Chapter 157: The lesion is in the foot
Dr. Luo looked at the woman twice, but couldn't see the clue.
"You should see an emergency department for this disease, over there!" he pointed to Dr. Wang.
The Department of Surgery specializes in gastrointestinal surgery, orthopedic surgery, tumor resection, tendon nerve repair, etc. Surgeons are generally cautious when encountering such internal diseases of unknown etiology, especially those involving the brain.
There is no other reason, fear of being slapped in the face, fear of accidents.
No physician dares to prescribe or operate on a disease that he is not good at.
Because if you prescribe medicine without even diagnosing any disease, it is not saving people, but harming people, killing people.
Dr. Wang happened to notice the situation here.
Hearing Dr. Rowe push the patient toward him, he couldn't help but jerk his eyelids.
This morning, I met several patients who were almost misdiagnosed.
The woman with her hair disheveled knew at a glance that the disease was not curable.
Seeing the patient coming this way, Dr. Wang looked like he was facing a great enemy. I was afraid that I had scolded Dr. Luo's mother several times.
This kind of obviously unmanageable patient, why do you have to go to the emergency department?
Anyway, it's not life-threatening, so just let them return the emergency department number, can't they go to the specialist to see a doctor?
The emergency department doctor's job is not good, and it will be broken by accident.
Li Quan was secretly happy that he finally had a patient who could have a chance to take his pulse. Who knew that he was kicked away directly as a ball by Dr. Luo.
He secretly screamed pity.
Just now, he observed the female patient with a look of surgery, and he found that the woman's lesion did not seem to be on the head. And it is possible in the feet.
"Could it be that my diagnosis was wrong?"
Li Quan had never seen such a strange illness.
How can a disease in the feet cause the patient to lose sight in both eyes?
The two parts are logically irrelevant.
However, after he found out that the patient's lesion was in the foot just now, the skill point of the medical examination was increased by 10 points.
This in turn shows that his diagnosis is correct.
If he could take the woman's pulse, he should be able to determine the cause.
Let's take a look at how Dr. Wang diagnoses it.
Li Quan can put himself in a good position. No matter how great his ability is, he is just a regular training doctor.
If Dr. Wang hadn't diagnosed it yet, he would rush over to the patient and say, "Your lesion is on your foot." No matter how generous Dr. Wang is, I'm afraid he will have an opinion about him.
Patients will think of him as a neuropath.
Professor Liu often teaches them to pay attention to the way they do things.
Especially when communicating with patients, be sure to pay attention to skills.
The mother and son had already arrived at Dr. Wang's desk.
Dr. Wang doesn't know how to take the pulse and look at the doctor.
Considering that the patient had a tingling pain in the head before becoming blind, it is suspected that the transient blindness is caused by vascular tumor or intracranial tumor compression.
He first gave the patient a brain CT examination application form, and asked the patient to take a head CT scan before talking.
Brain CT can clearly show the number, location, size, contour, density, intratumoral hemorrhage, calcification, and degree of spread of intracranial tumors. If there is intracranial hemorrhage or occult trauma, it can basically be detected.
It didn't take long for the patient to come back from the examination.
A CT scan of the brain showed that everything was normal.
This time, Dr. Wang was stunned.
Today I really went out to hit Tai Sui, and I was evil. This is already the third tricky patient he has encountered.
Although top tertiary hospitals such as Whale and Sino-Ocean will have a large number of patients who cannot determine the cause every year.
But he, an emergency physician, encountered three such difficult patients in less than a day, and the probability was too high. If you're so lucky, you can buy a lottery ticket.
Dr. Wang pondered the wording and said to the patient and his family, "Judging from the brain CT results, the patient's brain is basically normal. I'm here for the emergency department, and I'm dealing with emergency conditions, so why don't you hang up an ophthalmology clinic and ask the doctor there to diagnose you again. ”
When the patient's son heard this, he didn't buy it.
"Doctor, the outpatient number of the ophthalmology department is full, and we can only wait until tomorrow to get a number. But my mother's illness, how dare I delay it until tomorrow. You must help my mother take a look again, it's really not good, and it's okay to be hospitalized. ”
The patient's son was about forty years old, and he was already in his prime.
I want to fool him into going to the ophthalmology clinic to see a doctor, and I don't believe you at all.
Dr. Wang was embarrassed.
"Then you wait a minute, I'll call the internal medicine department and see if there is an ophthalmologist who can come here for an emergency." ”
No cause can be identified, and the patient's condition may deteriorate at any time.
Dr. Wang had no choice but to ask an ophthalmologist from the Department of Internal Medicine to come to the emergency department for an emergency.
The physicians in the hospital are sub-departmental.
There are specialists in the emergency department, but there are very few of them.
This is also related to the low revenue generation of the emergency department.
To put it bluntly, the emergency department generates so much total revenue that it can only feed so many physicians.
If you look at surgery, a major operation generates hundreds of thousands of dollars in revenue, and its staffing is several times more than that of the emergency department.
There is a saying that reads like this, gold ophthalmology, silver surgery, ordinary internal medicine, noisy pediatrics, desperate infectious diseases, mixed eating and drinking nutrition, and don't go to the emergency department when you die.
It can be seen that the work of the emergency department is very difficult.
......
A moment later, an ophthalmologist from the internal medicine department came to the emergency room.
Specialists come to the emergency department for a consultation, which is called an emergency.
It was a young doctor in his thirties.
It is estimated that the ophthalmology department is also short of manpower, so a young doctor was sent over.
It stands to reason that patients who can't be handled by surgery must be difficult.
Li Quan had been observing the situation on Dr. Wang's side.
The patient underwent a CT scan of the brain, and the results showed that the brain was basically normal. This also further confirms that Li Quan's diagnosis is likely to be correct.
There is a real possibility that the patient's lesion is on the foot.
I can't figure it out even if I scratch my head, how can I lose my eyes when I have a disease in my feet? I've never heard of this kind of case.
Let's see if the ophthalmologist can diagnose the cause.
The ophthalmologist looked reluctant.
"Our ophthalmology clinic is very busy, with dozens of patients queuing up to see a doctor, won't your emergency department let patients hang up their own ophthalmology outpatient number?"
This young doctor was very angry, and as soon as he came over and arrested Dr. Wang, he scolded him.
Physicians in the emergency department have a low status, and many times it is easy to invite specialists to come to the emergency department, or to shove patients to the specialists.
Dr. Wang is an honest man, and he didn't say anything when he was scolded.
It's just that the face is a little unsightly.
"Have you done any tests on the patient?" asked the young ophthalmologist.
"I took a CT of the brain, and I didn't find anything abnormal. Dr. Wang handed the CT scan to the young doctor.
In fact, Dr. Wang is about the same age as this young doctor.
No matter how you look at it, it looks a little humble at the moment.
Li Quan looked at it over there and felt very uncomfortable.
Physicians in the emergency department are also human beings and should be on an equal footing with physicians in other departments. How can you be shorter when you see people?