Chapter 378 - 260: 100,000 Maggots Devouring—Integrating Chinese and Western Medicine
Chapter 378 - 260: 100,000 Maggots Devouring—Integrating Chinese and Western Medicine
Back in the office, the first thing Qin Feng and Meng Dawei did was head to the intensive care unit.
After changing into sterile clothing and entering the ward, the first task was to determine the patient’s current condition.
Qin Feng glanced at the monitor by the bedside, blood pressure 80/120, blood oxygen 97%...
All indicators were fairly normal, indicating that infection control was comprehensive and no other symptoms had appeared.
"This wound is indeed very severe."
He then looked at the patient’s legs, now showing signs of ulceration.
Even after multiple debridements, solid matter adhered to the necrotic, burned skin was still visible.
This should be acrylic.
Since it had dissolved together with the tissue, complete removal was impossible and could only be achieved via surgery.
However, such a procedure carries great risk because once surgical debridement begins, it means facing many more tricky and complex subsequent operations.
Keeping things as they are, as long as the spread of toxicity to the internal organs is inhibited, there is no immediate life-threatening danger.
Next, they needed to decide on the amputation plan.
"How is it?"
Meng Dawei looked at him and asked.
"Shouldn’t be a problem, but judging from the size and depth of the wound, it might take a longer time."
Qin Feng immediately made a judgment and briefly stated his opinion,
"The toxicity must be controlled to ensure the smooth implementation of biotherapy."
"You don’t need to worry about that; currently, the toxicity is effectively controlled, so you can proceed confidently."
Meng Dawei said confidently.
Qin Feng nodded, chatted briefly with the conscious patient to understand the general situation and his own thoughts.
The man only hoped to save his legs at all costs, not wanting to end up disabled.
He was just in his early thirties, and his child had just started elementary school.
He did not want to rely on crutches in the future with empty legs.
Qin Feng slightly comforted his emotions, then both left, with Qin Feng returning to the office to start formulating the surgical plan.
Quickly, the news began to spread throughout the hospital.
Hospitals have no secrets, especially patients who have undergone MDT (Multidisciplinary Team) consultations.
However, those who first learned that Qin Feng became the attending doctor were the heads of various departments and some hospital leaders.
Of course, it wouldn’t take half a day before everyone knew.
At this time, Qin Feng had already begun crafting a detailed biotherapy plan without meetings or discussions.
Because the complete treatment plan was already perfectly envisioned in his mind, it just needed to be aligned with the patient’s current condition before implementation.
After lunch,
Qin Feng completed the entire surgical plan and asked critical care medicine to notify other department heads for a meeting.
Meanwhile, the hospital’s WeChat group and conversations among medical staff changed.
"Have you heard? Dr. Qin has actually become the MDT leader!"
"Really? I heard this morning, couldn’t believe it."
"Which Dr. Qin? Is it Dr. Qin Xiaojiang from cardiothoracic surgery?"
"Qin Xiaojiang? Who’s that? I’m talking about Dr. Qin Feng from critical care medicine."
"The patient was sent from our department; I saw Director Liu was quite happy after returning from the morning consultation."
"Is your information accurate? Did Dr. Qin truly become the MDT leader?"
"Absolutely! I heard it from the Medical Director, no doubt about it!"
"Gosh! Dr. Qin Feng is amazing, he’s only been here for less than half a year and already became the MDT level attending."
"Yes, normally, MDT level consultations require at least a deputy chief physician from the department to preside over.
Didn’t expect Dr. Qin to reach such a level, it’s terrifying!"
...
Suddenly, Peking Union Medical College Hospital was abuzz with the most shocking news about Qin Feng.
Previously, many may have been impressed by his superb skills, but now, it was beyond just technical skills.
As an MDT case requires not only medical skill but also comprehensive coordination ability and strong control.
Even some experts with a deputy chief physician rank might not achieve this!
Inside the critical care medicine conference room,
"Inviting all the experts and leaders here is to discuss and detail the surgical plan, and we need everyone’s cooperation."
