In the provincial capital, Jiamei large-scale cosmetic hospital stands in the night, like a crystal carving, with a high-end atmosphere.
Unlike the busy and noisy large class III hospitals, Jiamei looks more like an ideal hospital. Quiet and beautiful, with a little indifference.
At night, Ren Haitao began to small polo, came to the parking lot, found a parking space and got off in a hurry.
One of his friends, Li Qinghua, also an anesthesiologist, resigned a few years ago and came to work in Jiamei. Ren Haitao just received a call from Li Qinghua, saying that a patient was in poor condition after operation and wanted to see him.
For the treatment of postoperative medical malpractice, there is still a difference between private hospitals and public hospitals.
Although most of the leaders of public hospitals don''t work, the management of private hospitals is more meticulous and definitely more inhuman than those who are not human leaders in public hospitals.
But after all, this is a money making business, and we all understand it. Because of this, the pace of doctors quitting to go to private hospitals is not so fast. Otherwise, there would have been no public hospitals in the country and private hospitals everywhere.
Jiamei is good in private hospitals, unlike many small private hospitals, which mainly take hedging as the main profit model. Jiamei has big capital behind it. At the beginning of its establishment, several big hands of plastic and cosmetic surgery were transferred from the magic capital, and soon occupied most of the beauty market in the provincial capital.
Ren Haitao''s classmate was poached by high salary.
Ren Haitao doesn''t know how much money he earns in a month or every year, but it must be a big figure.
Otherwise, Li Qinghua is already a deputy director of the provincial cancer hospital. It is possible to sit three, two, or even one. He will never resign to a private hospital if he gives less money.
When they went to school, they lived in upper and lower bunks. They had a good relationship. They often met and drank wine.
Li Qinghua also advised Ren Haitao to resign. Public hospitals have no future and have to be pointed out to earn some money. See how well private hospitals advertise - earn money in the sun and directly reach the peak of life.
Ren Haitao also knows this, but he is a natural person who is not sensitive to money. Under the condition of ensuring life, he is more willing to "play".
Improving technology is a kind of entertainment for Ren Haitao, and the happiness he obtains from it is far more than making money. In terms of technology, Ren Haitao''s level is so high that director Xu of the second hospital of Medical University has always been on guard against him.
When Li Qinghua encountered a difficult thing, the first thing he thought of was to look for Ren Haitao.
This kind of life and death, no matter how good it sounds, it''s useless. What we need is to find someone to solve the problem.
Ren Haitao doesn''t care how luxurious Jiamei''s inpatient department is, nor does he care that it is actually a large money printer, and its annual profit is not even worse than that of several affiliated hospitals of Medical University.
He has been pondering over what Li Qinghua said.
The patient is a 19-year-old girl who has covered the sky since childhood.
Tooth ground wrapping refers to that the upper anterior teeth are staggered at the back of the lower anterior teeth, the anterior teeth have no occlusal function, and the upper alveolar and upper lip retract. It is commonly known as "pocket teeth" or "pocket teeth". It is one of the common developmental deformities of teeth and jaw.
As girls get older, it becomes more and more important that the earth and sky affect their beauty.
Even if you have to endure the pain of surgery, you should eliminate this unsightly form.
In fact, Baotian doesn''t have much impact on people, except that there is a problem with the occlusion of the front teeth, but compared with beauty, it''s not a problem to get a few knives for surgery.
It''s hard to imagine that those charming girls dare to bear the pain of scraping and healing just to look good.
Today, the patient was performed under general anesthesia - LeFort type I osteotomy and rotation forward migration of maxilla, sagittal split forward migration of bilateral mandibular ramus, partial resection of bilateral mandible, partial resection of left maxilla, correction of nasal septum, bilateral anterior nostril plasty and upper lip frenulum plasty.
We can imagine how many swords and hardships we have to take in so many movements.
For a bad old man like Ren Haitao, this kind of operation is meaningless. But then again, this kind of operation is so high-end that no one can do it in the first, second, third and fourth medical universities in the provincial capital.
Jiamei''s technical level is really high. Ren Haitao also wants to see what happens to patients after major surgery in the Department of Stomatology.
After contacting Li Qinghua, Ren Haitao got on the elevator.
The elevator of Siemens is quiet and fast. There are few people, such as jianxie hospital.
Out of the elevator, Li Qinghua said with a gloomy face and a bitter smile, "Lao Ren, I''m sorry to toss you around."
"I glanced at the data. What''s the patient doing now?" Ren Haitao asked.
"I sent you the operation method. The operation lasted 8 hours, with 500ml intraoperative bleeding, 3150ml urine and 4000ml rehydration."
"The patient was transferred back to the anesthesia and resuscitation room at 18:40. After entering the room, the patient was evaluated: steward''s awakening score was 3, the patient was able to breathe and responded to stimulation; the respiratory tract was unobstructed, the nasopharynx airway was preserved, the nasal catheter was given oxygen, 4lminl, and the pulse oxygen saturation was 89% ~ 95%; auscultation of bilateral lung breathing sound, the respiratory sound of the left lung was coarser than that of the right lung; the ECG showed regular rhythm, normal waveform and heart rate of 118 ~ 12 7 points. "
"There was a slight laryngeal spasm during extubation, but the problem is not big. I think it is transient. Now the condition is stable."
Li Qinghua quickly walked into the ward while talking to Ren Haitao about the patient.
"After returning to the ward, the patient shivered severely, his body temperature was 35.9 ℃, his limbs were cold, his extremities were pale, and he was kept warm.
At 17:10, SpO2 suddenly decreased to 80%, and the patient was immediately given ventilator assisted oxygen with an oxygen flow of 8lminl.
The patient''s SpO2 increased to 97% ~ 99%, the blood pressure was 24.1 ~ 25.111.7 ~ 12.5kpa, the respiratory rate was 36 times, and a little pink bloody fluid was pumped from the patient''s mouth and bilateral nasal cavities. "
"Lao Ren, the patient didn''t have heart failure before operation. I think it''s like the manifestation of acute pulmonary edema. But the amount of fluid in and out is almost the same. I didn''t give a lot of fluid. I''ve always paid attention to this."
Ren Haitao nodded. It really didn''t look like a complication caused by too much liquid.
In some operations, anesthesiologists and operating room nurses don''t care or don''t force the number at all. They give the liquid directly to the maximum, and then... There''s no next. It''s normal to have heart failure in an older patient, but this patient is not in a similar situation.
At the age of 19, the body function is the best time. How much liquid do you have to give in order to have heart failure.
"Lao Ren, please help me. I really don''t know what''s going on. Now I can only give symptomatic treatment. Fortunately, the patient''s state looks stable. But even if the patient''s state suddenly becomes worse, I don''t know how to treat it." Li Qinghua held his glasses and said almost in a pleading tone.
"I''ll take a look." Ren Haitao frowned and mused.
Expectoration, cardiopulmonary function problems, 19 years old