There is no need to be too normal to be a doctor

Chapter 149 No one knows this better than me!
the next day.

Liu Fengxin was in a good mood after arriving at the hospital.

Watching the engineer at the steel plant getting better day by day, he thought that his good days were coming.

After all, isn’t it the same for you, Chen Gong?

What you rescued was just an underground worker. If the Gu Mining District hadn't been rich, how could they have given you such a large bonus?

Even if it is a little more difficult to rescue your patient.

but……

The patients I rescue are leaders.

In this way, Liu Fengxin felt that he might be able to get some bonuses, or even... like Chen Gong, get sponsorship from the steel factory to develop their group.

Thinking of the looks in the eyes of the team members and department members, Liu Fengxin came to the hospital early today.

It's past seven o'clock, and the hospital shift handover hasn't started yet.

Even though the emergency department switched shifts earlier to avoid the morning rush hour, it was still after 07:30.

Liu Fengxin rarely comes early and has the attitude of a team leader.

But today, he walked into the doctor's office with a smile on his face.

Even when I meet a nurse on the street, she nods and smiles. Putting aside her appearance, at least this little face makes people feel good.

After arriving, Liu Feng changed his clothes and went straight to bed 11.

That's right, not 12 beds.

Liu Fengxin wants to show that he is not the kind of person who follows the crowd and flatters others.

He is just a good and dedicated doctor.

He treats every patient fairly.

After pretending to conduct consultations and ward rounds on the 11-bed patient, Liu Fengxin walked slowly to the 12-bed patient.

He just wants to deliberately hang the other party.

"How's it going?"

Liu Fengxin asked with a smile.

"Ok?"

After finishing speaking, Liu Fengxin frowned.

"Where's your bandage?"

"Why was it dismantled?"

Hearing Liu Fengxin's words, the man stared at Liu Fengxin with wide eyes:
"What do you say?"

Liu Fengxin frowned: "What do you want me to say?"

"Where's the plaster? Why is it gone?"

"Who did it!"

"Nurse!"

"Come here!"

Liu Fengxin shouted outside with a serious look.

Soon, a night shift nurse hurried over: "Team Leader Liu? What's wrong?"

Liu Fengxin asked sternly:

"Who dismantled it?"

"Who asked you to dismantle it?!"

"How many days did the patient have this surgery? Who asked you to remove it without my permission?"

When the little nurse heard this, she was also a little timid.

"I... this... was demolished by Team Leader Chen on the night shift."

"He said... this would make the patient's condition worse, so he demolished it and asked us to register it."

Hearing the nurse's words, Liu Fengxin's expression changed immediately. His expression was serious, and his eyes were even more angry.

"Who asked him to dismantle it?!"

"Isn't he, Chen Gong, fooling around?"

“Is he an orthopedic surgeon, or am I an orthopedic surgeon?”

"The patient needs to recover after surgery and must be fixed with a plaster to ensure the healing of the fracture..."

"This is nonsense!"

He stared at the patient: "Don't worry, I will definitely give you justice in this matter!"

The middle-aged man frowned and looked at Liu Fengxin: "Wait a minute!"

"justice?"

"Sorry, Director Liu, I'm not a doctor, I don't understand these principles."

"But what I want to say is, I've told you, my leg hurts so much."

"Last night, this level of pain caused me so much pain that I couldn't even sleep well all night!"

"After the examination, Team Leader Chen said there was something wrong with my leg. The bandage was too tight and it had caused ischemia."

"What kind of syndrome is it?"

"If you hang like this for a long time, you will suffer from ischemia and necrosis, and you may even have to have your limbs amputated!"

"They took off the plaster and loosened the bandages. I was able to have a good rest last night."

"What do you think happened to me?"

"I still want to ask today, what's wrong with my legs?"

"Team Leader Chen said I still need surgery on my leg today?"

"what is the problem?"

The man's face looked a little ugly.

I thought I was about to be discharged from the hospital, but now I was suddenly told that I had another disease and needed surgery!
How painful is this surgery on the wound?

