turn it on.
As for Li Qiubo's thoughts, Lin Yuming knew it clearly.
Contact the MRI laboratory and it took about an hour to do it.
Cervical spine MRI examination revealed: anterior epidural hematoma of the spinal cord at the C2-C4 segment.
Lin Yuming watched the film and fell into deep thought.
This position is quite different from the position where the little patient collided. Logically speaking, the blood should have come out first, and then caused her to fall down the steps.
Boss Huanyang Ding has nothing to do with this matter.
The young patient was sent to the orthopedics department. Li Qiubo yawned and said, "Yu Ming, let Xiao Luo take a look tomorrow and help you take a look."
"Okay, Dean Qiubo. Lin Yuming said, "I'll call him soon."
"It's too late." Go out in case there are other changes. This thing has long nights and many dreams, and I don’t think Xiaoluo will have any objection.”
Li Qiubo waved his hand, turned and left.
Lin Yuming stood in the night wind and thought for a full 10 minutes.
His mind is a little confused.
A good-looking female student, holding her skewers, fell down.
It’s quite strange.
But Lin Yuming is an experienced medical director. What strange things have he not seen?
He thought for a long time but couldn't figure out what was going on, so he simply picked up his cell phone and called Luo Hao.
"Xiaoluohao, go to sleep."
"Uncle, I just got home and I haven't slept yet." Luo Hao's voice was sunny and clean, sweeping away the worries in Lin Yuming's heart haze.
If the sky falls, Luo Hao will hold it up, it’ll be okay!
He didn't ask Luo Hao what he was doing, but directly told the story.
"Uncle, I will contact you right away, and you will find 120 emergency department to send the patient over."
A smile appeared on Lin Yuming's face.
Xiao Luohao is still upright, and he doesn't shirk the blame at all for things that are beyond his reach.
“No, we are also a tertiary hospital.” Lin Yuming smiled and said, “I just wanted to ask you...”
"Uncle!" Luo Hao's voice suddenly rose three times and he said seriously, "According to what you said, the patient was diagnosed with acute spontaneous spinal epidural hematoma."
"Acute spontaneous spinal epidural hematoma. Extramembranous hematoma is a relatively rare disease, with an incidence rate of 0.1/100,000, accounting for 0.3%-0.9% of spinal epidural space-occupying lesions. ”
“Foreign Lawton doctor team. There are detailed studies on this, advocating that surgery for acute spontaneous spinal epidural hematoma should be performed as soon as possible within 12 hours after the onset of symptoms. If it exceeds 12 hours, the recovery of neurological function will be slower and incomplete."
"! !”
Lin Yuming was startled.
He didn't expect the patient's condition to be so serious.
"Hurry up, no matter whose fault it is, preserving the child's motor function is the first priority."
The old medical director's nose is sharper than a dog's.
Lin Yuming must know the priorities here.
Now is not the time to ask why, nor is it the time to help Boss Ding shirk responsibility.
First reduce the big problem to a small one, then it is possible to reduce it to a trivial matter.
Putting the blame?
That is for the future. "Okay, contact me over there, and I will tell the patient's family to send him to the first year of medical school."
Hang up the phone, Luo Hao looked at the system panel intently.
There are no tasks, so Luo Hao cannot infer more about the patient's condition from the clues of the system tasks.
"Who has an accident at home?" Chen Yong asked hesitantly while brushing his teeth.
“At Boss Ding’s place at Piyang BBQ, a 15-year-old female student developed acute spontaneous spinal epidural hematoma while playing skewers.”
“Spontaneous?”
< br>“It is said to be spontaneous, mainly related to anticoagulants, blood diseases, trauma, disc prolapse, hypertension, arteriosclerosis, pregnancy, vascular malformations and other factors.”
"At 15 years old, none of what you said exists."
Indeed.
The possibility of pregnancy and vascular malformation is high, this was Luo Hao's first judgment.
"Don't you think it's pregnancy, or ectopic pregnancy, endometriosis or something." Chen Yong finished brushing his teeth, washed his face, changed into pajamas and was ready to rest.
“We can’t rule it out. At least we need to scan an ultrasound.”
"Can you stop thinking about these messy things?"
"No. A few years ago, there was a patient whose belly kept growing, but he kept having periods, and he didn't think he was pregnant. He came to the hospital for a checkup and had a test. The B-ultrasound found that she had two uteruses. One uterus was pregnant and the other was on menstruation. "
"! "Chen Yong shrugged, "Are you still busy? "
"I'll..." Luo Hao hesitated, but still picked up the phone, "Call Director Feng."
