Chapter 169: Complications
At half past eight in the morning, the first patient was brought in by the control center.
After reading the patient's detailed information, Liang Qunfeng looked embarrassed and did not say anything for a long time.
"Director Liang, is there anything wrong with the patient?" Ye Kai asked on the side.
"The patient's situation is very complex. ”
Liang Qunfeng handed the information in his hand to Ye Kai: "The patient is 90 years old, not only has a comminuted fracture of the hip joint, but also has a serious lung infection, arrhythmia, and fever, cough and asthma......
Fang Han, who was on the side, also frowned when he heard this, no wonder Liang Qunfeng had such an expression.
As a doctor, the most feared are elderly patients and newborn babies, which are often the most at risk when treating.
For elderly patients, often a single illness can be due to many complications, and the elderly are old, low immunity, and the risk of surgery is also high, and sometimes a small infection can make doctors anxious.
Ye Kai also read the detailed information of the patient at this time, the patient was transferred from the Central Hospital, and the Jiangzhong Central Hospital has the strength to do joint replacement, but the patient was still transferred to the Jiangzhong Hospital, precisely because the patient's condition was more troublesome.
"Director Liang, do you suspect that the patient's lung infection, arrhythmia and other symptoms are complications caused by fractures?" Ye Kai asked Liang Qunfeng.
"Eight or nine is not far from ten. Liang Qunfeng nodded: "In this way, this condition is not just a hip replacement, if you want to perform surgery, you must first control the patient's other conditions." ”
"Do you want to call the internal medicine and orthopedic departments to participate in the consultation?" Ye Kai asked.
"Let's contact Director Fang first. "Liang Qun air duct.
"Okay, I'll call Director Fang. Ye Kai said and took out his mobile phone to the side to call Fang Haoyang.
"I'll see. On the other side, Fang Han stood up, walked over and took the patient information in Liang Qunfeng's hand and looked at it in detail, and Li Xiaofei and several people also hurriedly gathered next to Fang Han to watch.
Fang Han looked at it and said, "It should be a complication caused by a fracture." ”
For many elderly people, the occurrence of a disease is often like a domino effect, which seems to be in good health and relatively healthy, but often a problem in one link will trigger the balance of the original body system, which will lead to the occurrence of various complications.
"The patient's current condition is not suitable for surgery, let's arrange for observation and hospitalization first, Li Xiaofei, you go and explain it to the patient's family. Fang Han turned around and ordered.
In terms of internal medicine, Fang Han has more say than Liang Qunfeng.
An expert like Liang Qunfeng, the shortcomings are obvious, he is very authoritative in orthopedics and traumatology, but he is out of orthopedics and traumatology, and in other aspects, that is, the level of general attendance.
Ye Kai hung up the phone and walked over: "Director Liang, Doctor Fang, Director Fang went out, and said that if it doesn't work, I will consult with the internal medicine department." ”
Liang Qunfeng looked at Fang Han and asked for Fang Han's opinion.
"There is no need to notify the internal medicine department, the culprit of all the patient's symptoms is fracture, so the operation must be done, and Director Liang is the only one who can do joint replacement in the entire Jiangzhong Hospital. Fang Han said.
Ye Kai understood what Fang Han meant, this patient was a patient in the emergency department, unless the emergency department really couldn't take it, otherwise there was no need to notify the internal medicine department.
Maybe some people don't quite understand the relationship.
Let's put it this way, most of the time, the emergency department of the hospital is actually equivalent to a transit station, the vanguard of the hospital.
After all emergency patients are sent to the emergency department, what the emergency department has to do is not to cure, but to control the condition first, contact the crisis, and then contact the corresponding department and hand the patient over to a truly professional doctor for treatment.
If it is a patient with a bone injury, then send it to the orthopedic department, and if it is an internal medicine department, contact the internal medicine department, and it is impossible to leave all patients in the emergency department for treatment.
On the one hand, there are not so many beds in the emergency department, and on the other hand, there are not so many doctors in the emergency department.
Of course, some patients will remain in the emergency department when the emergency department can be completely resolved, or when there is a shortage of beds in other departments.
Like the current patient, the cause is a fracture, and eventually joint replacement surgery is required, and this operation can only be done by Liang Qunfeng in the emergency department.
After about ten minutes, Li Xiaofei hurriedly walked over: "Director Liang, Doctor Fang, the patient's family has no opinion, and has already started to go through the hospitalization procedures, but the patient has a new condition, and the fever temperature has risen, and it is already 39 °C."
"Lead the way ahead. ”
Fang Han said that, and hurriedly followed Li Xiaofei to the ward, and Liang Qunfeng and a few people also followed Fang Han.
Lin Guangcai also followed the crowd, and while walking, he got together with Li Xiaofei and whispered, "Doctor Fang is simply too stylish. ”
Lin Guangcai is also in the emergency department, he can deal with Fang Han a few times before, everyone has their own things, Lin Guangcai can't pay attention to Fang Han every day, this is the first time he has seen Fang Han diagnosed.
"How many of Doctor Fang's methods have you seen, and you will be surprised in the future. Li Xiaofei sneered, after following Fang Han for a long time, his vision was also high.
