Chapter 183 I Might Be Able to Cure
"You mean, we should invite the directors of the neurology departments to come for a consultation now?" Doctor Zhou Chang also understood what he meant.
I think every doctor at the Weller Hospital wants to defeat the Ocean Hospital.
Because over the years, Ocean Hospital has always been superior to Huier Hospital, and the gap between the two hospitals is getting bigger and bigger.
Although the Ocean Hospital has a low praise rate, it does not affect its leading position among all hospitals in the province.
“Hurry up!”
Doctor Yang Yu nodded in confirmation.
"Okay, I'll have the nurses' desk call right away."
Although the status of the emergency department is not high, it holds a sword of life and death. No matter which department's doctor is invited to come for emergency treatment, that doctor must put down everything at hand and rush over as quickly as possible.
Even if a chief physician is performing surgery on a patient in the operating room, as long as conditions permit, another physician must take over and rush to the emergency department to save the patient.
This is also why doctors in the emergency department are often scolded.
Imagine that a chief physician is performing an important operation and you call him over for emergency treatment. Would he not be angry?
"Doctor Yang, can I try to take the patient's pulse?" Li Quan asked.
"Of course. Patients with brain stem hemorrhage are very rare. It would be helpful if you could take their pulse."
Doctor Yang Yu thought Li Quan wanted to gain experience.
Because the patient has been examined, the cause of the disease has been identified.
The location of the lesion has also been determined.
Li Quan actually had his own ideas. He not only wanted to accumulate experience in pulse diagnosis, but also wanted to see if he had the ability to save the patient.
I tried to feel the patient's pulse on his left hand and it was weak.
This is a very bad pulse.
Especially for this kind of comatose patient.
When a bird is about to die, its cry is mournful. When a person is about to die, his pulse stops first.
The patient is now showing signs of losing his pulse.
The techniques of pulse diagnosis and visual diagnosis have already been applied to the extreme, with efforts made to feel the patient's pulse and trace the cause of the disease.
Soon, Li Quan located the lesion in the brain.
From the weak pulse, he could feel that the patient's pulse was still stringy, long and unstable. And it was clearer than when he felt the patient's pulse a few days ago.
When I took his pulse a few days ago, I could only detect it vaguely.
This pulse condition is not always present.
At this moment, the patient has become ill and his pulse is no longer hidden but is directly revealed.
"If the pulse changes from stringy, slippery and strong to stringy, thin and gentle, the condition tends to improve or be cured. If the pulse changes from stringy, slippery and strong to slippery, rapid, knotted, intermittent, long and slow and unstable, the condition is serious and the prognosis is poor."
An experience of Sun Simiao in taking the pulse of a patient with cerebral hemorrhage emerged in Li Quan's mind.
This patient's pulse belongs to the latter, changing from stringy and slippery to slippery and rapid, knotted and intermittent, long and slow and unstable. This means that the probability of death is more than 90%.
This also shows that the Ocean Hospital is indeed worthy of its reputation.
It dared not operate on the patient, and must have judged that the patient's prognosis was poor. Even if it operated, the result would not be ideal.
Li Quan continued to take the patient's pulse and seek treatment.
Since it is brain stem hemorrhage, as long as we find a way to stop the bleeding, it will definitely be of great help to the patient's condition.
After a few minutes, Li Quan finished taking the pulse.
His face was calm, but there was a gleam of light in his eyes.
He casually picked up the patient's brain CT scan and checked it. The amount of bleeding was large and the bleeding point should be in the pons. These were basically consistent with the results of his pulse diagnosis.
It seems that after his pulse diagnosis skills were upgraded to the minor success level, they have been able to reach a level similar to that of ordinary high-tech examination equipment.
At least when diagnosing diseases such as ruptured blood vessels and bleeding, there won't be much deviation.
At this time, two directors of neurology departments hurried into the emergency room.
Li Quan had some impression of these two directors of the neurology department.
A few days ago, when Professor Liu brought the directors of various departments to the hospital office to seek justice for Li Quan, these two directors all participated.
In fact, they did Li Quan a favor.
"Hello, Directors!"
Li Quan didn't know their names, so he could only greet them like this.
