Based on this patient's atypical symptoms, which are easily misdiagnosed and missed, 99% of the time the correct diagnosis will require waiting for all the test results to come out, the professor to hold an academic seminar after returning, and even waiting for a period of treatment before re-determining the direction of suspicion.
If the patient is really transferred to the Department of Gastroenterology or General Surgery tonight, it is possible that after going to these two departments for treatment for a period of time, something goes wrong and then he is transferred back to the Department of Nephrology or Endocrinology.
Some patients in the hospital are constantly being transferred from department to department. Because the patient's symptoms are not typical, they just don't meet the right doctor's diagnostic thinking, and the diagnosis is not accurate.
The more I think about it, the more it becomes clear that Xie Qincha’s medical prowess is 100%.
Wait, Chai Xie is a surgeon.
Dr. Zhang looked at the chief resident of the internal medicine department and wondered who the chief resident of the internal medicine department would be tonight.
Dr. Zhang Desheng put on his glasses: I only knew that I was right to come to Xie, and finally I didn’t let myself fall into the trap.
Next, returning to the thorny issue, Dr. Zhang flipped through the medical records and found the critical illness notification he sent to his family members.
Now, how should he go back and tell his family? Let’s not talk about it for now. First, adjust the treatment plan for the patient. The most important thing is to bring the patient back to life.
Just as I was thinking this, a group of people came walking in the corridor.
This is another family group of female elderly patients with 13 beds.
"What do you need to see the doctor for?" the nurse asked the family members when they met on the way, for fear that someone would cause trouble.
Unexpectedly, these family members understood the doctor very well and said: "Didn't the doctor say before that my mother cannot be cured? Because it is a custom in our village that people who die must return to their hometowns to return to their roots. If they did not die in the village, they will not be allowed to return to the village."
She was buried, so after discussing it, we now want to arrange for my mother to be discharged from the hospital."
The sweat on Dr. Zhang's back suddenly broke out again.
"No, the doctor didn't say your mother was going to die." The nurse reminded the family members kindly.
"Isn't it true that the critical illness notice is issued and that there is no treatment?"
In the critical illness notice, the doctor wrote down a lot of problems that made it difficult to save the patient. Naturally, the first thing family members understood was that the patient could not be cured.
Why do family members think that instead of continuing to work hard and try their best to treat the disease, there is no cure? It is precisely because doctors prevent the patient's family members from causing trouble because they know that the family members have no money. These family members also think simply. Their financial conditions are indeed limited, so they can only choose to give up.
The first type of patients who are most likely to be abandoned in this situation are the elderly in bed 13.
In fact, the children cannot bear to see their elderly mother continue to suffer in the hospital. Anyway, the doctor said that there is no cure, and it would be better for the elderly to return to their hometown and die quietly.
Since there was a missed diagnosis, Dr. Zhang is now unable to be confident that the three critical illness notices he sent out tonight are all correct.
At this moment, he had no choice but to hurriedly grab the chief resident of the internal medicine department and say privately: "Doctor Zhang, please help me look at the medical records of 13 beds."
Dr. Zhang Desheng broke into a cold sweat and asked what he should do now.
He is the same young and inexperienced Zhang.
Dr. Xie Wanying then received a look of help from Classmate Zhang: Classmate Xie, by the way, it all depends on you.
Doctors face many clinical problems, not just technical ones. How to communicate with family members is a very difficult life skill.
What to do like tonight?
Dr. Xie Wanying quickly exchanged glances with Sister Wen, then turned to the 13-bed family group and said, "We just have an expert here tonight who can consult with your mother."
Thank you for your support, good night, dear friends~