Chapter 44 You made me redefine the term "resident doctor"
I guess what he wants most at this moment is to turn into a ball of air and hope that no one will pay attention to him.
There is a saying that goes, the higher you jump, the harder you fall.
Du Leng was so high-profile just now that he couldn't step down even after the misdiagnosis.
Fortunately, everyone's attention was basically focused on Zhou Can and the pregnant woman.
No one paid too much attention to him.
What everyone is most concerned about now is the treatment of pregnant women.
Although Zhou Can's analysis was very detailed and reasonable, the final result still had to be determined by blood tests.
"Give the patient a shot of diuretic first?"
Director Yin Hua actively sought treatment to save his damaged image.
After all, it was almost a misdiagnosis and mistreatment just now, which was a very serious mistake.
"I think it's OK. Even if it's not clear what drug the pregnant woman took wrongly, diuretics basically don't conflict with other drugs, and there's almost no risk of aggravating the pregnant woman's condition."
Director Zhang Bihua supports this experimental treatment plan.
At this moment, the instrument monitoring intracranial pressure issued a "beeping" alarm.
It gave everyone a big shock.
"Not good. Her blood pressure is still rising. We need to take effective measures to lower it immediately. Otherwise, the intracranial aneurysm may rupture at any time."
The doctors present were all professionals and naturally knew the consequences of a ruptured hemangioma.
Director Yin directly prescribed a diuretic injection for the patient.
"Director Zhang, do you think it is possible to insert a urinary catheter into the pregnant woman now?"
Because pregnancy is a special period and the body's disease resistance is reduced, catheterization may cause urinary tract infection, and in severe cases may cause miscarriage.
The risk is huge, and no one wants .
"Let's not do it yet! Her fetus is relatively large and her physique is very special. The risk of inserting a catheter is much higher than that of an ordinary pregnant woman. I asked Yang Chan to closely monitor the pregnant woman's urination. If she continues to have no urine, we will consider inserting a catheter."
Zhang Bihua pondered for a few seconds and did not agree to insert a catheter.
You can see that she is very cautious.
Almost all obstetricians and gynecologists are extremely cautious in their practice. If they cause miscarriage or fetal abnormalities, the responsibility is too great.
"I think just giving her diuretics is too simple a way to lower blood pressure. I suggest that you first draw some blood from her body to reduce blood volume and lower blood pressure. Then you can transfuse it back into the pregnant woman's body."
Director Tan proposed a blood pressure lowering plan that ordinary doctors would not even dare to think of.
That’s why they say doctors become more popular as they get older.
Older doctors have rich experience in diagnosis and treatment and are knowledgeable. They can flexibly use many unexpected methods in actual combat.
The effects of lowering blood pressure in pregnant women using two methods were immediate.
Especially Director Tan’s proposal of bloodletting to lower blood pressure.
This physical method of lowering blood pressure is straightforward. Compared with drug-based blood pressure lowering, it does not require a waiting period.
Seeing that the pregnant woman's blood pressure had been successfully lowered, several leading chief physicians breathed a sigh of relief.
"Don't be too happy. Her blood pressure has dropped a little now, but the fundamental problem has not been solved. I hope that Dr. Zhou Can's inference is correct. After the blood test results come out, we can find the culprit and give her the right medicine, so that she can be cured completely."
Director Yin now treats Zhou Can with great respect.
Considering his age and status, he can definitely call Zhou Can Xiao Zhou.
However, he used the four words "Dr. Zhou Can" to highlight his respect for this resident doctor.
Time passes by every second.
The specialist laboratory was also aware of the patient's distinguished status.
In addition, the directors of three important departments were all in the emergency department waiting for the results.
In less than half an hour, the blood test results came out.
"The specialist laboratory called and found indomethacin in the patient's blood."
Indomethacin is commonly used in .
Taking it can cause high blood pressure.
"Great, we finally found the culprit."
Several chief physicians showed relieved smiles on their faces.
This pregnant woman was a patient that Dean Zhu personally cared about. The doctors who consulted her were under great pressure.
The disease was healed and everyone was happy.
If the patient really cannot be saved, there is no legal responsibility, but it will be difficult to explain to the hospital director and the family members.
When Zhou Can heard the news, he also smiled happily.
There is also an unprecedented sense of accomplishment.
Through his unremitting efforts, he finally saved the pregnant woman and her baby.
【Pathological diagnosis experience value +0.8.】
[You have successfully diagnosed a highly difficult complex latent case, and your diagnostic experience points are rewarded +100. ]
Zhou Can was not surprised to receive the 0.8 experience points.
