Approaching seven o'clock in the evening, an ambulance roared in, rushed into the gate of Jiangzhong Hospital, and stopped at the entrance of the emergency department outpatient building.

The ambulance was an ambulance from Dingjiang City Hospital, and it took seven hours to drive this way, and the doctor from Dingjiang City Hospital was accompanying it.

Dingjiang City is not under the jurisdiction of Jiangzhou Province, this way is a boasting province, but the patient is acute pancreatitis, this condition is quite dangerous, the patient to transfer to the hospital, Dingjiang City Hospital must arrange medical staff to accompany all the way to prevent patients from accidents on the road.

The ambulance stopped, Fang Han was already waiting at the door with the doctors of the emergency department, and the nurses quickly pushed the flat car forward, and lifted a woman about thirty-five or sixteen years old from the car, accompanied by a woman in her early sixties, who was Chen Yuan's ex-mother-in-law.

"Take the patient to the observation room first. Fang Han checked the situation and instructed the nurses.

Chen Yuan followed the flat car and also planned to go in, but was pulled by his ex-mother-in-law.

"That little distance, we haven't paid the ambulance fee yet. ”

Chen Yuan's face was cloudy, and it took a long time before he gritted his teeth and said, "You go in first, and you don't have to worry about the rest." ”

The doctor who followed the car stared at Chen Yuan's ex-mother-in-law, and when he saw that his ex-mother-in-law had an explanation, he instantly stared at Chen Yuan.

"Hello. ”

The doctor who followed the car was quite polite, after all, this is the Jiangzhong Hospital, and the Jiangzhong Hospital is very famous in several surrounding provinces.

Chen Yuan's face was not very good-looking: "How much." ”

The doctor took out a list and handed it to Chen Yuan, and said with a smile: "Four thousand two." ”

"Four thousand two?" Chen Yuan frowned.

"Dr. Chen!"

The other party had already looked at Chen Yuan's badge, and also knew Chen Yuan's name, and said with a wry smile: "Doctor Chen, everyone is a doctor, we don't charge indiscriminately, it's hundreds of kilometers along the way, and the bridge toll is a lot of money, you just hire a car, not counting our nursing fees, it's not cheap." ”

Chen Yuan didn't say anything, in fact, he also knew that Dingjiang City was indeed not close to Jiangzhou Province, and the ambulance was not free, so it was not a nursing fee, a stretcher fee, or a medical staff's fee, and there were a lot of bicycle fares and bridge tolls.

All the way over, Dingjiang City Hospital sent a driver, a doctor, two medical staff, and a variety of first-aid means to prevent patients from having accidents on the road, how could they not be charged?

"Wait a minute. ”

Chen Yuan reached out and touched his mobile phone, he really didn't have so much money now.

After all, Chen Yuan has been coming to Jiangzhong Court for almost a year, and he has saved some money, but he has also bound a bank card to his mobile phone, and he usually eats a meal and buys daily necessities.

"Doctor Fang!"

Seeing that Fang Han was walking in, Chen Yuan hurriedly chased after him in two steps.

"Doctor Fang, can you lend me some money first, and I will pay you back tomorrow." Chen Yuan's face was quite embarrassed, and he was a little embarrassed.

"Didn't pay the fare?" Fang Han asked.

"Hmm. Chen Yuan nodded.

"How much?"

"Lend me five thousand, and I'll give it to you tomorrow. ”

"I'll go to your WeChat, don't worry, just give it to me when you're free. ”

Fang Han took out his mobile phone and transferred 5,000 yuan to Chen Yuan, Chen Yuan went over to pay the fare, and the ambulance left Jiangzhong Courtyard.

"Dr. Chan's ex-wife?"

......

Along the way, the resident doctor whispered to each other.

"It seems to be. ”

"It's too much for Dr. Chen to pay for the fare. ”

"Yes, Dr. Chen's ex-mother-in-law is really, this kind of thing has been done, Dr. Chen introduced the hospital, and the introduction of the doctor has already done his best, and he also asked Dr. Chen to pay for it. ”

"Who's to say it's not, Dr. Chan is also kind-hearted. ”

"Kindness, not just kindness, right?" a doctor laughed at the doctor, but the rest of the words did not come out, in his opinion, this is not kindness, this is a bad pen.

A few people didn't speak loudly, but Fang Han still heard it, glanced at a few resident doctors, and several resident doctors hurriedly shut up.

Chen Yuan They don't care, but Fang Han and they don't dare to offend, who in the emergency department doesn't know that Chen Yuan is Dr. Fang's right-hand man?

A group of resident doctors said that they were actually a little envious of Chen Yuan in their hearts, Chen Yuan was heavily affected by Fang Han, and his status in the emergency department was not low, and the emergency department of Jiangzhong Hospital would have the surname Fang for many years in the future, and Chen Yuan naturally had a bright future.

There are even many people who vaguely speculate that Dr. Fang is estimated to hand over the bone injury division to Chen Yuan in the future.

"Doctor Fang!"

Fang Han entered the observation room, and Ye Kai hurriedly greeted.

"What is the patient's condition?" Fang Han asked.

