Chapter 46: No one knows this better than I do!
The next day.
After Liu Feng came to the hospital, he was in a good mood.
Seeing that the engineer of the steel plant is getting better day by day, he estimates in his heart that his good days are coming.
After all, isn't that true of you Chen Gong?
You are only a worker who has been rescued, if it weren't for the money in the valley mining area, how could you give you so much bonus?
Even if it's a little bit more difficult to save your patient.
But......
I rescued patients, but leaders.
In this way, Liu Fengxin felt that he might be able to get some bonuses, or even ...... Like Chen Gong, they can get sponsorship money from steel mills to develop their group.
Thinking of the eyes of the members of the group and the department, Liu Fengxin came to the hospital early today.
At seven o'clock, the hospital shift has not yet begun.
Even if the emergency department had an early shift to avoid the morning rush hour, it was after half past seven.
Liu Fengxin rarely comes early, and the attitude of the team leader is everything.
But today, he walked into the doctor's office with a smile on his face.
Even when I met the nurse on the road, I nodded and smiled slightly, aside from the appearance, at least this little face still makes people feel good.
After coming, Liu Fengxin changed his clothes and went straight to bed 11.
That's right, not 12 beds.
Liu Fengxin wants to show that he is not the kind of person who tends to be inflammatory, flattering.
He's just a good doctor who does his job.
He treats every patient fairly.
After pretending to interrogate and round the 11-bed patients, Liu Fengxin walked to the 12-bed patients unhurriedly.
He just wanted to hang the other party on purpose.
"How's it going?"
Liu Fengxin asked with a smile.
"Huh?"
After finishing speaking, Liu Fengxin frowned.
"Where's your fixed bandage?"
"Why was it demolished?"
Hearing Liu Fengxin's words, the man stared at Liu Fengxin with wide eyes at this time:
"What do you say?"
Liu Fengxin frowned: "What do you mean by me?" ”
"What about plaster? Why is it gone? ”
"Who did it!"
"Nurse!"
"Come on!"
Liu Fengxin shouted outside with a serious face.
Soon, a night nurse hurried over: "Team Leader Liu? What's wrong? ”
Liu Fengxin asked sharply:
"Who demolished it?"
"Who told you to tear it down?!"
"How many days has the patient been doing this surgery? Who let you tear it down without my permission! ”
When the little nurse heard this, she was also a little timid.
"I ...... This one...... It was dismantled by Team Leader Chen, who was on duty at night. ”
He said...... The patient would have aggravated his condition in this way, so he dismantled it and asked us to register. ”
Hearing the nurse's words, Liu Fengxin's face changed directly, his expression was serious, and there was a little more anger in his eyes.
"Who told him to tear it down?!"
"Isn't he Chen Gong messing around?"
"Is he an orthopedic surgeon, or am I an orthopedic surgeon?"
"The patient needs to recover after surgery and must be immobilized with a cast to ensure that the fractured end heals ......"
"This is nonsense!"
He stared at the patient: "Don't worry, I will definitely give you justice in this matter!" ”
The middle-aged man frowned and looked at Liu Fengxin: "Wait a minute!" ”
"Justice?"
"I'm sorry, Director Liu, I'm not a doctor, I don't understand these truths."
"But what I want to say is, I've already told you that my leg hurts."
"Last night, this level of pain already made me miserable, and I didn't even sleep well all night!"
"After the inspection, Team Leader Chen said that there was a problem with my leg, and the bandaging was too tight, which had caused ischemia."
"What kind of syndrome is ......?"
"If you hang like this, after a long time, you will have ischemia and necrosis, and even have to amputate your limbs!"
"I was given a plaster cast and a loose bandage, so I could get a good rest last night."
"What's the matter with me?"
"I still want to ask today, what's wrong with my leg?"
"Team Leader Chen said that my leg still needs surgery today?"
"What the hell is going on?"
The man's face was a little ugly.
Originally, I was about to be discharged from the hospital, but now I was suddenly told that I had another disease and had to have surgery!
How painful is this surgery on a wound?
Let's not talk about money for now.
Let's just say how much time did it take?
And, how much pain to endure?
