Chapter 639: Lament that the world is unwilling to turn back, and leap to become a first-class blood department in China
Not long after, the female patient was carried over by her family members.
She had been examined in many hospitals, but the specific cause of her illness could not be found. No hospital dared to treat her.
Yesterday, I came here from thousands of miles away specifically to seek treatment at Huier Hospital.
As a result, she was once again disappointed and turned away.
After seeking medical treatment many times, she became smarter and knew that these big hospitals would not refuse to treat her openly, but would make up some euphemistic excuses.
For example, if our hospital has no beds available, you might want to go to other larger hospitals.
Or they will say that the examination cycle is very long and it may take several days or even longer to get the results. If you are in a hurry, it is best to go to a large hospital with better conditions. For example, the large hospitals in Beijing have particularly advanced equipment.
The patient must have gone to the hospital for treatment because he could no longer bear the pain.
How dare I delay it for several more days?
If we delay, it will be the patients who will die, not the hospital.
So the patient could only leave silently with tears in his eyes and look for the next hospital.
The family of the female patient was particularly surprised when Wheeler Hospital called her early the next morning.
He hurriedly carried the person over.
In the outpatient clinic, Li Quan had carefully looked through the patient's examination form. Except for the results of the routine blood test, which showed a slight abnormality in the platelet count, other indicators were basically normal.
Of course, routine blood tests mainly check white blood cell count, hemoglobin content, and platelet count.
Some other special project screenings need to be done additionally.
The time will be longer.
It will definitely cost extra.
"This is the director of our Huier Hospital. After he learned about Ms. Liu's condition, he took it very seriously. But you also know that the cause of Ms. Liu's illness is very complicated. You have visited many large hospitals but could not find the specific cause. Our hospital cannot say that we can definitely find it out, we can only say that we will do our best to treat her." Director Qin is a doctor with rich work experience.
She speaks skillfully .
It's not a definite statement.
This is also what every experienced doctor has experienced through blood and tears.
"What a young dean! No matter what, we thank you!"
The family members were somewhat distrustful of Li Quan because he was so young.
Some even thought that the hospital had just found a random director to fill in the numbers just to appease them.
"You don't have to be polite. It is our duty to treat the patient. Can she sit up alone?" Li Quan had already begun to observe the woman's complexion and body shape.
I saw that her face was extremely pale, her eyes were dull, and her hair was disheveled and dry.
All signs indicate that she is ill and her condition is particularly serious.
"I can sit, I can sit! But I fainted twice yesterday, and I vomited once last night."
The patient's family member should be the woman's husband.
The woman was not very old, probably around 28 or 29 years old.
Her husband was probably in his thirties, with a crew cut, and was very caring towards her.
When he looked at her, his eyes were filled with concern and worry.
Li Quan asked the female patient to sit down, placed her right hand flat on the table, and tried to take her pulse.
This action surprised both the family members and the female patient.
Because in the eyes of many patients, Chinese medicine's pulse diagnosis is a bit similar to the fortune tellers counting on their fingers on the street.
It's all just to fool people.
"Our Huier Hospital is a specialty hospital that combines traditional Chinese and Western medicine. Our dean has mastered many traditional Chinese medical techniques. He feels the pulse of patients more accurately than instruments."
Director Qin was speaking for Li Quan.
"Oh, really?" The patient's family members had noncommittal expressions, indicating that they didn't believe it at all.
Li Quan never cared about those false reputations.
How the patient looks is not important. What is most important is whether the patient's lesion can be detected and cured.
"The pulse is thin and astringent, and there is a sense of stagnation. This is a sign of blood stasis."
After taking the patient's pulse, Li Quan was shocked.
This patient will die if he is not rescued quickly.
"Director Qin, have you performed any coagulation tests on the patient?"
"Uh... I haven't done this before."
Director Qin shook his head.
"Immediately check the patient's prothrombin time and also check the D-dimer in the patient's blood. The color Doppler ultrasound only checked the patient's heart and brain, right?"
Li Quan asked.
"We only checked these two main parts and found no obvious abnormalities."
Director Qin replied.
When hospitals examine patients, they cannot prescribe random applications.
Especially now that medical supervision is becoming increasingly strict, patients like to complain at every turn.
Doctors are also afraid of losing their jobs.
"Okay, let's do a blood angiography on the patient right away. I suspect she has severe blood clots in her body." Li Quan's expression was serious.
