Vol 2 Chapter 1877: I come!

  Chapter 1877 Here I come!
  People are complicated things. Now human beings can go to other places on the earth, but for human beings themselves, not only the body but also the mind, the degree of understanding is actually not enough.
  For example, now, the video equipment in the medical system seems to be unified. As far as Zhang Fan knows, the video equipment in several provinces is made by one company.
  It’s hard to say whether the equipment is advanced or not. Anyway, Zhang Fan feels like a village radio station in the 1970s and 1980s. The microphones are all stupid and thick.
  For example, the microphone has a red button when speaking.
   Now, the Roujiamo side was originally muted, but suddenly, the sound came out! Suddenly, I heard internal strife broke out in the department of Roujiamo Hospital.
  Chasu’s side can hear clearly. The people on Chasu’s side are not only the members of Chasu Hospital, but also more than a dozen academic leaders from other provinces who came to teach Chasu University of Medical Sciences.
When everyone was stunned, the director of the Roujiamo Hospital quickly apologized in the video: "Year Zhang, academicians and experts, just accidentally pressed the button, I'm sorry, I'm sorry. We are only in the department. During the indoor discussion, Deputy Director Zhou of the department was a little agitated, sorry, sorry!"
   After speaking, without waiting for others to say anything, he immediately turned off the microphone.
Chasu didn't pay attention to the video of Roujiamo at first, they all stared at the video, and then saw that like a pantomime, Deputy Director Zhou seemed to be questioning their department director with a blue face, but after turning off the voice, everyone also can not see.
   But now there is only one thought in my mind, this Deputy Director Zhou, I am a little confused!
Whether the director of Roujiamo did it on purpose or not, there is no way to say this thing, anyway, he is not breaking the law, but Deputy Director Zhou is famous, so he doesn't have to wait until tomorrow, it is estimated that after the video conference is over, it will be spread all over the country Yes.
  As long as the Chasu Hospital can use effective methods today, the deputy director of this profession, Zhou, will be considered an embarrassment.
Everyone understands that this is actually a contradiction between departments, and it can even be said to be a contradiction between the chief and deputy directors, but who makes the chief director of the Roujiamo Hospital a chicken thief? Means, the director is crushing the deputy director.
  In the world of adults, there is no right or wrong. If you dare to jump, I will dare to do black hands. And this is definitely a dead hand, even if the director's position is vacant in the future, unless the patient who was transferred to Chasu really died today. Otherwise, if Deputy Director Zhou wanted to be the director of the Eight Classics, he would probably have to go to a private hospital.
  Zhang Fan opened his mouth wide, so surprised that he could only pretend he didn't hear it, but there was always a feeling in his heart, "It's really crazy!"
   Moreover, he can't comment yet. Once he opens his mouth, he will join the flames of war. He can't quarrel with the other party.
  So, I can only pretend not to hear!
   "Okay, everyone is complete, let's start now, and the consultation discussion for the three patients transferred from Roujiamo, two adult patients and one minor patient, has begun.
  Yesterday, after passing Director Sanchuan Yang and Director Li of the Capital Hospital..."
   Just mentioned a lot of names, but no matter how cumbersome this thing is, it has to be said. If you don't say this, people will definitely feel uncomfortable, and it may even affect the teaching of Chasu International Medical University.
   "After the operation, the two adult patients are currently out of danger. The postoperative life status is currently stable. It is estimated that in two to three weeks, they can be discharged from the hospital and go home to recuperate.
  However, the underage patient is not out of danger yet, and the blood oxygen saturation shows…
  The current treatment plan for children in the tea ICU is...
  The condition of the child under consideration is extremely rare. After careful consideration, the ICU director of our hospital and his doctor applied for consultation! "
  As soon as Zhang Fan finished speaking, the doctors on the Roujiamo side stopped talking, and the noisy ones stopped, because the treatment plan of tea element seems to be very good now, what else?
  Everyone is in this line of work, and they know very well that once they apply for a consultation, it means that the doctor is not satisfied with the treatment plan.
   But what else is needed for this plan? Roujiamo is not only deputy director Zhou, but also several senior directors eager to say something.
   As a result, after reading the test results, there are even several tests that their hospital does not have, and they do not know the specific indicators. Then immediately after reading the treatment plan, I completely quieted down.
  Because they couldn't revise it, it can be said that every word that this thing spoke on this occasion was recorded in the medical record, and Wang Hong personally took the meeting minutes at the venue.
  This kind of special medical record is estimated to be discussed at some annual meetings in the future. Instead of opening your mouth to say something and then release it to embarrass yourself, it is better to keep silent now.
   After everyone thought about it for a while, Zhang Fan began to roll the roll.
   "Cha Suer Research Institute, please share your opinion."
  The director of the Children's Research Institute looked at Academician Jiang, and just about to open his mouth, Academician Jiang pressed his hand, "Let me tell you!"
  As soon as the old man spoke, a group of academic leaders who came to Cha Su to take part-time classes, all of them could swallow a goose egg with their surprised little mouths.
  Because of this consultation, it can be regarded as an official consultation.
   Moreover, what Zhang Fan was talking about was the Children's Institute, and this was to let people who can represent the Children's Institute stand up and express their opinions.
   But the old man was recruited by Zhang Fan as a temporary worker. Now if this represents the Children's Research Institute, does it mean that he will directly use the preparation of tea?
  Zhang Fan was also taken aback for a moment, but immediately reacted, "Okay, Academician Jiang from the Children's Research Institute of Chasu Hospital, please express your opinion!"
  The old man curled his lips, and even looked dismissive.
  
