Chapter 2 The intern knows how to treat diseases

As soon as these words came out, even Chase, who had just defended Du Wei, frowned.

Because he gave the order to scan the CT scan of the brain.

Du Wei said that he was sweeping the wrong position, which was clearly hitting him in the face on the spot.

"What? If a patient has a brain-related disease, shouldn't the brain be scanned to check the situation? ”

Furman scoffed, also disapproving:

"Okay, don't listen to his nonsense, young people always want to make a non-shocking speech.

House has the real thing, and as for him, forget it. ”

As the only female doctor among the three assistants, Cameron also disagreed with Du Wei's 'high theory'.

"Du Wei, you better learn more and watch more first, Chase chose to take a brain CT scan first without any problems at all."

In the face of the words of the three people, Du Wei just looked at House, the only one who could call the shots.

House looked at Dewey's finger with amusement and asked:

"Since you don't think you need to scan your brain, which part do you want to scan?"

Du Wei smiled confidently, he naturally couldn't directly say the conclusion without any basis, that would only make people distrust his judgment even more.

But if it's a reasonably inferred outcome, then there's no problem.

"First of all, I'm not saying that I didn't find the right position, not that the CT scan of the brain was incorrect.

With the CT images of the brain, any licensed voice can tell if she has a brain tumor.

She didn't have to be transferred to our hospital.

But others may remain, such as aneurysms, strokes, or other ischemic syndromes.

But for the same reason, if these diseases are found, they can be found and treated in other hospitals.

So she must be an atypical case when she comes to us, it may be cerebral vascular inflammation, or it may be cerebral cysticercosis.

More evidence is needed to support which rare case it is.

I think we need a whole body CT scan so that we can find out the real cause, not just the brain CT scan. ”

After Du Wei finished speaking, he picked up the coffee on the table with lip prints and dried it down.

Having said so much, these people should be impressed by him and let him go for treatment, right?

But it is clear that Dewey's inference is not supported.

Because he's just an intern.

Furman shook his head directly:

"Have the patient go straight to a whole body CT scan?

Have you ever wondered how much it costs? We don't want to ask patients to do this if they don't have to.

You have to know that if a patient complains about the hospital's indiscriminate charges, your career will be over.

Boy, this is the advice of the seniors, remember. ”

Chase agrees:

"Indeed, you said so much, it only proves that your expertise is solid.

But it didn't help much. ”

Cameron didn't say anything, just glanced at Du Wei and took the cup in his hand:

"This is mine, the next time you want to drink, remember to go to the pantry by yourself."

Du Wei smiled and didn't say anything, just waiting for House's summary.

House did not taunt Dewey, but thought about it seriously, but in the end he said:

"Inferences are always just inferences, and whole-body CT is not impossible.

But after the MRI, we have to make sure that there is nothing wrong with the brain. ”

Seeing that House spoke, the three assistants did not say much and began to contact the imaging department to arrange a time for the MRI.

House, who was on crutches, turned back to the crowd before leaving the examination room:

"By the way, remember to bring this intern with me and let him do some practical work, he has a lot of ideas, I like it very much."

With that, House limped downstairs to the clinic.

He still owes the hospital a full two thousand and fifty-four hours of outpatient time.

It's really not good if you don't work hard.

Soon the four of them were gathered in the MRI room.

Looking at Furman, who was taking the contrast medium, Du Wei, who knew what would happen next, couldn't help but remind:

"What if she's allergic to contrast media?"

Furman stopped his hand to extract the contrast medium, looked at Du Wei and said seriously:

"So that's what you're going to learn – communication.

It was important to communicate with the patient beforehand and she told us that she had never had allergies, which was enough. ”

Hearing Furman's answer, Dewey understood why House always talked about patients lying.

Patients will always miss some important information, intentionally or unintentionally.

And this information can be quite deadly.

Du Wei took a deep breath and was ready to save people later.

After the contrast medium was injected, the four of them went to the operation room with an observation window next to it.

The operation began.

I saw a patient named Rebecca being pushed into the MRI machine by an automatic slide.

As the button was pressed, there was a noisy sound like a hammer pounding on the ground.

Feeling the swelling pain in her head, Rebecca suddenly said loudly:

"I didn't feel well, I was a little scared."

Chase, who has long been accustomed to this, comforted:

"It's okay, it's normal, just hold on a little longer."

But suddenly there was a 'ho-ho' sound from the speaker.

Cameron, who felt a little uncomfortable, glanced at Du Wei and tried to call:

"Rebecca? Rebecca? Can you hear me? ”

But Rebecca didn't respond.

Du Wei on the side immediately understood that Rebecca was suffocated due to laryngeal edema due to contrast media allergy.

"Get her out, she's really allergic."

Chase said calmly:

"There's no need, it's normal that you're an intern and haven't seen anything like this.

As we see each other, we understand that she may just be asleep.

After all, she was already tired. ”

"No, it's not."

Chase's words were denied by Cameron, who focused on Dewey's words:

"She was still claustrophobic in the secret room ten seconds ago, she couldn't have fallen asleep so quickly!

Get her out of here, if it's a contrast allergy, she'll die! ”

Chase spread his hands and reluctantly pressed the stop button:

"It's going to be over in a minute, well, if you have to insist, so be it.

You will have to bear the incidental losses. ”

Cameron didn't bother to speak.

She hurriedly followed Du Wei into the MRI room to check on Rebecca, who had been automatically pushed out.

Du Wei, who had been prepared, skillfully leaned over to feel Rebecca's breathing.

Sure enough, he didn't breathe.

He immediately said to Cameron opposite:

"She stopped breathing and I needed adrenaline, 0.5 mg! Immediately! ”

Cameron was stunned, shouldn't this be what she did?

But the urgency of the matter did not allow her to think too much, and the instinctive memory of her muscles made her pass the adrenaline directly to Du Wei.

After expertly pushing the adrenaline into the vein, Du Wei took the manual ventilator and began mechanical ventilation.

But it soon became clear to him that this was not the case.

"Her laryngeal edema was so severe that mechanical ventilation was not working, and I needed a kit to cut my trachea."

There was a clear look of suspicion on Chase's face, who had just walked in.

Incising the trachea requires a keen sense of observation and courage.

Can he, a trainee who has never done it before, do it?

"Huh? Are you going to cut your trachea? Will it work? ”