Chapter 441 Choice
Miao Dalongtou was so worried that he took Fang Han and had liver and spleen removal while typing with Ye, and then gave him a prescription.
At this moment, Miao Dalong felt that he was powerless to say anything, and you had no choice but to make no sense to such a monster.
Not only Miao Dalong, but Lu Xinwen and Wen Xueyi were also shocked. The friends at the scene were shocked. Everyone knew that Fang was awesome, one was the director and the other was the successor of the director. But you are too awesome, right?
Seeing Miao Dalong silent, Ye Kai asked softly: "Doctor Miao, do you see?"
"I'm just a fool."
Miao Dalong wanted to say this very much, but he held back and didn't scold him, and snorted: "Since Fang Han gave Fang Zi, why don't you use it quickly? What are you waiting for?"
Since the command has been handed over, Miao Dalong has no intention of twisting it with Fang Han again. The most taboo thing about this kind of first aid activity is to pay attention to one person, and he is also critically ill patients, and there is not so much time to delay, so the person who commands and rescues seems to be under great pressure and has heavy responsibilities.
Ye Kai walked to the side and wrote down Fang Han's prescription, signed his name, and then took it to Miao Dalong: "Doctor Miao, take a look."
Miao Dalong waved his hand: "Go and prepare quickly."
He knew his own abilities. Miao Dalong knew that he was not as good as Fang Han. At this time, Fang Han must be somewhat sure that he could give a plan. There was no need for him to do this and waste time.
Because the situation was urgent, this time the medicine was decocted quickly on high heat. The water used to soak the medicine was boiled water. In less than ten minutes, the medicine was brought over.
The patient had too much blood loss and had already fallen into a coma before. At this moment, he had fainted once due to vomiting blood. This time, he had just recovered from consciousness. Miao Dalong tried the temperature and took the soup bowl and poured the patient.
After one dose of the medicine, the patient's vomiting blood began to decrease, which instantly stunned the people around him.
Miao Dalong waved his hand: "Go and prepare another bowl."
After struggling for a long time, Fang Han took the effect after one dose of medicine. Miao Dalong was completely speechless at this moment. The monster was really inexplicable.
As the nurse prepared the second dose of decoction, as the patient's vomiting decreased, Lu Xinwen and Wen Xueyi and Miao Dalong discussed the treatment plan again.
The patient's vomiting blood has begun to curb, but how to solve the fractured legs?
Lu Xinwen pondered for a moment and whispered to Miao Dalong Wen Xueyi: "The patient's right leg is slightly better, but for the left leg, even if it is surgery, the chance of recovery is quite small. I suggest amputation."
"Amputation?"
Miao Dalong was stunned: "Is this necessary? Even if there are any defects after recovery, it is better to have it than not?"
Lu Xinwen shook his head: "It's not that simple. If it is not handled properly, the wound will be infected, muscle atrophy, and eventually the limbs will be amputated..."
Miao Dalong looked at Wen Xueyi, and he really didn't have much say in this regard.
Wen Xueyi pondered: "What Dr. Lu said actually makes sense. The patient's left leg was seriously injured, not only a comminuted fracture, but also a serious injury to the nerves and muscles of the injured part. This degree of amputation is indeed the most appropriate."
Miao Dalong was still a little hesitant. Amputation is not a trivial matter. Once a decision is made, the consequences will be quite serious.
"Do you want to ask the patient's own opinions?" Miao Dalong asked Lu Xinwen.
"The patient's family is not present, so this kind of thing is naturally necessary to seek the patient's own opinions." Lu Xinwen nodded.
"Then Dr. Lu, please be responsible for communicating with the patient." Miao Dalong kicked the ball directly to Lu Xinwen.
Lu Xinwen knew that when he proposed this plan, it meant that he was the one who did the communication work, so he did not hesitate and went forward to communicate with the patient.
When the patient heard this, he immediately shook his head: "Doctor, please, please, I don't want to amputate, I can't amputate either. The family is still waiting for me to support me. If my legs are gone, how can the family live..."
The patient was a little weak at first, but now he didn't know where the strength came from. He struggled to get up, and he whimpered inside. As he spoke, he opened his mouth and spurted out another mouthful of blood.
Seeing this, Lu Xinwen hurriedly comforted her. It took him a long time to stabilize the patient's mood.
Now the second dose of the medicine was gone, and Lu Xinwen personally took it to the patient, and then came over to discuss it with Miao Dalong.
"Doctor Miao, Dr. Wen, you have also seen the situation. What should I do now? With the patient's condition, I can't withstand the blow at all."
The patient is not completely out of danger at this moment. It can only be said that he is not in danger of life for the time being, but if he is stimulated or delayed, danger may occur at any time.
"Contact the emergency center to see if the patient's family has contacted me?" Miao Dalong frowned.
Ye Kai hurriedly walked to the side and called. He came back soon and said, "The patient's identity has been confirmed on the emergency center and has contacted the patient's family. The patient's family is already on the way. As for how long it will take, it is not certain that many roads are blocked."