So!
The man was already a little angry at this point!
When Liu Fengxin saw the man's words, he couldn't help but snort coldly: "What does he Chen Gong know?" ”
"Don't listen to his nonsense."
"Who said surgery?"
"The operation was successful, and the anastomosis at the fracture end was also very good, and now is not yet the time to remove the plaster, so he hastily removed the plaster, what if it causes any adverse effects?"
"Nonsense!"
"He Chen Gong is young, what does he know about orthopedics?"
"I've been in orthopedics for so long, how did I not know!"
While speaking, Liu Fengxin was not stupid, and hurriedly lowered his head and opened the gauze: "I'll show you what's going on." ”
"Normally, after surgery, some normal pain will occur."
"Moreover, bone healing is not only a problem of bones, but also involves the healing of nerves and blood vessels."
"Your wound is already very serious, and it can't be treated casually."
"It's a normal reaction to have pain."
As he spoke, Liu Fengxin had already taken apart the gauze and looked at it.
At this time, I saw that the patient's leg was still swollen, but ...... Much better than last night.
"Does it still hurt?"
The man nodded lukewarmly: "It hurts!" ”
"Who says it doesn't hurt?"
"By the way, you guys make a plan as soon as possible."
"What the hell is going on with my leg?"
After Liu Fengxin listened, his face was grim: "You wait for me!" ”
After saying that, he walked straight towards the doctor's office.
This delay, the time is not early, and the time for ward rounds is approaching.
It's just that Jiao Liming hasn't arrived at the office at this time.
However, a large group of doctors and nurses were already standing in the office, waiting for the arrival of the director.
After Liu Feng came in, he didn't have the slightest emotion, and scolded Chen Gong loudly straight to the point:
"Chen Gong!"
"Who told you to touch my patient?"
"Who's responsible for what went wrong?"
"It's only been five or six days since my patient's surgery ended, and the plaster cast is fixed well, do you have to remove it?"
"Are you sincere?"
When the people around him heard Liu Fengxin's words, they immediately fell silent.
Everyone looked at Chen Gong in unison.
Everyone knows that some time ago, Chen Gong and Liu Fengxin had some unpleasant troubles.
Now that he saw Liu Fengxin directly attacking Chen Gong, he immediately became energetic.
Chen Gong frowned, looked at Liu Fengxin's angry appearance, shook his head, and was about to speak.
But I heard Yang Hui suddenly laugh lukewarmly:
"Oops, anger doesn't seem to have any other effect than to show your own incompetence!"
Hearing Yang Hui's words, Liu Fengxin slapped the table angrily.
"Nonsense!"
"Do you have a part in talking?"
"Yang Hui, you pay attention to your identity and work attitude!"
"In case the patient has three strengths and two weaknesses, who will be responsible?"
Seeing this, Chen Gong looked at Liu Fengxin and asked:
"Wait a minute, Director Liu."
"The plaster was removed by me."
"The gauze is also what I let loose."
"You're angry, there has to be a reason, right?"
"Your patient was in unbearable pain last night, did I make a mistake in helping you solve the problem?"
Liu Fengxin sneered: "Help me? Hehe! ”
"I think you're jealous of us, right?"
"I can't see that we are good, seeing that the patient is about to recover, you have to come here to do the damage, right?"
"What, this emergency department is run by your family? Still not allowed to treat us? ”
"Tell me, why do you want to remove the plaster?"
Chen Gong looked at Liu Fengxin curiously: "Didn't you make a round?" ”
"I saw you go to the ward early in the morning, didn't you notice that there was an obvious problem with the patient's limbs?"
"Such an obvious fascial septum syndrome, haven't you noticed?"
"I'd love to ask, where did you learn this surgery!"
"Even these common, underlying complications were not dealt with after the operation."
"The patient's symptoms are already evident, and the signs of surgery are extremely clear."
"If you continue to put on the plaster and pull it up, this piece of meat will all rot."
"When the time comes, it won't be a matter of surgery or not!"
"Thanks to you being an orthopedic surgeon, you can't even see this disease!"
"I think what Yang Hui said is right!"
