Zhu Haiping scratched his head unconsciously and said with some embarrassment, "The symptoms look like appendicitis, but after the experience with the patient with ectopic pregnancy, I'm afraid of misdiagnosis, so I thought of asking you to get up and take a look, so I can feel more at ease."
Li Zheng walked quickly towards the ward without saying a word.
In the ward, the patient on the bed frowned, covered his abdomen with his right hand, and groaned in pain from time to time.
Li Zheng carefully examined the patient and patiently inquired about the patient's medical history. He had already made a judgment in his mind, comforted the patient, and turned to walk out of the ward.
Zhu Haiping hurriedly followed behind, and asked anxiously, "Brother Zheng, what's going on? Is it appendicitis? It shouldn't be an ectopic pregnancy, right?"
Li Zheng walked on without stopping and said without turning his head: "Male patient, there is no chance of ectopic pregnancy!"
Zhu Haiping was stunned and then petrified on the spot.
It took him a while to come back to his senses. His face turned red and white, and he was so embarrassed that he wished he could find a hole to crawl into.
He quickly trotted to catch up with Li Zheng, stammering as he explained, "Brother Zheng, I'm so... so sorry! I've been so busy all night, dizzy, and so sleepy that my brain is a mess. The misdiagnosis this morning has been on my mind for so long, and in my haste, I even forgot about the patient's gender. I really shouldn't have done that!"
As Zhu Haiping spoke, he observed Li Zheng's expression, afraid that he would scold him. At the same time, his eyes were full of guilt and uneasiness.
Li Zheng stopped and looked at Zhu Haiping, feeling a little reluctant.
He walked forward, gently patted Zhu Haiping on the shoulder, and said in a gentle voice: "Haiping, I understand you. Emergency work is busy, tiring, and stressful, but no matter what the time or the situation, doctors must remain calm. Only by staying calm can they make accurate judgments. This is not only responsible for the patients, but also the duty of us doctors!"
Zhu Hai nodded repeatedly and said firmly, "Brother Zheng, don't worry, I will never make such a low-level mistake again!"
At this time, although Zhu Haiping was of the same age as Li Zheng, he had already regarded Li Zheng as his superior doctor in his heart.
After this misunderstanding, Zhu Haiping cheered up.
In the second half of the night, the emergency room admitted two more patients with appendicitis.
The next morning, three appendectomies were scheduled in the department.
After the morning handover, Li Zheng took Chen Dayong and Zhu Haiping to check on the wards.
The conditions of the surgical patients are relatively stable, and Zhu Haiping has completed the conversation and signed with the patients who underwent surgery today and their families.
Just as Li was about to head to the operating room, he suddenly heard a shrill ambulance siren outside the window. Then, the wheels of a stretcher rolled over the terrazzo floor, making a buzzing sound that came from far away.
"Hurry, the pregnant woman is poisoned by pesticides!" The internal medicine doctor 120 shouted loudly while pushing a stretcher.
Director Tang and medical staff rushed over, took the stretcher, and quickly sent the pregnant woman to the emergency room.
"There's another one behind! Bring the cart quickly!" The 120 doctor turned around breathlessly, took the cart pushed by the nurse, and hurried to pick up another patient in the ambulance.
Several male family members, both old and young, looked panicked and frantically helped to carry people and push carts. The scene was in chaos.
"Let's go and take a look."
Li Zheng and Chen Dayong walked quickly towards the emergency room.
When I opened the door, a strong smell of garlic hit me in the face.
Li Zheng looked solemn and said in a deep voice: "Organophosphorus pesticides!"
"Quick, prepare the gastric lavage machine!" Director Tang directed the medical staff while anxiously asking the family, "What pesticide did they drink, and when did they drink it?"
An old man around 60 years old, with an anxious face, said in a tearful voice: "What a sin! Xia Wa had a quarrel with her mother-in-law this morning, and in a fit of rage, she drank DDT! The old woman drank it too!" His voice was full of regret and self-blame.
Hearing this, everyone's heart tightened, and Director Tang's heart sank to the bottom in an instant.
Dichlorvos is a highly toxic pesticide. If an ordinary person drinks it and is not promptly treated, it will cause serious damage to the liver and kidney functions, and then lead to respiratory and multiple organ failure, with unimaginable consequences.
"What time did you drink it in the morning?" Director Tang asked again.
"It's after 6 o'clock, I don't remember the exact time!" the old man replied.
Director Tang felt his scalp tingle. The golden rescue time for dichlorvos poisoning is one hour, and all rescue measures must be completed within two hours, otherwise irreversible damage will occur. Now, more than an hour has passed since they took the medicine, and time is extremely tight.
"How many months pregnant is she?"
Director Tang asked as he used a flashlight to check the pregnant woman's pupils. She saw that her pupils had shrunk, and she began to sweat and drool profusely, symptoms that indicated the toxin had invaded her nervous system.
A young farmer wiped his tears and said, "It's been eight months. Doctor, please, you must save the baby!"
When Director Tang heard this, he was furious. She was already eight months pregnant, and why was she still arguing about drinking pesticides?
But this was not the time to lose her temper. She suppressed her anger and shouted, "Save the adults first. If you can't save the adults, then forget about saving the children! You all get out first!"
The family members quickly left the emergency room.
"Quick, prepare sodium bicarbonate solution for gastric lavage. You can induce vomiting on the mother-in-law first!" Director Tang gave the order quickly.
The medical staff immediately took action. Everyone looked nervous, but their movements were very quick.
Lin Xiaomei also joined the rescue team.
She put on gloves skillfully, holding a tongue depressor in one hand and a cotton swab in the other, and quickly walked to her mother-in-law's emergency bed.
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