Let’s not talk about the money issue for now.

How much time did this delay?
And, how much pain?

and so!
The man was already a little angry at this time!
When Liu Fengxin saw the man's words, he couldn't help but snorted: "What does Chen Gong know?"

"Don't listen to his nonsense."

"Who said surgery was needed?"

"The operation was successful, and the fracture was well anastomotic. It's not time to remove the cast yet, but he rashly removed the cast. What if it causes any adverse effects?"

"Bullshit!"

"Chen Gong is young, what does he know about orthopedics?"

"I've been in orthopedics for so long, how come I don't know!"

While speaking, Liu Fengxin was not stupid. He quickly lowered his head and opened the gauze: "Let me show you what's going on."

"Under normal circumstances, some normal pain will occur after surgery."

"Moreover, bone healing is not just a matter of bones, but also involves the healing of nerves and blood vessels."

"Your wound is very serious to begin with, and it cannot be treated casually."

"Pain is a normal reaction."

While talking, Liu Fengxin had already taken off the gauze and looked at it.

At this time, I saw that the patient's leg was still swollen, but... it was much better than last night.

"Does it still hurt?"

The man nodded lukewarmly: "It hurts!"

"Who said it doesn't hurt?"

"By the way, you should make a plan as soon as possible."

"What's wrong with my legs?"

After listening to this, Liu Fengxin looked stern: "Wait for me!"

After saying that, he walked straight towards the doctor's office.

After all this delay, it was getting late, and the time for ward rounds was almost here.

It's just that Jiao Liming hasn't arrived at the office yet.

However, a large group of doctors and nurses were already standing in the office, waiting for the director's arrival.

After Liu Fengxin came in, he was merciless and straight to the point, he yelled at Chen Gong:
"Chen Gong!"

"Who told you to touch my patient?"

"Who is responsible if something goes wrong?"

"It's only been five or six days since my patient's surgery. The plaster is fixed well. Do you insist on removing it?"

"Are you sincere!"

The people around him suddenly fell silent when they heard Liu Fengxin's words.

Everyone looked at Chen Gong.

Everyone knows that Chen Gong and Liu Fengxin had some unpleasantness some time ago.

Now seeing Liu Fengxin directly attacking Chen Gong, he immediately became energetic.

Chen Gong frowned, looked at Liu Fengxin's angry look, shook his head, and was about to speak.

But I heard Yang Hui suddenly laugh, lukewarmly:
"Oh, anger seems to have no other effect besides showing one's own incompetence!"

Upon hearing Yang Hui's words, Liu Fengxin slammed the table angrily.

"Bullshit!"

"Do you have something to say?"

"Yang Hui, please pay attention to your identity and work attitude!"

"If the patient has a problem, who will be responsible?"

Seeing this, Chen Gong looked at Liu Fengxin and asked:

"Wait a minute, Director Liu."

"I asked the plaster to be removed."

"I also asked me to loosen the gauze."

"There must be a reason for you to be angry, right?"

"Your patient was in unbearable pain last night. Did I make a mistake in helping you solve the problem?"

Liu Fengxin sneered: "Help me? Haha!"

"I think you are jealous of us?"

"It's not good for us. Seeing that the patient is about to recover, he must come here to cause damage, right?"

"Why, this emergency department is run by your family? We are not allowed to treat it yet?"

"Tell me, why do you need to remove the plaster?"

Chen Gong looked at Liu Fengxin curiously: "Didn't you check the ward?"

"I saw you went for ward rounds early in the morning. Didn't you find that there was obviously something wrong with the patient's limbs?"

"Didn't you notice such an obvious compartment syndrome?"

"I really want to ask where you learned this surgery!"

"Even these common and basic complications have not been dealt with after surgery."

"The patient's symptoms are already very obvious, and the signs of surgery are extremely clear."

"If you continue to put plaster on it and raise it to fix it, all this piece of flesh will rot."

"At that time, it won't be a matter of surgery or not!"

"Thanks to you being an orthopedic surgeon, you can't even treat this disease!"

"I think Yang Hui is absolutely right!"

