Since 1981 Health School

To be honest, it is difficult for Ke Chengji to be convinced by the medical quality of a mainland hospital.

As a Hong Kong tycoon, he has traveled to the mainland countless times on business since the reform, and he has a clear understanding of the poverty and backwardness of the mainland.

A place where he had just eaten, or a small city next to his hometown, now told him how powerful and awesome the doctors in the mainland were. Not to mention that Mrs. Ke didn't believe it, and Ke Chengji himself didn't believe it either.

But now it is no longer a matter of belief. Ke Chengji has entrusted the Department of Health to invite several famous top hospitals around the world. When these top burn doctors heard that the burn area reached 83%, they all said they were helpless.

Even though Ke Chengji has offered a bounty of tens of millions of dollars, he still hasn't invited a medical team from a top hospital to lead the treatment.

The top ten richest man who came out of the shopping mall has long since calmed down after being excited. Even if he doesn't want to, he understands that his biological son may not be able to escape this time.

He thought a lot, and it was best to save his son's life.

If his son's life could not be saved, he also made the worst plan, which was to extract his son's "gold" and do in vitro fertilization.

As for the immediate situation, it is a dead horse being treated as a living horse.

Thinking of this, Ke Chengji did not show his contempt or disdain. With such no money, he would not be able to become one of the top ten richest people.

Ke Chengji took the initiative to step forward, smiled and held Chen Qi's hand:

"Okay, you are young and promising. Even our doctors in Xiangjiang know about Dr. Chen's achievements in medicine. He is indeed the light of our Chinese people. Then Dr. Chen, my son's life and death will be left to you. As long as you can save I will definitely thank you deeply for my son."

Thank you very much. How heavy is it? The price is clearly marked.

Chen Qi secretly vomited in his heart.

But Chen Qi didn't know that he had already made a wish, and if he rescued this rich man, he would receive a donation of HK$500 million.

"Mr. Ke, please don't worry. Mr. Ling is injured. I am just having a meeting in Xiangjiang, which means that I have a fate with him. I will definitely do my best."

"Okay, please!"

Chen Qi nodded and followed the Yanghe doctors quickly into the intensive care unit.

Mrs. Ke glanced at her husband accusingly: "Brother Ji, why do you let such a young man treat Xiao Wei? What if the treatment is good or bad?"

Ke Chengji looked at the door of the intensive care unit and said with a long look:

"It's time now. It's better to have hope than no hope. If you hit two shots with dates or dates, maybe a miracle will happen. There are so many strange people and strange things in this world. What's the problem with age? I don't want to pass by now, as long as the results are achieved, Just let Xiao Wei live and inherit the family business!"

Chen Qi walked into the intensive care unit and was shocked when he first saw the patient on the bed.

Edema, very obvious edema.

After extensive burns, capillaries will be damaged, resulting in increased permeability, resulting in local congestion and edema in the spaces around cells, which is a common situation.

But now Ke Rongwei in the hospital bed showed obviously abnormal edema, the skin tension was very strong, and the eschars were bulging. Chen Qi suspected that he could squeeze out a lot of water with just a squeeze.

Surface edema is okay, but the most terrible thing is pulmonary edema and other conditions inside the human body, which can easily lead to heart failure and respiratory failure, and then death will really occur.

Chen Qi didn't make a sound, and quickly looked at the various electronic monitoring indicators on the bedside. His blood pressure was low, his heart rate was high, and the patient was very irritable.

Chen Qi came closer and quickly browsed the electronic electrocardiogram bands. After watching it for a while, he sighed in his heart.

Looking at the central venous pressure and other hemodynamic indicators, they were obviously on the high side again. At this time, Chen Qi could no longer bear it.

"Dr. Lin, which formula do you use for rehydration?"

Lin Fuhe was startled by Chen Qi's sudden question and immediately replied: "We use the American Evans formula."

Chen Qi thought to himself that it was true. He was taught by a master from Shanghai Dongshan Hospital. He was always open and closed. If he likes to replenish fluids like crazy, he is afraid of insufficient circulation.

"Dr. Lin, colleagues, let me not look at the various examination sheets first. Judging from the patient's current condition, you can see that the electrocardiogram can clearly show that the P waves in multiple leads are low and even partially inverted.

Look, that’s it, there are also frequent premature atrial contractions and premature ventricular contractions, paroxysmal atrial fibrillation, right? What does this mean? It means that the patient has developed heart failure.

There is another indicator. If you look at several hemodynamic indicators, you will see that the central venous pressure has reached 18cmH2O, which means that the intravascular pressure is very high. Combine these two indicators and let's look at the patient's condition. "

Many doctors followed Chen Qi's instructions and looked at Ke Rongwei, who had a roast duck on the hospital bed.

"I can see obvious edema in the patient with the naked eye. Didn't you notice it? This edema is not normal edema, or inflammatory edema. This is typically a sign of excessive fluid replenishment and excessive circulating blood volume. Combined with the previous two indicators, it is clear at a glance. .”

Maybe it was because Dean Chen Qi was used to it, and his tone of voice was not so polite, which made Dr. Xiangjiang feel uncomfortable.