"You also want to ask Director Feng for this matter?"
"It's not a small matter, so I'd better ask Director Feng for help." Luo Hao said seriously.
Chen Yong couldn't understand. In his opinion, this matter was far away from him, so he turned around and went back to sleep.
Luo Hao dialed Feng Zixuan’s phone number.
"Director Feng, I'm sorry to bother you so late."
"It's okay, you're welcome, you're back." Feng Zixuan asked.
"When I got home, a patient from my hometown came to take a look at me." Luo Hao explained the situation clearly.
"Huh? Such a thing..." Feng Zixuan was also a little surprised.
"Director Feng, we are all our own people, let me tell you the truth." Luo Hao paused and whispered, "The patient is only 15 years old, and there are three considerations for the time being - pregnancy, vascular malformation... ..."
"Is there another one?" Feng Zixuan asked curiously when he saw Luo Hao was in a dilemma.
"The meat that Boss Ding grills is not beef or mutton, it is mixed with rat meat."
"Fuck!" Feng Zixuan cursed, "Why?"
"Generally, we often see it , there are anticoagulant rodenticides in rat poison, such as Dushuqiang. But I still don’t understand, it shouldn’t be.”
“Are you very confident in Boss Ding?” Feng Zixuan said.
“Confidence is one thing, and on the other hand, it is an unwritten rule to add rat meat, duck meat, etc. to barbecues. Many breeding farms provide meat. And the value of rats is low, and they are generally used. Duck meat.”
On the phone, Feng Zixuan was silent.
"Boss Ding won't bother poisoning a few rats and then picking off the meat. Don't talk about this, Director Feng." Luo Hao interrupted his thoughts.
Let’s talk about the serious stuff first.
"Director Feng, the patient has a cervical spine problem. I'm not sure about the division of surgical power in our hospital, whether the neurosurgery department does this or the orthopedics department."
"I I recommend neurosurgery," Feng Zixuan said directly.
Luo Hao breathed a sigh of relief.
To be honest, orthopedics can do it, but it is generally rough, so he still believes in neurosurgery.
“Minimally invasive is the best if it is minimally invasive. If it is hemilaminectomy + spinal canal enlargement and decompression + epidural hematoma removal, there will be some sequelae.”
“You Don’t worry, our hospital’s minimally invasive neurosurgery department The level of surgery is the best in the province. Huh? Is it convenient for you to find a specialist from Tiantan?”
“Director Feng, the 12-hour acute period is the most convenient, but I worry about the time. It’s a bit rushed.”
"Okay, I'll contact Director Wang of the Neurosurgery Department."
Hang up the phone, Luo Hao changed clothes and went to the hospital.
After picking up a car, Luo Hao began to recount the entire incident and read relevant information.
Poison Shuqiang is not a half-step epileptic with a smile, nor is he an x-stepping snake. He will not bleed from his front feet after eating.
As far as the human body’s intake is concerned, there is a period of “incubation period”.
This matter should not be the fault of Boss Ding of Piyang BBQ.
Luo Hao felt a little tired. After all, he had been very busy these past two days.
Yesterday at this time, I was still facing a sandstorm mixed with heavy snow in Nangan County. I just flew back today and something happened to Boss Ding again.
Damn it!
Luo Hao cursed.
Fortunately, the current infrastructure is well constructed, and the 120 ambulance can deliver the patient in less than 3 hours.
Director Wang of the Department of Neurosurgery is already in place, and the urgent test report confirms Luo Hao's "guess."
The young patient does have problems with his coagulation function.
Problems with coagulation function are a contraindication for surgery, but the patient must undergo surgery.
It can be said that this operation is very troublesome.
"Ronald, you have troubled me in the middle of the night and given me such a big problem."
Director Wang of the Department of Neurosurgery chatted with Luo Hao while changing clothes.
"Director Wang, if we let others perform this operation, it would probably be delayed." Luo Hao said seriously, "Completing the operation despite the contraindications of the operation requires high technical requirements."
Luo Hao did not Praise Director Wang directly, but the meaning behind the words should not be too obvious.
"Hey." Director Wang raised his chest, "I dare not say anything about pituitary tumors, but for this kind of vertebral body surgery, you have found the right person. Ronaldinho, let me show you my skills today!"
"Orthopedics is nothing, this kind of surgery should be our neurosurgery."
In the dead of night, only Luo Hao and his professor on duty were there, Director Wang revealed his heart.
The boundaries of many surgeries in the medical system are not clear. For example, for cardiac interventional surgeries, cardiothoracic surgery, circulatory medicine, and interventional surgery are all eligible.
