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    To evaluate vision, you need the cooperation of an ophthalmologist, which can be done by non-neurosurgeons.  This is called specialization in one's profession.

    If you are really worried about a skull fracture, you can take a X-ray first to determine the general situation, and then do further CT examination if necessary.  Therefore, if Dr. Guan had considered this aspect of neurological damage at the first time, he should have ordered an X-ray examination instead of arguing with Dr. Wang on the phone about the CT queue.

    CT is not like magnetic resonance imaging. The time it takes each patient to be scanned is relatively fast, and the slow time is the time it takes for the doctor to read the film.  The imaging doctors on duty at night in tertiary hospitals are actually very experienced.  If there are a lot of patients crowded together, I will scan them all first and then read the films. This can avoid complaints from patients and family members waiting in line.

    To sum up, what does this doctor really want?

    The doctor is considering whether to call an ophthalmologist to handle it.

    Eye trauma is very special. Let¡¯s not talk about diagnosis. If there is an eye trauma wound, eye trauma suturing is an independent specialist skill in ophthalmology and requires in-depth learning.  Improper sutures will directly affect the patient's vision and cause complete visual impairment.

    ¡°The doctor told the nurse that any surgeon could sew the wound, but he was just playing the piano.  Now that the doctor thinks about it, he realizes that his words were ill-considered.

    There are no obvious exposed wounds on the patient¡¯s eyes.  My eyesight must be a little damaged, after all, there are bruises.  It's almost as good as asking an ophthalmologist to come down and test the injured person's vision. Other more detailed examinations probably can't be done at night.  It is better to let the injured person stay under observation in the hospital overnight. If nothing happens, call the ophthalmology professor during the day.  The quality of doctors on duty at night has never been very good.

    ¡°After all, the injured person will be lying in the emergency room and cannot be admitted to the inpatient unit.

    Does the ophthalmology department accept patients?  This is because the National Association of Ophthalmology Department is not well-known. It is a very small department with very few beds.

    Do you think that¡¯s just the way it is?

    Classmate Xie Wanying said again: "Teacher, this patient needs an electrocardiogram as soon as possible."

    "What?" Doctor Guan was startled and asked.

    The person from the cardiothoracic surgery department said they had just checked and determined that the injured person¡¯s heart was fine.

    Mi Wenlin and Mi Siran, the junior brothers and sisters, looked uniformly at Xie Wanying who was speaking. There was quite a bit of dissatisfaction in their eyes, and they suspected that senior Xie was just trying to find trouble with them.

    "Does your chest hurt?" Xie Wanying lowered her head and asked the injured person again.

    "It - it hurts -" the wounded man's weak voice came out of his mouth.

    The doctor sensed something was wrong this time, so he approached the injured person and asked, "Where do you feel pain? Isn't it your head?"

    "Here - it hurts." The patient tried to lift his hand.

    Everyone could clearly see that the injured person¡¯s hand was trying to point to his chest.

    "Impossible." Mi Wenlin and Mi Silan said flatly, lifting the injured man's shirt and pointing, "There is no wound, no pneumothorax, no bleeding. There is no murmur in the heart, and the heart rate is within the normal range. He may be  The ribs are a little hurt and a little painful. Otherwise, take a chest X-ray."

    If the ribs are really injured, generally speaking, there will be some bruises on the skin.  Now this patient said that his chest hurt so much that he could hardly speak. If it was a chest trauma, it would be impossible to say that there were no skin manifestations.

    As for whether this junior brother and sister can really hear the heart murmur.  The senior brothers at the scene, Zhang Desheng and others, wanted to raise questions.  Heart murmurs are easy to hear if they are noticeable.

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