Chapter 640: Lament the world’s unwillingness to look back and leap to become the first-class blood department in China

It didn't take long for the female patient to be carried back by her family.
She has been examined in many hospitals, but the specific cause cannot be found. No hospital dared to admit her.
Yesterday, from thousands of miles away, I came here especially for treatment at Whale Hospital.
As a result, she was turned away again disappointed.
After seeing more doctors, she also learned to be smart. Knowing that these big hospitals couldn't explicitly refuse to admit her, but they found some excuses euphemistically.
For example, our hospital has no beds. Why don't you go to other major hospitals?
Or it can be said that the inspection cycle is very long, and it may take several days or even longer to produce results. If you are in a hurry, you'd better go to a big hospital with better conditions. For example, the big hospital in Beijing has particularly advanced equipment.
The patient must be unable to resist it before going to the hospital for treatment.
How dare to drag it for several days.
If it drags on, it's the patient who died, not the hospital.
As a result, the patient could only leave with tears in his tears, looking for the next hospital.
The Whale Hospital called her early the next morning, and the family members of this female patient were particularly pleasantly surprised.
He hurriedly carried the person back.
In the outpatient clinic, Li Quan had carefully read the patient's checklist. Except for the results of routine blood tests, which showed a slight abnormality in the number of platelets, other indicators were basically normal.
Of course, ordinary blood routine examinations mainly check the white blood cell count, hemoglobin content, and platelet count.
Some other special item screenings need to be done extra.
Time will be more frequent.
It must be added money.
"This is the dean of our Whale Hospital. After he learned about Ms. Liu's condition, he took it very seriously. But you also know that Ms. Liu's cause is very complicated, and you can't find out the specific cause in many major hospitals. Our hospital can't say that it can be detected, only that it will try its best to treat it." Director Qin is a doctor with rich experience.
She speaks very skillfully.
He didn't put the words to death.
This is also the experience of every doctor with rich working experience, using blood and tears.
"What a young dean! Anyway, we thank you!"
Seeing that Li Quan was so young, the family members were somewhat distrustful.
I even think that the hospital has just found a dean who has enough money to perfuse them.
"You don't have to be polite. It is our duty to treat the patient. Can she sit alone?" Li Quan has already begun to wait and see the woman's complexion and body shape.
I saw that her face was extremely pale, her eyes were dull, her hair roots scattered and dull.
All signs indicate that she is ill, and her condition is still very serious.
"Can sit and sit! But I fainted twice yesterday, and vomited once last night."
The patient’s family should be the woman’s husband.
This woman is not very old, she is only twenty-eight or ninety-nine years old.
Her husband is estimated to be in his thirties, with a flat head, and is very caring for her.
When I looked at her, there was deep concern and worry in his eyes.
Li Quan asked the female patient to sit down, put her right hand flat on the table, and tried to check her pulse.
This move made the family and the female patient feel a little surprised.
Because in the eyes of many patients, the pulse diagnosis of Chinese medicine is a bit similar to a fortune teller's pinching his fingers on the street.
It's all fooling people.
"Our Whale Hospital is a special hospital that integrates Chinese and Western medicine. Our dean has obtained the true teachings of a variety of traditional Chinese medicine techniques. He cuts the pulse of the patient, which is more accurate than the instrumental examination."
Director Qin was beside him to help Li Quan speak.
"Oh, is it?" The patient's family made a noncommittal expression, indicating that they didn't believe it at all.
Li Quan never cared about those false names.
Why is the patient not important? Whether the patient’s lesions can be detected and cured is the most important thing.
"The pulse is thin and astringent, and it feels more stagnant. This is a sign of blood stasis."
After Li Quan pulsed the patient, he couldn't help being shocked.
If this patient is not rescued as soon as possible, he will die.
"Director Qin, have you checked the patient for blood coagulation?"
"Uh...I haven't done this before."
Director Qin shook his head.
"Check the patient's prothrombin time immediately, and check the D-dimer in the patient's blood. Color Doppler ultrasound has only checked the patient's heart and brain, right?"
Li Quan asked.
"I only checked these two main parts and found no obvious abnormalities."
Director Qin replied.
The hospital examines the patient, and it is not allowed to arbitrarily open the application when opening an application.
Especially now that medical supervision is becoming stricter and stricter, patients always like to complain.
The doctor is also afraid of losing his job.
