Dr. Xie means that Dr. Yue judged that it is most likely a cerebral infarction.
Because Dr. Liu didn't see it before, it would be risky to inform the family and suggest sending the patient for a CT scan at this time. This is something Dr. Yue needs to consider.
Medical malpractice is no joke.
The risk is that early cerebral infarction within a few hours is almost impossible to detect with CT scan.
The emergency department is accustomed to sending patients with brain diseases to do CT scans first. The purpose is not to check for cerebral infarction, but to rule out cerebral hemorrhage.
It goes without saying that cerebral hemorrhage is much more lethal than cerebral infarction.
The correct approach is to suggest sending the patient for an MRI.
Now here comes another problem. MRI is more expensive than CT, especially in this era. It is not easy to get the family to agree to send such an old man to do CT, and it is probably difficult for the family to agree to MRI.
If the CT scan fails to produce results, how will we explain this to the family members? The family members’ money is not blown by the wind.
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Then, we can wait for a while until the lesions of the cerebral infarction become more obvious before doing a CT scan. In this case, were Dr. Liu and Dr. Li right to hesitate and not send the patient to a CT scan immediately?
Should we continue to delay the inspection?
Is it meaningful to detect cerebral infarction within twelve hours?
When it comes to cerebral infarction, the treatment is similar to that of myocardial infarction. In the past, cases of cerebral infarction could also be treated with interventional surgery, and of course, thrombolytic therapy can be used to imitate myocardial infarction.
The thrombolytic phase has a very clear time limit.
For cerebral infarction, the thrombolysis window period is within a few hours, so early examination is definitely meaningful.
If the patient suffers limb paralysis due to cerebral infarction, the burden on the family will be even heavier.
Dr. Liu worked hard to communicate with the family and explain these issues.
Medical treatment is always about finding and treating early to maximize economic benefits. Doctors often say this, but not all laymen can understand the deep meaning, because it is an academic summary of countless clinical cases and clinical research.
After communicating for a while, it turned out to be just as Dr. Xie and Dr. Yue worried. It was really difficult for the family to come up with thousands of dollars at once and make up their mind to have the patient undergo an MRI.
Sometimes medical matters are so outrageous. Maybe the cost of treatment is not as high as the cost of examination.
"Send the patient for a CT scan and call Dr. Lu Yu to tell him the actual situation." said Dr. Xie Wanying.
This is the first time tonight that Dr. Xie, the chief resident of the Department of General Surgery, has offered his professional advice on this case.
Class monitor Yue and student Li listened and were shocked for a moment: Is the examination room going to be transferred to student Lu's?
Doctor Song, who was standing at the door, couldn't help but touch his chin: He should have learned from Imperial Envoy Xie earlier. When he was a resident, he would never be so boring that everyone would "complain" about him.
Doctor Lu Yu in the CT room finally finished examining Mr. Fu's future mother-in-law and was just about to breathe a sigh of relief.
Ring, ring, the phone is ringing.
Is it the squad leader calling?
"What's the matter, squad leader?" Everyone really loved squad leader Yue and continued to call him squad leader even after graduation.
Squad Leader Yue suddenly acted like a young girl, "Let me first tell you that this patient is like this. There is no other way but -"
Lu Yu listened to the monitor's description with his eyes wide open.
After finishing his speech, squad leader Yue looked at the ceiling. No wonder he treated Lu differently from Li. Li was too poor in knowledge and needed to be punished, while Lu was trying to solve the most difficult math problem in the college entrance examination in history, which made people feel pity.
For this, squad leader Yue comforted Lu: "It's okay, we will follow and see."
Lu Yu told the squad leader who might not know the situation: "Squad leader, you may not have heard Yongzhe's report. I have a bunch of leaders here."
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