Chapter 115 Savage Growth
"Already boarded the airport ambulance!" Officer Wang had a smile on his face.
Director Han gently punched Yang Ping: "Don't worry!"
The rest is left to the nearest chest pain center. This patient at least has hope.
I have done my best in my duties.
Everyone dispersed, Director Han expressed his gratitude to Officer Wang, and everyone returned to the Comprehensive Orthopedics Department.
Yang Ping and Song Zimo no longer need to go out to the outpatient clinic. They didn't need to go out to the outpatient clinic in the first place, just because everyone was more active on the first day of the clinic and opened several clinics at the same time, making the scene more grand.
The first patient admitted, Yang Ping took everyone to go for ward rounds.
A 62-year-old female, her right knee joint has been weakened for three years. She has undergone two arthroscopic surgeries. The first time was thought to be caused by loose bodies, and the second time was thought to be caused by the lateral high-mobility meniscus. After the first operation, there was no relief of symptoms.
A weak leg means that during walking, the leg suddenly loses its ability to support and has to kneel down or fall down.
The most common cause is internal compression of the knee joint. The knee joint is suddenly compressed, and the joint mobility function is instantly lost. Naturally, it is impossible to walk. The direct manifestation is to kneel down or fall.
The patient had given up hope for treatment, but in the past three months, the leg weakness had become more and more frequent, occurring almost every day. As a result, he did not dare to go out and could only stay at home.
This caused a lot of trouble. Originally, she was the axis of the family's operation. Her daughter and son-in-law were busy with work. She usually cooked three meals a day, kept the house clean, and picked up and dropped off her grandson.
Now she is so angry that her legs are weak, making it difficult for her to move even an inch. She even has to be careful when going to the toilet. She is afraid of falling. If a fracture occurs, her daughter and son-in-law will have to take care of it, which would be the worst thing.
A small problem affects the normal functioning of the entire family.
"Doctor, I saw an introduction in the outpatient hall that comprehensive orthopedics can treat difficult and complicated diseases. I should be considered a difficult and complicated disease, right? After two surgeries, the old lady in the same ward with me had very good results. I finished it. Same as before, no improvement.”
The old lady was very depressed.
Yang Ping carefully examined his knee joints, and then focused on his heart, lungs and other organs.
The physical examination concluded that the compression originated from the outside of the right knee joint? What exactly causes jamming?
The new office is spacious and bright. X-rays and magnetic resonance imaging of the knee joint are hung on the reading lamp. This patient's head and entire spine also had magnetic resonance imaging. The other hospital suspected false legs.
The so-called false legs are caused by other reasons, such as cerebellar imbalance, incoordination of the brain's motor functions, spinal cord lesions, insufficient muscle strength of the affected limb, etc. These have been ruled out.
All examinations returned to the right knee joint, but the magnetic resonance imaging showed no loose bodies and no torn meniscus. Arthroscopy was performed twice, and the synovial hyperplasia should have been cleaned.
"Is it difficult to diagnose the first patient?"
Song Zimo frowned.
"Otherwise there would be no need for comprehensive orthopedics to exist!"
Director Han came in, and Director Tian was still sitting down in the clinic.
Director Han seemed to have no interest in the patient's condition: "Xiao Yang, you are the team leader now. Unless there is something special, you will lead the team to solve the problem independently. Director Tian will be responsible for the VIP patients, and you will be fully responsible for the patients in the general ward here."
After saying a few words, he left and no longer cared about the patient's diagnosis. He was only responsible for admitting the patient, and the rest was left to the team led by Yang Ping to solve.
Free activities! This is how we will work in the future, with freedom of movement under the trust and limited supervision of Director Han.
"Senior brother, is this our independent sect?" Song Zimo was very happy.
"Savage growth!" Yang Ping was still watching the movie.
The anatomy of the knee joint formed in my mind, and I began to simulate the movements, looking for any possible cause of this symptom.
Only wild growth, controllable wild growth, is the fastest and strongest. Geniuses should not be cultivated in an ordinary way. Director Han knows this well.
He was sitting in his new office, sipping tea. He was very satisfied with the new office. The windows faced south and there was plenty of sunlight. He squinted his eyes, leaned on the backrest, and hummed Peking Opera softly in his mouth.
He recalled every detail of today's events. Yang Ping's confidence and seriousness deeply moved him. Coupled with Director Tian's report on Yang Ping's performance at Nanqiao Hospital, he believed in his own judgment and decision even more, allowing them to grow wildly. , they can do it!
