【My medical skills can add experience points】【】
It doesn't look like Xiao Chuan from this situation.
Zhou Can frowned and pondered, for a while, he really couldn't diagnose what disease the old lady had. Is it a cerebral hemorrhage?
However, the patient's blood pressure is quite normal. Logically speaking, even if there is a brain aneurysm, it shouldn't rupture after a little stimulation! Besides, the human body is not as fragile as imagined.
At this time, other doctors and nurses from the Department of Pediatrics rushed over to provide support.
When a patient needs to be rescued, the medical staff are often very united. It doesn't matter which department you're in.
There is only one exception.
There are great risks in rescuing patients.
For example, it is possible to be blackmailed by family members, or the patient is more difficult to deal with, and even has some reckless behavior before the need for rescue.
Doctors and nurses are also human beings. They know that taking the initiative to rescue them may cause big troubles, so they must avoid disasters and act according to the situation.
Kidnapping medical staff with the standards of a saint is overthinking.
"Doctor Zhou, do you know what's wrong with her?"
"I just don't know! Before she fainted, she said that she had high blood pressure, but she took the medicine on time. I measured the blood pressure to be normal, and the heart rate was a little too fast, but the situation was not bad. She heard that her granddaughter's condition was serious. It was only after she felt unwell. She said that she had no strength in her body, headache, and chest tightness. By the way, she was still sweating coldly before she fainted."
Zhou Can couldn't find out the cause of the woman for a while, so he described the patient's symptoms and the course of the attack.
"Director Yan is here, let Director Yan have a look!"
In such occasions where patients are in urgent need of rescue, the weight and prestige of top experts is even more important.
Because there is no way for everyone to find out the cause of the patient in a very short period of time, naturally it is impossible to treat the symptoms. For many fatal diseases, even if the symptoms are rescued one second in advance, the person may be saved.
Director Yan leaned forward, leaned over and listened to the patient's breathing, observed the patient's mouth and nose, and finally opened the patient's eyelids.
"Her breathing looks scary, but it's not fatal. I felt her forehead was a little hot, did you take her temperature?"
Top experts are really extraordinary.
With this shot, just the strong aura that naturally emanates, as well as the concentration, are enough to stabilize the scene. Let the medical staff present feel at ease.
"I haven't taken my temperature yet!"
At that time, Zhou Can only thought about ruling out the two diseases with the highest risks of high blood pressure and heart disease, but he never thought about taking his body temperature.
Some nurses have sharp eyesight and quick hands, and clamped the thermometer into the patient's armpit.
During this period, Director Yan began to learn more about the patient's course of illness from Zhou Can.
After listening, she calmly said, "There shouldn't be too much danger. I observed that her eyes were red and swollen, as if she had cried many times. It may be due to overwork, plus she is too old, and she is worried about her granddaughter." The illness, the granddaughter was seriously ill, and was stimulated, which caused the abnormal discharge of the nerves, and finally fainted."
After hearing Director Yan's deduction, the other doctors nodded repeatedly.
This explanation is indeed very realistic and in line with medical logic.
In addition, Director Yan has always been highly respected in pediatrics, and his medical skills are also extremely high, not to mention his experience in diagnosis and treatment.
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【My medical skills can add experience points】【】
"Has your temperature been taken?"
Director Yan looked at the nurse who was taking the temperature.
All kinds of adoring gazes, and everyone agreeing with her diagnosis opinion, she has long been accustomed to such beautiful scenes.
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So there is not much change in expression.
"37.3, seems to have a low-grade fever." The nurse replied after checking the temperature.
37.1 degrees is considered a low-grade fever, and only more than 0.2 degrees. In clinical practice, doctors will judge it according to the patient's syndrome, and in most cases it will be regarded as normal body temperature.
"It should be similar to my judgment. It's just that the nerves discharge abnormally after being stimulated. After being frightened, it's normal for the heart rate to go too fast. Let the patient rest for a while, and he should be able to recover soon."
Director Yan made a diagnosis after knowing the patient's temperature.
"Maybe...the old lady is sick too."
Zhou Can has been frowning and thinking hard. He seems to have grasped something, but he is not too sure.
Until the nurse read the patient's temperature, he realized that the patient's temperature was probably a real low-grade fever.
"Why does Doctor Zhou think so?"
