Chapter 141: Random inspection is a hooligan
"Third, the aggravation of the patient's condition is related to fever, but not absolutely. The most obvious change in the patient's condition is the change in blood pressure. The patient's blood pressure curve is constantly going downward, which is actually very dangerous. ”
"Fourth, the general condition of the patient is indeed not very good, but it is not to the point where two critical illness notices have to be issued in a row. Why they did this, I don't know. ”
"Fifth, it's morning, and according to the patient, it's not the worst time. Please pay attention to the situation this afternoon and see if there is any improvement. ”
"Sixth, the patient's blood test results are very distinctive. In the blood examination, almost all of them are elevated, red blood cells, white blood cells, and platelets are all elevated, which everyone does not seem to notice. ”
"Everyone should pay attention to the fact that the emergence of any phenomenon will not be for no reason. Why does a patient with a lung infection have such a blood picture change? It's worth pondering. ”
"Also, people don't pay enough attention to the biochemical examination of patients. We always have a purpose in doing any inspection, otherwise, it will be a random inspection, and it will be 'playing hooligan'. Lin Lin said the buzzwords before her rebirth at once.
"Uh...... Dean Lin, do you say so? Even Ling Xiaoyun, who had always spoken out, couldn't help but say a word.
"Oh, I'm sorry, I didn't say that because I didn't say that." Lin Lin realized that she was "out of order".
Ye Xiu also glanced at Lin Lin, and thought to herself: "This senior brother is really like the legend, he speaks out, but he is very vivid. Random checking, isn't it just a hooligan, hey, that's not wrong at all. Senior brother, you are so wild! ”
"Let's look at the biochemical results of the blood, high potassium, high sodium, high uric acid, high urea nitrogen, high creatinine...... When you see so many 'highs', and the patient's condition is not very bad, don't you feel that there is a problem? ”
"I hope that when you analyze a patient in the future, you will combine the information you have at your disposal and the situation of the patient you see. Don't be led by others, let alone follow the crowd. ”
"Well, I'll not say much about the rest. The diagnosis of this patient was 'bilateral lower lung infection, hypovolemic shock'. When the patient's urine output increases, when the patient's blood pressure returns to normal, you can check the biochemistry set and blood routine again. I believe that the result will not be so unbearable. ”
"As for the next step of treatment, I think that the inflammation in the patient's lungs has started to improve, but it is not fully controlled, and I also agree to change to an antibiotic."
"I looked at the treatment records of the People's Hospital, and they have not used Fudaxin for the patient, so let's use it for him, just follow the regular dose."
"Truth be told, we are now lucky doctors, treating patients with 'sick tails'. Of course, this 'sick tail' is not something that anyone can judge, otherwise, they would not have issued two critical illness notices in a row. ”
"Doctor Ye, you follow up, pay attention to the amount of inflow and output, pay attention to the change of blood pressure, pay attention to the change of body temperature, and pay attention to the change of urine output. If the patient's appetite returns, encourage him to eat more gradually. How can a person, without enough nutrition, fight against bacteria? ”
"If my judgment is correct, as the amount of urine increases and the blood pressure rises, the patient's sputum will become less viscous and easier to cough up."
"Well, I seem to be rambling. Let's see if you have any questions or have anything to add. ”
"Dean Lin, with you, we are not afraid of anything, you are the Dinghai Divine Needle of our department." Ding Feng's ability to hold the neurology department is inseparable from Lin Lin's support.
"I also feel this way, and it seems that there is no problem that can stump Dean Lin." Zhuo Yiming's statement carries a lot of weight.
"Teacher Zhuo, I don't dare to take what you say. I often say that doctors always run after the disease, and in the face of the disease, no one moves. This is true for patients, and it is true for doctors. ”
"Makes sense, it makes sense." Li Yun'e no longer dared to challenge Lin Lin, on the contrary, she became respectful of Lin Lin.
"Well, I'm still thinking about what Dean Lin said just now." Ling Xiaoyun was thoughtful.
"What?"
"Hooligans. I slowly pondered that Dean Lin's statement was not only very vivid, but also very appropriate. Isn't any inspection that doesn't care about the results a hooligan? ”
"Well, I also agree with this sentence very much, it's just a stroke of genius." Ye Xiu made no secret of his admiration for Lin Lin.
Soon, this phrase spread in the affiliated hospital and was used by many doctors, especially department heads.
The next morning, as soon as Lin Lin returned to the office, Ding Feng's phone called.
"Dean Lin, it's a god, it's really a god." Ding Feng looked incoherent.
"Hey, Director Ding, what's the matter?"
"Hey, I'm overjoyed. I mean, Dean Lin, you're a god! The patient you saw yesterday, according to your opinion, today, the patient is in good spirits, blood pressure is normal, yesterday afternoon's blood routine, I just saw, except for the white blood cells slightly high, all other indicators are normal. ”
"Hehe, the results of the blood biochemical test are all normal. All the 'highs' have magically returned to normal. From yesterday afternoon to now, the patient's body temperature has been normal and has not 'burned' again. ”
"Dean Lin, I, Ding Feng, admire you so much." Ding Feng's voice was very loud, and it was estimated that everyone around her would hear it.
"Director Ding, you don't have to be polite. In fact, if you calm down and analyze, you can do it, and you don't have to be arrogant. ”
"Dean Lin, I'm not arrogant. My character, Dean Lin, is clear, one is one, admiration is admiration. In addition to admiration, you have to study diligently, hoping that one day, you can learn one-tenth of Dean Lin's skills. ”
"Haha, Director Ding, do you know, now I can work here with peace of mind, thanks to your good management and handling of things in the department."
"I am a member of the department, and sometimes, it is necessary and necessary to go back to participate in some of the work of the department, you don't have to be polite."
"Okay, okay, you're welcome. It's just that I just returned to the department and saw that this patient is doing so well, and I am happy, and I will call you to report it and make you happy too. ”
"Well, happy, indeed worth rejoicing. Haha, we're lucky doctors. ”
"Hehe, Dean Lin, to put it this way, if you don't have accurate judgment and decisive action, the patient will probably be doomed. Well, I won't bother you with your work, goodbye. ”