"Medical records" Zhang Fan looked at the child and said softly.
"The blood oxygen test results this morning have not yet come out. Although the child's protein was very low yesterday, the liver and kidney functions have remained at their original state. With such a severe trauma, the liver and kidney functions have not continued to deteriorate. I think it is a A better sign! "The director of the ICU personally handed the medical record to Zhang Fan and whispered his thoughts.
"I don't think so. At present, almost all the means we can use, including hormones, plasma, antibiotics, and ventilators, can be said to have been used. However, not only the protein of the children is significantly declining, but also Liver and kidney function has not developed very well under so many methods, but has only maintained a maintenance state.
I believe that children currently have a certain chance of sudden death. "
When Jumabek heard this, he immediately began to refute. Zhang Fan hadn't opened the medical record yet, and the two of them were going to have a debate while wearing protective clothing.
This is the case in internal medicine. Many times, diseases are like a particularly annoying villain, trying to mess it up for you but also presenting it in an ambiguous state!
Moreover, in most cases, when the levels are about the same, it is almost impossible for two parties with different opinions to convince each other. If there is no higher-level doctor or other factors, the only option is to listen to the family or wait. It sounds weird, but This is the current state of medicine.
Especially when you meet some special people, such as what happened after Bailihou was sent to the hospital. Either Bailihou’s superiors give orders, or Bailihou’s family members make choices. Sometimes such people are worse than Ordinary people come easily. Zhang Fan wanted to say that he should see the case first, but the two idiots didn't take Zhang Fan seriously.
If you were in the Department of Surgery, even three people would not dare to do this. But in the Department of Internal Medicine, you meet a scumbag like Lao Ju. Zhang Fan finally understood why Ouyang pressed Lao Ju under his buttocks and refused to move. This made sense.
"Okay, this is the intensive care unit, we need to discuss it outside!" Zhang Fan interrupted the two of them.
Opening the medical record, Zhang Fan finished the examination and the records. He was very satisfied with the medical care in the ICU. He recorded every 20 minutes, which was done very well. From the notes, it can be seen that it is not done in one go. There are many lazy doctors. , do not record from the beginning, and then before the shift, prepare four or five pens and start to synthesize the records for the night.
To be honest, the Tea Su Hospital is not without it, but for this kind of thing, no matter how beautiful your synthesis is, you only have one chance. Once you catch the weak person, you will be suspended from work to study, and you will be transferred directly from the post. Anyway, you will be beautiful if you dance beautifully. , just don’t get caught.
After reading the medical records, Zhang Fan turned around and saw that the two guys were staring at Zhang Fan closely. Zhang Fan could tell what the two guys meant by their eyes and they wanted to say something. They both looked at them.
Zhang Fan bit his back teeth, then closed his eyes while holding the medical records.
The director of the ICU, Lao Huang, glanced at Lao Ju and said, "What is the director going to do? How do you do it?"
Lao Ju rolled his eyes at Lao Huang: How do I know? I am the vice president, not the deputy secretary!
That is to say, the two guys are from internal medicine. If they are from surgery, they all know that Zhang Yuan is thinking, or emptying his mind and preparing for a brainstorm.
Zhang Fan closed his eyes, directly imported the child's data into the system, and then started over, although the system would not tell Zhang Fan which treatment method was best.
But, he can simulate. There was no time before the surgery, but now there is!
For more than ten minutes, when the ICU director almost thought Zhang Fan was about to fall asleep, Zhang Fan opened his eyes.
Lao Ju opened his mouth and wanted to say: Zhang Yuan shouldn't work too hard at night! But seeing Zhang Fan's sharp eyes, Lao Ju closed his mouth.
Although Lao Ju is extremely arrogant, he is not stupid. He knows that he is really going to make the dean anxious now, which is no joke. Zhang Yuan and Ou Yuan are different.
Ouyuan is very good at words. He scolds people to the point of hurting his body, but he rarely takes action.
But Zhang Yuan is different. He smiles at everyone, but once he makes a move, someone will die. He knew that if he really made a fuss, he might be thrown to the rich country by Zhang Fan.
That
Bian Laogao has been here for half a year, and there is no one there now, otherwise he would definitely have to be rotated.
Therefore, Lao Ju obediently reached out to take the medical records, and then took out his notebook and pen. When the director of the ICU saw it, his eyes widened, "Is this still the unruly Ju Mabeike? This is still the same cross-browed one. A cold-blooded strange man? Bah! "
Zhang Fan glanced at Lao Ju who was slightly flattering. He didn't know why Lao Ju was so obedient recently. Maybe there was something wrong in the department and he had to protect him again.
However, Zhang Fan was convinced by this product, especially its technology.
In the system, according to the current treatment method, the child's development direction is exactly the same as what this guy said. After a while, the current medical maintenance method will no longer be able to help, and the functions of the child's various organs will drop sharply. , organ failure occurred one after another, then multiple organ failure, and finally death.
"How do you think we should treat it now?"
Zhang Fan turned around and asked Lao Ju.
"Zhang Yuan, no, it's hard to maintain the current state now. If we modify the treatment plan, once problems arise, we will have no way to recover! I can also get you the medical records."
