Chapter 18: The Quarrel
At this moment, several more people rushed in, and it was the doctor who came to consult.
Director Feng arranged for Sun Tao, director of the hepatobiliary department, and Tian Tian, a female resident doctor in the obstetrics and gynecology department, to consult with them, and several other doctors went to the other two emergency patients to help with the consultation.
After listening to Director Feng's story, Sun Tao asked, "Are the test results out?" β
Director Feng shook his head and said, "I just sent it, but three critically ill patients came at the same time, all of whom needed to be tested, and our emergency department laboratory was too busy, so we have sent the results to the outpatient laboratory to ask them for help." β
Sun Tao was a little angry when he heard that there were no family members of the patient, that the patient could not answer questions, and that the two neighbors who had taken him to the hospital did not know about it and could not contact the patient's family.
He put his hands in the pockets of his white coat and said coldly: "Now it is necessary to rule out the possibility of the patient's coma and find out whether there is a fever or diseases of the respiratory, digestive and urinary tracts. Find out how her usual work and study pressure and interpersonal relationships are? Is there a history of taking medication? Is it possible to be poisoned? Is it hypoglycemic shock coma? Is there a family history of diabetes? Now I don't know all of this, there are no test results, and there is no way to ask for a medical history, what is the consultation? β
Director Feng said: "Yes, it's quite tricky, I'm a little worried about the coma caused by cerebrovascular disease and hepatic encephalopathy. β
While they were discussing, Chen Tianming was examining the patient.
She checked the patient's pupils, listened to the heart sounds, and said, "It should be organophosphate poisoning." - The patient is covered in a cold sweat, the pupils are only one millimeter, the skin is clammy and cold, and the lungs have a large number of wet rales. Muscle tremors of the limbs and hypotonia are consistent with the characteristics of organophosphate poisoning, and it is necessary to take detoxification measures as soon as possible to rescue them, and the degree of poisoning will be aggravated quickly if the patient is delayed. It is recommended to immediately salvage according to organophosphate poisoning. β
"I disagree!" Sun Taoyu rolled his eyes and said lightly, "It's not clear what the situation is now, you can't be reckless in rescuing, or wait for the test results to come out." Although the patient had some symptoms of organophosphate poisoning, it could not be ruled out that Director Feng said that he was in a coma caused by lung infection, cerebrovascular disease and hepatic encephalopathy. If it is blindly rescued, and it is not organophosphate poisoning, who is responsible for the iatrogenic injury once it is caused? β
"Since I proposed it, of course I'm responsible!" Chen Tianming said categorically, "Director Feng, the patients in your emergency center, you should make a decision quickly, don't delay." β
Director Feng was a little embarrassed and said, "Director Chen, I also think what Director Sun said makes sense, but you still can't go blindly, anyway, the test results will come out soon, or ...... Wait? β
As he spoke, he turned his head to the nurse next to him and said, "Go and urge it to see if the test results come out?" β
The nurse quickly agreed and rushed out.
Director Feng looked at Tian Tian, a resident physician sent by the Department of Gynecology, frowned, and said, "Doctor Tian, what do you think?" β
didn't wait for Tian Tian to speak, but Sun Tao said coldly: "What kind of fame!" Human life is at stake, and your gynecology is so irresponsible? Only send a resident doctor to come for consultation, is there any revolutionary humanitarianism? β
Tian Tian was very embarrassed, her small resident doctor, of course, couldn't stand up to the big director. Hurriedly explained: "Our director was busy and couldn't take a break, so he asked me to come." β
"Just your obstetrics and gynecology department? Everyone else is bubbling? Hum! Sun Tao rolled his eyes and said, "Director Feng asked you, what do you think of this patient?" β
Tian Tian's face flushed, originally she wanted to say her opinion, but she was choked by Sun Tao so much, she didn't dare to say it, shook her head and said, "I ......, I don't know." β
"You don't know? So what are you here for? Sun Tao became even more angry, and his voice raised an octave, "The consultation is to give opinions, you represent your gynecology, think about what is the possibility of the patient causing the coma in your obstetrics and gynecology?" ββModern medicine is highly developed, and the subspecialties are so detailed that it is impossible for every doctor to understand everything, and they often only delve into the knowledge of their own department, lacking comprehensiveness. It is precisely because of this that it is necessary for each physician to work together and think about the condition from the perspective of their own department in order to arrive at a diagnosis that best suits the patient's situation. You don't say opinion, what if the patient is in a coma caused by the cause of obstetrics and gynecology? Can your obstetrics and gynaecology department take on this responsibility? β
Tian Tian was so trained by Sun Tao that she was about to cry, her little face was flushed, her head was lowered, tears were rolling in her eyes, and she couldn't say a word.
Zuo Li has been standing behind them and watching, although Director Feng saw him, but he didn't know him, he was so young, he felt that it was impossible to come for a consultation, so he didn't greet him.
Zuo Li wanted to step forward and ask if he needed a consultation with the Department of Traditional Chinese Medicine, but when he saw Sun Tao, the director of the Department of Hepatobiliary and Gallobiliary, speaking mercilessly, and training the little girl from the Department of Obstetrics and Gynecology like a grandson, a feeling of sympathy arose in his heart, and he was about to step forward to fight unevenly, but Chen Tianming on the side spoke: "We don't care if someone from the Department of Obstetrics and Gynecology doesn't send us." Don't waste time now, hurry up and rescue according to organophosphate poisoning, otherwise the degree of poisoning will deepen rapidly, and the patient's life will be in danger, and you can't wait any longer! β
Sun Tao shook his head: "Plan and then act!" The more critical the moment, the more you need to be calm. - Director Chen, I'm not talking about you, although you have a very high level, a doctor of medicine from Harvard, you still need to hone your cultivation in this place. β
Director Feng anxiously walked to the door to see: "Why haven't you come back yet!" β
As soon as she said this, the searchlight and the nurse who went to call her hurriedly ran over and said to Director Feng: "There are too many test items, and the laboratory department is already doing it, but it may take some time to get the results." β
Sun Tao couldn't help frowning, very dissatisfied, and shouted: "What is the laboratory doing?" Does it take that long for such a? Don't know if there is first aid here? Don't you know the truth of curing the sick and saving people and carrying forward revolutionary humanitarianism? Wipe! All day long, I only know how to play with my mobile phone, chat all day, and when I encounter work, I procrastinate and grind one by one, what are you doing! β
When the searchlight heard this, she immediately stopped, because she saw with her own eyes that Yao Ming of the laboratory department was so busy that their feet did not touch the ground, but it was not like what Sun Tao said.
At that moment, the searchlight crossed his hands on his waist and said in a sharp voice at Sun Tao: "Director Sun, if there is no investigation, there is no right to speak!" When did you see people in the laboratory department playing with their mobile phones and chatting? I didn't see it, what I saw was that they were busy all the time, there are so many people in the laboratory department, and there are so many inspection items, even if one person has a few hands, it is not enough. Besides, there are procedures for medical testing, and you can't pull out the seedlings to help them grow, you have to do it step by step. Originally, our emergency department asked people to help, not someone else's business, people are already helping to do things non-stop, why are you still slandering people so much? β
Sun Tao didn't expect that a little nurse in the emergency center would dare to have a hard top with his dignified director, and his face turned blue suddenly, but when he saw the searchlight violently and the tigress guarding the calf died, and the person was very strong, he really didn't dare to conflict with her, and what people said was reasonable, he really took it for granted, so he didn't have the confidence to argue.