This doctor is very stable
Chapter 549 Summoning the Big Brother! [Please subscribe, ask for a monthly pass. 】
Chapter 549 Summoning the Big Brother! [Please subscribe, ask for a monthly pass. 】
After the auscultation, carefully compare it with the child's examination report and laboratory test sheet.
It can be found that the inspection report and test results are generally the same as the auscultation.
This may be the reason why laboratory tests and tests can become the gold standard for disease diagnosis in patients!
The reason why modern instrument examinations are rejected by patients is not the instrument itself, but the human body.
In the preliminary consultation stage, the doctor may not be good at learning, or may be careless, careful and self-confident, which leads to the wrong direction of the examination when he starts the examination. How can the disease be detected in this way?
Especially for those patients with overlapping symptoms or relatively mild symptoms, missed diagnosis and misdiagnosis have naturally become commonplace in the hospital.
The reason is that the doctor did not point out the right direction, not the inspection instrument itself.
"How about Lin Ran?"
Just as Lin Ran took off the stethoscope, Boss Gu asked.
Lin Ran replied directly, "Consistent with the examination report and laboratory test results, I heard many murmurs in the child's abdominal cavity, including friction, blood vessel murmurs, vibration and dullness..."
The child should be admitted to the hospital by Director Liu himself. She is also an old director of the Department of Pediatrics. Naturally, it is impossible to make mistakes in seeing the doctor. Moreover, it is impossible for Liu Simei to treat children with severe diseases like congenital liver fibrosis. Careless.
A little carelessness may lead to the death of the child!How dare you slack off?
Hearing what Lin Ran said, Liu Simi also squinted and smiled.
She quite recognized Lin Ran's clinical strength and level, so naturally she also hoped to be recognized by Lin Ran!
The recognition among doctors is mutual, and while recognizing others, we also hope that others will recognize them.
"Um……"
After a moment of pondering, Boss Gu picked up the medication form next to the patient's bed and checked it.
Lin Ran didn't talk either, silently looking at the patient beside him.
"This... Director Gu, we are mainly using medicines to treat gastrointestinal bleeding and sepsis. The key is to maintain the life of the child and even regulate the child's body for the follow-up surgical treatment!"
After the child was admitted to the hospital, it was Liu Simmei who received the treatment, and after Liu Simei made a preliminary diagnosis of the child, he immediately found him, the director of the Department of Gastroenterology.
After confirming that the child was congenital liver fibrosis leading to gastrointestinal bleeding and sepsis, Hua Zhang Haobo immediately prescribed anti-coagulant drugs.
No matter how the follow-up treatment is carried out, the key is to stop the bleeding and stabilize the child's life.
Boss Gu nodded, "Well, there is no problem, but I think it is possible to supplement some nutrition for the child. As for the follow-up surgery, let's go out and discuss it."
Compared to the old hot pepper Gu Tianyi, Liu and Zhang are still a few years younger, so they talk to Boss Gu with a bit of respect in it,
"Director Gu, you are an expert in the field of liver and gallbladder. I, we have no objection. You can just prescribe the medicine directly. My child's infusion is almost halfway through. I will ask the nurse to prepare the medicine immediately after I go out!"
"Okay..." Boss Gu looked at Lin Ran again and asked, "What do you think, Lin Ran?"
Although Lin Ran is young, he always has something unexpected in his stomach. After he took out a pen from his pocket later, Boss Gu asked him a special question.
Nutrient solution!
Normal saline, glucose solution, or protein.
"Of course I have no objection. It is very difficult for the child to tolerate the operation in his current state!"
All Lin Ran could think about was the follow-up treatment of the child, and the complications of the child were already very serious.
Although the upper gastrointestinal bleeding and sepsis have been temporarily stopped, the liver and kidney damage has already been caused, and it is almost difficult to complete the treatment in a short time... So at this time, surgery may not be a good thing for children with weak tolerance!
Of course, poor health can be adjusted, and surgery is still feasible.
Therefore, Lin Ran was thinking about the surgery that the child needs, liver transplantation, or liver and kidney transplantation.
Judging from the child's current symptoms, a simple liver transplant may not be enough, so Lin Ran also silently weighed whether liver and kidney transplants are feasible.
But after all, it was his first contact with children with congenital liver fibrosis, so he was somewhat confident.
That's right, it means lack of confidence, that is, lack of confidence.
Perhaps the consultation of this child needs to call a big boss like Chen.
"it is good."
