To be honest, the medical standards of a mainland hospital are hardly convincing to Mr. Ko.

As a tycoon in Xiangjiang, he has traveled to the mainland countless times since the reopening, and has a clear understanding of the poverty and backwardness of the mainland.

A place where he had just eaten a full meal, or a small city next door to his hometown, now tell him how powerful and awesome the mainland doctors are, not to mention that Mrs. Ke doesn't believe it, Ke Chengji himself doesn't believe it either.

But now it's no longer a question of believing it or not, Ko Chengji has commissioned the Department of Health to invite several well-known top hospitals around the world, and these top burn doctors have heard that the burn area has reached 83%, and all of them say that they can't help.

Even though Ke Chengji has offered a bounty of tens of millions of US dollars, he still has not invited a medical team from a top hospital willing to lead the treatment.

The top ten richest people who came out of the mall had already calmed down after the excitement, even if he was unwilling, he knew that his biological son might not be able to escape this time.

He thought a lot, and it was naturally best to save his son's life.

If his son's life could not be saved, he also made the worst plan, that is, to extract his son's "gold" and then do IVF.

As for the present, it is a dead horse as a live horse doctor.

Thinking of this, Ke Chengji did not show his contempt and disdain, so without a city government, he would not be able to be one of the top ten richest people.

I saw Ke Chengji take the initiative to step forward and hold Chen Qi's hand with a smile:

"Well, young and promising, Dr. Chen's achievements in medicine are known even to our doctors in Xiangjiang, and they are indeed the light of our Chinese. Then Dr. Chen, the life and death of my son will be left to you, as long as you can save my son, I will be very grateful. ”

Thank you, how heavy? The price is clearly marked.

Chen Qi secretly vomited in his heart.

But how did Chen Qi know that people had already made a wish, and he could get a donation of 500 million Hong Kong dollars to save this rich son.

"Mr. Ke, please rest assured, Ling Gongzi was injured, and I happened to have a meeting in Xiangjiang, which means that I have a relationship with him, and I will definitely do my best."

"Okay, please!"

Chen Qi nodded, and followed the doctors into the intensive care unit quickly.

Mrs. Ke glanced at her husband reproachfully: "Brother Ji, why did you let such a young man treat Xiao Wei, what if he was cured?" ”

Ke Chengji looked at the door of the intensive care unit and said with a leisurely gaze:

"It's all at this time, it's better to have hope than no hope, with dates or without dates, maybe there will be a miracle, there are too many strange people and strange things in this world, what's the problem with age? I don't want to go through it now, as long as the result is to let Xiao Wei live and inherit the family business! ”

Chen Qi walked into the intensive care unit and was taken aback at the first sight of the patient on the bed.

Edema, very pronounced edema.

After extensive burns, capillaries can be damaged, causing increased permeability, leading to congestive edema in the local pericellular space, which is common.

But now Ke Rongwei on the hospital bed is showing obviously abnormal edema, the skin tension is very strong, and those eschars are bulging, Chen Qi suspects that he can squeeze a lot of water with his hand.

The edema on the surface is okay, but the most fatal is the pulmonary edema inside the human body, which can easily lead to heart failure, respiratory failure, and then it will really die.

Chen Qi didn't make a sound, his eyes quickly looked at the electronic monitoring indicators at the head of the bed, his blood pressure was low, his heart rate was fast, and the patient was very irritable.

Chen Qi got a little closer, quickly browsed the electronic ECG band, and after looking at it for a while, he sighed in his heart.

Looking at the hemodynamic indicators such as central venous pressure, it is obviously high, and Chen Qi can't help it at this time.

"Dr. Lin, what is the pattern of your rehydration formula?"

Lin Fuhe was taken aback by Chen Qi's sudden question, and immediately replied: "We use the Evans formula of the United States. ”

Chen Qi thought to himself, sure enough, he was taught by a master from Huhai Dongshan Hospital, and he was afraid that the circulation would not be enough.

"Dr. Lin, fellow travelers, I will not look at the various checklists first, as far as the patient's current situation is concerned, you see, the electrocardiogram can clearly see that the P wave of multiple leads is low and flat, or even partially inverted.

Look, okay, that's it, there are frequent premature atrial contractions and premature ventricular contractions, and paroxysmal atrial fibrillation, right? What does this mean, it means that the patient has developed heart failure.

In addition, there is another indicator, you look at several indicators of hemodynamics, and look at the central venous pressure has reached 18cmH2O, which indicates that the intravascular pressure is very large, combined with these two indicators, and then look at the patient's situation. ”

The eyes of many doctors followed Chen Qi's instructions and looked at Ke Rongwei, who was roasting a duck on the hospital bed.

"Patient, I can see obvious edema with the naked eye, haven't you noticed it? This edema is not normal edema, or inflammatory edema, which is typical of overhydration and hypervolemia, which is clear at a glance in combination with the previous two indicators. ”

It may be that Dean Chen Qi is used to it, so the tone of his speech is not so polite, so that Dr. Xiangjiang is not so comfortable to listen to.

