Chapter 127: Rejected Inspection Recommendations
If you arrive at the emergency department on your first day at work, the first patient you see dies.
The senior physician is responsible for it, and Li Quan, who is an assistant, must be punished.
This consequence is something Li Quan cannot bear.
This uncle is really good, and he doesn't even call his family over. made Li Quan tremble when he was by his side.
If he has the right to diagnose, he will definitely apply for another chest X-ray for the patient.
Finally, I took the old man to draw blood and take a stool sample.
Since blood routine and stool routine are very common tests. So there are already quite a few people queuing here.
Li Quan, the doctor, personally brought the patient to do the examination, and the application form was handed in, and the colleagues inside understood.
On the spot, let the people in line wait a little longer, and give priority to the testimony of this uncle's specimen.
Ten minutes later, the two inspection orders were all in hand.
Li Quan glanced at the test results.
Salmonella infection, acute gastroenteritis can be determined.
"Take the results to Dr. Wang first and see what he does. Li Quan took the old man to the emergency room.
"Little ...... Man, go slower...... I couldn't breathe...... "The old man didn't know if it was because of abdominal cramps or what, his face was pale.
You can see that the old man's face is pale with a hint of dark purple.
This also further confirms Li Quan's speculation that the patient's lungs have problems, resulting in low blood oxygen conversion, and the face will appear purple.
I finally brought the old man back to the emergency department.
Dr. Wang is treating a patient who was poisoned by eating pesticide-infused vegetables.
"Doctor Wang, the blood routine and stool routine have been done, and this is the result. Li Quan handed over the test results with both hands, and moved a chair for the old man to sit down and rest.
"According to the results of the examination, it was indeed acute gastroenteritis. Considering the old man's age, he was first brought to the observation area over there for intravenous rehydration, plus oral Smecta. β
With a relaxed and confident expression, Dr. Wang prescribes the treatment.
Cases of acute gastroenteritis like this one he encounters almost every day. Especially when the weather suddenly turns cooler, there are more such patients.
He knew how to treat it almost with his eyes closed.
Li Quan stood still.
Because of this effort, the old man's breathing became heavier, and his face became more unsightly.
"What are you doing in a daze? There is also a patient with food poisoning who needs gastric lavage. When Wang Lishu saw Li Quan standing still, he immediately became a little angry.
Sure enough, it was picked by someone and there was no good goods left.
This trainee is like a piece of wood, and his ability to do things is too poor.
It's just such a trivial thing that has to be urged again and again.
"Doctor Wang, do you think this patient still needs to do a chest X-ray CT to check his lungs?" Li Quan said cautiously.
Gui Peisheng has no human rights, and he was scolded by this doctor surnamed Wang.
Can't talk back yet.
Because they're your senior physicians.
"Do you think there is something wrong with the lungs because the old man is panting a little roughly? Let me tell you, most of the elderly people have chronic bronchitis or chronic pneumonia. I have seen countless patients like this, and there will never be a mistake, so hurry up. β
Dr. Wang's voice rose several decibels.
If Li Quan dares to be crooked again, it will be looking for scolding.
Li Quan had no choice, so he took the old man to the observation area first. He doesn't have to worry about rehydration and medication, there are special nurses here to handle it.
After placing the old man, Li Quan turned around and left.
"Hey, I said that your doctor is new, right? The patient didn't say anything, just let him go here, what if something happened?" A young nurse with very fair skin and a melon seed face was more fierce than Li Quan's mother.
caught up two steps behind and yelled at Li Quan.
Nima, Lao Tzu is a doctor.
I was scolded by Dr. Wang, and I was scolded by this little nurse when I ran here. It's really easy to bully newcomers.
"Good men don't fight with women! Good men don't fight with women......" Li Quan silently recited three times in a row, and then turned around and said without expression. The old man named Huang Ximei was diagnosed by Dr. Wang as having acute gastroenteritis, and was given fluids and warm water to Smecta. β
"That's pretty much it, remember next time, don't throw the patient here and be done. You have to explain it to me. β
The little nurse was holding a plate of injections, with a bumpy figure, and a delicate face, which was pretty. It's also a bit fascinating. It's a pity that it's a little too fierce, like an iceberg beauty.
Li Quan nodded, turned around and left.
"Dumb, don't you remember not to speak?"
The little nurse didn't give up.
