Chapter 1802: 1740 No checks, just go on stage!

1740 No checks, just go on stage!

Pulmonary embolism, frankly, has nothing to do with emergency rescue or vascular surgery.

But the clot is probably a deep vein thrombosis, which is one of the main diseases treated by vascular surgery.

"Is there an urgent consultation?" Sun Chao asked.

"Well, pulmonary artery embolism. Everyone sit, I'll go take a look." Mao Chi stood up and said.

"Let's go together, take a look at your 912's clinic and learn a bit." Sun Chao instinctively felt this was an opportunity and said without hesitation.

Sun Chao wondered if there was any chance to pick faults.

Mao Chi glanced at him and could roughly guess what Sun Chao was thinking.

Going to see the consultation, it doesn't matter either way.

In yesterday's meeting, I performed a demonstration surgery, which was very successful.

The few people left today, even if they wanted to watch me do surgery, it wouldn't matter. Although no one dares guarantee that emergency surgery is 100% successful, what I need to do is just a deep vein thrombosis.

As for removing a pulmonary embolism… that operation is quite major; even if it failed, nobody would criticize such a high‑difficulty surgery.

Mao Chi gave no reply and quickly walked out of the meeting room.

Sun Chao smiled and followed behind Mao Chi. The remaining directors glanced at each other and also followed.

Being able to personally witness 912's emergency rescue is also an accumulation of experience. Moreover, this is a critical case among critical cases—emergency pulmonary embolism.

Pulmonary embolism also varies in size and severity.

A small clot blocking a minor pulmonary artery branch can be treated with thrombolysis; the most important thing for this disease is a clear diagnosis.

But a large clot directly obstructing the main pulmonary artery makes that surgery extremely difficult—almost impossible.

Most people, upon seeing this disease, want to stay three leagues away.

Moreover, the department treating pulmonary embolism is not fixed: some hospitals use vascular surgery, some use interventional catheter rooms in internal medicine, some use cardiothoracic surgery—it varies.

Not knowing the severity of the condition or how 912 would diagnose and treat it, everyone's curiosity peaked, and they whispered behind.

Just bragging, anyway there's no evidence, everyone boasts. Sometimes one's standing in the jianghu is built this way.

Just bragging, anyway there's no evidence, everyone boasts. Sometimes one's standing in the jianghu is built this way.

But why was this patient sent to neurosurgery?

Rushing all the way to neurosurgery, Director Zhang of Internal Medicine happened to arrive.

Inpatient Chief Shao Yongxiang of Neurosurgery didn't know why Director Mao had a crowd behind him, but he didn't ask; instead, he politely invited them into the office and began a brief introduction of the case.

"Director, the patient fell down the stairs at school 42 minutes ago, fracturing the left temporal bone and causing intracranial pneumatosis, with traumatic shock—this diagnosis is questionable. 120 brought him to our ER, where we did a lung CT and a plain head CT, revealing a large amount of fluid in the right pleural cavity."

"Emergency requested a cardiothoracic consultation; during the joint exam we found extensive bruising on the patient's right lower limb." Shao Yongxiang, the chief, quickly reported the history.

"Extensive bruising?" Director Mao muttered softly.

"Yes, so the ER ordered a cardiac ultrasound, performed bilateral lower limb and abdominal vascular color Doppler, which suggested thrombosis in the external and common iliac veins. The cardiac ultrasound showed a suspicious image but could not confirm it."

Shao Yongxiang stopped speaking at that point.

He looked at Mao Chi, then glanced at Zhang Lin beside him; both directors frowned in thought.

He placed the film on the viewer, and Shao Yongxiang said nothing more.

In just a few dozen minutes to reach this stage is already extremely fast. Achieving this level in emergency rescue shows that 912's standard is quite high and commendable.

The directors behind Mao Chi all understand the priorities and can see the expertise; just this reasoning process already explains many issues.

Lung CT showed multiple patches and consolidation near the right lower pleura, confirming fluid in the right pleural cavity.

It should be a pulmonary embolism, everyone was pondering.

Is that so? We need a CTPA, i. e., pulmonary artery CT angiography, to check. Although pulmonary artery angiography technique is the gold standard, it's invasive, unlike the simple and easy CTPA.

"Chief Shao, let's do a CTPA," Director Zhang said.

Mao Chi nodded, also endorsing Director Zhang's opinion.

That's fine—first do the test, confirm after, then proceed to surgery. As for whether it's internal medicine or vascular surgery… at 912, vascular surgery is still relatively strong.

After all, the capital has specialized cardiac hospitals like Fuwai and Anzhen pressing down, so 912's internal medicine isn't the top tier.

"Just look at the patient; if stable, hurry up and do the test," Director Mao said.

All procedures were proper and swift, with no omissions. Sun Chao felt a bit regretful, having found nothing wrong.

"The two directors arrived so quickly." As he spoke, Lin Ge strode in.

The Medical University's Academic Affairs Office had already contacted 912's Medical Department; student matters are major, so Lin Ge came running over.

Rumor has it that the university president Zhang and Vice President Yuan of 912 are on their way over.

An otherwise healthy student—are we supposed to just call it a serious illness? And it's the kind that could kill at any moment; we can't afford to be careless.

"Director Lin, you've arrived." The several 912 directors and the inpatient chief immediately greeted him.

"How did you judge it?" Lin Ge asked.

"Suspected pulmonary embolism; we need a CTPA to see the situation, then perform emergency surgery after confirmation," Shao Yongxiang said.

Lin Ge was just asking; pulmonary embolism as an acute condition is different from various rare diseases.

Rare diseases, or those with high surgical risk, are what people from all over the country come to the capital for, seeking medical help.

But with pulmonary embolism, even reaching the capital might be too late.

If the person is fine, then locally they're also fine, indicating a mild condition. This is a simple logical problem, so truly claiming how high 912's level in treating pulmonary embolism is, nobody would believe it.

Lin Ge knew the problem was serious and immediately asked: "Should we call in Fuwai for a consultation?"

Because it involves a student, even the smallest matter is a big deal!

At this moment it's not the time to worry about 912's face; Lin Ge directly asked.

Director Zhang and Director Mao both froze for a moment; Mao Chi hesitated, then after a few seconds of thought suggested: "How about… letting Boss Zheng take a look first?"

Upon hearing the three words "Boss Zheng," Director Sun Chao's eyes flashed with excitement!

At 9:12, is Zheng Lao Ban's position that high? Mao Chi actually said to let him come first to take a look?

"All right, then let's do CTPA first, I'll contact Zheng Lao Ban."

"Don't do the check, go straight up!" Zheng Ren's voice came from the doorway, with a hint of impatience.