Chapter 134: Who Discovered It?

"Doctor Li, you immediately go and inform Doctor Yang Yu and tell him directly that there is a patient here who is suspected of mesenteric artery embolism. "Doctor Wang didn't know if he was unlucky or if he went out and ran into Tai Sui.

In just one morning, two dangerous patients who are not easy to diagnose were treated in succession.

Originally, this female patient was supposed to see a surgeon, but she also came to see him, an internal medicine doctor. Because the emergency department of the hospital has a rule that whoever is the first to receive the patient will be responsible for the end, and Dr. Wang really wants to cry without tears.

If Li Quan hadn't helped him discover the true cause of the female patient, the white coat on his body would have been enough to take off twice.

Dr. Yang Yu is instructing Dr. Zhou Chang and Zhao Zhijing to rescue a drowning patient in the emergency room.

Zhao Zhijing gave artificial respiration to patients from time to time.

Dr. Zhou Chang gave chest compressions to the patient.

The heartbeat and breathing shown on the vital monitor are in a straight line. In fact, this patient has not much point of rescuing, and the two are just doing their duty as a doctor.

Sometimes, doctors are not omnipotent, let alone gods.

There are also many conditions that doctors cannot deal with.

"Physician Yang, we have received a patient with mesenteric artery embolism, and Dr. Wang asks you to come over immediately for treatment. Li Quan stood outside the rescue room and asked for instructions.

"Okay, I'll go over immediately!" Doctor Yang Yu was stunned when he heard the name of the disease, and then his face became heavy.

His brow furrowed.

Zhao Zhijing glanced at Li Quan, who was reporting at the door, and his face showed a faint sense of superiority.

He participated in rescuing patients in such an important consultation room as the emergency room, but Li Quan was sent by a senior physician to run errands. Everyone is a regular trainee, how can Zhao Zhijing not have a sense of superiority.

If he knows that Li Quan has made meritorious contributions three times in a row, I don't know if he can still have a sense of superiority.

Dr. Yang Yu followed Li Quan to the operating room quickly.

"Have you done a blood routine?"

"Well, it's done!"

Physician Wang hurriedly took the test sheet to Dr. Yang Yu for review.

"The white blood cell count > 20×109/L, which is significantly higher than normal. The pH and HCO3- values of blood gas analysis were significantly low. These features are consistent with mesenteric artery embolization. ”

Dr. Yang Yu took a look at the blood routine and immediately saw that it was consistent with the characteristics of mesenteric artery embolism, which is the level.

Wang Lishu and Luo Wenhao didn't see it.

If it weren't for Li Quan's reminder, they would still be treated for appendicitis.

The level of the attending physician is indeed a notch higher than that of the resident physician.

"Have you had any other tests?" asked Dr. Yang again.

"I did abdominal ultrasound, and later I did an abdominal CT angiography. Physician Wang hurriedly handed over the results of the other two tests.

"The next time I encounter a suspected disease, I should add a plain X-ray. However, this abdominal CT film clearly shows that there is indeed a problem with the arteries and blood vessels, and there is no need to do more. The most important thing now is to race against time and immediately prepare for surgery on the patient, otherwise the consequences of colon necrosis will be particularly serious. ”

As he spoke, Dr. Yang Yu pressed the patient's abdomen.

The abdomen is found to be soft and there is no particularly pronounced tender reflex.

His face was slightly relaxed.

"Judging from the CT scans and the patient's abdominal reactions, the disease should be in its early stages. Immediate surgery, it should be too late. Ask the patient's family to pay in advance, sign the surgical risk notice, etc. Director Zhang is not here, I will be in charge of the operation, and Dr. Luo Wenhao will assist. ”

Yang Yu quickly and decisively made arrangements.

The nurses in the operating room don't need to make any extra arrangements, they are all there.

"Doctor Wang, you're doing well this time. This disease is easily confused with acute appendicitis and enteritis, and it is a very rare disease. You can actually distinguish it in the first place and get the best time for the patient. ”

Dr. Yang Yu praised Dr. Wang vigorously.

Wang Lishu's face was suddenly full of embarrassment, and he squeaked, "Hmm...... This disease was actually discovered by Dr. Li Quan. At first, Dr. Luo and I thought it was appendicitis. ”

Dr. Wang wiped the fine sweat from his forehead, and his expression looked like he had eaten Coptis chinensis.

To be honest, it's a bit of a slap in the face.

As a resident physician, both in terms of diagnosis and treatment experience and technology, should far surpass Li Quan, a newly turned regular trainee. However, twice in a row, Li Quan discovered the crisis in advance.

"Oh, it was discovered in advance by Dr. Li Quan again. Doctor Yang Yu looked at Li Quan with some surprise. "Yes, very good. In this operation, you came in to help. ”

Dr. Yang Yu directly transferred Li Quan into the operating room to participate in the operation.

It shows that he is very optimistic about Li Quan.

It is estimated that if you change to any attending physician, seeing that you have such an excellent trainee under your command, you will definitely have to vigorously train it.

Because the emergency department itself is stressful, the number of patients admitted is varied, and most of them are acute.

This places high demands on physicians.

Doctors of average caliber can't stay in the emergency department at all.

If Li Quan, a good seedling, is cultivated, the pressure on the emergency department will be greatly reduced.

"Thank you, Doctor Yang, for cultivating!"

Li Quan was also sensible, and thanked him gratefully.

"If you do a good job, the emergency department needs doctors who dare to speak up and think diligently. If the follow-up performance is excellent, I will recommend you to Director Zhang. Dr. Yang Yu nodded and began to make preoperative preparations.

Tell the anesthesiologist to come and anesthetize the patient immediately.

It has to be said that although the emergency department is the lowest income-generating department, it has an absolute priority in the use of medical resources.

It's also a must.

If a patient is sent for rescue, you will have to wait in line for two or three hours for a color ultrasound, but you are afraid that the patient's body will be cold.

At that time, I was still rescuing a fart.

"Doctor Yang Yu, how do you arrange this trainee Yang Jia?"

Girls are taken care of, and if Dr. Luo Wenhao doesn't help her ask, her situation will be very embarrassing.

Because Dr. Yang Yu only appointed Luo Wenhao and Li Quan to go in to help with this operation.

Dr. Wang Lishu doesn't matter, he can work independently, and he can go back and continue to guard his internal medicine desk.

Yang Jia is just a regular trainee and cannot practice medicine alone, and the senior physician is not there.

She may not be able to do as much as an ordinary nurse.

"Doctor Wang, Yang Jia will arrange for you to be your assistant. Cultivate well, our emergency department is very busy, and with a few more excellent trainees, the pressure can be greatly reduced. ”

Dr. Yang Yu directly made the transfer arrangement.

This is tantamount to raising Li Quan to a higher level.

Although it is only a small position change, it is enough to show that he values Li Quan.

"I obey the arrangement of my superiors!" Dr. Wang was full of bitterness, and finally found a super good assistant, but he only stayed under him for less than a morning before he was transferred.

Aggrieved.

Who told him that he was not as good as several other emergency department residents?

"Thank you Dr. Yang and Dr. Luo, I will work hard. Yang Jia must be a little lost in her heart, but she is very convinced.

Because Li Quan is indeed better than her.