"Dr. Liu, if you are not qualified for this job, I advise you to either change careers or resign."
Chen Gong didn't give the other party a good look.
Straight back.
When everyone at the scene heard Chen Gong's words, they were also a little dumbfounded.
No one thought that Chen Gong would be so the other party, and he spoke-for-tat without the slightest tact.
Moment!
The quiet atmosphere at the scene seemed to push this matter in one direction.
Everyone looked at Liu Fengxin, and his eyes at this time were already extremely angry.
Chen Gong is already questioning his professionalism and ability!
At this time, Jiao Liming walked in.
Seeing the atmosphere of the scene, he immediately frowned.
Actually, Jiao Liming had already heard the voice, but ...... but deliberately walked in one step late.
First, he wanted to know what the situation really was.
Secondly!
I also want to wait for an opportunity.
After Jiao Liming came in, he immediately frowned, and he looked at everyone with a dark face:
"What's wrong?"
"How's it going?"
"Isn't it a big deal?"
"What a system!"
"This is the hospital, it's the emergency department, are you all idle?"
"And you, Liu Fengxin, as the leader of a group, what can't you sit down and say?"
"Chen Gong, you ...... Be careful when you speak! ”
That's right!
Hearing Jiao Liming's words, Liu Fengxin was dumbfounded.
Boy!
That's not how you pull the bias, right?
What do you mean by Chen Gong, pay attention to what you say?
What the fuck am I ......
The patient was interfered with by Chen Gong, forget it.
Quarrel and quarrel and lose.
It's good now......
Do you Jiao Liming blame me too?
Liu Fengxin's heart was extremely aggrieved.
His heart is bitter.
He stood up directly with a sad face: "Director, I don't need Chen Gong to apologize to me." ”
"However, he has to take responsibility for the patient's situation."
"Without my permission, he participated in and interfered with my treatment of patients."
"And undo the patient's leg immobilization."
"It's obviously a matter of principle."
"He has to take full responsibility for the patient's situation today!"
Seeing this, Jiao Liming said straight to the point: "Okay, don't quarrel, come with me to meet the patient." ”
While speaking, Jiao Liming took the two of them and walked towards the ward.
The patient did not give a good face when he saw them come in.
Jiao Liming still nodded and said:
"How do you feel?"
The patient shook his head: "I'm a little disappointed in you. ”
"Tell the truth!"
"However, I have invited experts from the Department of Orthopedics of the Second Affiliated Hospital of Shanhe Medical University to come over."
"Maybe I'll be transferred."
"You're too hasty about my illness and don't take it seriously at all."
"I feel a little numb in my lower limbs at this point."
Hearing the patient's words, Jiao Liming's face changed, and Liu Fengxin was even more uneasy in his heart, but ...... But he got straight to the point.
"This is the impact of Chen Gong's self-determination."
Hearing this, Chen Gong shook his head, walked to the patient's side, and bent down to check.
After a moment of silence, he said, "I'll tell you the truth, perhaps...... The experts of the Second Affiliated Hospital may not be able to solve this problem. ”
"It's not just a simple septum syndrome."
"Because there's already a ripple effect."
"The gap needs to be depressurized."
"I suggest you can stay on, you can trust me, we can make it."
"There are not many people who study the gap theory in China at present."
"And I'm one of them."
"You are also an engineer, I believe that you are no stranger to academic papers, you can go to the Internet and search for it."
"My name is Chen Gong, and you will see that many articles and even concepts about gap therapy are proposed by me."
Chen Gong looked at the patient confidently and did not force him to stay.
After finishing speaking, he turned to Jiao Liming and said, "Director Jiao, I worked the night shift last night and was a little tired." ”
"I'm going back!"
"If the patient has surgery, tell Zhao Xi and Yang Hui."
After speaking, Chen Gong shook his head and got up and left.
He didn't have the heart to dwell on what was in front of him.
For Liu Fengxin, Chen Gong didn't take it to heart at all.
Plainly!
An expert as big as Jiang Mingze, Chen Gong can clean up and obey, Zhao Lei even calls himself a brother, and Ma Baoqing and Fu Tao are even more "progressive" in watching their own surgery videos.
