medical road high rise

Chapter 37 Nonsense
Chapter 37 Nonsense
"The patient's urine is only 50ml?" Director Dong received a call from the General Surgery Department.

Qin Feng, who was sitting in the office and chatting with Director Dong about imaging studies, was taken aback by Director Dong's movement.

"Director Dong, what's going on?" Qin Feng asked after seeing Director Dong hang up the phone.

"A patient was transferred from the first hospital yesterday. The cause of the disease cannot be determined at present, and the patient has kidney problems and high blood creatinine, but he dare not diagnose it." Director Dong said, "The general surgery department called just now and said that the patient died overnight. The urine output is only 50ml."

"Only 50ml?" Qin Feng finally understood why Director Dong's movement was so loud.

Urine output is also an important evidence for doctors to diagnose patients. Low urination output is not just a kidney problem. There are many reasons, but the final consequence is shock.

Director Dong and Qin Feng rushed to the General Surgery Department. Yesterday, the patient's condition could not be determined, so he was placed directly in the General Surgery Department. The doctor in the General Surgery Department not only called Director Dong, but also called the urology department. .

All of a sudden, the ward was filled with people in white coats.

Qin Feng looked at the interior of the ward, LCD TV, refrigerator and other household items. This is the treatment of the intensive care unit.

This also proves that the identity of the patient is not simple, otherwise the special care single ward of the hospital, even if it is empty, will not be given to ordinary people.

"What is my mother's disease? Can you give me an accurate report? If not, please contact the provincial hospital directly." A middle-aged man was sitting on a chair, peeling an apple for the patient on the hospital bed.

"Director Wang, we still need to do a detailed examination on the patient before we can give a diagnosis," said the leading vice president.

The middle-aged man frowned, didn't say anything, but continued to peel the apples.

Director Dong and others stepped forward to examine the patient. Qin Feng stood aside and looked at the patient's blood pressure. The patient's blood pressure was quite normal and there was no symptom of shock.

It's just that Director Dong and the director of the urology department looked at each other after the physical examination, and were a little surprised at the warmth in their hands.

"Doctor, my left waist hurts a little. Can I lie on my side?" The patient on the hospital bed said weakly, and his eyes were wandering. It was obvious that he didn't sleep well last night.

"Mom, why didn't you tell me about your pain earlier." The middle-aged man quickly put down the apple in his hand, and walked to the edge of the hospital bed with a worried face.

"Oh, mom, this is an old problem. I used to work in the fields too much." The patient said.

But the patient's back pain caught the attention of Director Dong and the director of the urology department. The director of the urology department took the lead and said, "Bring me the patient's B-ultrasound yesterday."

Soon the general surgery inpatient brought in the film, the director of the urology department took a look, shook his head and said, "There is no stone on the patient's film, kidney percussion, have you done it in the general surgery department?"

The director of general surgery shook his head and said, "The patient didn't report this problem to us in advance, so yesterday's physical examination did not include kidney percussion."

"Confused!" The director of the urology department accused, "Old Dong, tap the kidney area on the left side of the patient."

Director Dong nodded. The director of the urology department must be better than Director Dong in terms of kidney attainments.

"Hey, it hurts!"

The patient stretched out his hands with a distorted face, and pushed Director Dong away forcefully.

"Mom, are you okay?" The middle-aged man looked at the patient worriedly.

Director Dong stood aside and fell into silence, and none of the other doctors spoke.

"Director Dong, do you know what the patient's illness is?" the vice president asked.

Director Dong shook his head and smiled wryly. His brain is a mess now. There are too many symptoms of the patient, and there are many diseases that can be diagnosed. It is also a difficult problem to eliminate them one by one.

The director of the urology department didn't speak for the same reason as Director Dong. The patient's current situation seemed to have corresponding symptoms in different departments.

The middle-aged man's face darkened. From his mother's illness to hospitalization, the first hospital couldn't make a diagnosis, and then came to the second hospital. Now it seems that the second hospital can't diagnose it again.

"It seems that the hospitals in Taoshi need serious rectification."

The middle-aged man thought to himself, there are too few senior doctors in Taoshi Hospital who are doing their duty in their positions. One disease spread to two hospitals, and more than twenty chief doctors came to ask for a consultation, but none of them responded.

This made him, the head of the health bureau, so angry. The lack of capacity of the hospital proved that their support for the hospital was not strong enough.

"The patient should have abdominal pain and back pain caused by renal artery thromboembolism." Qin Feng, who had been silent all this time, suddenly said.

Director Dong came to his senses, walked to Qin Feng's side and scolded: "Xiao Qin, don't talk nonsense."

"This is the family member of the head of the Health Bureau."

Director Dong leaned over and said this sentence in Qin Feng's ear.

Qin Feng nodded, no wonder the patient was able to live in the intensive care unit, and at the same time the vice president and chief physicians of many departments came to consult.

For a general consultation, when the doctor comes to discuss, everyone will go about their own business, unless the doctor who needs to participate in the operation will stay.

"Where did you come from, little doctor? Do you have the right to speak here?" The general surgeon quickly noticed the vice president's displeasure and asked quickly.

Director Dong also quickly apologized to the vice president, "Dean, this is Gui Peisheng, a new recruit from our vascular department. He is very capable. It may be the first time he has participated in such a director-level consultation. He has a little desire to show off."

"Hmph, this is not the place to show off. Is our hospital going to blame him for his random judgment?" the vice president said angrily.

The vice president's words made Director Dong feel a little guilty. You must know that this vice president is a doctor who belongs to Director Dong's superior and is also a member of a faction.

Now that he has expressed dissatisfaction with Qin Feng, Director Dong is in a dilemma. The vice president obviously wants Director Dong to give an explanation.

This explanation is not only for the hospital to see, but also for the leaders to see.

However, before Director Dong could speak, the middle-aged man asked Qin Feng instead.

"You said my mother had renal artery thromboembolism? Is there any basis?" The middle-aged man looked at Qin Feng with flickering eyes.

"Yes, I read the patient's medical record and various checklists, and found that the patient has mild atrial fibrillation. Atrial fibrillation will cause emboli to fall off and form a thrombus, and the renal artery is the place closest to the heart."

"In addition, the patient's urine output was normal in the first hospital, but it was only 50ml after coming here, indicating that the patient's renal function has failed, and the failure will not cause obvious percussion pain. The percussion pain is caused by foreign objects blocking the renal artery. Only, as for the stones, it is also impossible, they can be seen clearly in the B-ultrasound, so I am sure that the patient has an embolus blocking the renal artery, forming a renal artery embolism." Qin Feng said seriously.

The conclusion of these words made Director Dong on the side fall into thinking, although he showed an expression of sudden realization.

(End of this chapter)