"Dr. Liu, if you are not qualified for this job, I advise you to either change your profession or resign."

Chen Gong didn't give the other party a good look.

Hit back directly.

Everyone at the scene was stunned when they heard Chen Gong's words.

No one expected that Chen Gong would be so tough on the other side, and would speak tit-for-tat without any tact.

In an instant!

The quiet atmosphere at the scene seemed to push this matter in one direction.

Everyone looked at Liu Fengxin. His eyes at this time were extremely angry.

Chen Gong is already questioning his professionalism and ability!

At this time, Jiao Liming walked in.

Seeing the atmosphere at the scene, he immediately frowned.

In fact, Jiao Liming had heard the sound a long time ago, but...he deliberately walked in late.

First, he wanted to know what the situation was.

Second come!

I also want to wait for an opportunity.

After Jiao Liming came in, he immediately frowned and looked at everyone with a dark face:

"what happened?"

"Want to watch the fun?"

"Don't you think it's a big deal?"

"What a system!"

"This is a hospital and an emergency department. Are you all free?"

"And you, Liu Fengxin, as the leader of a group, what can't you sit down and talk about?"

"Chen Gong, you...be careful what you say!"

That's right!

Hearing Jiao Liming's words, Liu Fengxin was immediately dumbfounded.

Good guy!
Isn't that how you pull off your bias?
What is Chen Gong, please be careful what you say?

i fuck...

Let it go if the patient was interfered with by Chen Gong.

Quarreled and lost again.

Well now...

You, Jiao Liming, blame me too?
Liu Fengxin felt extremely aggrieved.

He is suffering.

He stood up directly with a tragic face: "Director, I don't need Chen Gong to apologize to me."

"However, he must take responsibility for the patient's condition."

"He participated in and interfered with my treatment of patients without my permission."

"And removed the patient's leg immobilization without authorization."

"This is obviously a matter of principle."

"He must take full responsibility for the patient's condition today!"

Seeing this, Jiao Liming said straight to the point: "Okay, stop arguing and come with me to see the patient." As he spoke, Jiao Liming led the two of them towards the ward.

When the patients saw them coming in, they didn't give them a good look.

Jiao Liming still nodded and said:
"How are you feeling?"

The patient shook his head: "I'm a little disappointed in you."

"to be frank!"

"However, I have invited experts from the Department of Orthopedics of the Second Affiliated Hospital of Shanhe Medical University to come over."

"Maybe I'll be transferred to another hospital."

"You are too careless about my illness and not serious at all."

"I feel a little numb in my lower limbs at this time."

Hearing the patient's words, Jiao Liming's expression changed, and Liu Fengxin felt even more uneasy, but...he insisted straight to the point.

"This is the impact of Chen Gong's decision-making without authorization."

Chen Gong heard the sound, shook his head, walked to the patient's side, and bent down to check.

After a moment of silence, he said: "To be honest, maybe... the experts from the Second Affiliated Hospital may not be able to solve this problem."

"This is not a simple compartment syndrome."

"Because there has been a gap ripple effect."

“The gap needs to be decompressed.”

"I suggest you continue to stay. You can trust me. We can succeed."

“There are currently not many people studying the gap theory in China.”

"And I am one of them."

"You are also an engineer. I believe you are no stranger to academic papers. You can search online."

"My name is Chen Gong. You will see that many articles and even concepts about gap therapy were proposed by me."

Chen Gong looked at the patient confidently and did not force him to stay.

After finishing speaking, he turned to Jiao Liming and said, "Director Jiao, I worked the night shift last night and was a little tired."

"I'm back!"

"If the patient needs surgery, tell Zhao Xi and Yang Hui."

After saying that, Chen Gong shook his head, stood up and left.

He was in no mood to dwell on the matter in front of him.

Chen Gong didn't take Liu Fengxin seriously at all.

to be honest!
Experts as big as Jiang Mingze and Chen Gong were able to deal with them obediently. Zhao Lei even called him a brother and brother. Ma Baoqing and Fu Tao even watched their surgery videos "progress".

