Chapter 188 Let’s contact Mr. Yin Yang first
Half an hour ago.
"Cousin, what should I do?"
Jiang Wenming was also a little panicked. When he heard his relatives ask him, he suppressed his irritability and said, "Go to the drugstore opposite the hospital to buy an abdominal belt."
“Beltband?”
"Go quickly, there's so much nonsense. Then call 120 and hurry up and go to the hospital."
Jiang Wenming scratched his head.
The patient was a distant relative of his. Some time ago, a physical examination revealed that he had pancreatic head cancer. The family panicked and found Jiang Wenming.
At that time, Jiang Wenming suggested asking experts from Shanghai for surgery, and the experts he could contact were experts from Shanghai.
As for Luo Hao and Chen Yong, Jiang Wenming didn't want to trouble them if nothing happened.
The facts were similar to what Jiang Wenming had expected. Experts from Shanghai City flew in. The operation started at 8:30 in the morning and ended around 10:00.
In the past, the most difficult operation in general surgery - combined pancreaticoduodenectomy - has become countless times simpler in the hands of experts, as if it was just a simple cholecystectomy.
Not to mention that the housing prices in the Imperial and Magic Capitals are expensive, not counting other factors, medical care alone has extremely high added value.
Jiang Wenming’s distant relative recovered well after the operation and was discharged from the hospital in 5 days. He endured it until 7 days and was discharged from the hospital.
After he was discharged from the hospital, Jiang Wenming forgot about this incident, and all that was left was regular review.
Unexpectedly, nearly 10 days after being discharged from the hospital, he suddenly went into hemorrhagic shock!
Jiang Wenming didn’t know what the problem was specifically and could only rely on his own clinical experience to judge.
Soon, I bought the abdominal belt.
Jiang Wenming puts an abdominal belt on the patient.
"Is this thing useful?" asked the relative.
Jiang Wenming said nothing, twirling his phone in his hand and thinking of many solutions.
But he found that the only way left was to disembowel his stomach.
Open the abdomen and stop bleeding.
It’s really weird. Nearly 3 weeks after the operation, he suddenly had massive bleeding.
If he had to find a reason, Jiang Wenming could explain it - after all, the pancreas was cut, and a small amount of pancreatic juice leaked out, corroding the pancreaticoduodenal artery.
Although looking at the operation records, the experts from Shanghai Magic City did a lot of work on the pancreaticoduodenal artery, including suturing, titanium clips, etc. to ensure safety.
But something happened in the end.
Jiang Wenming sighed. Fortunately, Wang Guohua was hired back. If Wen Youren was still employed... Wen Youren really couldn't do this kind of surgery.
Maybe go to the provincial capital.
Jiang Wenming hesitated and hesitated, but still did not call Chen Yong.
Although the relationship is between master and apprentice, Jiang Wenming is very satisfied that his children can spread their wings and fly high. Solve the things that can be solved by yourself, and if you really can’t, talk about it.
The 120 ambulance arrived and the patient was sent to the mine headquarters.
Because of the abdominal belt pressure, the patient's blood pressure was temporarily stabilized.
"Look for me to wipe the butt of the experts from the higher-level hospital?" Wang Guohua's voice came in the corridor, making a loud sound, as if the walls were shaking.
"Director Lin, let's do it the other way around." Wang Guohua continued.
"Shouldn't it be that I have to have surgery and cannot come to Taiwan, so I have to call the experts from the higher-level hospital?"
Wang Guohua's words are as fast as the next, and he presses harder every step of the way.
But his steps were not slow, and he had already arrived at the door of the emergency ward as he spoke.
Jiang Wenming took half a step back and hid behind the patient's family.
Soon, Wang Guohua and Lin Yuming walked in together.
When asked about the situation, Wang Guohua stopped talking nonsense and looked at the ECG monitoring attentively.
"B-ultrasound reported abdominal effusion, with a maximum depth of 11.2cm." Wang Guohua muttered in a low voice, and then his eyes fell on the abdominal belt.
"Xiao Jiang, did you pierce it?"
"Yes." Jiang Wenming nodded.
"The abdominal belt is pressurized, and the bleeding blood vessels are temporarily blocked. The blood pressure is temporarily stable and can be maintained for about 24 hours, but it will never grow longer." Wang Guohua said firmly, "Director Lin, next What to do? ”
Seeing that the patient was in good condition and could hold on for the time being, Wang Guohua turned back to look at Lin Yuming.
