When doctors have a simulated operating room
Chapter 60
The doctor said that the patient was very sick.
"I went out to do some work and encountered this car accident on the way. Let's talk about it later. Let's push this old lady to do a CT and MRI first.
She fell after the car accident, which caused numbness, pain and inability to use her lower body. Her vital signs are normal, and no symptoms of hemorrhagic shock have been found so far.
I initially judged that the numbness of her lower body was caused by a puncture of the nerve in the lumbar spine, so I quickly checked the situation."
Zhang Yi explained to his colleagues in the emergency department as he walked in.
Behind them, two doctors from the Second Municipal Hospital followed them.
Seeing Zhang Yi clearly explain the condition that they should have explained, and he said it so clearly and concisely to the point.
Tang Xiaocheng couldn't help but wonder, is this guy really just a resident intern? ?
"Ah? Did the fracture cause nerve damage?" Chen Fang opened his mouth.
Isn't this probability too small?
If it is really this disease, it is not simple. If you are not careful, the patient may be paralyzed from the lower body.
How can Zhang Yi make such a sure judgment?
"Zhang Yi, don't make a diagnosis in front of the patient first. If the result comes out later, be careful of another medical dispute."
Chen Fang reminded in a low voice.
Recently, everyone has been scared by the fact that a doctor at the Provincial Hospital was stabbed three times by his family.
You have to be careful in everything you do.
Zhang Yi shook his head with a firm face:
"No, I believe in myself. Her numbness and pain in the lower body and inability to move should be a nerve problem."
Seeing Zhang Yi so determined, Chen Fang had no choice but to say: "Okay, listen to you."
Behind him, two doctors from the Second Municipal Hospital were dumbfounded.
No way?
Am I seeing this right?
That Chen Fang is the attending physician!
Doesn't he have his own opinion?
Why would he listen to the opinion of a resident intern?
It's a mess!
There's something wrong with this People's Hospital!
Before the old lady was pushed into the examination room, Chen Fang wrote a list for her to sign and call her family members to pay the fee.
But the old lady was not happy.
She cried out with her hands spread out:
"Oh~ I have no family... I am alone! I have no money! You go find the delivery boy, he hit me! Find him!"
Zhang Yi rolled his eyes and said:
"Auntie, you ran a red light and caused the car accident. It's not that the weaker one is right. Even if the traffic police come now, they will not let the boy pay for your medical expenses."
The aunt pursed her lips and said:
"Then he has to compensate me for some examination fees, right? After all, I went to the hospital, but he didn't!"
Zhang Yi didn't want to argue with the auntie, so he just said:
"Auntie, your lower body is numb and you can't move. You have to get checked quickly. If it is confirmed that the nerves are injured, you have to have surgery immediately, otherwise it is likely to cause paralysis. Don't delay any longer. The longer you delay, the more dangerous it will be!"
The auntie looked nervous and frowned at Zhang Yi.
It's so annoying!
After such a bad luck, I can't blame the delivery boy. Can I only pay for it myself? !
Too miserable!
The old lady had to grit her teeth and reached out to find the money in her pocket.
Isn't that right!
Pay the fee.
The patient was immediately sent to the CT room and MRI room.
Tang Xiaocheng should have left after sending the patient.
But he was really curious.
He wanted to see if the old lady's condition was really as the intern said.
Lumbar fracture and spinal nerve injury?
So he planned to stay and see the results!
After a while, the test results came out.
Everyone took the test sheet and looked at it.
Their eyes widened!
Oh my god!
It's really a lumbar fracture plus a 4-5 lumbar vertebrae spur that pierced the nerves!
"Oh my god~"
Chen Fang once again admired Zhang Yi's diagnostic ability!
He can accurately judge such a difficult situation? !
I can only say:
Zhang Yi!
You are my god too~!
The two doctors at the Second Municipal Hospital looked at each other in surprise!
Oh my god, this guy is really amazing!
He really got it right!
Could it be that he can tell the cause by just touching it twice? !
He can diagnose a situation with a probability as low as 1%? !
Only then did they understand.
Why did the attending doctor named Chen Fang listen to his opinion?
Because this guy is really capable.
The results are out.
Then it is time to decide on the treatment plan.
In fact, this situation can only be treated surgically.
OK U
BE surgery.
That is, orthopedic spine surgery under unilateral double-channel endoscope.
It is an emerging minimally invasive technology.
It has the characteristics of less trauma, less bleeding, faster recovery, and fewer complications.
Chen Fang knew that this operation was very difficult, and the director of orthopedics had to perform the operation himself.
But today was Sunday, and the director of orthopedics was on vacation.
However, for the sake of the patient, Chen Fang still took the liberty to call the director of orthopedics, Han Dongliang.
"Ah? You went to another province to study?"
This is bad.
I found out that he went to another province to study after calling.
And he will be back the day after tomorrow.
What can I do?
The patient's condition is special, and the operation must be performed as soon as possible.
Otherwise, delaying one more second may cause paralysis of the lower body.
Everyone was at a loss.
At this time, Zhang Yi stood up.
"Or I will do it, I can do this operation."
Chen Fang: (ΩДΩ)? ! ? !
Tang Xiaocheng: (ΩДΩ)? ! ? !
Everyone around: (ΩДΩ)? ! ? !
What the hell? !
What? !
Chen Fang couldn't believe his ears!
This is an orthopedic surgery!
It's the most difficult surgery in orthopedics that touches the spine and nerves!
Zhang Yi can do it too? !
Even though Chen Fang felt that he had been accustomed to Zhang Yi's occasional highlights.
But at this moment, he was shocked again!
Damn it!
How can Zhang Yi do everything? !
Is this the true level of a genius? !
Not only Chen Fang, but also the two doctors from the Second Municipal Hospital were also confused.
A resident trainee actually said that he could do the most difficult surgery in orthopedics? !
Are you kidding me? !
If you make a mistake when bragging like this, you will go to jail, right?
Zhang Yi looked at the shocked eyes of the people around him and said:
"The only person in our hospital who can perform this operation is Director Han, but he is not here. There is no other way now, let's do the operation quickly! The longer you delay, the more dangerous the patient will be!"
Today is the weekend, and many directors take a break on weekends.
But Zhang Yi's words woke everyone up.
All the test results showed that the patient had a lumbar fracture, and the lumbar 4-5 bone spurs injured the spinal nerves.
If the operation is not performed immediately, the result will be paralysis of the lower body.
The aunt also realized the seriousness of the situation and nodded quickly:
"I have money! Surgery, hurry up and operate, doctors, I don't want to be paralyzed!"
Soon, the aunt also called her family, a woman in her early thirties.
After paying the fee and signing.
The aunt was pushed into the operating room.
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