All I know is that the medical staff at the community hospital were scared to death.
If they don't find out the cause, the patient's family will come to their door and say it is their fault in no time.
The community hospital sought help from the National Association for the Promotion of International Trade. How did the doctors from the National Association break the impasse?
Doctor Qiu called on the leader, "Would you like to talk about respiratory medicine first?"
The main cause of the patient's previous visit was respiratory disease, so the respiratory department should give some advice first.
The experts selected for the respiratory department are Mr. Wen and Dr. Hua, a very talented group of middle-aged and elderly people.
(So Dr. Xie’s exam is very fair. Even Dr. Xin, who taught me before, was not admitted.)
Teacher Wen is good at sharing clinical experience, and Dr. Hua is good at new techniques in respiratory medicine. So Teacher Wen gave his opinion first.
"I personally think that the patient's condition may not have much to do with respiratory diseases."
...
...
Three days after the antibiotic drip, the patient's respiratory disease improved significantly, but it is a bit hard to say that it was a respiratory problem.
Doctor Qiu wrote it down on the blackboard and then called the roll: Department of Critical Care Medicine.
The two expert members of the critical care medicine team are also a very interesting combination, one is Sister Yu from the NICU, and the other is Doctor Hao from the ICU.
The patient's condition can actually be transferred to the ICU. I wonder how the ICU will handle this case.
The patient was not a pediatric patient, so Dr. Hao replied, “First do a comprehensive examination to support his vital signs.”
This is the routine procedure in the ICU, and it seems to be a safe bet that nothing serious can go wrong.
"What kind of comprehensive examination?" Doctors from other departments complained about the ICU.
"Do a full set of blood tests," Dr. Hao said immediately. "Re-examine the patient's body, repeatedly ask about the patient's medical history, and perform imaging tests if necessary."
Other doctors: It feels like what you said is nonsense. Can you say that the emergency department is not doing these things?
The answers from the two departments gave people the illusion that the doctors were becoming more and more confused by this patient and had no idea where to go.
Someone in the room raised his hand to answer.
Doctor Qiu nodded: "Please ask Head Nurse Yao to answer."
Head nurse Yao said, "Why don't we check first to see if it's a pyrogenic reaction?"
Nurses do infusion work every day and are most familiar with infusion reactions. The first cause of infusion reactions refers to infusion reactions in a narrow sense, namely pyrogenic reactions.
Simply put, pyrogenic reaction refers to the contamination of infusion equipment and drugs themselves. Therefore, every time an infusion reaction occurs, the drugs and infusion equipment must be sealed immediately and sent to the laboratory to check for endotoxins (to confirm whether they are contaminated).
Dr. Qiu highlighted the key points in the medical record: only one patient in the entire infusion room had this "accident".
Pyrogenic reactions are easier to identify and will usually show up in more than one patient, as contamination usually does not occur in just one case.
Head Nurse Yao was not to be outdone and raised her hand again: "Amino acids? Could it be related to liver disease?"
Amino acid infusion reactions are often related to patients with liver disease or gastrointestinal diseases, because amino acids may induce hepatic coma.
Many doctors looked at Dr. Lin Chenrong who was present: Your wife is quite capable.
Dr. Lin Chenrong: I have to talk about Dr. Xie first.
Since Dr. Xie started working in the Department of Cardiac Surgery, his requirements for nurses have increased significantly. In addition, his wife received education from Dr. Xie.
Dr. Qiu, who is a hepatobiliary surgeon, blushed because he had not thought of this the fastest. The gastroenterologist and Dr. Tao quickly fell into the next stage of thinking.
Sometimes it is not that the patient intentionally conceals his or her medical history, but that some diseases are too latent in the early stages to be detected. Of course, no one knows before the patient has an attack.
Liver disease has this characteristic.
Before the medical records were discussed, the emergency department suddenly called and requested support from the new district doctor because the patient's vital signs were unstable again.
A large group of doctors hurried downstairs.
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