Wang Guohua’s attitude is very clear.
"Director Guohua, I am from the Medical Department. I want to ask you about the specific situation." Lin Yuming replied calmly.
“Damn it!” Wang Guohua cursed in a low voice and turned to leave.
Lin Yuming glanced at Wang Guohua's back and followed him out of the emergency room.
Jiang Wenming thought for a while, and finally followed Wang Guohua out.
This is something I have to say behind the back of the patient’s family.
But even if the patient’s family members follow, they may not understand anything and will only add to the confusion.
We came to a secluded place.
Wang Guohua raised his head slightly and glanced at Lin Yuming from the corner of his eye.
"Director Lin, things are difficult to handle."
"Director Guohua, let's do the surgery." Lin Yuming said helplessly, "No matter what the conflict is, let's solve the patient's problem first."
< br>"You think I fucking don't want to!" Wang Guohua angrily yelled, "Xiao Jiang is good, put an abdominal belt on the patient. Xiao Jiang, what is the blood pressure before the abdominal belt?"
"75/34 The patient's family members measured the blood pressure in millimeters of mercury at home, and the blood pressure monitor was approved by our school, so there is no big problem." Jiang Wenming answered truthfully.
“It is now 122/76 mmHg. The reason why the blood pressure seems to be okay is because the patient had a stomach full of blood. After applying pressure with an abdominal belt, the intra-abdominal pressure increased and the pancreaticoduodenal artery was blocked. The broken end is temporarily blocked.”
"Then... can you grow it yourself?" Lin Yuming's eyes lit up.
If the problem can be solved with an abdominal belt, good luck.
"I said it's impossible, stop dreaming." Wang Guohua said categorically, "The current situation is - after the operation, the abdominal cavity is opened after going on stage, the blood pressure disappears all of a sudden, leaving me with the operation The time is only about 30 seconds. "
"Director Lin, Xiao Jiang, in 30 seconds, the patient's stomach is full of blood, there is no surgical field, and the possibility of finding the stump of the pancreaticoduodenal artery is too low. "
“If we don’t do it, the patient may be able to survive for a few days, but in the end it won’t work.”
"To do it or not to do it, it's all a question." Wang Guohua looked at Lin Yuming with disdain, "Director Lin, is this what you call the top level in the country?!"
Wang Guohua's words were full of sarcasm. .
Lin Yuming sighed and took out his mobile phone.
"Who are you going to call? An expert from Shanghai? The operation is a one-time operation, and why can you fly here to deal with such nonsense? Why didn't I suggest calling an expert at that time? Well, now See it clearly."
"Let me ask Xiaoluohao." Lin Yuming sighed. He knew what Wang Guohua was talking about.
In fact, it has nothing to do with the magic city experts.
I still remember that many years ago, Wang Guohua successfully performed the 4th or 5th case of combined pancreaticoduodenectomy. The patient was fine on the day of discharge.
Going through the settlement procedures, if the patient feels that nothing is wrong, he can go to the window to settle the bill himself.
One second he looked like a normal person, and the next second the patient fell to the ground, took a few blows, and passed out.
The treatment time left for doctors and nurses was extremely short, and the patient died in the end.
That was an operation performed by Wang Guohua himself, and it was performed at a peak age of less than 50 years old. This kind of problem would also occur.
Lin Yuming didn’t know what to do now.
Based on his understanding of Wang Guohua, Lin Yuming knew in his heart that what Wang Guohua said should be true.
After laparotomy, the patient’s blood pressure returns to zero very quickly, and the rescue time is very short.
It is almost impossible to find the stump of the pancreaticoduodenal artery in a pool of blood in a very short time.
"Luo Hao? It's possible for him." Wang Guohua gave a pertinent answer, "I saw that he used the gastroscopic titanium clip very quickly, almost clamping the gastric vein against the blood and without a field of view. "
"But the gastric vein and the stump of the pancreaticoduodenal artery are still different, let's ask." Wang Guohua sighed, "If Ronaldinho has nothing to do, he wants to give it a try... Director Lin, I'll call Youren and ask him to come back and set up the channel for me. This is the best combination for our mine manager."
Lin Yuming nodded.
Luo Hao doesn't know if he has time. If it doesn't work, just let Wen Youren come back.
In everything, just try your best.
As for Wen Youren, who was growing potatoes in Siberia...
Lin Yuming shook his head and called Luo Hao.
