Chapter 587: Senior with medical ethics, ventricular assist

"The answers of all three contestants are correct. This patient was rushed to the intensive care unit 9 15 minutes ago. He is currently in a state of malignant arrhythmia and shock. He has been diagnosed with fulminant myocarditis caused by a cold and is in critical condition. The two players immediately led their teams to the intensive care unit No. 9 to rescue the patients."
  As soon as the host’s voice fell, the doctors present were all horrified.
  Because fulminant myocarditis has a very poor prognosis, it is easy to cause death.
  Many doctors call explosive myocarditis, aortic dissection, and amniotic fluid embolism the three emergencies with the highest mortality rate.
  They are even more dangerous than cerebral hemorrhage.
  Because of cerebral hemorrhage, doctors will be given some time for rescue. For these three diseases, as long as they are diagnosed, the family members will basically be issued a critical illness notice immediately.
  When Jin Leiming rushed to answer, it was a super fast.
  At this moment, when the host asked them to enter the Intensive Care Unit No. 9 to rescue the patient, he was embarrassed.
  Fulminant myocarditis is generally based on supportive treatment. Correct heart failure, anti-arrhythmia, etc.
  He, the chief physician of general surgery, is not particularly good at treating this disease.
  Instead, doctors in the emergency department and intensive care medicine department are more experienced in treating this malignant disease.
   "Director Zhang, you have been working in the Department of Critical Care Medicine before you were transferred to the emergency department as the head of the department. You are more experienced in treating fulminant myocarditis. Can you please come in with me to rescue the patient?"
   Jin Leiming pleaded.
  At this time, Jin Leiming couldn’t take care of her.
  Because he is very clear that the other two opponents are very strong.
  The doctor who rushed to answer the question just now was John, the chief physician of the Critical Care Medicine Department. This is a native of the United States, and belongs to a heavyweight physician who has spent a lot of money in the Yuanyang Hospital.
  John already has a great reputation in the United States.
  Many medical centers are vying to hire him.
  I heard that he would give up his superior job in the U.S. and go to work in an ocean hospital in China. This is due to the coquettish and charming Minister Gu Qian.
  She invited John over with her beauty.
   Then, after John worked for a while, it was fate. He and Minister Gu Qian did not come together, but fell in love with an ordinary nurse in Yuanyang Hospital without hesitation.
   Later, under John’s frantic pursuit, the nurse accepted his marriage proposal.
  Only mention one condition.
   asked John to settle down here in China.
  Because the nurse is the only daughter in the family, if he goes to the United States with John, the family will definitely be worried.
  There are many Chinese girls who have lived extremely miserable lives after marrying into the United States. Even a dog is inferior, and there is nowhere to complain about being abused or bullied by her husband.
  Fortunately, I was divorced and fled back to China.
  Unfortunately, no one cares about dying in a foreign country.
  After John married that nurse, he really settled down in the magic capital of China. Then he has been working in Yuanyang Hospital.
  There is no need to question his ability.
  The Department of Critical Care Medicine of Yuanyang Hospital, under his leadership, is currently the strongest Department of Critical Care Medicine in the city.
  The success rate of rescue of critically ill and extremely critically ill patients is much higher than that of Whale Hospital and Provincial People’s Hospital.
  Even in the whole country, the Department of Critical Care Medicine at Yuanyang Hospital is one of the few.
  Ding Zhengchao, director of the Department of Critical Care Medicine of Beijing First Hospital, let alone. He is an authority figure in the Department of Critical Care Medicine in China.
  Two such powerful opponents, Jin Leiming, an amateur player in the Department of Critical Care Medicine, how dare to compare with others?
  He also had no choice, so he asked Director Zhang for help.
   "It is my honor to work with Director Jin to rescue the patient." Director Zhang smiled and nodded in agreement.
   "Director Xiong, can you please go with me?" Jin Leiming only invited Director Zhang from the emergency department, and he was a little worried.
   turned around and invited Director Xiong Shan of the Department of Critical Care Medicine of Whale Hospital.
  Director Xiong Shan is usually rigorous and does not laugh harshly.
  However, his performance has been excellent during his years of work in the Department of Critical Care Medicine. No mistakes have been made yet.
"no problem."
Director Xiong Shan readily agreed.
  Since Li Quan became the dean, he has consciously resolved the contradictions in various departments. In particular, the proposal to expand the hospital's territory this time has brought the cohesion of the hospital to an unprecedented height.
  In the past, various departments fought openly and secretly, nothing more than two points.
