Chapter 4110 [199] Exam question transition
Dr. Xie meant that Dr. Yue judged that the probability was cerebral infarction.
Because Dr. Liu didn't see it before, it would be risky to tell the family members to suggest sending the patient for CT at this time. This is what Dr. Yue needs to consider.
Medical disputes are no joke.
The risk is that early cerebral infarction CT within a few hours is almost impossible to detect.
Emergency departments are used to sending patients with brain diseases for CT first. The purpose is not to check for cerebral infarction, but to rule out cerebral hemorrhage.
Cerebral hemorrhage is far more lethal than cerebral infarction.
The correct course of action is to offer to send the patient for an MRI.
Now comes another question, MRI is more expensive than CT especially in this day and age. It is not easy to get the family members to agree to send such an old man to do CT, and it is difficult for the family members to agree to the proposal to go for MRI.
If the CT examination fails to produce results, how will I explain to my family? The family's money did not come from the wind.
At that time, after a period of time, wait for the cerebral infarction lesions to become more obvious, and then a CT can also be done. In this way, Dr. Liu and Dr. Li hesitated by mistake and did not send the patient for CT right away.
Do you want to continue to delay the inspection time?
Is it meaningful to detect cerebral infarction within 12 hours?
This means that cerebral infarction is treated similarly to myocardial infarction. In previous cases of cerebral infarction, interventional surgery can also be performed. Of course, thrombolysis can be done in the same way as myocardial infarction.
The period of thrombolysis has a very obvious time limit.
For cerebral infarction, the window period of thrombolysis is within a few hours, so it is definitely meaningful to check early.
Patients whose limbs are paralyzed due to cerebral infarction will have a heavier burden on their families.
Dr. Liu tried his best to communicate and explain these problems to the family members.
Medical care is always about discovering early treatment and maximizing economic benefits. What doctors often say may not be understood by all laymen, because it is an academic summary of countless clinical cases and clinical research. After communicating for a while, it turned out that as Dr. Xie and Dr. Yue worried, it was really difficult for the family members to spend thousands of dollars and make up their minds to do MRI for the patient.
Sometimes medical things can be so outrageous. Perhaps the treatment fee is not as expensive and terrible as the examination fee.
"Send the patient for CT, call Dr. Lu Yu and tell him the actual situation." Dr. Xie Wanying said.
This is the first time that General Xie Xie of the Department of Surgery has put forward his own professional advice on this case tonight.
Squad leader Yue and classmate Li listened, and they were surprised for a moment: Is the examination room going to be transferred to classmate Lu?
Dr. Song, who was standing at the door, couldn't help touching his chin: He should have learned from Mr. Xie Qin earlier, when he was in the hospital, he was never so boring that everyone "sues" him.
Dr. Lu Yu, who was in the CT room, finally finished the examination of the prospective mother-in-law led by Fu, and just wanted to breathe a sigh of relief.
Ring ring, the phone rings.
The monitor called?
"What's the matter, monitor?" Everyone really loves monitor Yue, and continued to call monitor monitor after graduation.
Squad leader Yue suddenly acted like a big girl: "Let me tell you first that this patient is like this, there is no other way but—"
Lu Yu listened to the squad leader's description with wide eyes open.
Squad leader Yue looked at the ceiling after the lecture, no wonder his attitude towards Lu was not the same as that of Li. Classmate Li is too scumbag to clean up, and Classmate Lu has to do the most difficult math problem in the college entrance examination in history, which makes people feel pity.
For this reason, Squad Leader Yue comforted Li: "It's okay, we will follow along."
Lu Yu told the squad leader who might not know it: "Squad leader, you may not have listened to Yongzhe's report. I have a bunch of leaders here."
Thank you for your support, good night, dear~
(end of this chapter)