"Xiao Luohao, are you busy?" Lin Yuming asked.
"Uncle, I am eating. If you want anything, please tell me."
"There is such a patient."
Lin Yuming described the patient's causes and consequences in the most concise language.
More than a minute later, Lin Yuming finished speaking.
"Oh, that's it, it's a small problem. I'll go back right away." Luo Hao said, "Our family should seize the time to make pre-operative preparations."
"How much blood should we prepare? Is 2000 enough? ?" Lin Yuming's eyes lit up.
"It only takes 200 or 400, but it won't produce much blood." Luo Hao said with a smile.
"!!!" Wang Guohua was stunned.
He suddenly grabbed Lin Yuming's cell phone, "Luo Hao, this is Wang Guohua."
"Hello, Director Guohua."
"Are you You don’t want Wen Youren to come back, so you have to show off your strength?" Wang Guohua asked.
"Ah? What does it have to do with Director Wen? Director Wen is sent by the hospital to support impoverished counties and targeted poverty alleviation. Didn't we just keep talking about postoperative bleeding?"
Luo Hao was a little surprised.
Wang Guohua's heart sank into his pelvis, and every time he beat, he would hit his bladder, and he felt the urge to urinate.
He was sure that Luo Hao was just trying his luck when he came back, but Luo Hao didn't want Wen Youren to come back even if he tried his luck.
This person is so small-minded!
Even!
He is playing with the patient's life.
"Luo Hao, how confident are you!" Wang Guohua asked sharply.
"I haven't seen the situation, and I don't know, but if we are just talking nonsense behind closed doors, I'm probably 100% sure. Well, just prepare 2u red blood cells, if the patient's condition is not urgent."
“…” Wang Guohua was completely speechless.
“Eat quickly!” Luo Hao was already urging, “There is an emergency patient over there, we have to go back to rescue him.”
"What patient?"
Chen Yong's weak but familiar voice came, and Jiang Wenming's nose felt sore.
"Hurry up and eat, let's talk on the way. Dani..." Luo Hao's voice gradually became softer, and he must have covered his phone.
Lin Yuming had a smile on his face.
"Xiao Luohao, hurry up." Lin Yuming took the phone back from Wang Guohua and asked kindly. "Okay, uncle, keep your blood pressure under control at home. I'll solve the problem in half an hour when I get back." Luo Hao comforted, "Don't worry, these are common complications after combined pancreaticoduodenectomy." We don’t know how to deal with the disease, but we don’t do much surgery.”
Wang Guohua felt Luo Hao slap him in the face with his mouth from the air, and with a snap, five finger prints were clearly visible.
"Okay, you come back soon."
With that said, Lin Yuming hung up the phone.
He glanced at Wang Guohua and then at Jiang Wenming.
"Xiao Jiang, do you know the patient?" Lin Yuming asked.
“I know him, a distant relative.” Jiang Wenming replied, “I will explain to the patient’s family that the patient must be dead, but we are looking for top experts in the country to accept his fate whether he lives or dies. Does Director Lin have anything else to say? "
Lin Yuming nodded. The old chief was very considerate and knew exactly what he meant.
No matter what Xiaoluohao says, it will not work. We must be prepared that the patient cannot be saved.
"The hospital paid for the Xiehe experts to come to the emergency room and give it a try. If it didn't work, there was nothing anyone could do." Lin Yuming added.
"Okay."
"Director Lin, I have just said the pros and cons." Wang Guohua was a little angry, "I have never seen anyone who can save a similar patient 100%! Luo Hao is a brat. You fucking take it seriously!"
Lin Yuming narrowed his eyes and clasped his hands in front of him, as if holding a ceramic jar.
"Director Guohua, Professor Luo Haoluo is an expert from Union Medical College and now works in the First Hospital of the Medical University. There is nothing wrong with inviting experts from outside to help. Little kid, who are you talking about?"
< br>"I..." Wang Guohua was speechless for a moment.
Originally, as the boss of the mine, it was fine for him, the old director, to diss a young doctor of Luo Hao's age who was a brat, but this was different from the past.
Luo Hao is already a professor at Xiehe University and now leads a team in the First Hospital of the Medical University.
Wang Guohua was in a trance.
Luo Hao has soared into the sky within a few months.
“The operation is impossible! I have to keep my eyes peeled and see how I can prepare 400 ml of blood. How can I do this crappy operation!” Wang Guohua was not convinced.