"Xiao Li is here too, that's great!" The two directors of the neurology departments were very friendly to Li Quan.
They went straight to the emergency bed to check on the patient's condition.
"Yang Yu, is this patient really transferred from Yuanyang Hospital?" The fat-faced, bald-headed director of neurology asked Dr. Yang Yu directly about the situation.
Another thin director with silver hair was already checking the patient's examination form.
"Director Chen, the patient had already fallen ill yesterday afternoon and was immediately rushed to Yuanyang Hospital for emergency treatment. I just measured the patient's blood pressure and intracranial pressure, and they are both under very good control. This shows that Yuanyang Hospital must have put a lot of effort into rescuing this patient. But the patient's condition is really bad. Judging from the brain CT scan, it should be a pons hemorrhage. This is a blessing in disguise."
"Anyway, I have no idea how to treat this extremely difficult patient. I have already issued a critical illness notice to the family. It all depends on whether the two directors can bring the patient back to life and save him from the clutches of the King of Hell."
Dr. Yang Yu was able to become the deputy director of the department because he is very tactful in what he says and does.
After you have said what you need to say, there is nothing more to say.
Let the two directors of the neurology department decide.
"Old Yin, I've seen the test results. You're an expert in neurosurgery, so what do you think?" Director Chen directly asked the thin old man who was looking at the test results.
Surgeons seem to be very thin. I wonder if it is because they have to stand for several hours, even more than ten or twenty hours, to perform an operation.
After all, this is a physical job, which is equivalent to doing fitness exercises all day long.
"You, a neurosurgeon, don't make the decision, but let me make the decision. How dare you! I have done dozens of brainstem surgeries. Some patients were cured, and some were not. As long as you, Old Chen, say the word, I will pick up the scalpel and open the patient's skull."
Director Yin's words made the junior doctors present burst into laughter.
"Xu Tiangao from Yuanyang Hospital is no pushover. If even he can't handle a patient, I'm afraid you and I won't be able to handle it together, right?" Director Chen did not dare to be careless.
"You are talking nonsense. If Xu Tiangao can handle the patient, why should we get to show off? That old fox is very concerned about his reputation and will never give us a chance to slap him in the face."
Director Yin is a straightforward person and says whatever he thinks.
"Old Chen, just one question, should we give this patient a surgery?"
"Hmm...don't worry, let me think about it."
Director Chen also started to check the films, and then checked the patient's real-time vital signs, etc.
"This brain wave looks scary, as if it will drop to a straight line at any time. Let's not lose the mutton and get into trouble. By the time you open the skull, the patient's brain waves will be flat."
Director Chen stared at the brain waves, somewhat hesitant.
"You don't trust my skills, do you? I haven't done many brainstem surgeries, but I've probably done thousands of craniotomies. Craniotomies are not a problem at all. It's just that brainstem hemorrhages are hard to treat. You know, that's a life forbidden zone, the center of the human body. Touching any part of it could cause the entire person to shut down."
Director Yin is quite old, but he is full of energy .
"Old Yin, look at this CT scan. The bleeding point of the patient should be here. There is an artery here. I can see some white spots, which means that the patient has severe cerebral arteriosclerosis . Even if the skull is opened, there is no way to operate. No wonder Xu Tiangao from Yuanyang Hospital didn't dare to operate on this patient. It's simply impossible!"
After staring at the film for a while, Director Chen saw the clue. He shook his head repeatedly, his face full of disappointment.
This means you are ready to give up when faced with difficulties and choose to give up.
"Okay, I'll listen to you. I won't be greedy for this credit, lest I slap myself in the face. You and I are old, if we make mistakes, it will be like a chaste woman losing her virginity. Just give up."
Director Yin attached great importance to Director Chen's opinion and chose to give up directly.
"Can I say something?" Li Quan interrupted weakly.
"you say!"
The two directors looked at Li Quan at the same time.
"If the patient is not brain dead after you open his skull, surgery may not be necessary. I can cure the patient directly with acupuncture. At least there is some chance ."
Li Quan's words were like a bombshell, which stunned the two directors.
Doctor Yang Yu and others also looked at Li Quan in horror.
