Human beings are complicated things. Nowadays, human beings can go to other places on the earth, but the level of understanding of human beings themselves, not only their bodies but also their thoughts, is still not good enough.

For example, now, the video equipment of the medical system seems to be unified. As far as Zhang Fan knows, the video equipment in several provinces is made by the same company.

It’s hard to say whether the equipment is advanced or not. Anyway, it feels to Zhang Fan like a village radio station in the 1970s and 1980s, with all the microphones and everything else being silly, big, black and thick.

For example, a microphone has a red button when speaking.

But now, the Roujiamo side was originally silent, but suddenly, the sound came out! Suddenly, I heard that internal strife broke out in the departments of Roujiamo Hospital.

Chasu heard this clearly. The people here at Chasu were not only the staff of Chasu Hospital, but also more than a dozen subject leaders from other provinces who came to teach at Chasu Medical University.

When everyone was stunned, the director of Roujiamo Hospital quickly apologized in the video: "Yuan Zhang, fellow academicians and experts, I just accidentally pressed the button. I'm sorry, I can't help it. We are just in the department."

During the indoor discussion, Deputy Director Zhou of the department got a little excited, sorry!"

After finishing speaking, he immediately turned off the microphone without waiting for anyone else to say anything.

Chasu didn't pay attention to the Roujiamo video at first. They all stared at the video, and then they saw, like a pantomime, Deputy Director Zhou's face was blue and he seemed to be questioning something to their department director, but he turned off the audio, and everyone also

can not see.

But now I only have one thought in my mind. Deputy Director Zhou is a little confused!

There is no way to say whether the director of Roujiamo did it intentionally or not. It is not illegal anyway, but Deputy Director Zhou is famous. He doesn’t have to wait until tomorrow. It is estimated that after the video conference is over, it will be spread all over the country.

yes.

As long as Chasu Hospital can use effective methods today, Deputy Director Zhou will be embarrassed in this industry.

Everyone understands that this is actually a conflict between departments, or even specifically a conflict between the chief and deputy directors. But who let the chief director of Roujiamo Hospital be a thief? When you look at the means, you don’t need to know the details, just this

The method is to crush the deputy director.

In the world of adults, there is no right or wrong. If you dare to jump, I dare to do something dirty. And this is definitely a deadly trick. Even if the position of director is vacant in the future, unless the patient transferred to Qinsu today really dies.

Otherwise, if Deputy Director Zhou wants to be a serious director, he will probably have to go to a private hospital.

Zhang Fan opened his mouth and was so surprised that he could only pretend not to hear it, but there was always a feeling in his heart, "It feels so bad!"

Moreover, he can't comment. Once he opens his mouth, he will join the war. He can't quarrel with the other party.

So, I can only pretend not to hear!

"Okay, everyone is here, let's start the consultation discussion for the three patients transferred from Roujiamo, two adult patients and one minor patient.

Yesterday, I passed by Director Yang of Sanchuan and Director Li of Capital Hospital..."

Just mentioning the name is a long list, but no matter how cumbersome it is, I still have to say it. If I don’t say it, people will definitely feel uncomfortable, and it may even affect the teaching of Chasu International Medical University.

"After the operation, the two adult patients are now out of danger, and their postoperative life conditions are currently stable. It is estimated that they will be discharged from the hospital and go home to recuperate in another two to three weeks.

However, the minor patients are not out of danger yet, and their blood oxygen saturation shows...

The current treatment plan for children in the tea ICU is...

The condition of the child under consideration is extremely rare. After careful consideration, the ICU director of our hospital and his doctors applied for consultation!"

As soon as Zhang Fan finished speaking, the doctors at Roujiamo stopped talking, and the noisy ones also stopped making noise, because the treatment plan of Cha Su seems to be very good so far, what else is there to do?

Everyone is in this field, and they know very well that once they apply for a consultation, it means that the doctor is not satisfied with the treatment plan.

But what else does this plan need? At Roujiamo, not only Deputy Director Zhou, but also several senior directors were eager to say something.

As a result, after reading the examination results and even several examinations, their hospital did not have them, and they did not know the specific indicators. Then after reading the treatment plan, they became completely quiet.

Because they couldn't modify it, it could be said that every word spoken on this occasion was recorded in the medical record. Wang Hong came to the meeting to take the meeting minutes in person.

This kind of special medical records will definitely be discussed at some annual meetings in the future. Instead of opening your mouth to say some nonsense and embarrassing it later, it is better to remain silent now.

After everyone thought for a moment, Zhang Fan started to roll call.

"Chasu'er Research Institute, please share your opinion."

The director of the Institute of Pediatrics looked at Academician Jiang and was about to open his mouth when Academician Jiang pressed his hand and said, "Let me speak!"

As soon as the old man spoke, a group of subject leaders who came to Chasu to take part-time classes were so surprised that they could swallow a goose egg in one bite.

Because this consultation is considered an official consultation.

Moreover, Zhang Fan was talking about the Pediatric Research Institute, and this was to allow people who could represent the Pediatric Research Institute to stand up and express their opinions.

But the old man was recruited by Zhang Fan as a temporary worker. Now if he represents the Children's Research Institute, does it mean that he will directly get the staff of Tea Su?

