Doctor of Healing
Page 390
Ding Xiang pondered all the speculations in the process carefully, and it seemed that there was some truth, but there seemed to be something wrong.
"No!" Director Bai reached out and pressed the tablet in front of Ding Xiang.
In the screen, the main perspective is "seeing" the patient's injury through the skin, subcutaneous tissue, muscles, and fascia layer by layer.
There was no fracture, only soft tissue hyperemia and edema.The moment Director Bai stretched out his hand to press pause, the screen has advanced into the blood vessels, and the arteriosclerotic plaques in the blood vessels can be seen.
"Atherosclerotic plaque, it's normal."
"Atherosclerotic plaques in the lower extremities are superimposed with diabetes, plus trauma. Look here!" Director Bai reached out and tapped on the TV screen.
In the animation, there is a faint tear in the intima of the artery.
"thrombus?"
"Yes, I think this patient is not serious, but in the end it is the most troublesome one." Director Bai said cautiously, "I ask you, Dazhi, what should you do if there is an arterial thrombosis?"
Director Liu thought for a while and said, "Thrombolysis, what else can I do. Go to the Department of Vascular Medicine and put in a catheter for thrombolysis."
"What if it is accompanied by ischemic necrosis of the lower limbs? Plus diabetic foot."
"..."
Ding Xiang, the owner of the Grill Barbecue, didn't understand so many technical terms, but Director Liu did, and his face became extremely ugly.
Rational analysis shows that the program group will not be so "insane" as to broadcast a follow-up plot of a patient's amputation.
After all, it is a variety show, and what is important is the happy ending.
Everyone watching variety shows, no one is looking for abuse.If you want to understand life, it is better to watch those literary movies that are popular or not.
But a diabetic patient is accompanied by lower extremity arterial thrombosis, what should I do next?
"Maybe it's not as serious as you said." Director Liu grinned ugly.
"Hey, it's not as serious as I said?" Director Bai said disdainfully, "Here, here, here."
He pointed to three positions in a row.
All three locations have atherosclerotic plaques and are also prone to thrombosis after trauma.
"What are you talking about?" Ding Xiang was confused and couldn't understand the situation.
"Boss Ding, let's see the newly invited experts from the program group pretend to be aggressive." Director Liu said with an extremely ugly expression.
……
……
"Here, here, here."
Qin Chu's finger as thick as a small carrot pointed on the screen.
"There will definitely be a thrombus, boss, how is Lin Jiuze's thrombus removal?"
"Boston Technology's thrombus removal catheter has been certified by the FDA in 21 years, and some of the operations in the third and fourth phase clinical trials were performed by Lin Jiuze." The corners of Qin Chu's mouth rose, becoming more and more joyful.
"What a coincidence, I also caught up with such a patient." Ling Tian sighed, feeling in his heart that Lin Jiuze was simply a meteor that fell from the sky, smashing Ji Xiang to pieces, and then turned and left.
Even patients with such rare arterial thrombosis after trauma appeared on the show.
"I guess Poco also has investment." Qin Chu smiled.
"Hehe, the time is too short, I don't think it's possible." Ling Tian smiled.
As for whether Boston Scientific will invest in the program, it does not matter as an advertisement. The focus is on what to do with this "neglected" patient.
After watching the animation again, Boss Ding, who is at the barbecue, and Ling Tian, who is in the director's office of the intervention department in Shanghai, went back to watch the show at the same time.
In the comment room, the bald host and Professor Shen were chatting, and the other guests expressed their surprise word by word.
“The content of the review is really long.”
"The previous animation was not cut, and the integrity of the plot content was maintained, so the expert comments are placed at the back." Director Bai said, "Boss Ding, do you like this part?"
"It's okay, I'm not disgusted, Professor Shen will explain many things that I don't understand." Ding Xiang said.
"Here, look." Director Bai smiled.
Several people continued to watch the show. After the previous analysis and judgment, Director Liu knew that Lin Jiuze should come up to pretend to be aggressive in the following plot. There was no sense of expectation at all, and it was dull.