Although the current plan seems relatively comprehensive and safe, it is conservative. The children are young and the drug window is narrow, but this is not an excuse for us not to use drugs.
   Now it is considered that the perioperative period is about to come out, but now looking at the vital indicators of the child, you think this seems to be normal.
   It is indeed normal, the liver and kidney functions are normal, but this indicator is maintained with drugs, and can only maintain a minimum line, what does this mean?
  This means that our treatment is still not thorough enough. I suggest changing the treatment plan, giving high-dose hormone shocks, and even giving hormone shocks along the treatment window.
   Now the children can still give us the opportunity to treat. Once the system breaks down, even if we want to further treatment, the physical condition will not support it.
   My speech is over! "
  The old man speaks very straightforwardly, without any twists and turns at all, just talking about everything.
  After the old man finished speaking, the venue instantly felt like spitting out of a frying pan.
   They discussed a lot with each other.
  The Roujiamo side also began to whisper: Such a large amount of medicine needs to be added, this...
   That’s what Old Man Jiang said, if he wasn’t an academician, someone would have stood up and scolded the street.
  Zhang Fan coughed twice.
   "Talk to the respiratory department!"
  Lao Ju straightened his tie, and originally wanted to wipe his negligible hair with both hands, but seeing Zhang Fan's complexion was not good, he put his hands down in embarrassment.
   Then he opened his mouth, "I agree with Academician Liao of the Institute of Pediatrics!"
  Zhang Fan nodded, still satisfied.
"However, I would like to add two more opinions. Drugs that promote pulmonary surfactant must be given, because pulmonarysurfactant includes saturated dipalmitoylphosphatidylcholine as the most important PS phospholipid. Surfactant proteins include surfactant proteins A (surfactantproteinA, SP-A), B (surfac-tantproteinB, SP-B), C (surfactantproteinC, SP-C) and D (surfactantproteinD, SP-D), in PS, SP-A content is the most, accounting for 50% % to 70%, SP-B is the most critical, accounting for 10%. SP-B and SP-C are small molecule hydrophobic surface active proteins, mainly involved in the regulation of surface tension, and SP-A and SP-D are macromolecular hydrophilic Surfactant protein, mainly involved in lung host defense function.
  Our current medication is lacking in this aspect, once the pulmonarysurfactant is lacking, even the ventilator cannot be withdrawn…

   There is a lot of English mixed in a non-standard Mandarin.
   Zhang Fan got a headache when he heard it, but this guy really has something. Zhang Fan himself didn't consider this point!
  Roujiamo was dumbfounded, "This guy is from that country, he's so talented. Take a look at the nameplate in front of his desk."
   "Jumabek? Demao?"
   "Look it up."
   "I went to the local aborigines in Chasu. This nima pretends to be so powerful. He talks nonsense and talks nonsense when he opens his mouth. What kind of breath-promoting drugs are given by a ventilator, what a brain!"
   After Lao Ju finished speaking, Old Man Liao looked over and nodded to Lao Ju.
  Lao Ju was instantly proud, and raised his head, thinking that this guy had a stiff neck.
  Before Zhang Fan called the roll call, Lao Huang from the ICU raised his hand.
Zhang Fan gave a signal, and Lao Huang stood up and stared at Lao Ju before he started: "The dosage of this medicine has been calculated. In critically ill patients, the kidney function is already on the verge of failure, and because of the large area of ​​skin damage, it is difficult to treat it like this now." medicine, I think the child will develop kidney failure.
  Once kidney failure occurs, heart failure follows.
  Our current treatment, at least, will not cause renal failure in children. Therefore, I recommend continuing the current treatment and waiting for the child to recover. "
   There are quite a few people who support Huang.
  Zhang Fan looked at it and was about to speak.
  Ren Li held Zhang Fan back.
  In terms of medical treatment, once there is a disagreement, or find a family member.
  But the family members were already lying in the internal medicine department of Chasu, and the old lady passed out after the operation.
  So, in this case, it can only be the leadership responsibility system.
  Ren Li said softly: "Do you think Academician Liao and Lao Ju's treatment plan is good?"
"right!"
   "Okay, I think so too, let me announce it!" Ren Li looked at Zhang Fan.
   "Dean responsibility system, I will..."
   "I am a book, here I come!" Ren Li's fair face showed determination.
  Actually, Ren Li is skeptical about both treatments, but there is no good solution at present. At this time, whoever gave the order is responsible, she also knew that Zhang Fan could not be wrong!
   As for what to do when something goes wrong, she didn't think much about it.
"It's very good to express your opinions. I hope that everyone will maintain this medical spirit in the future. Based on the opinions of various experts, I decided to immediately change the treatment plan, use the plan of Academician Liao and Director Ju, and implement it immediately. I will sign the medical records and meeting minutes! "
  Ren Li stood up, looking at everyone with a cold wind on her face!
   Those who had objections stopped talking when they heard this. This is like the final trial of the High Court. In terms of the treatment of children, this meeting is tantamount to the end!
  (end of this chapter)