"You want to recall these terms, but after fifteen or sixteen years, my mory is a bit hazy. I only rember that my dad’s incident was sudden, and then the doctors rushed in very urgently."
Qi Yuqin said to Deputy Director Wu.
"Then why did you just tell Dr. Zhang and Dr. Fang about fever, high temperature, convulsions, and such?"
Wu Xiang looked at her with so confusion.
"Mainly because when Dr. Zhang said it just now, I vaguely rember it was like that. It seed like the doctor said the patient’s temperature had risen, and shortly after, a lot of doctors went in for resuscitation, and then my dad was left on the operating table."
Qi Yuqin recalled.
When Dr. Zhang spoke just now, it seed to suddenly awaken her mory, as if there were words like that.
"So did the incident with your father happen after the anesthesia or during the surgery? Do you still rember, Ms. Qi?"
Wu Xiang continued to inquire.
"Ah... I’m not clear on that, after all, the surgery was done behind closed doors, and I don’t understand these things."
Qi Yuqin shook her head.
How would she know if the issue occurred during anesthesia or surgery?
After all, she’s not a professional.
"Then, Ms. Qi, your father was undergoing brain surgery at the ti, correct?"
Deputy Director Wu asked her again.
"Yes, yes, my dad was at the late stage of a brain tumor and was undergoing related brain surgery."
Qi Yuqin confird.
...
"Alright, Ms. Qi, please have a good rest."
After chatting for a while, Deputy Director Wu consoled her to rest well, then brought Fang Yuan and Zhang Lingchuan to the office.
"Alright... Take care."
Qi Yuqin was thoroughly confused.
But she didn’t say anything at the mont.
Deputy Director’s office in the Ergency Departnt.
"Dr. Fang, you have a lot of experience yourself. Do you know how much trouble it would cause if this isn’t malignant hyperthermia?"
Deputy Director Wu asked with helplessness after hearing what Zhang Lingchuan and others had said, and after consulting the patient.
The Ergency Departnt is already busy, and malignant hyperthermia is extrely rare. If we commit so much manpower based rely on a vague mory of fifteen or sixteen years ago without a diagnostic basis, and even raise the patient’s dical expenses to another level, who will be responsible for the problems arising here?
A simple micro-surgery, facing a patient with a history of malignant hyperthermia, demands ensuring zero contact with inhalational anesthetics.
The anesthesia machine needs a fresh gas flush at 6L/min for 2 hours, and the vaporizer on the anesthesia machine has to be removed, which isolates it on the machine side.
And in terms of dication too.
During the preparation of anesthetics, all drugs that could induce hyperthermia need to be replaced, like substituting rocuronium for succinylcholine.
Other drugs such as glucose, insulin, calcium chloride for treating hyperkalemia, and amiodarone, lidocaine, toprolol for treating arrhythmia also need to be prepared in advance.
Of course.
The most important is Danqulin.
This is the key drug for treating malignant hyperthermia.
Let alone their Provincial Hospital, even hospitals across the entire Northeast Province don’t have it, and they need to urgently contact the Capital to procure it.
If the Capital doesn’t have it either, then they need to contact West China in the Southwest.
Because only West China has a reserve of such dication.
Transporting drugs from Southwest to their Northeast would delay the originally scheduled surgery.
"Director Wu, I just want to ask, what happens if it really is malignant hyperthermia?"
Fang Yuan looked directly at Wu Xiang, his eyes very serious.
"But there’s no evidence now, she can’t even recall if the incident happened during anesthesia or surgery. Moreover, there are many reasons for body temperature to rise during surgery. For instance, the surgery might take place in sumr, with indoor temperatures exceeding 28 degrees, or sterile drapes might be too tightly wrapped, and the operation is also in the brain area near the hypothalamus, where temperature control occurs and a rise is normal. Large doses of atropine pre-anesthesia, sweat suppression, and even blood transfusion or fluid replacent could cause a rise in temperature. Have you considered these?"
Director Wu looked at Fang Yuan.
Fever has many causes; it doesn’t necessarily indicate malignant hyperthermia.
After all, there are only dozens of cases of this condition in the entire country currently; it’s not so easy to encounter it.
So there’s no need to react like startled birds.
"Director Wu..."
Dr. Pu Pangfang’s expression was sowhat distressed.
"Alright, that’s enough. First of all, Xiaozhang’s thorough inquiry into the dical history is comndable, but we shouldn’t make a malignant hyperthermia diagnosis based on such vague statents. Moreover, Xiaozhang, you seem to be deliberately leading in this direction. The surgery will proceed as usual, and if it’s truly the extrely rare malignant hyperthermia, then let take responsibility."
Wu Xiang waved his hand.
He signaled the two of them to busy themselves with their tasks.
Because surgeries on patients with malignant hyperthermia are completely different from ordinary ones, the hospital needs to make comprehensive preparations. Surgical personnel should be replaced with expert team mbers, the staffing must exceed that of regular surgeries, and a multi-departntal joint operation should also be prepared for various contingencies.
"Director Wu! You bear the responsibility, but what good does that do if soone dies? The husband is gone and there’s only a little girl aged four or five; two years ago she lost her father, and if she now loses her mother, how should her life proceed?"
Indeed, there’s always such a leader who only cries after seeing the coffin.
If I had co alone today, I suppose he wouldn’t have cared less?
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