"Director Wang, the patient is admitted to your ward." Lin Yuming's address to Wang Guohua also changed.
Wang Guohua sighed. Although he was unhappy, the patient still wanted to accept it.
Jiang Wenming went to explain to the patient's family, while Lin Yuming returned to his office while thinking about it.
He didn't call Luo Hao.
I don’t know if there is a car on the other side. If Luo Hao drives to answer his phone, it will still be dangerous.
Lin Yuming thought about the rescue from beginning to end, then picked up his mobile phone and made a call.
"Stationmaster Zhao, I have an emergency patient here who needs rescue. How much blood type A rh+ do we have in stock?"
"As much as you need, we still have it, that is. Say hello to you in advance."
"Yes, yes, prepare at least 3,000, 15u of red blood cells, as much plasma, platelets, and cold agglutination as you need."
Brush your face and do it. Well prepared, Lin Yuming went over it again.
He couldn't sit still and came to the ward.
Jiang Wenming was explaining to the patient's family. Lin Yuming stood aside and listened for a while. The patient's family almost fainted.
Explaining the condition, an old doctor like Jiang Wenming is really cruel. He is 100% dead and there is no possibility of survival.
Even when he was explaining to his relatives, Jiang Wenming did not hold back at all, and instead spoke more harshly.
Jiang Wenming cracked his fingers and reasoned. Top domestic experts performed the surgery, and top domestic experts performed rescue operations overnight. He explained to the patients, their families, and everyone.
As for death, no one is immortal.
The conditions are just this. It has been reached to the extreme, and it’s time to close your eyes after death.
Jiang Wenming's explanation was better than he imagined, and Lin Yuming nodded inwardly.
The patient’s family members cried and hugged each other, and Jiang Wenming forced him to sign.
They found Jiang Wenming who was hospitalized and contacted experts. At this time, Jiang Wenming did not hide from the problem, but took all the responsibilities.
After processing this side, Jiang Wenming seemed to be several years older, with dark circles under his eyes.
"Director Lin, I'm fine. Please wait for a moment and I'll contact Mr. Yin-Yang." Jiang Wenming then took out his mobile phone and started to contact Mr. Yin-Yang.
Cold air rose up from Lin Yuming’s heels and went straight to the back of his head.
It seems that not only Wang Guohua does not believe in Luo Hao, but even Jiang Wenming, an old doctor who is close to Luo Hao, does not believe that the patient can be recovered.
After Jiang Wenming finished contacting him, he pulled Jiang Wenming to the office.
"Xiao Jiang, is it really not possible?" Lin Yuming asked.
“I asked the expert, and he said that he had completed more than 300 cases of combined pancreaticoduodenectomy in the past five years, and 3 patients had problems and 2 died.” Jiang Wenming sighed. , "That is the top comprehensive tertiary hospital in Shanghai. Our mine cannot compare with it."
"The mortality rate there reaches 66.7%, but the mortality rate in our mine cannot be 100%? Looking for a small hospital? Luo's return is to give an explanation to his family, I...I don't have any hope," Jiang Wenming explained straightforwardly.
Lin Yuming understands Jiang Wenming.
Jiang Wenming is a veteran of general surgery. He has the highest level of surgery in the department for operations up to major gastrectomy.
To use an Internet buzzword, you are invincible in the same situation, at least in the mine.
Moreover, Jiang Wenming was only half a step away from crossing the border, but he went to the clinic on the way. It was a pity.
All of this was achieved as a result of Wen Youren's suppression.
Lin Yuming knew that although Jiang Wenming couldn't perform related surgeries, he still had basic eyesight.
He said no, which is more credible than Wang Guohua saying no.
But Xiaoluohao said it very easily!
Lin Yuming fell into a fog and was extremely confused.
"Director Lin, I have seen some similar situations, not to say many, and the probability of death is indeed very high." Jiang Wenming explained, "But don't worry, if Ronaldinho can come back to help with the rescue, the patient will be dead even if You can even close your eyes.”
“…”
That’s right.
"They are looking for me. If something happens, I will try my best to suppress it and not cause trouble to the hospital or Professor Luo." Jiang Wenming said with certainty.
“Do your best and let fate dictate. I also checked the information and found out that the experts from Magic City were right. I also went to the operating room to watch the whole process on the day of the operation. They did everything right. Something went wrong. The fate is bad, there is no way.”
Jiang Wenming spread his hands and said helplessly.
Lin Yuming breathed a sigh of relief.