"Report to the little nurse, I remembered!" Li Quan turned his head and said seriously.
"Heyβwho's the little nurse? I have a name, Hu Yue'er. The female nurse gritted her teeth.
"Little Nurse Hu Yue'er, you are not a rabbit, don't grind your teeth next time. After Li Quan finished speaking, he no longer gave the female nurse a chance to fight back, and left quickly.
"Bastard!"
Behind him came the angry scolding of the female nurse.
The corners of Li Quan's mouth twitched, sample, see if you dare to bully the newcomer next time.
When he returned to Dr. Wang, he had already started to perform gastric lavage on his patients.
Judging from Dr. Wang's operation, what is ready to be performed is vomiting and gastric lavage.
It can also be concluded that the patient has not been ingested the poisonous food for a long time.
In addition, the patient receives gastric lavage in a seated position, and the poisoning should be mild.
"Come and hold down the tongue depressor. Doctor Wang shouted to Li Quan.
It's dirty work, and it's easy to get splashed on your body. However, the doctor ate a bowl of rice, and Li Quan took the tongue depressor in Dr. Wang's hand and continued to stimulate the patient's tongue.
You have to prevent the patient from spraying his face with filth.
"Do you doctors all die and don't save you?"
"Can it be cured?"
Faintly, Li Quan heard a patient making a loud noise in the surgical waiting area next to him.
It was accompanied by the cry of a boy.
The emergency area is the most likely place for doctor-patient disputes. Some patients did not understand, or they sent people over, but they could not be rescued, and their families made a lot of noise.
There are even those who beat the doctors.
Li Quan didn't dare to be distracted, lest he be scolded by Dr. Wang, and he concentrated on washing the stomach of this patient with food poisoning.
"Vomit...... Wow......"
The patient finally threw up, but fortunately, did not vomit in a squirting form.
A vat of filth and gastric lavage has been prepared for a long time.
"Xiao Li, remember next time, as long as the patient starts to vomit, you should quickly remove the tongue depressor. Also, protect yourself from being splashed with the liquid in your stomach from the patient. β
Dr. Wang may have seen that Li Quan was doing a good job, so he carefully taught Li Quan a few words.
......
Finally washed the patient's stomach, and Li Quan breathed a sigh of relief.
The emergency room is busier than expected.
There are still a lot of waiting patients and their families standing in the dark outside.
But it can only be done one by one.
The emergency surgery area is still noisy, and it's getting louder and louder.
Li Quan turned his head to look.
I saw the little boy who was suspected of having a dislocated wrist before, and it was not his turn to line up until this time, and his parents, grandparents, and grandparents all seemed to have mania.
There slammed the table and yelled loudly.
The surgery side is a bit miserable, there are two burn patients who are dealing with it, how can I have time to take care of the dislocated little boy.
Dr. Luo Wenhao was unable to come out to comfort the patient's family.
can only send Yang Jia over to appease.
It's definitely not okay to keep the patient so noisy.
The impact is bad, and it is easy to incite other waiting patients to make noise with them.
Yang Jia, a young novice female doctor, was scolded and cried by the patient's family as soon as she opened her mouth to persuade her.
"Xiao Li, we are still busy here for the time being, you go over and see what's going on. Remember, don't quarrel with the sick person, let alone get into physical fights. β
Dr. Wang sent Li Quan to deal with it.
"Understood!"
Li Quan walked over.
The four family members were still scolding Yang Jia alone.
"Hurry up and call your doctor. Sending you a nurse is just a perfunctory way to do it. β
"Hurry up, if my child can't keep this arm today, you must take full responsibility. β
"If you can't cure it, you said it earlier, now you want us to go to the orthopedic department to see a specialist clinic, why did you go there earlier?
The patient's family bullied Yang Jia and a girl, screaming and scolding even more.
"What's going on?" Li Quan walked over with a cold face.
Professor Liu taught them.
In the face of emotional patients, it is necessary to remain calm and cold, and use professional medical knowledge to comfort them and gain their trust.
"I finally sent a male doctor over, your hospital is cheap, not noisy or noisy, and doesn't care about the life or death of our patients. β
The child's grandmother spoke very harshly.
"This male doctor is so young, can he cure diseases? Our family has been passed down for three generations, and such a precious grandson is not used by your young doctors to practice his skills. β
The child's grandfather looked at Li Quan with suspicious eyes.