Chapter 694: Doctor Mayo is difficult to treat
The next day, Chen Qi took the team from Viet Cong Hospital to Liyuan Playground to play.
With the entry of Xiangjiang movies and TV into the mainland, mainlanders are really pulling their butts with knives and opening their eyes.
Whether it is Huo Yuanjia or Chen Zhen, or Guo Jing and Huang Rong, they have all become film and television characters talked about by mainlanders.
Liyuan Playground is precisely associated with Hong Kong dramas, and many costume dramas were filmed in Liyuan, a bit like Hengdian later, which became one of the places that mainlanders want to play the most.
Anita Mui and her sister have also been singing on the stage of Liyuan Playground since they were young to support their family, yes, Mui's mother and two older brothers are vampires, and the family relies on their two daughters to earn money by singing.
There is no shortage of various amusement facilities in Liyuan, even a zoo, which Xiangjiang people may be accustomed to, but the doctors from the mainland are really crazy.
Even older people like Director Zhu and Head Nurse Liu have bright eyes and want to take a look at everything.
The team at Viet Chung Hospital was having fun, but the hospital was in chaos.
What skin grafting, what plastic surgery, this is the next step of treatment, for the "roast duck" patient, the main thing is to save the life.
Therefore, the treatment plan of Chen Qi and his system was based on this life-saving principle.
Mayo's doctors are a world-class team, and of course they know these principles.
But the gap between them and the Vietnamese-Chinese team can be described as simple as a "rehydration formula".
Chen Qi's Vietnamese-Chinese formula is a "plagiarism" of the classic rehydration method of later generations, and it is also the magic weapon of the Vietnamese and Chinese hospitals to successfully heal patients with large-scale burns.
You are sent by a patient with severe burns, don't talk about how strong your skin grafting technology is, how powerful your plastic surgery technology is, you have to save your life in front of you first, and you can talk about the future after passing the "shock pass" and "infection pass", right?
However, almost all patients die of these two major difficulties, that is, because the fluid rehydration method is not applied correctly, and the electrolytes and crystal gel solutions required by the human body are not replenished in time.
Either this one is too much, or that one is less, and in the end, the patient will burp directly.
For small burns, it is not a big problem if you make up for a little mistake, and the human body will adjust it by itself.
But with large-scale burns, what kind of liver failure, kidney failure, heart failure, lung failure do you encounter, and the human organs themselves are on strike, who will work for you?
This is similar to the release of water in rural production fields, which was originally watched by farmers, who released water when there was more water and fetched water when there was less water, so as to always maintain the balance of field water and the water demand of seedlings.
Now the farmers who watch the water are gone, no one adjusts, the pump here is still desperately pumping water to the field, and the field over there has been flooded with gold and is seriously waterlogged, so it is strange that your seedlings do not die.
Chen Qi understands this truth, so he copied the Yuezhong formula...... Oh no, it's the new formula for rehydration.
But other doctors don't understand, so patients with severe burns still keep dying.
Hong Kong Sanatorium & Hospital, Intensive Care Unit:
Doodoo~~~Doodoo~~~
Dididi~~Didi~~~~
Dr. Erro shouted in annoyance, "Can you turn this damn machine off, I can't concentrate even if I call the police all the time!" β
One of the little doctors in the team said speechlessly:
"The hemodynamic monitoring has been alarmed, and the heart rate has been accelerating, and it has been alarming, what to do, the patient's cardiac function is already in the decompensation period, and it may stop at any time."
Dr. Erro grabbed his hair hard:
"Fack, this still needs to be reminded by you, of course I understand, don't you see that I've been calculating the amount of infusion now? Didn't the paper write that the current mainstream Evans formula rehydration is overdone, why do we reduce the amount of rehydration or not? Or is the paper being faked? β
Dr. Mayo immediately read four papers published by Viethorng-Chung Hospital.
In the paper on rehydration, Dr. Hua Guo clearly pointed out that the excessive amount of fluid rehydration in the Evans formula aggravated the patient's edema, leading to complications such as cerebral edema, pulmonary edema, and finally leading to the patient's death.
So this time, when they came to Xiangjiang to take over 83% of the patients with severe burns, the Mayo team wanted to test whether the formula was correct, so they wanted to try to infuse less fluids.
However, the direct consequence of low fluid replacement is insufficient blood volume.
In addition, Ke Rongwei is now in a tracheostomy state, which is supposed to speed up the loss of water, and the amount of fluid lost due to "airway evaporation" needs to be replenished, which is calculated according to 24 hours, and requires an additional replenishment of 500~1000ml.
Well, Dr. Xiangjiang is overdoing it, and Dr. Mayo wants to test it and it leads to too little supplement, and the consequences are equally serious.
Originally, after the treatment of the team of Viet Chung Hospital, the patient's vital signs have been stabilized.
Now that I've got a new doctor, I've had my whole treatment plan all over again, and the result is not better, it's worse.
