From small clinic to medical empire

Chapter 283 Lao Dao's Request for Help

After getting rid of the female patient here who was holding gold but wanted to use her beauty and misfortune to get through the back door, the next few patients became much more normal.

For example, a Mexican drug lord who bought a top-level medical package is normal...

What a ghost!
Zhang Zifan swore that it was just an accident that he learned nahuatl.

This ancient Native American dialect is spoken by less than 100 million people in California and Mexico alone.

Just like our party's cipher telegraph operators who used Wenzhou dialect as their password, these two Mexicans also blatantly used Nahuatl to communicate in front of Zhang Zifan.

This is supposed to be a very safe way of communication, even in front of FBI agents, the probability of being seen through is no more than one in ten thousand.

However, Naihe met Dean Zhang, a one-of-a-kind language genius.

Zhang Zifan learned the language from an old couple who sold tacos downstairs in the hotel when he lived in San Diego, a city on the US-Mexico border in California, for nearly a month.

Of course, they didn't teach Zhang Zifan this on purpose.

But Zhang Zifan learned it automatically while waiting for the tortillas.

Zhang Zifan himself also felt that it was meaningless to learn the indigenous language used by these 10 people, but he could do it after listening to it a few times!
This thing is too cheating!

The Mexican couple, who never expected that there would be someone on the other side of the ocean who could understand what they were saying, naturally talked about the most important business.

Since the Golden Retriever built the border wall, their business has also played a lot of new tricks.

Although he is not a giant, but anti-aircraft guns, tunnel warfare, self-made submarines, etc., are all treasures.

This made Zhang Zifan, who was treating other patients on the sidelines, twitch non-stop with the degenerated and useless ear motor muscles around the ears.

I listened to it for a long time in my heart, and finally figured it out, so they only supply the beautiful country?
That's fine.

Zhang Zifan chose to conceal the fact that he is invincible in foreign languages.

After all, the lives of Indians matter.

People who can speak nahuatl, although they seem to have been severely mixed, must also be the main descendants of Indians.

As the real masters of the Americas, they almost wiped out their genocide, and it is also very reasonable for them to develop some native products and sell them to the beautiful country.

So Zhang Zifan just completed his duties as a doctor and didn't say much.

……

It seems that God knows that Zhang Zifan brought three students today and gave him a lot of good work.

Just after the hospital bill was issued for the Mexican with a spinal injury, the telephone in the consulting room rang again.

It was Lao Dao who called.

The whole hospital will directly call the dean's expert clinic in this way, mainly two people.

When Yuan Qiang called, it was probably a difficult situation in the operating room.

And when Lao Dao called, it was probably because of a dangerous situation in the emergency room.

Now Zhu Jiannan's surgical ability has reached the level of A-.

If it is to assist other departments in the consultation, it will trigger the passive skill [Fire Captain], and the surgical level will directly reach the A level.

Enough to stand alone.

What is the A level?
It is also the old Zhu's family, and Professor Zhu Wenyou of the First Attached University of S is an A-level.

Although that was his near-retirement state, the reputation of being the first knife is not in vain.

Therefore, Zhang Zifan knew that the emergency case that even Lao Dao needed to call for help must be quite difficult.

That's the way it is with medical care, all schedules and work plans are bullshit, subject to change at any moment with an unexpected phone call.

Zhang Zifan made a decisive decision, suspended the expert clinic, and rushed to the emergency room.

Guan Ruchao was still doing the examination with the old lady, and Zhang Zifan hurried over with two students, Liu and Zhang.

The patient here is also an old lady.

There is no way. In the hospital, the most people are the elderly and children.

Song XX, female, 72 years old, from Huishan.

Cause of first aid: fishbone stuck in throat.

Lao Dao has already entered the emergency operating room, and Zhang Zifan learned about the basic condition from the doctors who stayed behind.

This old lady who grew up in a water town in the south of the Yangtze River does not like to eat fish.

A few days ago, my wife went fishing in Taihu Lake.

This old man is obviously not a fisherman, he can catch anything except fish, brother.

The old man played steadily and caught a few small crucian carp.

After returning home, he made his favorite braised crucian carp.

Looking at the attractively colored braised crucian carp on the table, in the old lady's own words, "I believed the old man's lie about 'eating fish to live longer', so I accidentally took a bite."

Unexpectedly, it was the first bite in the past few years, and the fishbone got stuck.

The old man and the old lady immediately thought of many folk recipes: drinking vinegar, swallowing rice cakes...

After some tossing, the foreign body sensation really disappeared.

Even the old lady can eat normally, but feels a little pain in the position of the breastbone.

She didn't think much about it, she just regarded it as the sequelae after removing the fishbone.

But on the third day, the pain became significantly worse, and even coughing symptoms appeared.

