Chapter 138 This is the reverse pulse
"Are you willing to follow the rules now?" Doctor Luo said, glancing at the arrogant Chief Cui. "Remember this from now on. Whether you are a resident or an intern, they are all doctors and deserve respect. Don't keep saying that the resident has no right to speak."
This is to help Li Quan.
Section Chief Cui snorted and turned his head away.
"We will first take the patient to do an abdominal CT scan and blood test. Our doctors will analyze the condition and then decide whether to admit the patient to the hospital."
Doctor Luo said calmly.
"well!"
Doctor He nodded like a chick pecking at rice.
Because if the patient dies, he will be held fully responsible. Chief Cui, the head of the medical department, has nothing to do with anything.
After writing the examination application form, Dr. He pushed the patient to the examination despite being beaten and scolded by the family members.
Not long after, Dr. He pushed the patient back.
"Doctor Luo, here are the test results, please take a look!"
Doctor He lowered his posture at this moment, and his expression showed helpless respect.
Doctor Luo took the examination form and looked at the routine blood test data first.
"The white blood cell and neutrophil counts are all higher than normal , while the lymphocyte counts are far lower than normal, indicating that the patient's inflammation is very serious. Could it be that the intra-abdominal wound healed poorly and an infection occurred?"
He asked with a frown.
After intestinal resection surgery, if the anastomosis is not good, it is very likely to cause a series of problems such as wound inflammation.
"To be honest, several chief physicians from our Kuaikang Hospital have already consulted with the doctor and have preliminarily ruled out the possibility of wound inflammation and infection. You can take a look at the CT scan."
Dr. He was also very depressed when talking about this matter.
Other doctors performed intestinal resections successfully, but he encountered problems as soon as he performed his first intestinal resection alone.
But I still can't find out where the problem lies.
This inflammation came out of nowhere.
After carefully examining the CT scan, Dr. He found that the intestinal wound had indeed recovered well.
"This is strange. Where does the inflammation come from? The patient's symptoms are clearly consistent with intestinal wound inflammation!" Doctor Luo's brows were furrowed into knots.
"Doctor Li, what do you think?" Doctor Luo couldn't think of an answer and subconsciously asked Li Quan.
"It's hard to say for now. Let me check the patient's pulse first!"
Li Quan walked to the emergency bed and took the patient's pulse.
The patient's hands are very hot, which means he has a fever.
When bacteria invade the body, inflammation occurs, and the body defends itself.
It is the body's instinct to raise body temperature to fight invading bacteria and eliminate them.
"The pulse is dark and weak. If you take Renying, Fuyang, etc., this is a reverse pulse. The patient's condition is not good."
Li Quan's pulse diagnosis skills were not good enough, so he could only roughly locate the lesion in the abdominal cavity. But it was not in the large intestine. He performed visual diagnosis, turned the patient's eyes, pried open his mouth to check his tongue, and checked the incision on his abdomen...
The specific location of the lesion still could not be pinpointed.
"Modern examination equipment is so advanced, but Doctor Li still insists on using traditional Chinese medicine methods such as taking the pulse and observing the complexion?" Doctor He was disdainful and couldn't help but say something mean.
I thought this guy named Li was so great, but it turns out he is just a mediocre person who mixes half of Western medicine and half of Chinese medicine.
Doctor He couldn't help but feel a little contempt.
"The diagnostic methods of traditional Chinese medicine do not conflict with modern instruments. If used properly, they can complement each other and sometimes even achieve miraculous results." Li Quan stood up straight. He had thought about the cause of this patient's illness two days ago.
Although I haven't been able to diagnose the exact location of the lesion yet , I already have a bold guess in my mind.
"Then tell me, have you found out anything?" Doctor He asked this with a hint of sarcasm on his face.
"I have a bold idea. Could it be that during the operation, some instrument was left in the patient's abdominal cavity?" Li Quan put forward his idea.
Doctor Luo's expression moved slightly and his eyes lit up.
Doctor Li is different. His diagnostic method is different from ours, and even his thinking is unconventional.
Being a doctor requires hard work and good thinking, but also talent.
Doctor Li does have the potential to be a great doctor, much better than us.
When Dr. He heard this, his heart started pounding.
"This possibility is unlikely. We have already done abdominal ultrasound and CT scans and found no foreign matter left in the abdominal cavity. Besides, surgical instruments are checked repeatedly before suturing the skin. If there is something missing, it will definitely be discovered at the first time."
The family members who followed behind heard this, but they didn't think so.
One by one, they started to get emotional again, shouting and cursing, and Chief Cui was so scared that he quickly grabbed the dog's head and ran for his life.
"Doctor Li, are you sure that the cause of the patient's illness is foreign body in the abdominal cavity?" Doctor Luo asked in a low voice.
"I can't say I'm 100% sure, but at least I'm somewhat sure."
Li Quan would never dare to say anything final about such a matter.
"The patient's condition is very bad now. If we open the cavity for examination and find the foreign body, then there will be no problem. If we can't find it, it will aggravate the patient's condition. If we open the cavity for examination, then surgery will be necessary, which also means that we agree to accept the patient."
Doctor Luo was a little embarrassed.
There is a huge risk in admitting this patient.
Sincerity cannot be explained by a word of medical ethics. Just like the crosstalk "Golden Basin Foot Bathing City" performed by Da Bing, a customer came on the first day of opening. As soon as he took off his socks, the mosquitoes were smoked and fell down. Da Bing almost fainted. He gave the customer a hundred yuan and asked her to go and cause trouble for the foot bathing city opposite. As a result, the foot bathing city opposite closed down the next day.
A banner was hung saying that the manager of a certain foot massage parlor died in the line of duty.
In a situation like this, if we accept this patient without being sure of his chance of success, and if he dies from the treatment, we will be in huge trouble.
The family members won’t think you’ve done a good thing then.
They will scold you, saying why did you admit the patient if you don't have the ability? You should have told us earlier so that we can transfer him to another hospital.
By then, it will be like a dumb person eating bitter herbs, unable to express its pain.
"Well...you wait here for a few minutes. I will consult with the senior doctors in the hospital and then make a decision." Doctor Luo did not dare to make the decision on his own.
This was beyond his ability as a resident physician.
Take Li Quan in to discuss the matter with Dr. Yang Yu.
In the office, Dr. Yang Yu had already reviewed all the films and checklists and understood the basic situation.
"If this patient is successfully treated, it will generate at least 70,000 yuan in medical expenses for the department. Later treatment will be transferred to the hospital's specialist department, which should generate a lot of income ."
There were only three doctors in the office, so Dr. Yang Yu did not beat around the bush when speaking.
Just say it directly.
If a department does not generate income, do you think the hospital will support you for nothing?
Other doctors get bonuses and performance-based pay, while departments that don't generate any revenue can only get the basic salary and sit back and enjoy the relief.
Li Quan is still just a trainee student and doesn’t understand the distribution of benefits.
"Doctor Yang, I have a question for you. The little boy with a dislocated wrist had already had an ultrasound examination at another hospital. Are you asking me to apply for an ultrasound examination at our hospital? Is that also for the purpose of generating revenue?"
Li Quan seized this opportunity and asked the questions in his mind.