Lin Ran didn't say anything, but Boss Gu affirmed it.
Looking at Lin Ran's appearance, it must be the first time he has come into contact with a child with congenital liver fibrosis.
At this time, he was already very stable in not making rash advances, and Gu Tianyi was naturally quite satisfied.
It would be disappointing if Lin Ran said a bunch of things without substance, or directly ambiguously!
It's not scary if you don't understand!
It's scary to pretend to understand if you don't understand, or to just talk nonsense.
Medicine is not another industry, but you can try it. If you try it when you are not sure, it is not a joke!
Especially when the child's illness is so complicated and critical, how can I try it?
Even Gu Tianyi himself didn't dare to set the tone now and make any surgical plan for the child.
His opinion is to adjust the body of the child first, and then call the big boss for consultation, and let the big boss Chen Lai take this idea.
If none of their hospitals has Dinghaishenzhen like the big brother Chen, then they need to ask for help from the big bosses of the higher-level hospitals, such as the first and second Zhongshan Hospitals of their third hospital, which are more advanced and modern.
If the entire Yangcheng and even the entire Eastern Guangdong Province does not have such a master who can make up his mind and set the tone.
Then this child is precious, and he can send consultation invitations to all the big shots in the country!
Of course, these two assumptions are difficult to establish. In Dongyue Province, a large economic province with the highest GDP in the country, there are very few diseases that cannot be treated.
The more developed the local economy, the greater the investment in medical care, which is inevitable.
After all, no one will know that they will not get sick, and the same is true for those leaders.
Moreover, the development of medical care is also the achievements of the leaders!
Of course, Dongyue is originally an outstanding place, and Dana has been to the crucian carp of the river, countless.
There is no such thing as a child with congenital hepatic fibrosis requiring domestic medical consultation.
"Let's go, let's go out and discuss first, so as not to affect the children's rest."
Boss Gu said after dispensing the medicine and handing the medication form to Liu Simi who was beside him.
After taking the notebook, Liu Simei nodded, "Okay, let's go out first."
The four walked out of the neonatal intensive care unit, and the nursing nurse inside followed behind and closed the door of the rapid ward.
As soon as they came out, the young parents of the patient hurried up to greet them, and asked eagerly, "Doctors, how is my daughter?"
Their love for licking the calf is already written on their faces.
(End of this chapter)
After the auscultation, carefully compare it with the child's examination report and laboratory test sheet.
It can be found that the inspection report and test results are generally the same as the auscultation.
This may be the reason why laboratory tests and tests can become the gold standard for disease diagnosis in patients!
The reason why modern instrument examinations are rejected by patients is not the instrument itself, but the human body.
In the preliminary consultation stage, the doctor may not be good at learning, or may be careless, careful and self-confident, which leads to the wrong direction of the examination when he starts the examination. How can the disease be detected in this way?
Especially for those patients with overlapping symptoms or relatively mild symptoms, missed diagnosis and misdiagnosis have naturally become commonplace in the hospital.
The reason is that the doctor did not point out the right direction, not the inspection instrument itself.
"How about Lin Ran?"
Just as Lin Ran took off the stethoscope, Boss Gu asked.
Lin Ran replied directly, "Consistent with the examination report and laboratory test results, I heard many murmurs in the child's abdominal cavity, including friction, blood vessel murmurs, vibration and dullness..."
The child should be admitted to the hospital by Director Liu himself. She is also an old director of the Department of Pediatrics. Naturally, it is impossible to make mistakes in seeing the doctor. Moreover, it is impossible for Liu Simei to treat children with severe diseases like congenital liver fibrosis. Careless.
A little carelessness may lead to the death of the child!How dare you slack off?
Hearing what Lin Ran said, Liu Simi also squinted and smiled.
She quite recognized Lin Ran's clinical strength and level, so naturally she also hoped to be recognized by Lin Ran!
The recognition among doctors is mutual, and while recognizing others, we also hope that others will recognize them.
"Um……"
After a moment of pondering, Boss Gu picked up the medication form next to the patient's bed and checked it.
Lin Ran didn't talk either, silently looking at the patient beside him.
"This... Director Gu, we are mainly using medicines to treat gastrointestinal bleeding and sepsis. The key is to maintain the life of the child and even regulate the child's body for the follow-up surgical treatment!"
After the child was admitted to the hospital, it was Liu Simmei who received the treatment, and after Liu Simei made a preliminary diagnosis of the child, he immediately found him, the director of the Department of Gastroenterology.
