After this critically ill pregnant woman was carried over, Du Leng found that the media reporter was interviewing, and he probably felt that it was an opportunity to show his face.

In addition, there were no patients at his desk, so he also stepped forward to participate in the consultation.

It wasn't anything.

But after he participated in the consultation, he found that he was the same as Gao Jian, and he couldn't say anything.

Not to mention giving constructive advice.

Not to mention him, even an old comrade like Deputy Director Shi made up a lot of money before he expressed a little opinion.

If you don't have any dry goods accumulated in clinical practice in your stomach, no matter how much theoretical knowledge you learn, it's useless.

Optics is not good yet, you have to apply what you have learned to be a real skill.

Throughout the ages, how many nerds have mixed well?

Du Leng is not a nerd, he is a bit ambitious, and he always wants to soar into the sky to do big things, which is why he is in the embarrassing situation now. To put it bluntly, it is the eye of the hand and the hand is low.

In popular social terms, big money can't be earned, small money is not rare, seven are not angry, eight are not convinced, and nothing is anything.

He participated in the consultation of this pregnant woman, originally wanting to show his face in front of media reporters, and he also had face when he returned to Tuya Hospital. It is also beneficial for future career development.

With his congenital conditions, as long as he really has some ability, Tuya Hospital is very willing to put him on the throne of a famous doctor.

He knows that very well.

But in fact, Tuya Hospital is now supporting Zhou Can. The various treatments given to Zhou Can are also getting better and better, Du Leng doesn't say it, but in his heart he is like a mirror.

If he wants to say in his heart that he is not in a hurry, it is false.

At this moment, seeing that Zhou Can had made great achievements again, Du Leng was both jealous and anxious, and under the chaos, Li Ling was dizzy, and publicly questioned Director Zhang's diagnosis and treatment behavior in front of so many people.

Maybe in his opinion, he questioned Zhou Can's diagnosis, but he didn't want to think about whether it was a bit hasty to ask Director Zhang about his diagnosis in front of so many media reporters, family members, patients, and doctors and nurses in two hospitals.

It's death.

Director Zhang Bihua: Who is that? He is the head of the Department of Obstetrics and Gynecology of Tuya General Hospital, the director of the department and the top expert, and the authority of the Department of Obstetrics and Gynecology.

Not to mention Du Leng, even Dean Zhu had to be polite to talk to Zhang Bihua.

This is really not an exaggeration, what about the leader of a department, can the weight be low?

Just look at how good Director Xie of the Department of General Surgery is.

Dealt with Zhou Can three times, what was the result?

The most the hospital brass could do was to tell him not to do it again. Director Xie has never been punished in any substantive way, let alone said anything serious.

Now, Du Leng, a newcomer, relying on his dazzling resume as a returnee doctor, actually ate the gall of a bear's heart and a leopard, and questioned Zhang Bihua's diagnosis in public too hastily.

What is this not death?

Director Zhang usually speaks to Du Leng with a three-point smile, but at this moment, he saw that the smile on Director Zhang's face was still the same, but his eyes had become extremely cold, and there was a threat between his eyebrows and eyes, which made people feel an invisible oppressive force.

"Doctor Du thinks that my diagnosis and that of Dr. Zhou Can are too hasty, so I want to ask you, can you clearly diagnose the cause of this pregnant woman?"

"I ...... I need time and need to do more checks! I believe that as long as all the tests that should be done are in place, the diagnosis of the cause will be much more accurate. ”

Du Leng faced Director Zhang's questioning, and he was stumbling.

"You need time, the saying is very good. But have you ever thought about it, this pregnant woman is now in critical condition, and every minute and second is extremely precious. By the time you've done a lot of unnecessary or less important tests, the patient may have missed the best time to be rescued, or even a tragedy that no one wants to see. ”

Director Zhang Bihua's speech is quite level.

Even though he was extremely angry in his heart, he didn't point at Du Leng's nose and scold, and when he talked about the possible situation of the patient, he tried to avoid words like death.

