Chapter 156 The Lesion is in the Foot
Doctor Luo looked at the woman twice but couldn't see any clues.
"You should go to the internal medicine emergency room for this illness. It's over there!" He pointed to Doctor Wang's side.
Surgeons are good at gastrointestinal surgery, orthopedic surgery, tumor resection, tendon and nerve repair, etc. When encountering such internal diseases with unknown causes, especially those involving the brain, surgeons are generally very cautious.
The reason is simple: fear of being slapped in the face and fear of accidents.
No doctor dares to prescribe medicine or perform surgery on a disease that he is not specialized in.
Because if you prescribe medicine without even making a clear diagnosis of the disease, that is not saving people, but harming them, it is killing them.
Doctor Wang happened to notice the situation here.
Hearing Doctor Luo pushing the patient towards him, he couldn't help but twitch his eyelids.
I encountered several patients who were almost misdiagnosed this morning.
The woman with disheveled hair looked like she had a disease that was difficult to cure.
Seeing the patient coming over here, Doctor Wang looked as if he was facing a great enemy. He must have cursed Doctor Luo's mother several times in his heart.
Why do you have to send this obviously untreatable patient to the emergency department?
Anyway, there is no danger to his life. Why not just ask them to cancel the emergency room appointment and go to a specialist for treatment?
It is not easy to keep the job of an emergency department doctor, as it can be easily broken.
Li Quan was secretly delighted that a patient finally came who he could feel his pulse for, but he was kicked away by Doctor Luo.
He secretly thought it was a pity.
Just now, he used the foresight technique to observe the female patient and found that the lesion of this woman did not seem to be in the head, but might be in the feet.
“Could it be that my diagnosis is wrong?”
Li Quan had never seen such a strange disease.
How could a foot disease cause the patient to go blind?
Logically speaking, the two parts have nothing to do with each other.
But just now, after he discovered that the patient's lesion was in his foot, his skill points in diagnosis by observation increased by 10 points.
This again proves that his diagnosis was correct.
If he could take the woman's pulse, he should be able to determine the cause of the illness.
Let’s first see how Dr. Wang diagnoses.
Li Quan was able to put himself in the right position. No matter how capable he was, he was only a resident physician.
If he rushed over and told the patient that the lesion was on his foot before Dr. Wang had made a diagnosis, even if Dr. Wang was generous, he would probably be dissatisfied with him.
Patients would even think he was crazy.
Professor Liu often taught them that they should pay attention to the way and method of doing things.
Especially when communicating with patients, you must pay attention to the skills.
The mother and son have arrived at Doctor Wang's desk.
Doctor Wang doesn't know how to take a pulse or diagnose by observation.
Considering that the patient had tingling in the head before becoming blind, it was suspected that the temporary blindness was caused by compression from a vascular tumor or an intracranial tumor.
He first wrote out a brain CT examination application form for the patient and asked the patient to go for a head CT scan.
Brain CT can clearly show the number, location, size, outline, density, intratumoral hemorrhage, calcification, and degree of spread of intracranial tumors. If there is intracranial hemorrhage or hidden trauma, it can basically be detected.
Not long after, the patient came back from the examination.
Brain CT scan showed everything was normal.
This time, Doctor Wang was confused.
This was already the third difficult patient he had encountered.
Even top-tier tertiary hospitals like Huier and Yuanyang still see a large number of patients with unknown causes of illness every year.
But for an emergency physician, he encountered three such difficult patients in less than a day. The probability was too high. His luck was so good that he could buy a lottery ticket.
Doctor Wang pondered his words and said to the patient and his family, "Based on the brain CT results, the patient's brain is basically normal. This is the emergency department, and we only deal with emergency cases. Why don't you make an appointment with the ophthalmology department and ask the doctors there to diagnose you again?"
After hearing this, the patient's son didn't buy it.
"Doctor, the ophthalmology department is full. We can only wait until tomorrow. But my mother's condition cannot be delayed until tomorrow. You must help my mother take another look. If it doesn't work, you can admit her to the hospital."
The patient's son is about 40 years old, which is already the age of forty.
You want to trick him into going to the ophthalmology clinic for treatment, but he doesn't believe you at all.
Doctor Wang was in a dilemma.
"Then wait a moment. I'll call the internal medicine department to see if there's an ophthalmologist who can come here for an emergency."
If the cause of the disease cannot be found, the patient's condition may deteriorate at any time.
Doctor Wang had no choice but to ask an ophthalmologist from the internal medicine department to come to the emergency department for emergency treatment.
Physicians in a hospital are divided into departments.
There are specialist doctors in the emergency room, but their number is very small.
This is also related to the low revenue generated by the emergency department.
To put it bluntly, the total revenue generated by the emergency department is limited, and can only support so many physicians.
Take the surgery department for example. A major operation generates hundreds of thousands of dollars in revenue, and its staff is several times more than that of the emergency department.
There is a saying that goes like this: Ophthalmology is gold, surgery is silver, internal medicine is mediocre, pediatrics is noisy, infectious disease department is desperate, nutrition department is a place where you can eat and drink for free, and you would never go to the emergency department.
It can be seen that work in the emergency department is very difficult.
…
A moment later, an ophthalmologist was sent from the internal medicine department to provide emergency treatment.
When a specialist doctor comes to the emergency room for consultation, it is called an emergency visit.
The doctor who came was a young doctor in his thirties.
I guess the ophthalmology department is also short of staff, so they sent a young doctor over.
Logically speaking, patients that the surgery department cannot handle must be difficult.
Li Quan has been observing the situation on Doctor Wang's side.
The patient underwent a brain CT scan, and the results showed that his brain was basically normal, which further confirmed that Li Quan's diagnosis was likely correct.
It is possible that the patient's lesion is actually in the foot.
I just couldn't figure it out no matter how hard I tried. How could a foot disease lead to blindness? I've never heard of such a case.
Let's see if the ophthalmologist can diagnose the cause of the disease.
The ophthalmologist looked reluctant.
"Our ophthalmology clinic is extremely busy, with dozens of patients waiting in line to see a doctor. Don't you allow patients in the emergency department to make an appointment for the ophthalmology clinic themselves?"
This young doctor was very angry and started scolding Doctor Wang as soon as he caught him.
Physicians in the emergency department have a relatively low status, and often times asking a specialist to come over for an emergency or sending patients to the specialist department can easily lead to criticism.
Doctor Wang is an honest man and he didn't say a word even when he was scolded.
But his face looked a little bad.
"Has the patient been examined in any way?" asked the young ophthalmologist.
"We took a brain CT scan and found no abnormalities." Doctor Wang handed the CT film to the young doctor.
In fact, Dr. Wang is about the same age as this young doctor.
No matter how you look at it, it seems a bit humble at this moment.
Li Quan felt very uncomfortable watching this.
Doctors in the emergency department are also human beings, and their status should be equal to that of doctors in other departments. Why do they look down on others?