"That's all right, immediately do another hematography to the patient. I suspect that she has a serious blood clot in her body." Li Quan's expression was serious.
The patient was also shocked.
I went to so many hospitals and performed various checks, but the cause of the disease has not been found.
Now Li Quan just touched her pulse, saying that she might have a blood clot in her body.
In addition to being dubious, the patient also had a trace of fear.
In ordinary people's eyes, a blood clot means that a blood vessel is blocked and the blood in it coagulates.
This is mortal.
Whether it is the notorious amniotic fluid embolism, cerebral embolism, cardiovascular embolism, all are fatal.
"Doctor, my wife can't do hemography. She is allergic to iodine and barium."
The man said quickly.
Family members should not be medical professionals, but they can name the auxiliary medicine for blood imaging, indicating that other hospitals have also tried to give her blood shadow examinations.
Because of the sudden fainting, there is probably a problem with the blood supply.
But the patient is allergic to these adjuvants, which cuts off the path of angiography.
"Well, since you can't perform an imaging examination, let's do a color Doppler ultrasound examination. I will mark out the parts and do it immediately, without delaying." Li Quan just gave her a pulse, which parts are blocked, he can basically lock it.
Color Doppler ultrasound can detect thrombosis, but it is not as accurate as angiography.
With Li Quan marking out the specific parts, the possibility of finding out is much higher.
"Mainly check the back part and the neck part. By the way, the patient should try not to lower his head to avoid danger."
Li Quan said to the patient and family members.
"Okay! Thank you doctor."
The woman said thanks, but the expression on her face was disapproving.
She might even suspect that Li Quan was alarmist.
Naturally, Li Quan would not break her doubts.
Not to mention the patient himself, even the family members are dubious.
All doctors can do is to do their part.
What the doctor wants to do is beyond the scope of his abilities.
"The checklist has been opened, so hurry up and do a color Doppler ultrasound! What I wrote is urgent. You don't need to wait in line, just hand it over to the image check window, and you will arrange it.
Director Qin heard that Li Quan said the patient's condition was so serious, she did not dare to neglect.
The inspection application was opened quickly.
At the same time, he specifically called the blood examination room and asked them to make up the two tests of thrombin and D-dimer on the blood of Ms. Liu.
The patient walked out of the outpatient room with the support of his family.
Immediately after that, within three seconds, I heard the patient's family members anxiously calling for help from outside.
"Doctor, doctor, my wife fainted..."
Li Quan rushed out of the outpatient room, and then saw the patient who was still walking just now, his eyes turned white, and he fainted on the ground.
"What the happened?" Li Quan saw that the shoelace on the patient's left foot was loose, and roughly guessed something.
"I, my wife just squatted down and lowered her head to tie her shoelaces, and then she fainted! Doctor, we regret not listening to your warning, please find a way to save my wife!"
The husband of the female patient regretted that his intestines were broken.
Li Quan reminded them just now that it is best not to lean over and lower the head for female patients.
But they didn't take it seriously.
Only three seconds later, Li Quan's words were fulfilled.
"Let's take it for an inspection right away!"
Li Quan took the pulse of the female patient, frowning very tightly.
He couldn't help thinking of a Buddhist saying.
Asked why the Bodhisattva sat downside down? Sigh that the world refuses to look back.
He had clearly told the patient the precautions and was doing his best to save the patient's life, but the patient did not understand him, and even doubted him.
The woman was pulsed again just now, and he found that the blood clot had shifted.
I hope it will not enter the blood vessels of the brain.
Otherwise, the consequences are unpredictable.
What can be done now is to check immediately to determine the location of the thrombus, and then remove the thrombus by surgery.
...
Forty minutes later, good news came from the operating room.
The blood clots in the neck and back of that lady Liu have all been removed. The thrombus is taken out using a minimally invasive method and a special thrombus removal device.
In addition, the blood laboratory has also obtained preliminary screening results.
The patient's prothrombin time was significantly abnormal, and the D-dimer was elevated.
In fact, the results of this check are not meaningful anymore.
Because Ms. Liu has already successfully removed the thrombus.
The disease is cured, and the patient is found to have signs of thrombosis, what use is it?
The only effect may be to confirm that Li Quan's diagnosis is completely correct. That's it.
Of course, if Ms. Liu needs further examination and diagnosis, these two indicators are obviously abnormal, it is certainly useful.
Thrombosis generally does not form for no reason.