Qin Feng said with a mild smile, sitting at the main seat beside Meng Dawei.
This was his first appearance at Peking Union Medical College Hospital in such a capacity, after all, this was not Jiangcheng.
The experts and department heads present possessed extremely rich experience and superb medical skills.
It’s known as one of the Ivory Towers in Jiuzhou’s medical world!
"Qin Feng, go ahead, we’re listening, there’s room for improvement with everybody."
As soon as she finished speaking, Liu Haihong from the burn department immediately responded, her expression filled with both anticipation and delight.
Earlier that morning, when biotherapy was proposed, she quickly reviewed related literature and case materials, analyzing and summarizing some of her own thoughts.
Even though Qin Feng’s skills were indeed excellent, age was still a factor here.
In their twenties, one may have more ingenuity than these seasoned individuals, but experience is certainly lacking.
Such a young person is worth cultivating!
Therefore, none of these big shots opposed Yuan Bin, the Deputy Director’s decision, especially given his substantial administrative power!
"Qin Feng, please start."
Meng Dawei patted him and said.
Qin Feng nodded and opened the PPT on his computer.
"The patient’s situation doesn’t need much explanation, all of the experts have seen it, so I’ll go straight into the treatment steps.
Although biotherapy cases for deep burns are relatively few, there is still valuable global reference available.
Between 2003 and 2017, the Lighthouse region had three cases where biotherapy yielded good results, and domestically, there were five cases, but some did not receive complete feedback due to less advanced medical methods at the time.
And they basically used natural organisms consistently, which was maggot therapy.
The larvae of Lucilia sericata!"
...
The meeting proceeded gradually; everyone initially planned to express their doubts, but with Qin Feng’s explanation, all issues seemed to unravel on their own and inquiries were hardly needed.
Liu Haihong was increasingly amazed as she listened; parts of her preparation were actually in Qin Feng’s surgical plan.
Some points she hadn’t considered sparked great interest.
She has been working in burn treatment for many years; though biotherapy has always been in her mind, she dared not casually attempt this method.
There are many factors to consider, including the patient and their family.
Therefore, even globally, natural biotherapy is not a well-developed field.
It is still in the trial phase, with its advantages being gradually discovered.
"Since the patient’s wound contains toxic and infectious materials like acrylic, the research center needs to increase the larvae cultivation volume."
Towards the end of the surgical plan, everyone remained silent until there was final confirmation to proceed.
"How many are needed?"
The director of the research center lifted his head to ask.
"Based on the area, depth, and degree of deterioration, along with the larvae mortality rate, we need to prepare 100,000."
Qin Feng solemnly stated a considerable number, which immediately stunned everyone present.
A hundred thousand?
What does a hundred thousand Lucilia sericata larvae imply?
It could devour a sheep!
"A hundred thousand? Isn’t that too much?"
The research center director’s brows furrowed, instantly querying.
"No, it isn’t."
As soon as he finished speaking, Director Liu Haihong shook her head immediately, "If you consider the wound toxicity, the larvae mortality rate is high after ingestion, possibly requiring a complete replacement every two hours."
"Director Liu is correct."
Qin Feng nodded in agreement, which was also under his consideration.
"Alright, we’ll start cultivating them immediately."
"Eight hours, it’s a strenuous task for you all."
Qin Feng gave an exact time as he needed to ensure ample time for subsequent treatment.
"Understood."
The research center was set!
"Director Liu, next, we’ll need you and Director Tong; if we want to reduce the degree of amputation, preparations need to be made for regeneration."
Qin Feng stared at Liu Haihong and the dermatology director beside her,
"I plan to use an integration of Chinese and Western medicine this time, Chinese herbal regeneration, Western medicine to save life!"
This time, he decided to introduce the Polygonum cuspidatum liquid, starting the first phase of clinical trials from Peking Union Medical College Hospital’s burn department.
This medication had already been developed into a concentrated liquid at the Jinling research center and officially passed phase 4.
However, he did not plan to produce it himself but intended to distribute through national hospital channels until it becomes as affordable...
As affordable as essential balm!
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