Gou is practicing medicine in the clinic

Chapter 299 Maybe this is the last companionship, saving people

He is obviously already married to his wife, and his life should have been a happy one.

He is not too old, only in his 40s.

At the time of onset of the disease, he was only 26 or [-] years old, the most youthful and vigorous age in his life.

It is not unfair to be called a useless person by my wife.

"Judging from the current examination results, he should be suffering from a series of problems caused by hypokalemia, right? Isn't potassium and fluid replenishing helpful?"

Li Jingsheng turned to ask Director Kuo.

When discussing the patient's condition in the ward, he had no choice but to say what he had to say.

He didn't mean to question Director Kuo's medical ability.

"Since he was admitted to the hospital last night and the problem was detected, he has been given potassium and fluids, but the effect is almost non-existent. This is the first time I have seen this situation in my nearly 30 years of medical practice."

Director Kuo looked helpless.

Obviously the cause of the patient's disease has been found and the symptoms are obvious. Under normal circumstances, he only needs to supplement potassium to see the effect quickly.

But this patient's situation is extremely special.

After supplementing potassium, it is like a stone sinking into the sea.

Giving the patient oxygen also did not seem to improve respiratory symptoms.

The problem is ten times more serious than imagined.

"Let me listen to your heartbeat!"

When Li Jingsheng heard this situation, his expression instantly became serious, with a hint of dignity.

According to his keen prediction ability developed in the clinic, if this patient is not handled well, his condition is likely to deteriorate rapidly and there is a risk of death.

After listening to the patient's heart sounds, his expression became more solemn.

"Do you feel tight in your chest now?"

"Yes! It's like there are several mountains pressing down on you, and your nose seems to be blocked when you breathe."

said the patient.

"Director Kuo, let's talk outside!"

Li Jingsheng looked at the woman, and her family members could come and listen.

The woman was still playing with her mobile phone. After hearing this, she reluctantly followed her out with her mobile phone.

She was completely indifferent to her husband's condition.

"Go to your office and talk!"

Li Jingsheng looked at Director Kuo.

"I don't have a separate office. We can go to the doctor's office or consultation room to discuss it."

Director Kuo's old face turned pale.

There are only a few deputy chief physicians who are doing well in the Second Hospital and have private offices.

But as the head of the department, he doesn't have his own independent office, which is really miserable.

Li Jingsheng has long experienced the cruelty of hospitals.

There is nothing to complain about. The hospital is a business unit that operates outside the hospital. It needs to make money to pay employees and pay various expenses.

Clinicians who cannot create benefits for the hospital are destined to be marginalized.

Even in a problem hospital like the First Hospital with a rigid system and rampant seniority, incompetent doctors are still not taken seriously.

The three of them entered the consultation room.

The decoration is not bad.

There is also a sign on the table belonging to Director Xiao Linlin of the Department of Gastroenterology, indicating that the consultation room is shared by two departments.

This is a bit embarrassing. It feels like the Department of Endocrinology is parasitic under the Department of Gastroenterology.

"The patient's condition is more serious than imagined. I suggest that he immediately open two channels for potassium supplementation at the same time, and also increase oral potassium supplementation. If it still doesn't work, I suggest that he be transferred to the hospital immediately."

Li Jingsheng spoke very decisively.

"I also felt that something was wrong with this patient's condition, so I urgently asked you to come over and take a look."

Director Kuo should also have a bad feeling.

"Your husband has been suffering from hypokalemia for such a long time. Didn't he go to other hospitals for treatment?"

"Treated! We have been treated many times at a community health service center near our home. Every time we got injections, the condition got better. This time the situation was very serious and injections there had no effect. They suggested that we go to a larger hospital Hospital treatment.”

The woman mentioned her husband's condition nonchalantly.

It seems very casual.

No wonder, over the years, patients have improved every time after treatment at the social health service center.

She's used to it.

Even though her condition worsened this time, she still believed that there was no big problem and she could just find a larger hospital to cure her.

"In this case, I suggest you transfer to the hospital immediately. It is best to transfer to the People's Hospital and Qiaobang Hospital for treatment. They are provincial tertiary hospitals with more advanced equipment and richer treatment experience than ours."

Li Jingsheng said to the woman.

