Okay, you said that in such a situation where it is impossible to fully understand, the patient is rescued, and you rush to issue a critical illness notice. Can you be sure that the current diagnosis on the critical illness notice is correct?
Is it just glomerulonephritis? Is it complicated by gastrointestinal ulcer bleeding and leading to critical illness?
Dr. Zhang Desheng first told the truth: "Your patient's condition seems to be much milder than that of the patients in our ICU."
When Dr. Zhang heard this, he was anxious: "What kind of patients are in your ICU?"
The ICU is usually defined as collecting the most critically ill patients in the hospital, otherwise they are not eligible to stay in the ICU.
Come on. Dr. Zhang Desheng gave him a blank look. Can the actual clinical practice be exactly the same as what is written in the textbook?
In fact, the first condition for whether you can be admitted to the ICU is whether the patient's family has financial strength.
Besides, with so many critically ill patients in the hospital, how many beds can be collected in the ICU?
Dr. Zhang Desheng no longer wanted to be polite, and wanted to imitate Song Mao and wink in front of the other party: Don’t send out your critical illness notice randomly.
In contrast to Dr. Zhang Desheng who was very angry when he saw her for the first time, Dr. Xie Wanying was very calm: the phenomenon of randomly issuing notices in clinical practice is too common.
As for the specific reason, the first one must be that the doctor himself made himself unconfident in the first place.
The second most important point is that there is no experience.
It is not impossible to issue a critical illness notice if you want. It is perfectly possible to drag someone into trouble and then issue it. You can report it to the superior doctor first, or ask the hospital chief to discuss it before issuing it.
When you are a doctor, you must have a stable mentality, be ruthlessly stable, don't be anxious, and don't think about fear first when encountering a situation.
The critical illness notice is really not your talisman as a doctor.
Regarding this point, Dr. Zhang may not have been able to wrap his head around it for the time being. He frowned and thought: What I wrote and posted here is the current diagnosis, which is correct.
The current diagnosis does not mean that it must be consistent with the future diagnosis. This is a medical limitation before the test results are fully available.
"Please explain first, why do you say this patient is critically ill?" Dr. Zhang Desheng asked Dr. Zhang as he typed the paper. He must ask clearly why he was called here.
"Vomiting blood."
"How much blood?"
When discussing a patient's critical condition with an ICU doctor, you have to explain clearly how much blood the patient lost at one time.
Doctor Zhang looked back at the patient's bedside: This——
Isn't vomiting blood a serious condition?
That's a layman's perception, okay? You're a doctor.
Just because there are very few patients with vomiting blood in the nephrology department, you have forgotten the knowledge of gastroenterology, right?
Dr. Zhang recalled: "He had a problem with his blood routine, and his platelets were lower than normal."
At this time, Dr. Xie Wanying stepped in and said: "Is this a patient in your group?"
"Um--"
"The superior doctor hasn't returned to the hospital in the past two days?"
"The professor is on a business trip. This patient was not seriously ill at all when he came in."
Nephrology departments are mostly filled with patients with abnormal urine. Patients whose symptoms are not outstanding are not serious in the eyes of specialists like Dr. Zhang.
This proves once again what it means in the medical circle to be separated from one another like a mountain. If you are in another major, you will forget everything. If you are in your own major, you will be so familiar that you don’t need to pay attention.
Dr. Xie Wanying checked the medical records again: "The patient has joint pain. Is it rheumatoid arthritis?"
Doctor Xiao Zhang: Huh?
"You said that the source of his vomiting blood is a peptic ulcer, and isn't the joint pain caused by rheumatoid arthritis in the elderly? Isn't it because the low platelet count indicates that the patient has leukemia?"
Phew~ Dr. Zhang Desheng squirted inwardly. In terms of how to "capture" people as an imperial envoy, he couldn't compare to classmate Xie, because this really requires technical prowess.
Thank you for your support, good night, dear friends~
