7. Isn't it just to cut an appendix?
At 08:55 a.m., Xia Yiwei rushed to the obstetrics and gynecology department of the county people's hospital.
Knock knock knock..... Xia Yiwei pushed open the door of the study room, and several vigilant eyes hit.
"Yiwei?" Su Wan, a resident of obstetrics and gynecology, was taken aback, hurriedly walked up, and said, "Why are you here? You have been ...... for the past few years."
"Xiao Su Su?" Xia Yiwei was also taken aback, he didn't expect the world to be so small, and he could meet embarrassing friends here.
"Ahem, cough, cough .....," the director of the Department of Obstetrics and Gynecology prompted.
"We're going to have a meeting, and you're waiting for me outside. Su Wan had too many questions to ask him.
"Are you going to hold a multi-department consultation meeting?" Seeing Su Wan nodding, Xia Yiwei said without changing his face: "I'm also here to participate in the consultation." ”
"Don't make trouble!" Su Wan was speechless, the doctors invited for multi-department consultations were all director-level doctors, even if Xia Yi was not a scholar, it was impossible to be promoted to director within three years, and she had not heard that Xia Yi would come to the county hospital.
"I was called by Director Chen of the Department of Gastrointestinal Surgery, saying that there is a patient in your obstetrics and gynecology department who has a pregnancy complicated with acute appendicitis. "Xia Yiwei was going to make a car back to Qingtian.
"Director?" Su Wan looked back at Shen Qiuhong.
"Director Chen, won't he not come?" Shen Qiuhong's tone was a little blunt, thinking that Chen Weiguo was too perfunctory, and sending a young doctor to come obviously didn't take the patient seriously.
"Forehead......" Xia Yiwei was speechless, and only told him on the phone to come to the consultation, and nothing else was said.
"Director Shen, you seem to have a lot of opinions about me?" Chen Weiguo walked in and threw Xia Yiwei a white coat to wear, and at this time, the director of the pharmacy department also came.
When everyone arrived, Shen Qiuhong sat down and said, "Su Wan will report his medical history, Director Chen is a busy person, don't delay him too much." ”
"Yiwei, did you make Director Shen unhappy?" Xia Yiwei was very speechless by Chen Weiguo's cold sentence, the ghost knows what is wrong between the two of you.
After distributing the medical records, Su Wan said: "The patient, Li Yue, 28 years old, was admitted to the hospital for 'metastatic right lower quadrant pain for 16 hours'....."
After Su Wan finished speaking, Shen Qiuhong said: "The current diagnosis: 28 weeks pregnant, acute appendicitis, three days ago, please ask the gastrointestinal surgery department for consultation and take conservative treatment.
After three days of treatment with ceftazidime anti-infection, the patient's symptoms were reduced, but the blood count was higher than that of the previous star after a follow-up blood test. So let's see if the patient should be escalated with antibiotics and continue conservative treatment or be treated surgically?"
The room was silent for three seconds.
The director of the pharmacy department said: "The patient was 28 weeks pregnant with acute appendicitis, and the effect was not satisfactory after the use of ceftazidime, and β-lactam antibiotics and cephalosporin antibiotics in class B can be used according to the FDA drug classification during pregnancy...... Although Taineng is a β-lactam antibiotic, it has an effect on the fetus in animal experiments and belongs to class C..... Surgery is recommended. ”
After the director of the pharmacy department finished speaking, Shen Qiuhong looked at Chen Weiguo: "Director Chen, your suggestion?"
"Well, I've not told you about it. As soon as this remark came out, everyone was dumbfounded, including Xia Yiwei.
"Me?" Xia Yiwei pointed at himself, and when he saw Chen Weiguo nodding, he was just about to speak when he was stopped by Shen Qiuhong.
She said: "Chen Weiguo, you are too childish, what does he know as a resident doctor? What else will he do besides operating like a machine? Does he know what the FDA is?"
What a grudge this must be! The head of the pharmacy department touched his forehead. Historically, the Department of Surgery has looked down on physicians, believing that they only know how to prescribe medicines and write medical records, and physicians have no other use for surgery than surgery.
This is the rhythm of quarreling! Xia Yi didn't cover his head, to be honest, he knew something, but it was really impossible to say that he was ugly. After all, doctors are also human beings, and they have specializations, and it is impossible to know everything.
"Shen Qiuhong, do you think that our surgeons are useless? Don't forget, your obstetrics and gynecology department is also half a surgery. I asked B not to say it first, but it doesn't mean that I won't talk about it later. ”
Chen Weiguo was obviously caught with his shortcomings, he knew but couldn't guarantee that the people under him knew, and it couldn't mean that Xia Yi didn't know.
Just when Su Wan was about to play a round, Xia Yiwei raised his head and said chiseledly: "FDA, Food and Drug Administration, Food and Drug Administration."
FDA Pregnancy Drug Classification Drug Pregnancy Risk Classification, which is used to help doctors prescribe safe drugs for pregnant women, has five grades: A, B, C, D, and X.... Teachers, do you have anything else to ask?"
The current Xia Yiwei is the same as the two of them just now, but he spent five thousand oceans to open up the right to read internal medicine materials for a year.
At this moment, there is an invisible web interface in the upper right of him that only he can see.
As long as there is anything about medicine, he can immediately look it up, and he is afraid of asking questions.
Several people were stunned, and Chen Weiguo, who was the first to wake up, straightened his waist, was very proud, and said with a smile: "Director Shen, is there anything else you need to consult?"
Shen Qiuhong didn't fight when she saw Chen Weiguo's anger.
Shen Qiuhong looked at the director of the pharmacy department, saw that she was silent, and sneered: "It's not what you said, what do you have to be proud of?"
The atmosphere is not harmonious.
Su Wan said: "Director, Director Chen, I think we should first discuss Li Yue's situation, whether to transfer to gastrointestinal surgery or continue conservative treatment, if it is transferred to surgery, the patient's family asks for local anesthesia surgery, I don't know if there is any problem on Director Chen's side?"
"Local anesthesia, does her family want her to die or do they want her to live?" Chen Weiguo had seen the patient before, and knew that the family was afraid that the baby conceived by the pregnant woman would be slightly damaged, and the surgery should have been delayed a long time ago.
He thought for a while, turned his head and asked seriously, "Yiwei, do you think this patient is sure of appendectomy under local anesthesia?"
Xia Yiwei was not surprised, but the others were dumbfounded. A chief physician asks a young doctor who has just come out.
No one believes it.
They look at me, I look at you, and finally fixed their eyes on Xia Yiwei.
"There's nothing wrong with doing it, but director, you also know that I am registered in Qingtian Health Center, I'm afraid?"
"If you think it's okay, then it's okay, I'm ready to change departments, and I'll take care of it if something happens. ”
"Lao Chen, are you sure to let him do it? It's not that I don't believe him, but it's a pregnant woman's ......" Shen Qiuhong was a little worried, no matter how small the disease was, as long as it was with pregnant women and children, it would be a serious illness, and it was necessary to be vigilant.
"Isn't it just an appendix?
Su Wan grabbed Xia Yiwei, who was leaving, and said with a serious face: "Yiwei, this is not a joke, it's a pregnant woman, or a local anesthesia!"
"Isn't it just an appendix? just cut it and it's over!" After speaking, Xia Yiwei also followed, but there was no trace of contempt in his heart.