Just one Liu Fengxin, to be honest......
Chen Gong felt that arguing with him was a bit cheap.
Now that the shift is over, there's no point in continuing to stay by yourself.
Last night's night shift, after a busy night, Chen Gong was also a little tired.
If you have this time, you might as well go back and get some sleep.
After speaking, Chen Gong got up and left.
Seeing this, Jiao Liming shook his head, but he didn't stop it.
He knew very well how strong Chen Gong's ability was.
But......
Chen Gong's words just now were too shocking.
What is called, the concept of domestic interstitial therapy, he is a pioneer?
Even, isn't the patient's leg quite good?
Can't be treated by the orthopedics department of the second hospital?
Are you kidding?
Although Jiao Liming has a lot of respect for Chen Gong, to be honest, his remarks are too arrogant.
Even the patient couldn't help but be dumbfounded at this time.
Let's be honest!
In the past few days in the hospital, he has long begun to regret it.
I don't feel like I should continue to stay here.
During this time, the reputation of Shanhe Emergency Center Hospital has gradually come to understand.
Combined with the word-of-mouth of everyone on the Internet, as well as my own personal feelings in the past few days.
The engineer apparently didn't take Chen Gong's words seriously.
In his heart, the level of this hospital is really terrible.
If you can transfer to another hospital, you must leave immediately.
Chen Gong's departure made several people in the room fall into silence.
Liu Fengxin's face became even more ugly at this time.
He really didn't expect that today's things would be so troublesome.
This patient, instead of admitting it, even wants to be transferred to the hospital now?
I have worked so hard before and after, and I have really lost it?
At this time, Liu Fengxin looked at the skin of the patient's legs, and after careful analysis, he said to the two:
"Don't listen to Chen Gong's nonsense!"
"I know about septum syndrome."
"However, in this leg condition, the skin lines are normal, or even low, and the blood circulation is quite good, which is not fascial septal syndrome at all."
"It's a post-operative reaction."
"He's alarmist, what's the chain reaction? Sling the bull! ”
At this time......
Jiao Liming's mood was also a little restless, he didn't know much about the situation in orthopedics.
In this case, you can only ask for a consultation.
The Emergency Center Hospital is not a general hospital, and its purpose is mainly for emergency surgery.
Therefore, during the construction, the hospital also coordinated the emergency department to the greatest extent to ensure that rescue was the mainstay.
Other departments around it are also cooperating with the construction of first aid.
Therefore, the hospital is also equipped with orthopedics and other departments.
Now, Jiao Liming can only ask for a consultation.
Of course, why did the emergency center hospital say that it paid so much attention to it in the first place?
Because the emergency center hospital and other hospitals, specialized hospitals, all have close connections, commonly known as the green consultation channel.
They can contact the relevant departments of major hospitals to coordinate the handling of the situation.
In addition, in the event of an accident, in addition to the doctors at the emergency center hospital, other hospitals need to coordinate the dispatch of specialists.
In order to ensure the success of the patient's rescue!
Soon!
Jiao Liming reassured the patient: "You calm down first, and I will invite an orthopedic expert to come and take a look." ”
After speaking, Jiao Liming also got up and left.
In less than half an hour, Feng Chuan, director of the Department of Orthopedics, came.
"Director Jiao, what's wrong?"
Feng Chuan asked with a smile.
Jiao Liming smiled awkwardly: "Hey, it's really helpless, I can only ask for a consultation." ”
"Hey!"
"The patient's condition is like this......"
Jiao Liming said a few words, then walked towards the ward with the patient, passed by the doctor's office, and called Liu Fengxin as well.
Several people arrived in the room together.
I saw a middle-aged man sitting in the room.
Seeing this, Feng Chuan hurriedly smiled and said, "Director Hu? You're there too! ”
Hu Wenxun couldn't help but shake his head: "Hey! ”
"This is my classmate."
"I didn't hear that I was sick, so I came to visit him."
"Hehe......"
Hu Wenxun knows how to be a man, and he knows that it is easy to cause a very embarrassing situation when he comes to the door with such an identity.