"Dr. Du, you are also a medical doctor who graduated from a famous overseas university, and I don't need to teach you the truth. As a veteran doctor with more than 30 years of medical experience, I would like to advise you that practicing medicine is not about writing articles, and those flashy superficial things can be saved. To save the lives of patients, what we should do is to race against time, avoid dogmatism, and still less stick to formalism, engage in formalism, and disregard the lives of patients. This pregnant woman is now in a critical condition, and the cause of her illness should be found out with the least and fastest examination method, and the correct rescue should be carried out, which is the correct way to rescue her. ”

"Judging by your words and deeds, you still haven't learned a lesson from yesterday's events. I hope you can listen to it and truly respect life and put patients first. ”

Ginger is definitely old and spicy.

Director Zhang Bihua's preaching criticized Du Leng to the point of incompleteness.

At the same time, it won full applause.

During the period when she criticized Du Leng, the patient had already been sent to the emergency room to insert a urinary catheter and take urine samples for testing.

He also wants to challenge the status and authority of Director Zhang Bihua, which is simply delusional.

No one would heed his doubts at all.

Du Leng's face was red for a while, white for a while, and blue for a while.

If it is said that yesterday he made a fool of himself because his family members were not easy to fool, then today's embarrassment in front of the public is purely self-inflicted.

Sometimes, even the smartest person can come out of some stupid tricks.

This is a typical clever mistake for being smart.

"I will listen carefully to your teachings, reflect deeply, and strive to do better in the future."

After Du Leng finished speaking, he sat back at his desk.

At this moment, he was afraid that he wanted to die.

In the face of countless pairs of strange eyes, as well as the photos taken by media reporters, he felt both shame, shame, and anger in his heart.

It didn't take long for bad news to come from the rescue room.

"Section Chief Tang, it's not good, the pregnant woman who was sent to the rescue just now has a sudden drop in blood pressure, it is difficult to breathe, and the person has fallen into a coma."

Hearing this bad news, Chief Tang almost collapsed on the ground.

I'm really afraid of something.

Now the entire treatment process of this pregnant woman has been recorded by the media, and there are many family members who take pictures at the scene.

If something happens, what can be done?

Holding this expert consultation is a double-edged sword.

Yesterday almost killed a person, and today this thrilling plot is staged again.

It's really difficult for him to be the head of the Declared Traditional Warfare Section.

"Director Zhang, your authoritative expert in this field, please bring someone over to think of a way."

Section Chief Tang could only ask Director Zhang Bihua for help.

The strength of Xinxiang Women's and Children's Hospital is actually not weak, and the chief physician of the hospital is in charge of the emergency room. If it weren't for the lack of help, they would definitely not ask Section Chief Tang for help.

"Members of the crisis team went with me to the emergency room!"

Zhang Bihua had no choice but to bite the bullet.

Plans can't keep up with the changes.

Originally, according to her assumption yesterday, if this kind of thing that needs to be rescued happens, let the crisis management team and the doctors and nurses of Xinxiang Women's and Children's Hospital work together to rescue the patient.

But the current situation is special, she is the attending doctor, and the patient is pregnant, so she can't refuse.

"Urging the results of the laboratory tests, the cause of the pregnant woman is now unknown, which is extremely detrimental to the rescue work."

Director Zhang Bihua is well aware of the danger.

Only when the cause is found can the correct rescue measures be given.

At this time, Section Chief Tang's mobile phone rang again.

"I'm Tang Jiuyin, please speak!"

Section Chief Tang was in a hurry, and his tone was naturally not good.

But soon, he was pleasantly surprised and shouted, "Okay, okay, your test results are too timely." Hanging up the phone, Section Chief Tang shouted at Director Zhang Bihua, who had already led the team and was about to go to the rescue room, "Director Zhang, the test result is out, and the blood free fat droplets are positive." Positive for urine fat droplets. ”

At this critical moment, the test results came out, which greatly encouraged Director Zhang, Zhou Can and others.

"The likelihood of fat embolism is already very high, and the disease is extremely dangerous and fatal. Hopefully, there will be time to rescue it. Director Zhang Bihua rushed to the rescue room with Zhou Can and others, and implemented a variety of rescue measures for the patient as soon as possible.

Because it is difficult to locate the specific location of the embolization, there is no special treatment for this disease.

It is nothing more than three aspects, respiratory support, and generally give priority to non-invasive ventilators. If the condition is severe or more specific, invasive ventilator support is required.

