Only when an unexpected situation occurs during the rescue of a patient, other doctors rush to the scene to point it out. Therefore, this other doctor has a very important significance and role, which is equivalent to pulling a safety bolt for the patient's life.
Although the position of resident chief was criticized by many young doctors as a hard labor job that was busy but unpaid, it is really a fuse.
Just imagine what would happen if there was a problem with this fuse?
In this way, it is understandable why some hospitals later set up a layer of resident general system and made detailed requirements on the implementation rules of the resident general system.
When Dr. Zhang Desheng thought of this, his face became serious and he patted Dr. Xiao Zhang on the shoulder again: Brother, maybe we both fall into the pit by accident.
Doctor Xiao Zhang had already thought of the right direction. He didn't mention whether he would fall into the pit or not. He just said that the pit surprised him at first: "It's impossible."
"What are you saying is impossible?" Doctor Zhang Desheng urged again.
"Is it possible? He is a man, and a middle-aged patient--" Doctor Xiao Zhang said as he turned around to look at the patient again.
"Why do you care about his age?"
...
...
The patient groups of some diseases have a large age or gender tendency, and exceptions are not excluded.
Doctor Zhang's brows were filled with worry, for he saw that what Doctor Zhang Desheng had said about him was right, as Doctor Xie Wanying had already exposed all his flaws with just one sentence.
"Do you think he needs to be transferred to another department for treatment? Do you need me to contact people from other departments for consultation?" Keeping in mind his responsibility as the scapegoat, Dr. Zhang Desheng continued to ask the other party.
"No need." Doctor Zhang shook his head and smiled bitterly.
Lupus nephritis is one of the clinical manifestations of systemic lupus erythematosus, and their nephrology department has received such patients before.
Even if you find someone for consultation, you should never find the gastroenterologist or general surgeon, but the endocrinologist.
Fortunately, people from these two departments were not invited to come, otherwise he would be laughed to death by everyone in the hospital.
As for systemic lupus erythematosus, as you can see from the news, most patients are women, and most are young people.
Look at what is written in the textbooks: Systemic lupus erythematosus (SLE) is an autoimmune inflammatory connective tissue disease that affects multiple organs and is common in young women.
There is a large imbalance in the incidence ratio between women and men, with the highest incidence among young people, and a certain proportion among the elderly and children. As for middle-aged male patients: this is extremely rare.
This is how the pitfalls in medicine came about.
Another statement from the textbook is also the reason why Dr. Zhang fell into the trap. The number of early, mild and atypical cases of this disease is increasing day by day.
If Dr. Xie had not picked out this patient's symptoms with such a sharp academic eye, it would be difficult for a young and inexperienced doctor to associate lupus nephritis with the patient's atypical and non-specific symptoms, combined with the perfect age and gender that could easily lead to misjudgment.
After getting the patient's medical record back, Dr. Zhang had an urge to tear it up and start over!
The boss is right, medical diagnosis is the most important. Why? If the diagnosis is wrong, the following will lead to terrible consequences, and the treatment may be completely wrong.
The first hurdle in treating all difficult and complicated diseases in clinical practice is basically diagnosis.
In contrast, what about Dr. Xie, who discovered the problem before him and immediately found out the problem as soon as he looked at the patient and the medical records?
"Dr. Xie, how old are you?" Dr. Xiao Zhang asked the same question as Dr. Ma.
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