Practicing Medical Skills in a Small Clinic

Chapter 315 - 172: This Is Your Suturing Skill? Targeted Treatment

"Patient in bed 25? Ruan Xiaoqin, isn’t this your responsibility?" Professor Wu looked at the middle-aged doctor with sharp features.

So this person’s name is Ruan Xiaoqin.

"I’m responsible. This is the patient we treated yesterday, the woman you personally guided in cementing the bone."

Ruan Xiaoqin stood up with a slightly panicked expression.

The hospital does have a three-tiered ward inspection system, but the primary doctor bears the greatest responsibility.

Sometimes when a patient under their care has issues, the primary doctor might be more anxious and worried than the family members.

As for some negative news saying doctors are indifferent and careless about patients’ lives, that’s pure nonsense.

Patients that doctors don’t seem to care about are mostly those with mild conditions, just secretly glad about it.

For patients with real problems, doctors definitely make frequent trips to the ward, there’s no way they don’t care about the patients’ lives.

"Let’s go and take a look!"

Upon hearing that the patient was guided by him personally yesterday, Professor Wu stood up and rushed to the ward.

"Hey you, don’t just stand there, join us in the rescue immediately!"

Professor Wu didn’t forget to instruct Li Jingsheng.

This was more about establishing authority.

Just to let Li Jingsheng know that in the orthopedic department, he has the ability to command Li Jingsheng to work, and to warn him not to be too arrogant, better to keep a low profile.

A rank higher in the officialdom crushes you.

In a hospital, superior doctors indeed have this position and power.

Of course, whether they can suppress truly outstanding young doctors is another question.

According to medical regulations and relevant provisions for rescuing critical and severe cases in hospitals, Li Jingsheng has no way to refuse in such a situation.

He straightforwardly stood up and went to the ward with them.

Just in time to see the emergency skills of Professor Wu and others.

Orthopedics rarely admits critically ill patients, because in a real situation, the patient is usually sent directly to the ICU. They only consider orthopedic surgery after the vital signs stabilize and meet surgical standards.

No orthopedic doctor would be foolish enough to admit a gravely injured or highly risky patient.

For the simplest rib fracture, if it leads to pulmonary edema, chest surgery will cost at least two hundred thousand yuan.

Facing older patients, doctors generally suggest tube drainage and conservative treatment.

What does this mean?

It means letting the rib heal on its own.

If the fracture is severe with displacement, it often heals in a deformed manner.

Li Jingsheng had just walked to the ward entrance and already felt the heavy, tense atmosphere.

An emergency situation generally involves the whole department rushing to the rescue.

Larger departments usually divide into groups.

If the group of doctors can handle it, they will do it themselves. If they can’t solve it, they definitely have to seek help from other groups.

"Professor Wu, the patient’s blood pressure is still dropping, and there’s a serious breathing problem!"

The intern in charge of the bed was almost crying from anxiety.

Faced with such an emergency, few interns can remain calm.

Many doctors in residency for two to three years still have trembling hands when performing a lumbar puncture.

The family members beside were crying anxiously.

The patient was a woman around forty years old, her face pale, beads of sweat continuously forming on her forehead, her expression very painful. Her breathing was heavy and rapid, and she was already in a state of shallow coma.

Her eyes barely open in a slit, the whole person already in a confused state of consciousness.

"What’s the blood pressure?"

"Systolic 78mmHg, diastolic 49mmHg."

The nurse reported the numbers beside.

The normal blood pressure range for adults is between 90-139mmHg for systolic, and 60-89mmHg for diastolic.

The above blood pressure is considered an ideal normal blood pressure.

Now both the high and low pressures of the patient are below normal values, indicating evident symptoms of hypotension.

In clinical practice, as long as the systolic blood pressure is below 80mmHg, it can endanger the patient’s life.

Now, the patient’s blood pressure has dropped below 80mmHg, which is an extremely dangerous signal.

"Two minutes ago, the patient’s blood pressure was still at 81mmHg, and it’s rapidly declining."

The intern supplemented on the side.

"I’ll check the leg wound first!"

Professor Wu opened the gauze on the patient’s knee, revealing the already sutured surgical wound.

It seemed that bone cement was infused into one of the knee bones.

Bone cement was introduced around the 1960s and began to be applied more widely in clinical practice in the 1980s. Our country’s clinical research in this area started in the 1990s, and it wasn’t until around 2006 that some hospitals began its clinical application with success.

Relatively speaking, it developed rather late.

Bone cement has the advantages of being low-cost, safe, reliable, stable in performance, and acting quickly.

Many bone disease patients can walk the day after getting bone cement.

For patients, this is certainly very beneficial.

However, as it’s a new technology, many patients themselves have concerns and doubts about using cement in their bodies, so its overall usage cases are not many.

This also means that the clinical application experience is not as abundant as imagined.

The Second Hospital, regarded as a large hospital, doesn’t have outstanding orthopedic treatment levels. However, in the last two years, its orthopedic business has seen substantial progress, largely attributable to the manual reduction outpatient services.

The reputation and influence it earned for the Second Hospital’s orthopedics are immeasurable.

However, the medical community is just like this now, truly skilled doctors are not given much regard. Those with impressive research papers and scientific achievements, on the other hand, receive better treatment from hospitals.

For instance, Doctor Xu, if not for being irreplaceable at the Second Hospital, would have been fired eight hundred years ago.