"There is no danger of getting sick for the time being, but the situation is not optimistic, and the abdominal pain is severe. ”

"What does Doctor Miao think?" Fang Han asked Miao Dalong.

"I recommend giving the patient a check-up before seeing how it goes. ”

"Then let's examine the patient first and then send it to the ICU. ”

Fang Han did an examination on the patient, then walked out of the observation room and beckoned to Chen Yuan: "Did the patient bring the examination report from the Dingjiang City Hospital?"

"Brought it. As he spoke, Chen Yuan handed a bag to Fang Han.

Fang Han took the bag and looked at it carefully, and Miao Dalong and Ye Kai also stood on the side and watched.

"Amylase is so high?" Miao Dalong was taken aback.

As a senior hospitalist, although Miao Dalong is not from Western medicine, he can still understand some simple checklists, and what this amylase means is not only clear to Miao Dalong, but also to Ye Kai.

Amylase is an enzyme that decomposes starch, when food enters the esophagus, amylase will decompose and digest food, under normal circumstances, amylase appears in the digestive tract, only a small amount exists in the blood, and now the amylase in the patient's blood has exceeded 1000 units, which is ten times the normal value, which indicates that the patient's pancreas has a very serious problem.

"The patient was treated in Dingjiang City and County Hospital for two days, and he could already be diagnosed with acute pancreatitis. Fang Han read the report and said softly.

"Doctor Fang, can it be surgically removed?" Chen Yuan hurriedly asked.

Fang Han could see that Chen Yuan was still very concerned about his ex-wife.

"Acute pancreatitis is an acute fulminant disease, and from the examination results, the patient has developed a large area of intestinal necrosis after the mesenteric artery infarction, and this operation cannot be done at all. Fang Han explained.

Although Dingjiang City is not a provincial capital, it is also a second-tier city, and Dingjiang City Hospital is also a third-class hospital.

Each hospital attaches great importance to the resources of some serious diseases, and if their own hospitals can get it, if it is not for the strong request of the patient's family, the general hospital will not easily let the patient be transferred.

If the Dingjiang Municipal Hospital can handle the disease, even if the patient's family wants to transfer to the hospital, the Dingjiang Municipal Hospital will persuade the patient.

Fang Han had seen Chen Yuan's ex-mother-in-law, not like a person with any ideas, such a patient's family, the doctor's two or three words of various serious possibilities could scare the patient's family to dispel their minds.

Our hospital is not responsible for any patient who has an accident, and what should I do if there is an accident on the road if the patient is in serious condition, and everyone is afraid.

Generally speaking, the hospital agrees to transfer to the hospital very happily, that is, the hospital can't take it down, it has no way, and if the patient can't have an accident in his own hospital, and the patient's family doesn't want to be transferred, the hospital may persuade him.

The mortality rate of acute pancreatitis is very high, and the disease is acute and critical, and even surgery faces a case fatality rate of 60%.

Although Fang Han did not understand pancreatic resection surgery, he was proficient in the resection of the left and right hemilivers, and he also knew some risks and precautions of pancreatic resection, so he directly denied the operation.

"Director Kuang. ”

Fang Han was talking, Kuang Mingzhuo also came, Kuang Mingzhuo was notified just after the operation, and Fang Han specially let people inform him.

Although Kuang Mingzhuo is also an expert in extrahepatic aspects, compared to the skills that Fang Han copied from Tian Yitao, Kuang Mingzhuo learned it himself, so he also knows a little about the pancreas.

"What's the patient's condition?"

Fang Han explained briefly, and then handed the information to Kuang Mingzhuo.

Kuang Mingzhuo took a deep breath: "The patient's condition is quite serious, there is no way to operate at all, first use high-dose antibiotic treatment, and then notify the internal medicine consultation, right?"

"The Department of Internal Medicine has been notified, Director Liao will be there soon?" Ye Kai interjected on the side.

As he was talking, Liao Yunsheng had already arrived, Fang Han told Liao Yunsheng about the situation, and then accompanied Liao Yunsheng and Kuang Mingzhuo to go in to examine the patient, and a few people entered the consultation room.

"Dr. Fang's test results are out. "The nurse sent some of the test results.

"A third of the patients in the first line have died. Fang Han looked at the results, and his brows were furrowed.

"It's serious. Liao Yunsheng also looked grim.

"The patient has been on the set for more than 30 hours now, and the acute pancreatitis is acute and critical, and measures must be taken as soon as possible, otherwise the patient's pancreas will continue to die. Kuang Mingzhuo glanced at Fang Han.

In Kuang Mingzhuo's opinion, it is completely irrational for Fang Han to accept such a patient, acute pancreatitis, and this has already happened, such a patient is now a hot potato for major hospitals.

When the patient comes, it is impossible to push, but it is also difficult to treat, and if the patient dies in the hospital, it is not a trivial matter.

Fang Han's brows furrowed, he also underestimated the progress of the patient's condition, but he didn't expect the patient's condition to have reached such a serious point.

"Does Director Liao have any suggestions?" Fang Han asked Liao Yunsheng.

"You can start from the aspect of clearing heat and detoxifying pain, and try the effect. Liao Yunsheng groaned, when things come to this point, in fact, they can only take one step at a time, and Liao Yunsheng is not very sure.