Chapter 126: Denied Inspection Proposal
If the first patient you see on your first day at work in the emergency department dies.
The senior physician bears the main responsibility, and Li Quan, the assistant, will definitely be punished as well.
Li Quan could not bear this consequence.
This old man was really a fool, he didn't even call any family members over. Li Quan was so frightened that he was standing beside him.
If he had the authority to make the diagnosis, he would definitely request a chest X-ray for the patient.
After much difficulty, we took the old man to have his blood drawn and a stool sample taken.
Since blood routine and stool routine tests are very common, there are already many people queuing up here.
Doctor Li Quan personally brought the patient for examination. He handed in the application form and his colleagues inside understood it.
Those queuing behind were asked to wait a little longer, and the old man's sample was given priority for testing.
Ten minutes later, both inspection reports were received.
Li Quan took a look at the test results.
Salmonella infection and acute gastroenteritis can be diagnosed.
"Let's take the results to Doctor Wang first and see how he handles it." Li Quan took the old man to the emergency room.
“Young... boy, walk slower... I can’t breathe...” The old man looked pale, not knowing whether it was because of abdominal cramps or some other reason.
You can see that the old man's face is pale with a hint of dark purple.
This also further confirmed Li Quan's guess that the patient had problems with his lungs, which led to low blood oxygen conversion and caused his face to turn purple.
The old man was finally brought back to the emergency department.
Doctor Wang is treating a patient who was poisoned by eating vegetables sprayed with pesticides.
"Doctor Wang, we've done routine blood and stool tests, and here are the results." Li Quan handed over the test results with both hands and moved a chair for the old man to sit down and rest.
"According to the examination results, it is indeed acute gastroenteritis. Considering the old man's age, he was taken to the observation area over there for intravenous rehydration and oral smectite."
Doctor Wang wrote out the treatment prescription with a relaxed and confident expression.
He encounters cases of acute gastroenteritis like this almost every day, especially when the weather suddenly turns cold, there are more such patients.
He knows how to treat it almost with his eyes closed.
Li Quan stood there without moving.
Because at this moment, the old man's breathing became heavier and his face looked even worse.
"What are you still standing there for? Go quickly. There is a patient with food poisoning here who needs gastric lavage." Wang Lishu became angry when he saw Li Quan standing there without moving.
It turns out that the good stuff is the one that has been picked out by others.
This trainee is like a piece of wood, his ability to do things is very poor.
Even such a small matter requires repeated urging.
"Doctor Wang, do you think this patient needs a chest CT scan to check his lungs?" Li Quan asked cautiously.
Resident trainees have no human rights and were scolded like their own sons by this doctor surnamed Wang.
You can't talk back.
Because he is your superior doctor.
"You think there's something wrong with the old man's lungs just because he's breathing a little harder? Let me tell you, most elderly people have chronic bronchitis or chronic pneumonia. I've seen countless similar patients, so I can't be wrong. Go and get it done."
Doctor Wang Lishu's voice rose several decibels.
If Li Quan dares to complain again, he will be scolded.
Li Quan had no choice but to take the old man to the observation area. He didn't need to worry about things like rehydration and medication, as there were special nurses here to take care of it.
After settling the old man down, Li Quan turned and left.
"Hey, hey, you're a new doctor, right? You didn't tell the patient anything about his condition and just put him here. What if something happens?" A young nurse with very fair skin and an oval face was even more ferocious than Li Quan's mother.
He chased after him and started yelling at Li Quan.
Damn, I’m a doctor after all.
I was scolded by Doctor Wang, and now I have to be scolded by this young nurse. She really thinks newcomers are easy to bully.
"A good man does not fight with a woman! A good man does not fight with a woman!..." Li Quan repeated this three times in a row, then turned around and said expressionlessly. "This old lady named Huang Ximei was diagnosed with acute gastroenteritis by Doctor Wang. She was given fluids and Smecta with warm water."
"That's good enough. Remember next time. Don't just dump patients here and leave it at that. You must explain it to me clearly."
The young nurse was holding a tray for injections. She had a curvy figure and a delicate face, and she looked pretty. She was quite charming. But she was too fierce, like an iceberg beauty.
Li Quan nodded, turned and left.
"Mute! Remember, you won't say anything?"
The young nurse refused to give in.
"Report to the nurse, I've remembered it!" Li Quan turned his head and said seriously.