Protection and monitoring of brain function, including intracranial pressure monitoring, prevention of cerebral edema, etc.

Circulatory support is mainly central venous pressure monitoring, pulmonary artery flotation catheterization for hemodynamic monitoring. Because the pregnant woman was diagnosed in time and was still in the early stage of the disease, Zhou Can discussed with Director Zhang, and also used fluid resuscitation and vasoactive drugs to help her survive the difficulties in her life.

……

More than three hours later, the pregnant woman's vital signs had stabilized after a series of resuscitations.

"Director Shi, Zhou Can, I'll leave it to you here."

Director Zhang said to the two leaders and deputy leaders with a tired face.

The whole process of rescuing this pregnant woman was extremely dangerous, and the ordinary medical staff were just busy, but Director Zhang, Deputy Director Shi, and Zhou Can were under tremendous pressure.

Fortunately, Zhou Can is a good hand in rescue, whether it is invasive intubation, such as invasive ventilators, the establishment of central venous pressure monitoring, etc., all of them are operated by Zhou Can.

There are also some important rescue measures, and Zhou Can also contributed to the formulation of strategies and contributions.

On the contrary, Deputy Director Shi, who is the leader of the crisis management team on the surface, actually spends most of his time standing next to him making soy sauce.

"Go ahead and get busy, we'll take good care of her. In case you can't handle the situation, please come and help. Deputy Director Shi hurriedly said.

Director Zhang Bihua criticized Du Leng in public, and the authority established invisibly was enough to make Deputy Director Shi and others feel related.

It can be clearly felt that Deputy Director Shi's attitude towards Director Zhang has become very awe-inspiring.

On the contrary, it was Zhou Can, who didn't feel much of it.

It may also be that he has a close relationship with Zhang Bihua.

In his opinion, Du Leng was scolding himself.

I really can't complain about Director Zhang's strictness.

"Now that the patient's condition is a little more stable, you take turns eating. Doctors and nurses are also human beings, and they are not iron-clad, so they should also take care of their health. ”

Zhang Bihua is stern and stern, and she is also very concerned about the health of medical staff.

"I have asked the master chef of the canteen to prepare hot meals and hot dishes, and I will immediately call someone to arrange for them to be delivered. Oops, it's really hard for everyone today, if it weren't for everyone's hard work, this pregnant woman would probably be gone. ”

Section Chief Tang was also very happy to see the pregnant woman turn around.

During the entire rescue process, the two people who were most frightened were not Director Zhang and Zhou Can, but Section Chief Tang and Dean Tian.

Don't look at Dean Tian not showing up, but making a phone call every fifteen minutes to ask about the progress of the rescue is enough to show that Dean Tian sitting in the office is more anxious and anxious than anyone else.

Now that the danger is turned into a disaster, it is a great joy for all.

This group of doctors and nurses who rescued pregnant women are all heroes.

Naturally, it should be treated.

As soon as Director Zhang walked out of the door of the rescue room, several reporters immediately surrounded him.

"Director Zhang, how is the condition of the pregnant woman?" These reporters are more concerned about the safety of pregnant women than their families, which is really laughable.

It can only be said that they are too dedicated.

It is estimated that when they were in the outpatient hall before, they had already taken photos and taken out news materials, and now they are just waiting for a result, and they can finish the press release first.

"Thank you for your concern, the pregnant woman has been rescued by many medical staff from Tuya Hospital and Xinxiang Women's and Children's Hospital, and she has turned the corner for the time being. Director Zhang has been busy rescuing patients, and he hasn't eaten yet, so please let me go. ”

Section Chief Tang directly blocked this group of reporters for Director Zhang.

"May I ask why the medical staff who participated in the rescue didn't come out?"

Twilight was thinking about Zhou Can.

didn't see Zhou Can come out, she naturally thought that there was still a situation inside.

Maybe the patient is still being rescued.

After all, what Section Chief Tang, a person engaged in propaganda, said can't be taken too seriously.

"The rest of the medical staff are still guarding the pregnant women and ensuring the safety of the pregnant woman and the fetus. Our medical staff are working very hard, and we ask our comrades journalists not to interfere with their work as much as possible. ”

These reporters are not that easy to dismiss.