There must be a reason.
If the cause of the thrombus cannot be found, after the thrombus is removed this time, a new thrombus may form again soon.
In Li Quan's office, he was listening to the report from Deputy Dean Min.
As for the progress of the hospital's expansion project and the problems encountered, Vice President Min will report to Li Quan in time.
This time, Li Quan took Sophie home to see his parents. There was nothing very important, and Deputy Dean Min did not dare to bother.
So he waited until Li Quan came back today before reporting to him.
As a result, Li Quan has a lot of things to be busy.
Including some things that require his approval and processing in various departments of the hospital.
None of these can be delayed.
Guiding opinions must be given in time, signed and stamped, and the following can be implemented.
"Boom boom boom!"
There was a knock on the door.
"Come in!"
The door of the office was pushed open, and Director Qin of the Hematology Department walked in.
"Hello Dean, Dean Min!"
"Oh, Director Qin, why are you here in person? Please sit down!"
Although Li Quan became the dean, he was very polite to these department directors.
"Dean, I came to see you for two things. The first thing is that Ms. Liu who suffered from thrombosis, after treatment, her vital signs are stable. However, the cause of the thrombosis has not been found, and I am still a little worried about recurrence."
Director Qin has worked in the Department of Hematology for many years and has accumulated rich clinical experience.
She has encountered many patients with thrombosis, and once they relapsed, if they are not treated in time, they are easily fatal.
Or become disabled and become a vegetative person.
In short, the consequences of blood clots are terrible.
"Well, even if you can't come, I'm going to see you after get off work and tell you the cause of Ms. Liu's thrombosis." Li Quan was very satisfied with Director Qin's attitude of being responsible for the patient.
"I cut the pulse of the patient, and added the results of the prothrombin time and D-dimer test. After a comprehensive analysis, I speculated that the patient had a relatively rare blood disease. This disease is called diffuse. Intravascular coagulation. It usually does not directly form thrombus in large blood vessels. Instead, after forming small thrombus in the capillaries, and then entering the large blood vessels, it attracts together with other small thrombus and increases slowly.
Eventually a large thrombus is formed, blocking important blood vessels. "
Li Quan stated his inference.
"It's probably the kind of disease you are talking about. No wonder so many hospitals have not been able to find out the cause. If the thrombus only forms in the capillaries in the early stage, it is possible to find the abnormality unless an imaging examination is done.
Director Qin's eyes shimmered slightly, and she highly agreed with Li Quan's inference.
"After I go back, I will ask the laboratory to make up the tests for the activated partial thromboplastin time, thrombin time, and fibrinogen level." Of course, there is no need to do the tests that have already been done.
Such as platelet count, whether D dimer is elevated, etc.
"Dean, I'm done reporting everything I want to report, so I'll go busy first. You talk to Director Qin slowly." Deputy Director Min stood up and left.
Director Qin stood up and saw him off.
"Okay, please worry about the expansion of the hospital." Li Quan also got up to see him off.
A vice president's status in the hospital is naturally not low.
Vice President Min is even a member of Li Quan's humeral minister, so he must be treated more politely.
After sending off Deputy Dean Min, Director Qin began to talk about the second matter.
"Dean, the business volume of the department of hematology in our hospital has more than eightfold, and it is still on the rise. It's just that the speed has slowed down a lot. You are very wise to order the first batch of leukemia specific medicines first. In one fell swoop, the Hematology Department of Whale Hospital became the leading position in the province."
Director Qin reported on the achievements of the Department of Hematology.
Leukemia patients now basically know that Whale Hospital’s treatment level is first in the country, and may even be the best in the world.
They are naturally swarming.
"The skyrocketing business volume is a good thing, but you must grasp the quality of medical care and strictly control safety. After the four new complex buildings of the hospital are completed, if the hematology department is really developed and stable at that time , I will fight for a comprehensive building for your hematology department."
Li Quan gave Director Qin an extremely attractive reward.
This is also intended to encourage Director Qin to lead the medical staff of the Department of Hematology to guard against arrogance and rashness, and strive to expand and strengthen the business.
"Don't worry, I will do my best to live up to your cultivation." Director Qin said with a serious expression.
The Hematology Department of Whale Hospital was originally a provincial second-rate department.
Thanks to Li Quan's multiple calculations and efforts, this is where the situation is today.
It has become one of the top blood intensive care departments in the country.