In fact, there is one thing Chen Xia didn't mention about the treatment of acute obstructive suppurative cholangitis. If it were in the future, there would be several good treatment options.
For example, ENBD, which is endoscopic nasobiliary drainage, uses a thin plastic tube to be inserted into the bile duct through the duodenal cannula under endoscope, and the other end is led out of the body from the nostril through the duodenum, stomach, esophagus, pharynx, etc., to establish an extracorporeal drainage route for bile.
There is also percutaneous transhepatic biliary drainage (PTCD), which is also a simple and effective method to relieve bile duct obstruction.
However, this technology was not available in China in 1981, and it was just beginning abroad, so surgical treatment was still the first choice for this patient.
Chen Zhenwu sighed again, "It's clearly written in the book that biliary obstruction is accompanied by acute suppurative infection of the bile duct, pus accumulation, high pressure in the bile duct, and a large amount of bacterial endotoxin entering the blood, which can easily lead to sepsis, which is also one of the complications.
After the operation, the patient was in critical condition due to septic shock, but the family insisted that something went wrong with the operation, and they kept arguing with me every day. And the patient's family had connections, so I was like a scholar meeting a soldier, and I couldn't explain myself clearly.
Well, Chen Xia finally understood. This cheap dad really meant well but did the wrong thing.
Even in 2020, acute obstructive suppurative cholangitis is still considered a serious disease. In the early 1980s when there was a shortage of medical care and medicine, it was an extremely dangerous disease with a very high mortality rate.
If Xia Hansheng's method of conservative treatment was used, there would indeed not be much responsibility if the patient died, but with my father's temper, how could he just watch the patient die?
As a result, once the operation was performed, the patient's kindness was taken for granted. The patient's family members cried, made a fuss, and even threatened to commit suicide. It was really depressing.
What doctors fear most is "medical disputes".
In fact, medical disputes have existed since ancient times, and the most famous one in history was Cao Cao.
Anyone with a little knowledge of history knows that Cao Cao suffered from headaches. It is not known how Hua Tuo determined that he had a tumor in his brain without CT or MRI. Anyway, the treatment plan he gave was that craniotomy was required to cure him.
As a result, Cao Cao got angry when he heard it.
In troubled times, heroes are naturally suspicious. I always feel that some villains want to murder me. Can I still survive if I open my brain? Since you want me to die, I will first send you to see the King of Hell, and then kill Mr. Hua Tuo, the attending physician, with a knife.
In fact, if Cao Cao did not agree with Hua Tuo's diagnosis and treatment plan, he could have simply changed hospitals and tried another doctor. Why did he have to kill the doctor?
Besides, how do you know it won't work if you don't even try it? Are you trying to murder me?
This is a typical way of thinking of "medical troublemakers". I think what I think is what I want to do, and I am the priority.
Come on, have you studied medicine? This is a highly technical field, and you can't just look it up on Baidu and pretend to know it.
Therefore, in any professional field that you are not familiar with, it is best to listen to the advice of professional doctors rather than just following your own opinions.
Return to Jiangzhou People's Hospital.
The family of this patient with cholangitis is also taking things for granted. There are many types of cholecystitis, some mild and some severe, and they cannot be generalized.
For the family, it's just cholecystitis. I came to your hospital fine, but now the patient is dying. What else can I say? It's all because of your doctor's inadequate skills, poor technique, and lack of training.
A life for a life, it's only natural.
This seems like divine logic, but in reality, we cannot equate them like that. Have they considered the severity of the disease?
There are people behind these family members, and their thinking is exactly the same as Cao Cao's. If you kill my people, I will kill you, make it impossible for you to survive in Jiangzhou, send you to jail, and make your family destroyed.
Dear readers, please do not think that this is just family members trying to scare people. It happens all the time in reality.
Therefore, from ancient times to the present, most doctors are actually unwilling to serve the powerful. On the one hand, they are difficult to serve, on the other hand, they make too many demands, and the key is that the risks are too great.
If the cure is successful, everyone will be happy. If the cure is not successful and someone is unhappy, you will be completely finished.
Of course, except for big names like Academician Chen Chun, the level and grade of academicians have already jumped out of the Five Elements and are no longer in the Three Realms.
From a human perspective, faced with a clear diagnosis of acute obstructive suppurative cholangitis, Xia Hansheng knew the consequences, so he thought conservative treatment was better.
Anyway, if the patient cannot be cured and dies, the doctor will not be held responsible. He can just pretend to do his best to save the patient. At least he will be safe.
There were more and more doctors with this mentality in Chen Xia's previous life, and everyone was really scared of medical disputes.
A single medical dispute can severely damage the health of a department, resulting in not only financial losses but also reputational damage and personal injury.
Doctors also have to face various internal investigations and handling, which is a thankless task.
Therefore, most doctors will generally choose conservative treatment when faced with patients who are "curable or not, and can give it a try."
Many patients' families are unaware of this, which causes many patients who originally had a chance to survive to lose their last chance.
But from a doctor's point of view, this disease has a 90% mortality rate without surgery, but with surgery there is at least a 50% chance of survival, so there is still hope. But we can't just watch the patient die from systemic infection and multiple organ failure, right?
So Chen Zhenwu took action.
The result was that Chen Zhenwu underestimated human nature, lost the bet, and his good intentions turned into a fatal shackle.
When Chen Xia followed Chen Zhenwu to the ward to check on the patient, the family members kept shouting and cursing beside them, especially the patient's wife, who was the most ferocious. She kept shouting that Chen Zhenwu should pay with blood for his crime, and that his life should be exchanged for his.
Several young men wanted to rush up and beat people up. If Director Hu had not stopped them, Chen Zhenwu would have been killed on the spot.
Even if he is just an idle son, when he sees someone threatening "his dad" like this, which son can bear it?
Chen Xia was also furious, and her expression turned grim. Director Hu was patiently comforting the patient, but Chen Xia would not indulge them.
“Stop, stop, stop!”
The patient's family members didn't realize what the young doctor was saying. After a moment of stunned silence, Chen Xia continued to speak.
"I can see that the patient is still lying in bed, and not only are you not thinking about treating and saving him, you are actually obstructing the doctor's rescue. What are your intentions? As a wife, do you want your husband to die? Are you brothers trying to fight over the family property?"
There was silence at the scene. Section Chief Hu closed his eyes, thinking that young people were indeed unreliable and intensified the conflict right from the start. It seemed that a big fight was inevitable. He should hide somewhere.
When Chen Zhenwu heard this, he felt that something bad was going to happen, and he unconsciously stood in front of Chen Xia, ready to deal with the critical attack that could come at any time.
Sure enough, the patient's wife and several brothers were about to start to lose their temper. An impulsive middle-aged man was about to raise his fist in front of Chen Xia, and Chen Xia also grabbed the electric baton in his bag.
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