The unbearable severe pain when coughing eventually prompted the old lady to be rushed to the local hospital for treatment.

After a chest CT examination, it was found that the fishbone that was thought to have been removed had actually penetrated the esophageal wall!
On the edge of the esophageal wall is the trachea and aortic arch, and the condition is very critical.

The local hospital did not dare to deal with it, and the patient was sent to Haoran Hospital for emergency treatment.

……

Emergency patients from neighboring cities were also sent to Haoran, which made Zhang Zifan very pleased.

It seems that the opening ceremony of Haoran Medical College and the holding of the first academic conference of Haoran Medical have successfully radiated the surrounding medical market.

It doesn't work if you don't want to radiate...

The medical experts hired by the lunatics like Haoran have too big wrists!
All the medical backbones of the surrounding hospitals who came to the conference were all convinced by the powerful strength of Haoran Medical.

They don't know if they can compete with Attachment [-] or Attachment [-], anyway, this Haoran Hospital is definitely much better than their own hospital.

When encountering difficult patients in the future, there is finally another good place to dump the pot.

This point has become the consensus of the directors of hospitals in several nearby cities.

……

Haoran Hospital is becoming more and more powerful, naturally it is not relying on Zhang Zifan's continuous growth.

When a fishbone penetrated into the esophageal wall, Haoran Hospital's emergency department's first reaction was not to immediately seek help from the almighty Dean Zhang, but to conduct further examinations on the patient to determine the surgical plan.

Zhang Zifan said in his heart that Guan Ruchao took his own note and took the patient to take a CT scan, so it was so annoying. It turned out that he had booked the room for a critically ill patient.

In this case, even Zhang Zifan's warrant would not work.

Will you not accept the order of the emperor abroad?

The priority of the matter is still clearly distinguished by the radiology department.

Therefore, they give priority to CT examination for the old lady with fishbone.

Based on the images, Lao Dao found that the fishbone was located at the lower end of the second narrow esophagus, and had penetrated the esophageal wall, mediastinum, and penetrated into the left main bronchus.

Compared with the CT image provided by the outer hospital before, the fishbone has moved.

The fishbone that had been in the old lady's body for four days had already caused two fatal injuries:

First, the fishbone penetrates the esophagus, forming an esophagomediastinal fistula.Bacteria in the digestive tract invade the body, risking fatal infections.

Second, the fishbone penetrates one side of the main bronchus, forming an esophageal tracheal fistula, and there is a risk of complications such as severe lung infection, massive hemoptysis, and atelectasis.

Faced with such a dangerous situation, Lao Dao decisively contacted the head and neck surgery, thoracic surgery, respiratory department, gastroenterology, anesthesiology and other related departments to form MDT, which is a multidisciplinary consultation.

After discussion, everyone quickly reached an agreement that the fish bone must be removed immediately, and there was no room for conservative treatment.

To be honest, among these departments, the Department of Respiratory Medicine, Gastroenterology, and Thoracic Surgery are relatively hip.

In the internal medicine system of Haoran Hospital, apart from the Department of Obstetrics and Pediatrics in Yang Tingting's hands, the Department of Nephrology in Yang Fan's hands, and the reproductive center that is bound to rise, the level of development of the other departments is relatively lagging behind.

Fortunately, in this multidisciplinary consultation, the main functions of respiratory medicine and gastroenterology are to rule out surgical risks and call 666, which is not the main shortcoming.

However, thoracic surgery is different. This operation involves important thoracic organs such as the mediastinum and main bronchi.

Thoracic surgery should have been the main force in surgery.

However, the Thoracic Surgery Department of Haoran Hospital has just become independent from the General Surgery Department, so it is very immature.

The director of thoracic surgery is naturally not Zhu Jun.

There is relatively little room for improvement for this senior who started as a circumcision, and he does not particularly pursue progress.

But after all, it is an old team, and there is hard work without credit.

He is therefore also the director of general surgery.

But the more important department of thoracic surgery has just changed jobs, and Zhang Zifan’s old friend Dr. Yan Yejun serves as the department director.

When Zhang Zifan and Yang Tingting drove the [Life Ambulance] to send a dry drowning child to the First Aid, Yan Bo once joked that one day Zhang Zifan's outpatient department could surpass that of Baolan, so he would join him.

I never thought that Haoran Hospital has not surpassed Baolan, but Yan Bo has already jumped over.

the reason is simple.

Due to factional struggles, his Natural Science Foundation of China final review was made several times difficult.

Coupled with the fact that Moufan swung his hoe well, things became like this.

It's a pity that Yan Yejun didn't directly accept Zhang Zifan's invitation back then, otherwise he would definitely have the position of vice president.

After all, in the laboratory at that time, Yan Bo still took good care of his little brother Zhang Zifan.

