Chapter 1485: 1438 The Landlord's Foolish Son (Alliance Leader Lan Qiu's Additional Update 4)
The people from the Medical Department had solemn expressions, meaning the matter was serious.
Either the patient themselves is particularly important, or it involves a complicated medical dispute.
And only Deputy Director Lin stepped forward, making it unlikely that the patient themselves is important.
That means it's a medical dispute.
A misunderstanding arose and spread unnoticed. Many department heads who came for the consultation were extra careful, afraid of getting smeared with shit.
After a full ten minutes, Lin Ge decided to first find time to ask Su Yun.
He cleared his throat, looked at a young doctor standing at the ICU door, and said, "Close the door, the consultation begins."
"Let's first report the medical history," Lin Ge said, glancing at ICU Director Wu Dong, speaking in a low voice.
The Inpatient Chief immediately stepped forward, standing behind Director Wu Dong, and reported: "The patient is a 64-year-old female admitted for progressively worsening dyspnea over two weeks. In the past two weeks she has developed progressive dyspnea accompanied by hypotension..."
The Inpatient Chief reported the medical history; after admission, the patient's echocardiography showed marked right ventricular dilation. The pulmonary CT revealed a large filling defect in the pulmonary artery trunk originating from the pulmonary valve.
Based on the clinical symptoms and numerous auxiliary test results, acute pulmonary embolism (PE) was considered, and thrombolytic therapy was administered.
However, the thrombolysis was ineffective; the patient's dyspnea continued to worsen, and mechanical ventilation was initiated to sustain vital signs.
The condition is relatively simple, with little disagreement over the diagnosis; pulmonary artery thrombosis... this disease has few clinical treatment options.
Early detection, early thrombolysis, is the best approach.
But the patient only came to the hospital after two weeks of progressive dyspnea, missing the optimal treatment window.
Everyone understands these things clearly.
I'm afraid there's not much that can be done.
One critical illness notice after another lets the patient's family prepare mentally. As for the person, how long they can hold on depends on fate.
After the Inpatient Chief from the ICU finished reporting the medical history, staff from each department began to speak, discussing the condition.
Respiratory, thoracic surgery, vascular, and circulation—several professors each stated their opinions.
Brief and to the point.
The patient probably has no good options; we can only continue thrombolysis and then leave it to fate.
Director Mao Chi of the Vascular Department once treated a patient with pulmonary artery thrombosis who had been symptomatic for ten days, three years ago.
But successful cases are few; that time was merely a coincidence, an accident.
Speaking of which, Lin Ge suddenly saw Director Wei of the Gastroenterology Surgery department also present. He felt a bit curious, and after the Vascular Department finished giving their opinion, he asked, "Director Wei, how do you have time to come to the consultation? Did we call you?"
If a subordinate staff member dialed the wrong number, I'll definitely give them a good scolding when I get back.
All department heads are very busy; dragging people in for unrelated consultations will surely cause strong objections.
The Medical Department cannot arbitrarily abuse clinical departments; doing things always requires propriety and measure.
Director Wei shook his head and said, "A friend asked me to come and take a look."
Oh, I see. Seeing Director Wei's demeanor, Lin Ge roughly understood the relationship.
Director Wei being able to come likely means it's a request from a close friend.
Remaining silent and just listening means it's not his friend's own affair, but rather a case of one person entrusting another.
After encountering such complex logic many times, it becomes second nature.
Otherwise, one might say the people in the Medical Department have dirty hearts.
"Who is it?" Lin Ge, although he already knew, still asked out of politeness and caution.
"A friend's friend's mother."
Lin Ge nodded; his judgment was correct.
"The condition is very serious, Director Wei; let the family prepare." Lin Ge said.
Director Wei also knew the situation; he came, too, because of Zhang Weiyu's request. A glance, he understood what was going on, and went out to give Zhang Weiyu an explanation.
Manpower always has its limits; some things simply cannot be done.
He nodded, then sat in the corner without saying much more.
Soon, the hospital-wide consultation ended, with opinions largely unanimous—continue thrombolytic therapy, communicate with the patient's family, and make them understand the gravity of the condition.
Whether to give up or to treat until the very last second is up to the patient's family.
As for the specifics of reading cues and how to conduct treatment and communicate with the family, that has little to do with Lin Ge.
He announced the meeting adjourned, took his notebook, and walked out.
"Director Wei, are you busy over there?" Lin Ge and Director Wei walked together, and he asked casually.
"Not bad, just like that." Director Wei said: "Even in the hallway I can't turn around."
Large tertiary hospitals are like this, with beds added to the end of the hallway.
How many patients a hospital can admit depends to some extent on the number of doctors, but interestingly, a greater determining factor is the number of nurses.
Even, some hospitals depend on the number of trainees.
Walking along, Lin Ge suddenly felt a stir, sensing that Director Wei and Boss Zheng were somewhat acquainted.
"Director Wei?"
"Hmm?"
"You say, how skilled is Boss Zheng's surgery?" Lin Ge bluntly steered the topic toward Zheng Ren, without any concealment.
Director Wei blinked slightly, then smiled and said, "Very high. To put it that way, I'm not as good as him."
"Director Wei, you're being modest."
"Really not." Director Wei laughed: "Let's not talk about past surgeries; the day before yesterday afternoon, the Emergency Department sent in that patient who swallowed a medicine bottle—do you still remember?"
"I remember." The time is still short; Lin Ge won't forget that Manager Zhou of the Emergency Department called him about this.
At the time, it gave me a start; it wasn't that clueless person spouting nonsense in the outpatient clinic with patients.
But later investigation found the patient bought the medicine at a drugstore. Because they didn't have a membership card, the clerk there was somewhat displeased, so they just gave a cold face and said that line.
"Zheng Lao Ban performed the Shou Bing, I also heard that from Feng Jianguo." Director Wei said: "A glass shard pierced the stomach wall, damaging the superior mesenteric artery. At the time, Zheng Lao Ban used laparoscopic equipment, sucking blood while examining, and stopped bleeding successfully in less than 1 Minute."
Lin Ge didn't speak.
Professional matters, he's long outdated.
When he was in clinical practice, he didn't have laparoscopic equipment yet. Lin Ge only knows that laparoscopy is minimally invasive equipment, now it's widely used in clinical practice.
"Zheng Lao Ban can also do laparoscopic Shou Bing." Lin Ge finally couldn't hold back, inserted a sentence.
Director Wei looked at Lin Ge like looking at a landlord's foolish son, speechless for a long time.
"Don't be like that, please speak, Director Wei."
"Director Lin, Zheng Lao Ban not only can do it, he's exceptionally awesome!" Saying that, Director Wei gave a thumbs up.
"I know what you're thinking, usually Zheng Lao Ban livestreams Shou Bing, rarely see him do laparoscopic Shou Bing, right. Moreover, with the Surgical Instruments sent by Charles, he still mainly uses traditional open surgery." Director Wei said.
Lin Ge nodded.
End of Chapter
