Based on this patient's atypical symptoms that are easily misdiagnosed or missed, the correct diagnosis is 99% likely to require waiting for all the test results to come out, for the professor to come back and hold an academic discussion meeting, or even for a period of treatment before redefining the direction of suspicion.
If we really ask the gastroenterology or general surgery department to transfer the patient tonight, it is possible that after being treated in these two departments for a period of time, something goes wrong and the patient will be transferred back to their nephrology or endocrinology department.
Some patients in the hospital are transferred from one department to another over and over again because their symptoms are atypical and they happen to not meet the right doctor with the right diagnostic thinking, so the diagnosis is not accurate.
The more I thought about it, the more it seemed that Imperial Envoy Xie’s medical proficiency was 100%.
Wait, Imperial Envoy Xie is a surgeon.
Doctor Xiao Zhang looked at the chief resident of internal medicine and wondered who would be the chief resident of internal medicine tonight.
Doctor Zhang Desheng took off his glasses and said: I just know that I was right to ask classmate Xie to come, and at least I didn’t fall into the trap.
Now, back to the thorny issue, Doctor Zhang looked through the medical records and found the critical illness notice he had sent to the family.
Now, how should he tell the family? Let's not talk about it for now. First, adjust the treatment plan for the patient. The most important thing is to save the patient's life.
...
...
Just as I was thinking this, a group of people came into the corridor.
This is the family group of another elderly female patient in bed 13.
"What do you want to see the doctor for?" the nurse asked the family members when she met them on the way, fearing that someone would cause trouble.
Unexpectedly, the family members understood the doctor very well. They said, "Didn't the doctor say before that my mother couldn't be cured? Because it is a custom in our village that the dead must return to their hometown to rest in peace. If they don't die in the village, they won't be buried in the village. So after discussing it, we want to discharge my mother from the hospital now."
Doctor Zhang suddenly felt a layer of sweat on his back.
"No, the doctor didn't say your mother was going to die." The nurse kindly reminded the family.
"Isn't issuing a critical illness notice a sign that there is no cure?"
On the critical illness notice, the doctor casually wrote a bunch of problems about the difficulty of rescuing the patient. Naturally, the family members' first understanding was that the patient could not be cured.
Why do the family members think that there is no cure instead of continuing to work hard and trying their best to treat the disease? It is because the doctors are on guard against the patients’ family members making trouble because they know that the family members have no money. The family members also have simple thoughts. Their family’s financial conditions are indeed limited, so they can only choose to give up.
The first type of patients who are most likely to be abandoned in this situation are the elderly people like those in Bed 13.
In fact, the children couldn't bear to see their elderly mother continue to suffer in the hospital. The doctor said there was no cure anyway, and it would be better for the elderly to return to their hometown and die quietly.
Because of the previous missed diagnosis, Dr. Zhang can no longer be confident that the three critical illness notices he issued tonight are all correct.
At this moment, he had no choice but to hurriedly pull the chief resident of the Internal Medicine Department and whisper, "Doctor Zhang, can you help me look at the medical record of bed 13 again?"
Doctor Zhang Desheng broke out in a cold sweat, wondering what to do now.
He is the young and inexperienced Zhang.
Doctor Xie Wanying then received a look of help from Zhang: Xie, it all depends on you.
Doctors face many clinical challenges, not just technical ones. How to communicate with family members is a very difficult learning process.
What to do on a night like this?
Doctor Xie Wanying exchanged glances with Sister Wen, then turned to the family of Bed 13 and said, "We have an expert here tonight who can give a consultation to your mother."
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