Saying this, the director of the ICU took the medical records from Lao Ju's arms.
In fact, it's not jealousy caused by Zhang Fan, it's a conflict of treatment concepts, or just like Kong Laoer killing that one, this thing is a struggle for the right to speak and recognition.
"It's better to be more prepared. Not only do you have to listen to Dean Ju, but you also need to listen to Academician Jiang later. Your department has been able to maintain three critically ill patients until now. The methods are effective, the technology is sophisticated, and the style is Hardcore. If all other departments in the hospital were like you, I wouldn't have to wake myself up in the middle of the night.
However, we still need to draw more opinions from other departments when it comes to treatment. Your department should not be unable to do this because it is busy and lacks manpower. ICU is the most important department in the hospital. There is no other department. The patients in your department cannot be sent by other departments.
You can’t rest on the glory of the past, you must keep pace with the times, isn’t it Director Huang!”
Old Huang nodded cheerily, as if Zhang Yuan asked me to jump off the building now, and I didn't even think about it. The old man's eyes were filled with tears.
"Let's go outside and talk." Zhang Fan nodded, and Lao Huang quickly ran forward and pressed the electronic door to let Zhang Fan go out.
Lao Ju rolled his eyes at Lao Huang: Lick the dog!
Lao Huang ignored Lao Ju!
Sometimes, we have to compare ourselves with others. Last night, Huang stayed up all night in the department, and then came early in the morning to change his treatment plan.
Although the treatment must be modified, the way to talk must also be addressed. Zhang Fan gave tough orders, and Lao Huang would definitely listen, but there was no need. The treatment plan had to be modified, and Lao Huang happily continued to work overtime.
In fact, this is not only the art of being a chief, but it is also very easy to use at home. Sometimes the effect is surprisingly good! This is definitely not a lie.
In the teaching hall of the ICU, Zhang Fan sat down and thought for a moment, "Director Wang, see if Academician Jiang has come to the hospital?"
"Zhang Yuan, Academician Jiang is here and has already done the ward rounds. When you came in for the ward rounds, I had already asked the Institute of Pediatric Surgery."
"Okay!" Zhang Fan nodded to Wang Hong with satisfaction. Yes, this guy can now draw inferences from one instance and has done quite well in the position of director of the hospital office.
"The old man doesn't take a break either, hey! He has a hard life." Zhang Fan said, taking out his mobile phone to make a call. The old man needed Zhang Fan to kiss him personally. Zhang Fan was a little embarrassed that a non-staff member was working so hard.
Before he made the call, Old Man Liao was followed by a group of men and women. If it weren't for the men and women wearing white coats, he would have thought that the street bomb boss had appeared.
The old man is approachable and answers all questions. A group of young interns who are thick-skinned and want to hang out outside their children follow the old man like idiots every day. The old man is not bothered and is quite proud of himself.
Seeing the old man entering the door, Zhang Fan stood up, and everyone present also stood up.
"You are busy with your
Yours, let me see the patient number!"
When the old man came out, there was a trace of worry on his face.
"Mr. Liao, let's have a discussion."
"Well, it is necessary to open a joint department discussion." The old man nodded.
"Zhang Yuan, Dean Yan's phone number." Wang Hong came over and showed the phone to Zhang Fan.
Zhang Fan looked at it, smiled apologetically at Academician Liao, and answered the phone. During ward rounds, Yan Xiaoyu called. There must be something she couldn't solve.
"Zhang Yuan, what about Roujiamo asking about the patient's condition? How should I inform them? They want to see the patient via video conference."
Zhang Fan was about to open his mouth to refuse, but he thought about it in his mind.
Although the patient was handed over to Chasu, the hospital in Roujiamo must report this matter to the relevant units. Otherwise, the distance of thousands of kilometers cannot be handled by one hospital.
"You don't need to report, just let them enter our video conference center. We are going to discuss it now, and they can also participate."
After a while, the video was connected.
Zhang Fan took a look and said hello, but he felt that the director over Roujiamo had a bad look on his face, and it seemed that the department was in a mess.
"It's probably because there's something wrong with the distribution!" Zhang Fan felt contempt in his heart.
In fact, the mess in the Roujiamo department was caused by Zhang Fan letting them participate in the discussion of the disease.
"It should have been sent to the capital in the first place. Even if it wasn't sent to the capital, we should have treated the patients ourselves. Now, okay, there is a problem, and we have to participate in the discussion. There is no way!
Now many leaders in our province know that we transferred patients to the border areas. I don’t know how many leaders have already slapped the table. By then..." A deputy director jumped three feet high in the department.
The other doctors in the department were as silent as puppets, not daring to express their opinions.
Support the director. If the superior leader is really angry, the director's position will probably be moved. But I support the deputy director. If the director doesn't move away and waits for the director to catch his breath, he will probably become incontinent.
So the best way is to pretend to lower your head and meditate.
While waiting for the video, the relevant departments at Chasu are already in place!
Then, just as everyone was getting ready, they suddenly heard a sentence from the video: Send it to Chasu Hospital. This is the biggest problem. If the patient dies now, you will be mainly responsible!
