Doctor of Healing

406 - A Big Pot

"Director Sui." Director Bai answered the phone.

Director Liu pricked up his ears and listened carefully to Director Bai and the other party.

Director Sui briefly reported the medical history—the patient underwent left total knee arthroplasty under spinal anesthesia 8 hours ago.

Before the skin incision, the pneumatic tourniquet was inflated to stop bleeding, and the tourniquet was used for 90 minutes. During the operation, the tibial plateau and distal femur were routinely cut, and the posterior joint capsule was released. No abnormalities occurred during the operation, and the operation was successfully completed.

After the operation, the dorsalis pedis artery pulse was not felt. Director Sui touched the posterior tibial artery, but he did not feel the blood vessel pulse.

After waiting for about 15 minutes, touch again to confirm, but the pulse is still not touched.

The skin temperature of the extremity far from the left knee joint was significantly lower than that of the opposite side. Director Sui speculated that the popliteal artery may be damaged and occluded.

So Director Sui urgently asked the Ultrasound Department to perform vascular ultrasonography, which showed that the blood flow spectrum of the left anterior and posterior tibial artery and dorsalis pedis artery was not detected, the blood flow spectrum of the distal artery disappeared in the popliteal fossa, and the proximal detection was normal.

Knee replacement surgery, postoperative popliteal artery occlusion, Director Bai listened quietly.Not only him, but even Director Liu could hear the problem.

No wonder Lao Bai wanted to plan ahead. It is estimated that Director Wang of the Department of Vascular Surgery did not dare to move.

"Director Bai, Director Wang wants to administer thrombolysis, and he needs to be consulted for thrombolysis?! If we wait any longer, the patient will have to amputate, amputate!" Director Sui roared angrily.

"Understood." Director Bai said lightly.

"Director Bai, I want to apply for a consultation with the whole hospital." Director Sui Tuqian said, "You can come here. With you in charge, the Department of Vascular Surgery dare not say such a fucking thing."

"Consultation in the whole hospital, I'll go right away. Are you in the hospital?"

"I dare not leave." Director Sui complained, "Director Bai, the patient won't survive tomorrow's dawn."

"Understood." Director Bai hung up the phone.

"Hey." Director Liu smiled, "I guess Director Wang didn't dare to do it. It's the easiest way to put a catheter for thrombolysis, but the effect is so bad... That's a matter of orthopedics. You will have to take over this big pot in the end." .”

Director Bai curled his lips and dialed the phone.

"Xiaoji, it's me." Director Bai said, "Orthopedics, consultation, you come right away."

he said in a commanding tone.

"Director Bai, I'll be there in 10 minutes." Ji Xiang replied without hesitation.

After a brief exchange, hang up the phone, Director Bai stood up, "I'll go back and have a look."

"Old Bai, no matter what you say, you are the director. You have to be responsible for this matter." Director Liu said.

"No one." Director Bai was also very helpless, "Look for Xiaoji to take a look, if you can solve it, you can solve it. If you can't solve it, I will discuss it with the attached hospital."

"Let's have a look together."

Director Bai glanced at Director Liu, "Dazhi, don't think too much about Xiaoji. I'm not joking. After three years of regular training, he can stay in our hospital for one and a half years."

"Then you still need to apply for an intermediate certificate for Jixiang."

"Didn't I think that it would be the best if Jixiang could help bring out the Department of Vascular or Interventional Surgery in one year?" Director Bai smiled, "It's also a whimsical idea, but I think it's possible. As for Can you keep Ji Xiang? Stop dreaming."

"Hey, that's not necessarily true." Director Liu knew what Director Bai meant, but he still said with a straight neck.

When the two returned to the hospital, Ji Xiang had already changed his clothes and was looking at the medical records in the doctor's office.

"Xiaoji came very quickly." Director Bai said.

"My home is closer." Ji Xiang looked up, smiled gently, and then looked down at the medical records.

"Director Wang, Director Sui, let's have a meeting now, and you can talk about your opinions." Director Bai said straight to the point without being verbose.

"Director Bai, sit down." Director Sui moved a chair and placed it in the innermost corner, facing the door of the doctor's office.

This is Director Bai's habit. Ever since the death of an ENT doctor in Harbin, he has been sitting facing the gate.

It is the safest place to have a bird's-eye view of the entire venue.

After Director Bai sat down, he glanced at Director Wang and Director Sui, "Talk about the situation first."

"Director Bai, I can take out the patient's thrombus." Director Wang said first, he made an assumption that Director Bai took this kind of words as fart.

"However, the local blood vessels need to be stented, but the patient has just undergone knee replacement surgery, which is a contraindication for stenting."

"So I suggested a catheter for thrombolysis. But Director Sui said that he was worried about future troubles, so he insisted..."

"Is there no problem with thrombolysis alone?" Director Sui immediately interrupted Director Wang of the Vascular Department, and said anxiously with 12 unhappy, "The speed of thrombolysis is so slow, what should we do if the patient's lower limbs are necrotic!"

Director Bai felt tired when he heard the quarrel between the two of them.

But this is the normal state of the clinic, neither Director Sui nor Director Wang is willing to take the blame.

This job is a bad job, whoever takes over will be in trouble.

If I were the director of the vascular department, I probably wouldn't accept it.

But this is a hospital, and it is impossible to have a [-]% problem-free situation, and there are always many bad things.

"I probably glanced at the medical records, Xiao Ji, tell me your opinion." Director Bai knocked on the table and said to Ji Xiang.

"Remove the bolt without removing the bracket." Ji Xiang was slightly startled, as if he was distracted before answering Director Bai's question, but answered immediately.

"Doctor Xiaoji, don't talk nonsense." Director Wang of the Vascular Department scolded, he was a little contemptuous, but even more flustered.

As for why, all the doctors present seemed to understand except Ji Xiang.

"Then get ready for surgery." Director Bai made a final decision.

"Director Bai, I don't want to do it. The patient has contraindications to surgery." Director Wang of the Vascular Department said directly.

For this kind of big pot, he would rather pay Director Bai later than carry it himself.

"Xiao Ji, are you sure?" Director Bai asked.

"Yes." Ji Xiang replied.

"I'm not going to be an assistant." Director Wang of the Vascular Department hid completely.

Director Bai raised his eyebrows, glanced at Director Wang of the Vascular Department, and took out a blue notebook from his pocket with a smile.

"This is……"

"Extraordinary, I will give you the intermediate certificate of the intervention subject you applied for."

"!!!"

"!!!"

"!!!"

Director Sui, Director Wang of the Vascular Department, and Director Xu Leyu were all stared at in front of their eyes.

I have passed the examination for the doctor's certificate. It seems that the certificate has not yet come down. Director Bai went to apply for the intermediate certificate for Ji Xiang?And looking at Ji Xiang's expression, he didn't seem to know about it.

"Xiao Ji, to tell you the truth, this patient is a difficult patient." Director Bai said frankly, without deliberately hiding it from Ji Xiang, "If you don't want to take the blame, I'll go to the provincial expert group for consultation. But the time ..."

"Director Bai, the surgery should be fine." Ji Xiang picked up the intermediate certificate, looked at it twice and asked, "It seems that the attending physician can't do level 4 surgery."

"Who said that?" Director Bai said blankly, "If you can take it off, you will have surgery now."

(End of this chapter)