Medical road Qingyun
Chapter 110
Zhao originally looked through the cases and then stepped forward to examine the patient.
After a moment, his face sank.
"For acute cor pulmonale, the blood oxygen saturation was checked once every three days, antibiotics were used for seven days, and the amount of body fluid replenishment exceeded the standard. With so much body fluid, Abe has to hang for hours a day in bed, and the patient doesn't even have time to eat. Director Gao, I suggest you take a closer look at this patient.
As soon as Zhao Yuan said this, the expressions of the more than a dozen doctors participating in the training on the periphery became richer.
They have all heard of Zhao Yuan, after the demonstration surgery and the success of the aortic dissection surgery, Zhao Yuan is now well-known in the hospital and is one of the main competitors in everyone's hearts.
Since I participated in the training camp, I must want to stay, after all, the opportunity is rare.
According to the usual habits, doctors won the first prize in provincial or national competitions, and enjoyed exceptional promotion, originally only resident doctors, directly promoted to senior attending physicians, originally senior attending physicians, directly promoted to deputy chief physicians.
Everyone is holding back their strength and trying their best to stay in the training team.
Everyone has long been familiar with each other and knows where each other came from.
Zhao Yuan's background is well known.
Don't look at his age, he's even just an intern, but he's basically already decided.
However, on the first day of intensive training, Zhao Yuan was going to challenge the doctors of thoracic and cardiac surgery, should it be so exciting?
Gao Qian took the case from Zhao Yuan's hand, studied it for a while, her face became pale, and asked her assistant, "What about Lin Xu?"
"Doctor Lin is in the outpatient clinic. The assistant whispered.
Gao Qian said coldly, "Let him come to the ward quickly." It
didn't take long for Lin Xu to rush over, with a smile on his face, "Sister Qian, what's the matter
?" Gao Qian threw the case to Lin Xu and asked, "This patient, when did the blood oxygen saturation be checked?"
The blood oxygen saturation should be kept above 90%, not less than 88%, the patient has pulmonary heart disease surgery, and the decrease in blood oxygen will cause dyspnea and even hypoxia, and long-term hypoxia will cause respiratory failure.
Lin Xu took the medical record and tried to recall, to be honest, he didn't remember when he had done a detailed examination of this patient.
In fact, any department of any hospital, under today's assembly-line process, has become mechanically cold, the treatment plan is exactly the same, it is determined that it is acute pulmonary heart disease, then find a similar case from the database, paste and copy it, and the later treatment will not be tailored according to the patient's recovery at all.
When Zhao Yuan said the conclusion of the ward round, his tone was a little serious, because Lin Xu violated the doctor's bottom line when dealing with this patient.
For example, antibiotics are the most expensive, and ineffective Chinese patent medicines are added a lot, and they are all types with high commissions.
This is no longer treating the sick, but a crime.
Tianhua Hospital is a big hospital with a lot of patients, generally speaking, a doctor in charge of the bed has to manage many patients, and a senior attending like Lin Xu will let him be fully responsible for the treatment. Higher-level doctors occasionally supervise, and they are only randomly selected, and they are not checked one by one.
That's why doctors have a much higher degree of freedom once they're promoted from resident to senior care.
Lin Xu not only secretly shouted bad luck, why is it so coincidental, Director Gao will find his own problem today.
Recently, Lin Xu's mood has not been beautiful, because Jiang Qiang did not choose himself when selecting the training list.
Lin Xu's uncle is a well-known expert in hepatobiliary medicine, and he specially called Jiang Qiang to communicate with him about this matter, hoping to seek a place for Lin Xu.
At that time, Jiang Qiang happily agreed, but he didn't expect the list to come down, and there was no name of his own at all.
Although, Jiang Qiang specifically found Lin Xu and patiently explained: the work of thoracic and cardiac surgery is busy, there is a shortage of manpower, and Lin Xu is the backbone of the department, if Lin Xu is allowed to spend a lot of time on intensive training, it will inevitably affect the normal operation of the department.
Lin Xu is not a three-year-old child, so he can't see that Jiang Qiang is looking for a reason to prevaricate himself.
So Lin Xu was holding a fire in his stomach.
Lin Xu glared at Zhao Yuan, knowing that this kid was looking for fault, "Don't think that if you have done a few surgeries, you can point fingers at other doctors' patients." I know the situation of this patient, what kind of big-tailed wolf are you an intern?"
Zhao Yuan frowned, "Please also talk about the matter."
Lin Xu sneered, "I'm too lazy to take care of you."
Zhao Yuan had already considered the mood of the doctor in charge of the bed, and kept restraint in his speech, seeing that he still had no remorse, he couldn't help but shake his head.
