Chapter 132 Fighting for Life with the King of Hell
Doctor Wang has already started to diagnose the patient.
"Based on the symptoms and test results, the preliminary diagnosis is acute appendicitis. Our surgeon will be in charge of the second consultation and will provide a treatment plan after confirming that everything is correct."
Doctor Wang put a question mark after acute appendicitis.
This is common practice among all physicians.
Unless the disease is absolutely certain and confirmed, there will always be a question mark.
Don't ask why you do this.
It's not easy to be a doctor, and I'm afraid of having my job taken away.
Doctor Wang is an internal medicine doctor, but appendectomy is a surgical procedure. So this case had to be performed by Dr. Luo Wenhao from the emergency surgery department.
The emergency department is a department, so naturally we need to work together.
If the surgery department receives an internal medicine case, they will also ask Dr. Wang Lishu to help.
As for the fact that many people think that doctors in the emergency department are omnipotent and can cure any disease, they are just laymen who do not understand the nature of the emergency department at all.
Soon, Dr. Luo Wenhao came over.
"Doctor Luo, I have a patient with acute appendicitis here. Please take another look at him." Doctor Wang said politely.
"Doctor Wang has made the diagnosis, so I'm sure it's correct." Doctor Luo Wenhao glanced at the female patient who was in excruciating pain and changed the subject. "Is the condition serious? Does she need an immediate appendectomy?"
Naturally, he picked up the checklist and looked at it.
"Hey, judging from the B-ultrasound image, the patient's appendix disease should not be serious. Why is it so painful?" Luo Wenhao walked to the female patient and reached out to touch her forehead.
This is to see if there are any symptoms such as fever.
Then he pressed the female patient's abdomen.
"The tenderness reaction is not particularly obvious. Judging from her abdominal B-ultrasound, it should not be necessary to remove the appendix. Why don't you give her an IV first to reduce inflammation and then observe her for a while ."
Dr. Luo Wenhao gave a treatment plan.
As expected of a surgeon, he is obviously more professional than Dr. Wang in diagnosing diseases like appendicitis.
It also seems more confident.
"Doctor, can you please help my daughter take another look? I heard that acute appendicitis can be fatal if it is not treated promptly. My daughter is not a delicate girl. She must be in so much pain that she screamed like this. Please help take a closer look."
The female patient's father pleaded humbly.
"Can I take her pulse again?" Li Quan looked at the woman's father.
"Yes, yes, please!" The woman's father felt ashamed when he thought of his reckless behavior towards Li Quan just now.
Li Quan squatted down again to feel the woman's pulse. Her teeth were chattering in pain and her teeth were grinding.
The nails even pinched the skin and made it bleed.
" Ms. , please relax. I'll take your pulse. If you push too hard, I won't be able to take your pulse." Li Quan comforted the female patient in a gentle voice.
The woman was in so much pain that she was a little unconscious.
I just hope the doctor can save her quickly.
After hearing what Li Quan said, she really tried to hold back and didn't grab the bed frame hard anymore.
"It is still a broken pulse, and the pulse has begun to show new changes. It seems to be on the verge of extinction."
Li Quan was horrified.
If his pulse diagnosis was correct, it meant that the patient's condition was deteriorating rapidly.
That is definitely not the mild appendicitis diagnosed by Dr. Luo Wenhao.
The patient's father also said that his daughter was not so delicate and would not scream for a little pain.
"Doctor Wang, Doctor Luo, I suspect the patient has embolism in the colon. The patient's nails have broken the skin, and the pain level must be very high. In addition, the patient's pulse is tending to become absent, and the condition is rapidly deteriorating and worsening. I suggest that the patient be given an abdominal CT scan immediately to determine the cause."
Li Quan said with a serious face.
Having learned from the lesson of being rejected by Doctor Wang last time, Li Quan stated his reasons this time.
Unfortunately, his pulse diagnosis skills have not yet been upgraded to the minor success level.
We only know that there may be embolism in the large intestinal blood vessels, but we cannot accurately identify which specific blood vessel is blocked.
If the vein is not blocked, there will only be two arteries left. No matter which one is blocked, the patient's condition will be very dangerous.
"Can you diagnose so much information just by taking a pulse?" Luo Wenhao narrowed his eyes and stared at Li Quan.
To be honest, he didn't take Li Quan's intention to take the patient's pulse seriously.
Although Li Quan had performed bone-setting techniques right under his nose not long ago and greatly amazed him.
But the situation is different now.
The cause of the patient's illness is in the abdominal cavity. Can we tell by taking his pulse that the blood vessels in the large intestine are blocked?
If taking the pulse is really that magical, why do major hospitals go to so much trouble and spend huge amounts of money to introduce all kinds of advanced testing instruments?
Wouldn't it be enough to just train doctors in the art of taking pulses?
Save money and effort, and you don’t have to spend money on maintenance or upgrades.
"I previously treated a patient with acute gastroenteritis, and it was Dr. Li who diagnosed the patient with acute pneumonia. Finally, under the guidance of Dr. Yang Yu, timely testing and decisive symptomatic treatment were carried out, which prevented the accident."
Doctor Wang was deliberately giving Doctor Luo a reminder.
Don't underestimate Li Quan's abilities.
This trainee was definitely the most amazing one .
I was a little upset when I picked the one that was left out. I didn't expect that the full bottle would not make any noise, and this most inconspicuous one turned out to be a monster.
Doctor Wang now has complete faith in Li Quan's abilities.
Doctor Luo thought for about three or four seconds and decided to trust Li Quan for once.
It's better to be careful.
Applying for an additional abdominal CT scan for the patient is completely in line with procedures and regulations.
"How about this, the family members take the patient to do an abdominal CT scan immediately. Don't wait in line, just talk directly to the doctor in the medical technology department." Doctor Luo wrote an application form with the word "expedited" written on it.
I believe that colleagues in the medical technology department will understand it at a glance.
The woman's father ran all the way with the check-up list and the emergency bed.
Doctor Luo was very busy and went back to his post.
Not long after, the woman was pushed back by her father.
"Doctor, doctor, the CT scan is out." At this time, Doctor Wang was actually seeing a new patient. However, in comparison, this woman's condition was obviously more serious.
He took the CT film and looked at it.
His heart skipped a beat and his face changed drastically.
"Doctor Luo, Doctor Luo..."
After calling out twice, he simply stood up and said, "Doctor Li, help me push the patient to the operating room quickly!" Doctor Wang's expression was a little ferocious, and he almost shouted.
While pushing the emergency bed, Li Quan asked, "Doctor Wang, what is wrong with this patient?"
He didn't even have the chance to check the CT scan, so naturally he didn't know the cause of the disease.
"It's most likely mesenteric artery embolism." Doctor Wang gritted his teeth and uttered a few words with a bitter mouth.
When Li Quan heard the name , he was stunned.
Immediately, the introduction to this disease in the book emerged in my mind.
This disease is very rare and is easily missed or misdiagnosed. Once delayed, the mortality rate is extremely high, with a case fatality rate of 50%-80%. It is a disease that is difficult to detect but extremely deadly.
No wonder Doctor Wang’s expression was so ferocious.
They are not pushing the female patient, but fighting with the King of Hell for the woman's life.
If the woman wins the fight, she can live.
If we lose, it means a life is lost.
Fortunately, with Li Quan's reminder, I had an abdominal CT scan in time and didn't treat it as appendicitis. Otherwise, the consequences would be disastrous.
