Chapter 33 The recommendation spot is secured
"Have you used fludrocortisone?" Professor Liu asked worriedly.
Even though the patient's family has been stabilized, if the patient cannot be rescued, the family will definitely make trouble. As the patient's attending physician, Professor Liu has a huge responsibility.
It’s all Gao Yuan’s fault for being too arrogant. If Gao Yuan hadn’t boasted in front of the patient’s family, even if Ms. Yang was really in danger, the hospital’s responsibility would be minimal.
Professor Liu doesn't even have to take responsibility .
Because everything is done according to procedures.
The bad thing is that when Gao Yuan was making rounds yesterday evening, he personally told the patient and his family that the patient was safe.
Also, the patient was suffering from hemorrhage at the time, but Gao Yuan was unable to detect it.
When these two reasons are combined, it is likely that the hospital will be held fully responsible.
Professor Liu’s reputation was ruined.
The compensation is nothing to a person of his status. In addition, the hospital will also bear at least 50% of the compensation costs. It is even possible that they will just symbolically deduct a small amount of Professor Liu's bonus and let it go.
After all, for the hospital, Professor Liu is the top medical talent.
We must definitely do our best to win them over.
Otherwise, Professor Liu would be so disappointed that he would resign. This would be a huge loss for Huier Hospital.
You have to know that a top doctor has a very strong appeal.
For example, Professor Liu has a very high reputation in obstetrics and gynecology. Not only in Shanghai, but also in the entire Chinese region, many patients come here for Professor Liu's reputation.
If Professor Liu leaves, the reputation of the Obstetrics and Gynecology Department of Huier Hospital will be greatly weakened.
"I have used fludrocortisone a long time ago. Unfortunately, the effect is not significant. I also used midodrine as an auxiliary, but the effect is still not good... Alas!" Professor Tang shook his head and sighed.
The main function of fludrocortisone is to maintain blood volume and increase blood pressure.
It generally has a good effect on patients who lose a lot of blood and then develop hypotension symptoms after blood transfusion.
Midodrine is also a pressor drug, but its function is to promote vasoconstriction, thereby increasing blood pressure.
Both of these drugs have significant side effects, and using them at the same time is already a huge risk.
"The patient remains in a coma and his blood pressure has not risen. Over time, there will definitely be big problems. Even irreversible pathological damage may occur." Professor Liu frowned even more tightly.
A deep "川" character appeared between his eyebrows.
Ordinary hypotension is easy to treat, but the current situation is very difficult to treat.
Because the patient might not survive this stage, Professor Liu and others were given very little time to treat him.
"Professor Liu, Professor Tang, I have a solution that is not a solution, but it may work." The speaker was a middle-aged man in his forties.
Wearing rimless glasses, his voice is gentle, magnetic, and unhurried, and he appears elegant and confident.
Li Quan also knew this person.
This person is also a famous doctor in Huier Hospital, Dr. Jin Leiming of the Department of Surgery.
"Doctor Jin, please speak!"
Professor Liu and Professor Tang both looked at Dr. Jin expectantly.
"When I was an assistant to my teacher in my early years, I once encountered a case that was quite similar to the current situation. The patient was unfortunately cut in the thigh by an electric saw, which directly caused the rupture of the aorta in the leg. When he was finally sent to the hospital, he had lost too much blood and fell into a coma. After treating the wound, we urgently transfused the patient to save his life."
"The patient's blood pressure never rose and he remained unconscious. Later, my teacher came up with an idea. He found a large bucket, filled it with warm water, and put the patient in. The water was submerged up to the neck. A miracle happened. Two minutes later, the patient's blood pressure continued to rise and eventually recovered to around 90. The patient also successfully woke up."
After Dr. Jin finished speaking, he pushed his glasses up on his nose and waited for the two professors to make a decision.
The rescue efforts were led by Professor Tang and Professor Liu.
Specific rescue measures can only be decided by two people.
After hearing this treatment plan, Professor Tang's eyes lit up slightly.
"The pressure of the water can help to physically increase the blood pressure, and the appropriate water temperature can also promote more active blood flow. This treatment plan is really unique and I think it is worth a try."
In fact, not only Professor Tang, but also several other doctors with rich rescue experience present at the scene thought that this plan was feasible.
“Try it now!”
Professor Liu is also a decisive person and he nodded in agreement immediately.
The nurses and assistants immediately went to prepare large buckets of warm water.
Li Quan also learned a method of increasing blood pressure that he would never learn from textbooks.
Because everything written in the textbooks has been reviewed and must be rigorous. Using water pressure to increase pressure is more like a folk remedy. It is impossible to enter the classroom and record it in the textbooks.
While the nurse and the assistant were preparing the bucket and warm water, Li Quan's eyes fell on the patient again.
The skin was pale with a hint of frightening purple.
Everyone knows that if you strangle a person by the neck for more than thirty seconds, the person will not be able to breathe and large purple spots will appear on his face.
This is actually a manifestation of insufficient blood oxygen supply.
The patient's skin now appears purple, a symptom of hypoxia.
She is now lying flat on her back, with her head deliberately lower than her feet.
Because of low blood pressure, keeping the head lower than the feet and heart helps blood flow back to the brain.
Otherwise, if blood cannot enter the head for a long time or the blood flow is too slow, it will cause cerebral ischemia and hypoxia. The patient's brain is prone to necrosis or irreversible damage.
There were so many famous doctors and professors participating in the rescue, and they were all professionals in every aspect.
Li Quan seemed to have discovered a clue through the technique of observation.
Unfortunately, his diagnosis skills for young children are only at the entry level, so it is difficult to accurately determine where the problem lies.
"Teacher, can I go to the operating table and observe for a while?"
Li Quan really couldn't squeeze in, so he asked Professor Liu for instructions.
Standing around the operating table were all the big shots of the hospital. He was an intern and according to the rules, he was only qualified to stand at the back and watch.
"Can!"
Professor Liu now treats Li Quan as kindly as he would his favorite student.
There was affection in his eyes and tone.
The big guys standing in the front subconsciously turned their eyes to Li Quan.
"Old Liu, the student you usually keep with you doesn't seem to be this person! Why did you change him?" Professor Tang asked curiously.
They are all professors and have interns.
Therefore, I am well aware of some of the unspoken rules of teaching.
For example, they would have a group of interns every year, and only one of them would be eligible to stay in the hospital to work. Therefore, the professors would observe them for a period of time, select the best one among their interns, and train them vigorously.
Other interns will teach as well, but they will have access to far fewer resources.
"I was wrong about this student before. This student is better than Xiao Gao. His potential, character, and mentality are far superior to Xiao Gao in every aspect. So now I will do my best to train him."
Professor Liu was not shy about it and praised Li Quan to the sky in front of Li Quan and so many doctors.
The main reason was that Gao Yuan disappointed him so much.
Not only is he narrow-minded, but he is also ambitious, chasing fame and fortune, and has very poor moral character. In addition, he is also far behind Li Quan in medical skills.
It would be really unfair if Professor Liu didn't choose Li Quan.
Li Quan was secretly delighted when he heard this.
Looking forward to it, Professor Liu finally passed this test. The recommendation spot is almost certain.