Gao Qian's face sank like water, and Lin Xu was not the doctor in his own treatment group.
She can also understand Zhao Xu's feelings, being caught by an intern hurts his feet, and not everyone can digest it calmly.
At this point, the patient changes suddenly.
Zhao Yuan was the fastest to notice that something was wrong, and gave a loud order, "Hurry up and prepare an oxygen therapy machine to give oxygen." The
nurse quickly put the patient on the oxygen machine, and his breathing improved significantly.
Subsequently, the patient's oxygen saturation also came out, only 70 percent, which is very low and not visible on the surface, indicating that the patient's lungs may be inflamed in the long term.
Lin Xu was stunned at the moment and couldn't speak anymore.
The patient's condition worsens, and it happens right under his nose, like a bolt from the blue.
He read the emotion in everyone's eyes.
Mockery, contempt, ridicule....
I was actually educated by an intern, and I was also an intern in emergency surgery!"
Gao Qian's tone became cold, and she didn't look at Lin Xu again, "Don't quibble and explain, quickly adjust the treatment plan, you must adjust the patient's situation within a day, and in addition, spit out the patient's additional medical expenses." Otherwise, I won't give up!" Gao Qian's
final treatment plan made Zhao Yuan feel a lot more comfortable.
Although there are cockroach-like disgusting guys in the team, most of them are highly professional fellows.
Next, the ward rounds continued without further incidents.
At the end of the ward round, Gao Qian made a simple summary and announced the end of the first training camp.
Subsequently, Gao Qian found Jiang Qiang to report the situation that happened during the training rounds.
Jiang Qiang was silent for a long time and sighed, "Let Lin Xu write a review book." In addition, tomorrow the department will conduct a self-examination, and the day after tomorrow I will conduct a big inspection, and if I encounter a similar situation, I will be severely punished.
Returning to her office, Gao Qian was not only angry but also a little ashamed.
The incident happened in the ward of the thoracic and cardiac surgery department, and the doctors in the training team came from many departments, and there was a feeling of family ugliness.
Gao Qian ate two pieces of chocolate and gradually calmed down.
She also had a preliminary understanding of Zhao Yuan's abilities.
A physical examination can be used to determine that the patient's blood oxygen saturation is problematic!
How many years of clinical experience do you need to develop such an eyesight!
After a moment, his face sank.
"For acute cor pulmonale, the blood oxygen saturation was checked once every three days, antibiotics were used for seven days, and the amount of body fluid replenishment exceeded the standard. With so much body fluid, Abe has to hang for hours a day in bed, and the patient doesn't even have time to eat. Director Gao, I suggest you take a closer look at this patient.
As soon as Zhao Yuan said this, the expressions of the more than a dozen doctors participating in the training on the periphery became richer.
They have all heard of Zhao Yuan, after the demonstration surgery and the success of the aortic dissection surgery, Zhao Yuan is now well-known in the hospital and is one of the main competitors in everyone's hearts.
Since I participated in the training camp, I must want to stay, after all, the opportunity is rare.
According to the usual habits, doctors won the first prize in provincial or national competitions, and enjoyed exceptional promotion, originally only resident doctors, directly promoted to senior attending physicians, originally senior attending physicians, directly promoted to deputy chief physicians.
Everyone is holding back their strength and trying their best to stay in the training team.
Everyone has long been familiar with each other and knows where each other came from.
Zhao Yuan's background is well known.
Don't look at his age, he's even just an intern, but he's basically already decided.
However, on the first day of intensive training, Zhao Yuan was going to challenge the doctors of thoracic and cardiac surgery, should it be so exciting?
Gao Qian took the case from Zhao Yuan's hand, studied it for a while, her face became pale, and asked her assistant, "What about Lin Xu?"
"Doctor Lin is in the outpatient clinic. The assistant whispered.
Gao Qian said coldly, "Let him come to the ward quickly." It
didn't take long for Lin Xu to rush over, with a smile on his face, "Sister Qian, what's the matter
?" Gao Qian threw the case to Lin Xu and asked, "This patient, when did the blood oxygen saturation be checked?"
The blood oxygen saturation should be kept above 90%, not less than 88%, the patient has pulmonary heart disease surgery, and the decrease in blood oxygen will cause dyspnea and even hypoxia, and long-term hypoxia will cause respiratory failure.
Lin Xu took the medical record and tried to recall, to be honest, he didn't remember when he had done a detailed examination of this patient.
