Chapter 183 Ready to step on the opponent?
The scene five days ago appeared in Li Quan's mind.
At that time, he told the middle-aged man that he was at risk of cerebral hemorrhage. The other party pointed at Li Quan's nose and called him a bad-hearted doctor, thinking that Li Quan wanted to deceive him for more examinations and wanted to deceive him into hospital.
It is precisely because of the failure to obey Li Quan's advice that the middle-aged man ended up with what he is now.
Cerebral hemorrhage is a very terrible disease.
The onset is urgent, the condition is dangerous, the condition progresses rapidly, and the prognosis is extremely poor.
Usually, patients die quickly. Even if they survive by chance, they are likely to have hemiplegia, lose their mobility, language ability, and develop cognitive impairment.
At this moment, the middle-aged man was unconscious and his face was dark, which was no different from a dead person.
If it weren't for the multifunctional life monitor showing that the patient still had heart rate, breathing, and blood pressure, I'd probably mistakenly thought that this was a dead person.
Li Quan received a call from the hospital yesterday afternoon.
This shows that the middle-aged man had fallen ill yesterday afternoon.
Ocean Hospital did not perform surgery on patients, but a series of first aid measures should be taken. Otherwise, the patient would not have survived until now.
In terms of medical skills and strength, Ocean Hospital is only stronger than Huier Hospital.
Why doesn't it perform surgery on patients?
A terrible thought popped up in Li Quan's mind. There is only one possibility that the patient's bleeding site is in the brain stem.
It is called a forbidden zone for life and the risk of surgery is extremely high.
Ordinary Grade A hospitals dare not perform such surgery at all.
Ocean Hospital should be able to perform brainstem hemorrhage surgery.
Why not do it?
The difficulty of the surgery is definitely beyond imagination. They are not sure, so they dare not perform the surgery and finally choose to let the family take conservative treatment.
"Hey, what's going on with the patient's brain waves? Is it not installed properly?"
Dr. Zhou Chang saw that the patient's brain waves almost turned into a straight line, but there were breathing and heart rate. He thought that Li Quan installed a multifunctional life monitor for the patient for the first time, but it was not installed properly.
"It should be installed, and all the neurons are fitted in place."
Li Quan was also a little puzzled.
Dr. Zhou Chang has begun to check in person to see if the instrument sensing probe is not in place with the patient's brain.
"There is no problem with the installation, it's a problem."
Dr. Zhou Chang had rich rescue experience. After discovering that the instrument was not installed in place, his brows frowned.
His face also became particularly serious.
"Why haven't Dr. Yang come yet? I'm afraid this patient will not be able to be saved." Dr. Zhou Chang stamped his feet in an anxious manner.
Cardiac arrest and respiratory arrest are still possible.
If you have brain death, there is actually no need to save it.
Because brain death is formal death.
No wonder Ocean Hospital dares not perform surgery on patients. It would rather transfer patients to hospital than change the treatment plan.
If conservative treatment is adopted, the hospital will not be responsible for the death of the patient.
If the patient dies on the operating table, even if he is not responsible, it will be unpleasant.
At the same time, it will lower some hospital indexes.
"Doctor Yang is here!"
As soon as the nurse finished speaking, Dr. Yang walked in.
"Just just now, I talked to my family about the patient's condition and the reasons for the transfer. This patient is not easy to treat, so we must make the worst plan."
This is the first sentence Dr. Yang Yu said after entering the emergency room.
Leaders are leaders. They stand at different heights and handle things more than one level better than Dr. Zhou Chang.
"Li Quan, you seem to have any questions?" Dr. Yang Yu's eyes fixed on Li Quan.
"I..." Li Quan hesitated a little.
"But it's okay to say it." Dr. Yang Yu's voice was gentle.
"Didn't you teach us that when we encounter critically ill patients, we must rescue them as soon as possible? Why did you come in and participate in the rescue after chatting with your family?"
Li Quan plucked up the courage to ask out the doubts in his heart.
The main reason is that I am afraid of offending superior doctors and being worn with small shoes.
"This question is good. You will definitely encounter it in the future. First of all, I will explain why I am not in a hurry to rescue the patient. The patient was transferred from Oceanwide Hospital. The rescue methods that can be used must have been used by Oceanwide Hospital. No matter how anxious I am, it will be useless."
Dr. Yang Yu was not angry, but patiently taught Li Quan how to deal with this patient.
"There is also the patients transferred from the outer hospital, you must be extra cautious when receiving them. If you are not sure, you must clear the risks. If the patient's family is difficult, you must not be soft-hearted. You must recommend transfer to a higher-level hospital, or until the patient's family signs the various risk consent forms."
After Dr. Yang Yu said this, Li Quan understood.
No wonder many patients' families are complaining that they go to the hospital for a visit and ask you to sign a bunch of letters of information and risk consent.
"I understand, I will definitely pay attention in the future."
Li Quan nodded solemnly.
Dr. Yang Yu turned to look at Dr. Zhou Chang.
"How is the patient's condition?"
"Look, the patient's brain waves are almost flat. Is there any meaning of rescue?" Dr. Zhou Chang asked carefully.
Dr. Yang Yu stared at the monitor's screen for a few seconds, and his brows also frowned.
"Have you given a critical illness notice to the patient's family?"
"not yet."
Dr. Zhou Chang was only at the hospital level and did not come to the main treatment. How could he make his own decisions?
If Dr. Yang Yu is not here or cannot arrive in time, that's another story.
"Let's get critically ill first! Then we will carefully check the patient's cerebral hemorrhage and the treatment plan."
Dr. Yang Yu has begun to check the examination form transferred from Oceanwide Hospital.
Oceanwide and Wheel are both top-level hospitals of the same level. All of this checklists were made yesterday and today, so they can be used.
Of course, from the perspective of hospital income generation, doctors naturally hope that all examinations will be performed in our hospital.
There is another principle. If the hospital undergoing the examination is lower than that of Huier Hospital, Huier Hospital will definitely not recognize it. One hundred percent will require the patient to undergo a examination in this hospital again.
"From the examination results, the patient should have ponsine hemorrhage in brainstem hemorrhage. It is caused by hypertension and arteriosclerosis. The mortality rate of this type of brainstem hemorrhage is second only to medulla oblongata bleeding. However, it is also very high, reaching about 30% to 70%.
"As far as I know, the patient suddenly developed numbness on one side of his limb around 1:00 p.m. yesterday, accompanied by severe brain pain, and then rushed to Ocean Hospital for emergency treatment."
"It has been more than twenty hours since yesterday afternoon, and this kind of condition usually lasts five hours. This means that the rescue measures of Oceanwide Hospital are effective and timely. If our Huier Hospital can rescue this patient, this is also an opportunity. We are far less famous in the field of brain science than Oceanwide Hospital. Several directors of the Department of Brain and Brain Surgery of our hospital have been holding their breath for a long time."
Dr. Yang Yu said lightly.
Chapter completed!