The patient was also shocked.
I went to so many hospitals and did all kinds of tests, but the cause of the disease was never found.
Now Li Quan just felt her pulse and said that she might have a blood clot in her body.
In addition to being half-believing and half-doubting, the patient also felt a little bit afraid.
In the eyes of ordinary people, a blood clot means that the blood vessels are blocked and the blood inside has coagulated.
This is fatal.
Whether it is the notorious amniotic fluid embolism, cerebral embolism, or cardiovascular embolism, all are fatal.
"Doctor, my wife can't have a blood contrast test. She is allergic to iodine and barium."
The man said quickly.
The family member is probably not a medical professional, but the fact that he could mention the auxiliary drugs for hematography shows that other hospitals have also tried to do hematography on her.
Because of the sudden fainting, there is probably a problem with blood supply.
However, patients are allergic to these auxiliary agents, which blocks the angiography examination option.
"Well, since angiography is not possible, let's do a color Doppler ultrasound. I'll mark the locations, and we have to do it immediately. There's no time to delay." Li Quan had just taken her pulse, and he was basically able to pinpoint which parts were blocked.
Color Doppler ultrasound can detect thrombosis, but it is not as accurate as angiography.
Now that Li Quan has marked the specific parts, the possibility of finding it out is much higher.
"Mainly check the back and the neck. By the way, the patient should try not to lower his head to avoid danger."
Li Quan said to the patients and their families.
"Okay! Thank you, doctor."
The woman said thank you, but the expression on her face showed disapproval.
She might even suspect that Li Quan was exaggerating.
Naturally, Li Quan would not point out his suspicion of her.
Not to mention the patients themselves, even their family members were skeptical.
All a doctor can do is try his best.
Doctors cannot do anything that is beyond their capabilities.
"The checkup form is ready. Go get the color ultrasound right away! I wrote it as an expedited service, so you don't have to wait in line. Just hand it over to the imaging window and we'll arrange it for you."
Director Qin did not dare to be negligent after hearing Li Quan describe the patient's condition as so serious.
The inspection application was quickly submitted.
At the same time, we also called the blood testing room and asked them to do two more tests on Ms. Liu's blood: thrombin and D-dimer.
The patient walked out of the outpatient department with the help of his family.
Then, within three seconds, the patient's family members' anxious cries for help were heard outside.
"Doctor, doctor, my wife fainted..."
Li Quan rushed out of the outpatient department and saw that the patient who had been able to walk just now had his eyes rolled back and had fainted on the ground.
"What exactly happened?" Li Quan saw that the shoelaces on the patient's left foot were loose, and he roughly guessed what happened.
"My wife just bent down to tie her shoelaces and fainted! Doctor, we regret not listening to your advice. Please find a way to save my wife!"
The female patient's husband regretted it so much that his intestines were broken.
Just now Li Quan reminded them that it is best for female patients not to bend over or lower their heads.
But they didn't take it seriously at all.
Just three seconds later, Li Quan's words came true.
"Carry him up for examination immediately!"
Li Quan took the female patient's pulse and frowned.
He couldn't help but think of a Buddhist saying.
Asked why the Bodhisattva sits upside down? He lamented that people in the world are unwilling to turn back.
He had clearly told the patient the precautions and tried his best to save the patient's life, but the patient did not understand him and even doubted him.
When he took the woman's pulse again just now, he found that the blood clot had shifted.
Hopefully it won't enter the blood vessels in the brain.
Otherwise, the consequences will be unpredictable.
What we can do now is to check immediately, determine the location of the blood clot, and then remove it surgically.
…
Forty minutes later, good news came from the operating room.
All the blood clots in Ms. Liu's neck and back have been removed using a minimally invasive method and a special thrombectomy device.
In addition, the blood laboratory has also obtained preliminary screening results.
The patient's prothrombin time was significantly abnormal and D-dimer was elevated.
In fact, this test result is no longer of much significance.
Because Ms. Liu had successfully undergone surgery to remove the thrombus.
The disease has been cured, but if the patient is found to have signs of thrombosis, what’s the point?
The only effect may be to confirm that Li Quan's diagnosis is completely correct. That's all.
Of course, if Ms. Liu needs further examination and diagnosis, these two obviously abnormal indicators will definitely be useful.
Blood clots generally do not form without cause.
