Chapter 666: Participating in the Consultation
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Chapter 666: Participating in the Consultation
Bai Zhi and Ye Rufeng strolled around the hospital for a bit, with Bai Zhi showing Ye Rufeng around the various departments.
I visited everything from the outpatient department to the inpatient department.
The hospital leaders somehow got wind of Bai Zhi and Ye Rufeng's arrival and rushed out to greet them, but they couldn't find them for the time being.
This really worried Dean Liu.
Why is this miracle doctor so unpredictable? He said he'd come in the afternoon, but he arrived so early without even saying hello and just started wandering around the hospital on his own.
However, he quickly regained his composure.
It's better to let them explore on their own. Otherwise, if he leads them on a tour, it would seem rather deliberate. The professionalism of all the medical staff in their hospital, as well as the hospital environment, are all excellent. What is there for him to worry about?
Dean Liu approached Director Li and whispered something to him.
Then I wandered around the hospital and bumped into them.
After showing Ye Rufeng around, Bai Zhi glanced at his watch and said to Ye Rufeng, "Grandpa, it's getting late. I'll call Dean Liu."
Bai Zhi had just taken out her phone and hadn't even had a chance to dial when she heard a cheerful voice.
"Dr. Ye, Doctor Xiaobai, why did you arrive so quickly?"
"I was just about to go back to my office to call you." Dean Liu stepped forward and shook hands with them one by one. "Let's go, let's take a look around the outpatient department."
Ye Rufeng and Bai Zhi smiled and replied, "Okay."
The two followed Dean Liu upstairs.
Actually, they had already been around this area once, though they had only done a cursory visit.
Seeing the doctors and nurses hurrying along the corridor, Ye Rufeng sincerely affirmed their professionalism.
Dean Liu introduced the various departments and the corresponding authoritative specialists' resumes one by one.
Just then, an emergency call came over the hospital's loudspeaker.
"Please have Dr. Li Zhaofeng, Director of Surgery, and Dr. Wang Ming, Director of Internal Medicine, come to the Emergency Department for a consultation."
Upon hearing the announcement, Dean Liu's expression tightened. He looked at Ye Rufeng and Bai Zhi and suggested, "Dr. Ye, Dr. Bai, shall we go and take a look too?"
"Is this... appropriate?" Ye Rufeng asked.
"Perfect, of course perfect. It's an emergency, let's go take a look."
Ye Rufeng and Bai Zhi exchanged a glance, and neither of them objected. "Alright, then we'll listen to Dean Liu."
The two followed Dean Liu to the emergency department consultation room.
Several high-ranking hospital officials were sitting upright inside.
A brain CT scan was hanging on the shelf.
"What's going on?" Dean Liu asked.
Upon seeing Dean Liu arrive, the directors hurriedly stood up to greet him.
"Dean, there is a special patient who requires a consultation between internal medicine and surgery."
Tell me more.
At this point, Dean Liu did not introduce Ye Rufeng's identity, but simply gestured for him and Bai Zhi to sit down as well.
Dr. Wang Ming then began to explain the patient's condition: "This patient has had coronary heart disease for eight years. Some time ago, he had a brain CT scan due to a headache, which showed a blood clot in his brain. After further examination, it was found to be a tumor. The neurosurgery department said that surgery should be performed as soon as possible, but the patient has underlying diseases. We are worried that insufficient blood supply to the coronary arteries during surgery could lead to a large-scale myocardial infarction due to surgical stress."
"Isn't there any other way?" Dean Liu asked. "I mean, is surgery always necessary for a brain tumor?"
"If a brain tumor is not operated on in time, it may compress nerves, and in severe cases, it may lead to cerebral hemorrhage."
"this........"
"Can coronary heart disease be controlled in a short period of time?"
"I can't guarantee that, the patient's medical history is too long and has not been effectively controlled for a long time."
After asking a few routine questions, Dean Liu looked at Ye Rufeng with difficulty and said, "Dr. Ye, could you please take a look?"
Ye Rufeng glanced at the scans and waved his hand, "Your hospital's experts are consulting, so I, a traditional Chinese medicine practitioner, won't offer any opinions."
Dean Liu said, "Don't be modest. You are a highly respected doctor. Since this concerns the patient's life, please give us your opinion."
"I am a practitioner of traditional Chinese medicine, and I dare not presume to teach others." Ye Rufeng still did not intend to offer any opinion.
Dean Liu insisted, "How can this be considered showing off your limited skills before an expert? Please share your opinion for the doctors' reference."
Ye Rufeng had no choice but to look at Bai Zhi and instruct, "Xiao Zhi, give me some advice."
Bai Zhi also looked troubled. "Grandpa, in traditional Chinese medicine, we emphasize observation, listening, questioning, and palpation. It's difficult to give a specific opinion based solely on a CT scan."
Seeing that neither Ye Rufeng nor Bai Zhi would offer any suggestions, all the experts present, including Dean Liu, seemed somewhat disappointed. "This..."
Ye Rufeng was quite enthusiastic this time. He coughed lightly and instructed Bai Zhi again, "Just say whatever you think is right. Our opinions are for reference only. It doesn't matter if you're wrong. There are so many experts here, what are you afraid of?"
Bai Zhi nodded with a reluctant expression.
She asked, "Excuse me, how old is the patient?"
"Sixty-two."
Bai Zhi walked to the CT scan and explained, “When it comes to surgery for elderly people with underlying diseases, we must weigh the pros and cons and see if there is a surgical indication. From the scan, this brain tumor has clear boundaries, like a glass ball, pushing away the surrounding brain tissue, so it doesn’t seem malignant. According to our treatment philosophy, we can postpone the surgery and first treat and stabilize the underlying disease.”
"Other methods can also be tried to shrink the blood clot in the brain tumor and maintain the status quo."
She continued, "Of course, the specific choice depends on the patient's and family's opinions."
"That's all I can say. We haven't seen the patient, so we can't make any rash statements."
"Is the patient in the hospital?" Dean Liu asked the other doctors.
"Yes, it's in the inpatient department."
Dean Liu said to Ye Rufeng, "In that case, if Dr. Ye is not tired, would you please move to the inpatient department and let's go take a look?"
Ye Rufeng did not refuse, "I will follow Dean Liu's arrangements."
And so, the group of people went to the inpatient ward in a grand procession.
An elderly man in his sixties was lying in a hospital bed receiving an IV drip, while a middle-aged woman in her thirties was accompanying him.
The attending physician said to the elderly man in the ward, "Comrade Nie, we have invited a famous traditional Chinese medicine expert to come and take a look at your condition."
"Thank you for your help." The old man slowly sat up.
Ye Rufeng stepped forward to take the patient's pulse, while Bai Zhi asked the attending physician to bring all of the patient's examination reports.
"Are you dizzy? Nauseous and vomiting?" Ye Rufeng asked.
The patient replied, "I've been feeling dizzy lately; the world spins as soon as I get up, but I haven't vomited."
"How was your sleep last night? Did you experience chest tightness or shortness of breath?" Ye Rufeng continued to ask.
"Yes, yes, I'm always having trouble breathing."
At this moment, Bai Zhi stepped forward with several test reports, and Ye Rufeng asked, "What are the test results?"
Bai Zhi reported one by one, "The C-reactive protein is high, the blood sugar level is normal, and there is myocardial ischemia. Several other test results are also abnormal."
She said, "The patient is currently taking aspirin and ticagrelor tablets."
Ye Rufeng hummed in agreement.
To be honest, he wasn't familiar with many of the names of Western medicines.
However, as experienced traditional Chinese medicine practitioners, they naturally have their own set of TCM treatment methods.