All the necessary preparations have been made, but Jiang Wenming is even more ruthless, even looking for Mr. Yin Yang. He is afraid that the family will buy all the old clothes now and wait for the rescue to fail and put them on for burial.
As for Luo Hao...
Lin Yuming frowned, "Xiao Jiang, tell me the truth. Xiao Luohao said for sure that it's fine and can be taken down 100%. What do you think about this sentence? Consider it.”
Jiang Wenming shook his head.
“Director Lin, I don’t understand.” Jiang Wenming said after a few seconds, “He was bleeding 3 weeks after the operation and his condition is critical. In this case, anyone who can be rescued by a second operation will have a good life. "
As he spoke, Jiang Wenming sighed deeply.
He doesn't understand either.
Lin Yuming did not bother Luo Hao, but just left a message for Luo Hao, asking him to drive carefully.
......
"Luo Hao, can you stay for a day?" Chen Yong asked happily.
"It's the weekend tomorrow, let's stay here for a day." Luo Hao said, "I'll go home and see my mother."
Speaking, Luo Hao was a little angry.
"By the way, Luo Hao, why don't you see your mother calling you as usual?"
"My mother goes to play Baduanjin every morning, comes back to eat and work, and goes dancing after dinner in the evening. She has to dance in the square and make videos later, so she has no time to care about me! She is impatient every time I call her, how can she be such a mother?" Luo Hao complained.
Chen Yong laughed.
He rarely saw Luo Hao lose his temper or complain. This should be one of the few cases.
"Don't you worry about your mother? Isn't it all the mother's worry after her son travels thousands of miles away?"
"Maybe it's because I caused too much trouble when I was a child. My mother thinks I am always a troublemaker wherever I go." Luo Hao said helplessly. said.
"Luo Hao, what troubles did you get into when you were a child?" Wang Jiani asked curiously.
Luo Hao began to tell some things about his childhood, especially things like monopolizing homework, which made Chen Yong and Wang Jiani look at him with suspicion.
“You were so greedy for money when you were a child, why are you not greedy now?”
"I have enough money to spend, and I have bigger goals. This little money is nothing, so forget it." Luo Hao smiled, "My annual scientific research funding should soon be in the tens of millions. Clinically The little money is really nothing."
While talking and laughing, he drove back to Donglian City.
On the expressway, the windmill turned on and Luo Hao maintained a steady speed of 120 mph and returned to Donglian City in one and a half hours.
After leaving the toll station, Luo Hao rolled down the window.
"Luo Hao, your broken car is actually very good, right."
"It should be pretty good."
"Why don't you change the electric windows instead of hand-cranking them?" Chen Yong asked
"The bosses like the retro style." Luo Hao said, "Domestic In the early days of Santana, the windows were all hand-cranked. Even though the bosses couldn’t get into them, they were very envious of them, so I had an obsession with hand-cranked windows.”
“You. This flattery is really impressive!" Chen Yong exclaimed.
Luo Hao ignored him and took out his mobile phone to call Lin Yuming.
"Uncle, I got off the highway, the patient..."
As he was talking, a sound of painful crying came from the other side of the phone.
Luo Hao felt cold, "Uncle, the patient is dead?!"
"Not dead, high pressure 115."
"???" Luo Hao was confused , "Uncle, who is crying?"
"The patient's family."
"..."
This is a good statement, but the preface does not match the follower. After the explanation, Luo Hao became even more confused.
But it’s better to see it with your own eyes. Now I can’t explain it on the phone.
After asking about the patient's condition, Luo Hao found out that the patient was clear and clear, his blood pressure was maintained fairly well, his blood was transfused, and everything was in order.
Hang up the phone and drive to the mine manager.
Going upstairs, several family members of the patients sat on the ground at the door of the ward and cried loudly. Next to them was a gentleman wearing Chinese clothes, holding a prepared flag in his hand.
"After a while, the people are gone. The immediate family members go in first, and the children wipe the old man's body. By the way, prepare some cotton. If not, ask the doctor for cotton balls, and plug the throat and anus. Wear clothes. It's early, otherwise you won't be able to wear clothes if you get hard."
"Think about it, you won't even have clothes on when you go down, and you can't bully people to death because of your gold suit. You have to rely on clothes even after death. Put on some clothes, put some money in your pocket, and take care of yourself, so as not to suffer any injustice.”
“…” Luo Hao was speechless.
(End of this chapter)