"I'm going first." Director Liu said as he stood up.
"Oh?" Director Bai glanced at him.
"If the thrombus is removed, Poco's high-value consumables must be used, so why not ask, it must be Lin Jiuze who performed the operation." Director Liu began to put on his clothes, "It's annoying to see Lin Jiuze, find a troublemaker Experts from the Provincial General Hospital came to participate in the job hunting program, and the program team is really shameless."
"Are you sure Xiaoji is okay?"
"The 21-year-old product has not been developed in our hospital. I guess Xiaoji has never seen it before. Do you think it can work?" Director Liu said contemptuously, "You are so shameless!"
"Lin Jiu may not be able to perform this operation." Director Bai said, "I have learned a little about the catheter for thrombus removal in the past few years, and the requirements are very strict. A little carelessness may cause damage to the intima of the blood vessel. One of the contraindications of catheters."
"Old Bai, what do you mean?" Director Liu frowned and asked suspiciously.
Chapter 591 Montage
In the screen, when the camera turned, Director Li received a call.
Hospital consultation.
Just as Director Bai speculated, the previous animation has given enough clues, implying that the igniting point of this program is not the previous rescue, but the patient who seems to be fine.
It's just that the hint was too vague, even an old doctor of Director Liu's level didn't see it.
Director Liu was dubious, turned around and sat down.
He still had a hint of Jixiang's thought of turning the tide.
"Right." Director Bai stared at the screen without squinting. He didn't sneer at Liu Zhi, "The tonality of the previous program obviously involved Ji Xiang's participation. You, how old you are, still can't stand loneliness."
"Harmful." The more Liu Zhi thought about it, the more he thought about it. He was basically sure that Director Bai was right, so he smiled, "Now that short videos are so popular, who has the patience to wait. It's going to be hot, hurry up and leave early. People are impetuous, who has the patience to look at such boring things."
"childish."
As the camera shifts, Lin Jiuze and Director Li Ming go to the hospital for a consultation.
Sure enough, the patient had a problem, and the vice president in charge of clinical affairs of the First Affiliated Hospital presided over the meeting, and the small conference room was completely silent.
A 64-slice CT image appeared on the screen. Even a layman like Ding Xiang could see that the blood vessel in the patient's right lower extremity was blocked and there was no blood flow.
"That's not right." Director Bai was slightly taken aback looking at the camera lens of the hospital's consultation.
"Why not?" Liu Zhi asked.
"Emergency and first aid, the whole hospital consultation can let the camera team of the program group come in?"
"Uh..." Liu Zhi also realized this.
"It will be added later." Ding Xiang said.
"Replenishment?"
Director Bai and Director Liu were both in a blind spot of thinking, and they asked questions almost at the same time.
"At that time, we were not allowed to shoot, but if the rescue was successful, we would definitely make up shots afterwards. Isn't this a normal thing?" Ding Xiang, the boss of Jiyang, said.
He looked at Director Bai in a daze. Based on Ding Xiang's understanding of Director Bai, such a simple matter would definitely not be unexpected to Director Bai.Is there anything else that I haven't noticed?
Director Bai was stunned for a moment, then raised his hand to pat his face.
"Hahaha, we are both dumbfounded." Director Liu laughed.
"Well, the film crew was definitely not allowed to record the whole hospital consultation, but afterward, especially after the operation is successful, it's okay to make up the footage and footage." Director Bai focused on the program again.
How will Lin Jiuze show off?
How will Jixiang turn around?
With these questions lingering in his mind, Director Bai refused to blink his eyes, trying to distinguish the after-the-fact scenes in his mind and capture which one was the scene at that time.
A variety show in the workplace was abruptly recognized by Director Bai as the tonality of a criminal investigation drama.
The camera enters the small conference room, and the video data is projected on the opposite side, which further proves Ding Xiang's speculation.
When the emergency department is in a hurry, there is no time to do it so delicately.
It would be nice to be able to watch the film on the computer, but it would take countless phone calls to get the CT room to upload the video data as soon as possible.
