Chapter 139 The Cause of the Disease Found
"We have this in mind, but it's more for safety. When you diagnose patients in the future, you must remember that only the films from our hospital can be trusted. If the films are taken by other hospitals, no matter how the family members guarantee, they will not be accepted. Many doctors have suffered this kind of loss."
Doctor Yang Yu said seriously.
"I remember it!"
Li Quan nodded.
In the medical profession, one must not only learn medical skills, but also learn how to communicate with patients and their families, and how to reasonably avoid potential risks for oneself.
Some patients may come to the hospital intentionally to commit fraud.
It is even possible that you have offended someone, or some private hospitals want to gain greater profits and deliberately set a trap for you, holding an unreliable examination form for you to look at.
If there is a misdiagnosis or an accident, paying compensation will be the least of the problems.
"Doctor Li, I see that you are good at Chinese medicine pulse diagnosis. What do you think of the patient's condition?" Doctor Yang Yu looked at Li Quan.
This is enough to show that Li Quan, a regular trainee, has risen to an extremely high position.
He even surpassed the other three trainees in the emergency department.
"The patient has a reverse pulse, but as long as the cause can be found and symptomatic treatment is given in time, his life should not be in danger." Li Quan gave a more pertinent opinion.
"Do you think there may be foreign objects such as surgical instruments left in the abdominal cavity?" Doctor Yang Yu asked after a few seconds of silence.
"Based on the patient's condition, the duration of the operation and other factors, this possibility is quite high." Li Quan's expression was serious.
"Well, I'll ask Director Zhang for instructions. Saving a life is better than building a seven-story pagoda. It will also be of great help to the reputation of our hospital."
There are many benefits, but the risks are also considerable.
Yang Yu was only the attending physician, and he didn't dare to take charge of this matter.
He was not shy about it and made the call directly in front of the two of them.
I communicated with Director Zhang very quickly.
"Director Zhang agreed to accept the patient, but he also gave instructions that the doctor in question would be held responsible if anything went wrong. If the patient is cured, I don't need to tell you about the benefits."
Doctor Yang Yu's eyes swept across the faces of Doctor Luo and Li Quan.
"catch!"
Doctor Luo only uttered one word.
"I have even less objection." Li Quan is just an intern. The performance bonus has nothing to do with him, and the risks of accepting patients also have nothing to do with him.
"Then hurry up and save the patient! You can do a laparoscopy first, which will reduce the risk. In addition, I will share with you some experience. Some hospitals use relatively cheap gauze and hemostatic cotton, which are often not detected by instruments."
Dr. Yang Yu shared his valuable experience with the two people.
"Doctor Yang, I have no problem doing a laparoscopy. But the subsequent surgery will definitely need you to perform it." Doctor Luo's level is not high enough, and he cannot complete the more difficult surgery independently.
It’s not that I don’t have the ability or skills, but that my position is not high enough.
This regulation may seem unreasonable, but it is actually for the safety of patients.
Some novice doctors, who have just obtained their medical licenses a few days ago, think they have learned some skills and are very proud of their medical skills, thinking that they can treat any disease.
It is conceivable that if they perform surgery on patients, something bad will probably happen.
"Hurry up and get ready. I will stand guard behind you!" Doctor Yang Yu readily agreed.
…
In the operating room, doctors Li Quan and Luo Wenhao, as well as two operating room nurses, performed laparoscopic surgery on the patient.
Doctor Yang Yu stood opposite the two of them, supervising and guiding them.
The anesthesiologist came over quickly.
"General anesthesia has taken effect, the patient's vital signs are stable, and the operation can begin." The anesthesiologist is always the tough one who doesn't talk much.
The surgery is now being performed by Dr. Luo Wenhao, and Li Quan has become an assistant in disguise.
Laparoscopic surgery is a minimally invasive surgery.
After the knife position is determined, Li Quan will naturally be responsible for disinfecting it.
This is very particular, disinfection from the inside out, twice in total.
If any novice doctor dares to disinfect from the outer circle to the inner circle, he will be scolded to death by the surgeon in charge.
Even the instrument nurses have to be careful when putting on sterile gloves for doctors. If they don't wear them properly or the mouth of the gloves is not aligned properly, they will be scolded.
"Scalpel!"
Dr. Luo Wenhao shouted.
The instrument nurse immediately handed over a scalpel for skin incision. Li Quan took it and handed it to Dr. Luo Wenhao.
"Doctor Li Quan, prepare to stop the bleeding!"
An incision of about two centimeters was made and the laparoscopic probe was inserted into the abdominal cavity.
The internal organs in the abdominal cavity can be clearly seen on the display screen.
Including the peristaltic large intestine, small intestine, etc.
In fact, it is not easy to find foreign objects in the abdominal cavity using this method.
Since even the CT scan can't show it, it must be something extremely difficult to detect.
And it's just speculation.
No one is completely sure.
The probe is moved carefully inside the abdominal cavity to provide a searchlight.
There have been no discoveries.
Li Quan was thinking, where was the place where Doctor He operated on the patient? Logically, the intestinal resection, anastomosis and other surgical sites should also be there.
But after taking a look around, no foreign objects were found.
Could it be that my inference was wrong?
Now that the patient has been admitted, if his inference is wrong and the cause of the disease cannot be found, it will be troublesome.
Doctor Luo is definitely in big trouble.
Even Dr. Yang Yu and Director Zhang from the emergency department were in trouble.
This is a living being. Li Quan was thinking hard about what the problem was.
"No foreign objects found!"
Doctor Luo's heart sank. He shook his head and prepared to end the laparoscopic surgery.
Doctor Yang Yu also had a serious and gloomy expression on his face.
Everyone was in a heavy mood.
"Wait a minute! Let me check the patient's pulse!"
Li Quan's visual diagnosis technique is now at a minor level, and he can identify the lesion as being in the abdominal cavity, probably in the lower abdomen. This is the limit of what visual diagnosis can currently achieve.
The only thing I can rely on is the art of pulse diagnosis.
Compared with the visual diagnosis technique, the pulse diagnosis technique is more accurate. Unfortunately, it is only at the entry level for the time being.
It is impossible to make a precise distinction by taking the pulse.
Li Quan was concentrating on feeling the patient's pulse.
Cun, Guan, and Chi are all massaged very well. The radial styloid process behind the wrist is used as a marker, with the inner side being Guan, the front of Guan being Cun, and the back of Guan being Chi.
At this moment, the scene in the operating room was quite funny, even absurd.
So many advanced instruments, even a laparoscope, were used, but the cause of the disease still could not be found.
However, the doctors were counting on Li Quan to use traditional Chinese medicine to find out the cause of the disease.
Time passes by every second.
Doctor Luo's brows were furrowed more and more, and his patience was gradually worn away.
Doctor Yang Yu was relatively calm.
The two female nurses looked at Li Quan curiously. Judging from their expressions, there was a hint of disdain.
It is the anesthesiologist's responsibility to check the life monitoring screen from time to time to ensure that the patient's vital signs are stable.
"I've found something!"
Li Quan opened his eyes and stared at a spot far below the surgical incision.
