Chapter 182: Ready to step on your opponent to get to the top?
The scene five days ago emerged in Li Quan's mind.
At that time, he told the middle-aged man that there was a risk of cerebral hemorrhage. The man also pointed at Li Quan's nose and called him a black-hearted doctor, thinking that Li Quan wanted to trick him into doing more tests and wanting to trick him into hospitalization.
It was precisely because he did not follow Li Quan's advice that the middle-aged man ended up in his current situation.
Cerebral hemorrhage is a very terrible disease.
The onset is acute, the condition is severe, the disease progresses rapidly, and the prognosis is extremely poor.
Usually the patient will die quickly, and even if he survives, he is likely to suffer from hemiplegia, loss of mobility and language ability, cognitive impairment, etc.
At this moment, the middle-aged man was unconscious, his face was pale, and he looked no different from a dead person.
If the multi-functional life monitor had not shown that the patient still had heart rate, breathing and blood pressure, one would probably have mistakenly thought that this was a dead person.
Li Quan received a call from the hospital yesterday afternoon.
This means that the middle-aged man had already fallen ill yesterday afternoon.
Yuanyang Hospital did not perform surgery on the patient, but it should have taken a series of emergency measures. Otherwise, the patient would not have survived until now.
In terms of medical skills and strength, Ocean Hospital is stronger than Huier Hospital.
Why doesn't it perform surgery on patients?
A terrible thought popped up in Li Quan's mind. There was only one possibility, the patient's bleeding site was in the brain stem.
It is called the forbidden zone of life and the risk of surgery is extremely high.
Ordinary tertiary hospitals simply dare not perform this type of surgery.
Yuanyang Hospital should be able to perform brainstem hemorrhage surgery.
Why not?
The difficulty of the operation must be beyond imagination. They were not sure, so they did not dare to perform the operation and finally chose to let the family take conservative treatment.
"Hey, what's wrong with the patient's brain waves? Is it not installed properly?"
Doctor Zhou Chang saw that the patient's brain waves had almost become a straight line, but his breathing and heart rate were still there. He thought that Li Quan had not installed the multifunctional life monitor properly for the first time.
"It should be installed. All the neurons are already in place."
Li Quan was also a little puzzled.
Dr. Zhou Chang has already started to check personally to see if the instrument's sensor probe is not fitting properly against the patient's brain.
"There's no problem with the installation, but this is troublesome."
Doctor Zhou Chang has extensive experience in emergency rescue. When he discovered that the problem was not caused by a failure in installing the equipment properly, his brows furrowed.
His expression also became extremely solemn.
"Why hasn't Doctor Yang come yet? I'm afraid this patient can't be saved." Doctor Zhou Chang stamped his feet anxiously.
Cardiac arrest and respiratory arrest may still be rescued.
If a person is brain dead, there is actually no need to save him.
Because brain death is formally death.
No wonder Yuanyang Hospital didn't dare to perform surgery on the patient. They would rather transfer the patient to another hospital than change the treatment plan.
If conservative treatment is adopted and the patient dies, the hospital is not responsible.
If a patient dies on the operating table, it would be hard to say even if we don't take responsibility.
At the same time, it will also lower some indexes of the hospital .
"Doctor Yang is here!"
As soon as the nurse finished speaking, Doctor Yang walked in.
"I just talked to the family about the patient's condition and the reason for the transfer. This patient is difficult to treat, so we must prepare for the worst."
This was the first sentence Dr. Yang Yu said after entering the emergency room.
A leader is a leader. He stands at a different height and his way of handling things is more than one level higher than Dr. Zhou Chang.
"Li Quan, you seem to have some questions?" Doctor Yang Yu's eyes were fixed on Li Quan.
"I..." Li Quan hesitated.
"Just tell me what you want." Doctor Yang Yu said in a gentle voice.
"Didn't you teach us that when we encounter a critically ill patient, we must rescue him immediately? Why did you finish talking to the family members before coming in to help?"
Li Quan bravely asked the doubts in his mind.
The main reason is the fear of offending senior doctors and being harassed.
"That's a good question. You'll definitely encounter it again in the future. First, let me explain why I didn't rush to save the patient. The patient was transferred from Yuanyang Hospital, and Yuanyang Hospital must have used all the available rescue methods. No matter how anxious I am, it will be of no use."
Doctor Yang Yu was not angry. Instead, he patiently taught Li Quan how to treat such patients.
"Also, we must be extra cautious when accepting patients transferred from other hospitals. If we are not sure, we must eliminate the risks. If the patient's family is difficult to deal with, we must not be soft-hearted and must recommend transferring to a higher-level hospital, or wait until the patient's family signs various risk consent forms."
After Doctor Yang Yu said this, Li Quan understood.
No wonder many patients' families are complaining that when they go to the hospital for treatment, they are asked to sign a bunch of informed consent forms and risk consent forms.
"I understand. I will pay attention to it next time."
Li Quan nodded solemnly.
Doctor Yang Yu turned and looked at Doctor Zhou Chang.
"How is the patient?"
"Look, the patient's brain waves are almost flat. Is there any point in rescuing him?" Doctor Zhou Chang asked cautiously.
Doctor Yang Yu stared at the monitor screen for a few seconds and frowned.
"Has a critical illness notice been issued to the patient's family?"
"not yet."
Doctor Zhou Chang is only an inpatient and the attending physician is not here, so how can he make decisions on his own?
If Dr. Yang Yu is not here, or is unable to arrive in time, that is another matter.
"Let's first declare him critically ill! Then we'll carefully examine the patient's cerebral hemorrhage and the treatment plan."
Doctor Yang Yu has already started checking the examination forms transferred from Yuanyang Hospital.
Yuanyang and Huier are both top-level tertiary hospitals of the same level. All the checkups were done yesterday and today, so they can be used.
Of course, from the perspective of hospital revenue generation, doctors naturally hope that all examinations will be done in their own hospital.
There is another principle: if the hospital where the examination is done is of a lower level than Huier Hospital, Huier Hospital will definitely not recognize it and will 100% require the patient to be re-examined in this hospital.
"From the examination results, the patient should have pontine hemorrhage, which is a type of brainstem hemorrhage. It is caused by hypertension and arteriosclerosis. The mortality rate of this type of brainstem hemorrhage is second only to medullary hemorrhage. However, it is also very high, reaching about 30% to 70%."
"As far as I know, the patient suddenly developed numbness on one side of his limbs around 1 pm yesterday, accompanied by severe pain in his brain, and was then rushed to Yuanyang Hospital for emergency treatment."
"It has been nearly twenty hours since yesterday afternoon. Patients with this condition usually don't survive more than five hours. This shows that the rescue measures of Yuanyang Hospital were effective and timely. If our Huier Hospital can save this patient, it will also be a chance. We are not as well-known as Yuanyang Hospital in the field of brain medicine. Several directors of our hospital's neurology and neurosurgery departments have been holding their breath for a long time."
Doctor Yang Yu said calmly.
Li Quan's heart was slightly moved when he heard this. It seemed that Doctor Yang Yu wanted Huier Hospital to gain the upper hand by stepping on the powerful rival Yuanyang Hospital.