Times have changed, and now, the younger brother has become the dean, and Brother Yan has also become Director Yan.

In addition, although Yan Yejun himself has very good technical skills, because it is still a start-up, the entire thoracic surgery team has not yet been fully established.

Therefore, in this multidisciplinary consultation, it is still difficult for the thoracic surgery department to play a major role.

According to the actual situation of the hospital, the expert team quickly formulated a detailed and careful treatment plan and emergency plan.

The chief surgeon of the operation was not Zhu Jiannan, but Bao Tingwei, the new director of head and neck surgery.

The deputy surgeon is Zhu Jiannan.

With the improvement of [Fire Captain] skills, he will be an excellent support.

Well, it is probably similar to the assistants such as Huo Nan and Big Eyes. They are called assistants, but they are actually output.

In addition, Lin Yi, a rising star in head and neck surgery, and Yan Yejun, director of thoracic surgery, participated in the operation as medical assistants.

Department of Respiratory, Gastroenterology, and Otorhinolaryngology as alternates, and Department of Anesthesiology as guarantee.

Under such a detailed plan, the operation started slowly.

Since CT showed that the end of the fishbone still remained in the esophagus, the expert group chose the first option to use esophagoscope forceps to remove the fishbone.

In fact, if this operation is left to Zhang Zifan, it is possible to succeed.

Not to mention the domineering plug-in [Eye of Preset],

Don't forget, Zhang Zifan has a piece of blue equipment, a [multifunctional endoscopic lens].

Using this device, Zhang Zifan can get a finger-like sense of touch from the cavity of the lens.

It can be a nightmare when you have a colonoscopy or something.

But using it to take fish bones in the esophagus is definitely very useful.

It's a pity that generally, powerful but low-level equipment cannot be used by a second person.

Even if it works, Zhang Zifan can't explain that strange experience.

Therefore, Bao Tingwei and Zhu Jiannan, who did not have plug-in equipment, ultimately failed.

During the operation, they found that on the side of the patient's esophagus, the root of the fishbone was wrapped in soft tissue due to swelling and swelling of the local mucosa.

With a light touch, not only did the fish bone sink deeper, but the raised soft tissues also began to bleed.

Blood contaminates the surgical field, further making direct removal of the fishbone difficult.

At this time, the fish bone had turned into a life-threatening silver needle, inserted horizontally between the esophagus, mediastinum, and left bronchus.

To make matters worse, the patient's constant coughing made the fishbone continue to move forward, and the situation became more and more dangerous.

At this time, Yan Yejun proposed to abandon laparoscopic surgery and change to thoracotomy.

Thoracotomy, this is almost the ultimate solution to remove foreign bodies in the esophagus.

But there is no doubt that thoracotomy is an operation with great risks and great harm to the patient's body.

Not counting Yan Yejun who was recruited just now, the biggest thoracic surgery performed by Haoran Hospital was last year's operation on a paraquat boy.

But obviously, there was no other choice at that time, the chest opening and treatment to save his life was already a virtue accumulated by the ancestors.

But this time, is thoracotomy really the only option?

Looking at the "indecisive" two chief surgeons, Yan Yejun, who already felt that he was overqualified as a medical assistant, couldn't help being a little annoyed.

From the top three to a private hospital, although it is a legendary private hospital, objectively speaking, Dr. Yan still has some sense of superiority.

He said: "Everyone, please don't hesitate any longer. The longer the time is delayed, the more difficult the operation will be. I have worked in the Emergency Department of the First Attached University of S for five years, and I have seen too many cases like this."

"Thoracotomy is the only option, don't hesitate any longer!"

Yan Yejun carefully analyzed the current situation and gave the reason why the chest must be opened.

However, as the person in charge of this multidisciplinary consultation, or in accordance with the principle of the first-diagnosis responsibility system, Zhu Jiannan still has the right to decide whether to open the chest immediately.

He raised his head, glanced at the confident Yan Yejun, shook his head and said, "Young man, I have worked in the emergency department for 13 years, and I have seen no fewer cases than you."

"Of course, what I want to say is not that my qualifications are higher than yours, and my knowledge is wider than yours."

"What I want to tell you is that I have worked in the emergency department for 13 years, and I have only worked in Haoran Hospital for less than [-] months, but the experience of these [-] months tells me that since you have come to Haoran, everything you have before experience of……"

"Everything is no longer reliable!"

"Because... this is a magical place, and Dean Zhang...is a magical doctor!"

As he said that, Lao Dao resolutely called Zhang Zifan.

It can only be that man who decides whether this patient must have a chest operation!

That man full of miracles!

................................................

Thanks to Shuhai muddled fish for rewarding 200 starting coins

Thank you Huzi Stone for rewarding 100 starting coins

Thanks for the reward of 100 starting coins.

(End of this chapter)