??????????????????????????????????????????¡ª If the surgical plan was proposed during a consultation, everyone knows that surgery is about manual work. Seeing means understanding what the experts mean, but doing it may not necessarily lead to success.
? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Director Zheng took a breath. It was too hot in the room and he needed to calm down. He said, "This is what Crohn's patients are like. Once various complications occur, it is difficult to treat. The timing of the operation must be controlled well."
"I don't know how the surgery they performed on him before was done, and it did not achieve the purpose of completely draining the pus. Now after the patient was transferred to our hospital, he suddenly had a high fever and convulsions, and there is a possibility of blood loss. Although he was the patient introduced by Director Yang, It is basically difficult for surgery to operate in this situation." Li Guoxin said, pointing the finger at the doctor who decided to admit the patient to the surgery today.
"I said you decided to admit him to our surgery department after discussing it in the emergency room." Director Zheng seemed to have asked Section Chief Yang similar questions and raised questions.
"I was not in the department during the day, and they accepted it." Li Guoxin clarified, "It was said that Director Yang wanted to accept it, how could I not accept it."
Dr. Jiang is scratching his head. Director Yang actually didn't lie. In the emergency department, they decided to admit the patient to surgery first after some academic debate. Later, he told Li Guoxin about the situation at that time. Maybe Li Guoxin didn't remember what he said or didn't take it seriously.
Superior doctors are always very busy, and patients are admitted as soon as they are admitted. No matter what your emergency situation is, you must follow the inpatient ward's policy after you come in. Because after the attending doctor took over, the patient's treatment plan was all based on the ideas of the attending doctor in the inpatient department, and he didn't care about what the previous doctor said.
"That's it, director. We discussed this in the morning and agreed that¡ª¡ª" Dr. Jiang was afraid of being held accountable by Section Chief Yang later, so he stepped forward and explained it to his superiors again, "The patient must be drained of pus first, otherwise he will be dismissed." Internal medicine is also useless, so he received the first degree from our general surgery department."
"You are a patient who needs another operation to drain the pus. He doesn't have the conditions for another operation, don't you know?" Li Guoxin scolded Dr. Jiang. You have to look carefully before admitting a patient. If you really can't accept a patient, you have to make it clear to the leader. The situation is so bad that it's hard to get off the ground now.
The patient was transferred to the National Association of Emergency Department in the morning. It was almost noon when he was transferred to the surgical department and a bed was available for admission after the procedures were completed. The hospitalization process was very fast, but I couldn't meet the attending doctor Li Guoxin.
Li Guoxin has to perform a whole day of surgery. The volume of surgical operations in tertiary hospitals is always very large, and surgeons are too busy to wander around the ward. Except for routine ward rounds in the morning, Li Guoxin is basically not in the ward. He is busy with surgeries, emergency department visits and consultations, meetings, research, and a lot of other things. Doctors have a lot of chores.
And according to the practice of the hospital department, new patients in the ward must be handed over to the doctors below to handle the new patients, so as to train the abilities of the people below. When he actually saw the patient and medical records, it was time for ward rounds the next morning. Anyway, new patients are examined first. It¡¯s not too late to discuss it after the test results come out. The doctor's prescribed treatment plan must be based on data.
What to do if a newly admitted patient is rescued? According to the rules of general surgery, the attending doctor must be in place. Li Guoxin came here tonight, and after taking a look, he found out that the patient's condition was more difficult than he thought. (Remember the website address: www.hlnovel.com