Chapter 586: A Senior with Excellent Medical Ethics, Ventricular Assist
"All three contestants' answers are correct. This patient was rushed to the intensive care unit 9 fifteen minutes ago and is currently in a state of malignant arrhythmia and shock. He has been diagnosed with fulminant myocarditis caused by a cold and is in critical condition. Please ask the three contestants to lead their teams to the intensive care unit 9 immediately to rescue the patient."
As soon as the host finished speaking, all the doctors present were shocked.
Because the prognosis of fulminant myocarditis is extremely poor, it can easily cause the patient's death.
Many doctors call fulminant myocarditis, aortic dissection, and amniotic fluid embolism the three emergencies with the highest mortality rate.
Their severity is even higher than cerebral hemorrhage.
Because of cerebral hemorrhage, it will give doctors some time to rescue, and once these three diseases are diagnosed, the family members will basically be issued a critical illness notice immediately.
Jin Leiming answered the question so quickly.
At this moment, when he heard the host asking them to rush to Intensive Care Unit No. 9 to rescue the patient, he looked embarrassed.
Fulminant myocarditis is generally treated with supportive care, including correction of heart failure, anti-arrhythmic treatment, etc.
As the chief physician of general surgery, he is not particularly good at treating this disease.
On the contrary, doctors in the emergency department and the critical care unit have more experience in treating this malignant disease.
"Director Zhang, before you were transferred to the emergency department as the department director, you had been working in the critical care medicine department. You have more experience in treating fulminant myocarditis. Can you please go in with me to rescue the patient?"
Jin Leiming pleaded.
At this time, Jin Leiming didn't care about his face.
Because he knew very well that the other two opponents were very powerful.
The doctor who answered the question just now was John, the chief physician of the Department of Critical Care Medicine. He was an American and a heavyweight physician hired by Yuanyang Hospital at a high price.
John already has a great reputation in the United States.
Many medical centers were vying to hire him.
I heard that he gave up his excellent job in the United States and went to work in China's Ocean Hospital, all thanks to the charming Minister Gu Qian.
She used her beauty to invite John over.
Then, after working for a while, John and Minister Gu Qian did not end up together, but fell in love with an ordinary nurse in Yuanyang Hospital without hesitation.
Later, after John's crazy pursuit, the nurse accepted his proposal.
Only one condition was proposed.
Ask John to settle down in China.
Because the nurse is the only daughter in the family, her family would definitely be worried if she followed John to the United States to develop.
Many Chinese girls, after marrying into the United States, live extremely miserable lives, even worse than dogs, being abused and bullied by their husbands and having no place to complain.
Fortunately, I was able to get a divorce and escape back to my country.
Unfortunately, no one cares if you die in a foreign country.
After John married the nurse, he settled down in the Magic City of China and worked in the Ocean Hospital.
There is no doubt about his ability.
Under his leadership, the Department of Critical Care Medicine of Yuanyang Hospital is currently the strongest department of critical care medicine in Shanghai.
The success rate of rescuing critically and extremely critically ill patients is much higher than that of other tertiary hospitals such as Huier Hospital and Provincial People's Hospital.
Even in the whole country, there are only a handful of critical care medicine departments in Ocean Hospital.
Director Ding Zhengchao of the Critical Care Medicine Department of Beijing First Hospital, needless to say, is an authority in the Critical Care Medicine Department of China.
Faced with two such powerful opponents, how could Jin Leiming, an amateur in critical care medicine, dare to compete with them?
He had no choice but to ask Director Zhang for help.
"It is my honor to work with Director Jin to rescue the patient." Director Zhang smiled and nodded in agreement.
"Director Xiong, could you please come with us?" Jin Leiming only invited Director Zhang from the emergency department and was still a little worried.
Then we invited Director Xiong Shan from the Department of Critical Care Medicine of Huier Hospital.
Director Xiong Shan is usually a serious person and doesn't smile too much.
However, he has been working in the critical care department for many years and has performed very well without any mistakes.
"no problem."
Director Xiong Shan readily agreed.
Since Li Quan became the dean, he has consciously resolved the conflicts among departments. In particular, the proposal to expand the hospital's territory has brought the cohesion of the hospital to an unprecedented level.
In the past, the various departments fought openly and secretly for two reasons.
