Chapter 38: Alternative Diagnostic Approaches

Deputy Director Han stroked a few strands of gray hair on his forehead, and his brows furrowed deeply.

"Judging from the current examination results and the patient's symptoms, the heart, liver, lungs and other important organs are fine. Hepatic vascular and cardiovascular, which can basically rule out the possibility of malformations and lesions. CT scan of the head, close to the brainstem, appears to have a hemangioma. In addition, intracranial pressure monitoring was significantly higher than normal. So I think the cause of the patient's fainting is in the head. ”

After he gave his diagnosis, he seemed a little unconfident and afraid of being slapped in the face.

Eyes on the curly-haired chief physician "Dr. Ai, because this patient is in a special situation, he is a pregnant woman. You usually receive more emergency departments for pregnant women, what is your opinion? ”

The emergency department is a very intensive department.

The average female doctor can't resist at all.

If nothing else, the two-day night shift alone is enough to make many doctors over the age of 35 unbearable.

Dr. Ai has rich experience in general practice diagnosis and treatment, and is a rare female doctor, who is as precious as a treasure in this backward department of the emergency department.

"Pregnant women do not have risk diseases such as uterine fibroids, bleeding, placenta previa, etc., and I also prefer the diagnosis that the cause of fainting is in the head. Her blood pressure is so high that it is like an explosives storehouse, it can be detonated at any time, and she has to find a way to lower it as soon as possible. Also, the fetal heart rate has dropped from 116 to 105 in just ten minutes, which is very, very dangerous. ”

She used two very words to remind everyone that the fetus was now in a more dangerous situation than the adults.

The hearts of several senior doctors sank, and their faces became more solemn.

There is a specialization in the art industry.

Deputy Director Han diagnosed the approximate extent of the lesion of the pregnant woman, but Dr. Ai found that the fetus was very dangerous.

Therefore, when encountering some patients with complex conditions, it is necessary for doctors from multiple departments to consult together. Everyone is good at different areas, and together, they can learn from each other's strengths and weaknesses and prevent major omissions.

At this moment, Director Lou's mobile phone rang.

At this time, he was disturbed by the phone, he showed a trace of impatience, took out his mobile phone and frowned, and then there was a big change of face in Sichuan Opera.

The expression became extremely respectful.

Swipe across the screen quickly and answer.

People also stand upright.

Looking at his reaction, you can guess that it must be a big man like a leader.

"I wish you hello to the dean, I am Lou Jingshan of the emergency department, please instruct."

"Okay, we'll do our best to save it."

"At present, the cause is not clear, and it is only tentatively identified that it may be caused by a problem with the blood vessels in the skull. The fetal heart rate of the fetus in the womb of a pregnant woman has fallen below 110, which is quite dangerous. ”

Director Lou informed Dean Zhu of his condition.

The normal fetal heart rate in China is between 120-160. A fetal heart rate of less than 110 is already quite severe.

"Understood!"

After a brief call, Director Lou put his phone in his pocket.

"The identity of this pregnant woman is not trivial, and I wish the dean to order us to rescue us at any cost and manpower. The departments of the gods, the gods, and the obstetrics and gynecology departments will be sent to support them immediately. Ladies and gentlemen, our emergency department has been looked down upon by other departments, and we are all working hard to find out the cause before other departments arrive. Otherwise, you will inevitably be ridiculed by them again. ”

What is the origin of the patient?

was able to make Dean Zhu not hesitate to mobilize three top department doctors at the same time to save people.

Director Lou picked up the patient's information and checked it again.

"If you go to the laboratory again, the blood test results are also a very important reference."

"Okay."

Ye Tingting trotted to urge the blood test results.

The patients who can let Dean Zhu personally interrogate are either rich or expensive.

This wealth is not worth tens of millions or more than 100 million, but huge wealth. Ordinary billionaires with a net worth of tens of millions or hundreds of millions come to Tuya Hospital for treatment, not to mention alarming the level of Dean Zhu, it is difficult to talk to the level of the department director.

Under normal circumstances, people worth more than 100 million yuan will have a certain amount of influence in both political and business circles.

It's normal to know one or two powerful officials.

The origin of pregnant women is much greater than that of people worth more than 100 million.

Who would dare to slack off?

The senior doctors are all at full power, eager to cure her immediately and make a great contribution.

This is a good opportunity for fame and fortune.

Zhou Can didn't care about the credit, and he didn't think about who to slap in.

All he was thinking about was earning this 1 point of diagnostic experience.

In the past two days, I have followed Dr. Xu to the operating room of the emergency department, and the surgical experience has skyrocketed.

There are very few opportunities to earn diagnostic experience points.

Because Dr. Xu does not sit in the consultation, except for the emergency room, it is the operating room.

Zhou Can's eyes fell on the pregnant woman, and the high bulging belly showed that the fetus's nutritional supply was quite good.

The examination information of the pregnant woman, he has gone through it many times in his head.

Director Han and Dr. Ai's diagnostic opinions are actually equivalent to not saying.

Because the cause of the patient has not yet been found.

Zhou Can walked to the hospital bed, uncovered the pregnant woman's blouse and looked at the pregnant woman's abdomen.

There are already multiple stretch marks crawling on it.

The color looks lighter.

It shows that these stretch marks have not been around for a long time.

Theoretically, this advanced pregnant woman should be pregnant for the first time.

At the age of 36, women who got married early are already about to become grandmothers.

She was only pregnant with her first child at such an age, and there were only two possibilities. The first is a public figure, in order to pursue a career. For example, female celebrities, or executives of large companies, etc.

Second, there is an underlying medical condition in the body and pregnancy is not allowed. Or never conceived.

What kind of situation does it belong to, Zhou Can feels that it is necessary to understand clearly.

The pregnant woman is now in a coma and is simply unable to answer his questions.

The old lady outside doesn't know if it's her family?

Zhou Can stared at the woman's face and felt that the old lady outside was a little similar to her.

"Dr. Xu, I'll go out to find a family member to learn about the pregnant woman's medical history."

"Go ahead!"

Dr. Koh readily agreed.

"Did Xiao Zhou find out again?"

Director Lou remembered that Zhou Can also asked the family members yesterday, and then found out the reason for the child's shock many times in a row.

At this moment, when there is no major progress in diagnosis, he has a little more hope for this regular trainee who has made great contributions.

"No, no, I just feel that it is necessary to supplement the patient's medical history, which can provide a more detailed basis for the diagnosis to the senior physicians." Zhou Can hurriedly denied it.

So many directors and attending physicians have not found out the cause of the disease, and he can find out with a few glances.

Then he is not a man, but a god.

At most, he has a different diagnostic thinking from other doctors, and has found some clues that other doctors think are irrelevant.

When a pregnant woman faints, no doctor will spend precious time and energy studying the stretch marks on the belly of a pregnant woman.

Zhou Can's brain circuitry has always been relatively unique.

Outside the rescue room, the old lady was still nervously looking forward to the result.

"Are you a family member of Ms. Cao Qin?"

Zhou Can found that the watch on the old lady's hand was an old Shanghai mechanical women's watch with a sense of age.

From this detail, it can be roughly inferred that she is a nostalgic person.

"Well, I'm her mother. How is my daughter? ”

The old lady glanced at Zhou Can, her attitude was quite cold, and her aura was particularly powerful.

This old lady is by no means an ordinary person.

"It's still being rescued."

Zhou Can replied with this universal clichΓ©.

"I saw a group of doctors outside the door surrounding my daughter for various examinations and discussions, but there was no actual treatment. You tell me the truth, don't be official. ”

The old lady is not easy to fool.

Much more savvy than the average family member.