After confirming that the child was congenital liver fibrosis leading to gastrointestinal bleeding and sepsis, Hua Zhang Haobo immediately prescribed anti-coagulant drugs.
No matter how the follow-up treatment is carried out, the key is to stop the bleeding and stabilize the child's life.
Boss Gu nodded, "Well, there is no problem, but I think it is possible to supplement some nutrition for the child. As for the follow-up surgery, let's go out and discuss it."
Compared to the old hot pepper Gu Tianyi, Liu and Zhang are still a few years younger, so they talk to Boss Gu with a bit of respect in it,
"Director Gu, you are an expert in the field of liver and gallbladder. I, we have no objection. You can just prescribe the medicine directly. My child's infusion is almost halfway through. I will ask the nurse to prepare the medicine immediately after I go out!"
"Okay..." Boss Gu looked at Lin Ran again and asked, "What do you think, Lin Ran?"
Although Lin Ran is young, he always has something unexpected in his stomach. After he took out a pen from his pocket later, Boss Gu asked him a special question.
Nutrient solution!
Normal saline, glucose solution, or protein.
"Of course I have no objection. It is very difficult for the child to tolerate the operation in his current state!"
All Lin Ran could think about was the follow-up treatment of the child, and the complications of the child were already very serious.
Although the upper gastrointestinal bleeding and sepsis have been temporarily stopped, the liver and kidney damage has already been caused, and it is almost difficult to complete the treatment in a short time... So at this time, surgery may not be a good thing for children with weak tolerance!
Of course, poor health can be adjusted, and surgery is still feasible.
Therefore, Lin Ran was thinking about the surgery that the child needs, liver transplantation, or liver and kidney transplantation.
Judging from the child's current symptoms, a simple liver transplant may not be enough, so Lin Ran also silently weighed whether liver and kidney transplants are feasible.
But after all, it was his first contact with children with congenital liver fibrosis, so he was somewhat confident.
That's right, it means lack of confidence, that is, lack of confidence.
Perhaps the consultation of this child needs to call a big boss like Chen.
"it is good."
Lin Ran didn't say anything, but Boss Gu affirmed it.
Looking at Lin Ran's appearance, it must be the first time he has come into contact with a child with congenital liver fibrosis.
At this time, he was already very stable in not making rash advances, and Gu Tianyi was naturally quite satisfied.
It would be disappointing if Lin Ran said a bunch of things without substance, or directly ambiguously!
It's not scary if you don't understand!
It's scary to pretend to understand if you don't understand, or to just talk nonsense.
Medicine is not another industry, but you can try it. If you try it when you are not sure, it is not a joke!
Especially when the child's illness is so complicated and critical, how can I try it?
Even Gu Tianyi himself didn't dare to set the tone now and make any surgical plan for the child.
His opinion is to adjust the body of the child first, and then call the big boss for consultation, and let the big boss Chen Lai take this idea.
If none of their hospitals has Dinghaishenzhen like the big brother Chen, then they need to ask for help from the big bosses of the higher-level hospitals, such as the first and second Zhongshan Hospitals of their third hospital, which are more advanced and modern.
If the entire Yangcheng and even the entire Eastern Guangdong Province does not have such a master who can make up his mind and set the tone.
Then this child is precious, and he can send consultation invitations to all the big shots in the country!
Of course, these two assumptions are difficult to establish. In Dongyue Province, a large economic province with the highest GDP in the country, there are very few diseases that cannot be treated.
The more developed the local economy, the greater the investment in medical care, which is inevitable.
After all, no one will know that they will not get sick, and the same is true for those leaders.
Moreover, the development of medical care is also the achievements of the leaders!
Of course, Dongyue is originally an outstanding place, and Dana has been to the crucian carp of the river, countless.
There is no such thing as a child with congenital hepatic fibrosis requiring domestic medical consultation.
"Let's go, let's go out and discuss first, so as not to affect the children's rest."
Boss Gu said after dispensing the medicine and handing the medication form to Liu Simi who was beside him.
After taking the notebook, Liu Simei nodded, "Okay, let's go out first."
The four walked out of the neonatal intensive care unit, and the nursing nurse inside followed behind and closed the door of the rapid ward.
As soon as they came out, the young parents of the patient hurried up to greet them, and asked eagerly, "Doctors, how is my daughter?"
Their love for licking the calf is already written on their faces.
(End of this chapter)
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