But the Department of Circulation Medicine took the lead, and this matter became a matter of course.
Spine surgery is also competed by neurosurgery and orthopedics, with a ratio of about 50:50 worldwide.
The advantage of neurosurgery is that it causes less damage. After all, the scope of intracranial surgery is limited and it is difficult to make drastic changes.
This is why Luo Hao was relieved when he heard Feng Zixuan say that neurosurgery can be done.
Director Wang did not ask Luo Hao to come with him, and Luo Hao did not ask to come. Instead, he sat in the corner and waited for the operation to end.
"Ronald, you are really busy. You came to the hospital right after you came back."
Feng Zixuan's voice came.
"Director Feng." Luo Hao stood up immediately, narrowed his eyes, and gave Feng Zixuan a smile.
"How is it?"
"Just started, let's take a look."
"The patient is not in his menstrual period?" Feng Zixuan asked.
Endometriosis was considered by Luo Hao right away, but based on his medical history, it didn’t look like it.
Luo Hao talked in detail about his knowledge of the medical history and his judgment of the disease.
"Speaking of rat meat, I actually ate it when I was a child." Feng Zixuan pulled a stool over, sat down on Luo Hao, and then sat on another stool, chatting, "I didn't have much meat when I was a child. , there was no food basket project at that time."
Feng Zixuan looked at Luo Hao, "Xiao Luo, do you know about the food basket project?"
"I don't know." Luo Hao shook his head.
Feng Zixuan became interested, "I was young at the time. I read it in the newspaper and thought it was fucking nonsense. I didn't expect that after so many years, some things really turned out to be true. Reality.”
"I didn't have meat when I was a kid, so I could only eat two meat dishes during the Chinese New Year, so I look forward to the Chinese New Year."
"What should I do if I'm greedy? There are a lot of voles in the black soil in the northeast."
>Looking at Feng Zixuan's male-female appearance, it was hard for Luo Hao to imagine a "little girl" going into the fields to catch voles.
“Once I caught a big field mouse that weighed more than a kilogram and took it home. I ate the fried field mouse meat with chili pepper at night.”
Feng Zixuan clicked his lips and seemed to be thinking about a lot. Delicious food years ago.
"The meat is really tender, fresh and tender, and chewy. It's smoother, crispier and tenderer than the tenderloin. It breaks with just one bite. It feels like turtle paste when chewed, but it's better than turtle paste." It should be firmer, very much like the best oysters that have no fishy smell and do not need garlic seasoning."
This description...
"Later, life gradually improved, and there was no shortage of Maozi and various kinds of oysters. There are thousands of weird and delicious foods, but that’s all. I’ve tasted at least half of the delicious foods mentioned in A Bite of China, and only a few of them can match the taste of field mouse meat. Like.”
“If I have to say the same thing, I think puffer fish is more suitable.”
“As for the wild animals in the Northeast that are sentenced to ten years for one bite, they may not be done well. , I don’t think there’s anything special about it. By the way, there’s also Feilong’s soup!”
"Are voles so delicious?" Luo Hao asked.
Luo Hao doesn't like eating or drinking very much, so he can't relate to what Feng Zixuan described.
"Of course!" Feng Zixuan sat up straight, raised his chest, and said seriously, "Of course, I guess the problem is also a house mouse, not a field mouse."
"Director Feng, Xiong Have you ever eaten palm?" the anesthesiologist asked.
“There are places where you can eat bear paws in Lao Maozi. I have tried it, but it is not delicious. In fact, bear paws in Northeastern cuisine require various ingredients, but the craft seems to have been lost.”< br>
"That's right!" Feng Zixuan thought of something and slapped his thigh, "Speaking of bear paws, I think of a rich man many years ago."
"The red-topped businessman is famous throughout the country. He I got a disease and needed fresh whole bear bile, so I went to their local zoo to buy it at a high price."
"Uh~" Luo Hao was startled.
"Zoo people don't dare to sell, no matter how much money they make, because no matter how much money they make, they have to spend their lives." Feng Zixuan told the gossip with a smile, "Then I could only wait on the side for one to die of old age. The black bear died of natural causes ”
“ I heard a coal boss say that when they were having dinner, the man lamented that he had made enough money in his life, but his status was still poor! It is said that his lifelong goal changed to eating fresh bear bile. Someone sent it.”
"Is the disease cured?" Luo Hao asked, "What disease? Where did you find the folk remedy?"
"..." Feng Zixuan was stunned and smiled bitterly.
Luo Hao is really pure, a gossip. His focus is not on the money and privileges that everyone cares about, but directly on the disease.
(End of this chapter)