The greatest delight a doctor can experience is seeing a patient recover and return home healthy in the arms of his family. Each instance is unique and leaves an indelible imprint. One of the outstanding moments for MSc Nguyen Minh Son (Department of General Surgery, Vinmec Nha Trang General Hospital) is the successful "rescue" of 95-year-old grandmother Le Thi Ba. And here's what he had to say about it!
Le Thi Ba (95 years old, Vinh Hoa, Nha Trang) shattered her femur neck after tripping and falling. When he arrived at Vinmec Nha Trang, the wound at the fracture of his femur neck had grown to be a 7x8cm ulcer and amputee, causing him a great deal of discomfort to the patient.
After the health check, the doctors had the first inter-hospital consultation chaired by Assoc. Prof. Dr. Tran Le Linh Phuong (Director of the Hospital), agreed on the plan of artificial hip replacement surgery, and soon recovered. rehabilitation combined with ulcer treatment.
That's a challenge! In the process of preparing for joint replacement of the femoral neck fracture, just a tiny scratch of the skin like a hair had to postpone the surgery, let alone a large ulcer. But without surgery, the old woman can't move, how can the ulcer be cured?
We are willing to engage in conflict. The date for femoral fracture surgery with joint replacement has been set. However, in order to avoid any potential risks during anesthesia on older patients, the hospital arranged a second consultation with a wide range of related specializations, including resuscitation. Following the completion of the preparation, the method of anesthesia with general anesthesia is used. Ton That Quang, an anesthesiologist, is a bold and experienced man who has performed "wonderful" anesthesia. The procedure to repair a femoral neck fracture went well. Grandma successfully "crossed the border." He was returned to the ward from the operation room two days later. Our staff is ecstatic all day!
I'd like to express my gratitude to the nurses. Their unseen labour contributes to the success of the group. Internal medicine experts have supplied the right drugs to help patients overcome difficult geriatric issues caused by organ failure. Nguyen Thi Hieu Phuong, the head nurse, used a new technology VAC equipment to assist prevent epidemics, infections, and tissue abnormalities in the sacrum. I'm scared the 95-year-old woman's wound may become infected without Phuong.
The period following surgery is also challenging because the patient is dealing with issues related to psychology, age, nutrition, physical condition, and rehabilitation. The ulcer remains, and a joint infection can strike at any time.
After a few days of observation, I noticed that the bones had begun to yellow as well. Must act quickly to resolve the "dirty drive" issue! We are more confident and certain now that we have worked with this femoral neck fracture patient. The patient's "sweet" state is under control by Doctor Ton That Quang. The plastic surgery procedure to twist the skin flap to hide the fault proceeded smoothly. The nurses' amazing effort will continue in the next few days: from meals to nutrition, medicine, dressing changes, feces...
Our treatment and care efforts, as well as the elderly lady's own, finally paid off: the old lady made a full recovery and was discharged from the hospital after exactly four weeks of therapy. The joy of medical professionals like us was amplified on January 10, 2018, when he was discharged from the hospital and returned to his family's arms.
Over the course of a year, we have operated on more than 50 patients with mechanical hip replacements. This procedure has become standard practice at Vinmec Nha Trang, but this case stands out since the elderly lady is the oldest femoral neck fracture patient we've ever seen. It was due to the team's excellent coordination, particularly the anesthesiologist and resuscitation doctor, as well as the nurses' attentive and dedicated care.
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