As soon as Director Yan came to a conclusion, Zhou Can overturned his point of view. Isn't this slapping her in the face?
But she wasn't angry.
Instead, I want to hear the basis for Zhou Can's rebuttal.
"Because the old lady's granddaughter also has symptoms such as fever and chest tightness. The two of them live and live together, and their symptoms have many similarities. I think it is likely to be an infectious disease."
Zhou Can's diagnosis became clearer and clearer.
"Yes, it must be! Grandma and granddaughter may have the same disease."
After hearing Zhou Can's judgment, a doctor hurriedly said, "Headache, fever, these kinds of infectious diseases are not common. Could it be a cold?"
"A cold can basically be ruled out! This little girl's symptoms are highly similar to a cold, but the results of the blood test and urine test all indicate that it is not a cold." Zhou Can has his own judgment.
If the disease were so easy to diagnose, he would have diagnosed it long ago.
"White blood cells and platelets are so low? And her urine protein is 4+. Could it be nephrotic syndrome?" Director Yan checked the little girl's examination results, and the first thing he suspected was that the little girl had kidney disease.
These similar symptoms often appear in the precursor of uremia.
In fact, the little girl's symptoms were more consistent with leukemia, but the urine test results of leukemia generally showed increased uric acid concentration and excretion of uric acid in urine.
She had symptoms of proteinuria, so leukemia can basically be ruled out.
Kidney disease is very likely.
Director Yan has a lot of experience in diagnosis and treatment, and the first thing that comes to mind is this disease, which has its own reasons.
Zhou Can relied on his intuition that the patient's disease should not be kidney disease.
"I am more inclined to another diagnosis, which is kidney failure and lesions caused by a serious disease. It may even cause systemic organ failure."
Zhou Can expressed his judgment.
Director Yan's diagnostic opinion was contradicted again, and when the other doctors looked at Zhou Can, their eyes were somewhat strange.
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【My medical skills can add experience points】【】
They felt that this young man was too arrogant and self-righteous.
"The possibility that Dr. Zhou said does exist. This old lady should not be life-threatening and does not need emergency treatment. She can be sent to the observation area to wait for her to recover on her own. However, it is still necessary to pay close attention to changes in her signs to avoid accidents."
Director Yan gave guidance.
Her status is the highest on the scene, and no one has any objections to her commanding.
"I'll leave this little girl's diagnosis to Dr. Zhou! If you can't solve it, you can save it for discussion at the meeting tomorrow morning. There are still many patients waiting at my side, so let's go first."
She was somewhat displeased when the diagnostic opinions were rejected twice in a row.
It's just that she has reached her level and has a broad mind, so she won't care too much about Zhou Can. She came here mainly to help rescue the old lady, and now that it's over, she won't be nosy anymore.
She asked the old lady to be taken to the observation area, and obviously did not agree with Zhou Can's conclusion that the old lady and the little girl had an infectious disease.
"Uncle, please save my grandma, please!"
The little girl begged Zhou Can while wiping her tears.
Maybe she had been in contact with Zhou Can for a long time, and it was Zhou Can who she came to the hospital for. Now that something happened to her grandmother, she instinctively trusts and relies on Zhou Can.
"Don't cry, don't cry! This is the most powerful doctor among all of us. She has diagnosed your grandma just now, and her life will not be in danger. Don't worry, uncle is a doctor, and he will definitely not ignore you."
While comforting the little girl, Zhou Can watched the nurse and other doctors work together to get the old lady onto the flat bed pushed over.
This flat trolley is a common tool used by hospitals to transport comatose patients.
"Director Yan, I'm still a little worried that the patient has an infectious disease. The observation area is full of children, even newborn babies, and mothers who accompany their children. These are susceptible people. For safety reasons, you can see Is it possible to arrange this old lady and her granddaughter into a relatively closed environment?"
Zhou Can has a strong sense of security.
The main thing is the heart of the doctor's parents!
If the two people really have an infectious disease, it can be transmitted through the air, saliva droplets, etc., and the consequences will be disastrous.
Hearing Zhou Can emphasize twice that the patient may have an infectious disease, the doctors and nurses who had just carried the old lady were somewhat worried. Doctors and nurses are high-risk occupations, and various diseases have happened from time to time.
Everyone is afraid that they will be recruited unfortunately.
