"Are you willing to do things according to the rules now?" Doctor Luo spoke, and glanced at the arrogant and domineering Section Chief Cui. "In the future, I will remember that whether it is a trainee or an intern, they are all physicians and deserve respect. Don't open your mouth and keep your mouth shut, Pearson is not even qualified to speak. ”

This is to help Li Quan get ahead.

Section Chief Cui snorted, don't look over.

"First take the patient to do an abdominal CT scan and blood routine, and then our doctor will analyze the condition and then decide whether to admit to the hospital. ”

Doctor Luo said lightly.

"Good, good!"

Dr. He nodded like a chick pecking rice.

Because if the sick person dies, he is fully responsible. Section Chief Cui, the chief of the medical department, has nothing to do.

After opening the examination application form, Dr. He resisted the beating and scolding of his family members and pushed the patient to hurry up for the examination.

It didn't take long for Dr. He to push the patient back.

"Doctor Luo, this is the result of the examination, please take a look!"

Doctor He lowered his body at this moment, and his expression was full of helpless respect.

Dr. Luo took the checklist and looked at the routine blood data first.

"The white blood cells and neutrophils are all higher than normal, and the lymphocytes are much lower than normal, indicating that the patient's inflammation is severe. Could it be that the wound in the abdomen is not healing well and an infection has occurred?"

He asked with a frown.

After intestinal resection surgery, if the anastomosis is not good, it is likely to lead to a series of problems such as wound inflammation.

"To tell the truth, many of our chief physicians of Kuaikang Hospital have already consulted and preliminarily ruled out the possibility of wound inflammation and infection. You can take a look at the CT film. ”

Dr. He was also very depressed when he talked about it.

Other doctors do bowel resection surgery, and it's a good one. When he arrived, he had just done his first intestinal removal surgery alone when he had a problem.

I can't find out what the problem is.

This inflammation came out inexplicably.

After a careful look at the CT scan, Dr. He found that the intestinal wound had indeed recovered well.

"That's weird, where does the inflammation come from? The patient's symptoms are obviously consistent with the inflammation of the intestinal wound!" Dr. Luo's brow furrowed into a pimple.

"Doctor Li, what do you think?" Doctor Luo couldn't think of an answer, and subconsciously asked Li Quan.

"It's hard to say for the time being, I'll take the patient's pulse first!"

Li Quan walked to the emergency bed and checked the patient's pulse.

The patient's hands are hot, indicating a fever.

Inflammation occurs when bacteria invade the body, and that's when the body defends itself.

It is a bodily instinct to raise body temperature to fight off invading bacteria, destroying them.

"The pulse is mysterious and false, the fake is welcome, and Zhaoyang is equal...... This is the reverse vein. The patient's condition is not good. ”

Li Quan's pulse diagnosis has not yet reached home, and he can only roughly lock the location of the lesion in the abdominal cavity. But it's not in the large intestine. He performed the prospective technique, opened the patient's eyes, pried open his mouth to look at the tongue, and examined the incision in the abdomen......

The specific location of the lesion has not been identified.

"Modern examination instruments are so advanced, what about Dr. Li's set of traditional Chinese medicine to diagnose pulses and look at color?" Doctor He was disdainful in his heart and couldn't help but be cheap.

I thought that this surnamed Li was so powerful, it turned out to be a half-hung man who mixed half of Western medicine and Chinese medicine.

Physician He inevitably had a hint of contempt.

"The method of diagnosing diseases in traditional Chinese medicine does not conflict with modern instruments, and if they are used well, they complement each other, and sometimes they can make miraculous achievements. Li Quan straightened up, he had thought about the cause of this patient two days earlier.

Although I have not been able to diagnose the specific lesion now, I have a bold guess in my heart.

"Then you can tell me, have you found out something?" Doctor He asked with a hint of sarcasm on his face.

"I had a bold idea. Could it be that when you did the operation, some instruments were missed in the patient's abdominal cavity?" Li Quan put forward his own thoughts.

Doctor Luo's expression moved slightly, and his eyes lit up.

This Dr. Li is different, the method of diagnosing patients is different from ours, and even the way of thinking is eclectic.

Doctors pay attention to diligence and thoughtfulness, and at the same time, they are also very talented.

Dr. Li does have the potential to be a great doctor, and he is better than me.

Hearing this, Dr. He's heart beat wildly.

"That shouldn't be a big deal. Because we have taken abdominal ultrasound and CT, we have not found any foreign body left in the abdominal cavity. In addition, the surgical instruments are double-checked before sewing the skin. If it is missing, it will definitely be the first to be found. ”

The family members in the back listened, but they didn't think so.

One by one, they began to get emotional again, screaming and scolding constantly, so frightened that Section Chief Cui hurriedly hugged the dog's head and fled for his life.

"Physician Li, are you sure that the patient's cause is a foreign body in the abdominal cavity?" Physician Luo asked in a low voice.

"I don't dare to say that I am 100% sure, at least I am sure of it. ”

This kind of thing, how dare Li Quan say it to death.

"The patient's condition is very bad, and if you open the cavity examination, you can find a foreign body. If it is not found, it will aggravate the patient's condition. If the cavity is opened, it is a surgery, and it also means that the patient is agreed to be accepted. ”

Dr. Luo was a little embarrassed.

The risk of admitting this patient is extremely high.

Sincerity is not something that can be clearly stated by a single sentence of medical ethics. is like the cross talk "Golden Basin Foot Washing City" performed by the big soldiers, a customer came on the first day of opening, and as soon as he took off his socks, the mosquitoes were all smoked and fell down. The GI almost fainted. took a hundred dollars and gave it to the customer, and asked her to go to the Foot Washing City opposite. As a result, the next day, the opposite foot-washing city was closed.

Hang out a banner, the manager of so-and-so foot-washing city died in the line of duty.

In this case, if you accept this patient without certainty, if you are cured, it will be a big problem.

Your family won't think you've done a good deed.

And will scold you, why do you have to accept it if you don't have the ability? Tell us earlier, let's transfer directly to another hospital.

When the time comes, it will be really dumb and eat coptis, and there will be suffering.

"That...... You wait here for a few minutes, and I'll consult with the senior physician at the hospital before making a decision. "Dr. Luo didn't dare to make the decision alone.

This is beyond the capacity of his resident.

Take Li Quan in to discuss with Dr. Yang Yu.

In the office, Dr. Yang Yu has already read all the films and checklists. The basics have also been clarified.

"If this patient is successfully treated, it can generate at least 70,000 yuan in medical expenses for the department. In the later stage, I will be transferred to our hospital, which should be able to generate a lot of income. ”

There were only three of them in the office, and Dr. Yang Yu did not beat around the bush when he spoke.

Straight to the point.

If a department doesn't generate income, do you think the hospital will support you for nothing?

Other doctors get bonuses and performance bonuses, and departments that do not generate income can only take the basic salary and drink the cool breeze.

Li Quan is still just a regular trainee and doesn't understand the distribution of these benefits.

"Doctor Yang, I have a question. The little boy who dislocated his wrist before had already had an ultrasound examination in another hospital, so you asked me to apply for an ultrasound examination in our hospital again, is it also to generate income?"

Li Quan seized this opportunity and asked the doubts in his heart.