2587 None of us can do it
“Alright,” he said. Division Chief MA nodded. This was within his expectations. If it didn’t work, he would find someone to calm the emotions of the patient’s family.
Medical treatment was difficult. The child had eaten a nail, and in the end, all the contradictions were concentrated on the doctor. What was going on?
Are the parents okay? Is there no problem with the school? The child itself … Forget it, there was no point in thinking so much. The child was in the ward, and there were already signs of bleeding from the impact of the staple. No one knew if this situation would be worse or worse.
Chief MA learned the news after the failure of removing the stapler nail, which led to tension pneumothorax. He rushed over and saw the angry, confused, and sad family members of the patient.
This family was still reasonable, but he couldn’t be provoked any further. Right now, the family members ’emotions were on the verge of erupting. As long as there was a small wave, this volcano was likely to erupt completely.
As he thought about it, he shifted his butt, as if he was sitting on the top of a volcano, and below him was the hot magma.
“Director Tian, which hospital are you familiar with?”
“Peking Union Medical College Hospital, I’ll contact professor han.” Mr. Tian said. He was familiar with professor Han Zhijun and had a good relationship with him. It was not embarrassing to ask Han Zhijun to complete the surgery.
As for the vague idea in his heart, Mr. Tian had ‘forgotten’ it long ago. If the department of interventional services was willing to hire them, they could, but he could not say that.
“Director Geng …”
As director MA spoke, he noticed that director Geng wasn’t in his seat. He said unhappily, “Where’s Department Director Geng?”
At this moment, the door was pushed open, and director Geng walked back with his phone.”It’s a call from director Zhou of the hepatobiliary and pancreatic Department in the capital. He knows the patient.”
“Oh?” Director MA suddenly became interested.
“I’ve asked director Zhou, and he’ll be here soon. We’ll discuss it together. ” Director Geng’s mood wasn’t as low as before.
It was like walking at night. Although the situation was still the same, it was better for two people to discuss it than to do it alone.
This was especially true for patients whose family members ’emotions were on the verge of exploding. The family members’ emotions would affect the doctor’s surgery. Anxiety and anxiety would short-circuit one’s brain. If someone were to discuss it on the side, the result would definitely not be as simple as 1+1=2.
Chief MA also felt a little more relaxed. Since Zhou chunyong was willing to be the middleman and even rushed over to prepare for the surgery, then at least 30% of the responsibility was on him.
That’s good, that’s good. The staff in the hospital administration Department had a lot of things to consider, and their main energy was still on the failure of the surgery. Success? What was there to think about! Only by making enough plans for failure would he not have to panic.
Many medical disputes were caused by improper handling, which led to the matter becoming bigger in a panic.
The surgery was ready, and everyone dispersed. Director Geng looked at the patient’s X-ray film and sighed in his heart.
The eight staple nails were scattered in the right main air passage, from the main air passage to the bronchi, and everywhere.
This was also the reason why he couldn’t be conservative.
Foreign matter in the Qi path could be divided into several stages according to their size. A foreign object as small as a stapler nail would not have much of a reaction.
The stapler was not very stimulating, but when it entered the trachea, the symptoms of coughing and suffocation would be very light for a period of time, or even disappear. The appearance of a long or short no-symptom period was different.
Perhaps it would be a better time to take it out after the flesh tissue wrapped around it and fixed the nail in place.
Department Director Geng still preferred to use this semi-conservative method to carry out the treatment. However, there was a small amount of bleeding before this, and the side injury caused by the removal of a foreign object using a tracheostomy tube had caused the patient’s family members … Sigh, the patient’s family members ’emotions determine the treatment plan. Damn it!
Just like how the emotions of the first party affected the final outcome of a project, Department Director Geng had never met the first party in his entire life as a medical doctor. It was said that the client’s father was hard to please, just like the situation he was facing now.
On all the forms, the patient’s family members would be signing on the spot where Party B was supposed to be, but in reality? The doctor was the second best, okay?
‘How good would it be if I could be more conservative?’ director Geng thought helplessly as he looked at the film.
However, he adjusted his emotions. This was how things were. He had to think about how to solve it. What type of trap should he use to catch the stapler?
He was operating the capture device to retrieve a foreign object, and he could not even do single-chamber ventilation. Once the trachea was deflated, the few book-binding nails at the bottom could not be taken out.
It was really frustrating. Director Geng had thought of a few scenarios, but he was not 100% sure … He had no confidence at all.
Forget it, I’ll wait for Zhou chunyong to arrive first.
……
……
The clinical work was intense, but it was carried out in an orderly manner.
Chief MA personally led a few chief physicians to communicate with the patient’s family members and sign the surgery form before the surgery. The patient was sent to the operating room, and the surgery was completed in the hybrid operating room under general anesthesia.
All kinds of required instruments and consumables were placed neatly, and the circulating nurse could send them to the operating table if she needed them.
Zhou chunyong arrived 47 minutes later.
The moment he saw the X-ray film, director Geng saw that Zhou chunyong’s face was as black as the bottom of a pot.
“Old Geng, you didn’t handle this properly.” “You didn’t tell me that it was eight nails,” Zhou chunyong said in a deep voice.
“I thought you knew.” Director Geng laughed it off. He had already made up his mind to drag Zhou chunyong onto the stage.
Zhou chunyong’s bad temper was well-known in the imperial capital’s academic community. However, director Geng couldn’t care less about that. He couldn’t do anything even if Zhou chunyong scolded him.
He couldn’t think of a complete way to solve the problem, so he could only go up the stage with Zhou chunyong and give it a try.
“If I knew this was going to happen, I wouldn’t have come.” Zhou chunyong said with hatred.
“Old Zhou, don’t be like this.” “Let’s discuss it,” director Geng consoled.”I think there’s still hope.” Besides, if it doesn’t work, I still have a heart. “
“Cardiothoracic surgery. The doctors in your hospital will cut out a small nodules in the cardiothoracic surgery.” Zhou chunyong immediately dissed her.
“The strength of our hearts is still very strong.”
“Then let them open it directly. Tell me how to get it if they intervene!” Zhou chunyong’s fingers tapped on the film reader as he spoke.
The film reader made a “Dong Dong” sound, like the heartbeat of a patient with ventricular fibrillation.
“Old Zhou, Xinxin has already contacted professor han from Peking Union Medical College Hospital. If it doesn’t work, professor han will come over directly.” Department Director Geng tried to console Zhou chunyong.
“Old Geng, it’s not that I don’t want to give you face, but I’ll be honest with you. We can’t do this surgery.” Zhou chunyong asked,”it’s chief MA who’s handling this?”
“Yes.”
“Then tell chief MA that you’re looking for boss Zheng!” “Only boss Zheng can handle this kind of surgery!” Zhou chunyong said without hesitation.
……
……
[Note: there will be an additional update at four in the afternoon. This surgery will be over.] This kind of surgery reflected the way of thinking, and if the way of thinking was right, it would be very easy to finish. Besides, the medical team had to have a meal together during the reunion during the new year.