Chapter 376: Chapter 258: Abandoning Surgery, Proposing Biotherapy

“The patient’s physiological indicators are temporarily stabilized, but the infection is still progressing.

The patient’s request is to save both legs, but the situation doesn’t look optimistic. Our burn department’s opinion is to prioritize saving his life through amputation.”

As Director Liu Haihong finished speaking, everyone fell into deep thought.

“Alright, let’s hear everyone’s views.”

Yuan Bin nodded and looked at everyone, saying,

“Director Deng, what do you think? Why don’t you share your thoughts first?”

“Okay, Dean.”

A man with glasses, whose hair had started to show signs of age, looked up,

“Everyone, I just reviewed the patient’s examination report and specific condition. From our dermatology perspective, the severity of the patient’s burns has completely impaired the conditions for surgical intervention.

Especially after the burning of acrylic, both the skin and muscles have shown varying degrees of toxicity, which must be removed.

Please look at the patient’s left leg, below the middle of the tibia, where the skin is completely burned through…”

Deng Gang, the Deputy Director of Dermatology, expressed his views and explained the argument from the perspective of dermatology in detail.

Qin Feng reviewed the examination images in his hand; the deep burn tissues were indeed too severe.

The muscles and nerves in the left leg had dissolved and severed, making recovery impossible.

This means that the left leg is doomed to be unsalvageable.

“Director Meng, what do you say?”

“Alright.”

After Director Deng finished, Yuan Bin looked at Meng Dawei.

“Based on the patient’s current condition, we have implemented a series of anti-infection measures. Surgically, we need to quickly remove the burn tissues, or else, if a fulminant infection occurs affecting vital organs like the heart, the patient’s life will be at risk anytime.

I’ve also studied this carefully before; I believe Director Deng’s words have some validity.

Judging from the current injuries, it’s indeed inappropriate to retain the patient’s left leg.”

At this point, he raised a report and said,

“Please look at this examination report, the necrosis and infection have reached the middle of the thigh, and there’s mild systemic viral infection…”

Rustle~

Upon hearing this, everyone took out their reports, and immediately many frowned.

Severe soft tissue infection with systemic poisoning symptoms!

Qin Feng saw the examination result and his heart sank.

According to conventional treatment, there seems to be only one outcome for this patient.

High amputation of both legs!

And looking at the current situation, the earlier the amputation, the better for the patient, because the risk of viral infection will increasingly worsen, and by then, it might not be as simple as a high amputation.

“Our orthopedics opinion is amputation.”

“We also think the same.”

“I wonder if we could try amputation of the left leg and conservative treatment for the right leg?”

“I also believe the right leg has hope, and if it can self-heal post-surgery, it would be better for the patient.”

“I disagree. What if the poison infects the heart and lungs and causes danger?”

“The patient’s wish is to save the legs. Isn’t it too arbitrary for us to direct to amputation? I think we should try conservative treatment.”

…

For a while, the entire conference room fell into a debate, with everyone expressing their opinions according to the patient’s requests and the current situation.

Only Qin Feng sat in the back, watching the scene in front of him with a grave expression, not saying a word.

His mind was quickly searching for various treatment plans for severe burns, trying to match the patient’s condition with the most appropriate method from both domestic and international options.

Ten minutes…

An hour…

Two hours…

Time flew by, and during the intense discussion, two relatively complete plans gradually emerged.

Even though this is the best hospital in Jiuzhou, facing such a severe illness is equally tense.

The most supported first plan is still amputation, as it is currently the safest surgical option.

Although the patient will lose both legs, in terms of life, it is undoubtedly the safest choice.

As for the second option, it involves high amputation of the severely necrotic left leg while performing surgery to remove the necrotic parts of the right leg, followed by conservative treatment to see if self-regeneration is possible.

If there’s a chance, there might be an opportunity to save one leg.

However, this probability is low, and significant efforts in anti-infection and anti-poisoning are required.

The most important thing is,

amputation is a one-time solution, but if choosing the second option, not only is the risk very high, it would require significant financial support.

If successful, it could count as a small miracle case, but if it fails, amputation will still be necessary.

So ultimately, it will depend on what the patient and family choose~~~

“Qin Feng, what’s on your mind sitting quietly at the back?”

At this moment, a sudden voice interrupted his thoughts.

Qin Feng looked up and found the Deputy Dean Yuan Bin smiling gently at him.

Moreover, with this sentence, everyone’s eyes immediately turned to him.

Qin Feng, perhaps some had never seen him, but they would have heard his name.

