Gou is practicing medicine in the clinic

Chapter 401: The old man is in danger, the patient is in danger
"Director Rong!"

Lian Tao greeted a slightly older figure.

There are probably nearly thirty beds here.

And it seems that the intensive care unit of the People's Hospital has more than one large room.The room they entered was the third intensive care unit.

Perhaps in order to manage patients more scientifically and reduce cross-infection and other risks, there are only thirty beds in this large ward.

Some people joke that the rich people in Jiangli City make a lifetime of money just to live here for a few days in their old age.

This statement is definitely an exaggeration.

The cost of intensive care unit is high, but for the truly rich, they can afford to stay there for several years, let alone a few days.

And rich people like to buy insurance.

If you are sick and hospitalized, most of the expenses can be reimbursed.

"Here you go! Take a look first, I'll come over after I finish my work."

Director Rong turned his head and glanced at the two of them. He only chatted and quickly returned to the rescue work.

Although there are doctors and nurses around him, Director Rong does many things personally, including carefully suctioning patients' sputum, adjusting ventilator parameters, etc.

Li Jingsheng couldn't help but be in awe of this old man.

It was obviously not the first time that Lian Tao came in, and he led Li Jingsheng to a bed near the cadaver door with ease.

Birth, aging, illness and death may be rare in the outside world, but here, as long as you can't breathe, your heart stops, or your body's organs fail, you may die at any time.

Removing the body is a very important job.

The normal procedure is for the patient to be brought in through the main entrance. If the patient is not rescued, the family will be notified to send a representative to come in to say a final farewell, and then a dedicated caregiver will be notified to put the body into a body bag and transport it directly out.

If corpses were pulled out from the main entrance every day, the family members and other patients would be frightened to death.

And patients who die are often accompanied by various infections.

Pulling it out from the main entrance will cause great hidden dangers to aseptic management.

Therefore, the corpses were pulled out through the special corpse transport door at the back.

It may be the first time for some family members to visit patients outside the intensive care unit, and it is best not to walk in an empty corridor.It's best not to take the so-called 'internal staff' elevator.

Some have the words 'freight' elevator written on them.

It is slightly longer than the average ordinary elevator.

If you have a weak aura or a weak constitution that is susceptible to viruses, it is best not to take this elevator.

Some people get sick after sitting there.

No one can explain this clearly.

It’s really not a superstition. Some patients who are weak or have poor immunity are indeed prone to falling ill after taking an elevator specially designed to transport corpses.It may be infected by residual viruses, or the 'magnetic field' is not suitable.

There is an old saying from ancient times, a gentleman does not build a dangerous wall and avoid strangers.

The best thing to do in this situation is not to be stupid, find something wrong, and quickly find another way to go.

"This patient is currently in stable physical condition. Especially after the problem of pulmonary artery thrombosis was solved for him, his breathing has also improved significantly."

Lian Tao is quite optimistic about this patient.

After Li Jingsheng read it, he was silent.

Check the patient's body, including back, feet, etc.

"Has he been bedridden for a long time before he came to the hospital?"

"Yes, I have been bedridden for nearly half a year. And according to family members, even before bedridden, the patient would be out of breath even if he exercised a little, and he had no strength. So he spent most of his time sitting and watching TV or looking for other elderly people. Chess, very little exercise.”

This is actually a vicious cycle.

Because there is something wrong with my body, I cannot exercise.

As a result, the condition became worse and worse due to lack of physical exercise.

"I speculate that he may have had a pulmonary embolism for a long time."

Li Jingsheng said.

The patient's red blood cells increased, which was much higher than the normal level, indicating that the heart failure had lasted for an extremely long time.And most likely recurrent heart failure.

In this case, the patient lacks exercise, the blood viscosity continues to increase, the blood becomes sluggish, and it is very easy to form thrombus.

When the patient is lying down and stationary, blood in the lungs can easily become stagnant.

When a pulmonary thrombus first forms, it may not be large.

But as time accumulates, it will become more and more serious.

The patient later developed chronic obstructive emphysema, which actually indicates that the lungs had problems early on.

From this analysis, Li Jingsheng's idea of ​​diagnosing the patient with pulmonary heart disease is obviously correct.

He also specifically checked the patient's palms and found no liver palms.

The sclera in the eye is not yellowish.

Instead of being jaundiced, the patient's face looked extremely pale.

Just now he tried to check the patient's bones and found no other obvious problems except osteoporosis and muscle atrophy.

"Come on, let's go out and talk."

After Li Jingsheng saw the actual situation of the patient, he could not find the answer he wanted.

At this time, Director Rong Xuekai had also finished handling the patient and came over.

"Xiao Li, I haven't seen you for a while!"

Director Rong was particularly kind to him.

The two of them don't usually interact much.

It was during that time when I came to the People's Hospital for consultation that I met Director Rong.Later, the two exchanged contact numbers, because both parties were very busy and had no intersection.

"Haha, I didn't expect you to recognize me at a glance. In fact, I often come here to study with Professor Lian Tao and Wang Weiwei. I knew you were very busy, so I didn't dare to disturb you."

Of course, those were just kind words.

If nothing happened, he wouldn't be able to disturb Rong Xuekai. "You can study with them, or you can communicate with me! I'm busy, so if you come to me, I will definitely be able to take some time to chat with you. Or I can just ask you to go into the intensive care unit and help me rescue the patients. Now. I am getting old, and sooner or later I will fall down, and it will be you young people who will take over from now on. In the last consultation, you showed extremely high medical talent.