"Doctor Zhou's concern is not unreasonable. Arrange them to Ward 0 first! Wait until the specific cause of the patient is found out before making the next step."
Although Director Yan was dealing with Zhou Can for the first time, he had heard some of Zhou Can's deeds.
It's not easy to know what this young man is capable of.
She didn't dare to underestimate Zhou Can's diagnosis opinion too much.
Ward 0, some large hospitals have this special ward. Some hospitals also call it isolation wards.
For example, AIDS patients, hepatitis B patients, potential rabies patients, etc., if they need to be hospitalized for observation, in order to avoid threatening the safety of other patients and their families, they often enjoy the special treatment of being admitted to ward 0.
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【My medical skills can add experience points】【】
Some hospitals will also directly stipulate that patients with infectious diseases should be transferred to the infectious disease ward for treatment.
Each hospital has different rules.
Tuya Hospital was first founded by foreign friends, and Ward 0 has always existed.
It is not a specific ward, and departments will be temporarily changed according to actual needs.
"Little girl, you obediently stay by your grandmother's side, you know? I'll arrange for the nurse sister to collect blood samples for you and send them for biochemical examination, so as to find out the cause of you and your grandmother as soon as possible."
Zhou Can said to the little girl gently.
After speaking, he looked at the nurse who was taking the temperature of the old lady.
"Beauty, can you please collect a blood sample for her? She is actually very sick, and now her grandmother doesn't know when she will wake up. I have completed the application for examination and sent her blood sample for examination. It is estimated that the results will be available around two o'clock in the afternoon at the latest."
It was almost twelve o'clock at noon, and Zhou Can was very worried about delaying the little girl's illness.
She has been sick for two days and looks very weak now.
This little girl is very sensible, and she is full of sympathy.
As long as he can help, Zhou Can will deliberately do his best to help a group of grandparents and grandchildren.
"Yes!"
The female nurse readily agreed.
Many female nurses are very kind-hearted, and they sympathize with the weak.
Zhou Can issued an examination application form, and after the nurse brought tools to collect blood samples from the little girl, he, a doctor, ran errands for the patient himself. First, take the list to the window to pay the fee.
There is no way, the old lady is in a coma, and it is impossible to look for her ID card in her bag.
Window payment is the only shortcut.
After paying the fee, then submit for inspection.
The outpatient room is closed at noon.
Go to work at one o'clock in the afternoon.
Doctors eat for about half an hour, and they can rest for half an hour.
…
When it was time to go to work in the afternoon, Zhou Canji was concerned about the results of the little girl's test, so he went over to take a look, but the results of the biochemical test hadn't come out yet.
Tuya Hospital had too many patients undergoing biochemical tests. Even though the laboratory was well staffed and the testing speed was fast, it still took an hour or two for the results to come out.
Some biochemical testing items are relatively time-consuming in themselves.
He had just entered the outpatient room No. 17, and before he could sit down, the mother of the rotten gambler came in with her son.
"Doctor Zhou, I have called all over the phone, but I can't borrow any money. Can you prescribe some medicine for my son?" Her eye circles were a little red, and the traces of crying could still be seen on her eyelashes.
It seems that she couldn't borrow money by calling, which made her a little broken and cried.
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Not to mention anything else, when something happens, no one will believe you if you want to borrow money.
This woman should have deeply experienced what it means to be helpless.
That feeling of being abandoned must be uncomfortable.
"Register the names and addresses of you and your child first! Our hospital will also help you figure out a way." Zhou Can didn't tell her directly, but would ask the street to do it.
Because if she said that, she was so scared that she would definitely not cooperate with the registration.
After registering, he asked for the woman's ID card and checked it carefully.
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【My medical skills can add experience points】【】
Only after looking at her ID card did she know that this woman is already thirty-eight years old.
In truth she was grieved.
The most pitiful thing is her son.
He is only three years old, and no one cares about his illness.
"Is the child's father still unwilling to pay for his medical treatment?"
"Call him, say he lost money, and in turn scold us mother and son. I don't dare to call him anymore. The child's father has a bad temper. If I bother him about this matter again, Likely to hit someone."
The woman seemed terrified of the child's father.
"Okay, our hospital will find a way to do this. You take the child home first."
Zhou Can sent the mother and son away.
The woman hesitated for a moment, and finally took the child away.
She may want to ask how the hospital can help her.
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