Several top-notch complex surgeries spanning multiple disciplines, conquered the critical care filled with experts in less than half a year.

This kind of achievement in the 30 plus years since the establishment of the Critical Care Medicine Department has definitely not reached the count of one hand.

Among them are the two present here, Meng Dawei and Yuan Bin.

And Qin Feng is the third one!

“I noticed you were lost in thought while reviewing the patient’s records. Do you have any ideas?”

Yuan Bin said with a smile, then pointed to the people present,

“Feel free to speak up. They’re all veterans here, no need to worry.”

“Dean Yuan, it’s nothing. I was just considering the treatment plans discussed by the supervisors and specialists.”

Upon hearing this, Qin Feng nodded, stood up and looked around at everyone,

“Actually, both plans discussed by the supervisors are feasible. I also thoroughly reviewed all the patient’s examination reports just now.

I’ve performed surgeries and treatments on severe burn patients before, although my experience is still limited in comparison.

However, from my perspective, no doctor wishes to see a patient lose both legs and become disabled.”

He paused for a moment.

Director Liu from the Burn Department couldn’t help but let out a low sigh upon hearing this.

In fact, she is the one under the most pressure here, and the one who feels the saddest.

Having worked in the Burn Department her entire life, handling patients from infants a few months old to elderly people in their eighties or nineties.

Witnessing these patients suffering from extensive burns due to various accidents or reasons, needing repeated surgeries, ultimately incurable, feels overwhelmingly painful.

Almost every day, the cries and moans of suffering can be heard in the Burn Department.

This is different from the emergency room, as they truly endure constant and relentless torture.

Those who improve, suffer itching from newly formed granulations that they cannot touch; those who worsen may have to watch their bodies decay, get infected, fester, and be amputated in despair, perhaps even facing death.

Just like the patient before us!

“Yes, none of us want to see this outcome, but more often than not, professional destiny and demands force us to make choices.

Even if the patient cannot accept it, we must find ways to ensure their life safety.”

Yuan Bin also sighed, saying helplessly.

“Actually… I think the options discussed by the supervisors just now are quite reasonable.

However, as Director Liu mentioned earlier, the patient’s demand is to save both legs.”

Qin Feng continued,

“I think we can give it a try. Actually, the necrosis in the patient’s right leg doesn’t necessarily require amputation, there’s still hope to try and preserve it.”

“Dr. Qin, I cannot agree.”

No sooner had he finished speaking, the deputy director of orthopedics immediately voiced disagreement,

“The same issue as before, although there’s a sliver of hope in the necrosis level of the right leg, don’t forget the wound is already toxic and worsening, showing signs of infection.

Given the current level of surgery, it’s impossible to completely eradicate and regenerate; eventually, amputation will still be necessary.

Plus, it would significantly increase the patient’s financial and psychological burden. Have you considered these consequences?”

Hearing this, Qin Feng smiled, nodding slightly.

This issue had already undergone a complete rehearsal in his mind, and he had even attempted the surgical procedure in his thoughts.

The result was the same as Director Deng stated.

Amputation!

In essence, the second surgical option discussed by everyone had almost a zero success rate!

“Director Deng is correct, even the second conservative treatment plan has a high chance of failure, and may not even be worth trying.”

Qin Feng spoke openly, shedding light without reservation.

“Qin Feng, what do you mean by this?

Just now, you supported conservative treatment, and now you are denying our options.”

This time, the Neurosurgery Director frowned, feeling somewhat dissatisfied.

As soon as these words fell, Meng Dawei and Yuan Bin instinctively exchanged a glance, years of tacit understanding allowing them to instantly grasp each other’s thoughts.

There’s more to what Qin Feng is saying!

“Qin Feng, if you have a good solution, just boldly say it!”

Yuan Bin raised his hand to stop everyone, speaking firmly,

“In medicine, we don’t go by seniority; those who know should speak, and those who achieve should be teachers, at least in my book.”

“Alright, Dean Yuan.”

Hearing this, a smile touched his lips, as he saw Meng Dawei watching him intently, immediately steadying, his gaze locked on Liu Haihong in the Burn Department, loudly saying,

“Director Liu, I’d like to ask you a small question.”

“Go ahead.”

Liu Haihong nodded, looking at him curiously.

“Why not try biological therapy?”

Biological therapy!

No sooner had he finished speaking than everyone froze, some showing confusion, others bewilderment.

However, the next second, many people seemed to recall something, their eyes suddenly brightening.

Bang!

At that moment, Liu Haihong suddenly slapped the table and stood up.

Right!

How could we overlook that!

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