It's not that he made the decision for Director Kuo without authorization, but he realized that the patient's condition was very bad and the treatment capabilities here were limited. The best way was to send the patient to a tertiary A hospital with better conditions for treatment.

"My family has no money! I also heard that of the four best hospitals in Jiangli City, apart from the People's Hospital and Qiaobang Hospital, the only ones left are yours and the Medical University Affiliated Hospital. It's closer to your place. The cost is also lower, that’s why I came here.”

Before the woman came, she was not looking for a hospital randomly.

But after some inquiring.

"Director Kuo, what do you think we should do now?"

Li Jingsheng looked at Director Kuo.

After all, the patient belongs to the Department of Endocrinology, so it is impossible to help others make the decision and just push the patient away, right?

Now the family's wishes are obviously that they want to stay in the second hospital to continue treatment.

"As you said, open two channels, increase the dose of potassium and try again."

Director Kuo was obviously a little unwilling.

Sometimes, no one can figure out how to treat such patients.

Perhaps increasing the amount of potassium supplementation can make the patient's condition improve quickly.

"I would also like to make a suggestion. If the patient currently has symptoms of paralysis, can he ask a doctor from the anesthesiology department to help with consultation?"

Li Jingsheng said to Director Kuo.

"Okay, I'll call and ask, but their anesthesiologists are very busy and may not have time to come over."

He is a quiet and gentle person, which is the truest portrayal of Director Kuo now.

The powerful director of the department should ask a doctor from the anesthesiology department for consultation, which is a matter of just one sentence.

If you are like Director Kuo, you can only go around begging grandpa, suing grandma, and saying good things.

Li Jingsheng looked at the female family member again, "Your husband's condition is more serious than imagined. If you can, please stay with him as much as possible and care about him."

"He's the same every time. He'll get better soon after treatment. Don't worry about him too much."

After hearing this, the woman didn't care.

Li Jingsheng didn't say anything more and nodded to Director Kuo, "There are still patients in my outpatient clinic, so I'll leave first. If anything happens, you can call me at any time."

"Okay, thank you Dr. Li for coming for consultation! I'll see you off!"

Director Kuo shook hands with him tightly.

Moreover, he held Li Jingsheng's hand with both hands to show his gratitude and respect.

This is probably the most humble department director in the Second Hospital.

After Li Jingsheng returned to the clinic, he devoted himself to intense work.

About two hours later, Director Kuo called again.

In response, increasing the dose of potassium supplementation was still ineffective, and the patient's condition worsened.

I invited a doctor from the anesthesiology department for consultation, but couldn't find any problems. "It is recommended to transfer to another hospital immediately, otherwise this patient may not be saved."

Li Jingsheng said it very directly.

When listening to heart sounds, he heard a very unique sound of heart failure.

This kind of heart sound can generally only be heard in dying people.

This patient's body may have suffered from severe systemic disease due to long-term hypokalemia.This is simply not something a second hospital can handle.

Even if the People's Hospital takes the patient there, it may not be able to cure him.

"The family still does not agree to the transfer!"

Director Kuo said helplessly.

"Then tell her that the patient probably won't make it through the night."

When encountering such stubborn family members, doctors and hospitals have no good solution.

Doctors can only respect the choices of patients and families, but cannot make decisions for them.

This is also stipulated in law.

Doctors follow diagnosis and treatment procedures. If there are irregularities, doctors and hospitals will be held accountable if something goes wrong.On the contrary, as long as there are no illegal operations by doctors and hospitals, families and patients need to be responsible for the choices they make.

It is by no means that a patient dies in the hospital to cause trouble.

There is no such statement.

After get off work, Li Jingsheng was still a little worried about the patient and went over again.

The older female nurse has already got off work.

The young female nurse was on duty.

Many nurses work two shifts.

Working twelve hours at a time is very hard.

But there is no way. In order to save personnel costs to the greatest extent, many hospitals arrange this.

Only the ICU is special.

Because the labor intensity is higher and doctors and nurses on duty are required to make accurate judgments at all times, there are basically three shifts here.One shift every eight hours.

And the doctors and nurses who can enter the ICU are basically elites.

"Beauty, how is the patient with hypokalemia in 6103?"