In Li Xiaofei's eyes, Fang Han is omnipotent, anyway, for such a long time, he has never seen anything that Fang Han can't do, Fang Han's words used to be a short board, but in just a few days, people have become masters of calligraphy, and there is really nowhere to reason.
Sometimes Li Xiaofei wonders if Dr. Fang has some system or something like that, otherwise how can a person be so bullish.
When I entered the ward, there was a large group of people around the bed, the older one looked to be in his seventies, and the younger one was in his early twenties. ”
A group of people hurriedly got out of the way, Fang Han and Liang Qunfeng strode forward, and the old man also greeted him and said, "Doctor, my dad is not serious, his old man has always been very healthy." ”
Fang Han subconsciously glanced at the old man who spoke, this is the patient's son?
Li Xiaofei followed behind him and helped Fang Han maintain order: "Don't keep so many people in the ward, just leave one or two family members to take care of it, and the others will wait outside, you have many family members, you can discuss taking turns to take care of the elderly." ”
A large group of people walked out of the ward somewhat reluctantly, leaving only the old man who was talking to Fang Han and another slightly younger old man.
Wu Lei was a little surprised, and whispered to Li Xiaofei: "This patient is good, at such an old age, the family still takes such care, the children and grandchildren are full, and the father is kind and filial." ”
"Patients are not ordinary people......
Li Xiaosnitch leaned into Wu Lei's ear and whispered: "That old man's surname is Su ....."
He blinked his eyes as he spoke.
"Sue?"
Wu Lei was stunned for a moment, and then suddenly realized, no wonder, no wonder.
The old man at the head was talking to Fang Hanliang Qunfeng at this moment: "Doctor, there are too many patients in the ward here, my father is not resting well, can he be transferred to the intensive care ward?"
"Yes. Fang Han nodded.
Some of the hospital's special care wards were originally prepared for the authorized, as long as the patient's family requested, the hospital has no reason to refuse, and the special care ward is not an ICU, but the environment is better, and the ward has a special nurse, quiet and elegant......
As he spoke, Fang Han had already begun to do a full body examination of the old man, looking at his complexion, tongue coating, and eyes, and then checking his pulse.
After the examination, Fang Han gave Li Xiaofei an order: "Transfer the patient to the ward." With that, he strode away.
The two old men were stunned, they originally thought that it was Liang Qunfeng who was the leader, but they didn't expect that it was always a young man who spoke.
"Xiao Fang, what's the situation?" Liang Qunfeng asked Fang Han, he didn't start diagnosing the pulse just now, but he also carefully looked at the patient's situation: "The patient has a high fever, and the conscription has a very serious lung infection, and such a continuous high fever also consumes the patient's physical strength, and the operation cannot be carried out without solving the infection problem." ”
"Well, the patient's situation is really more complicated. ”
While Fang Han and Liang Qunfeng were talking, they entered the disposal room next door, sat down behind the desk, Fang Han quickly wrote a prescription and handed it to Liang Qunfeng: "Director Liang, how about taking a look at this prescription?"
Liang Qunfeng took the prescription and commented while reading it: "Chuanbei Qing Lung Fever, Houttuynia cordata, and Sangbai can not only clear lung heat, but also dissolve phlegm, the prescription is good, you can give it a try." ”
In addition to the important decoction, Fang Han also prescribed a Shengmai injection, which comes from the classic prescription Shengmaisan, which is a commonly used drug for rescue.
Liang Qunfeng couldn't help but say: "This life pulse is good to use, "Medical Prescription Collection" says, 'People have dying pulses, and they can be resurrected by taking this, and the qigong is very great.'" ’”
"I still need Director Liang to check it. Fang Han slapped Liang Qunfeng on the back.
"You Xiaofang, when did you learn the same as Li Xiaofei. Liang Qunfeng smiled, signed Fang Han's prescription, and then handed it to the nurse to grab the medicine and boil the medicine.
In the past few days, Liang Qunfeng has seen Fang Han's prescription level, he asked himself if he was inferior to Fang Han in terms of prescriptions, and he didn't know where this kid was so young and young, where did he get such great ability.
Liang Qunfeng also asked himself to be a genius, he graduated from Yenching Medical College, he is only fifty years old this year, and he is already the orthopedic authority of Fengzhou Provincial Orthopedic Hospital, not only in Fengzhou, but also in the field of orthopedics in the country.
But this status is not so easy to come by, the reason why he Liang Qunfeng can have such a high status in the orthopedics department is because he has specialized in orthopedics for so many years, specializing in orthopedics, and he is very lacking in other aspects.
In the past, Liang Qunfeng asked himself that he was not bad, after all, a person's energy is limited, and it is impossible to learn everything, right?
But when he came to Jiangzhong Courtyard and saw Fang Han, Liang Qunfeng was really convinced, there are really people in this world who can learn everything, not to mention it from afar, Fang Han on the side is.
This kid's orthopedic technique is not weaker than him, the touch method is even more exquisite, the prescription is also powerful, and acupuncture is praised by a national player like Zhou Tonghui, which is unreasonable.