Since 1981 Health School

Chapter 691: It’s difficult for Dr. Mayo to treat

 The next day, Chen Qi took the team from Yue Zhong Hospital to play at Liyuan Playground.

With the large-scale entry of Hong Kong movies and television into the Mainland, Mainland people have really opened their eyes.

Whether it is Huo Yuanjia, Chen Zhen, or Guo Jing and Huang Rong, they have become film and television characters that mainlanders talk about.

Liyuan Amusement Park is precisely related to Hong Kong dramas. Many costume dramas were filmed in Liyuan. It is a bit like Hengdian later and has become one of the places that mainlanders want to visit most.

 Anita Mui and her sister have also supported their family by singing on the stage of Liyuan Playground since they were young. Yes, Mei Yanfang's mother and two brothers are both vampires, and the family relies on their two daughters to make money by singing.

There is no shortage of various recreational facilities in Liyuan, including a zoo. Xiangjiang people may be used to it, but doctors from the mainland are really crazy about it.

Even older people like Director Zhu and Head Nurse Liu have bright eyes and want to take a look at everything.

The team at Yuezhong Hospital had a great time, but everything was in chaos inside the Sanatorium and Hospital.

 Skin grafting and plastic surgery are the last steps in treatment. For the "roast duck" patients, the most important thing is to save their lives.

 So the treatment plans originally planned by Chen Qi and others were all based on the principle of saving lives.

As a world-class team of doctors, Mayo doctors certainly know these treatment principles.

 But the gap between them and the Yuezhong team, to put it simply, is the distance of a "rehydration formula".

 Chen Qi’s Yuezhong formula is a “plagiarism” of the classic rehydration method of later generations, and it is also the magic weapon for Yuezhong Hospital to successfully treat patients with extensive burns.

  You are a patient with severe burns. Let’s not talk about your skin grafting skills or plastic surgery skills. You must first save your immediate life. Only after you have passed the "shock level" and "infection level" can you talk about the future, right?

But almost all patients died due to these two major difficulties, because the rehydration method was incorrectly applied and the electrolytes and gelatin solution needed by the human body were not replenished in time.

Either this is too much, or that is too little, and in the end the patient just burps.

 For small area burns, it won’t be a big problem if you make a mistake in repairing it. The human body will adjust itself.

 But if you have extensive burns, if you encounter someone with liver failure, kidney failure, heart failure, or lung failure, the human body's organs will go on strike. Who will give you a job?

This is similar to the release of water in rural production fields. Originally, farmers were specifically responsible for watching over it. When there was too much water, they released water, and when there was less water, they drew water. They always maintained the balance of the water in the fields and the water requirements of the seedlings.

Now there are no farmers to watch the water, and no one is regulating it. The water pumps here are still pumping water into the fields, while the fields over there are already flooded with water and severely waterlogged. It would be strange if all your seedlings are not dead.

Chen Qi understands this, so he copied the Yuezhong formula...oh no, he invented a new fluid rehydration formula.

 But other doctors don’t understand, so patients with severe burns continue to die.

  Sanatorium and Hospital, Intensive Care Unit:

 Dududu~~~Dududu~~~

DiDiDiDi~~~DidiDiDi~~~

Doctor Elro shouted in annoyance: "Can you turn off this **** machine? I can't concentrate at all when the alarm keeps ringing!"

 A young doctor in the team said speechlessly:

“The hemodynamic monitoring has alarmed, and the heart rate has been accelerating, and it has been alarming. What should I do? The patient’s heart function is already in the decompensation stage and may stop at any time.”

Dr. Errol grabbed his hair hard:

"Fake, I need you to remind me of this. Of course I understand. Didn't you see that I have been calculating the infusion volume? Didn't the paper say that the current mainstream Evans formula rehydration is over-replenishing? Why can't we reduce the infusion volume? Or is it? Is the paper fake?"

Dr. Mayo immediately read four papers published by Yuezhong Hospital.

In one of the fluid rehydration papers, Dr. Hua Guo clearly stated that the Evans formula fluid replenishment amount was too large, which aggravated the patient's edema, led to complications such as cerebral edema, pulmonary edema, and finally led to the patient's death.

So when they came to Xiangjiang to take over this patient with 83% severe burns, the Mayo team wanted to test whether the Yuezhong formula was correct, so they wanted to try to infuse less fluid.

 But the direct consequence of insufficient fluid replacement is insufficient blood volume.

 In addition, Ke Rongwei is currently in the state of tracheostomy, which inherently accelerates water loss. The amount of fluid lost due to "airway evaporation" needs to be replenished. Calculated on a 24-hour basis, an additional replenishment volume of 500~1000ml is required.

It's better now. Dr. Xiangjiang over-prepared, but Dr. Mayo wanted to experiment and over-prepared. The consequences were equally serious.

 After treatment by the Vietnam-China Hospital team, the patient’s vital signs have stabilized.

 Now that a new doctor has been replaced, the entire treatment plan has been redone, and the results are not better, but worse.

Ke Rongwei was already in severe shock when he was sent to the hospital. His blood pressure has been maintained by vasopressors. Now because the amount of fluid replenishment cannot meet the requirements, the effective blood volume in the body is insufficient, which in turn leads to insufficient perfusion of important organs.