Li Jingsheng asked the young female nurse.

"The situation is not good. Sister Le has been there several times."

The attitude of this female nurse is better than that of the older nurse.

In this case, the patient was not transferred to another hospital.

Li Jingsheng came to the ward and saw the patient.At this time, the condition had worsened and a breathing mask was put on.

Another potassium supplement pathway has been added.

It’s just that the human body’s endocrine system is very complex.

Three channels of potassium supplementation, and the patient was given oral potassium supplementation at the same time, still had no effect.It means that the real cause has not been found at all.

It was the first time that Li Jingsheng was so powerless.

A strange female nurse administered medicine to the patient in front of the hospital bed and monitored her closely.

The female family member seemed to realize the seriousness of the problem at this time. She was holding a critical illness notice in her hand and was speaking to other friends or family members.

I could faintly hear her saying that she had no money, her condition was not getting better, it was getting worse, and she wanted to be transferred to another hospital.

This woman is almost 40 years old, I really admire her.

Normally her husband must take good care of her.

Now that her husband is in a major crisis, she is as helpless as a seventeen- or eighteen-year-old girl.

I don't see the composure and wisdom that a 38-[-]-year-old woman should have.

"The breathing rate exceeds 30 times per minute. Although the cyanosis is not obvious, I still need to breathe through my mouth. This is really fatal!"

After Li Jingsheng looked at the patient's condition, he shook his head.

The female nurse didn't recognize him, she just looked at him indifferently and continued to do her own thing.

She is very serious about her work.

The technique is also very professional.

"Hey, Doctor Li, you're here again!"

Director Kuo should have gone out to eat.

Some oil can still be seen on the mouth.

But instead of leaving get off work, he chose to stay and keep an eye on this patient.

"The clinic was closed in the afternoon, so I was worried. I wanted to come over and have a look after work."

Li Jingsheng responded.

"I asked the anesthesiologists to take a look at it. What did they say?"

"After they looked at it, they thought that the patient was breathing spontaneously and was conscious. They could observe it first and temporarily choose to provide oxygen with a mask."

Director Kuo replied.

"Now he needs to open his mouth to breathe. I estimate that his condition will worsen. It is best to be ready for intubation and rescue immediately."

Li Jingsheng secretly scolded the anesthesiology doctor for being slippery.

He probably didn't want to cause trouble, so he didn't intend to get involved too deeply.

According to the patient's current condition, oxygen inhalation through a mask will definitely not last tonight.

The female nurse then adjusted the oxygen supply switch on the wall.

"Did you turn up the oxygen?"

Li Jingsheng asked.

"No, it's turned down a little bit."

She still answered with a cold face.

"His current condition cannot increase the oxygen concentration, otherwise he will easily suffer from oxygen poisoning."

Li Jingsheng nodded and warned her.

She didn't express anything, but her eyes towards Li Jingsheng changed slightly.

At first, she might have regarded Li Jingsheng as a useless doctor or a family member who appeared out of nowhere.

After all, Li Jingsheng didn't wear work clothes after get off work.

It wasn't until Director Kuo came in and listened to the conversation between the two that he realized that this young man was not simple.

"It's off duty now. I'm afraid I won't be able to hire a doctor from the anesthesiology department! Why don't we wait until the patient's symptoms become more severe and he's sure he needs tracheal intubation?"

Director Kuo was a bit confused.

His status is low. The patient's condition is not yet known whether he should be intubated, and his family members have not agreed.

How dare you invite a doctor from the anesthesiology department?

"You talk to the family immediately, and I'll make this call for you. The patient is already in this condition, and saving lives is definitely more important."

Li Jingsheng has gained some status now. He can't just watch the patient die!
Lao Yu from the anesthesiology department was relatively familiar with him.

However, the two were not so good that they exchanged WeChat messages.Not even the other party’s phone number.

This is not a problem for Li Jingsheng.

He found out Lao Yu's phone number easily.

At this moment, the patient's family members seemed to have discussed it with their family members and suddenly made a request to be transferred to another hospital.

"It's not good for you to transfer to another hospital now! The patient's condition is very dangerous, and accidents can easily happen during the transfer." Director Kuo rejected the family's request.

(End of this chapter)