Well, you said that in such a situation where you can't fully understand the situation, the patient needs emergency treatment, and you hastily issue a critical illness notice. Can you be sure that the current diagnosis on the critical illness notice is correct?
Is it just glomerulonephritis? Is it complicated by bleeding from peptic ulcer that leads to critical illness?
Doctor Zhang Desheng first told the truth: "Your condition looks much milder than that of the patients in our ICU."
When Dr. Xiao Zhang heard this, he was anxious: "What kind of patients are in your ICU?"
The ICU is usually defined as a place where the most critically ill patients in the hospital are collected, otherwise they are not eligible for admission to the ICU.
Come on. Dr. Zhang Desheng rolled his eyes at him. Can real clinical practice be exactly the same as what is written in the textbook?
In fact, the first condition for whether or not a patient can be admitted to the ICU is whether the patient’s family has the financial strength.
Besides, with so many critically ill patients in the hospital, how could the limited number of beds in the ICU accommodate all of them?
Doctor Zhang Desheng didn't want to be polite anymore and wanted to imitate Song Mao and give the other person a cold look in his face: Don't send out critical illness notices randomly.
...
...
Compared to Dr. Zhang Desheng who was extremely angry the first time he saw it, Dr. Xie Wanying was very calm: the phenomenon of hospitals issuing notifications indiscriminately is too common.
The first specific reason is that the doctor himself made himself lose confidence.
The second most important point is lack of experience.
It is not impossible to issue a critical illness notice if you want to. It is still in time to get someone involved. You can report it to the senior doctor first, or consult with the chief resident before issuing it.
When you are a doctor, you must have a calm mind, very calm, don't be anxious, and don't be afraid when you encounter a situation.
A critical illness notice is really not a talisman for you as a doctor.
Doctor Zhang may not have figured this out for the time being, and he frowned and thought: What I wrote and sent is the current diagnosis, which is correct.
The current diagnosis does not necessarily mean that it will be consistent with the future diagnosis. This is the limitation of medicine before the test results are fully available.
"Please explain first why you said this patient is in critical condition?" Doctor Zhang Desheng asked Doctor Xiao Zhang while tapping on the paper. He had to know clearly why he was called over.
"Vomiting blood."
"How much blood?"
When talking to an ICU doctor about a patient's critical condition, you should at least tell him how much blood the patient lost at one time.
Doctor Xiao Zhang looked back at the patient's bedside: This -
Isn’t vomiting blood a very serious condition?
That's the outsider's perception, okay? You are a doctor.
Just because there are very few patients vomiting blood in the Nephrology Department, you have forgotten the knowledge about the Gastroenterology Department.
Doctor Xiao Zhang recalled: "There is something wrong with his blood test. His platelet count is lower than normal."
At this time, Dr. Xie Wanying interrupted and said, "Is this a patient from your group?"
"Um--"
"Hasn't the senior doctor returned to the hospital these past two days?"
"The professor is out on business. The patient's condition was not serious at all when he came in."
The nephrology department is full of patients with abnormal urine. Patients with simple specialist symptoms are not considered serious patients in the eyes of specialists like Dr. Xiao Zhang.
This once again proves that in the medical field, every new profession is like a new world. When you change professions, you forget everything else, but when you are familiar with your own profession, you don’t need to pay attention to it.
Doctor Xie Wanying pointed to the medical records again: "The patient has joint pain. Is it rheumatoid arthritis?"
Doctor Zhang: Ah?
"You said the source of his vomiting blood was a digestive ulcer. Isn't joint pain rheumatoid arthritis in the elderly? Low platelets mean the patient has leukemia?"
Phew~ Doctor Zhang Desheng was furious in his heart. No matter how to be an imperial envoy and "arrest" people, he could never compare to classmate Xie, because this really requires technical strength.
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