Chapter 93 Advanced Horses, the first opening for the first time

Author: Jiangbianyu Weng

Chapter 93 Advanced Horses, the first opening for the first time

Although the emergency department is a little bit cold, the strength is far less than the heavy department, but in the aspect of seeking for help, there is no privilege that other departments do not have.

When you encounter an uncertain doctor, you can call the doctor in any department to come to the consultation.

The other party cannot refuse.

There are also strict restrictions on emergency time.

This is stipulated by the hospital.

In addition, the specialist is an emergency, and when you encounter an uncertainty, you can't pick them up, saying that this matter is also uncertain. The specialist level of the emergency department is low.

In the end, the power of the whole hospital could not save that patient, then there was no way.

Report according to the procedure.

Although other departments encounter uncertain patients, you can also ask other departments to come to consult. But the nature is much different.

For example, orthopedic surgery received a patient, fractured, suspected of internal bleeding or other severe diseases.

Orthopedics feels that it is unbearable based on their own ability, afraid of accidents.

So I asked the doctor in the heart to come to the consultation.

After receiving the request, the doctor in the heart is a little reluctant. Because any doctor is not easy, there is a lot of work in his hands, and there is any time to control your home!

However, it can't be pushed in this matter, and you must go when you cross the scene.

Everyone is from a hospital. You help me. Next time you have difficulties, I will help.

Unity is necessary.

Doctors in the Department of Medicine have passed.

At first glance, oh, the patient's bleeding in this patient was so serious that everyone had shocked.

Then after checking the inspection report carefully, he thought that the patient would not be able to get off the operating table.

While telling the diagnostic opinion, he told the orthopedic doctor to report to his superior. If he is the chief physician, then you don't need to report it.

May be able to post a more positive attitude.

This patient is unable to save it, and it is likely that you can't get off the operating table. You can do it.

After speaking, you can leave your butt.

This is the difference between emergency and ordinary consultation.

Nympho

Not long after, the patient's blood test report was obtained, the white blood cells were abnormal, and there were pus.

The doctor who came out of the emergency department also arrived one after another. The digestive department sent a main administration, and the hepatobiliary surgery also sent a main administration.

This level is no longer low.

Both the experience of diagnosis and treatment or its own strength will not be bad.

"What kind of disease?"

"Acute cholecystitis!"

"Isn't this too difficult to do! Dr. Xu used to be the chief physician of our surgeon before? It should be able to get it!" After listening to hepatobiliary surgery, he looked easily.

Maybe he himself did not intend to laugh at Dr. Xu.

Just how to listen, I took Dr. Xu in it.

Looking at the age of this person, it should be the newly promoted surgeon in recent years.

There is still a little hard work of young people.

Young and promising will inevitably be a little proud.

This must be accumulated by years, and the reality can be converged slowly.

"Dr. Ruan can first look at the patient's situation." Zhou Can stood beside the teacher to speak.

The attending doctor of the Department of Gastroenterology has finished checking the information and is checking the patient.

Internal medicine checking patients are particularly careful, eyes, pupils, tongue coating, hands, face, etc., all of which are carefully checked. And ask the patient's diet, defecation, abdominal pain specific parts of the patients.

There are many situations that are not written in the medical records.

This is generally a simple recording of the patient's symptoms, condition, diagnosis time and the like.

Huaxia's internal medicine doctor actually has the shadow of traditional Chinese medicine in it.

The inquiries of Chinese medicine are cut, and experienced doctors with experience will be a little bit a little bit more.

Zhou Can watched the doctor's examination of the patient's examination, diagnosis, and secretly learned the diagnostic method of others.

Internal medicine doctors have finished diagnosis and did not rush to express their opinions.

It was just a slightly dignified face standing beside him.

Five minutes have passed, and eight minutes have passed ... Dr. Ruan frowned, looked at the inspection information, and looked at the patient. I did not give the diagnosis.

"Dr. Ruan, this kind of disease must be cured a lot. The examination report has also been seen, and the patient has also checked it. I don't know how you think it should be cured?"

Zhou Can clearly saw that it was a bit difficult to see the other party, and deliberately wore a high hat for others. In fact, it was very ... ‘bad’.

"Uh ... this, I have to study again!"

Dr. Ruan's face is somewhat embarrassed.

"Didn't you say that this kind of disease was not difficult to do?"

Zhou Can will bring his army.

As soon as I came in, Dr. Xu was not easy to step down.

Let this person stay a little next time.

"This kind of disease is generally good, but this patient is a bit difficult. By the way, what is your treatment opinion in the emergency department?" Dr. Ruan's ability to change is quite strong.

The topic and goals were shifted instantly.

Being able to treat it, it was practiced countless times in the deal with the patients.

Without the ability of random response, I don't know how many times have been pushed by their families and patients.

Zhou Can looked at the teacher.

This question should be answered by the highest status.

He has a small regulation, and places a positive position.

You must never talk randomly when you should not be the master.

"Our opinion is to do partial bile first bile panga first. Poch pests under the positioning positioning causes anti -inflammatory treatment to patients. After the inflammation is eliminated, the optional surgery will be selected."

Dr. Xu, this adopted Zhou Can's diagnosis and treatment opinion.

Just then, the anesthesiologist also arrived.

After saying hello, I asked about the situation. Anesthesiologist stood beside him patiently waiting for several surgical doctors to go to the consultation results.

"Dr. Chi, what about your opinion?" Dr. Ruan looked at the attending doctor of the digestive department.

"I support the emergency approach. This patient has a basic disease, older, and weak body. In addition, there are pus around the gallbladder, and the risk of surgery is extremely high. And the patient's mouth has vomiting residues, indicating that it is sent to the operating room to the operating room

Previously, the fasting time should not be long. I suggest to drain gallbladder sweat, discharge pus and anti -inflammatory, and then give infusion nutritional support. Fasting. Wait until the surgery is met, and then the surgery is not late. "

Dr. Chi ’s observation is detailed, which is really amazing.

"If I can, I prefer laparoscopic surgery. The trauma is much smaller, and the risk will be reduced."

The reason why minimally invasive surgery has become an emerging surgery trend is that because of small trauma, the damage to patients has been greatly reduced, and the postoperative recovery is fast.

Some weak and sick patients may not be in line with traditional surgical indicators, but you can do minimally invasive.

The only disadvantage is that the cost of minimally invasive surgery is much more expensive.

Then there are very few doctors who have done well in domestic minimally invasive surgery.

"It is not enough for fasting time before surgery, and the patient itself has a vomiting reaction. I am afraid there is no way to anesthetize it!"

As soon as the patient heard the patient's vomiting, his face changed immediately.

The hospital is recently grasping the safety of surgery, but he dare not take the danger.

Everyone's eyes were staring at Dr. Ruan, waiting for him to express his opinion.

"That happened, this patient turned to the hepatal and gallbladder hospitalization specialist. I will report to the director. After you communicate with your family members, you will send the patient over."

Dr. Ruan picked up this 'hot potato' and recovered the hepatobiliary specialist.

This matter is temporarily coming to an end.
To be continued...