Lu Xinwen said: "What should I do? The patient's condition cannot be delayed. Now we are just urgently stopping the bleeding. If this continues, if muscle necrosis occurs, then only amputation will be left."
"Do you want to ask Dr. Fang?" Ye Kai said carefully.
"What's the use of asking Dr. Fang for this kind of thing?" Wen Xueyi interrupted: "If Dr. Fang is present, he might be able to help, but he is not there..."
Wen Xueyi didn't say the following words, but everyone knows the meaning. Fang Han can no longer direct everyone to the operation through the phone, right?
Do you really think Fang Han is a god?
"Director Li is here."
Several people were struggling, and Li Wenjun rushed over with big striking strides, his forehead covered with sweat, and he was even panting.
When the nurse called before, it was estimated that Li Wenjun would have to arrive at least an hour and a half, but now it's only an hour passed, which shows how Li Wenjun got along the way.
"What's going on now?"
Li Wenjun walked to the rescue room, took a breath first, and then asked.
“Four patients…”
Miao Dalong glared at Ye Kai and hurriedly interrupted: "Is this time now? Let's talk about the patient in front of you first."
"What's the situation?" Li Wenjun asked.
Lu Xinwen briefly told the situation, Li Wenjun frowned and pondered for a moment, saying, "If there is no amputation, how big is the recovery possible?"
"Not 30%." Lu Xinwen said.
"There's no other way?"
"If I were asked to do this surgery, it would be up to 30%." Lu Xinwen gave a positive answer.
He knows his own level. If he does it, he will be at most 30% sure. If the doctor has a high level, he may be able to be 40% or 50% sure. But the question is, are there still people now?
Lu Xinwen has been to Jiang Intermediate People's Hospital for so long and is still aware of the situation in the emergency department. Not to mention that Li Wenjun is here, even Fang Haoyang is not able to do anything. Except for Fang Han's confidence, Lu Xinwen is not very clear about it. It can be said that no one can do this operation except him in the emergency department of Jiang Intermediate People's Hospital, and Wen Xueyi can't do it.
"Where is Fang Han?" Li Wenjun frowned again and asked.
"Fang Han is undergoing a hepatosplenectomy and has only been in for forty minutes." Miao Dalong said.
"If you don't work, then you'll be amputated." Li Wenjun pondered for a while and said slowly.
"Director Li, the problem now is that the patient's family is not there, and the patient himself disagrees. We..." Lu Xinwen talked about the situation again.
Li Wenjun is also a little overwhelmed.
Although according to Article 56 of the Tort Liability Law [Emergency Situation] If the patient or his close relatives cannot be obtained due to emergency situations such as rescuing a patient who is in critical condition, the relevant medical measures can be implemented immediately with the approval of the head of the medical institution or the authorized person in charge. In specific circumstances, doctors can save lives with limited life without the signature of the patient's family, such as the hepatosplenectomy that Fang Han is currently undergoing.
But the current situation is that the patient has become aware of autonomy, and the patient himself has expressed his disagreement. At this time, even Li Wenjun is not good at taking measures.
Another patient's disagreement is irrational behavior, because according to the patient's current situation, Lu Xinwen has no way to communicate with the patient, for fear of irritating the patient.
At this time, do it or not?
Miao Dalong regretted it now. He had known that he had just numbed the patient and treated it as a critical situation. However, the patient was vomiting blood at that time, and Miao Dalong had to take measures...
"Have you called the patient's family?" Li Wenjun asked.
"No, we are not contacting the patient's family now."
"Go and ask for contact information, communicate with the patient's family, and ask for comments."
Ye Kai hurriedly walked to the side and asked for contact information. He called him by phone after he wanted to get the contact information.
The phone number passed, but no one answered it for a long time. Ye Kai called three times, but no one answered it. When he was about to give up, the phone number came over.
"Hey..." A female voice on the phone, her voice choked.
"Hello, this is the emergency department of Jiangzhou Provincial Hospital of Traditional Chinese Medicine. Are you the family of patient He Xiaolin?"
When the woman heard that it was Jiang Middle School, she became anxious and her voice was crying: "Doctor, I am He Xiaolin's wife. How is my husband doing now? He is okay, he..."
The sound became lower and lower, and only the whimpering crying remained behind.
"He Xiaolin is still in rescue, and we need to explain some situations to you."
When the woman heard that her husband was still alive, she hurriedly asked: "Doctor, how is my husband doing? What's the matter?"
Ye Kai simply said the situation, but before he finished speaking, there was another cry on the phone: "Wuwuwuwu..."
Ye Kai waited for a minute, and waited for the other party to stabilize his emotions before continuing: "Now we need to ask for your opinions..."
"Doctor, please, please save my husband and keep his legs. He is the support of our family..."
Hearing this, Ye Kai knew that things were not easy to deal with.
Chapter completed!