Dr. Gu said this originally to lecture the patient's family, but after he finished speaking, he saw that Dr. Qian and Zeng Wanning, two doctors from his own hospital, had strange expressions on their faces.
Doctor Qian’s face turned pale.
Zeng Wanning's face was pale.
When he was caught before, Dr. Qian had already realized that he was wrong. He asked the nurse to draw blood again for test, review the medical records again, and wait for the consulting doctor to come downstairs to inquire about the situation in detail.
The consultation opinion of the general surgery department on the emergency medical record was only a few lines long, and it was hard to tell why the patient had a difficult and complicated case. The diagnosis was relatively clear, and it was initially suspected to be acute appendicitis. Appendicitis is a common emergency, and the doctor had nothing extra to write about it.
Dr. Qian tried to take off his white coat and restore his confidence as a doctor, but whenever he met the gazes of the four-member family members, he swallowed the words back into his stomach.
Now that Dr. Gu has arrived, Dr. Qian whispers to the other person, "Is it acute appendicitis?"
"You did the checkup, didn't you?"
Acute appendicitis, in emergency, blood drawing, B-ultrasound, abdominal physical examination, X-ray, these routine examination results can basically confirm the diagnosis. Dr. Gu is right to organize his clinical thinking.
...
...
"The patient is dehydrated." Dr. Qian said what others had discovered.
When Dr. Gu heard him say this, he immediately turned back to check the fluid replacement: "Didn't you change her salt solution according to the situation?"
"I was very busy when I took over, and the person who handed over to me during the day did not mention this matter to me. Didn't you prescribe salt for her after you came down for the consultation?" said Dr. Qian.
Doctor Gu understood what she meant and refused with a straight face: "Before she was transferred to our department, any situation was handled by your emergency department."
If you want to complain, complain about why the family members didn't come and transfer the patient to another department for hospitalization. Don't put the blame on the inpatient department.
At this point, Dr. Gu had a question: "Did you discover that she was dehydrated yourself? Did you not give her salt supplements?"
Perhaps it can be said that it was because Dr. Qian and his colleagues in the emergency department discovered the patient's abnormal condition too late.
The problem is that in fact, most of these vomiting patients are likely to be hypotonic dehydrated, and sodium should be supplemented first. It is very likely that the doctor on duty in the emergency department during the day was young and inexperienced, and felt that the patient had hypoglycemia and only gave sugar supplements. Dr. Qian, who took over, did not notice it, and Dr. Gu, who came down for consultation, did not pay attention to this situation before, resulting in the wrong supplement. So Dr. Gu was not completely negligent in not following their emergency department.
Dr. Gu was alert to this, so he asked Dr. Qian who discovered the abnormality.
Doctor Qian nodded at Doctor Gu and pointed to the group of four family members over there.
Dr. Gu turned back and saw the four special people. He asked the same question as Dr. Qian: "Who are they?"
"You ask Dr. Zeng. He still doesn't dare to speak." Dr. Qian pointed the blame at the young man, "The patient is his classmate."
"Ah, she is your classmate?" Dr. Gu opened his mouth in surprise.
Zeng Wanning could feel the overwhelming pots and pans falling on his head.
"If she is your classmate, Dr. Zeng, don't you know how serious her condition is? Why haven't I heard you call me to ask about her?" Dr. Gu criticized the young man.
"I, I--" Zeng Wanning was almost suffocated by the pot, "I didn't know she came to see a doctor before."
"He said he went to a lecture and was busy all afternoon and couldn't answer the phone in the evening." Dr. Qian would never give him a chance to shirk responsibility.
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