Chapter 129 Acute Pneumonia
If Li Quan had not performed exceptionally well just now, Dr. Yang Yu's time would be precious and he would certainly not attach so much importance to Li Quan's opinion.
The two of them walked quickly to the observation area.
The nurse named Hu Yue'er was giving the patient an IV. Seeing the new doctor who had just mocked her as a rabbit coming back, she raised her eyebrows and immediately wanted to compete with Li Quan again.
The next second, she saw the middle-aged doctor following Li Quan and was immediately speechless.
"Doctor Yang is the attending physician and is usually very busy. How did he find time to come to the observation area?" She was very curious.
The observation area was basically under her charge, so she came over.
"Hello, Doctor Yang!" She greeted Doctor Yang Yu with a sweet smile.
"Hello!"
Doctor Yang nodded with dignity.
Li Quan couldn't help curling his lips. This young nurse really treated people differently. She was so ruthless to a new doctor like him. But her smile in front of Doctor Yang was sweeter than honey.
"Doctor Yang, I'm talking about this old man!"
Li Quan brought Dr. Yang Yu to the old man.
At this moment, the old man was leaning on the infusion bench, his eyes slightly closed, and his breathing was turbid, heavy and rapid.
"This old man has just finished his fluids and taken Smecta. His condition is relatively stable." Hu Yueer rushed to report the situation to Dr. Yang Yu. Doctors have a certain say in the evaluation of nurses.
In particular, the evaluation of the attending physician is very important.
It only takes one sentence to defeat him.
It is understandable that she tried so hard to perform in front of Dr. Yang Yu.
Nurses and doctors belong to two different systems. The promotion of nurses is more intense than that of doctors.
Because doctors have a wide range of fields to develop, even a neurology department of internal medicine can be divided into several small departments. As long as you have made achievements in a certain field, it will be difficult for others to replace you.
But nurses are different. They do basically the same work, and the technical content is much lower than that of doctors.
It says that if you have worked for five years and meet the requirements, you will be promoted, but in actual practice, there are still certain variables.
Yang Yu nodded, his eyes already on the old man's face.
Just as Li Quan said, the dark purple color deep in the facial skin was heart-wrenching.
"Old man, how do you feel now?" Yang Yu asked in a gentle tone.
"Thank you, doctor. My stomach doesn't hurt as much anymore!" the old man said weakly.
It was as if speaking had drained all his strength.
You even need to open your mouth to breathe.
"Doctor Wang, come here!" Yang Yu called to Doctor Wang Lishu who was examining a patient over there.
When Doctor Wang heard the call from his superior attending physician, he did not dare to delay and walked over quickly.
"Doctor Yang, what do you want me to do?" Doctor Wang glared at Li Quan in dissatisfaction. He secretly guessed that Li Quan might complain about him in front of Doctor Yang Yu.
"Did Doctor Li suggest to you that we should give this patient a lung examination?" Doctor Yang Yu's face was as gloomy as water.
"I did mention it. But I think he was worrying too much. Elderly people are old, so they usually have bronchitis and chronic pneumonia, which is normal. When the patient came, he had stomach pain and diarrhea. If I asked for a chest X-ray, I'm afraid it would not be in compliance with regulations ."
There was a hint of unhappiness in Doctor Wang's tone.
He was afraid that he was dissatisfied with Li Quan.
"Then take another look at the patient's condition." Yang Yu had a blank expression and a serious tone.
Nurse Hu Yue'er seemed to sense something mysterious.
Dr. Yang seems to take the advice of this young new doctor very seriously.
She had been busy just now, so she didn't know about Li Quan's outstanding performance in emergency surgery.
"The patient is fine. He just has a little heavy breathing, which is normal." Doctor Wang still didn't find any problem. Or rather, he thought Li Quan's suggestion was unnecessary.
"The patient's face was purple, and speaking was more tiring than climbing ten floors in one breath. He had to open his mouth to breathe... With so many abnormalities, you actually said it was normal. What exactly blinded your eyes and medical judgment? Is it because Doctor Li is a newcomer?"
"Give the patient a chest X-ray immediately, and then give symptomatic treatment according to the situation. It only takes half a day, or even a few hours, for an elderly person's acute pneumonia to turn into severe pneumonia. If someone dies, who can take the responsibility?"
In front of the patients, nurses and others, Yang Yu directly reprimanded Doctor Wang.
As an attending physician, the burden on your shoulders is heavier than that of a resident physician.
Ordinary pneumonia is not fatal to the elderly and children, but it is dangerous. Severe pneumonia is like a hook from the King of Hell for the elderly.
It is certain that for an elderly man like this one, who is over 80 years old, it will be basically difficult to save him once he develops severe pneumonia.
"The old man has acute pneumonia? Impossible !" Doctor Wang was still skeptical, but he dared not neglect the order from his superior doctor. He immediately wrote a chest X-ray request form for the old man.
Let Li Quan take him to do a chest CT scan.
Doctor Yang Yu was very busy. Before leaving, he reminded, "This patient's condition must be closely monitored. If there is any deterioration, notify me immediately." After saying that, he shifted his gaze to look at Li Quan.
"Doctor Li did the right thing. If there is a problem, don't be afraid of offending your superiors. You must report it immediately. Otherwise, it will be too late when something happens. By doing this, you saved the patient's life, as well as Doctor Wang and me."
After praising Li Quan for a few words, Doctor Yang Yu left in a hurry.
Li Quan looked at the old man's condition and thought it would be too difficult for him to walk to the CT examination room by himself.
It also wastes time.
"Little nurse, is there a temporary wheelchair here?" Li Quan asked Hu Yue'er.
"I told you I'm not a little nurse, my name is Hu Yue'er." The female nurse started grinding her teeth again.
"I've learned something new today. It turns out your teeth are so neat because they were ground." Li Quan also learned to grind his teeth like her.
The nurse was amused by him.
He quickly turned away.
When she turned around, her icy face had returned to normal.
"There's one over there with the wheelchairs, go get it yourself. Remember to return it after use." She pointed to a corner not far away.
There was an emergency bed and a slightly worn-out wheelchair.
"Thanks, bunny!"
Li Quan no longer called her little nurse.
"My name is Hu Yue'er. My last name is Hu, not Tu." She gritted her teeth again.
However, because of the two confrontations and Dr. Yang Yu 's affirmation of Li Quan just now, Hu Yue'er had a deeper impression of this new emergency doctor.
…
Li Quan pushed the old man in a wheelchair to do a chest CT scan.
The moment he got the film, Li Quan saw the terrible shadow on the film at a glance. That was the inflammation that began to infiltrate the lungs on a large scale. The alveoli, interstitial lungs, and even the distal airways were infected.
At this rate, it might only take three or four hours for the disease to develop into severe pneumonia.
No wonder the old man now needs to open his mouth to breathe.
He brought the old man and the chest X-ray to Dr. Wang as quickly as possible.
"Doctor Wang, the chest X-ray is out." Li Quan handed over the chest X-ray.
Doctor Wang had a cold face. He took it and just glanced at it, then his expression changed on the spot.
