To be honest, it is difficult for Ke Chengji to be convinced by the medical quality of a mainland hospital.

As a Hong Kong tycoon, he has been on business trips to the mainland countless times since the reform, and he has a clear understanding of the poverty and backwardness of the mainland.

A place where he had just had enough food, or a small city next to his hometown, now told him how powerful and awesome the mainland doctors were. Not to mention that Mrs. Ke didn't believe it, and Ke Chengji himself didn't believe it either.

But now it is no longer a question of belief or not. Ke Chengji has entrusted the Department of Health to invite several famous top hospitals around the world. When these top burn doctors heard that the burn area reached 83%, they all said they were helpless.

Even though Ke Chengji has offered a bounty of tens of millions of dollars, he still hasn't invited a medical team from a top hospital to lead the treatment.

The top ten richest man who came out of the shopping mall had long since calmed down after being excited. Even if he didn't want to, he knew that his biological son might not be able to escape this time.

He thought a lot, and it was best to save his son's life.

If his son's life could not be saved, he also made the worst plan, which was to extract his son's "gold" and do in vitro fertilization.

As for the immediate situation, it is a dead horse being treated as a living horse.

Thinking of this, Ke Chengji did not show his contempt or disdain. With such no money, he would not be able to become one of the top ten richest people.

Ke Chengji took the initiative to step forward, smiled and held Chen Qi's hand:

"Okay, you are young and promising. Even our doctors in Xiangjiang know about Dr. Chen's achievements in medicine. He is indeed the light of our Chinese people. Then Dr. Chen, my son's life and death will be left to you. As long as you can save

I will be very grateful to my son."

Thank you very much. How much does it weigh? The price is clearly marked.

Chen Qi secretly vomited in his heart.

But Chen Qi didn't know that he had already made a wish, and if he rescued this rich young man, he would receive a donation of HK$500 million.

"Mr. Ke, please rest assured. Mr. Ling is injured. I am just meeting in Xiangjiang, which means that I have a fate with him. I will definitely do my best."

"Okay, please!"

Chen Qi nodded and quickly walked into the intensive care unit with the Yanghe doctors.

Mrs. Ke glanced at her husband accusingly: "Brother Ji, why do you let such a young man treat Xiao Wei? What if the treatment is good or bad?"

Ke Chengji looked at the door of the intensive care unit and said with a long look:

"It's the time now. It's better to have hope than no hope. If you hit two shots with or without dates, maybe a miracle will happen. There are so many strange people and strange things in this world. What's the problem with age? I don't want to pass by now, as long as the results are achieved,

Just let Xiao Wei live and inherit the family business!"

Chen Qi walked into the intensive care unit and was shocked when he first saw the patient on the bed.

Edema, very obvious edema.

After large-area burns, capillaries will be damaged, causing increased permeability and causing congestion and edema in the spaces around local cells. This is a common situation.

But now Ke Rongwei in the hospital bed showed obviously abnormal edema, the skin tension was very strong, and the eschars were bulging. Chen Qi suspected that he could squeeze out a lot of water with just a squeeze.

Surface edema is okay, but the most terrible thing is pulmonary edema inside the human body, which can easily lead to heart failure, respiratory failure, and then death.

Chen Qi didn't make a sound, and quickly looked at the various electronic monitoring indicators on the bedside. His blood pressure was low, his heart rate was high, and the patient was very irritable.

Chen Qi came closer and quickly browsed the electronic electrocardiogram bands. After watching it for a while, he sighed in his heart.

Looking at the central venous pressure and other hemodynamic indicators, they were obviously on the high side again. At this time, Chen Qi could no longer bear it.

"Dr. Lin, which formula do you use for rehydration?"

Lin Fuhe was startled by Chen Qi's sudden question and immediately replied: "We use the American Evans formula."

Chen Qi thought to himself that it was true, he was taught by a master from Shanghai Dongshan Hospital, and he was always open and closed. If he likes to replenish fluids like crazy, he is afraid of insufficient circulation.

"Dr. Lin, colleagues, let me not look at the various examination sheets first. Judging from the patient's current condition, you can see that the electrocardiogram can clearly show that the P waves in multiple leads are low and flat, and even partially inverted.

Look, that's all. There are also frequent premature atrial contractions and premature ventricular contractions. Paroxysmal atrial fibrillation, right? What does this mean? It means that the patient has developed heart failure.

There is another indicator. If you look at several hemodynamic indicators, you will see that the central venous pressure has reached 18cmH2O, which means that the intravascular pressure is very high. Combine these two indicators and let’s look at the patient’s condition."

Many doctors followed Chen Qi's instructions and looked at Ke Rongwei, who had a roast duck on the hospital bed.

"I can see obvious edema in the patient with the naked eye. Didn't you notice it? This edema is not normal edema, or inflammatory edema. This is typically a sign of excessive fluid replenishment and excessive circulating blood volume. Combined with the previous two indicators, it is clear at a glance.

.”

Maybe it was because Dean Chen Qi was used to it, and his tone of voice was not so polite, which made Dr. Xiangjiang feel uncomfortable hearing it.

Another thing is that there are still many doctors in Xiangjiang who have regional discrimination against doctors from the mainland. They feel that people who don’t know anything dare to come to the world-class Sanatorium and Hospital to give advice?