Just Liu Fengxin, to be honest...

Chen Gong felt that arguing with him was a bit priceless.

Now that the shift is over, there is no point in continuing to stay.

After a busy night shift last night, Chen Gong was also a little tired.

If you have this time, you might as well go back and have a good sleep.

After saying that, Chen Gong stood up and left.

Seeing this, Jiao Liming shook his head, but did not stop him.

He knew very well how powerful Chen Gong was.

but……

What Chen Gong said just now was too shocking.

What is the concept of interstitial therapy in China, and he is a pioneer?
Even, isn’t the patient’s leg pretty good?
The orthopedics department in the second hospital can’t treat it?
Are you kidding me?
Although Jiao Liming respected Chen Gong, to be honest, his remarks were too arrogant.

Even the patient couldn't help but be dumbfounded at this time.

to be frank!
During the past few days in the hospital, he had already begun to regret it.

I feel like I shouldn't stay here any longer.

During this time, the reputation of Shanhe Emergency Center Hospital has gradually become known.

Combined with the reputation of people online and my own personal experience in the past few days.

The engineer obviously didn't take Chen Gong's words seriously.

In his mind, the standard of this hospital is really terrible.

If you can be transferred to another hospital, you must leave as soon as possible.

Chen Gong's departure caused several people in the room to fall into silence.

Liu Fengxin's face became even more ugly at this time.

He really didn't expect that today's matter would be so troublesome.

Not only does this patient have no sympathy, he even wants to be transferred to another hospital now?
I have worked hard and put in so much, is it really all in vain?

At this time, Liu Fengxin looked at the patient's leg skin. After careful analysis, he said to the two of them:

"Don't listen to Chen Gong's nonsense!"

"I know about compartment syndrome."

"However, in this case of the legs, the skin lines are normal or even low, and the blood supply is quite good. This is not compartment syndrome at all."

"It's the postoperative reaction."

"He's alarmist. What kind of chain reaction? That's nonsense!"

At this moment……

Jiao Liming was also a little restless. He didn't know much about the situation in orthopedics.

At this time, you can only ask for consultation.

The emergency center hospital is not a general hospital. Its purpose is mainly emergency surgery.

Therefore, during construction, the hospital also coordinated emergency emergencies to the greatest extent and ensured that first aid was given priority.

Other surrounding departments also cooperate with the first aid construction.

Therefore, the hospital is also equipped with orthopedics and other departments.

Now, Jiao Liming can only ask for consultation.

Of course, why did the emergency center hospital say it attached great importance to it in the first place?

Because the emergency center hospital is closely connected with other hospitals and specialized hospitals, it is commonly known as the green consultation channel.

They can contact relevant departments in major hospitals to coordinate the situation.

Moreover, in the event of an accident, in addition to the doctors at the emergency center hospital, other hospitals will also need to coordinate the dispatch of specialist doctors.

This is to ensure that the patient’s rescue is successful!

quickly!

Jiao Liming comforted the patient: "Calm down first, I'll ask an orthopedic expert to come over and take a look."

After saying that, Jiao Liming also stood up and left.

Within half an hour, Feng Chuan, director of the Department of Orthopedics, arrived.

"Director Jiao, what's wrong?"

Feng Chuan asked with a smile.

Jiao Liming smiled awkwardly: "Hey, I have no choice but to ask for a consultation."

"Hey!"

"The patient's condition is like this..."

Jiao Liming said a few words briefly, then walked towards the ward with the patient. Passing by the doctor's office, he called Liu Fengxin too.

After several people arrived in the room together.

I saw a middle-aged man sitting in the room.

When Feng Chuan saw this, he quickly smiled and said, "Director Hu? You are here too!"

Hu Wenxun couldn't help but shook his head: "Hey!"

"This is my classmate."

"I heard that I'm sick. Come and visit me."

"Ha ha……"

Hu Wenxun knows how to behave, and he knows that coming to the door with his status can easily lead to a very embarrassing situation.

To put it bluntly, no one wants someone to come and find fault in their home stadium.