On the other hand, there are still many Heung Kong doctors who have regional discrimination against doctors from the mainland, and people who feel that they don't know anything dare to come to the world-class Hong Kong Sanatorium & Hospital to criticize them.

So when Chen Qi spoke, many doctors were rolling their eyes, but the so-called cultivation made them not show themselves.

At this time, a senior doctor in the department of burn surgery couldn't help but have a different opinion:

"Dr. Chen, you have a certain point, from the clinical point of view, it is indeed a manifestation of overhydration, but the Evans formula was invented by Dr. Mi Guo, so far there is no more advanced rehydration formula than this, and it is currently the mainstream rehydration formula.

The formula invented by the doctors of the United States must have their truth, you say that we overdo it, but what if we don't rehydrate a lot, you see that the patient has gone into shock, and the circulating blood volume is even more insufficient, and the patient is still dead. ”

"That's right, if you make up for it, you can hold on for a while, and if you make up too little, you'll die immediately."

"The formula of the people of the United States will definitely not be wrong, how many clinical experiences have they derived."

The doctors in Xiangjiang also began to talk one after another, and their tones were mixed with all kinds of dissatisfaction, contempt, and doubts, and even fools could hear it.

The two directors, Lin Fuhe and Zhong Peiyang, also did not say anything, obviously they also had certain doubts and concerns.

Chen Qi's first fire after entering the ward did not burn as expected, and he failed to convince these Xiangjiang colleagues that the Evans formula had certain drawbacks, and let them accept the "Yuezhou formula".

The unfavorable start made Chen Qi feel an inexplicable sense of loss in his heart.

In fact, what Chen Qi didn't know was that Dr. Xiangjiang was not stupid, and of course they could see that the rehydration was a bit overdone.

But so what?

They use the accepted mainstream Evans formula, which is written into the textbook, and if the patient dies in the end, then they have no responsibility, and they are not afraid of lawsuits, because their diagnosis and treatment are standardized.

If the patient dies, at best, his own life is not good.

But if they take the liberty of changing the rehydration formula and do not calculate it according to the mainstream rehydration amount, and the patient dies by then, the attending physician will not be able to say that it is ineffective.

Don't forget who the patient's father is? Back then, he was the boss of the community in Xiangjiang, and he was really good at killing.

This is also the typical thinking of doctors to treat the powerful, in the face of a patient who seems to them to be certain to die, the treatment plan should be conservative, never risky, more than less.

However, according to Dr. Xiangjiang's treatment plan, it is obvious that Ke Rongwei will definitely die.

It's okay to bring Chen Qi in, give advice, and help come up with ideas.

However, if Chen Qi wanted to change the entire treatment plan and re-follow the clinical ideas summarized by the Viet Cong Hospital, the doctors in Xiangjiang obviously did not dare to cooperate with the mainland doctor, nor were they willing to cooperate.

What to do?

Tran Chess decided to wait until the team from Viet Cong Hospital arrived tomorrow and take over the patient's full treatment according to the model of Viet Cong Hospital.

If the patient's family is unwilling and trusts the local doctor, then they will withdraw and not wade into troubled waters.

The heirs of the only family love to die, and the doctors of the Vietnamese Hospital are considered to be here for a tour, and the big deal is that he Chen Qi paid for the air ticket money to go back, and it was a dime a dozen.

After that, Chen Qi no longer expressed his opinions, but just took all the patient's medical records and examination reports, repeatedly studied and evaluated, and even did not let go of the nursing records.

Dr. Zhong Peiyang and Dr. Lin Fuhe glanced at each other, and they didn't know what to do for a while.

They originally invited the original author of the paper for a consultation, and they did have a little risky element ready to gamble, and they didn't want Ke Rongwei to really have no hope at all.

However, there was no unanimity among the doctors in Xiangjiang, and Chen Qi could hardly play any role, otherwise the patient would die, and the responsibility would all lie on the directors who invited Chen Qi to raise peace.

The internal competition or infighting in the hospital is also very powerful, and the little doctor who doesn't want to be the director is not a good doctor, who doesn't want the director to get out of the way and vacate the position to take the position.

Zhong Peiyang and Lin Fuhe also understood this joint, so they decided to go with the flow and leave the decision to the family members, anyway, they had done their best.

Chen Qi also didn't want to be underestimated by some Xiangjiang doctors, he was here to attend an academic conference, and he didn't come specifically to serve the capitalists, so why should he stay in the Sanatorium & Hospital in vain?

So at dawn the next day, Chen Qi said goodbye to the Hong Kong Sanatorium & Hospital, went to the Mandarin Oriental Hotel by himself, and continued his ISAPS meeting.

Waiting until noon, Tran Qi received a notification from Dr. Lin Phuc Hoa that the medical team from the Viet Cong Hospital had arrived.

Chen Qi excitedly ran back to the Sanatorium & Hospital, and saw Zhu Huoyan, Luo Yuyang, Zhang Xing, head nurse Liu Min, and Yang Xiuxiu in the lounge.

Zhu Huoyan "went abroad" for the first time, and came to a top hospital like Xiangjiang for the first time, and they were still quite nervous in their hearts, sitting there studying medical records like students.

As soon as Chen Qi entered the door, he laughed twice: