By the ti Du Heng and Li Jianwei arrived, Wu Shengnan had already been settled into a single room. All three deans of the hospital were present. Zhao Xingde from Orthopedics was also standing nearby, talking with Wu Shengnan’s father.
When the group saw Du Heng and Li Jianwei arrive, they all stopped their conversation.
The deans had also learned about the situation that occurred at the First Affiliated Hospital that morning, and they had no objections to the decisions made by Li Jianwei and Du Heng.
After a brief exchange, the three deans tactfully departed, leaving with the words, "Doctor Du, keep up the good work."
Entering the hospital room, Wu Shengnan was in a deep sleep, looking feeble and utterly exhausted.
Wu Shengnan’s father glanced at his daughter, then at Du Heng, and said in a low voice, "Doctor Du, as per your request, we have completed the transfer procedure. Now, I’m entrusting my daughter to you."
"No problem. Let’s start the treatnt now."
"Alright. If there are any issues, please communicate with my father. I have so matters to attend to imdiately."
Li Jianwei imdiately said, "Secretary Wu, rest assured. You can leave her with us now."
Wu Shengnan’s father took another look at his daughter on the hospital bed, then turned and left.
Du Heng took a gentle breath. Now it was ti to see if his idea would work and if Wu Shengnan’s leg could ultimately be saved.
After greeting Wu Shengnan’s mother and Sir Wu Zhong, who were by the bedside, Du Heng asked them to step back. He then invited Zhao Xingde to Wu Shengnan’s side, untied the bandage on her leg once more, and began discussing the subsequent treatnt steps with him.
After examining the wound and hearing Du Heng’s proposed approach, Zhao Xingde’s brow furrowed deeply. "Doctor Du," he asked, "do you an to start applying dication directly?"
Du Heng gently pressed on Wu Shengnan’s ulcerated wound, but she showed no reaction. "Director Zhao, look," Du Heng said, "the muscle fascia in this wound has necrotized. The first priority is to debride these necrotic parts."
He then carefully turned Wu Shengnan’s blackened lower leg, pointing to the exposed black bone. "And here, at the fracture site," he continued, "there are also signs of necrosis. This section must also be removed."
Zhao Xingde had only heard that a formidable figure nad Du Heng had joined the Chinese dicine Departnt and helped double its patient volu. However, he was in Orthopedics. This departnt had little connection with departnts focused on internal dicine, such as the Chinese dicine Departnt, so he wasn’t very familiar with Du Heng.
Listening to Du Heng explain his approach now, Zhao Xingde felt rather skeptical.
Removing these necrotic parts wasn’t difficult for him; he could have an attending physician handle it easily.
But the question was, what happened after debrident? He knew it was impossible to remove all the necrotic tissue completely, and any remnants would undoubtedly cause the necrosis to spread rapidly to other areas.
Moreover, looking at her lower leg and foot, which had already turned black, the blood supply was clearly insufficient; these areas could turn necrotic at any mont.
The patient’s blood vessels and muscle fascia were damaged, and the bone marrow within the necrotic bone might also be affected. He genuinely couldn’t imagine what thod Du Heng could possibly use to resolve these issues.
As for currying favor with Secretary Wu, the hospital deans might deem it important, but he, Zhao Xingde, didn’t particularly care.
His ambition was to be a good doctor. He had no intention of joining the hospital’s leadership team, nor did he aspire to achieve anything in other fields.
Therefore, connections and such were of little consequence to him.
Still, he wouldn’t voice these thoughts; after all, earning soone’s goodwill never hurt.
Once Du Heng finished explaining, Zhao Xingde nodded. "Doctor Du," he said, "I’ll go make the preparations now. We can start the debrident in half an hour. Is that acceptable?"
Du Heng nodded. Debriding the necrotic tissue needed to be done as quickly as possible, of course.
"Thank you for your trouble, Director Zhao."
"It’s my duty."
With this brief reply, Zhao Xingde turned and left.
Du Heng spoke with Sir Wu Zhong for a few monts before returning to the office with Li Jianwei. Now, he needed to prepare the prescriptions.
For the external application, he would use "Whole Body Divine Ointnt." It was the best choice for its anti-inflammatory, analgesic, marrow-regenerating, tissue-regenerating, and toxin-expelling properties.
So, upon reaching the office, Du Heng imdiately called Wu Buwei. Wu Buwei was on duty at the Health Clinic, and Du Heng asked him to bring the "Whole Body Divine Ointnt" that was stored in their office right away.
After hanging up the phone, he once again began to carefully consider which oral prescription to use.
Li Jianwei was aware of his own limitations in formulating prescriptions. Therefore, he didn’t disturb Du Heng or offer his own suggestions, leaving Du Heng to concentrate on his thoughts.
While Du Heng was engrossed in considering and modifying the prescription, a nurse inford him that soone from the Orthopedics Departnt had co to take the patient for debrident. Du Heng, however, paid no heed.
Ultimately, Du Heng decided on the prescription for the first round of treatnt. It focused on strengthening the body’s resistance, tonifying qi, and promoting blood production, aiming to first bring the necrosis and infection under control. During the second round, this oral prescription would be combined with the external ointnt to promote new tissue regeneration.
This ti, not only would Chinese dicine be used, but also Western dicine’s anti-inflammatory drugs and antibiotics, to better control the necrosis and infection.
If only Western dicine were used, the effects of strengthening resistance, tonifying qi, and promoting blood production would not be achieved. Consequently, the necrosis of muscles and blood vessels would be uncontrollable.
If only Chinese dicine were used, its therapeutic effects would not be as direct as those of Western dicine. In that scenario, there might still be so residual deformities, or the ends of the tendons and bones might not be salvageable.
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