Feng Chuan smiled: "You're here just in time!"

"To be honest, this is the first time I've heard of this chain reaction."

"mutual communication!"

“Everything is for the patients!”

After saying that, Feng Chuan came over.

Liu Fengxin on the side couldn't help but said: "What kind of gap chain reaction? This is just made up by Chen Gong himself!"

"I just checked and found nothing at all!"

"Besides, let's take a look. Does this show signs of compartment syndrome?"

At this time, Hu Wenxun and Feng Chuan quickly checked.

Check this out!
The two of them immediately frowned.

"The pulse of the dorsalis pedis artery is normal!"

“There is no calf compartment syndrome!”

"Is the Pi temperature normal? Is it still low?"

"That's not right!"

"The swelling is not obvious either!"

"Very rare."

"Isn't it compartment syndrome?"

"No, no! It should be..."

In fact, compartment syndrome is a disease for which there is no gold standard for diagnosis.

It’s hard to spot in the early stages!

Moreover, the main manifestations are blood circulation disorders and ischemia of muscle and nerve tissue supply.

But the patient’s symptoms don’t seem to be typical.

Just then...

Suddenly Feng Chuan pointed to an area, widened his eyes and said, "That's wrong!"

"look!"

"Lao Hu, look!"

"There's an infiltration here!"

"Generally speaking, if the bandage is too tight after trauma, it is the main cause of fascial compartment syndrome."

"As a result, intramuscular pressure will increase rapidly, and neurovascular and muscle tissue will be backlogged."

"But... now there is not only no redness, swelling, heat and pain, but also no inflammatory reaction..."

"I think it has something to do with this place!"

"You see, there are gaps between these tissues in the skeletal muscle fascia of the leg."

"However, after the edema formed here due to ischemia, it has begun to infiltrate into the next area."

After hearing Feng Chuan's analysis, Hu Wenxun's eyes widened, as if he suddenly understood.

"what do you mean……"

"Hidden propagation period?"

"Because the backlog has destroyed the gap, the edema has spread."

"If we wait a few days and the patient has a severe attack in this area, there will definitely be large-scale swelling, and then there will be a large chain reaction, causing severe ischemic necrosis!"

"The pressure will obviously increase even more!"

"At that time... maybe it will really... be even more troublesome!"

After hearing this, Hu Wenxun couldn't help but glance at Feng Chuan: "This chain reaction is so accurate!"

"How did you come up with this idea?"

Feng Chuan shook his head and looked at Hu Wenxun with a solemn expression: "Do you have any way to operate?"

Hearing this, Hu Wenxun's expression changed.

"I...I'm really not sure!"

"This is the first time I've seen symptoms like this."

"To be honest... I'm not sure."

"Because this requires a good understanding of the leg clearance and complete decompression."

"The whole process is quite troublesome."

"I don't dare to do it either!"

Hearing this, the patient's eyes widened: "Lao Hu, are you serious?"

"Aren't you the director of the Second Academy?"

"Is this... a joke?"

Hu Wenxun shook his head and sighed: "I really wasn't kidding."

"It's not that your situation is difficult, it's that it's too biased!"

"This situation is too rare, so I am not sure enough."

"The fascial compartment area itself is a side door."

“Not many people are doing research.”

"This is even more true for the understanding of gaps."

"If I was asked to do it, I could do it, but...score a lot of times."

"it's painful!"

"If you can find someone who is proficient in..."

As he spoke, Hu Wenxun suddenly looked at Feng Chuan excitedly: "Who said this chain reaction you just mentioned?"

"I think we can find him!"

"He must have a way!"

For a moment, the room was completely silent.

Jiao Liming, the patient, and Liu Fengxin all stood there dumbfounded, saying nothing.

……

ps: I have been really tired recently. I really underestimated the pressure of two children.

Hey……

The most important thing is that 1+1 is really not equal to 2, but greater than 2!

Two children will have some special chemical reactions, such as the eldest and the second child... ugh!

Physically and mentally exhausted!

(End of this chapter)