In fact, any department of any hospital, under today's assembly-line process, has become mechanically cold, the treatment plan is exactly the same, it is determined that it is acute pulmonary heart disease, then find a similar case from the database, paste and copy it, and the later treatment will not be tailored according to the patient's recovery at all.
When Zhao Yuan said the conclusion of the ward round, his tone was a little serious, because Lin Xu violated the doctor's bottom line when dealing with this patient.
For example, antibiotics are the most expensive, and ineffective Chinese patent medicines are added a lot, and they are all types with high commissions.
This is no longer treating the sick, but a crime.
Tianhua Hospital is a big hospital with a lot of patients, generally speaking, a doctor in charge of the bed has to manage many patients, and a senior attending like Lin Xu will let him be fully responsible for the treatment. Higher-level doctors occasionally supervise, and they are only randomly selected, and they are not checked one by one.
That's why doctors have a much higher degree of freedom once they're promoted from resident to senior care.
Lin Xu not only secretly shouted bad luck, why is it so coincidental, Director Gao will find his own problem today.
Recently, Lin Xu's mood has not been beautiful, because Jiang Qiang did not choose himself when selecting the training list.
Lin Xu's uncle is a well-known expert in hepatobiliary medicine, and he specially called Jiang Qiang to communicate with him about this matter, hoping to seek a place for Lin Xu.
At that time, Jiang Qiang happily agreed, but he didn't expect the list to come down, and there was no name of his own at all.
Although, Jiang Qiang specifically found Lin Xu and patiently explained: the work of thoracic and cardiac surgery is busy, there is a shortage of manpower, and Lin Xu is the backbone of the department, if Lin Xu is allowed to spend a lot of time on intensive training, it will inevitably affect the normal operation of the department.
Lin Xu is not a three-year-old child, so he can't see that Jiang Qiang is looking for a reason to prevaricate himself.
So Lin Xu was holding a fire in his stomach.
Lin Xu glared at Zhao Yuan, knowing that this kid was looking for fault, "Don't think that if you have done a few surgeries, you can point fingers at other doctors' patients." I know the situation of this patient, what kind of big-tailed wolf are you an intern?"
Zhao Yuan frowned, "Please also talk about the matter."
Lin Xu sneered, "I'm too lazy to take care of you."
Zhao Yuan had already considered the mood of the doctor in charge of the bed, and kept restraint in his speech, seeing that he still had no remorse, he couldn't help but shake his head.
Gao Qian's face sank like water, and Lin Xu was not the doctor in his own treatment group.
She can also understand Zhao Xu's feelings, being caught by an intern hurts his feet, and not everyone can digest it calmly.
At this point, the patient changes suddenly.
Zhao Yuan was the fastest to notice that something was wrong, and gave a loud order, "Hurry up and prepare an oxygen therapy machine to give oxygen." The
nurse quickly put the patient on the oxygen machine, and his breathing improved significantly.
Subsequently, the patient's oxygen saturation also came out, only 70 percent, which is very low and not visible on the surface, indicating that the patient's lungs may be inflamed in the long term.
Lin Xu was stunned at the moment and couldn't speak anymore.
The patient's condition worsens, and it happens right under his nose, like a bolt from the blue.
He read the emotion in everyone's eyes.
Mockery, contempt, ridicule....
I was actually educated by an intern, and I was also an intern in emergency surgery!"
Gao Qian's tone became cold, and she didn't look at Lin Xu again, "Don't quibble and explain, quickly adjust the treatment plan, you must adjust the patient's situation within a day, and in addition, spit out the patient's additional medical expenses." Otherwise, I won't give up!" Gao Qian's
final treatment plan made Zhao Yuan feel a lot more comfortable.
Although there are cockroach-like disgusting guys in the team, most of them are highly professional fellows.
Next, the ward rounds continued without further incidents.
At the end of the ward round, Gao Qian made a simple summary and announced the end of the first training camp.
Subsequently, Gao Qian found Jiang Qiang to report the situation that happened during the training rounds.
Jiang Qiang was silent for a long time and sighed, "Let Lin Xu write a review book." In addition, tomorrow the department will conduct a self-examination, and the day after tomorrow I will conduct a big inspection, and if I encounter a similar situation, I will be severely punished.
Returning to her office, Gao Qian was not only angry but also a little ashamed.
The incident happened in the ward of the thoracic and cardiac surgery department, and the doctors in the training team came from many departments, and there was a feeling of family ugliness.
Gao Qian ate two pieces of chocolate and gradually calmed down.
She also had a preliminary understanding of Zhao Yuan's abilities.
A physical examination can be used to determine that the patient's blood oxygen saturation is problematic!
How many years of clinical experience do you need to develop such an eyesight!
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