One is to fight for wards and various medical resources, and the other is to fight for patients.
Ultimately, it is to have a higher income so that you and your family can live a better life.
Li Quan proposed to expand the hospital this time and pushed forward the matter at a very fast speed, which made every department director of the hospital full of expectations and hope.
By the time the new medical complex is completed, there will be more wards than ever before.
Is it necessary to quarrel over one or two beds in the corridor?
As for competing for patients, it was necessary in the past.
Especially during the first two months that He Zhen was the dean, he made a lot of trouble, causing the hospital's business volume to shrink sharply.
Departments that were originally overwhelmed with business were tightening their belts one by one. Departments that were already not doing well were in despair, waiting to starve to death.
However, Li Quan returned to Huier Hospital and rose to the top overnight. After becoming the dean, whichever department in the hospital had the worst business, Li Quan would take action and that department would quickly come back to life.
For example, orthopedics has now become one of the most popular departments in Huier Hospital.
Therefore, everyone is willing to follow Li Quan.
Because we can see beautiful hope and foresee a good life in the future.
"Anyway, the host didn't set a strict limit on how many people to bring in. Why not let Dean Li come in with us? In order to rescue patients with fulminant myocarditis, many of Dean Li's traditional Chinese medicine methods can be used.
The effect may be even better than those high-tech instruments."
Director Zhang suggested.
I don’t know whether Director Zhang wants to flatter Li Quan or he really thinks that Li Quan can be of great help if he goes with him.
"I have no objection!"
Li Quan can be considered a capable person who deserves more work.
He would follow into the operating room for almost every successful emergency response at the Weller Hospital.
…
The group entered Intensive Care Unit No. 9 and saw that it was equipped with not only all the instruments needed for an ICU ward, but also various instruments needed for surgery and examination, an operating table, a shadowless lamp, and so on.
It is a combination of an intensive care unit and an operating room.
Beijing is Beijing, its hardware conditions are truly enviable.
How much does it cost to set up a modular intensive care unit like this?
You know, the intensive care unit is where all the resources of the entire hospital, and the best resources, are supplied first to the patients there.
Even if an ordinary ICU has 30 beds, the hospital will still lose money.
Some people have even done the math and found that the hospital's critical care unit is a completely loss-making department.
Even though some patients spend up to 20,000 or 30,000 yuan a day staying there, the Department of Critical Care Medicine still loses money.
The significance of establishing a critical care medicine department is not to make money, but to improve the overall rescue level of the hospital.
Because the intensive care unit is called the last line of defense for patients.
The existence of this department can significantly reduce the hospital's mortality rate.
When Li Quan and others entered the intensive care unit No. 9, John from the Ocean Hospital and Director Ding Zhengchao from the Beijing First Hospital were already there.
Jin Leiming from Huier Hospital is originally a general surgery doctor, so he acts in a Buddhist way.
To put it bluntly, it's slow.
John glanced at Li Quan coldly, with a hint of strong hostility in his eyes.
It was exactly the look that enemies give each other.
Li Quan was a little confused. It seemed that he had no contact with this John?
He didn't steal John's wife either.
Where does this American's hostility come from? Do I have a special physique that attracts hatred ?
"You are so slow to treat such a serious patient. You are totally acting like a boss. I think your Huier Hospital should be eliminated directly."
John said angrily.
"Hey, Mr. John, haven't you heard that sharpening the knife does not delay the chopping of wood? You came in early, but I didn't see you rescue the patient immediately!"
Director Zhang's words were very sharp.
In one sentence, John was almost choked to death.
"You, you are unreasonable, barbarians!" Even though John has lived in China for many years, the Chinese he speaks is still a bit stiff and obscure.
"The patient is currently suffering from acute heart failure, cardiogenic shock, ventricular tachycardia and ventricular fibrillation. The condition is very dangerous. We must find a way to defibrillate him immediately." Director Ding Zhengchao has checked the patient's condition as soon as possible and started rescue work.
Any authoritative doctor with such a high reputation generally has extremely high medical ethics.
Things in the world are so magical.
If a person's state of mind cannot reach that level, but he has a huge fortune, then, if nothing unexpected happens, he will soon squander his wealth.
The same goes for doctors.
No matter how talented a doctor is and how solid his medical knowledge is, if his medical ethics are poor, his medical skills will never reach the top level.
