Zhao Yuan first looked through the medical records and then stepped forward to examine the patient.
After a moment, his expression darkened.
"Acute pulmonary heart disease, the blood oxygen saturation was checked once every three days, antibiotics were used for seven days, and the amount of body fluid replenishment exceeded the standard. With so much body fluid, the patient had to lie in bed for several hours every day, and the patient did not even have time to eat.
.Director Gao, I suggest you take a closer look at this patient."
As soon as Zhao Yuan said this, the expressions of the dozen or so doctors participating in the training became rich.
They had all heard about Zhao Yuan. After a demonstration operation and a successful aortic dissection operation, Zhao Yuan was now well-known in the hospital and was one of the main competitors in everyone's mind.
Now that I'm participating in the training camp, I definitely want to stay. After all, the opportunity is rare.
According to usual custom, doctors who win first prize in provincial or national competitions enjoy exceptional promotion treatment. They were originally just residents and were directly promoted to senior attending physicians. They were originally senior attending physicians and were directly promoted to deputy chief physicians.
Everyone is holding back their energy and trying their best to stay in the training team.
Everyone has known each other for a long time and knows where each other is coming from.
Everyone knows Zhao Yuan's details.
Despite his young age and even just an intern, he has basically been appointed.
However, on the first day of training, Zhao Yuan is going to challenge the doctors of the Department of Thoracic and Cardiac Surgery. Do you want it to be so exciting?
Gao Qian took the case from Zhao Yuan, studied it for a moment, her face turned livid, and asked her assistant, "Where is Lin Xu?"
"Dr. Lin is at the clinic." The assistant reported softly.
Gao Qian said coldly, "Ask him to come to the ward quickly."
Not long after, Lin Xu hurried over with a smile on his face, "Sister Qian, what's the matter?"
Gao Qian threw the case to Lin Xu and asked, "When was this patient's blood oxygen saturation checked?"
The blood oxygen saturation should be kept above 90% and cannot be lower than 88%. The patient is undergoing cor pulmonale surgery. Reduced blood oxygen will cause difficulty breathing or even hypoxia. Long-term hypoxia can cause respiratory failure.
Lin Xu took the medical records and tried to recall. To be honest, he didn't remember when he had performed a detailed examination on this patient.
In fact, any department in any hospital has become mechanical and cold under today's assembly line-like process, and the treatment plans are exactly the same. If it is determined to be acute pulmonary heart disease, then find a similar case from the database and paste and copy it.
, later treatment will not be tailored according to the patient's recovery situation at all.
When Zhao Yuan said the conclusion of the ward round, his tone was a little serious, because Lin Xu violated the doctor's bottom line when handling this patient.
For example, the most expensive antibiotics are used, and a lot of ineffective Chinese patent medicines are added, and they are all types with high commissions.
This is no longer treating patients, but committing a crime.
Tianhua Hospital is a large hospital with many patients. Generally speaking, a bedside doctor has to take care of many patients. A senior attending such as Lin Xu will let him be fully responsible for the treatment. Higher-level doctors will occasionally supervise and also
It's just a random selection, we won't check one by one.
This is also the reason why once a doctor is promoted from a resident to a senior attending, his degree of freedom will be much higher.
Lin Xu not only secretly exclaimed that it was bad luck, why was it such a coincidence that Director Gao would find his problem today.
Lin Xu has not been in a good mood recently because Jiang Qiang did not choose himself when he was selecting the training roster.
Lin Xu's uncle is a well-known expert in hepatobiliary medicine. He called Jiang Qiang specifically to discuss this matter, hoping to find a place for Lin Xu.
At that time, Jiang Qiang happily agreed, but he did not expect that when the list came down, his name was not included at all.
Although Jiang Qiang went to Lin Xu specifically and patiently explained: The cardiothoracic surgery department is busy with work and lacks manpower, and Lin Xu is the backbone of the department. If Lin Xu is allowed to spend a lot of time on training, it will inevitably affect the normal operation of the department.
Lin Xu was not a three-year-old child, so it was obvious that Jiang Qiang was looking for an excuse to excuse himself.
So Lin Xu was holding a fire in his stomach.
Lin Xu glared at Zhao Yuan, knowing that this kid was looking for trouble, "Don't think that just because you have performed a few operations, you can point fingers at other doctors' patients. I know this patient's situation well, why are you, a trainee doctor, acting like a big tail?"
Wolf?"
Zhao Yuan frowned, "Please discuss the matter."
Lin Xu sneered, "I'm too lazy to talk to you."
Zhao Yuan had considered the mood of the doctor in charge of the bed and kept restraint in his speech. Seeing that he still had no regrets, he couldn't help but shake his head.
Gao Qian's face was as dark as water. Lin Xu was not a doctor in her treatment team.
She could understand Zhao Xu's feelings. Not everyone could calmly digest being grabbed by an intern.
At this time, the patient suddenly changed.
Zhao Yuan was the quickest to realize something was wrong and loudly issued an order, "Hurry up and prepare an oxygen therapy machine to provide oxygen."
The nurse quickly put the patient on an oxygen therapy machine, and his breathing condition improved significantly.
Subsequently, the patient's blood oxygen saturation also came out, which was only 70%. This indicator is very low and cannot be seen on the surface. It indicates that there may be inflammation in the patient's lungs for a long time.
Lin Xu was stunned at this moment and could no longer speak.
The patient's condition worsened, happening right under his nose, like a bolt from the blue.
He read the emotions in everyone's eyes.
ridicule, contempt, ridicule...
I was actually educated by an intern, and he was also an intern in the emergency surgery department!
Gao Qian's tone became cold and she didn't look at Lin Xu again. "Don't quibble and explain. Adjust the treatment plan quickly. The patient's condition must be adjusted within one day. In addition, the patient must pay out the extra medical expenses.
Otherwise, I won’t give up!”
Gao Qian's final solution made Zhao Yuan feel much better.
Although there are some disgusting cockroaches in the team, most of them are colleagues with extremely high professionalism.
Next, the ward rounds continued without any other accidents.
At the end of the ward rounds, Gao Qian made a simple summary and announced the end of the first training camp.
Later, Gao Qian went to Jiang Qiang to report what happened during the training ward rounds just now.
Jiang Qiang was silent for a long time and sighed, "Let Lin Xu write a self-examination letter. In addition, tomorrow the department will conduct a self-examination first, and I will conduct a major inspection the day after tomorrow. If similar situations occur again, I will severely punish him."
Returning to her office, Gao Qian was not only angry but also a little ashamed.
The incident happened in the ward of the Department of Thoracic and Cardiac Surgery. The doctors in the training team came from many departments, and it felt like the family scandal was being exposed.
Gao Qian ate two pieces of chocolate and gradually calmed down.
She also had a preliminary understanding of Zhao Yuan's abilities.
Through physical examination, it can be inferred that there is a problem with the patient's blood oxygen saturation!
How many years of clinical experience does it take to develop such an eye!