As a result, severe acidosis, hypothermia, and multiple organ failure occurred, and Ke Rongwei could suffer a cardiac arrest at any time.

Dr. Ackerman touched his forehead and said helplessly:

"Should we try the Parkland formula? The Yue-China formula doesn't seem to work. Their paper should be flawed or directly fake." "No, the doctors at Yue-China Hospital did not make any fraud!"

A junior doctor from the Yanghe Hospital who was cooperating with Dr. Mayo suddenly retorted, which surprised several white doctors in the ward.

After hearing this, Dr. Ackerman asked somewhat unhappily:

“Sir, may I ask your name? Do you know what paper we are talking about? How do you know that the fluid rehydration formula of Yuezhong Hospital is correct?”

Little doctor Yanghe pushed up his glasses and said seriously:

“My name is Gao Yisheng. I have read the four latest papers published by the Mainland Vietnam Traditional Chinese Medicine Hospital in the New England Journal of Medicine and Surgery and The Lancet. In fact, our department even held a special meeting to study them.

Moreover, when the team at the Vietnam Traditional Chinese Medicine Hospital treated patients before, I had been working as their assistant, so I watched every move they made during their treatment. All the prescriptions they prescribed were handwritten by me, and I always had a good understanding of the patient’s condition. On track.

In fact, the patient's condition has been stable when he was in the hands of the team at the Vietnam-China Hospital. There were almost no alarms from these machines. Even the doctors at the Vietnam-China Hospital were already discussing a skin grafting operation as soon as possible. Obviously they were very confident about the patient. Can save life. "

 Doctor Ackerman was stunned and asked anxiously:

“Wait a minute, what did you say? The doctor from Yuezhong Hospital has been responsible for the treatment of this patient Ke before? How come we don’t know?”

Gao Yisheng was a little surprised how these Mayo doctors could say such things:

“Huh? Professor, I don’t understand. Didn’t you personally drive away the doctors from Yuezhong Hospital yesterday? They are in this ward.”

 “What?”

 Dr. Ackerman and Dr. Errol exclaimed at the same time:

“The doctors who came from China yesterday were the Vietnam-China Hospital team? Why didn’t anyone tell us beforehand?”

Gao Yisheng was a little surprised and asked: "I thought you knew, so what were you communicating yesterday?"

"Fake, if we knew they were from the Yue Traditional Chinese Medicine Hospital, we would definitely discuss or ask for advice on those four papers. How could we drive them away? Originally, we only came to Xiangjiang for consultation, not to **** patients. Dr. Gao, Please tell me what's going on?"

Gao Yisheng said with some embarrassment:

"I don't know what happened specifically, because I was not allowed to enter the ward yesterday. I only know that soon after Professor Lin took you into the ward, the doctors from the Yue-China Hospital left in anger. Mr. Ke also expressed his displeasure at the Viet-China Hospital The team's departure expressed outrage."

Dr. Ackerman and Dr. Errol looked at each other.

Both of them are elites with high IQs. They immediately realized that there must have been some misunderstanding, or someone deliberately wanted to drive away the Yuezhong Hospital team through their hands.

Dr. Errol pulled Dr. Ackerman aside and asked softly: "What do we do now?"

Dr. Ackerman touched his chin and said thoughtfully:

"There must be a conspiracy here. Why did we suddenly have a conflict with Dr. Huaguo when we had no grudges? You didn't listen to Dr. Gao and said that Dr. Hua treated him well. In the end, he walked away. I'm afraid we were taken advantage of. That Dr. Lin is very suspicious."

“Motive, what is Dr. Lin’s motive?”

“This patient is very special. He is the only son of a famous rich man in Xiangjiang. If the patient dies, no one will inherit the billions of dollars in property of this rich man. This is a huge sum of money, enough to drive people crazy.

It was originally possible that the doctors from the Yue Traditional Chinese Medicine Hospital could save Ke Rongwei, but when we came for consultation, a simple matter inexplicably made Dr. Hua Guo angry. Maybe someone did this deliberately, with the motive of letting the patient die. The rich man loses his heir. "

Dr. Ackerman has transformed into Sherlock Holmes at this time, and has imagined the whole process.

 Doctor Elro was a little nervous:

“Then what should we do now? The patient’s current condition is very pessimistic. He may suffer cardiac and respiratory arrest at any time. If the patient dies, can we return to the United States safely?”

Dr. Ackerman looked out the window faintly:

"You are right. Anyway, the consultation fee has been paid into our account. Our consultation task is completed. Although the reward of 500 million Hong Kong dollars is tempting, there is no need for us to risk and jump into the trap designed by others. let's go!"

 Doctor Elro also nodded heavily:

"Yes, we have to leave Xiangjiang as quickly as possible. I heard that gangs are very popular here. It's terrible."

It was too late, but it was too soon. The Mayo doctors discussed it and immediately packed up and prepared to leave the Sanatorium and Hospital.

 Ke Chengji came over after receiving the news, and he was completely stunned:

“Why, why don’t you save my son anymore, why do you want to leave?”

 (End of this chapter)