The phone rang. It belonged to Director Xiong of the emergency department. The patient with acute myocardial infarction just now was going to be sent to Sanbo Hospital. He was on the way and would be there soon.
The chest pain center closest to the airport is in a district people's hospital. It has only one interventional operating table, and you have to wait for two hours.
In this way, the ambulance can be sent directly to Sanbo Hospital, and the Chest Pain Center of Sanbo Hospital can easily open several stations at the same time.
Go and have a look!
Director Han called Yang Ping, who was still watching a movie in the office.
Since leaving the Department of Traumatology and Orthopedics, I haven’t been to the emergency department for several days.
The ambulance was parked at the entrance of the emergency department, and the words "Airport Emergency Center" were very eye-catching.
The stretcher was brought down from the car and quickly pushed inside. Someone followed the car and performed heart compressions.
The emergency department doctor rushed over, knelt on the car, took over, and continued to perform heart compressions.
"Defibrillation!"
The flat car was pushed to the emergency room of the emergency department. The two electrodes of the defibrillator are attached. Right subclavian and apical areas.
"Leave!"
Bang, defibrillation, defibrillation again, defibrillation a third time, the flat ECG lines turned into wavy shapes.
Because we already communicated about the condition on the phone on the road, now we only need a simple handover.
"Please call the chest pain center!" The nurse had already dialed the dedicated hotline of the chest pain center.
A few minutes later, an attending physician arrived at the emergency room and came running in.
Director Guan was still on the operating table, and the attending physician in charge of emergency consultation came over.
After spitting out the electrocardiogram paper, the doctor pulled it open and said: "Acute myocardial infarction, mainly concentrated on the front wall, hurry, send it to the cath lab!"
Doctors in the emergency department never walk with their heels touching the ground. Doctors and nurses push flat carts. There is a chest pain center and a dedicated transfer route.
The heavy lead door opened, the flat car was pushed in, and the patient was moved to the interventional operating table.
My heart stopped again! Compression, defibrillation! The ECG returned to normal.
The doctor has washed his hands and dressed, put on heavy lead clothes, punctured, inserted the catheter and guide wire, extracted the guide wire, and injected the contrast agent.
"The left anterior descending coronary artery is completely blocked!"
The contrast agent on the screen gets stuck somewhere and can no longer get through.
Director Han and Yang Ping rushed to the emergency department, and the nurse said that the patient had gone to the catheterization laboratory of the chest pain center.
The two people rushed to the cath lab, and a few minutes later, an anxious young woman came in accompanied by her family.
The heavy lead door is closed, separating family members and patients.
There was a doctor's entrance and exit passage next to it, and a doctor came out.
"Xie Dongsheng, Xie Dongsheng's family members!"
The young woman burst into tears, and the accompanying family members responded.
"Come here!"
The doctor took them to a nearby interview room, holding an informed colleague's letter in his hand.
"Doctor! How is my husband?"
"Who are you?"
"She is Xie Dongsheng's wife, and I am his brother-in-law!"
The doctor pondered and said: "Xie Dongsheng suffered from acute myocardial infarction. He came too late. He is currently undergoing intervention. He suffered cardiac and respiratory arrest on the operating table. He is now being rescued. He has been admitted to the emergency department. This is the third cardiac and respiratory arrest. Yes, you must be mentally prepared!”
Xie Dongsheng's wife's vision went dark and she fainted.
"Come here! The family members fainted in the interview room."
The nurse on the opposite side heard the cry for help and came over immediately. The doctor felt the carotid artery and nostrils and found that the heartbeat and breathing were fine.
"Take it to the observation room and take a rest."
The nurse helped Xie Dongsheng's wife to the observation room.
Doctors have seen it so often that they are used to it.
"Doctor, please, please think of a way. He is the backbone of the family. The child is only four years old and he is only in his thirties." The brother-in-law's eyes were also red.
"We are working hard, but we arrived too late and it took too much time. This is the informed consent for the surgery. Please sign it. Wait for his wife to wake up and then sign it again."
After signing, the doctor put away his pen, put on his mask, and went in again.
Yang Ping and Director Han sat on plastic chairs and waited. They participated in the whole process and wanted to know the final result.
Yang Ping was unusually calm. Director Han put his hand on his shoulder: "You will get used to it in the future. We cannot save everyone."
"Don't worry about me, I've done my part. Only God knows the outcome!"
The family members walked to the lead door and felt that standing at the door would give them greater hope.
This door!
Separate family members from patients,
Sometimes - never meet!
(End of chapter)