Gou in the operating room to add some upgrades

Chapter 16: I sent the patient to another department (please collect it, please vote for recommendation)

"What's wrong? Doctor Fang." Yang Zilu asked.

Fang Xian hesitated for a moment before saying, "It's nothing, just come with me and I'll give you the checklist. These are the basic contents of the preoperative examination."

"Okay, okay." Yang Zilu didn't have any special doubts, and followed Fang Xian out.

However, on the way out of the ward and towards the doctor's office, Fang Xian asked, "Has your mother always been this thin?"

Yang Zilu nodded: "When I was in high school, my mother accompanied me in the county town. She came to Shashi to deliver food after I was in college!"

"Doctor Fang, all I know is that my mother has a bad stomach. Could it be that she?" Yang Zilu's face turned pale.

"After the examination, I just felt a hard lump during the physical examination of your mother. I can't confirm the nature yet. But I predict that your mother must have been constipated for a while!" Fang Xian did not say in the worst direction , just picked one of the most basic symptoms.

Colon cancer, and the formation of obstructive colon cancer, the prognosis will not be particularly good!

Of course, it may not be colon cancer, but it is also a disease with very serious symptoms!

Yang Zilu thought for a while: "My mother hasn't gone to the bathroom for several days. What is this?"

"You take your mother for an abdominal plain film and chest plain film first. It's on the first floor of the surgery building. You don't need to make an appointment, and you can do it in line for half an hour. You can go down now, and there will be noon at noon. Someone will be on duty."

Yang Zilu panicked when she heard this, her eyes were red, and she was quite at a loss.

But that’s the situation!

Fang Xian was also helpless.

You can't tell the truth in front of the patient, but you must tell the truth to the family members.

……

When Yang Zilu took her mother for an examination, Fang Xian had already notified Wang Chuntao, the chief resident of the department, about the matter at the first time. Report to Xue Li and listen to opinions.

Fang Xian then called Xue Li, the superior physician, and the final instruction he received was to track down the X-ray results as soon as possible and invite people from the Department of Hepatobiliary and Pancreatic Surgery and Gastrointestinal Surgery for consultation in a timely manner.

While writing the medical records quickly, Fang Xianwen kept refreshing the results of the patient's abdominal plain film examination, and at the same time called the relevant consulting physician in the general surgery department to inform him of the request for consultation.

Of course, whether it is a doctor of hepatobiliary and pancreatic surgery or gastrointestinal surgery!

Maybe they are used to seeing the corresponding cancer, and they all said that they would consider regular consultation for the time being, and they would come over in the evening to evaluate whether a transfer is needed.

After Fang Xian hung up the phone, he didn't continue to write the medical records, but he breathed a sigh of relief.

Maybe it is so!

Ordinary people who have a fracture will wonder why they fractured, but no one else does.

But as a trauma surgeon who is used to seeing fractures, he feels that fractures are not a serious illness.

So for doctors in general surgery, even if it is a gastrointestinal tumor, so what, there are a lot of them in the department.

but!

For the sake of caution, Fang Xian carefully figured out the pathogenesis of this aunt and the inner logic while writing the medical records.

About 10 minutes later, when Fang Xian's major medical record was written down to the physical examination, the results of the patient's abdominal plain film came out.

Fang Xian took a look and saw signs of gas accumulation in the abdomen, as well as periodic afterimages of stools.

However, at the same time, Fang Xian also discovered an enlarged spleen! ~~
Um? ?

Wait a moment.

This may not be a mass in the gastrointestinal tract, but may be compression of the transverse colon caused by splenomegaly.

Yang Zilu specifically confessed that her mother had a physical examination every year. During the physical examination, abdominal color ultrasound such as liver, gallbladder, spleen and pancreas color ultrasound must be done, and blood drawings for some tumor factor tests must also be done!
Therefore, the tumor that I suspected may not be true!

But splenomegaly?
Cirrhosis?Serious infection?immunity……

Don't be delayed rupture of the spleen?

It's just not broken yet!
The most classic injury of delayed rupture of the spleen is the handlebar injury, that is, the steering wheel injury, which mostly occurs when the left upper abdomen is hit while riding a bicycle.

However, this is just an analogy, the most common situation!
In fact, such a diagnosis, as long as it is all injuries that cause trauma to the left upper abdomen, may cause symptoms of delayed rupture of the spleen.

This aunt did not have an imaging examination in the outer hospital, but when she was hospitalized there, the bed doctor there was not a fool. They couldn't have done a physical examination when she was admitted to the hospital!
It may not be particularly detailed, but a routine cardiopulmonary and abdominal examination will definitely be done, and the same is true for routine blood draws.

If there is a large mass in the abdomen at that time, it can usually be found.

Then, there may not have been signs of splenic enlargement at the time of the injury, but after they decided to transfer to another hospital, they did not pay special attention to it, so the splenic enlargement was ignored.

And it's still a painless tumor!

Fang Xian thought of this!
Immediately dialed the general inpatient consultation number of the Department of Hepatobiliary and Pancreatic Surgery: "Teacher, the 14th bed in our department needs emergency consultation. It is the patient I just told you. His abdominal plain film showed enlarged spleen shadow. Trauma history, I suspect it may be a precursor to delayed splenic rupture, and the splenic capsule has not been broken yet."

