Chapter 140: The cause has been found
"There's that, but it's more about safety. In the future, when you diagnose patients, you must remember that only the films of this hospital can be trusted. If it is a film made by another hospital, no matter how the family guarantees it, it will not be accepted. There are not a few doctors who have suffered this kind of loss. ”
Doctor Yang Yu said solemnly.
"I remember!"
Li Quan nodded.
In the physician industry, not only medical skills must be learned. How to communicate with patients and family members, and how to reasonably avoid some potential risks for themselves, all have deep knowledge.
Some patients may deliberately come to the hospital to touch porcelain.
It is even possible that you have offended someone, or that some private hospitals want to obtain greater benefits and deliberately dig a hole for you. Take an unreliable checklist and let you see.
When the time comes, misdiagnosis and an accident occurs, the loss of money is only light.
"Doctor Li, I see that you are good at the pulse of Chinese medicine, what do you think of the patient's condition?" Doctor Yang Yu looked at Li Quan.
This is also enough to show that Li Quan's status as a standard trainee has risen to a very high position.
It has even surpassed the other three regular trainees in the emergency department.
"The patient has a reverse pulse, but as long as the cause can be found out and treated in time, it should not be life-threatening. Li Quan gave a more pertinent opinion.
"Do you think there may be a foreign body left in the abdominal cavity such as surgical instruments?" asked Dr. Yang Yu after a few seconds of silence.
"Based on a combination of factors such as the patient's condition and the duration of the operation, this is quite likely. Li Quan's expression was serious.
"Well, I'll ask Director Zhang again. It can save people's lives, and it is also a victory in the seventh-level floating slaughter, which will also greatly help the reputation of this hospital. ”
There are many benefits, but there are also risks.
Yang Yu is only the attending physician, and he doesn't dare to specialize in this matter.
He didn't shy away from calling directly in front of the two of them.
I quickly communicated with Director Zhang.
Director Zhang agreed to accept the patient, but he also gave instructions that the doctor should be held accountable if something went wrong. If it's cured, I don't need to say the benefits. ”
Physician Yang Yu's gaze swept over the faces of Physician Luo and Li Quan.
"Pick it up!"
Dr. Luo just spat out one word.
"I'm even more at odds with that. "Li Quan is just a regular trainee, and the performance award has nothing to do with him, and the risks that need to be taken by accepting patients have nothing to do with him either.
"Then hurry up and save the patient! You can do a laparoscopy first, and the risk will be smaller. In addition, I will give you some experience, the gauze and hemostatic cotton used in some hospitals are still relatively cheap, and the instrument often cannot detect it. ”
Dr. Yang Yu offered his valuable experience to the two of them.
"Doctor Yang, I'm fine with a laparoscopy. However, you will definitely need to perform the follow-up surgery. "Dr. Luo's level is not enough, and the slightly more difficult surgery cannot be completed independently.
It's not that I don't have that ability and technology, but I don't have enough rank.
This may seem unreasonable, but it is actually for the safety of patients.
Some novice doctors, just a few days after getting their medical license, think they have learned something. Niu coaxed himself to feel that his medical skills were unparalleled, and he could win any disease.
It is conceivable that if they operate on a patient, most of them will have an accident.
"Hurry up and prepare, I will stand guard behind you for you!" Doctor Yang Yu readily agreed.
......
In the operating room, two doctors, Li Quan and Luo Wenhao, as well as two nurses in the operating room, performed laparoscopic surgery on the patient together.
Dr. Yang Yu stood opposite the two of them to check and guide.
The anesthesiologist came over quickly.
"The general anesthesia has taken effect, the patient's vital signs are stable, and the operation can be started. "The anesthesiologist is always the one who doesn't talk much.
Now it is operated by Dr. Luo Wenhao, and Li Quan has become a helper in disguise.
Laparoscopic surgery is only a minimally invasive procedure.
After the knife position was determined, it was naturally disinfected by Li Quan.
This is a special disinfection, from the inside to the outside. It is sterilized twice in total.
If any novice physician dares to disinfect from the outer ring to the inner ring, he will be scolded to death by the chief surgeon.
Even the instrument nurse is particular about wearing sterile gloves to the doctor. If you don't comply with the rules when you wear it, and the mouth of the gloves is not right, you will be scolded.
"Scalpel!"
Dr. Luo Wenhao shouted.
The instrument nurse immediately handed the scalpel that cut the skin, Li Quan took it, and then handed it to Dr. Luo Wenhao.
"Doctor Li Quan, prepare to stop the bleeding!"
An incision of about two centimeters is made, and the laparoscopic probe is inserted into the abdominal cavity.
The organs in the abdominal cavity can be clearly seen on the display.
Including peristalsis of the large intestine, small intestine and so on.
In fact, it is not easy to find a foreign body in the abdominal cavity using this method.
Because it can't even be seen with a CT scan, it's definitely something that is extremely difficult to find.
And it's just speculation in itself.
No one is completely sure.
The probe moves carefully in the abdominal cavity, searching.
Nothing has been found.
Li Quan's mind was thinking, where was the location where Doctor He operated on the patient, and it stands to reason that the surgical sites such as intestinal resection and anastomosis should also be there.
However, I have taken a look around and found no foreign objects.
Is your inference wrong?
Now that the patient has been accepted, if his inference is wrong. If you can't find the cause, then it's troublesome.
Dr. Luo is going to be out of luck.
Even Dr. Yang Yu and Director Zhang, who were in the emergency department, were unlucky.
It's a living life. Li Quan pondered what the problem was?
"No foreign objects found!"
Dr. Luo's heart was half cold, and he shook his head, ready to end the laparoscopic surgery.
Doctor Yang Yu's face was also solemn and a little gloomy.
Everyone's heart is heavy.
"Wait! I'll take the patient's pulse again!"
Li Quan's observation technique is now at the level of Xiaocheng, and the lesion can be locked in the abdominal cavity, probably the lower abdominal cavity. This is the ultimate in what can be done at present.
The only thing that can be relied on is pulse diagnosis.
Pulse diagnosis is more accurate than visual diagnosis. Unfortunately, it's still just an entry level for the time being.
The pulse cannot be finely distinguished.
Li Quan was engrossed in feeling the patient's pulse.
Inch, off, ruler, the three positions are pinched very well. The styloid process of the radius behind the wrist is marked, and its medial part is closed, the front of the closure is inch, and the back of the closure is ulnar.
At the moment, the scene in the operating room is quite comical, even ridiculous.
With so many advanced instruments, even laparoscopes have been used, the cause of the disease still cannot be found.
Doctors are counting on Li Quan to find out the cause of the disease using traditional Chinese medicine.
The clock ticks by.
Dr. Luo's brow furrowed tighter and tighter, and his patience was polished a little bit.
Dr. Yang Yu was quite calm.
The two female nurses looked at Li Quan curiously. Judging from their expressions, there was a hint of disdain.
It is the responsibility of the anesthesiologist to look at the vital monitoring screen from time to time to ensure that the patient's vital signs are stable.
"I've found it!"
Li Quan opened his eyes, his gaze fixed on a place far below the scalpel edge.