Chapter 257 Big Difficult Problems
Chen Lian's rare maturity this time was not proportional to her age.
You know, she has just reached adulthood, only a few years older than that little girl.
"Girls must protect themselves. If you want to find a partner, you should find someone as responsible as Dr. Wei." Chen Lian said again.
At this time, the whole office fell silent.
Everyone looked at each other.
In fact, I felt so embarrassed inside.
Everyone here knew Chen Lian because they were all there at the time.
The situation was urgent at the time, and it was Wei Ping who insisted on using ECMO to save Shen Lian.
And it was also because of her that the First Hospital was able to add ten ECMO machines at once.
"Chen Lian, please wait outside. I need to treat the patient!" Wei Ping said again.
"Okay then, I'll wait for you outside. Let's have lunch together at noon."
Shen Lian demanded.
Wei Ping did not reply to her.
Instead, he said to Yang Ke, "Doctor Yang, please call the next patient!"
"OK!"
…
Because of a meeting, Wei Ping was delayed for almost two hours. It was already past ten o'clock, and he tried to finish seeing his morning patients as quickly as possible.
If it really doesn't work, I'll work overtime at noon.
If you want to check, you may have to wait until the afternoon when you go to work.
It took Wei Ping half an hour after get off work to see all the patients he had seen in the morning.
At this time, no one left.
Chen Lian was also waiting outside very patiently.
She was not in a hurry at all. She just sat down in her seat and looked at Wei Ping in the office, supporting her chin with both hands and watching carefully.
At this moment, all the interns in the office noticed something.
"You guys go and have dinner." Wei Ping said.
"Okay, Brother Wei!" Everyone entered the office.
Chen Lian stood up and walked in.
"Doctor Wei, let's go and have dinner."
Yang Ke didn't leave. She followed and said, "Then I'll come too. I have a few questions for Doctor Wei."
Chen Lian looked at Yang Ke in surprise, but didn't think too much about it. She walked over and took Wei Ping's arm.
"Let's go!"
Yang Ke's eyes were about to burst into flames.
this……
Is it so blatant?
Are all little girls nowadays like this?
Wei Ping felt a little embarrassed.
He pushed Shen Lian's hand away.
"Let's go!"
So, the three of them left the office.
But when they were about to reach the cafeteria, an intern ran towards them.
He saw Wei Ping and said, "Brother Wei, Director Duan asked you to go to the emergency room ICU! There is a patient who needs to be seen."
"Okay, I got it! Let's go."
After Wei Ping finished speaking, he and the man went to the emergency room.
Chen Lian and Yang Ke looked at each other and did not go to the cafeteria.
Instead, he followed Wei Ping and caught up with him.
When Wei Ping arrived at the ICU.
This caused quite a stir.
Everyone knew Wei Ping, and some even felt that he was here to treat them.
But they were disappointed.
Because Wei Ping ignored this person and walked towards a bed.
Duan Fei and Guo Yongping were already there.
Lying before them was a young man in his twenties.
There was also a woman in her forties.
"Xiao Wei, you're here!" Duan Fei greeted him warmly.
"Director Duan!"
Wei Ping walked over.
The young man was a little excited when he saw Wei Ping, but at this moment he felt more uncomfortable.
He had tubes inserted into his body and his breathing was a little weak.
The woman should be his mother, and she held his hand tightly with her hand.
"Director Duan, what's wrong?"
Wei Ping asked.
He was confused, but Duan Fei asked him to come here, so it must be for diagnosis and treatment.
Duan Fei then explained, "Xiao Wei, we asked you to come here so that you can refer to the patient's specific symptoms. Director Guo and I are unable to definitively determine his condition. Xiao Wang, please tell us about the situation."
That can be a big gotcha.
Otherwise, two directors wouldn’t come together.
There are many difficult and complicated diseases every day.
What doctors have to do is to rule out as many conditions as possible.
If the patient is in a critical condition, a consultation will be held to determine the final condition, which will allow for faster confirmation.
Improve accuracy and increase the patient's chance of survival.
Therefore, Duan Fei asked himself to come over.
At this time, an attending physician said, "The patient experienced abdominal pain, nausea, and repeated vomiting during lunch yesterday. The vomit was reddish-brown. He then developed chills, general weakness, muscle pain, shortness of breath, neck stiffness, and blurred vision. Around 9:00 this morning, he developed cyanosis and was subsequently sent to our hospital."
Upon admission, the patient's temperature was 37.4°C and oxygen saturation was 97%. The oral mucosa was dry, and the abdomen was soft, non-damp, and non-tender. During examination, the patient expelled yellow-green vomitus, and the skin was warm and dry. Treatment was with ondansetron and ceftriaxone.
Half an hour later, his shortness of breath worsened, and he developed dyspnea, hypoxemia, and cyanosis. He was given oxygen directly through a high-flow nasal cannula, and dexamethasone and vancomycin were administered intravenously.
"Forty minutes later, the patient's systolic blood pressure dropped to 70 mmHg, and the dorsalis pedis artery pulse weakened. Norepinephrine and other treatments were administered intravenously.
A transthoracic echocardiogram was obtained while the patient was receiving norepinephrine, epinephrine, and vasopressin. The left ventricle had moderate dysfunction with regional wall motion abnormalities and decreased septal motion, but apical motion appeared to be preserved. The right ventricle had mild to moderate dysfunction with underfilling, and there was no pericardial effusion.
…
The doctor explained it very clearly.
When Wei Ping looked at the patient, he found that diffuse reticular purpuric rash appeared all over his body.
I looked at the lung film report again, which showed perihilar airspace and diffuse interstitial opacities and small amounts of bilateral stratified pleural effusions.
He looked at the blood test report.
The red blood cell count is high, the platelet count is too low, the white blood cell value is within the reference range, the lymphocyte count is low, and the D2 aggregate is extremely high.
At this time, the patient and his mother looked at Wei Ping with eager eyes, hoping that he could give an answer.
Duan Fei found that Guo Yongping and the others were just standing by and watching.
At this time, Guo Yongping asked: "Xiao Wei, do you have an answer?"
"Let me think about it!"
If we rely solely on these reports, there are six possibilities.
But if he wanted to be sure, he had to use perspective.
So, he turned on the X-ray machine.
As soon as it opened, I discovered something bad was happening.
Wei Ping asked, "Did he go there to eat alone?"
"No, there are a few friends."
"What about the people he dined with? How are they doing?"
The woman said: "My friends who dined with me also vomited once, but they were fine."
"Does he smoke?"
"Yes, two packs a week."
"My son had intermittent ear infections when he was six years old, but he's gone now," the woman continued.
"Doctor Wei, how is my son's condition? Is it a terminal illness?"
She said very worriedly.
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