Rebirth of Medicine Practices the World

Chapter 45 Determined to give it a try

Ling Xiaoyun is definitely not a simple woman, she has played with the power in her hands.

Of course, Lin Lin had experienced such a situation in her previous life, and if she repeated it now, he would have plenty of ways to deal with her.

Lin Lin and Li Yun'e were in the outpatient department at the same time. At this time, the hospital's leaders did not pay much attention to the Department of Neurology. The outpatient department only had a small consulting room with two consulting tables placed together, and the two doctors sat face to face.

In her previous life, Lin Lin had been sitting on the bench for almost half a year. During these six months, Lin Lin re-read neurology and neuroanatomy. Lin Lin always believed that no matter what environment she was in, as long as she did not give up, there would always be hope for life.

Although Lin Lin was very confident in herself after her rebirth, her patients still adhered to the concept of "old doctor, new tailor". In the first month of the clinic, there were only a few people who were willing to see Lin Lin.

One morning just after nine o'clock, Lin Lin, who was immersed in reading, received a call from Sister Ding from the ward.

"Dr. Lin, the director asked me to inform you to return to the ward immediately to rescue a seriously ill patient."

"Is it heavy?"

"Well, it's really heavy. Come back quickly."

"Okay." Lin Lin believed in Sister Ding. Moreover, Lin Lin could hear a little helplessness in Sister Ding's tone.

Returning to the ward and walking into the doctor's office, Lin Lin saw that all the doctors were discussing the patient's condition in the office. Seeing Lin Lin coming back, Ling Xiaoyun said to Ding Feng: "Doctor Ding, please briefly introduce the patient's condition."

"Okay." Ding Feng is very serious and responsible in treating patients. Besides, she believes in Lin Lin and hopes that Lin Lin has some clever tricks to save this patient.

"The patient, a 26-year-old male, was rushed to our department from the Nanhai Oil Company Medical Station at 8:30 this morning because he suddenly felt short of breath."

"The patient developed symptoms such as low fever (37.6°C), dry throat, runny nose and other symptoms ten days ago, and was treated as a 'cold' at the unit's medical station."

"About a week later, the symptoms of dry throat and runny nose disappeared, and the patient began to feel general fatigue. The unit's medical station believed that the patient might be weak after a cold, so he was given an intravenous infusion of amino acid injection."

"Starting from yesterday afternoon, the patient felt a little labored to breathe, but it was not serious and no special treatment was given. This morning, the family found that the patient's labored breathing was more obvious and immediately went to the unit's medical station for treatment."

"The doctors at the unit's medical station believed that the patient's diagnosis was unclear and the condition was progressing rapidly. They could not conduct further diagnosis and treatment, so they immediately sent him to our department by ambulance."

"After the patient was admitted to the hospital, his condition deteriorated rapidly, his breathing became weak, and his face began to turn cyanotic. Under the guidance of the director, he immediately asked the otolaryngology department to perform a tracheotomy and use a ventilator to assist breathing. Although the cyanosis situation improved, the patient seemed to feel

it's painful."

"The patient's unit, our hospital, and our department all attach great importance to it, carry out rescue efforts with all their strength, and organize discussions among the whole department. My report is finished."

Lin Lin had experienced this case in her previous life. At this rate of progress, in 2022 before her rebirth, with the maintenance of artificial respiration and through the stage of ventilator failure, there might be hope for a successful rescue.

In her previous life in 2000, Lin Lin successfully rescued a similar case. At that time, they used an imported ventilator to work continuously for thirty-five days, setting a record for the longest continuous working time of this brand of ventilator.

This brand of ventilator supplier is a typical example and is introduced at various promotion meetings.

There are not many domestically produced ventilators in the current affiliated hospitals, let alone imported ventilators.

At that time, the technology of domestically produced ventilators was not mature, and they did not even have a standard parameter setting. It was impossible to rely on such a ventilator to maintain breathing for a long time.

Seeing the reappearance of the scene from his previous life, Lin Lin, after rebirth, knew that he was not omnipotent. Without a "sharp weapon" to rescue patients, there was nothing he could do.

But with decades of clinical experience, Lin Lin still wanted to give it a try to see if she could break the "curse" of her previous life.

"Dr. Lin, this patient is only 26 years old. He is a top student at Huazhong University of Science and Technology and a pillar of the company. His son is not yet one month old. It is really sad to be in this situation. I know you have a lot of ideas. Please tell me.

What’s your opinion?”

"Thank you, director, for your trust. What Dr. Ding just said about this patient is very clear. First of all, I think everyone has no objection to the diagnosis of this patient. This is a patient with acute Guillain-Barré syndrome."

"The most frightening thing is that this patient's condition progressed very quickly, which shows that the patient's autoimmune response has activated inflammation in his body and formed an 'inflammatory storm' effect, which is very scary."

"In the short term, it is impossible to quickly repair the patient's damaged nerve myelin sheaths. This means that the maintenance of artificial assisted breathing is very important and is the only way to maintain the patient's life."

"This kind of assisted breathing must not only maintain, but also keep the patient's internal environment in a normal state. This is an impossible task for our hospital and our department."

"With our current ventilator, it is possible to blow it for a short period of time, but it is absolutely impossible to blow it continuously for 24 hours. Otherwise, the patient's electrolyte and acid-base balance will be disturbed, and carbon dioxide retention will be very obvious. Just this point alone

, can kill the patient."

"Doctor Lin, do you have any good ideas?" A crying, urgent voice sounded from a corner.

Lin Lin looked around and saw a strange female doctor who was nearly fifty years old and wearing a white coat talking. Her eyes were full of anxiety, pain and fear.

"Dr. Zhang, wait a minute and listen down. We also want to hear Dr. Lin's thoughts." Director Ling stopped the doctor's interruption in time.

Lin Lin sighed softly and continued.

"Whether a patient can save his life today is closely related to whether he can maintain normal breathing, maintain normal blood oxygen saturation, and maintain a stable internal environment. And these ultimately return to the maintenance of breathing."

"So, I have an idea that I would like to put forward for everyone to discuss." At this point, Lin Lin paused. The office was extremely quiet, and all eyes were fixed on Lin Lin.

"We adopt the method of alternately pinching a rubber ball and briefly using a ventilator to maintain the patient's breathing. Of course, doing so faces several major problems."

"First, it takes at least a month to repair the nerves of patients with Guillain-Barré syndrome. And this patient will definitely need a longer time. Can we have enough manpower to do this for such a long time?

?”

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