Director Bai also noticed a detail - after entering the small conference room, Lin Jiuze was no longer in the camera lens.
Really, I had been hunting wild geese all my life, but was pecked in the eye by wild goose, Director Bai smiled wryly.
This section was really added later, Lin Jiu guessed that he was in a bad mood or busy with something, so he didn't appear on stage to perfunctory.
The director of the department who admitted the patient began to introduce the patient's condition - after the patient was admitted to the hospital, his vital signs were stable, but a few hours later he found that his right lower limb became cold.
At that time, the nurse was busy when the patient told the nurse, and came to touch it half an hour later.
The affected limb was icy cold, which startled the nurse and hurried to find a doctor.
Doctors rescue in the operating room...
It's just like that when catching up with the emergency department, and the manpower is not sufficient.
However, the patient was very lucky. He was on the phone and came back after the operation above.After a lot of tossing, it was finally determined that the lower extremity arterial thrombus was formed after the trauma was squeezed.
During the consultation of the whole hospital, the consulting doctors of various departments spoke one after another.
The condition is very simple, needless to say, the program team edited the key plots, and clearly told the audience that the immediate difficulty lies in how to treat it.
Various methods can be used to dissolve thrombosis. Oral administration, intravenous injection, and continuous administration of micropumps belong to the fact that distant hydrolysis cannot solve near thirst.
The best way is for vascular surgery to perform thrombectomy and thrombectomy with the cooperation of interventional surgery.
But the patient has diabetes, and the emergency blood sugar level was 16.3 mmol after admission. The consultant doctor of vascular surgery directly expressed his concern—the operation can be done, but because the patient has diabetes and local grinding and contusion, there is a high possibility of major problems in postoperative rehabilitation. Accompanied by severe infection, it may even endanger the life of the patient.
This is a hospital-wide consultation, not an explanation of the condition to the patient's family. It is not an exaggeration to say that life is in danger.
Moreover, there are many plaques in the blood vessels of the patient, and the operation is extremely difficult. Whether the blood vessels can grow after anastomosis is a problem.
Many doctors under the lens showed embarrassment.
But this embarrassment looked like a joke to Director Bai and Director Liu.
Someone was already holding back their laughter, and the tears almost didn't flow out.I didn't know, I thought the injured were his relatives.
"Boston Scientific has a new thrombectomy catheter."
Suddenly, a doctor mentioned Poco and the embolectomy catheter.
"Thrombectomy also has indications, and severe arteriosclerosis itself is one of the contraindications."
Someone denied it.
Then the camera showed the doctor.
He is in his 40s, looks white and clean, and looks like a gentle scum.
He snapped his fingers and said more than a dozen complications.
"Director Shi, what do you think the patient should do?" the vice president presiding over the consultation asked seriously.
The gentle scum-looking doctor spread his hands, indicating that he didn't know either.
"Where's Dr. Lin?" the vice president asked, "What will the Massachusetts General Hospital do?"
The question was smoothly transferred to Lin Jiuze, the camera flashed, the door of the office opened, and Lin Jiuze walked out lightly.
From the corner of his eye, Director Bai saw that the scene in the office did not match the consultation just now, and confirmed Ding Xiang's guess—this scene should have been accidentally recorded by the program team waiting outside the consultation office that day.
This segment is live.
The camera bumped all the way, following behind Lin Jiuze.
It is estimated that the film crew was blocked outside just now, and they have no idea what happened.When they saw Lin Jiuze coming out alone, they followed behind to see if they could find some materials.
Lin Jiuze was not as resistant to the camera crew as the doctors in the First Affiliated Hospital. He didn't seem to care about the existence of the camera crew, but the camera always shifted a bit, shifting from Lin Jiuze to the family members of the passing patients.
Director Bai was very puzzled by this.
This video is just like a movie shot with a hand-held camera. The sound of chaotic footsteps is full of tension, and even the beating heartbeat can be faintly heard.
Chapter 592 "Consultation" Across Time and Space
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