Chapter 441: Choice
Miao Dafaucet was worried, and took Fang Han while doing liver and spleen removal, and at the same time opened a phone with Ye, and then gave a prescription.
At this time, Miao Dalong felt that he was powerless to say anything, and you didn't reason with this kind of demon.
Not only Miao Dalong, Lu Xinwen and Wen Xueyi were also stunned, the friends at the scene were shocked, everyone knows that the surname Fang is awesome, one is the director, and the other is the director's successor, but you are too awesome, right?
Seeing that Miao Dalong was silent, Ye Kai asked softly: "Doctor Miao, do you see?"
"I'm. ”
Miao Dalong really wanted to say this, so he couldn't help but scold, and snorted: "Since Fang Han gave Fang Zi, why don't you use it quickly, what are you waiting for?"
Since he handed over the command, Miao Dalong didn't plan to wring it with Fang Han again, this kind of first aid activity, the most taboo thing is that you pay attention, he pays attention, they are all critically ill patients, and there is not so much time to delay, so it seems that the person who commands the rescue is under great pressure and has heavy responsibilities.
Ye Kai walked to the side and wrote down Fang Han's prescription, signed his name, and brought it to Miao Dalong: "Doctor Miao, take a look." ”
Miao Dalong waved his hand: "Hurry up and prepare." ”
He knows his own ability, Miao Dalong knows that he is not as good as Fang Han, at this time, Fang Han can give a plan, he must be somewhat sure, and he doesn't need to make more moves and delay time.
Because of the urgency of the situation, this time the decoction was quickly fried on high heat, and the water for soaking the medicine was obtained by boiling water, and in less than ten minutes, the decoction was served.
The patient lost too much blood and was already in a coma before, and at this time he had already fainted once in the middle because of vomiting blood, and this time he had just regained consciousness, Miao Dalong tried the temperature, and poured it into the patient with a soup bowl.
After a dose of medicine, the patient's vomiting blood began to decrease, which instantly stunned the people on the side.
Miao Dalong waved his hand: "Go and prepare another bowl." ”
After tossing for a long time, Fang Han took effect with a dose of medicine, and Miao Dalong was completely speechless at this time, and the demon was really inexplicable.
As the nurse went to prepare the second dose of decoction, as the patient's vomiting of blood decreased, Lu Xinwen and Wen Xueyi Miao Dalong discussed the treatment plan again.
The patient's vomiting of blood is now beginning to be contained, but what should be done about the fractured legs.
Lu Xinwen pondered for a while, and discussed with Miao Dalong Wen Xueyi in a low voice: "The patient's right leg is slightly better, but if the left leg is left, even if it is surgery, the chance of recovery is quite small, I recommend amputation." ”
"Amputation?"
Miao Dalong was stunned: "Is this necessary, even if there are any defects after recovery, it's better than nothing, right?"
Lu Xinwen shook his head: "It's not that simple, if it is not handled well, the wound will be infected and the muscles will atrophy, and eventually the limb will be amputated......."
Miao Dalong looked at Wen Xueyi, he really didn't have much say in this regard.
Wen Xueyi muttered: "What Dr. Lu said is actually reasonable, the patient's left leg is seriously injured, not only is it a comminuted fracture, but also the nerves and muscles of the injured part are also seriously damaged, and this degree of amputation is indeed the most appropriate." ”
Miao Dalong was still a little hesitant, amputation is not a trivial matter, once decided, the consequences will be quite serious.
"Do you want to ask for the patient's opinion?" Miao Dalong asked Lu Xinwen.
"The patient's family is not present, so it is natural to seek the patient's opinion on this kind of matter. Lu Xinwen nodded.
"Then Dr. Lu, you are responsible for communicating with the patient. Miao Dalong kicked the ball directly to Lu Xinwen.
Lu Xinwen knew that when he proposed this plan, it meant that he would do the communication work, so he did not hesitate and stepped forward to communicate with the patient.
When the patient heard this, he immediately shook his head: "Doctor, please, please, I don't want to amputate my leg, I can't amputate it, the family is still waiting for me to feed, if my leg is gone, how will the family live......"
The patient was still a little weak, and he didn't know where the strength came from at this time, struggling to get up, and the innermost whimper, as he spoke, opened his mouth and spurted out a mouthful of blood.
Seeing this, Lu Xinwen hurriedly appeased. It took a long time for the patient to stabilize emotionally.
At this time, the second dose of medicine was also cured, and Lu Xinwen personally gave it to the patient, so he came over to discuss with Miao Dalong Wen Xueyi.
"Doctor Miao, Doctor Wen, you have also seen the situation, what to do now, with the patient's situation, it can't withstand the blow at all. ”
The patient is not completely out of danger at this time, it can only be said that there is no danger to life for the time being, but if there is any stimulation or if it continues to delay, it may be dangerous at any time.
"Contact the emergency center and see if the patient's family has been contacted?" Miao Dalong frowned.
