Ruan Bin's operation simply refreshed their three views!

They didn't expect a cholecystectomy to be done so quickly.

In the end, the surgery went well.

"Ruan Bin, your surgery can be used as a model for cholecystectomy in our hospital for everyone to learn. Lu Jingping said with a smile.

When everyone got out of the operating room, an intern from the obstetrics department hurriedly found Ding Xuezhi, and it was the obstetrics department who asked him to come over and talk about something.

It was eleven o'clock in the morning.

Ruan Bin thought that he should be able to eat lunch on time this time, but he didn't expect that a 70-year-old comatose old man would come to the emergency department.

Huang Hongcai, Ruan Bin and the old man's family carried the old man into the flat car and sent him to the emergency room.

"How did the patient fall into a coma?" Huang Hongcai asked the family.

"I was in a coma when I went to the toilet, I saw my dad go in for more than 20 minutes and didn't come out, so I knocked on the door, but there was no response inside, so I slammed the door, and it was estimated that I was in a coma for about 10 minutes, and it took about 10 minutes to send it over. The old man's son said hurriedly.

In fact, it is difficult to judge in the face of this unknown faintness.

It can only be a one-by-one method.

After the old man was sent to the emergency room, Huang Hong began to check up, and found that the pupils on both sides were 3mm, and the light reflex existed, and the blood pressure measured on the spot was only 90/60mmHg, and the blood sugar was 5.6mmol/L.

Connected to ECG monitoring.

"Do you have a history of high blood pressure, diabetes, coronary heart disease, etc.?" asked Ruan Bin. In fact, he has already seen what disease the patient has at this moment, but the process that should be followed still has to be followed. And the patient's current condition is not particularly serious.

"I have high blood pressure!" the old man's son said quickly.

Hearing him say this, Huang Hongcai had some points in his heart. At least not hypoglycemia, hyperglycemic coma.

There are many causes of coma in elderly patients, the most common are cerebrovascular accident, severe infection, epilepsy, hepatic encephalopathy, uremia, pulmonary encephalopathy, shock, etc. If the doctor is not on the scene, does not know the medical history, and does not have an objective examination, it is difficult to guess the cause.

"The current hypotension is definitely in shock, which is a very serious sign and must be dealt with quickly. Ruan Bin said.

"Rehydrate first. ”

"I don't think there will be myocardial infarction or serious infections. Huang Hongcai spoke, while quickly starting to do bedside electrocardiograms, take body temperature, and draw blood.

"Heart rate 120 beats per minute, shortness of breath, crackles in the lungs. Ruan Bin also helped to check.

After looking at the ECG, it is not a myocardial infarction.

"Let's do a skull + chest CT to clarify the condition. Ruan Bin suggested.

"Well, let's do a non-scan CT. Huang Hongcai nodded.

"Plain scanning, I recommend doing enhanced CT!" said Ruan.

"The patient's blood pressure is not very good, how can he have time to do enhanced CT, and do plain scan faster!" Huang Hongcai glanced at Ruan Bin with disdain. It's okay for your kid to have surgery, but the clinical experience is still average.

In the face of this kind of comatose and shocking patient, you have to determine the condition quickly!

"If it is a pulmonary embolism, aortic dissection, etc., it cannot be seen on the non-contrast scan. You should also be aware that typical manifestations of pulmonary embolism include chest pain, hemoptysis, and dyspnea, but atypical pulmonary embolism may begin as coma. Ruan Bin said lightly. He just saw through the general diagnosis that the old man had a pulmonary embolism, but it was not very serious. Surgery should not be required, and anticoagulation with drugs is sufficient.

"This ......" Huang Hongcai was stunned for a moment when he heard Ruan Bin's words, he was in a hurry just now, and almost forgot about this possibility!

"Then let's do an enhanced CT. Huang Hongcai didn't carry the essence, but felt that what Ruan Bin said was very reasonable.

Finally, after the test results came out, it was indeed a pulmonary embolism, which was not very serious, but anticoagulant therapy had to be taken immediately!

"Ruan Bin, if you hadn't reminded me, I guess I wouldn't have been able to diagnose it so quickly!" Huang Hongcai gave Ruan Bin a thumbs up.

Finally, it's time to go to dinner!

Walking out of the emergency department, Ruan Bin walked in the direction of the canteen, and just after taking a few steps, he suddenly saw several doctors and nurses from the obstetrics department standing at the door of the obstetrics department next door, waiting for them.

It's as if waiting for some big man to come!

"Director Liu, what kind of characters are you preparing to greet here, it looks quite grand. Ruan Bin half-jokingly.

"What kind of big man is there to welcome, but to welcome a daughter-in-law who is a doctor who is making trouble! His daughter-in-law is going to come over to give birth!" When Liu Mei saw Ruan Bin, she began to pour bitter water.

？？？

"Do you remember what happened last year when an old man named Liu Wangba was in your emergency department?" Liu Mei reminded when she saw Ruan Bin's confused face.

"I don't remember...... "Last year, there were seven or eight medical troubles in their emergency department, and he really didn't remember the name."

"It was a 90-year-old grandmother who died after ineffective rescue, and her son, Liu Wangba, claimed 200,000 yuan! A month later, his old father was hospitalized due to illness, and later died, and he began to make medical troubles again, and claimed another 300,000 yuan!" Liu Mei said.

"It turned out to be that person, I remember!" Ruan Bin suddenly remembered.

Last year, Liu Wangba's parents in their fifties were admitted to the hospital one after another, but they both passed away.

One of the disputes is now unclear!

Anyway, at that time, everyone thought that this guy was a professional doctor at all!

Thinking of this, no wonder the obstetrics department is waiting at the door so ceremoniously, if you don't wait at the door, people will say that your doctor did not receive a big hat in time as soon as you arrive, and there is a saying!

"Then don't you refuse to be treated?" asked Ruan Bin. In the face of such trouble, just let the other party go to another hospital to give birth.

"How dare you, the hospital instructed to be as close as possible to the wishes of the family, to live in a single room that does not pay a single room fee, and not to charge a consultation fee for consultation, not only can not refuse to be transferred to the hospital, but also to provide for it like the ancestors. When the time comes, after his daughter-in-law gives birth smoothly, the head of the medical department has to take charge himself, and the head nurse has to personally guide the mother's feeding. And I'm personally in charge of the delivery process of this pregnant woman!" Liu Mei sighed.

"Okay. Ruan Bin shook his head helplessly.

Now hospitals and doctors are most afraid of medical trouble!

And over the years, it has also derived the 'promising' industry of professional medicine!

There are even people who have set up a medical company, and the group performance of the employees is very hard, when there is business, they should cry, they should faint and faint, they should scold their mother, and they don't know if they are rehearsing here. The more powerful drama is getting more and more sufficient, directly burning paper money and setting off firecrackers, which is simply possessed by the spirit of the play, which can be said to be quite "dedicated".

The reason why the doctors are so arrogant is because they have already eaten the doorway inside. Let's not say whether it's the hospital's fault or not, let's talk about it first. Even if it is not afraid of a lawsuit, if it is finally proved that the hospital is not at fault, it will pay the patient some compensation on humanitarian grounds in the form of negotiation and settlement in the form of sympathy for the weak.

If it is proven that the hospital is indeed at fault, the hospital will have to pay not only huge compensation, but also all the costs of the lawsuit. "No matter how you lose", this is the confidence of the doctors.