  One is to grab wards and various medical resources, and the other is to compete for patients.
  In the final analysis, it is to have a higher income, so that you and your family can live a better life.
  Li Quan proposed to expand the hospital this time, and proceeded with this matter at an extremely fast speed, which made every hospital director full of expectations. I saw hope.
  At that time, after the new medical complex is completed, there will be endless wards.
  Is it necessary to make one or two beds in the hallway blush?
  As for competing for patients, it was necessary before.
  Especially the two months when Tsuru Zhen was the director of the hospital, he was tossing around, causing the hospital's business volume to shrink sharply.
  The departments that were originally full of business, tighten their belts one by one to live. The department, whose business was not good at first, fell into despair, waiting to starve to death.
  But Li Quan went back to the Whale Hospital and made his way to the sky. After he became the dean, which department of the hospital had the coolest business, as soon as Li Quan took action, that department quickly came back to life.
  Broadcast, really good, it’s worth installing, after all, you can cache books and read them offline!
  For example, orthopedics has become the most popular department in Whale Hospital.
  So, everyone is willing to follow Li Quan.
  Because I can see good hope, I can foresee a good life in the future.
   "Anyway, the host did not strictly stipulate how many people should be brought in. It is better to let Dean Li also follow us in. To rescue patients with fulminant myocarditis, many of Dean Li's traditional Chinese medicine methods can be used.
  The effect may be better than those high-tech instruments. "
  Director Zhang suggested.
  I don’t know if Director Zhang wants to flatter Li Quan, or if he really thinks that Li Quan will follow suit and can help a lot.
"I have no opinion!"
  Li Quan can also be regarded as able to work harder.
  Almost every successful answer at Whale Hospital, he would follow into the operating room.
  ……
  A group of people entered the Intensive Care Unit No. 9 and saw that not only all the instruments needed in the ICU ward were arranged, but also all the instruments needed for surgery and examination, operating tables, shadowless lamps, and so on.
   is completely a combination of the intensive care unit and the operating room.
  The capital is the capital, and the hardware conditions are really enviable.
  How much does it cost to set up a combined intensive care unit?
  You should know that the intensive care unit is to give priority to all the resources of the entire hospital, and it is the top resource, to the patients in it.
  Ordinary ICU, even if there are 30 beds in it, the hospital still has to lose money.
  Some people even calculated an account. The intensive care department of the hospital is completely a loss-making department.
  Even if some patients cost as much as 20,000 to 30,000 a day, the Department of Critical Care Medicine is still at a loss.
  The significance of establishing the Department of Critical Care Medicine is not to make money, but to improve the overall rescue level of the hospital.
  Because the intensive care unit is called the patient’s last line of defense.
  The existence of this department can greatly reduce the mortality rate in the hospital.
  When Li Quan and others entered the intensive care ward 9, John of Yuanyang Hospital and Director Ding Chaozheng of Beijing First Hospital were all in it.
  Jin Leiming of Huier Hospital was originally a doctor of general surgery, so he acted a bit Buddha.
  To put it awkwardly, it is slow.
  John glanced at Li Quan coldly, with a hint of hostility in his eyes.
   is exactly the look in the eyes of the enemy.
  Li Quan is a bit inexplicable, doesn't he seem to have much contact with this John?
  Neither did he John’s wife.
  Where did the hostility of this American guy come from? Do I have a special physique that pulls hatred?
   "Such a serious patient, you are still slow, it is completely like a master. I think it is right for you to be eliminated directly from the Whale Hospital."
   John said angrily.
   "Hey, I said Mr. John, haven't you heard of the skill of sharpening the knife and not cutting wood by mistake? You came in early, but you didn't see you immediately rescue the patient!"
  Director Zhang’s words are very sharp.
  In a word, he almost choked John to death.
  "You, you don't make sense, barbarians!" Even though John has lived in China for many years, the Chinese he speaks is still a bit blunt and obscure.
"The patient is currently suffering from acute heart failure, cardiogenic shock, ventricular tachycardia, and ventricular fibrillation. The situation is very dangerous. We must find a way to defibrillate immediately." Director Ding Chaozheng has already checked the patient's condition for the first time and started to rescue. jobs.
  As long as such an authoritative doctor with a high reputation, the medical ethics is generally very high.
  The world is so magical.
  A person's mood level does not reach that height, but he has a huge amount of wealth. Not surprisingly, the wealth will soon be lost.
  The same goes for doctors.
  A doctor, no matter how talented he is and no matter how solid his medical knowledge, but his medical ethics is poor, his medical skills will never reach the top level.
