Chapter Eighty-Six: All-rounder
"Here's what happened, two hours came a 29-year-old female patient, 22 days after cesarean section, abdominal pain, discharged from SX Central Hospital a day ago, combined with examination and out-of-hospital diagnosis: uterine incision infection with peripheral abscess. Dr. Cheng felt that it was a follow-up condition of caesarean section, so he assigned her to the obstetrics department for the first consultation based on experience, and after the patient and her family ran to the obstetric department, the obstetrician refused the first diagnosis and asked the infection department to see her! ”
"Because the obstetrician said that there was a similar case that was hospitalized in the infectious disease department before, because the patient was in a hurry, the patient's family did not buy a medical record book, so they did not write the first medical record. So at that time, Dr. Cheng took the patient to the infectious disease department, and the doctor there said that he would go to the department of surgery, so Dr. Cheng could only write the patient number as the first diagnosis of the department of surgery in our emergency department. Due to the delay of half an hour for running back and forth, which angered the family, the husband of the female patient gave Dr. Cheng a slap at that time, but now I heard that he was detained. ”
"Because of this matter, Director Liu was furious, looking for the infectious disease department, obstetric consultation theory, after the infectious disease doctor came to check on the patient, he said that it was none of their business to be handled by the surgery department or the obstetrics and gynecology department, and the gynecological hospitalization always said that it was not for them to see!"
"But the disease of female patients is not what our emergency department is best at, and in the end, it is the obstetrician, the infectious disease department, and the gynecology department that are playing the ball again. This incident alarmed the director of the medical department, and finally the hospital office said: Whoever is the first patient is responsible! Because Dr. Cheng saw that the obstetrics and infectious disease departments were reluctant to give the patient the first consultation, he could only fill in the first consultation in the emergency department at that time, so we carried this black pot! So aggrieved! Yang Xuan explained.
"I see! No wonder Director Liu is mad! Hou Quanhai was also a little angry, and he was also upset for Cheng Kai!
"Alas~ Sure enough, where there are people, there are rivers and lakes, and there will be intrigues here. Shouldn't obstetrics and infectious diseases think about starting with the patient's condition? The last time a patient came, his blood sugar was not low, and there was no abnormality in the head CT scan, but the director of the department thought it must be hypoglycemia. At that time, I was asked to be sent to the neurology department, and the neurology doctor at that time also said that our emergency department had admitted a patient with hypoglycemia to another department. Think we're messing around! But in the end, after various examinations, combined with medication, it was indeed diagnosed as hypoglycemia! Are you angry? Yang Xuan complained.
"Alas~" Hou Quanhai sighed, not knowing what to say. It stands to reason that this patient should be seen by obstetricians. After all, it is an infection and abscess caused by a caesarean section.
Afternoon......
"Doctor, doctor, save my girlfriend!" A young man in his twenties rushed in with a girl in his arms.
At this time, Hou Quanhai happened to be in the hall.
Quickly pulled a flat car over.
"Put it on!" Hou Quan Haidao.
The patient was a girl in her early twenties, and she was snorting in pain and weakness. When Hou Quanhai looked at it, he saw that the skirt was covered with blood.
"What's going on?" Hou Quanhai frowned and asked.
"I ...... I, she, she did the abortion this morning. I said that I had a painless abortion for three minutes, and I went home to rest after I finished it, but I didn't expect to wake up and find heavy bleeding, so I hurriedly sent it over! The young man said hurriedly. At this time, he was a little trembling when he spoke, obviously panicked!
When Hou Quanhai heard this, he was in a groove, it turned out to be a problem caused by driving without a seat belt!
If you're going to drive, why don't you wear a seatbelt? Okay, now it's a car accident.
"Heavy bleeding? It looks like there should be a massive uterine hemorrhage! The problem is so serious that if the bleeding is not stopped, there is a high risk that the uterus will have to be removed. Hou Quanhai said.
"Huh? Is the problem so big? The young man almost peed with fright when he heard this.
"It's all my fault, it's all my fault, greedy for cheapness to take her to a small hospital for an abortion. Doctor, doctor, you must save her! If her uterus is removed, I'm afraid her dad will break both of my legs! The young man said that he almost knelt down for Hou Quanhai.
After listening to this, Hou Quanhai secretly said in his heart, you don't have to wear a seat belt when you drive, and you go to a small hospital to have an abortion in order to save money? Black hospital, right?
I'm afraid that someone's dad will break your legs, why don't you think about this problem when you drive without a seat belt?
"Okay, let's go through the admission procedures immediately!" Hou Quanhai said and pushed the female patient in with the nurse next to him.
There was a single incident of Cheng Kai today, and he planned to ask the director of the door whether the woman was sent to the obstetrics department or his own emergency department.
"Director Men, this female patient has hemorrhage after an abortion, I guess it is uterine hemorrhage, do you think she will be sent to the obstetrics department immediately?" Hou Quanhai asked the door director.
"Well, send it!" The door director didn't think about it.
"What to send! Isn't it just a small uterine artery interventional embolization surgery? Hello Laomen, you are the only general practitioner in the emergency department! You don't do it, I do it! What to do with the obstetrics, let them die poor! To be honest, I want to have a plug-in right now, so that all the people in our emergency department are general practitioners, and the doctors in other departments will starve to death! At this time, Liu Zhenyang didn't know where to come out and said loudly.
Although Liu Zhenyang is not a general practitioner, as the deputy director of the emergency department, he understands not only general surgery, but also many other surgeries.
As for the director of the door, he is the only general practitioner in the emergency department!
In fact, Hou Quanhai also knows that although he is a general practitioner, people's energy is still limited, maybe the director of the door will do all the surgeries, but definitely not all the surgeries are very skilled!
"Lao Liu, I know you have complaints about obstetrics now, don't be angry! I'll do this surgery. You're in a bad mood today, so try my best to do the third or fourth level surgery. "Director Men knew at this time that Liu Zhenyang had a great opinion on obstetrics at this time because of Cheng Kai's matter.
This is human nature, and he also knows that Liu Zhenyang is a short-tempered person, so he doesn't dare to hand over Liu Zhenyang to do surgery now, in case he manually gives the patient a random knife because of his bad mood. So I gave the other party a face and took the operation!
Liu Zhenyang saw that the director of the door gave him a face, and he couldn't continue to say anything, so he said: "Okay, I'll go to Cheng Kai to talk to him." ”
With that, Liu Zhenyang left.
"Hou Quanhai, you push that patient to the operating room, and you also come to be my assistant. Today I am doing this is uterine artery interventional embolization surgery, you can also learn to learn. Interventional surgery is generally a job in the interventional department, but this kind of surgery is actually very useful and practical in our emergency department! For first aid, this kind of massive bleeding in the arteries has a very significant and rapid effect. The door director spoke.
"Okay." Hou Quanhai nodded. At this time, he suddenly had an idea, Lao Tzu must be a general practitioner in the future!