Chapter 407: Hidden Love (Three Consecutive Updates)
After dinner, a group of people arrived at the Department of Hepatobiliary Hospital of Linhai City Third Hospital.
"Director Kuang, do we want to have a preoperative discussion?" Qian Xiaojiang asked politely.
"Then let's discuss it." Kuang Mingzhuo nodded.
The third hospital in Linhai City has its own needs. Learning as much as possible is something that doctors in major hospitals care more about.
Hepatogallary stone surgery is simpler than left and right hepatic resection, and the risk is relatively small, but it depends on the situation. If the location of the stone is not very good, it is possible to remove part of the liver.
As a Grade 3 hospital, Linhai Third Hospital is still of course in the Department of Hepatobiliary Medicine. This time, he can ask for a flying knife, which proves that the patient's condition is relatively complicated and the risk of surgery in his own hospital is relatively high.
Generally speaking, smaller hospitals require more flying knives, but larger hospitals do not require much flying knives.
Large hospitals also have the pride of large hospitals. If there is no need or the patient's family forces it, the hospital itself will not easily request a flying knife.
For example, Jiangzhou Provincial Hospital, looking at the whole country, there are more experts with better levels than provincial hospital experts. However, as long as the experts in provincial hospitals can handle it, they are not willing to invite a flying knife. Requesting a flying knife often means their own shortcomings.
The third hospital can invite Kuang Mingzhuo to come, and one is that Kuang Mingzhuo is indeed famous, a returnee, a great expert from the Massachusetts General Hospital, and a high-level disciple of Chen Guozhong, the president of Jiangzhou Medical University. No matter which title, it can bring a halo to Kuang Mingzhuo.
At the same time, this operation was also required by the patient. The patient's family entrusted the relationship to find Kuang Mingzhuo, thus reaching a consensus with the hospital.
Kuang Mingzhuo naturally understood the channels, so he didn't hide it.
A group of people entered the consultation room, and the large screen showed various information about the patient and various images of the lesion site.
Kuang Mingzhuo stood in front of the wide display screen, staring at the display screen, looking in detail for a while, then said: "The patient's stones are indeed troublesome, and there are many stones and large sizes, so part of the liver needs to be removed."
As he said that, Kuang Mingzhuo stretched out his hand and pointed: "Here, there is still here."
The doctors in the third hospital stood by and listened. This was a rare opportunity to learn.
Kuang Mingzhuo said a few points, then looked at Fang Han: "Does Dr. Fang have any different opinions?"
Fang Han also looked at the display screen carefully. When he heard Kuang Mingzhuo's inquiry, he slowly stepped forward and said, "There is basically no problem. Does this part look like a scar?"
Fang Han stretched out his hand and pointed: "Have there been any problems with the patient's gallbladder before?"
After Fang Han finished speaking, several people hurriedly came up, and Kuang Mingzhuo also looked at it carefully, and then his face gradually became ugly.
Qian Xiaojiang's face turned a little unfavorable. They didn't notice this before. What made Qian Xiaojiang the most angry was that the patient actually concealed his medical history.
This is not only the reason why Qian Xiaojiang is angry, but also the reason why Kuang Mingzhuo is angry.
As a doctor, what I don’t like most is that patients conceal their condition, especially if such a major operation is like this one. Concealing the condition will cause a lot of trouble.
If something goes wrong during the operation, it will be a life. At that time, not only Kuang Mingzhuo, who is flying knives, will be unlucky, but the hospital will also have to bear the responsibility.
At the same time, Qian Xiaojiang also looked at Fang Han. This doctor Fang is really not simple, he has very strong eyesight. Kuang Mingzhuo didn't notice this problem just now.
"Director Gao, go and ask the patient and the patient's family. It's just a mess and you're desperate."
Qian Xiaojiang's angry face turned pale.
Gao Wanli glared at Yang Xuechao next to him. Yang Xuechao hurriedly walked out, and soon came back and muttered a few words in Yang Wanli's ear.
Yang Wanli whispered: "The patient went abroad in a car accident three years ago. His gallbladder ruptured at that time, but he did not undergo resection."
"Why didn't you investigate it clearly before?" Qian Xiaojiang was still very angry.
This is not a trivial matter.
The gallbladder is located behind the liver under the right rib and has the function of concentrating and storing bile. At the same time, the gallbladder duct connects the gallbladder, the hepatobiliary duct and the common bile duct, and the gallbladder is connected to the common bile duct through the bile duct.
The situation concealed by the patient is closely related to the liver and gallstone surgery that is to be performed this time.
Kuang Mingzhuo looked at Fang Han: "Doctor Fang, does this situation have a great impact on the operation?"
"I need to do a test for the patient myself." Fang Han slowly said.
Kuang Mingzhuo looked at Qian Xiaojiang.
Qian Xiaojiang hurriedly said, "Of course there is no problem with this."
There has been a situation of concealing medical history, and now Linhai Third Hospital is very passive.
Although Kuang Mingzhuo came this time, the patient's family also had contacts privately, Kuang Mingzhuo was invited by Linhai Third Hospital on the surface, and the patient was staying in Linhai Third Hospital and his condition was omitted, which was the problem of the Third Hospital.
