Chapter 3747 Primary Issue



The emergency department on the first floor was bustling with people. Guozhi's bed was never empty, it was always full.

Doctors are used to walking fast. Senior Ren is obviously more like Teacher Tan, walking as steady and fast as a soldier, like a gust of wind blowing through the corridor. The characteristic of walking fast is that you can't look around to avoid bumping into people, so you can march straight to your destination like a forced march.

As the two of them walked with their heads down, someone in front of them called out, "Doctor Ren."

Looking up with Senior Brother Ren, Xie Wanying saw Teacher Du Yeqing and others in front of her.

"Did I call you over too?" Ren Zhe Lun asked.

"You go into the office first, we'll go see the patient first." Du Yeqing said to them.

It seemed as if everyone in the office only wanted to talk to the two of them.

Seeing this, Ren Zhelun decisively pushed open the door of the director's office and went in.

"I didn't knock." said Zhang Da Lao inside. There was no blame in his tone, just a little complaint at most. After all, this favorite disciple was spoiled by him.

...

...

Ren Zhelun glanced around the room. Besides Boss Zhang, there was another person sitting on the sofa. It was Director Fang.

"Doctor Ren, Doctor Xie." Director Fang stood up and greeted the doctor when he saw him coming.

Doctors see all kinds of patients. The more powerful a doctor is, the more likely he is to see rich or noble patients. Director Fang can be called a "noble family member."

Xie Wanying, who was standing at the back, could see that both Boss Zhang and Senior Brother Ren looked very cautious, and they probably didn't dare to utter the sarcastic remarks that they usually made as jokes.

After all, Director Fang is a director of the Medical Association, and it is said that he is also the Director General of the Medical Association. In other words, Director Fang knows a lot of people, and he knows many bigwigs. Based on Director Fang's terrifying network of contacts, good news can spread thousands of miles and bad news can spread thousands of miles through Director Fang's mouth. Do you think Zhang Daren dare not be cautious?

"Which hospital did the patient go to for treatment?" Ren Zhelun asked.

Such patients must have consulted many big doctors in hospitals.

Director Fang briefly introduced the patient's condition to the doctors: "My friend, a teacher at the School of Architecture, is 68 years old this year, not young but not very old. He didn't pay much attention to his health in the past and loved smoking, which led to his chronic obstructive pulmonary disease."

COPD, chronic obstructive pulmonary disease, is a disease that can be understood literally. In layman's terms, the patient feels that his lungs are slowly blocked when breathing. In professional terms, it refers to the continuous restriction of airflow in the airways and lungs.

The most dangerous factor is smoking, as Director Fang just mentioned. For COPD patients who smoke, if they do not quit smoking, the disease will never be cured. It can be imagined that one of the causes of COPD is the continuous chronic stimulation of the airway to produce an inflammatory response. The air pollution particles in the living and working environment of people can also cause COPD.

Director Fang was the first to tell the doctor that the patient had COPD, which shows that he is truly an expert in anesthesiology.

This is because for minimally invasive surgeries such as cardiac surgery, especially thoracoscopy, anesthesia is to collapse one lung and leave only one lung ventilated, so as to give doctors more space for surgery. COPD patients have poor lungs, so it is difficult to collapse one lung without problems.

Is COPD an absolute contraindication? Not really. First, it depends on the severity of the patient's COPD. Second, it depends on the duration of the operation.

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