Ye Kai hurriedly walked to the side to make a call, and came back after a while: "The emergency center has confirmed the identity of the patient, and the patient's family has been contacted, and the patient's family is already on the way, as for how long it will take, I can't tell, many roads are blocked." ”
Lu Xinwen said: "What should I do, the patient's condition can't be delayed, we are just urgently stopping the bleeding now, if it goes on like this, in case of muscle necrosis, then only amputation is left." ”
"Why don't you ask Doctor Fang?" Ye Kai said cautiously.
"What's the use of asking Doctor Fang about this kind of thing?" Wen Xueyi interjected: "If Doctor Fang was present in the current situation, he might be able to help, but he is not there......"
Wen Xueyi didn't say the next words, but everyone knew the meaning, Fang Han couldn't direct everyone's surgery over the phone, right?
Do you really think Fang Han is a god?
"Director Li is here. ”
Several people were struggling, and Li Wenjun hurriedly strode over, his forehead was full of beads of sweat, and he was even a little out of breath.
When the nurse called before, it was estimated that it would take at least an hour and a half for Li Wenjun to arrive, but now it is just over an hour, which shows how Li Wenjun came along the way.
"What's going on now?"
Li Wenjun walked to the rescue room, took a breath first, and then asked.
"Four patients ......"
Miao Dalong glared at Ye Kai and hurriedly interrupted: "Is it time to talk about this, let's talk about the patient in front of you first." ”
"What's the situation?" asked Li Wenjun.
Lu Xinwen briefly explained the situation, Li Wenjun frowned, and said with a slight sigh: "If you don't amputate your leg, how likely is it to recover?"
"Less than 30 percent. Lu Xinwen said.
"There's no other way?"
"If I had to do this surgery, it would be 30% at most. Lu Xinwen gave a positive answer.
He knows his own level, if he does it, at most 30% sure, others don't know, if the doctor's level is high, maybe 40% or 50% sure, but the question is, is there still someone now?
Lu Xinwen has been in Jiangzhong Hospital for so long, and he still understands the situation in the emergency department, not to mention that Li Wenjun is here, even if Fang Haoyang comes, there is no way, except for Fang Han's confidence Lu Xinwen is not very clear, it can be said that no one in the emergency department of Jiangzhong Hospital can do this operation except for him, Wen Xueyi can't do it.
"What about Fang Han?" Li Wenjun asked with another frown.
Fang Han was undergoing a liver and spleen resection operation, and he had only been in for about forty minutes. Miao Dalong said.
"If it doesn't work, then amputate it. Li Wenjun groaned again and said slowly.
"Director Li, the problem now is that the patient's family is not there, and the patient himself does not agree, so we ......," Lu Xinwen said again.
Li Wenjun is also a little big-headed.
Although according to Article 56 of the Tort Liability Law [Emergency], if the opinion of the patient or his close relatives cannot be obtained due to an emergency such as rescuing a patient whose life is in danger, the corresponding medical measures may be immediately implemented with the approval of the person in charge of the medical institution or the person in charge authorized by the person-in-charge, under certain circumstances, the doctor may save a limited life without the signature and confirmation of the patient's family, such as Fang Han's current liver and spleen resection.
But the current situation is that the patient has already gained a sense of autonomy, and the patient himself has already expressed his disagreement, and even Li Wenjun is not easy to take measures at this time.
There is also a patient's irrational behavior that disagrees, because with the patient's current situation, Lu Xinwen has no way to communicate with the patient, for fear of irritating the patient.
Do you do it or don't you do it at this time?
Miao Dalong regretted it a little at this time, he knew that he had directly turned the patient into numb just now, and it would be treated as a critical situation, but at that time, the patient was vomiting blood, and Miao Dalong had to take measures.......
"Did you call the patient's family?" asked Li Wenjun.
"No, we have not contacted the patient's family right now. ”
"Ask for contact information, talk to the patient's family, and ask for advice. ”
Ye Kai hurriedly walked to the side again to ask for contact information, and when he asked for contact information, he made a phone call.
The phone passed, no one answered for a long time, Ye Kai called three times, but no one answered, and when he was about to give up, the phone called.
"Hey......" A female voice on the phone was a little choked.
"Hello, this is the emergency department of Jiangzhou Provincial Hospital of Traditional Chinese Medicine, are you a family member of patient He Xiaolin?"
As soon as the woman heard that it was Jiang Zhongyuan, she was instantly anxious, and her voice was crying: "Doctor, I am He Xiaolin's wife, how is my husband now, is he okay, he ......"
The voice grew lower and lower, until only a whining cry remained.
"He Xiaolin is still being rescued, and there are some situations that we need to explain to you. ”
When the woman heard that her husband was still alive, she hurriedly asked, "Doctor, how is my husband, what do you say?" ”
Ye Kai simply explained the situation, but before he finished speaking, there was another cry on the phone: "Woo woo woo ........"
Ye Kai waited for a minute and waited for the other party's mood to stabilize before continuing: "Now we need to ask for your opinion.......
"Doctor, please, please save my husband, save his leg, he is the support of our family......"
Hearing this, Ye Kai knew that things were not easy to do.
Fortunately, the woman spoke again: "Doctor, I'm going to the hospital soon, please, please cure my husband, please." ”