Ruan Bin's operations have completely refreshed their views!

They didn't expect that a cholecystectomy could be so fast.

Finally, the operation went smoothly.

"Ruan Bin, your surgery can be used as a model of cholecystectomy in our hospital for everyone to learn." Lu Jingping smiled.

Everyone left the operating room, and an intern in the obstetrics department hurriedly found Ding Xuezhi, who asked him to go over and have something to talk about.

It was eleven o'clock in the morning in a flash.

Ruan Bin thought he could have lunch on time this time, but he didn't expect another 70-year-old unconscious man to come to the emergency department.

Huang Hongcai, Ruan Bin and the old man's family carried the old man onto the flat car and sent it to the emergency room.

"Why did the patient fall into a coma?" Huang Hongcai asked his family.

"I was so dizzy when I went to the toilet. I saw my dad knocking on the door if I didn't come out for more than 20 minutes, but there was no reaction inside, so I knocked on the door. I guess I had been in a coma for about 10 minutes, and it took about ten minutes to send it here." The old man's son said hurriedly.

In fact, it is difficult to judge in the face of such unknown confusion.

It can only be a check-in method one by one.

After the old man was sent to the emergency room, Huang Hong started to check and found that the pupils on both sides were 3mm and the light reflection was present. The blood pressure on the spot was only 90/60mmhg and blood sugar was 5.6mmol/l.

Connect to ECG monitoring.

"Do you have a history of hypertension, diabetes, coronary heart disease, etc." Ruan Bin asked. In fact, he had seen what disease the patient had at this moment, but the process he should still go. Moreover, the patient's current situation is not very serious.

"High blood pressure!" said the old man's son quickly.

After hearing what he said, Huang Hongcai was a little confused. At least he was not hypoglycemia or hyperglycemia coma.

There are many reasons for coma in elderly patients. The most common ones are cerebrovascular accidents, severe infections, epilepsy, hepatic encephalopathy, uremia, pulmonary encephalopathy, shock, etc. If the doctor is not on site, does not know the medical history, and does not have an objective examination, it is difficult to guess the cause.

"At present, this hypotension must be in shock. This is a very serious signal and must be dealt with quickly." Ruan Bin said.

"Replenish the fluid first."

"There should be myocardial infarction, severe infection, etc." Huang Hongcai said, and quickly began to do an electrocardiogram next to the bed, take the body temperature and draw blood.

"The heart rate is 120 beats per minute, the breath is rapid, and the lungs are wet." Ruan Bin also helped with the examination.

After the electrocardiogram is released, it is not a myocardial infarction.

"Make a head + chest to determine the condition." Ruan Bin suggested.

"Well, let's do a sweep." Huang Hong nodded.

"Sweep it flat? I suggest to enhance it!" said Ruan Bin.

"The patient's blood pressure is not very good, so how can I have time to strengthen T? Scan the flat scan faster!" Huang Hongcai despised Ruan Bin. You can do surgery, but your clinical experience is still average.

Faced with such patients with dizziness and shock, you have to determine the condition sooner!

"If it is caused by pulmonary embolism, aortic dissection, etc., you can't see it if you scan it. You should also know that typical manifestations of pulmonary embolism include chest pain, hemoptysis, and difficulty breathing, but atypical pulmonary embolism may lead to coma at the same time." Ruan Bin said lightly. He just saw through general diagnosis that this old man had pulmonary embolism, but it was not very serious. It should not require surgical treatment, just drug anticoagulation treatment.

"This..." Huang Hongcai was stunned when he heard Ruan Bin's words. He was in a hurry just now and almost forgot about this possibility!

"Then do the enhancement." Huang Hongcai was not carrying the essence, but instead felt that what Ruan Bin said was very reasonable.

Finally, after the examination results came out, it was indeed a pulmonary embolism, which was not very serious, but anticoagulant treatment was required immediately!

"Ruan Bin, if you hadn't reminded me, I would probably not have been able to be diagnosed so soon!" Huang Hong gave Ruan Bin a thumbs up.

Finally, we can go to have a meal!

Walking out of the emergency department, Ruan Bin walked towards the canteen. Before he had just walked a few steps, he suddenly saw several obstetric doctors and nurses standing at the door next door looking forward and waiting.

It seems like waiting for some big shot to arrive!

"Director Liu, what kind of person are you going to welcome here? It looks quite grand." Ruan Bin said half-jokingly.

"Why are you welcomed by a big man there? But you are welcomed by a doctor! His daughter-in-law is ready to come here to give birth!" When Liu Mei saw Ruan Bin, she began to pour out the bitter waters.???

"Do you remember the incident when an old man named Liu Wangba made a fuss in your emergency department last year?" Liu Mei reminded him when she saw Ruan Bin's face was confused.

"I don't remember..." Last year, there were seven or eight medical disputes in their emergency department, and he really doesn't remember the name.

"It's just an old lady in her 90s who died ineffective rescue. Her son, Liu Wangba, claimed 200,000 yuan! A month later, his old father was hospitalized due to illness, and later died. He started to make trouble in the medical field and claimed another 300,000 yuan!" Liu Mei said.

"So it's that person, I remember it!" Ruan Bin immediately remembered it.

Last year, Liu Wangba's parents, who were in their fifties, were admitted to the hospital one after another, but both died.

The dispute is hard to explain now!

Anyway, everyone thought that this guy was just a professional doctor!

Thinking of this, no wonder the obstetrics department is waiting so grandly at the door. If you are not waiting at the door, when they arrive, they will say that your doctor has not received a big hat in time to take it off, and there is another statement!

"Then don't you refuse to treat me?" Ruan Bin asked. Faced with such trouble, he asked the other party to go to another hospital to get a student.

"How dare you? The hospital instructed you to try to be as close to the wishes of your family. You should stay in a single room that does not pay a single room fee. You will not charge a consultation fee. Not only can you refuse to be transferred to the hospital, but you will also be offered like your ancestors. After his daughter-in-law gave birth smoothly, the head of the medical department will have to take charge of the doctor and the nurse will personally guide her mother to feed her. And I am personally responsible for the delivery process of this pregnant woman!" Liu Mei sighed.

"Okay." Ruan Bin shook his head helplessly.

What hospitals and doctors are most afraid of now is medical disputes!

Moreover, over the years, a "promising" industry has been derived from professional medical trouble!

Some people even set up medical fuss companies, and the extras of the employees worked very hard. When they had business, they should cry, faint, and curse. They didn’t know that they were rehearsing the show here. The more powerful scenes became more and more, and they directly burned paper money and set off firecrackers. They were simply possessed by drama artists, and they could be said to be quite "dedicated".

The reason why doctors are so arrogant is that they have already learned the tricks inside. Not to mention whether it is the hospital’s fault, but then talk about it first. Even if they are sued, they are not afraid. If they are finally confirmed that the hospital is not at fault, they will pay the patients some compensation in the form of negotiation and reconciliation based on the principle of sympathy for the weak.

If it is proved that the hospital is indeed at fault, the hospital will not only pay huge compensation, but also pay all lawsuits. "Nothing will be lost", this is the confidence of the medical quarrels.
Chapter completed!