After interacting with Mr. Cao for a long time, I knew that Mr. Cao was still very lacking in clinical experience. He graduated as a graduate student and quickly became an attending doctor when he came to the hospital. However, he mainly stayed in the laboratory during the graduate student period. He lacked clinical experience. Most of the time, he lacked experience in treating diseases. When he encountered a patient, he often needed to look up certain information to formulate a corresponding treatment plan. I had only been here for a few days. During the daily routine ward rounds, Director Shi Tingbang asked about the treatment of several common cases. Mr. Cao couldn't answer, which made Director Shi very angry. I was very unlucky to fall into his hands. Fortunately, I was different from ordinary interns.
Zhou Huaifang slipped over without me knowing, "Huang Jingyang, why are you still in the department at this time?"
"What's wrong? An important patient came to the department. Mr. Cao didn't dare to leave, so I naturally can't leave. "I thought Zhou Huaifang said I didn't go back.
"I'm not talking about this. I'm talking about such an important patient in the internal medicine department. Why are you still in the department? Why don't you go to the expert consultation? The expert consultation is a very rare learning opportunity. Let's go, we should also go in and listen. "Zhou Huaifang said.
"Even Mr. Cao didn't have a chance to go in, how can I go in?" I shook my head.
"What are you afraid of? We are different from their official doctors. We are interns anyway. Even if we offend people, they can't really deal with us. Besides, we are just going to listen. As long as we don't talk too much, it will be fine. Right, Dong Fucheng has already sneaked in. He was the one who sent me the message. Let's go together. "Zhou Huaifang said.
I couldn't refuse Zhou Huaifang's invitation, so I followed him to the consultation room.
The patient complained of coughing, suffocation, dizziness, chest pain for nine days, and fainted once.
The internal medicine expert Li Shun had a serious expression. The patient's identity was special, so he naturally didn't dare to neglect. "As far as the current examination results are concerned, the throat is slightly congested, the breathing sound of the lungs is rough, there is no abnormality with the x-ray, and the electrocardiogram is generally normal. The patient has taken compound antihypertensive tablets and other drugs, but the symptoms have not been alleviated. This morning, the patient suddenly fainted while urinating. His eyes rolled up. He woke up after a minute, dizziness and chest tightness. In addition, the patient had hypertension six years ago. According to the current test results, the cause of the coughing and fainting cannot be confirmed. "
"Now, we don't need you to talk about the illness. We need to determine what illness the patient is suffering from. Before finding out the cause, they had to conduct a comprehensive examination immediately. They had to find out the real cause of the patient's illness as soon as possible. Does anyone have anything to add? "Zhang Zhenyuan was very irritated. After investigating for so long, they still couldn't find the cause of the illness. He looked at Li Shun angrily. Li Shun was an expert in internal medicine. But at this critical moment, if he couldn't show his value as an expert, how could he be considered an expert?
Zhang Zhenyuan quickly turned to Lu Maozhu and said, "Director Lu, when Madam Lei entered the hospital, I had already applied for specialist assistance from Beijing Union Hospital. The experts were now on their way to the East Sea. He reckoned that they would arrive soon. The expert I invited is Shi Weiming, an authoritative expert in internal medicine from Peking Union Hospital. "
Lv Maozhu was a senior official in the health system. Naturally, he had heard of the authoritative expert Shi Weiming. However, he was still worried about his wife's situation and was a little annoyed. "Tell me, your Ruihua Hospital is also a hospital with a good reputation in Donghai. I often speak well of Rui Hua Hospital outside. If you have any requests for funds, I will try my best to give them to you. Why did you drop the ball at this critical moment? I told you, Donghai is an international level city. You must have an international level hospital to match it. Every department must find a way to equip themselves with heavyweight experts. You don't lack funds or conditions, so why can't you have a group of high-level medical experts? "
Lv Maozhu's words were obviously very dissatisfied with Zhang Zhenyuan, the director.
Zhang Zhenyuan looked at the group of experts in the conference room with a livid face. Seeing this, the experts kept quiet out of fear. The interns who were standing around were also stunned by this atmosphere. They felt like they were trembling.
The director's secretary hurried in and whispered something in Zhang Zhenyuan's ear. Zhang Zhenyuan's face immediately shook. He quickly said to Lv Maozhu, "Director Lu, Expert Shi Weiming is here. I'll go out and greet him. "
"I'll go with you," Lv Maozhu heard that Shi Weiming was here. He was also overjoyed.