The patient has already made pre-operative preparations now. He hasn't eaten until now and is waiting for the operation. Qian Xiaojiang and a large group of people walked in.
The patient is in his fifties, a male, and there are several people next to the bed.
One of the young men in their thirties saw everyone walking in and hurriedly stood up and greeted: "Director Qian, Director Gao..."
As he said that, he looked at Kuang Mingzhuo again: "Old classmate!"
Kuang Mingzhuo's face was not very good-looking and he ignored him.
Kuang Mingzhuo was very annoyed today.
When he set off in the morning, Chen Yuan and others were still talking about Gaowu County Hospital in the duty room of the bone injury division, saying that Ma Yinliang, the deputy director of the external chest of the Medical Affiliated Hospital, had a problem with his flying knife. Unexpectedly, there was something wrong with him in a blink of an eye.
The most interesting thing is that Ma Yinliang was invited by his old classmate. This time, Kuang Mingzhuo actually came here for the sake of his old classmate.
The young man also knew that he had offended his old classmate this time, so he hurriedly laughed: "Old classmate, I just learned about this situation just now. If I had known it before, I would never have hidden it from you."
While laughing apologized, the young man was helpless. He would have known that he would not have helped this. Now he offended Kuang Mingzhuo.
There are so many classmates in their class, and there are only a few people who really deserve his attention. Kuang Mingzhuo is the one who deserves his attention, but now it is good.
"Director Qian, I didn't mean to hide it." The patient was also a little embarrassed at this moment and laughed: "I thought the two had nothing to do with each other. If I had known it, I would have said it long ago."
"We didn't ask about your past medical history?" Yang Xuechao angrily retorted.
He couldn't understand what logic and ideas these patients who concealed their medical history had. They really lived enough?
The patient stopped talking, and the other people next to the patient were embarrassed to speak, after all, this was a more inappropriate thing.
Kuang Mingzhuo's old classmate looked bitter: "Director Qian, old classmate, I also studied medicine. I know some things. I have already mentioned my uncle-in-law just now."
Kuang Mingzhuo still said nothing, looking at Fang Han, and at the same time felt glad and gratitude.
Fortunately, he brought Fang Han together this time. If he came alone, he might not have noticed any abnormality. If something happened during the operation, his reputation would be ruined forever.
Fortunately, the operation has not been done yet, and the problem is really complicated, so they can go home.
Fang Han walked forward, and the person next to him hurriedly moved away from the seat. Fang Han sat down on the round stool that someone had made just now and looked at the patient: "Hand out of his arm."
The patient stretched out his arm and Fang Han put his finger on the patient's wrist to start taking the pulse.
After listening for more than a minute, Fang Han got up and walked around to the other side, treated the other hand, and then looked at the patient's tongue coating and eyes.
"Go out and talk." Fang Han strode out as he said this.
Qian Xiaojiang and others hurriedly followed behind, and a group of people returned to the consultation room again. Kuang Mingzhuo then asked: "Dr. Fang, what's the situation? Can the surgery be done?"
The others also looked at Fang Han with a gaze. Even Qian Xiaojiang dared not look down on Fang Han at this moment. If it weren't for Fang Han today, they would be in trouble.
"The patient has both qi and yin deficiency, and there is dryness and heat in his body..."
Fang Han said a few words, and then changed the statement: "Do you know that the patient still has diabetes?"
Director Gao nodded: "We know this, but it's not serious. His blood sugar is just slightly exceeding the standard, so he can be operated."
Kuang Mingzhuo frowned. He knew that Fang Han would not ask this question casually, and asked with some uncertainty: "What do you mean is there a problem with the patient's gallbladder?"
Fang Han nodded, then shook his head and said slowly: "The patient has a yin deficiency constitution, qi and yin deficiency. His gallbladder was traumatized three years ago. Although he has recovered, it has caused loss of vitality. Although his blood sugar is not high, it is quite troublesome."
Kuang Mingzhuo understood a little, but was still not sure, and asked: "Similar to Leng Chen's situation?"
"It's more troublesome than Leng Chen's situation, and the probability of wound healing after surgery is lower." Fang Han concluded.
Kuang Mingzhuo's face became gloomy again.
The risk of hepatogasm is already quite high. In addition, the patient's condition is complicated and part of the liver needs to be removed, which is even more troublesome. Now, with this situation, the risk of the operation is even greater.
"Mad!"
Kuang Mingzhuo, who has always been very gentleman, couldn't help but swear.
Fortunately, it was so lucky. If Fang Han hadn't followed, he would have done this surgery, but what would have happened after that.
There are risks in flying knives, so it is natural that the patient doesn’t have any trouble. Even if he is reported to Ma Yinliang this time, he will be returned at most. The hospital will be punished on the surface. At the same time, when it reaches Ma Yinliang’s level, the hospital is generally reluctant to expel it and there is no time to maintain it.
Kuang Mingzhuo is not much worse than Ma Yinliang. If there is any accident, Jiang Middle School is naturally willing to shelter him, but the premise is that no one dies.
If the patient dies and is a flying knife, it will be more than just a medical accident. If things really get bigger, it will be hard to end.
Chapter completed!