At the beginning of his stay in the hospital, Ke Rongwei had already suffered from severe shock, and his blood pressure had always been maintained by vasopressors, and now because the amount of fluid rehydration could not meet the requirements, the effective blood volume in the body was insufficient, which in turn led to insufficient perfusion of important organs.
As a result, severe acidosis, hypothermia, and multi-organ failure appeared, and Ke Rongwei could go into cardiac arrest at any time.
Dr. Ackerman touched his forehead and said helplessly:
"Shall we try the Parkland formula? The Vietnamese-Chinese formula does not seem to work, and their papers should be flawed, or directly fake. β
"No, the doctors at the Viet Cong Hospital are not cheating!"
A young doctor who was cooperating with Dr. Mayo abruptly retorted, much to the surprise of several white doctors in the ward.
Hearing this, Dr. Ackerman retorted with some unhappiness:
"Sir, may I ask your name, do you know what paper we are talking about? And how do you know that the rehydration formula of Viet Cong Hospital is correct? β
The little doctor pushed his glasses and said seriously:
"My name is Gao Yisheng, and I have read four of the latest papers published in the New England Journal of Medicine and Surgery and The Lancet by the Vietnamese Chinese Hospital in the mainland.
In addition, when the team of Vietnam-China Hospital treated patients before, I had been working as an assistant for them, so I watched every move of their treatment, and all the prescriptions they told were copied by hand, and I have been tracking the patient's condition.
In fact, the patient's condition has been stable when he is in the hands of the team of the Viet Cong Hospital, and there is almost no alarm sounding on these machines, and even the doctors of the Viet Cong Hospital are already discussing the skin grafting surgery as soon as possible, apparently they are very confident that the patient can save his life. β
Dr. Ackerman was stunned and anxiously asked:
"Wait, what do you say? The doctors at Viet Chung Hospital had been in charge of the treatment of this Ke patient before? How did we not know? β
Gao Yisheng was a little curious how these Mayo doctors could say such things:
"Huh? Mr. Professor, I don't understand, didn't you personally drive out the doctors from the Viet-Chinese Hospital yesterday? It's in this ward. β
βwhatοΌβ
Dr. Ackerman and Dr. El Ero exclaimed at the same time:
"Those doctors from Hua Guo yesterday were the team of Vietnam-China Hospital? Why didn't anyone tell us beforehand? β
Gao Yisheng asked a little strangely: "I thought you knew, so what were you communicating with yesterday?" β
"Fack, if we knew about their Vietnamese Hospital, we would definitely discuss or consult with them on those four papers, how could we drive them away, originally we were only here to consult in Xiangjiang, not to rob patients, Doctor Gao, tell me what is going on?"
Gao Yisheng said a little embarrassed:
"I don't know exactly what it is, because I wasn't allowed to enter the ward yesterday, I just know that shortly after Professor Lin walked into the ward with you, the doctors of the Viet Cong Hospital left in a huff, and Mr. Ke also expressed his anger at the departure of the team from the Viet Cong Hospital."
Dr. Ackerman and Dr. Erro glanced at each other.
Both of them were highly intelligent elites, and they immediately realized that there must have been some misunderstanding in the middle, or someone deliberately wanted to drive the team away from the Vietnamese Central Hospital through their hands.
Dr. Erro pulled Dr. Ackerman aside and asked softly, "What are we going to do now?" β
Dr. Ackerman touched his chin and pondered:
"There must be a conspiracy here, why did we suddenly have a conflict with the Chinese doctor? You didn't hear Dr. Gao say that Dr. Hua was cured well, and finally shook his hand away, I'm afraid we were being used, and that Dr. Lin was very suspicious. β
"Motive, what is the motive of this Dr. Lin?"
"This patient is very special, he is the only son of a famous rich man in Xiangjiang, if the patient dies, this billion-dollar family property will be inherited by no one, which is a huge amount of money, enough to make people crazy.
Originally, it was possible for the doctors of the Viet Cong Hospital to save Ke Rongwei, but we came to consult, but a simple matter inexplicably made Dr. Hua Guo angry, probably someone did it on purpose, the motive was to let the patient die and let the rich lose their heirs. β
Dr. Ackerman had already incarnated Sherlock Holmes at this time, and his brain had made up the whole process.
Dr. Erro was a little nervous:
"So what do we do now? The patient's current condition is very unoptimistic, and he may suffer cardiorespiratory arrest at any time, and when the patient dies, can we return to the United States safely? β
Dr. Ackerman looked out the window:
"You're right, anyway, the consultation fee has been hit in our account, even if our consultation task is completed, although the reward of 500 million Hong Kong dollars is tempting, we don't need to risk jumping into the trap designed by others, let's go!"
Dr. Erno also nodded heavily:
"Yes, we have to leave Xiangjiang as quickly as possible, I heard that gangsters are very popular here, it's terrible."
It was too late, but the Mayo doctors discussed it and immediately packed up and prepared to leave the Hong Kong Sanatorium & Hospital.
Ke Chengji, who got the news, rushed over, and the whole person was stupid:
"Why, why don't you save my son anymore, why do you leave?"
(End of chapter)