Zhang Fan was also stunned for a moment, but he immediately responded, "Okay, I'd like to ask Academician Jiang from the Children's Research Institute of Chasu Hospital to give his opinion!"

The old man curled his lips, even looking dismissive.

"Although the current plan seems to be relatively comprehensive and safe, it is conservative. The children are young and the medication window is narrow, but this is not an excuse for us not to dare to use medication.

It is now considered the time for perioperative surgery, but now looking at the patient's vital indicators, you think this seems to be normal.

It is indeed normal, and the liver and kidney functions are normal, but this indicator is maintained with drugs, and can only maintain a minimum level. What does this mean?

This means that our treatment is still not thorough enough. I suggest changing the treatment plan and giving high-dose hormone shock, or even giving hormone shock along the treatment window.

Now the children can still give us the opportunity to treat them. Once the system collapses, even if we want to provide further treatment, the physical condition will not support it.

My speech is over!”

The old man spoke very straightforwardly and did not mince words at all. He said one thing at a time.

After the old man finished speaking, the venue instantly felt like spit in a frying pan.

There was a lot of discussion with each other.

The Roujiamo side also began to whisper to each other: Such a large amount of medicine needs to be added, this...

That's what Old Man Jiang said. If he wasn't an academician, someone would probably stand up and criticize him.

Zhang Fan coughed twice.

“Let’s talk to the respiratory department!”

Lao Ju straightened his tie and originally wanted to wipe his hair, which was negligible, with both hands. However, seeing Zhang Fan's face turned ugly, he lowered his hands in embarrassment.

Then he opened his mouth, "I agree with Academician Liao from the Institute of Pediatrics!"

Zhang Fan nodded, feeling satisfied.

"However, I would like to make two more comments. Drugs that promote surfactant in the lungs must be given, because pulmonarysurfat, in which saturated dipalmitoylphosphatidylcholine is the most important PS phospholipid. Surfactant protein includes surfactant protein.

A (surfatprotein A, SP-A), B (surfat protein B, SP-B), C (surfat protein C, SP-C) and D (surfat protein D, SP-D). Among them, SP-A has the highest content in PS, accounting for 50%~

70%, SP-B is the most critical, accounting for 10%. SP-B and SP-C are small molecule hydrophobic surfactant proteins, which are mainly involved in the regulation of surface tension. SP-A and SP-D are macromolecule hydrophilic surface proteins.

Active protein, mainly involved in lung host defense function.

Our current medications are lacking in this regard. Once pulmonarysurfat is lacking, even the ventilator cannot be removed..."

A non-standard Mandarin mixed with a lot of English.

Zhang Fan had a headache after hearing this, but this guy really has something. Zhang Fan himself didn't even consider this!

Roujiamo was dumbfounded when he heard this, "This guy is from that country and he is so capable. Look at the nameplate in front of his table."

"Gumabek? Demao?"

"Check it out."

"I went to the local aboriginal village in Chasu. This guy pretends to be so awesome. He talks nonsense and starts talking nonsense when he opens his mouth. He has a ventilator to give him breathing-promoting drugs. He's so stupid!"

After Lao Ju finished speaking, Old Man Liao looked over specifically and nodded to Lao Ju.

Lao Ju was instantly proud and raised his head, thinking that this guy had a stiff neck.

Before Zhang Fan called his name, ICU boss Huang raised his hand.

Zhang Fan gestured, and Lao Huang stood up and stared at Lao Ju before he started: "This dose has been calculated. Severe patients, whose kidney function is already on the verge of failure, and because of large-scale skin damage, are now given such a dose."

medicine, I think the child will develop kidney failure.

Once kidney failure occurs, heart failure will follow.

Our current treatment will at least not cause kidney failure in the child. Therefore, I recommend continuing the current treatment and waiting for the child to recover."

There are many people who support Lao Huang.

Zhang Fan looked at it and was about to speak.

Ren Li pulled Zhang Fan.

In medical matters, if any disagreement arises, the family members should be contacted.

But the family members were already lying in the internal medicine department of Qiansu, and the old lady fainted after the operation.

Therefore, in this case, the only thing that can be done is the leadership responsibility system.

Ren Li said softly: "Do you think Academician Liao and Lao Ju's treatment plan is good?"

"right!"

"Okay, I think so too, let me announce it!" Ren Li looked at Zhang Fan.

"The dean is in charge, I'll do it..."

"I am a book, here I come!" Ren Li's fair face showed perseverance.

In fact, Ren Li was skeptical about both treatments, but there was currently no good solution. At this time, whoever gave the order was responsible, and she also knew that Zhang Fan could not make a mistake!

As for what she would do if something went wrong, she didn't think much about it.

"It's good for everyone to express their opinions. I hope everyone can maintain this medical spirit in the future. Based on the opinions of various experts, I decided to immediately change the treatment plan and use the plan of Academician Liao and Director Ju. I will implement it immediately. I will sign the medical records and meeting minutes!

"

After Ren Li stood up, she looked at everyone with a cold wind on her face!

Those who originally had objections stopped talking when they heard this. It was like the final trial of the Supreme Court. In terms of the treatment of children, this meeting was equivalent to the end!
Chapter completed!