Chapter 4068 [157] Must have strength
Well, you said that in such a situation that cannot be fully understood, the patient was rescued, and you hurriedly issued a critical illness notice. Are you sure that the current diagnosis on the critical illness notice is correct?
Is it just glomerulonephritis? Concurrent peptic ulcer bleeding leading to critical illness?
Dr. Zhang Desheng first told the truth: "Your patient's condition seems to be much milder than that of our ICU patients."
When Dr. Zhang heard this, he was anxious: "What kind of patients are you living in the ICU?"
In the ICU, it is usually defined as the collection of the most critically ill patients in the hospital, otherwise they are not eligible to live in the ICU.
Got it. Doctor Zhang Desheng gave him a supercilious look. Can the actual clinical practice be exactly the same as that written in the textbook?
Actually, whether you can live in the ICU, the first condition is whether the patient's family has financial strength.
Besides, with so many critically ill patients in the hospital, can the few beds in the ICU be collected?
Dr. Zhang Desheng didn't want to be polite anymore, he wanted to imitate Song Mao and rolled his eyes at the other party: Don't send out your critical illness notice indiscriminately.
Compared to Dr. Zhang Desheng who was so angry when he saw it for the first time, Dr. Xie Wanying was very calm: it is too common to issue notices indiscriminately in clinical practice.
The specific reason, the first must be that the doctor himself made himself unconfident.
The second most important point is that you have no experience.
It is not impossible to send a critical illness notice. It is completely in time to send someone into the water. You can report it to the superior doctor first, or find the general hospitalist to discuss it before sending it.
When you are a doctor, you must have a stable mentality.
The critical illness notice is really not your amulet as a doctor.
Regarding this point, Dr. Zhang may not have detoured his mind for the time being, frowning and thinking: What I wrote and posted is the current diagnosis, which is correct.
The current diagnosis does not mean that it must be consistent with the future diagnosis. This is the medical limitation before the test results are fully released.
"Please explain first, why do you say this patient is critically ill?" Dr. Zhang Desheng tapped on a piece of paper and asked Dr. Zhang. He had to ask clearly why he was called.
"vomit blood."
"How much blood?"
Talking to an ICU doctor about a patient's critical condition, you have to explain clearly how much blood the patient lost at one time.
Dr. Xiao Zhang looked back at the patient's bedside: this—
Is vomiting blood not a serious situation?
That’s a layman’s perception, okay? You’re a doctor.
Just because there are very few patients who vomit blood in the Department of Nephrology, you have forgotten the knowledge of Gastroenterology, right?
Dr. Xiao Zhang recalled again: "He has a problem with his blood routine, and his platelets are lower than the normal value."
At this time, Dr. Xie Wanying intervened and said, "Is this a patient from your group?"
"Um-"
"The superior doctor hasn't returned to the hospital for the past two days?"
"The professor is on a business trip. The patient was not seriously ill when he came in."
In the Nephrology department, there are many patients with abnormal urine. In the eyes of Dr. Xiao Zhang and other specialists, patients with simple and insignificant symptoms are not serious patients.
Once again, it should be proved that in the medical circle, what is interlaced like a mountain. Another major, I forgot everything, I am a professional, I am so familiar with it that I don’t need to pay attention.
Dr. Xie Wanying clicked on the medical records again: "The patient has joint pain, is it rheumatoid arthritis?"
Dr. Xiao Zhang: Huh?
"You said that the source of his vomiting blood is peptic ulcer. Isn't the joint pain the rheumatoid arthritis of the elderly? The low platelets are suspected of leukemia?"
Pfft~ Dr. Zhang Desheng blew up in his heart, no matter how he was an imperial envoy to "catch" people, he couldn't compare to classmate Xie, because this really required technical strength.
Thank you for your support, good night, dear~
(end of this chapter)