All aspects of medical knowledge are quite solid.

What's even more valuable is that you are so young but have already accumulated rich experience in clinical diagnosis and treatment.

In my opinion, if you can work in critical care medicine, you will definitely achieve a lot. "

Rong Xuekai's high praise of him made him feel a little ashamed.

His clinical experience was far from extensive.

"Director Rong's achievements in the Department of Critical Care Medicine are such that even foreign experts have asked him for advice. There is a long queue of medical doctors who want to study with Director Rong. Jingsheng, if others want this opportunity to study with Director Rong, they can't ask for it. Come. You have to take advantage of it."

Lian Tao was there to remind his good brother.

In Lian Tao's view, it is definitely a good thing to be able to learn critical care rescue knowledge from Rong Xue Kai.

It can even benefit you for life.

"I really want to learn from Director Rong, but I've been too busy recently. It's not like you don't know that in addition to my own clinic, I also have to sit in the second hospital. Working overtime is almost normal."

Li Jingsheng’s demand for critical care medicine is not very high.

In the Second Hospital, the main method is manual bone reduction, and it is impossible to use critical care medicine.

You cannot carry out inpatient treatment business in your own clinic, so you will not be able to use it.

If you work in the emergency department or critical care medicine department, and study hard for two years with Rong Xue Kai, you will definitely be awesome.

"It's a good thing for young people to be tired. When you are no longer so busy and want to learn clinical experience in critical care medicine, you can come to me at any time. Although our People's Hospital rarely trains doctors from other hospitals, talents like you , it is worth training. Whether you come here to learn from me sporadically, or you are directly sent here by the hospital to study, you are always welcome.

The premise is that I can still move and not fall down. "

Rong Xuekai never seems to think about such things as polite words.

He had no idea that Li Jingsheng was declining.

This respectable old man spent his whole life's energy and thoughts on studying medicine.

In fact, there are many doctors who go to People's Hospital for further training.

Among the many public hospitals, the People's Hospital should have trained the most advanced students.

Some particularly well-known large hospitals rarely recruit training doctors.

The talent training mechanism they implement is very similar to the legendary ancient martial arts sects.All doctors and nurses are trained by themselves.

Patients who have been to these hospitals must have experienced that they will not recognize the films and examination results from other hospitals.

Even if it has just been done and it is still within the validity period, it must be done again.

People really didn't care about the examination fee, but they didn't trust the skills of doctors from other hospitals.

Also take a brain CT, a hospital with good technology can check it clearly.Hospitals without advanced technology may directly miss the lesions.

Not to mention the biochemical test results.

Some bacterial cultures need to be repeated several times before they can be detected.

Ordinary small hospitals simply cannot afford this money.

This is why people with serious illnesses now go to top hospitals.

"Xiao Li, critical care medicine has always been a weakness of our country in the past. Although it has become much stronger now, it is still lagging behind in some technical aspects. I have visited the critical care medicine department of Qiaobang Hospital and it is quite good. Our People's Hospital here Bian has now expanded to three intensive care units and is preparing to classify critically ill patients. The future vision is to build it into a world-class, first-class critical care medical center."

Rong Xuekai is an old man who has great ambitions.

At such an old age, he still has such lofty ideals and ambitions.

"The construction of any scientific research project or medical department is inseparable from talents. Young people with potential and ability like you must learn to take more responsibility."

He taught Li Jingsheng with sincerity and sincerity.

"I will definitely remember your teachings."

Li Jingsheng could only answer like this.

Let him bear too heavy a burden, and he really doesn't have that level of thinking for the time being.

What he wants now is to make more money, marry his wife, and buy a bigger house.One day, I will take my parents to the city to enjoy the happiness.

Give birth to two more babies with Ou Qinglan and raise them well.

Life will be complete.

"By the way, did you just see the patient with respiratory failure and heart failure?"

Rong Xuekai brought the topic back to the patient.

"Have seen it, the vital signs are quite stable now."

After Lian Tao finished speaking, he paused and glanced at Li Jingsheng.

"Jingsheng believes that the patient's first lesion was probably in the liver, which then caused lung lesions and eventually developed into cor pulmonale."

"Xiao Li really thinks so?"

Rong Xuekai looked at Li Jingsheng.

"Yes, my diagnosis is basically this. Also, I just checked the patient's condition. Although his physical signs are stable now, if the liver disease cannot be identified as soon as possible and treated correctly, I am worried that the patient's condition will soon worsen. .The chance of rescue is likely to be lost by then.”

Li Jingsheng simply expressed all his thoughts.

Lian Tao obviously didn't think the patient was in too much danger.

"Your ideas are very special!"

After Rong Xuekai listened, he showed a thoughtful expression.

"Liver problems are already being investigated. Let's take a look at the situation first! At least according to my experience, the patient's condition will not change much in a short period of time. Even if there are some minor problems, I should be able to deal with them in time."

Rong Xuekai probably didn't agree with Li Jingsheng's diagnostic ideas.

Those who reach the level of Deliantao and Rongxuekai generally have their own diagnostic thinking and style.

They may think that Li Jingsheng's diagnosis is too subjective, so they don't support it.

(End of this chapter)