"Hey - who is the little nurse? I have a name, Hu Yue'er." The female nurse gritted her teeth.
"Little nurse Hu Yue'er, you are not born in the Year of the Rabbit. Don't grind your teeth next time." After Li Quan said this, he did not give the female nurse a chance to fight back and left quickly.
"asshole!"
I heard the angry scolding of the female nurse behind me.
The corner of Li Quan's mouth twitched. Hey, little bastard, let's see if you dare to bully .
When he returned to Dr. Wang, he had already started performing gastric lavage on the patient.
Judging from Doctor Wang's operation, he was going to perform emetic and gastric lavage.
It can also be concluded that the patient has not consumed the poisonous food for a long time.
In addition, the patient received gastric lavage in a sitting position, so the poisoning should be relatively mild.
"Come here and hold the tongue depressor." Doctor Wang shouted to Li Quan.
This is a dirty job, and it is easy to get splashed with dirt. But doctors are responsible for their jobs, so Li Quan took the tongue depressor from Doctor Wang and continued to stimulate the root of the patient's tongue to induce vomiting.
He also has to be careful not to have patients spray filth in his face.
"Do you doctors just watch people die without helping them?"
"Can it be cured?"
Li Quan faintly heard patients making loud noises in the surgical waiting area next to him.
There was also the sound of a boy crying.
The emergency room is the place where medical disputes are most likely to occur. Some patients don't understand, or the patients are sent here but cannot be saved, and their family members make a scene.
Some even beat up doctors.
Li Quan did not dare to be distracted for fear of being scolded by Doctor Wang. He concentrated on performing gastric lavage on the patient with food poisoning.
"Ugh... Ugh..."
The patient finally vomited, but fortunately, it was not projectile vomiting.
Large barrels for collecting waste and gastric lavage fluid had already been prepared.
"Xiao Li, remember next time, as soon as the patient starts to vomit, you must quickly take away the tongue depressor. Also, be sure to protect yourself and don't get splashed by the stomach fluid that the patient sprays out."
Doctor Wang may have seen that Li Quan was doing a good job, so he carefully taught Li Quan a few words.
…
After finally cleaning the patient's stomach clean, Li Quan breathed a sigh of relief.
The emergency department was busier than expected.
There were a lot of patients and their families waiting for treatment outside.
But they can only be dealt with one by one.
There was still a commotion in the emergency surgery area, and it was getting louder and louder.
Li Quan turned around to check.
The little boy who I saw before with a dislocated wrist had not yet gotten his turn in line. His parents and grandparents all seemed to be suffering from mania.
He slammed the table and yelled loudly.
The situation in the surgery department was quite dire. There were two burn patients being treated, so there was no time to take care of the little boy with a dislocated joint.
Dr. Luo Wenhao was using the power of splitting himself into two and was unable to come out to comfort the patient's family.
They could only send Yang Jia to appease them.
It would not do to let the patient keep making noises like this.
The impact is bad and it is easy to incite other patients waiting for treatment to join in the noise.
Yang Jia, a young, novice female doctor, had just started to give a few words of advice when she was scolded and cried by the patient's family.
"Xiao Li, we are still busy here for now, go over and see what's going on. Remember, don't argue with the patient, and don't get into physical conflict."
Doctor Wang sent Li Quan to deal with it.
"clear!"
Li Quan walked over.
The four family members were still surrounding Yang Jia and cursing him.
"Call your doctor here immediately. Sending a nurse like you is just a perfunctory response for us."
"Hurry up, if my child can't save his arm today, you must take full responsibility."
"Why didn't you tell us earlier that it can't be cured? Now you want us to go to the orthopedic specialist clinic. What were we doing earlier? Are the emergency department just for free?"
The patient's family bullied Yang Jia, a girl, and cursed her even more loudly.
"What's going on?" Li Quan walked over with a cold face.
Professor Liu taught them.
When facing emotionally agitated family members of patients, you must remain calm and cool, use professional medical knowledge to comfort them and gain their trust.
"Finally a male doctor was sent here. Your hospital is so cheap. You make a fuss and don't care about the life or death of our patients."
The child's grandmother speaks in a very sarcastic way.
"This male doctor is so young, can he treat illnesses? Our family has been a single-son family for three generations, and we only have this precious grandson. He is not someone you young doctors can use as a training ground."
The child's grandfather looked at Li Quan with suspicion.
