Li Quan's mind couldn't help but think of the scene five days ago.

At that time, he told the middle-aged man that he was at risk of a brain hemorrhage. The other party also pointed at Li Quan's nose and scolded him for being a black-hearted doctor, thinking that Li Quan wanted to trick him into doing more examinations and trying to trick him into being hospitalized.

It is precisely because he did not listen to Li Quan's advice that the middle-aged man ended up where he is now.

Intracerebral hemorrhage is a very scary disease.

The onset is acute, the disease is dangerous, the disease progresses rapidly, and the prognosis is extremely poor.

Usually the patient dies quickly, and even if he survives, there is a high risk of hemiplegia, loss of mobility, and speech ability. Cognitive impairment and so on.

At this moment, the middle-aged man was unconscious, his face was gray, and he was no different from a dead man.

If it weren't for the multi-function life monitor showing that the patient still has heart rate, breathing, and blood pressure, I am afraid that this is really a dead person.

Li Quan received a call from the hospital yesterday afternoon.

It means that the middle-aged man had become ill yesterday afternoon.

Sino-Ocean Hospital did not operate on the patient, but a series of first aid measures should be taken. Otherwise, the patient would not have survived until now.

In terms of medical skills and strength, Sino-Ocean Hospital is only stronger than Whale Hospital.

Why doesn't it operate on patients?

A terrible thought popped into Li Quan's head. There is only one possibility that the site of the patient's bleeding is in the brain stem.

It's called the forbidden zone, and the risk of surgery is extremely high.

The average tertiary hospital would not dare to do this kind of surgery at all.

Ocean hospitals should be capable of performing brainstem hemorrhage surgery.

Why not do it?

It must be that the operation is more difficult than you think. They were not sure, so they did not dare to undergo surgery, and finally chose to let the family take conservative treatment.

"Hey, what's going on with the patient's brainwaves?

Dr. Zhou Chang watched the patient's brain waves almost become a straight line, but the breathing and heart rate were there. He thought that Li Quan had installed a multi-functional life monitor for a patient for the first time, but he had not installed it properly.

"It should be installed, and the neurons are already in place. ”

Li Quan was also a little puzzled.

Dr. Zhou Chang has already started to check in person to see if the instrument's sensing probe is not fitting properly with the patient's brain.

"There's no problem with the installation, it's a hassle. ”

Dr. Zhou Chang has rich experience in rescuing, and after finding that the instrument was not installed in place, his brows furrowed.

His face also became extraordinarily solemn.

"Why hasn't Dr. Yang come yet? I'm afraid this patient won't be able to save it. Physician Zhou Chang was so anxious that he stomped his feet.

Cardiac arrest, respiratory arrest, there is still the possibility of rescue.

Brain dead, in fact, there is no need to save it.

Because brain death is official death.

No wonder Ocean Hospital does not dare to operate on patients. It is better to transfer patients to hospitals than to change treatment regimens.

If conservative treatment is adopted, the patient dies, and the hospital is not responsible.

If a patient dies on the operating table, even if he is not responsible, it is not good to say.

At the same time, it will also pull down some of the hospital's indexes.

"Doctor Yang is here!"

As soon as the nurse's words ended, Dr. Yang walked in.

"Just now, I talked to the family about the patient's condition and the reason for the transfer. This patient is not easy to treat, and we have to prepare for the worst. ”

These were the first words that Dr. Yang Yu said after entering the emergency room.

A leader is a leader, the height of the station is different, and the way of handling things is more than one grade higher than that of Dr. Zhou Chang.

"Li Quan, you seem to have questions?" Doctor Yang Yu's gaze locked on Li Quan.

"I ......" Li Quan hesitated.

"But it doesn't hurt to say that. Dr. Yang Yu's voice was gentle.

"Didn't you teach us that when we encounter a critically ill patient, we must be rescued as soon as possible? Why did you come in to participate in the rescue after talking to the family members first?"

Li Quan had the courage to ask the doubts in his heart.

The main thing is that I am afraid of offending the senior doctor and being put in small shoes.

That's a good question. You're sure to come across it again in the future. First of all, I explain the reasons why there is no rush to save the patient. The patient was transferred from the ocean hospital, and the ocean hospital must have used all the rescue methods that could be used. No matter how anxious I was, it wouldn't help. ”

Instead of getting angry, Dr. Yang Yu patiently taught Li Quan how to deal with this kind of patient.

"In addition, patients transferred from other hospitals must be extra cautious when receiving. If you are not sure, then you must put the risk away. If the patient's family is difficult, then they must not be relented and must be advised to transfer to a higher hospital, or until the patient's family members sign the various risk consent forms. ”

As soon as Doctor Yang Yu said this, Li Quan understood.

It's no wonder that many family members of patients are complaining that going to the hospital to see a doctor will make you sign a bunch of information forms and risk consent forms.

"I understand, and I will definitely pay attention to it in the future. ”

Li Quan nodded solemnly.

Physician Yang Yu turned to look at Physician Zhou Chang.

"How's the patient doing?"

"You see, the patient's brain waves are almost flat, is there any point in rescuing this?" Doctor Zhou Chang cautiously asked.

Doctor Yang Yu stared at the screen of the monitor for a few seconds, and his brows furrowed.

"Have you already issued a critical illness notice to the patient's family?"

"Not yet. ”

Dr. Zhou Chang is only at the hospitalized level, and the attending officer has not come, so how can he make his own decisions.

If Dr. Yang Yu is not there, or there is no way to arrive in time, that's another story.

"Let's get critically ill first! Then we'll carefully check the patient's cerebral hemorrhage and the treatment plan. ”

Dr. Yang Yu has already started to check the checklist that has been transferred from the Ocean Hospital.

Sino-Ocean and Huier are both top tertiary hospitals of the same level, and this checklist was all done yesterday and today, so it can be used.

Of course, from the perspective of the hospital's revenue generation, doctors naturally want all the examinations to be done in our hospital.

In addition, there is another principle, if the level of the hospital doing the examination is lower than that of Huier Hospital, Huier Hospital will definitely not recognize it. 100% of patients will be asked to re-examine in our hospital.

"Judging from the examination results, the patient should be a pontine hemorrhage in a brainstem hemorrhage. Caused by high blood pressure and hardening of the arteries. This type of brainstem hemorrhage is second only to bulbar hemorrhage in mortality. However, it is also very high, reaching about 30% to 70%. ”

"As far as I know, the patient suddenly developed numbness in one limb at about 1 pm yesterday, accompanied by severe brain pain, and was rushed to Ocean Hospital for rescue. ”

"It's been nearly 20 hours since yesterday afternoon, and it's not even five hours like this. It shows that the rescue measures of Sino-Ocean Hospital are effective and timely. If we at Whale Hospital can save this patient, this is also an opportunity. In the field of brain medicine, our reputation is far less than that of Ocean Hospital. Several directors of the Department of Neurology and Brain Surgery in our hospital have been holding their breath for a long time. ”

Doctor Yang Yu said lightly.

Li Quan's heart moved slightly when he heard this, it seemed that Dr. Yang Yu wanted to let Huier Hospital step on the powerful opponent of Ocean Hospital.