When the surgeons come to a consultation and propose a surgical plan, everyone knows that surgery is all about manual labor. You can understand what the experts mean by looking, but you may not be able to perform the operation by doing it.
Huh. Director Zheng took a breath. It was too hot in the room. He needed to calm down. He said, "This is how Crohn's patients are. Once complications occur, it is very difficult to treat. The timing of the operation must be controlled well."
"I don't know how they performed the surgery on him before, and they didn't achieve the purpose of complete pus drainage. Now after being transferred to our hospital, the patient suddenly has a high fever and convulsions, and there is a possibility of blood loss. Although the patient was introduced by Director Yang, it is basically difficult for the surgical department to perform surgery in this situation." Li Guoxin said, pointing the finger at the doctor who decided to admit the patient to the surgical department today.
"They said that you discussed it in the emergency department before deciding to admit him to our surgery department." Director Zheng seemed to have asked Chief Yang a similar question and raised the question.
"I wasn't in the department during the day, so they took it in." Li Guoxin clarified, "They said Director Yang wanted to take it, so how could I not accept it?"
Dr. Jiang was scratching his head. Director Yang didn't lie. They decided to admit the patient to the surgical department after some academic debate in the emergency department. Later, he told Li Guoxin about the situation at that time. Maybe Li Guoxin didn't remember his words or didn't take it seriously.
Senior doctors are always very busy. Once a patient is admitted, he or she is admitted. No matter what the emergency situation is, once you come in, you must follow the strategy of the inpatient ward. Because after the attending doctor takes over, the patient's treatment plan is all based on the ideas of the attending doctor of the inpatient department, and he or she will not care about what the previous doctor said.
"That's right, Director. We discussed this this morning and agreed that—" Doctor Jiang was afraid that Chief Yang would hold him accountable later, so he stepped forward to explain again to his superiors, "We must drain the patient's pus first, otherwise it would be useless to admit him to the Internal Medicine Department, so we admitted him to our General Surgery Department 1."
"Your patient needs to have another surgery to drain the pus. Don't you know that he doesn't have the conditions to undergo another surgery?" Li Guoxin scolded Dr. Jiang. If you want to admit a patient, you should examine him carefully. If you really can't admit him, you should tell your superiors clearly. Now you are in a dilemma.
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The patient was transferred to the emergency department of the National Association in the morning, and it was almost noon when the formalities were completed and he was transferred to the surgical department and a bed was available. The process of hospitalization was considered very fast, but he did not meet the attending doctor Li Guoxin.
Li Guoxin has to perform surgeries all day. The volume of surgical surgeries in tertiary hospitals is always high, and surgeons are too busy to hang around in the wards. Except for routine morning rounds, Li Guoxin is basically not in the wards. He is busy with surgeries, outpatient and emergency consultations, meetings, research, and a lot of other things. Doctors have a lot of chores.
And according to the hospital department's practice, new patients in the ward should be handed over to the doctors below to handle new patients, so as to train the ability of the subordinates. The time he actually sees the patient and the medical record is when he makes rounds the next morning. Anyway, new patients are examined first. It is not too late to discuss after the examination results come out. Doctors must have data in hand to base their treatment plans.
What if a newly admitted patient needs emergency treatment? According to the rules of the Department of General Surgery, the attending physician must be in place. Li Guoxin arrived tonight and found that the patient's condition was more difficult than he had imagined.
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