Guarding the door and reluctant to go.

On the contrary, the family members of the pregnant women could not help but be overjoyed when they heard that the pregnant woman had turned a safe place.

After a while, the hospital cafeteria sent someone to deliver food.

The medical staff in the emergency room took turns to eat.

In fact, after the pregnant woman's vital signs become stable, she can be observed for a while, and if there is no major problem, she can be admitted to the hospital and transferred to the general ward for follow-up treatment.

Most fat embolism syndromes are cured with treatment.

At present, as long as the condition of this pregnant woman does not deteriorate further, her life will definitely be saved.

It is estimated that after about three or four days in the emergency room, the ventilator is expected to be removed.

In general, fat embolism syndrome is much less malignant than amniotic fluid embolism.

However, even if the pregnant woman survives the current difficulties safely, she is still not optimistic. Her femoral head was fractured, and no doctor would dare to operate on her.

But by the time she had surgery after giving birth, the callus had already formed, and it was even possible that the malunion would heal.

These are very tricky questions.

Zhou Can took the X-ray of the femoral head of a pregnant woman and studied it carefully.

Her fracture was severe, and if she could not be operated, she could only be given external fixation to help the fracture heal in situ.

However, the structure of the femoral head is one of the most complex bones and joints in the body.

Even if you have surgery, sometimes it can't be cured, and the entire hip joint needs to be replaced.

Now I want to fix it without surgery, which is a great test of the doctor's fracture external fixation skills and level.

Zhou Can's fracture external fixation is currently a third-level and medium-level resident.

This is also due to the fact that after the orthopedic surgery training, there is an occasional opportunity to earn experience points in fracture external fixation in multiple departments.

Otherwise, he would still be at the inferior level of a resident.

"Doctor Zhou, we've finished eating, you and Ji You should go eat quickly!"

Deputy Director Shi and the other medical staff came back after eating.

Changed to Zhou Can and nurse Ji You to eat.

Ji You has worked in the intensive care medicine department and has rich experience in rescue assistance, and his performance in today's rescue is very good. And she has a gentle personality, never pushes things off, and has a high level of professionalism in intensive care and rescue.

There are not many gentle and capable nurses, and Zhou Can is very satisfied with her.

However, the two were just assigned to this newly established crisis management team yesterday, so they are far from familiar.

"Dr. Zhou is gone! If you want to study the fracture treatment plan for pregnant women, you can also come back after eating and study! Forgetting to sleep and eat when you work is very unfriendly to your body! ”

She greeted Zhou Can with a smile.

"Let's go, let's eat!"

Zhou Can quite enjoys the taste of being cared for.

Put down the x-ray.

"Director Shi, then the situation here will be entrusted to you for the time being. Be sure to closely monitor her central venous pressure and blood oxygen index, and call me at any time if you have any questions, don't worry that I haven't finished eating. ”

Zhou Can was still a little uneasy before leaving.

All types of vascular embolism are highly variable.

Sometimes it's really fast-moving.

Just like the battlefield, yesterday it looked calm, but the next day there was a sudden fierce exchange of fire, and the better side was defeated.

The pregnant woman was temporarily out of danger after trying to save her, but there is still a possibility of rebound.

Deputy Director Shi's skills in rescue are actually far inferior to Zhou Can's.

Director Shi himself is very clear about this.

"Don't worry, I'm staring at it! Let's go eat! ”

Deputy Director Shi urged him.

Zhou Can and Ji You walked out of the rescue room, and the female reporter Twilight, who had been squatting at the door, immediately greeted them.

Others don't know Zhou Can's strength and hidden status, but she knows it very well.

In order to understand the specific condition of the pregnant woman, Director Zhang did not accept interviews, and it was difficult to find out about other medical staff accurately. So, the other reporters are gone, but she stays here.

Zhou Can is the target she is targeting.

Especially when she saw that the other medical staff had come out of the emergency room to eat, and only Zhou Can had not shown up, she was even more sure of her guess.

"Hey! Dr. Chow, can I tell you about the pregnant woman? ”

Twilight mantis waved at Zhou Can to say hello with a light smile on her face.

(End of chapter)