5 Desire to survive
"But you saw it too, the patient, it hurts so much, I really can't do anything about it."
"If you look for an internal medicine department, if the boss doesn't work, you will find the director. If the director doesn't work, you will find the medical department to organize a consultation in the whole hospital. Someone has to solve the problem." Mr. Sun spoke much harder than Dr. Zou.
"Have you done a gastroenteroscope?" asked a strange voice.
"I did it in the afternoon, but the mirror couldn't get in, and the patient was in great pain." Dr. Zou replied subconsciously.
"Does the patient have strict fasting water? Have you eaten without permission?"
His voice is calm and professional, and the questions he asks may sound marginal, but they are very experienced. Dr. Zou knew that when he had no choice, he could only start with clues.
Dr. Zou and Mr. Sun were watching the film, their minds were full of the patient's condition. When they heard the question from the condescending superior doctor who was slightly majestic and condescending, they were stunned.
They stood attentive immediately with a serious expression.
Which director came to consult? Or is the academician of gastroenterology?
Looking back, Dr. Zou saw a young doctor standing behind him and was immediately amazed and crying.
"Who are you?"
I just thought that a superior doctor was coming to the consultation, but was scared by the problem and was covered in white sweat. Seeing that it was a young doctor, the logo of Jianghai Third People's Hospital was printed on the left side of his white suit. He immediately asked unhappily.
A young doctor from a lower-level city actually came to the Second Hospital of Medical University to ask questions, thinking that he was a big shot? What a fuck!
"Abdominal CT shows that the patient's ascending and transverse colon is diffusely thickened and swelled, but this position is not the most common part of ischemic intestinal disease." Zhou Congwen squinted his eyes and looked at the CT video on the video reader and said to himself.
It's so good to be young, and you can still see it clearly near three meters away from the film.
"Does the patient have any special behavior before he is admitted to the hospital?" Zhou Congwen seemed to ask, and he seemed to be talking to himself.
“…”
Dr. Zou and Mr. Sun looked at the ignorant doctor in front of him in surprise. Mr. Sun was about to drive him out, but saw the little doctor from Jianghai City who didn't say hello and turned around and left.
The two looked at each other and asked the same question - who is he?
"What are the doctors from Jianghai City doing?"
"It's not a patient yet." Dr. Zou said disdainfully, "I guess he just arrived in clinical practice and wanted to show off when he learned to watch movies. He forgot what he did. Young doctors are really unreliable. By the way, where are others?"
Mr. Sun was a little annoyed. He was shocked by the tone of Zhou Congwen's superior doctor just now. He was from a surgical department and had a very hot temper. In addition, he knew that the other party was a young doctor from a lower-level city, so he was even more courageous.
"I'll drive him away." Mr. Sun went out, "What are you doing, you don't know any rules."
Dr. Zou didn't care either. He called the director to report the situation and then sat down to see the patient. The emergency department will never be idle. It is normal for more than 100 patients a day. After being delayed for a few minutes, a group of patients were piled up outside.
A few minutes later.
"It is highly suspected that the patient was caused by the oral administration of amoxicillin for pharyngitis three days ago."
"..." Dr. Zou was seeing a doctor. When he heard the young man's voice just now coming from outside the door, he felt extremely ridiculous.
This is also something a doctor can say?
Oral amoxicillin causes allergies, and it will occur at least 24 hours at the latest, with symptoms ranging from mild to severe. Taking amoxicillin 3 days ago was related to diffuse thickening of the ascending colon and transverse colon, and swelling was related to yarn!
Really ignorant!
"Don't talk nonsense, go quickly, go quickly."
"What I said is true. The patient's condition does not require special treatment. If the drug is required, you can take lactic acid bacterial orally."
"..." Dr. Zou was very angry.
Is this human word?
Ordinary patients can't say such things, let alone a doctor.
Is there any common sense?
Where did you study for five years of undergraduate degree?!
"Oh, by the way, I'm here to refer. A patient with acute renal failure caused by trauma needs dialysis."
"The nephrology department is full, and you need to make an appointment two weeks in advance. Didn't you tell you just now that you can go to other hospitals to try your luck, why don't you listen to anything and understand human words?" Dr. Zou looked at Zhou Congwen with contempt and said angrily.
"The situation in other hospitals is probably similar to ours. There are no airplanes, so it's a waste of time to go there." Zhou Congwen shrugged, "Do you have peritoneal dialysis equipment?"
"If you have nothing to do, leave quickly and don't make trouble here. Don't you see that you are busy?" Mr. Sun said without hesitation.
Zhou Congwen smiled, but did not argue, and turned around and left.
He just watched the movie and turned back to the observation room for consultation.
Because she was wearing white clothes, the patient cooperated to tell everything Zhou Congwen wanted to know.
Zhou Congwen has his own judgment. He is becoming more and more sure that the system is still "living" and is trying hard to survive, even cheating.
There is no specific treatment method for amoxicillin-related hemorrhagic enteritis and can heal itself in 3-5 days. Zhou Congwen looked at the patient's condition and probably would have been cured today.
Isn't this cheating?
Not only do people have the desire to survive, but even the system seems to have it.
Zhou Congwen looked at the invisible system panel in the upper right corner of the field of view, and remembered the pitiful look of the patient on the 120 ambulance.
Although he was not 100% sure that the system task prompt sound was actually there, he had basic guesses.
Patients with renal failure are actually easy to solve. There is no machine to use simple peritoneal dialysis, but this technology seems to have just been launched in the provincial capital. Zhou Congwen tried hard to recall, but could not remember the relevant details.
After rebirth, all kinds of equipment are not available, and it is really troublesome.
Zhou Congwen sighed, took off his white clothes and walked out of the emergency department. He found a place to sit down, took out the white Ganoderma lucidum and took a sip.
The night breeze is cool, and the horizontal banners pulled on the lintel of the hospital emergency room are clamoring.
The big words "Academician Chu Zhongxiu welcome to our college to provide guidance" danced with the wind, and Zhou Congwen's eyelids twitched gently.
Chu Zhongxiu, an academician of the Department of Gastroenterology, did not have much interaction with him, but later had disagreements with Academician Chu's senior disciples on some academic issues.
Academician Chu's level is still good... The system generally does not give tasks that cannot be completed... A few thoughts are intertwined in my mind, and Zhou Congwen remembered an article.
Antibiotic-related hemorrhagic enteritis is a rare disease. Foreign literature has been reported as early as the 1970s and 1980s, but it is rarely reported in China.
Around 2002, Academician Chu began to study cases in this area. Perhaps it was inspired by the patients in front of him.
It’s not that Zhou Congwen is increasingly convinced that the system is still alive!
It is saving itself!
Chapter completed!