Because part of his mind will be distracted to other things.
Profits will always come first, not medical skills.
For example, if rescuing a patient is risky, and even if the rescue is successful, there will be no great benefit, he will automatically choose to give up rescuing the patient after weighing the pros and cons.
The truly top medical skills are acquired when rescuing such risky patients.
Therefore, a doctor with poor medical ethics can never become an authority in a certain medical field.
Just because John hates Li Quan doesn't mean he has bad medical ethics.
This is a personal grudge and has nothing to do with medical ethics.
Ventricular fibrillation can cause the heart to stop beating if it is not treated immediately.
Ventricular fibrillation is also one of the causes of arrhythmia.
In the past, when science was not well developed, there was no effective way to solve the problem of ventricular fibrillation. Now it is different, we can directly use a defibrillator.
First, quickly clean the skin at the defibrillation site, then zero the electrodes and align them with the patient's defibrillation site.
Press the switch.
Bang!
After the patient received a powerful electric shock, he jumped up.
Everyone looked at the data on the ECG monitor.
The initial defibrillation did not seem to be very effective.
Director Ding Zhengchao reached out and touched the patient's carotid artery, pressing it still.
He should be checking the patient's pulse.
If the defibrillation is successful, the patient's large artery pulse can be felt.
"Prepare for a second shock of defibrillation."
Director Ding Zhengchao looked at the female patient on the bed, his white eyebrows shrank into a ball due to frowning.
It would be a pity if such a young female patient could not be rescued.
"Director Ding, can you let me take the patient's pulse during this break?" Li Quan's traditional Chinese medicine skills include ways to prolong life.
If it really doesn't work, we'll try traditional Chinese medicine as a last resort.
When he takes the patient's pulse now, he is also intending to understand the patient's condition and find out the cause of the disease.
Especially hidden lesions.
In addition, after reaching the master level, his pulse diagnosis and visual diagnosis skills, when combined, could diagnose a patient's impending illness in advance .
In other words, he can accurately predict the course of the patient's condition.
Only chief physicians with extremely rich diagnosis and treatment experience have this ability.
Li Quan is better than those chief physicians.
Because those chief physicians made predictions based on experience, while Li Quan made judgments based on the patient's pulse, complexion and other factors.
"President Li, please don't be shy. I have seen your outstanding performance in the operating room and know that you have extraordinary abilities. What we need to do now is to find a way to save this young female patient. The competition comes second, and life comes first."
Ding Zhengchao's words were not just hypocritical courtesy.
But it comes from the heart.
This made Li Quan respect Director Ding, who was nearly sixty years old.
"Director Ding is a man of high moral character and excellent medical ethics. He is truly a role model for us young doctors to learn from." Li Quan was not just flattering the other party, but speaking from the heart.
He squatted down and checked the female patient's pulse.
In order to avoid suspicion, he even pulled the cloth on the patient upwards to cover the patient's upper chest.
Although in the eyes of doctors, men and women are the same, they are all patients and there is not much difference.
But in actual practice, some male doctors with high moral standards sometimes consciously act like gentlemen.
Give female patients the greatest respect.
Li Quan carefully diagnosed the patient's pulse.
Because the patient's ventricular tachycardia and ventricular fibrillation were very severe, this caused great trouble for him in taking his pulse.
Ventricular fibrillation is actually a precursor to cardiac arrest.
Director Ding is urgently installing the ECOM machine.
In this case, if the second defibrillation is still unsuccessful, ECOM will be the only way for the patient to survive.
It can replace the human heart and realize the function of artificial heart outside the body.
It is also one of the advanced instruments frequently used in intensive care units.
"The patient's pulse is extremely poor and the survival rate is very low." Li Quan sighed after taking the patient's pulse.
Doctors are actually just mortals. Sometimes, when it comes to saving patients, they can only do their best and leave the rest to fate.
The chances of this female patient being rescued are very low.
"Director Ding, if possible, I suggest preparing another Impella immediately."
Li Quan said in a serious tone.
Impella is a ventricular assist device.
When there is a problem with the ventricles, especially the left ventricle, and the blood inside cannot flow out, this instrument can be used to transport the blood out.
Because the blood in the left ventricle is not circulated in time, it is very easy to form a blood clot.
By then, it will only be more troublesome.
Even gods can’t save him.