There must be a reason.
If the cause of blood clot formation cannot be found, a new blood clot may form again not long after the thrombus is removed.
In Li Quan's office, he was listening to Vice President Min's report.
Vice President Min will report to Li Quan in a timely manner on the progress of the hospital's expansion project and any problems encountered.
This time Li Quan brought Sophie home to meet his parents. Vice President Min would not dare to disturb them unless it was something extremely important.
So I waited until Li Quan came back today before reporting to him.
As a result, Li Quan had a lot of things to do.
Including some matters that require his approval and processing by various departments of the hospital.
These cannot be delayed.
Guidance must be given in a timely manner and signed and stamped before it can be implemented.
“Boom boom boom!”
There was a knock on the door.
"Come in!"
The office door opened and Director Qin from the Hematology Department walked in.
"Hello, Dean, hello, Dean Min!"
"Hey, Director Qin, why are you here in person? Please take a seat!"
Although Li Quan became the dean, he was very polite to the department heads.
"Director, I came to see you for two things. The first is about Ms. Liu who had a blood clot. After treatment, her vital signs are now stable. But the cause of the blood clot has not been found, and I am still a little worried about a recurrence."
Director Qin has worked in the Department of Hematology for many years and has accumulated rich clinical experience.
She has met many patients with thrombosis. Once the disease recurs, it can easily be fatal if not treated in time.
Or they may become disabled and become a vegetable.
In short, the consequences of blood clots are terrible.
"Well, even if you don't come, I am going to find you after get off work and tell you the cause of Ms. Liu's thrombosis." Li Quan was very satisfied with Director Qin's attitude of being responsible for the patients.
"I took the patient's pulse and combined it with the results of the prothrombin time and D-dimer tests. After comprehensive analysis, I speculated that the patient was likely suffering from a relatively rare blood disease. This disease is called disseminated intravascular coagulation. It usually does not form blood clots directly in large blood vessels. Instead, it forms small blood clots in the capillaries, and then when it enters the large blood vessels, it is absorbed together with other small blood clots and slowly increases.
Eventually, a large blood clot will form, blocking important blood vessels.”
Li Quan expressed his own inference.
"It's probably the disease you're talking about. No wonder so many hospitals have been unable to find the cause. If the thrombus only forms in the capillaries in the early stages, it's unlikely that an abnormality will be found unless angiography is done."
Director Qin's eyes lit up slightly, and she highly agreed with Li Quan's inference.
"As soon as I got back, I asked the laboratory to do additional tests including the activated partial thromboplastin time, thrombin time, and fibrinogen level." There was naturally no need to do the tests that had already been done.
For example, platelet count, whether D-dimer is elevated, etc.
"Dean, I have finished reporting everything I needed to report, and I will be busy now. You can chat with Director Qin slowly." Vice Dean Min stood up and said goodbye.
Director Qin stood up and saw him off.
"Okay, please take care of the hospital expansion." Li Quan also stood up to see him off.
A vice president naturally has a high status in the hospital.
Vice President Min is a key aide to Li Quan, so he should be treated with even more courtesy.
After seeing off Vice President Min, Director Qin began to talk about the second matter.
"Director, the volume of business in our hospital's hematology department has increased more than eightfold, and is still on an upward trend. It's just that the speed has slowed down a lot. You were very wise to order the first batch of leukemia specific drugs. It also established our Huier Hospital's hematology department as the leader in the province."
Director Qin reported on the achievements made by the Hematology Department.
Most leukemia patients now know that the treatment level of Weil Hospital is the best in the country, and possibly even the best in the world.
Naturally they flocked to it.
"The surge in business volume is a good thing, but you must ensure the quality of medical care and strictly control safety. When the four new comprehensive buildings of the hospital are built, if the hematology department really develops and is very stable, I will strive to obtain a comprehensive building for your hematology department."
Li Quan promised Director Qin an extremely tempting reward.
This is also intended to encourage Director Qin to lead the medical staff of the Hematology Department to guard against arrogance and impatience, and work hard to expand and strengthen the business.
"Don't worry, I will try my best and live up to your cultivation." Director Qin said seriously.
The Hematology Department of Huier Hospital was originally a second-rate department at the provincial level.
Thanks to Li Quan's multiple calculations and efforts, the current situation has come about.
It has become one of the best blood departments in the country.