"X-ray inspection number!~"

"I'm by the computer!" The other party only hesitated for a moment, and then asked in a deep voice.

Fang Xian reported it to him.

There were bursts of crackling keyboard sounds from the other party, and they might have turned on the amplification, so the sound was very loud and very fast!
After three seconds, the keyboard sound ends.

Five seconds later, the other party threw the mouse. It was indeed a throw, and there was a snap.

Order: "You are a trauma surgeon, right?"

"Now you immediately notify your superior doctor or chief resident and ask them to come to the department to carry out transfer procedures or discharge procedures. Also notify the patient's family and ask her to find a gurney. It must be a gurney, not a wheelchair. Directly If they are pushed to the Department of Hepatobiliary, Spleen, Pancreatic Surgery, I will have someone pick them up at the door."

"Can you understand?" His tone was extraordinarily cautious, and there was no waste word.

"Okay!" Fang Xian hurried back.

"That's it, first inform the patient and family members, and then go through other procedures." The other party may be afraid that Fang Xian has no experience, so he confessed.

Fang Xian hurriedly followed the instructions, not caring about keeping his phone confidential, and directly used his mobile phone to dial Yang Zilu's number that he had left before.

"Hi, hello, I'm Dr. Fang. Are you and your mother still in the imaging department?" Fang Xian asked directly.

"No, Dr. Fang, we are lucky, we happened to get on the elevator! We are on the second floor now." Yang Zilu replied, a little happy but confused.

Obviously, this doctor Fang has a better temper than Professor Song and many doctors in the Affiliated Hospital of Shonan University.

Don't curse and be careful.

But now, she actually doesn't want to receive Fang Xian's 'enthusiasm'.

"You click on the floor where the Department of Hepatobiliary and Pancreatic Surgery is located, and then you push her to the Department of Hepatobiliary and Pancreatic Surgery! The plain film of her abdomen just now found that the shadow of the spleen has enlarged, which is very dangerous, so you must go to the Department of Hepatobiliary and Pancreatic Surgery immediately. Surgery." Fang Xian confessed.

"Doctor Fang, me? What's wrong with my mother?" After all, Yang Zilu was young, and when she heard this, she became anxious, her voice was sobbing, and she lost her size in an instant.

"The situation is more urgent now. You can click on the floor where the hepatobiliary surgery is located, and then push it over. I will explain to you slowly when I come down. What you have to do now is to push your mother to the door of the hepatobiliary surgery. Leave it alone, okay?" Naturally, Fang Xian would not explain.

Where is the time to explain.

Directly tell the other person what to do and what is most important.

The opponent has lost his sense of proportion!

"Okay, okay, Doctor Fang." The other party was in a hurry.

"Hepatobiliary Surgery... Hepatobiliary Surgery..."

"We are going to hepatobiliary surgery, you come with us..."

"Doctor Fang, I pressed it."

"When you get off the elevator later, get off the elevator immediately, and then wait at the door for the doctor inside to take you in. Then he will give you a rough explanation, and I will come down to you right away. Is that okay?"

"All you have to do is cooperate with the doctors below."

While talking on the phone with Yang Zilu, Fang Xian sent a text message to the General Hospital of Hepatobiliary Surgery to edit the current situation, and it was simple——

"Teacher, the patient and his family have already entered the elevator and are not in the imaging department."

"She was pushing a wheelchair, and I asked her to get out of the elevator directly on the floor where the hepatobiliary surgery is located, and wait between floors!"

"Teacher, can you make other arrangements? When I called, she had already used a wheelchair to push her mother into the elevator. It would be a waste of time to push the bed out of the elevator."

"Okay!" The other party just gave a reply.

"Doctor Fang, I'm here, what should I do now?" Yang Zilu was silent for a while and asked at a loss.

"Just wait for the doctor to come."

"They're here, and they brought a lot of machines, what's wrong with my mother?" Yang Zilu asked again.

"Doctor, my mother..." Yang Zilu seemed to be asking the hepatobiliary surgeon.

"You come here first, and we will simply ask you some basic information."

"Hang up the phone first!~"

"This is Dr. Fang from your hospital." Yang Zilu explained.

"Hang up the phone!~" a young man ordered very seriously.

Fang Xian took the initiative to hang up the phone first, and then began to report the situation to the superior doctors and nurses in his department.

Then Fang Xian discovered that the nurse from the trauma surgery department quickly threw the patient into the transfer queue, waiting for the people from the hepatobiliary surgery department to receive him. At the same time, he said: "Doctor Fang, please take all the patient's blood test orders and other examination orders." Stop it first, and then the hepatobiliary surgery department will conduct an emergency examination."

"This patient has already been transferred, you can just complete the relevant transfer medical records."

"Okay, thank you teacher." Fang Xian politely hurried to stop the doctor's order and write the corresponding medical records.

Fang Xian finished writing the medical records of the transfer department, and he found that another new 14-bed patient had once again entered the inpatient queuing sequence of trauma surgery, as if the hospital bed was just a code name for the patient...

(End of this chapter)