But when he received a reward of 100 diagnostic experience points, he was completely dumbfounded.
That’s a full 100 points.
You need to read 1,000 medical records or successfully diagnose 100 patients' pathologies to gain this much experience points.
Although diagnosing the cause of this pregnant woman's illness is more difficult than solving the case by reasoning, all the efforts are worth it.
The harvest was so rich that it was beyond imagination.
[Pathological diagnosis, level 3, current experience value 102/1000. Lower level of resident doctor.]
This most difficult medical skill to improve has made a great step forward.
As long as he diagnoses nine more extremely difficult cases, his pathological diagnosis can be upgraded to the attending physician level.
However, such patients are hard to come by.
Moreover, with his current diagnostic level, it would probably be difficult for him to diagnose extremely difficult cases.
As for the successful diagnosis of the cause of this pregnant woman's illness, luck played a big role.
If it hadn't been for the accidental discovery that the patient's eyebrows were not drawn properly, and the subsequent inference that there was something wrong with her eyesight, it would have been difficult to make a successful diagnosis.
In general, it's a combination of strength and luck.
"Get symptomatic treatment immediately!"
Now that we have found the medicine that the pregnant woman took by mistake, things will be easy.
Just give the appropriate medicine to dissolve it.
After emergency treatment, the pregnant woman's blood pressure finally dropped naturally for the first time.
"It's dropping, it's dropping, my blood pressure is finally dropping, haha!"
Nurse Ye Tingting shouted excitedly and laughed silly.
Smiles appeared on everyone's faces.
After the patient's blood pressure dropped to normal, Director Tan did not rush to transfuse the patient's blood back.
"Send it for a color Doppler ultrasound to see if the aneurysm has disappeared?"
Unexpectedly, before we pushed her out, she woke up.
"Um... I feel dizzy! I... Is this in the hospital?"
She subconsciously tried to sit up, but she felt so weak that she couldn't do it.
"Don't move! You fainted in the taxi because of a sudden rise in blood pressure. We are in the emergency room of Tuya Hospital. After emergency treatment, your blood pressure has now dropped. However, there is still a certain degree of danger. We need to send you for a head ultrasound to check whether the aneurysm in your brain has disappeared."
Director Zhang Bihua stepped forward and held down the pregnant woman, patiently explaining the whole story to her.
"Ah, is the baby in my belly okay?"
"The child is currently fine."
"Thank God, as long as the child is okay."
When the pregnant woman heard that the child was fine, she smiled happily and was not worried about herself at all.
It can be seen that she really values her children more than her own life.
"Go get checked first!"
Only when we are sure that the aneurysm has really disappeared can we be completely relieved.
After the pregnant woman's blood pressure returned to normal, she woke up from her coma immediately. It can be basically concluded that the aneurysm that pressed on the brain stem has become smaller or disappeared.
Not long after, the pregnant woman came back after the head ultrasound.
"Let me see."
Director Yin couldn't wait to take the color ultrasound film and check it against the light.
The other doctors also craned their necks, looking forward to good results.
“This, this…”
Yin Hua's right hand, which was holding the film, was shaking, and his lips were trembling.
The expression on his face was like he saw his deceased grandfather return to the world.
Everyone felt a sinking feeling in their hearts. Judging from Director Yin's performance, the situation was probably not good.
"Director Yin, what is the result? Tell me!"
Director Xie has always had a rather impatient temper.
Seeing that Director Yin was slow to tell him the result, he couldn't wait any longer.
Du Leng also pricked up his ears to eavesdrop, and he was the most nervous of all.
"It's really gone, it's really gone... Doctor Zhou's diagnosis was all correct." Director Yin was extremely excited and his heart was filled with emotion.
Who says low education means poor diagnostic skills?
Who says the diagnostic opinions of interns are unreliable?
"Doctor Zhou, I have to say that you have made me redefine the term resident doctor. You are the best resident doctor I have ever seen, bar none."
Director Yin said this in front of everyone, which was somewhat meant as an apology to Zhou Can.
After all, he had called Zhou Can superficial not long ago.
He even acted like an expert in front of Zhou Can, saying that he had diagnosed tens of thousands of cases and had eaten more salt than Zhou Can had eaten rice.
Now the pregnant woman's blood pressure has successfully returned to normal, she has woken up, and the intracranial aneurysm has miraculously disappeared.
Facts speak louder than words.
Medicine is like this. If the diagnosis is correct, the treatment will be accurate. If the diagnosis is wrong, then we can only pray to God and other gods to prevent medical accidents.