To put it bluntly, no one wants their home stadium to be picked on.
Feng Chuan smiled: "It's just right that you're here!" ”
"To be honest, it's the first time I've heard of this interstitial chain reaction."
"Communicate with each other!"
"It's all for the patients!"
After speaking, Feng Chuan walked over.
And Liu Fengxin on the side couldn't help but say: "What kind of chain reaction, this is just Chen Gong's own fabrication!" ”
"I checked it just now, but I didn't find it at all!"
"Besides, you two see, is this a manifestation of fascial septum syndrome?"
At this time, Hu Wenxun and Feng Chuan hurriedly checked.
Check it out!
The two of them frowned.
"The dorsalis pedis pulse is normal!"
"There is no calf septum syndrome!"
"Pi Wen is normal, huh? Still on the low side? ”
"That's not right!"
"The swelling isn't noticeable!"
"It's rare."
"Isn't it fascial septum syndrome?"
"No, no! It should be ......"
In fact, fascial septal syndrome is a condition that has no gold standard for diagnosis.
It's hard to spot early!
Moreover, the main manifestations are blood circulation disorders and ischemia of muscle and nerve tissue supply.
But the symptoms don't seem to be typical.
That's when ......
Suddenly, Feng Chuan pointed to an area, his eyes widened and said, "That's not right! ”
"Look!"
"Lao Hu, look at it!"
"There's infiltration here!"
"Generally speaking, after trauma, if the bandaging is too tight, it is the main cause of fascial septal syndrome."
"As a result, intramuscular pressure increases rapidly, and neurovascular and musculature experience a backlog."
"But...... Now there is no redness, swelling, heat and pain, and no inflammation......"
"I think it has something to do with here!"
"You see, the skeletal muscles of the legs have gaps between these tissues."
"However, after the edema has developed due to ischemia, it has already begun to infiltrate the next area."
Hearing Feng Chuan's analysis, Hu Wenxun's eyes widened, and he seemed to suddenly realize.
"What do you mean......"
"Hidden propagation period?"
"Because after the backlog, the gap has been destroyed, and the edema has dispersed."
"If you wait for a few days, the patient's area will have a severe attack, and it will definitely form a large-scale swelling, and then there will be a large chain reaction, causing severe ischemia and necrosis!"
"The pressure will obviously increase even more!"
"When the time comes...... Maybe it's true...... It's going to be even more troublesome! ”
After hearing this, Hu Wenxun couldn't help but glance at Feng Chuan: "This chain reaction is really accurate!" ”
"How did you come up with that?"
Feng Chuan shook his head and looked at Hu Wenxun with a solemn face: "Do you have a way to operate?" ”
Hearing this, Hu Wenxun's face changed.
"I ...... I'm really not sure! ”
"This is the first time I've seen symptoms like this."
"Honestly...... I'm not sure. ”
"Because it requires enough knowledge of the leg gap to completely decompress."
"The whole process is more troublesome."
"I don't dare to do it!"
Hearing this, the patient's eyes widened: "Old Hu, are you serious?" ”
"Aren't you the director of the Second Academy?"
"This ...... Are you kidding? ”
Hu Wenxun shook his head and sighed: "I'm really not joking. ”
"Your situation, it's not that it's difficult, it's too biased!"
"It's so rare that I'm not sure enough."
"The fascial septum itself is a partial gate."
"There aren't many people who study it."
"This is especially true for the understanding of gaps."
"If I was asked to do it, I could do it, but ...... Score many times to do. ”
"It's painful!"
"If only I could find someone who is proficient in ......"
As he spoke, Hu Wenxun suddenly looked at Feng Chuan excitedly: "Who said this chain reaction you just said?" ”
"I think I can find him!"
"He must have a way!"
For a moment, the room was completely silent.
Jiao Liming, the patient, and Liu Fengxin all stood in place without saying a word.
……
PS: I've been so tired lately, I've really underestimated the pressure of my two children.
Ay......
The most important thing is that 1+1 really does not equal 2, but is greater than 2!
The two children will have some special chemical reactions, such as the eldest and second...... Ay!
Physically and mentally exhausted!
(End of chapter)