So when Chen Qi was talking, many doctors were rolling their eyes, but their so-called self-cultivation prevented them from showing it.

At this time, a senior doctor from the burn surgery department could not help but have a different opinion:

"Dr. Chen, what you said makes sense. Judging from the clinical symptoms, it is indeed a sign of overrehydration. However, the Evans formula was invented by an American doctor. So far, there is no more advanced fluid rehydration formula than this, and it is currently the mainstream.

Rehydration formula.

The formula invented by American doctors must have their own reasons. You say we have overreplenished fluids, but what if we don’t replenish a large amount of fluids? You see, the patient has already gone into shock, and the circulating blood volume will be even more insufficient by then, and the patient will still die."

This chapter is not finished yet, please click on the next page to continue reading the exciting content! "Yes, if you supplement too much, you can survive for a while, but if you supplement too little, you will die immediately."

"The American formula is definitely correct. How many clinical experiences did they arrive at it?"

The doctors in Xiangjiang also began to talk about it, and their tone was mixed with all kinds of dissatisfaction, contempt, and doubt, and even a fool could hear it.

Directors Lin Fuhe and Zhong Peiyang did not say anything either. Apparently they also had certain doubts and concerns.

Chen Qi's first fire after entering the ward did not light up as expected. He failed to convince his colleagues in Xiangjiang that the Evans formula had certain drawbacks and let them accept the "Yuezhou formula".

The unfavorable start made Chen Qi feel inexplicably disappointed.

In fact, what Chen Qi didn't know was that Dr. Xiangjiang was not a fool. Of course they could see that the fluid replenishment was a bit too much.

But so what?

They use the widely recognized Evans formula for rehydration, which is written into textbooks. If the patient dies in the end, they have no responsibility and are not afraid of a lawsuit because their diagnosis and treatment are standardized.

When a patient dies, at most he can only be blamed for his own misfortune.

But if they rashly change the fluid rehydration formula and do not calculate the fluid rehydration volume according to the mainstream, then the patient will die, and the attending doctor will not be able to make a clear decision.

Don't forget who the patient's father is? He was the leader of all social groups in Hong Kong back then, and he was really good at killing people.

This is also the typical thinking of doctors treating powerful people. When faced with a patient who is certain to die in their eyes, the treatment plan should be conservative and never take risks. It is better to do less than to do more.

However, if Dr. Xiangjiang's treatment plan is followed, it is obvious that Ke Rongwei will definitely die.

It's okay to invite Chen Qi here to give his opinions and help come up with ideas.

But Chen Qi wanted to change the entire treatment plan and follow the clinical ideas summarized by the Yue Traditional Chinese Medicine Hospital. The doctors in Xiangjiang obviously did not dare to cooperate with this mainland doctor and were unwilling to cooperate.

what to do?

Chen Qi decided to wait until the team from Yue Traditional Chinese Medicine Hospital arrives tomorrow, take over all patients, and treat them according to the model of Yue Traditional Chinese Medicine Hospital.

If the patient's family is unwilling and trusts local doctors more, then they will withdraw and not wade into troubled waters.

The family's only heir loved her to death, and the doctors from the Yuezhong Hospital treated it as a trip. At worst, Chen Qi paid for the air tickets back, which was a drop in the bucket.

After that, Chen Qi stopped expressing his opinion. He just took all the patient's medical records and examination reports and repeatedly studied and evaluated them, even the nursing records.

Dr. Zhong Peiyang and Dr. Lin Fuhe looked at each other and didn't know what to do for a moment.

They originally invited the original author of the paper for consultation, and they were indeed prepared to take a risk. Doctors are parents, and they did not want Ke Rongwei to have no hope at all.

However, the opinions among the doctors in Xiangjiang are not unified, and Chen Qi can hardly play any role. Otherwise, if the patient dies, the responsibility will fall entirely on the directors who invited Chen Qi to come to Yanghe.

Competition or infighting within the hospital is also very fierce. A junior doctor who doesn't want to be the director is not a good doctor. Who doesn't want the director to get out and free up the position so that he can take the position?

Zhong Peiyang and Lin Fuhe also understood this issue, so they decided to let nature take its course and leave the decision-making power to the family members themselves. Anyway, they had tried their best.

Chen Qi also didn't want to be looked down upon by some Xiangjiang doctors. He was here to attend an academic conference, not specifically to serve capitalists. Why should he stay in the Sanatorium and Hospital as a beggar?

So at dawn the next day, Chen Qi said goodbye to the Sanatorium and Hospital and took a taxi to the Mandarin Oriental Hotel to continue his ISAPS Society meeting.

Waiting until noon, Chen Qi received a notification from Dr. Lin Fuhe, saying that the medical team from Yue Zhong Hospital had arrived.

Chen Qi ran back to the Sanatorium and Hospital excitedly, and saw Zhu Huoyan, Luo Yuyang, Zhang Xing, head nurse Liu Min, and Yang Xiuxiu in the lounge.

It was the first time for Zhu Huoyan and the others to "go abroad" and the first time they came to a top hospital like Xiangjiang. They were quite nervous and sat there studying medical records like students.
Chapter completed!