Since 1981 Health School
Chapter 681 Seeking help from mainland doctors
The paper is theoretical in nature and the language is concise and concise. It only highlights and expresses the most important, exciting and creative content of the research work.
The paper only states new solutions or forms new explanations, new arguments, and new theories. There is no description of the general research process, and there is not too much specific material.
Clinical diagnosis and treatment guidelines or clinical pathways will clearly describe a disease from diagnosis to treatment.
For example, what kind of examinations should be done, what is the significance of the examination, what kind of medicine should be used in what kind of situation, what the medical theory is, etc. are all clearly written down.
Now with only papers, doctors at Sanatorium \u0026 Hospital only know that there is a new treatment option that can treat patients with extensive burns and that it can be successful.
But the paper didn't teach them how to treat it, which would be fatal.
Usually medical staff read papers, do research, think about it, and then integrate it into their own clinical practice and slowly sum up their experience.
But now it is an emergency, and there is no time for everyone to savor it. The patient is lying there, his life hanging by a thread. The doctors at the Sanatorium and Hospital urgently need to know how to treat the next step, how to use medicine, and how to prevent complications.
All this seems promising, but there is no hope.
Doctor Lin Fuhe suppressed the irritability in his heart and said:
"Now is not the time to be doubtful. We should fully trust the authority of the New England Journal of Medicine and Surgery and The Lancet. Since they dare to publish it, it means they have consulted professional doctors and had professional appraisals.
The problem now is that Yuezhong Hospital is a hospital in the mainland. To be honest, I have never heard of this hospital. I don’t know where Yuezhong is, but we must find them. This may be Mr. Ke’s only chance. Chance of survival. "
In 1990, Hong Kong had not yet returned. Cross-Strait relations were de facto relations between the two countries, and exchanges were not frequent. This can be seen from the flights.
If it were a later generation, the Sanatorium and Hospital could have found the contact information of Yuezhong Hospital on the Internet, and then solved the problem with just one phone call.
Now it is very troublesome. The Sanatorium and Hospital must first report to the Hong Kong Health Department, the Health Department then reports to the Chief Secretary, the Chief Secretary then entrusts it to Xinhua News Agency, and then Xinhua News Agency reports to the central government, and the mainland contacts them level by level, all the way to Vietnam. Until the Traditional Chinese Medicine Hospital.
This time, for the sake of the top ten richest people, two days have passed.
Ke Rongwei's rescue work has fallen into a comprehensive dilemma. Due to excessive fluid replenishment in the first 8 hours of the first day, Ke Rongwei not only suffered from edema all over his body, but also developed obvious symptoms of pulmonary edema and heart failure.
The debridement work on the body was also not smooth. For example, the scab removal process caused the patient to repeatedly fall into painful shock, and general anesthesia was not possible. This obviously gave the doctors at the Sanatorium and Hospital a headache.
Everyone knew in their hearts that Mr. Ke would definitely die if he continued to be treated like this. However, the Yuezhong Hospital, which had placed hope, has not responded.
The doctor was anxious, and Ke Chengji was even more anxious. Seeing his son's body covered with tubes, and thinking about how he happily called him daddy the day before, old man Ke burst into tears.
Just when everything was unpredictable on the other side of Xiangjiang, the call finally came to the Vietnam Traditional Chinese Medicine Hospital.
Lao Guo answered the phone.
"What, Xiangjiang Hospital is asking for our medical support? Is there such a good thing?"
Lao Guo squeezed the microphone excitedly:
"Really or not? Has the name of our Yue Traditional Chinese Medicine Hospital spread all over Xiangjiang? The doctors in Xiangjiang have been deeply impressed. Do you still need us to guide and guide? Support and support? Hahaha, this is really fucking Feng Shui. Take turns."
On the other end of the phone, the relevant leader of the foreign affairs department was quite speechless:
"Comrade Guo Yuanhang, the people of Xiangjiang are also our compatriots. Now that our compatriots are in trouble and have sent us a distress signal, of course we have to shoulder our responsibilities and view this medical assistance from a political perspective. This is related to whether Xiangjiang can return smoothly. A great event that has reached the bosom of our motherland.”
Lao Guo curled his lips inwardly. Does treating a rich man have anything to do with his return plan? It will really go online.
But he still insisted on obeying: "Good leader, our Vietnam Hospital of Traditional Chinese Medicine is always on standby to support the compatriots in Xiangjiang."
"Okay, now the relevant departments instruct your Yue Zhong Hospital to immediately dispatch elite soldiers from the burn surgery department and set off for Xiangjiang immediately. Please report to us the list of people who are going to Xiangjiang, and we will expedite the processing of passes for you immediately."
"Good leader, we insist on obeying the arrangements of our superiors. Hey, wait, I remembered that our director Chen Qi of Yue Traditional Chinese Medicine Hospital is also the founder of the Burn Surgery Department. He is holding a meeting in Xiangjiang. Should Xiangjiang be asked first? Find Dean Chen Qi?"
The leader on the other end of the phone became excited after hearing this:
"What a coincidence. Comrade Chen Qi is in Xiangjiang. This is good and this is good. We will report the situation immediately. By the way, is Comrade Chen Qi going to Xiangjiang for tourism or business?"
"He, he went to participate in the establishment of the new International Society for Aesthetic Plastic Surgery ISAPS in the name of the director of the ICPF society. Of course, I don't know which guest house he lives in. This needs to be found by Xiangjiang itself, and we will also expedite it. Send someone here.”
"Okay, thank you to the comrades of the Vietnam Traditional Chinese Medicine Hospital. I hope you will bring glory to the motherland."
Mandarin Oriental, Hong Kong, large conference hall.
Professor Dewey, the chairman of the conference, said into the microphone:
"Now I welcome Dr. Chen Qi from China to give a lecture on "Plastic Repair of Head and Facial Burns". Dr. Chen Qi is the former director of ICPF and has very rich experience in plastic surgery. He has invented more than 12 new plastic surgery techniques so far. Mode.
Among them, Dr. Chen Qi’s cleft lip and palate repair skills have now reached the level of the first person in the world. For example, the autologous cartilage transplantation rhinoplasty that is widely used in clinical practice was invented by Dr. Chen Qi. Next, we ask Dr. Chen Qi to give Great speeches we brought. "
The 500 plastic surgeons from all over the world applauded collectively.
Many doctors are talking about it. Apparently even high-end medical experts like to gossip.
"Hi, did you know? This Jack Chen is not only a director of ICPF, but also a director of the WGO Society, and also the vice president of WEO."
"Wow, that's impossible. This gastroenterology department is completely different from our plastic surgery department. How did Jack Chen manage to cross disciplines and specialties?"
"This Chinese doctor is so young, he is really a genius."
"I heard that his knife-throwing fee is among the top, with an average cost of 80,000 US dollars. It's very impressive."
At the guest table, Dr. Wu Dongyao, a plastic surgeon from Heung Kong Sanatorium and Hospital, his eyes lit up after hearing Chen Qi's name.
He also knew about Ke Rongwei’s emergency treatment at Sanatorium \u0026 Hospital after his car accident. As a plastic surgeon, he also participated in multidisciplinary consultations.
Moreover, he also knew that his own hospital could not handle such a large-area burn case, and was actively seeking help from the Mainland Yuezhong Hospital. At that time, Dr. Wu Guangyao heard that it seemed that the director of the Yuezhong Hospital was also named Chen Qi.
There can't be such a coincidence in the world, right?
Wu Dongyao quietly withdrew from his seat and came to the secretariat of the conference next to him, asking for a copy of Dr. Chen Qi's personal information and introduction.
At this time, Chen Qi's speech had already begun. As soon as the slides on the big screen showed pictures, the scene was filled with uproar.
"I just heard many colleagues exclaiming. As a professional plastic surgeon, what kind of patient has I never seen? But many people can't help but exclaim when they see this photo. This shows that this face It was very badly burned.
This is a 6-year-old girl. When I first met her, she had been lying at home for a full month because her family was too poor, without any treatment. Her face did not look like this at that time. It is smeared with a thick layer of pot bottom ash and some Chinese herbal medicine.
When we cleared her, we saw a face like this on the big screen, with erythema, blisters, eschar, and scar tissue formation. Look here, the little girl’s nose was almost melted by the fire. Two nostrils were exposed.
You can imagine, if you accepted such a patient, what would you do? "
The participants in the conference room are all top plastic surgery experts from various countries. Of course, they understand the difficulty of this type of head and facial plastic surgery.
This difficulty can be described as the ceiling of plastic surgery.
Because if you want to perform plastic surgery on such a face, it means completely rebuilding the face. Skin grafting, hair transplantation, fillers, etc. are definitely a big project.
Many doctors sitting here are asking themselves, if it were them, would they dare to accept such a patient?
the answer is negative.
With such a face, it is almost possible to give up treatment at all. As long as it can save life and restore function, it can no longer be extravagant to be beautiful.
Chen Qi waited for everyone to finish talking and continued his speech:
"Post-burn deformity manifests as tissue loss, displacement or proliferation. Therefore, different surgical methods should be selected according to the specific conditions of the patient. In principle, tissue reduction surgery is used for patients with tissue displacement;
If there is excess tissue, tissue resection should be used; if the tissue is missing, tissue transplantation should be used. The selection of treatment methods should take into account the recovery of postoperative function and appearance, fully consider the patient's gains and losses, and obtain the best surgical results at the lowest cost.
For functional and exposed deformities, various types of flaps have the best restorative effect. When selecting, priority should be given to local flaps and adjacent island flaps, followed by distal flaps, and finally those with anastomotic blood vessels should be considered. Free flap.
For non-functional and exposed parts, the preferred wound repair method is skin grafting, followed by various types of skin flaps. The advent of skin and soft tissue expansion provides a new means of reconstruction for post-burn deformities.
On the premise of ensuring function and appearance, the patient's injuries and postoperative secondary deformities are significantly reduced. The disadvantage is that it increases the number of operations and treatment time, so it should be given priority after taking into account the patient's individual situation.
Regarding the selection of donor sites, the following principles should be taken into consideration..."
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