Zhou Huaifang gently pulled me, "Today was an eye-opener. This Shi Weiming is a real authority. He's very good in internal medicine. You can see his name in a lot of internal medicine textbooks. "
"Where is the patient?" I asked.
"At this time, he must be in the ICU. Ask Dong Fucheng. I'm sure he knows, "said Zhou Huaifang.
Zhou Huaifang tiptoed to Dong Fucheng's side and gave him a gentle push.
"What are you doing? Don't mess around here. Otherwise, you won't be able to bear the consequences. "Dong Fucheng was startled.
Zhou Huaifang winked at Dong Fucheng. Then, the two of them walked outside.
"What are you doing?" asked Dong Fucheng.
"Huang Jingyang asked you where the patient is," asked Zhou Huaifang.
"What do you want to do? This patient isn't an ordinary person. Don't mess around, "said Dong Fucheng nervously.
"We don't know anything here. What's the use of listening to these experts? Why don't we go and see the patient? "I said.
"He's in the ICU. It's useless even if we go. There are people guarding there. We can't get in. "Dong Fucheng shook his head.
"Let's go and see." I pulled Zhou Huaifang and walked to the ICU.
"You two are really going there? Don't mess around. Something big will happen, "reminded Dong Fucheng.
"Don't worry. We're not stupid. Why would we go and show off? We're just going to take a look, "I said with a smile.
When Zhou Huaifang and I arrived at the ICU, we saw that the atmosphere in the ICU seemed to be a lot heavier than usual. There were hospital security guards standing at the door. Through the glass, we could see that there were doctors on duty. Especially one of the beds, there were two or three doctors. Without even thinking, the important person that came today must be lying in this bed.
"Ai, you two interns. Don't mess around here," the hospital security guard smiled at us.
"What mess are we messing around for? We'll just take a look from here, "I said with a smile. Through the glass, we could clearly see the patient lying on the bed. I actually saw that there was a barely detectable black energy that was starting to spread out of her body. It seems that her situation wasn't good. If she couldn't get effective treatment, she probably wouldn't be able to hold on for long. But looking at the situation of the consultation, Rui Hua Hospital didn't find the real cause of the patient's illness. The treatment of the patient wasn't right at all. If this continues, the consequences would be very serious. I don't know if there will be any improvements after the specialists come.
Zhou Huaifang and I stood there for a while. Then, we saw a large group of people walking towards the ICU.
The security guard quickly said to us, "Let's go. The leader is here. If they see us, I'll be in trouble. "
Zhou Huaifang and I quickly moved to the side.
"Old Shi, this way please. The moment Madam Lei entered Rui Hua Hospital, she was placed in the ICU. The hospital arranged for several experienced doctors to monitor her at all times, and pay attention to any changes in Madam Lei's condition, "Zhang Zhenyuan's attitude was very humble.
Shi Weiming was surrounded by people. He looked at the patient's examination report while walking. His brows were tightly knitted. From these examination reports, he couldn't confirm the patient's condition.
"Is there a possibility of cerebral thrombosis? Has the brain CT been done? Has the chest been done? Is the heart normal? "Shi Weiming asked a lot of questions along the way.
"The CT has been done. There is no bleeding in the brain. The chest also shows that there is no problem with the lungs. There is no sound in the lungs. There is no abnormality with the chest X-ray. The indexes of aspartate aminotransferase and alanine aminotransferase are normal. We can rule out the possibility of myocardial infarction. The chest X-ray beside the bed shows that there is no obvious abnormality with the heart, lungs, and diaphragm, "Li Shun said quickly.
Shi Weiming frowned. From these examination results, he couldn't determine the cause of the disease. However, the patient's cough, breath-holding dizziness, and chest pain were definitely related to the cause of the disease. However, he ruled out the other conditions that he thought of.
When Shi Weiming entered the ICU, the patient lying on the bed suddenly vomited. Her breathing became rapid, and there were symptoms of convulsions.
"Quick, give her low molecular weight L-dextran and 5% glucose salt solution," Shi Weiming said.
However, the patient's condition didn't get better. Instead, it continued to worsen. The patient's condition didn't get better. Instead, the ends of her limbs started to become cold. A purple net pattern appeared on the skin of her feet, and her consciousness started to blur. The heart expanded slightly to the left. There was a soft sound in the bottom of her lungs.
