Chapter 133 Who discovered it?
"Doctor Li, go notify Doctor Yang Yu immediately and tell him directly that there is a patient here who is suspected to have mesenteric artery embolism." Doctor Wang didn't know whether he was unlucky or had offended the God of Fortune when he went out.
In just one morning, we saw two critically ill patients who were difficult to diagnose.
Originally, this female patient should have been seen by a surgeon, but she chose to see him, an internist . Because the hospital emergency department has a rule that whoever sees the patient first must be responsible until the end, Dr. Wang was in tears.
If Li Quan hadn't helped him discover the real cause of the female patient's illness, he would have taken off his white coat twice.
Doctor Yang Yu is instructing doctors Zhou Chang and Zhao Zhijing in rescuing a drowning patient in the emergency room.
Zhao Zhijing gave the patient artificial respiration from time to time.
Doctor Zhou Chang was performing chest compressions on the patient.
The heartbeat and breathing on the life monitoring instrument were both straight. There was actually no point in saving this patient, and the two were just fulfilling their duties as doctors.
Sometimes, doctors are not omnipotent, let alone gods.
There are also many diseases that doctors cannot treat.
"Doctor Yang, we have a patient with mesenteric artery embolism. Doctor Wang, please go over and treat him immediately." Li Quan stood outside the emergency room and asked for instructions.
"Okay, I'll go there right away!" When Doctor Yang Yu heard the name of the disease, he was stunned for a moment, and then his face became heavy.
His brows also frowned.
Zhao Zhijing glanced at Li Quan who was reporting at the door, and a hint of superiority appeared on his face.
He was helping to save patients in such an important clinic as the emergency room, while Li Quan was sent by the senior doctor to run errands. They were all resident trainees, so how could Zhao Zhijing not feel superior?
If he knew that Li Quan had made three consecutive contributions, I wonder if he would still feel superior.
Doctor Yang Yu followed Li Quan quickly to the operating room.
" Have you done a blood test?"
"Yeah, I did!"
Doctor Wang quickly gave the test results to Doctor Yang Yu for review.
"The white blood cell count is >20×109/L, which is significantly higher than the normal value. The pH and HCO3- values in blood gas analysis are significantly low. These characteristics are consistent with mesenteric artery embolism."
Doctor Yang Yu took a look at the routine blood test and immediately saw that it met the characteristics of mesenteric artery embolism. This is his level of skill.
Neither doctors Wang Lishu nor Luo Wenhao could see it.
If Li Quan hadn't reminded them, they would still be treating it as appendicitis.
The level of attending physicians is indeed a level higher than that of resident physicians.
"Have you done any other tests?" Doctor Yang Yu asked again.
"I did an abdominal B-ultrasound, and later added an abdominal CT angiography." Doctor Wang quickly handed over the other two test results.
"Next time we encounter a suspected case of this disease, we should do another X-ray. However, this abdominal CT scan clearly shows that there is indeed a problem with the arteries, so there is no need to do another X-ray. The most important thing now is to race against time and prepare to operate on the patient immediately, otherwise colon necrosis will occur, and the consequences will be extremely serious."
As he spoke, Dr. Yang Yu pressed the patient's abdomen.
The abdomen was found to be soft with no particularly pronounced tenderness reflexes.
His face relaxed slightly.
"Judging from the CT scan and the patient's abdominal reaction, the disease is probably still in its early stages. We should still have time to operate immediately. We'll ask the patient's family to prepay the fee, sign a surgical risk notification, etc. Since Director Zhang is not here, I will be the lead surgeon, with Dr. Luo Wenhao assisting."
Yang Yu made arrangements quickly and decisively.
There is no need to make additional arrangements for operating room nurses, they are all here.
"Doctor Wang, you did a great job this time. This disease can easily be confused with acute appendicitis and enteritis, and it is also a very rare disease. You were able to distinguish it in the first place and gain the best treatment time for the patient."
Doctor Yang Yu highly praised Doctor Wang.
Wang Lishu was immediately embarrassed and mumbled, "Well... this disease was actually discovered by Doctor Li Quan. Doctor Luo and I thought it was appendicitis at first."
Doctor Wang wiped the sweat from his forehead, his expression looking as if he had taken some bitter medicine.
To be honest, this is a bit embarrassing.
As a resident doctor, his experience and skills should have far surpassed those of Li Quan, a newly-promoted intern. However, twice in a row, Li Quan discovered the crisis in advance.
"Oh, it was Doctor Li Quan who discovered it in advance again." Doctor Yang Yu looked at Li Quan in surprise. "Not bad, very good. You come in and help with this operation."
Doctor Yang Yu actually transferred Li Quan directly into the operating room to participate in this operation.
This shows that he is very optimistic about Li Quan.
I guess any attending physician would definitely make great efforts to train such an outstanding intern if he saw him doing so.
Because the emergency department itself is under a lot of pressure, it receives many and diverse patients, and most of them have acute illnesses.
This places very high demands on doctors.
Doctors of average level simply cannot stay in the emergency department.
If Li Quan, a good talent, could be cultivated, the pressure on the emergency department would be greatly reduced.
"Thank you, Doctor Yang, for your cultivation!"
Li Quan was quite sensible and thanked him with a grateful look on his face.
"Do a good job. The emergency department needs doctors who are bold in speaking and thinking. If your successor performs well, I will recommend you to Director Zhang." Doctor Yang Yu nodded and began to make preoperative preparations.
Notify the anesthesiologist to come immediately and anesthetize the patient.
It has to be said that although the emergency department is the department with the lowest revenue generation, it has absolute priority in the use of medical resources.
This is also necessary.
If a patient is sent here for emergency treatment, you have to wait in line for two or three hours for a color ultrasound scan, and I'm afraid the patient's body will be cold by then.
There was no point in rescuing them at that time.
"Doctor Yang Yu, what about the arrangements for the intern Yang Jia?"
Girls are meant to be taken care of, and if Dr. Luo Wenhao doesn't ask for her help, her situation will be very embarrassing.
Because Dr. Yang Yu only designated Luo Wenhao and Li Quan to go in and help with this operation.
It doesn't matter to Doctor Wang Lishu. He can work independently and go back to continue working at his internal medicine clinic.
Yang Jia is only a resident intern and cannot practice medicine alone as his superior physician is not here.
I'm afraid what she can do is not as good as an ordinary nurse.
"Doctor Wang, Yang Jia will be your assistant. Train her well. Our emergency department is very busy. With a few more outstanding trainees, the pressure can be greatly reduced."
Doctor Yang Yu immediately made the transfer arrangements.
This is equivalent to promoting Li Quan to a higher level.
Although it was just a minor job change, it was enough to show how much he valued Li Quan.
"I follow the arrangements of my superiors!" Doctor Wang said bitterly. He had finally got a super excellent assistant by chance, but he was transferred away after working under him for less than a morning.
It's so frustrating.
It's because his skills are not as good as those of the other residents in the emergency department.
"Thank you, Dr. Yang and Dr. Luo, I will try my best." Yang Jia must have felt a little disappointed, but she was very convinced.
Because Li Quan did perform better than her.