  Because his mind will be divided into other things.
  Always put interests first, not medical skills.
  For example, rescuing a patient is risky, and even if the rescue is successful, there is no big benefit. After weighing the pros and cons, he will automatically choose to give up trying to save the patient.
  The true top medical skills are obtained when rescuing such risky patients.
  So, a doctor with poor medical ethics can never become an authority in a certain medical field.
  John hates Li Quan, and it cannot be said that his medical ethics is not good.
  This is a personal complaint and has nothing to do with medical ethics.
  Ventricular fibrillation can cause the heart to stop beating if it is not rescued immediately.
  Ventricular fibrillation is also one of the root causes of arrhythmia.
  When science was underdeveloped, there was no effective way to solve the problem of ventricular fibrillation. Now it's different, go directly to the defibrillator.
  First, quickly clean the skin of the defibrillation site, and then zero the electrodes, aiming at the patient's defibrillation site.
  Press the switch.
boom!
  After the patient received a strong electric shock, the whole person bounced.
  Everyone looked at the data on the ECG monitor.
  The initial defibrillation does not seem to be particularly effective.
  Director Ding Chaozheng touched the patient’s carotid artery with his hand and held it still.
   should be checking the patient’s pulse.
  If the defibrillation is successful, the patient’s aortic pulsation can be touched.
  "Prepare for a second shock defibrillation."
  Director Ding Chaozheng looked at the female patient on the hospital bed, and his white eyebrows were shrunk because of their wrinkles.
  It would be a pity if such a young female patient could not be rescued.
   "Director Ding, can I take advantage of this gap and let me get the patient's pulse?" Li Quan's traditional Chinese medicine has a way to continue life.
  If it really doesn’t work, then the dead horse will be a living horse doctor and try Chinese medicine.
  He is now checking the pulse of the patient, and he also deliberately finds out the patient’s condition and finds out the lesion.
  Especially hidden lesions.
  In addition, his pulse diagnosis and observation techniques, after reaching the master state, can be combined to diagnose the patient's impending illness in advance.
  In other words, he can accurately predict the patient's condition.
  This ability is only available to the chief physicians who are extremely experienced in diagnosis and treatment.
  Li Quan is better than those chief physicians.
  Because the chief physicians predict based entirely on experience. Li Quan makes judgments based on the patient's pulse condition and complexion as a reference.
"Dean Li don’t want to be restrained. I have seen your excellent performance in the operating room, and I know you have a unique ability. Now what we have to do is to find ways to save this young female patient. Second in the game, life is supreme. ."
Ding Chaozheng's remarks are not hypocritical.
  Is the words from the bottom of the heart.
  This made Li Quan respect Director Ding, who is nearly sixty years old.
   "Director Ding Gao Fengliang, medical ethics double-hearted, really is a role model for our young doctors." Li Quan is not entirely flattering each other, but speaking the truth.
  He squatted down and diagnosed the pulse of the female patient.
  In order to avoid suspicion, he even deliberately pulled up the cloth on the patient's body to cover the patient's upper chest.
  Although in the eyes of doctors, men and women are the same, both are patients, there is not much difference.
  But in actual operation, sometimes some male doctors with high morals will consciously be gentlemen.
   Give the female patients the utmost respect.
  Li Quan carefully diagnosed the patient’s pulse condition.
  Because the patient's ventricular tachycardia and ventricular fibrillation are very serious, this caused great trouble to his pulse diagnosis.
  Ventricular fibrillation is actually a precursor to cardiac arrest.
Director Ding has already installed the E machine urgently.
  In this case, if the second defibrillation is still unsuccessful, then E will become the only magic weapon for the patient to survive.
  It can replace the human heart and realize the function of artificial heart outside the body.
   is also one of the advanced instruments often used in the intensive care unit.
   "The patient's pulse condition is extremely poor, and the survival rate is very low." After Li Quan diagnosed the pulse, he lamented in his heart.
  Doctors are actually a group of mortals. Sometimes to rescue patients, they can only do their best to obey the fate.
  The likelihood of this female patient coming back from rescue is very low.
   "Director Ding, if possible, I suggest to prepare another Impella immediately."
  Li Quan said in a serious tone.
  Impella is a ventricular assist device.
  When there is a problem with the ventricle, especially the left ventricle, when the blood inside cannot get out, you can use this instrument to send the blood out.
  Because the blood in the left ventricle is not allowed to circulate in time, it is very easy to form a blood clot.
  When the time comes, it will only be more troublesome.
  The gods can't save them when they come.