I saw that the patient's black energy seemed to be dissipating faster. The situation was becoming more and more critical.
Zhang Zhenyuan naturally knew that the situation wasn't good. Sweat rolled down his forehead like rain.
Zhang Zhenyuan was Mr. Qi's student. Moreover, it was thanks to him that I could come here for my internship. He had helped me before, so at this time, I couldn't just stand by and do nothing.
"Director Zhang, since the patient has coughing, breath-holding, dizziness, chest pain, and other symptoms, why don't you consider pulmonary thrombosis? The minimally invasive hemodynamic monitor next to the bed can monitor the pulmonary artery's blood pressure. I know that our hospital has a minimally invasive hemodynamic monitor, "I walked to Zhang Zhenyuan and said quickly.
Zhang Zhenyuan had just come out of the ICU when an intern blocked his way. He was very angry. However, after listening to me, his expression changed.
"There's not much time left. If we delay the best treatment time, even the gods won't be able to save her!" I warned him.
Zhang Zhenyuan hurried back to the ICU. The ICU had such a device, but since we had ruled out the possibility of myocardial infarction, we didn't use it.
"Quick! Use the minimally invasive hemodynamic monitor! Focus on the pulmonary thrombosis! "Zhang Zhenyuan shouted at the doctor in the ICU.
Misdiagnosis was often a mislead that led to another mislead. In fact, all the doctors were misled by the results of the examination. That was because they had ruled out the pulmonary thrombosis with the electrocardiogram, fluoroscopy, and percussion results. It seemed that they could rule out the pulmonary thrombosis. Everyone began to ignore this point and think about the more complicated symptoms. Shi Weiming was also misled. He didn't consider the possibility of pulmonary thrombosis from the beginning. But now, with Zhang Zhenyuan's shout, everyone suddenly came to their senses.
It was very simple. The electrocardiogram was normal, but it didn't rule out the pulmonary thrombosis. The fluoroscopy couldn't tell the exact situation of the lungs.
Although there were coughing, chest pain, and fainting, which were common symptoms of pulmonary thrombosis, no one suspected it. If I didn't have a special ability, I was afraid that no one would think about the patient's condition from the beginning. Perhaps they would only wake up after the autopsy.
The minimally invasive hemodynamic monitor showed that the pulmonary artery was high, and the pulmonary capillary pressure was normal or low. This was the strongest proof of pulmonary thrombosis.
"Quick! Intubate! Urokinase 264000 IU and NIS 100ml IV drip or infusion for 10 minutes, followed by 132000 IU for 12 hours, "Shi Weiming quickly said. After the symptomatic treatment, the patient's condition quickly improved.
"Dr. Shi, this time it's all thanks to you." At this time, Lv Maozhu's complexion also improved a lot. He could clearly see that his wife's illness had been diagnosed and was getting better.
Shi Weiming was not greedy. After all, everyone present saw that the turning point of the treatment was because Zhang Zhenyuan suddenly advocated to focus on pulmonary thrombosis. "This time it's all thanks to Director Zhang that we thought of pulmonary thrombosis. There were many signs that ruled out pulmonary thrombosis. However, it was the ruled out pulmonary thrombosis that caused the patient's condition to become more and more serious.
"I'm ashamed to say that I didn't think of it. My teacher, Professor Qi Binhua, recommended a clinical intern to me. He just reminded me to consider the patient's pulmonary thrombosis. " Zhang Zhenyuan wanted to take the credit, but the scene at the door just now was seen by many people. He might as well be more honest and not covet Huang Jingyang's credit.
"Oh, where is this student? It seems that the onlooker sees more clearly than the actor. There are times when we are deceived by the instruments. That's why doctors have to be cautious. The patient entrusted her life to us, so we have to be careful, like walking on thin ice. "Shi Weiming sighed.
"I'll call him in." Zhang Zhenyuan had already forgotten my name. For him, how could a small person like me enter his eyes?
Zhang Zhenyuan strode out of the intensive care unit and called out to me as I was about to leave, "Hey, wait a moment."
"I know I can't escape. I could only turn around. Director Zhang, did you call me? "I said helplessly.
"Yes, yes, thank you for reminding me. The specialist from Yanjing wants to see you. Also, Director Lu wants to see you. "Zhang Zhenyuan thought I would be flattered. However, I was very calm, which surprised him.
Select text and click 'Report' to let us know about any bad translation.