On the other hand, there are still many doctors in Xiangjiang who have regional discrimination against doctors from the mainland. They feel that people who don’t understand anything dare to come to the world-class Sanatorium and Hospital to judge?

So when Chen Qi was talking, many doctors were rolling their eyes, but their so-called self-cultivation prevented them from showing it.

At this time, a senior doctor from the burn surgery department could not help but have a different opinion:

"Dr. Chen, what you said makes sense. Judging from the clinical symptoms, it is indeed a sign of overrehydration. However, the Evans formula was invented by an American doctor. So far, there is no more advanced rehydration formula than this, and it is currently the mainstream. rehydration formula.

The formula invented by American doctors must have their own reasons. You say we overreplenish fluids, but what if we don't replenish a large amount of fluids? You see, the patient has already gone into shock, and the circulating blood volume will be even more insufficient by then, and the patient will still die. "

"Yes, if you apply too much, you can survive for a while, but if you apply too little, you will die immediately."

"The American formula is definitely correct. They got it through many clinical experiences."

The doctors in Xiangjiang also began to talk about it, and their tone was mixed with all kinds of dissatisfaction, contempt, and doubts, and even a fool could hear it.

Directors Lin Fuhe and Zhong Peiyang did not say anything. Apparently they also had certain doubts and concerns.

Chen Qi's first fire after entering the ward did not light up as expected. He failed to convince his colleagues in Xiangjiang that the Evans formula had certain drawbacks and let them accept the "Yuezhou formula".

The unfavorable start made Chen Qi feel an inexplicable sense of loss.

In fact, what Chen Qi didn't know was that Dr. Xiangjiang was not a fool. Of course, they could see that the rehydration was a bit too much.

But so what?

They use the widely recognized Evans formula for rehydration, which is written into textbooks. If the patient dies in the end, they have no responsibility and are not afraid of a lawsuit because their diagnosis and treatment are standardized.

When a patient dies, at most he can only be blamed for his own bad luck.

But if they rashly change the fluid rehydration formula and do not calculate the fluid rehydration volume according to the mainstream, then the patient will die, and the attending doctor will not be able to make a clear decision.

Don’t forget who is the patient’s father? Back then, he was the boss of all societies in Hong Kong, and he was really good at killing people.

This is also the typical thinking of doctors when treating powerful people. Faced with a patient who is certain to die in their eyes, the treatment plan should be conservative and never take risks. It is better to do less than to do more.

However, if Dr. Xiangjiang's treatment plan is followed, it is obvious that Ke Rongwei will definitely die.

It's okay to invite Chen Qi here to give his opinions and help come up with ideas.

But Chen Qi wanted to change the entire treatment plan and follow the clinical ideas summarized by the Yue Traditional Chinese Medicine Hospital. The doctors in Xiangjiang obviously did not dare to cooperate with this mainland doctor and were unwilling to cooperate.

what to do?

Chen Qi decided to wait until the team from Yue Zhong Hospital arrives tomorrow, take over all the patients, and treat them completely according to the Yue Zhong Hospital model.

If the patient's family is unwilling and trusts local doctors more, then they will withdraw and not wade into troubled waters.

The only family heir loved her so much that the doctors from the Yuezhong Hospital treated her as a tourist. At worst, Chen Qi had to pay for the air tickets back, which was a drop in the bucket.

After that, Chen Qi stopped expressing his opinion. He just took all the patient's medical records and examination reports and repeatedly studied and evaluated them, even the nursing records.

Dr. Zhong Peiyang and Dr. Lin Fuhe looked at each other and didn't know what to do for a moment.

They originally invited the original author of the paper for consultation, and they were indeed prepared to take a risk. Doctors are parents, and they did not want Ke Rongwei to have no hope at all.

However, the opinions among the doctors in Xiangjiang are not unified, and Chen Qi can hardly play any role. Otherwise, if the patient dies, the responsibility will fall entirely on the directors who invited Chen Qi to come to Yanghe.

Competition or infighting within the hospital is also very fierce. A junior doctor who doesn't want to be the director is not a good doctor. Who doesn't want the director to get out and free up the position so that he can take the position?

Zhong Peiyang and Lin Fuhe also understood this point, so they decided to let nature take its course and leave the decision-making power to the family members themselves. Anyway, they had tried their best.

Chen Qi didn't want to be looked down upon by some Xiangjiang doctors. He was here to attend an academic conference, not specifically to serve capitalists. Why should he stay in the Sanatorium and Hospital as a beggar?

So at dawn the next day, Chen Qi said goodbye to the Sanatorium and Hospital and took a taxi to the Mandarin Oriental Hotel to continue his ISAPS Society meeting.

Waiting until noon, Chen Qi received a notice from Dr. Lin Fuhe, saying that the medical team from Yuezhong Hospital had arrived.

Chen Qi ran back to the Sanatorium and Hospital excitedly, and saw Zhu Huoyan, Luo Yuyang, Zhang Xing, head nurse Liu Min, and Yang Xiuxiu in the lounge.

It was the first time for Zhu Huoyan and the others to "go abroad" and the first time they came to a top hospital like Xiangjiang. They were still quite nervous. They were sitting there studying medical records like students.

As soon as Chen Qi entered the door, he laughed twice: