The person He Tianqin mentioned was Bed 19, and Huo Zhiye, who had helped apply for the help fund before, was helping Huo Zhiye. Of course, he did not explain in detail to the patient, only said that it was possible to succeed, but the probability was not high. After all, the chance of successful application for help with the help of the fracture was very low, and he didn't even expect anything to report himself.

It was also Wang Pingshi's own condition that helped him a little. The compressed vertebrae had serious shape changes, and the kyphosis compressed the nerves in the spinal canal. In this case, it is very likely that this change will continue to aggravate without surgery, and eventually cause serious spinal cord injury.

The result of having money to treat and losing money has formed a sharp contrast, and has become an important bargaining chip for getting funds for helping the needy.

Of course, all this is based on the correct diagnosis of the disease.

If the real cause behind this is not taking hormones, Wang Pingshi continued to stop taking hormones, but the bones in other parts are still being damaged, then the significance of this operation will be different.

If the cause is not eliminated, if this compressive fracture is present, there will be a second, third, and fourth time... Huo Zhiye cannot solve them all with just one operation. As long as the original cause is not ruled out, each vertebrae will be the culprit of compressing the spinal canal after the next compressive fracture.

In this case, the patient's prognosis is extremely uncontrollable. If the cause is not ruled out for a day, the long-term benefits of the surgery are nearly 0.

If Wang Pingshi's condition is really the same as Qi Jing thought, then it would be a bit unreasonable to give the money to Wang Pingshi for surgery. On the contrary, giving the money to the serious patient in Lao Qian's hand might be able to take a try. Even if the success rate is less than 20%, it is better than wasting it.

Of course, Qi Jing was not interested in the flow of financial resources in the First People's Hospital.

He was just worried that if Wang Pingshi made a wrong judgment on the condition of the disease and rekindled the hope of cure, it would have problems and big problems. Maybe he would have turned Qi Jing down for a long time after the operation.

Without the patient's own support, the difficulty of diagnosis will suddenly increase.

On one side is the internal assistance fund of a public Grade tertiary hospital, with the deputy director leading his own group in charge, and can be treated directly. On the other side is the strange combination of the young doctor, the rich young master. He has only met once and has no conclusion on the condition.

By comparison, it is conceivable which one is better or worse.

Throwing the empty lunch box into the trash can, Qi Jing burped gently, looked at the surgical building not far away through the window, and said lightly: "It seems that I have to go back..."

"Xiao Qi, why are you interested in fractures?" He Tianqin asked with a smile, feeling a little incredible.

"Oh, I recently had a patient with low back and abdominal pain. I had a negative electrocardiogram test. I had no tear on the aorta of the thoracic aorta. I had no other symptoms of urinary stones and digestive system." Qi Jing explained with a smile. "Later, after X-ray, I found that it was a compressive fracture of the lumbar spine. The pain radiated to the lower edge of the sternum and the upper abdomen, and there was no one else."

“That’s right…”

"So I want to go to orthopedics to see it and add some knowledge about compression fractures."

Qi Jing said it seriously. In the eyes of the two interns, there was no problem. It was not bad for the internal medicine doctors to learn more about the surgical content in order to work. But after hearing this, He Tianqin always felt that it was strange, and he couldn't tell what was wrong.

"Do you have many white coats?"

“Yes, there are a lot of hanging in the lounge.”

"Then lend me one." Qi Jing smiled, "I'll give it back to you in the afternoon."

After a while, he changed into a clean short-sleeved white coat in the room the size of a palm, and his figure and model were just right. After Qi Jing put on the white coat and left the emergency room, He Tianqin slowly realized.

"Director He, what's wrong with you?"

"Isn't it normal for internal medicine doctors to have some understanding of orthopedics?"

He Tianqin also thought this was the reason, but this kid overturned too many seemingly reasonable phenomena. Inadvertently, using common sense to explain it with ordinary people will make people subconsciously feel unreasonable.

At this time, Xu Jiakang finally returned to the office and prepared to take a rest: "This patient is so amazing. He vomited 500 when he comes, and he can't stop it. Now it's under the ice and salt water, but I guess he still has to vomit in the afternoon."

"How about vital signs?"

"It's okay for the time being." Xu Jiakang stretched and poured a glass of water beside the water dispenser. "Eat, work will start after eating. Xiao Zhang, all the prescriptions will be solved by Xiao Wang later. You can help me with the ICU."

"Yes, OK."

"Fortunately, this patient was delivered quickly. If it were half an hour later..." Xu Jiakang said as he walked to the desk and suddenly found that the stack of medical records disappeared. The words in his mouth stopped abruptly. "Where is the medical records on the desk? Where did you go? Who has seen them?"

"Medical record?" An intern obviously had an impression and quickly replied, "That pile of copy paper was taken away by the teacher Qi just now."

"Qi Jing?"

"Yes, it's him!"

He agreed to help others keep things. If they just lost out of thin air, they would definitely be scolded by Qi Jing. Xu Jiakang could not afford it. Fortunately, he didn't lose the things. After hearing this, he breathed a sigh of relief and sat at the table and picked up the lunch box.

Xu Jiakang took two mouthfuls of cold food into his mouth and asked casually: "Is the person leaving?"

Xiao Zhang nodded: "Well, I just left, I said I was going to orthopedics to learn the relevant knowledge of compressive fractures."

As soon as Xu Jiakang heard this, his brows frowned suddenly. He was about to swallow the food he had in his mouth and sprayed it out in one breath: "What? Cough cough cough, cough, what did you say just now?"

The intern was startled and didn't know what he said wrong, and replied timidly: "He went to orthopedics..."

"I know I went to orthopedics, and then?"

"Let's learn about compressive fractures."

"You said he went to study? What a joke? Do you think he is an intern like you!" Xu Jiakang wiped his mouth and looked back at them, "I can tell you a compressive fracture thoroughly. Will he not know? Still going to study?"

"Teacher Xu, don't be nervous." Xiao Wang, who was standing beside him, quickly explained, "This is what he said himself..."

"Who is nervous, I'm not nervous!"

Xu Jiakang's strength, who is urgent in the first hospital, is visible to all hospitals.

The clinical diagnosis ability has even reached the level of the main treatment, and he usually considers himself very high. Unless he is a deputy senior, he will not take anyone seriously. Just Qian Boyao, deputy director of the Department of Neurology, who just came down, must call out to Teacher Qian when others see him, but when he sees him, he just shouts "Old Qian" and says hello.

If it is a consultation normally, if Xu Jiakang calls, the consultation will be at least at the main level. Even if the level of an ordinary senior inpatient institution is above half a level higher than that of him, there will still be a gap in the level and his strength is not equal.

The interns saw these little things and had long been used to them.

But now he has just come to a resident doctor from an external hospital, but Xu Jiakang's attitude towards treatment has changed 180 degrees. Not only did he greet him with a smile, but he actually showed a student-like appearance and listened quietly there, not as if he was not willing to give in.

"I was wondering why Xiao Qi suddenly became modest today. I always felt strange." He Tianqin took a sip of tea and said with a smile, "It's good to go to the orthopedics to take a look, which can increase your vision."

Xu Jiakang remembered the medical record taken away by Qi Jing and shook his head gently: "It would be fine if he went to see and chat. I'm afraid he would be unkind."

"Hmm? Did he go to the gym?"

"I hope he can have a good talk." Xu Jiakang sighed, "but once this guy becomes modest, there will be no good things."

"This is true." He Tianqin actually nodded, "He was too modest when he asked him for an examination and question after medical examination before. In the end, he played a few of us old bones all over the place and listened to his play for more than an hour."

The more the two interns listened, the more confused they became: it became a derogatory term to press the humbleness on this person?

"Teacher Xu, where is your backbone?"

"Yes, Teacher Xu, you have changed."

"What kind of backbone? What has changed?" Xu Jiakang didn't understand at first, but then he realized what they meant after thinking about it. He quickly lifted his feet and kicked them in the butt, "It's your ghost! Quickly copy the prescription, and I have to work in the ICU when I have a good meal!"

......

Now is the time for doctors to have lunch and have lunch break.

Although surgeons are very busy and have constant surgeries, the selected surgery arranged will preset the surgery and corresponding rest time, considering lunch break. Therefore, most doctors will finish the surgery before 12 o'clock, go back to the office to have a meal and rest, and prepare for the afternoon surgery.

Due to experience and habits, doctors have various ways to take lunch and everything.

The most common ones are closing your eyes and resting, sleeping, lying on the table, lying on the sofa, and sleeping in the lounge have become the three most common types. In addition to sleeping, reading books, reading newspapers, taking a walk, and even asking patients' families to watch TV, surf the Internet, and chatting with young nurses are all very good ways to entertain.

However, at noon today, led by Huo Zhiye, a doctor's office of the orthopedic doctor arranged a discussion of intra-department cases. The topic was the analysis of Wang Pingshi's condition, differential diagnosis and follow-up surgical plan of bed 19.

The matter came very suddenly, which made the eldest director Xie Zongpei a little puzzled: "What's wrong with this 19 bed?"

"Oh, the fund for helping the trauma has been approved. The operation time is set the morning after tomorrow." Huo Zhiye looked at Wang Pingshi's medical record and said with a smile, "The patient's illness is a bit long. I just want to hold another discussion meeting before the operation and listen to everyone's opinions."

"I thought something happened in bed 19. Didn't it discuss it before? Why did you need to discuss it again?" Xie Zongpei took Wang Pingshi's medical record and flipped it up, "Old Huo, when did you become so cautious?"

Huo Zhiye just smiled and didn't say much.

In fact, when Wang Pingshi was just admitted to the hospital, the orthopedics department made some time to discuss it in a brief discussion when he handed over the shift early. The result was that the osteoporosis caused by hormones was passed, and there was no objection.

But the phone call last night made Huo Zhiye notice a little uneasy.

The young man had a bad attitude, but the angle of the question was very tricky, and each of them fell into the unknown area of ​​Huo Zhiye. These questions were like sharp thorns that were rooted in his heart. The more he thought about it, the more uncomfortable he felt, but he couldn't pull it off. If Wang Pingshi was automatically discharged from the hospital, he could adjust his mentality in time and focus on other patients.

After a long time, I forgot.

But now that the funds are in place and the 19th bed can be operated, everything will have to be finalized.

Case discussion is an important part of clinical work, which can deepen the understanding of the patient's condition, and at the same time integrate the clinical ideas of doctors in the general department to give the patient the best diagnosis and treatment plan.

Doctors discuss the condition, while interns mainly listen to and do some miscellaneous work.

The general miscellaneous work is to copy medical records on a white writing board and state the patient's disease development history. Just like the consultation and discussion for Ji Guanghao, Qi Jing reported the medical history, while Hu Dongsheng was responsible for copying the records.

However, surgery also requires a large number of imaging examination reports. If necessary, slides and readers must be used. After all, it is better to present some images with this kind of thing.

In this discussion, Huo Zhiye didn't want to be so troublesome, just ask someone to copy a medical record and report the medical history.

Because it was a temporary start, many interns would go back to their dormitory to rest on lunch break, and not many people stayed in the department. Huo Zhiye could only call two good-looking students and become temporary workers for him.

One was Xiao Shi, the intern on duty, who happened to be a member of his third group. He had some understanding of the patient's condition and became a medical history reporter. The other was Huo Zhiye met by chance in the corridor. He looked pretty good, but he was a little bit disgusted.

"Which group are you from?"

"The second group."

"The second group..." Huo Zhiye seemed disappointed, but he knew that the requirements should not be too high at this time, so he handed over the medical record of the 19 bed in his hand, "Do you know the situation of the 19 bed?"

"Oh, I know." The intern took the medical record and quickly replied, "It is a compression fracture of the spine caused by long-term hormone treatment. You will be discharged from the hospital in two days."

When Huo Zhiye heard the darkness of the willows, he quickly nodded and praised: "It's not bad, I understand it very clearly."

"I just finished my shift two days ago and I still have some impression of the patient." The intern seemed very modest. He opened the medical record and suddenly found a change in the treatment column inside. "Teacher Huo, is this patient not discharged from the hospital?"

"Well, I'm not discharged from the hospital for the time being." Huo Zhiye explained briefly and took him into the doctor's office. "Let's copy the medical records first and copy the patient's main medical history."

At this time, there were many people sitting in the doctor's office, many of which were rare orthopedic surgeons. The case discussion itself is different from early shift shifts. Listening alone cannot solve the problem. Everyone's eyes must be on the record board and the medical history reporter.

This puts huge psychological pressure on the interns.

Xiao Shi had never done such a job. As soon as he came on stage, he felt so heartbroken by the doctors in the audience. As a result, the report content prepared in his mind was wiped clean. As a last resort, he could only ask the "colleague" who had just entered: "Can you lend me the medical records in your hand? You can return them to you after a few glances."
Chapter completed!