Obviously, even if Li Quan is the dean, he is of little use in front of patients and their families.
They only recognized the medical skills of one doctor.
Not to mention the director of the hospital, even the director of the Health Bureau, if the medical skills are not good, they will not approve and trust it.
Li Quan faced the doubts of patients and family members and ignored them.
Instead, first put on the mouth mask, and then let Luo Wenhao and others put on the mask. Then he stared at the patient and continued to ask, "Before you fell, did you have night sweats while sleeping and your appetite was significantly reduced? If nothing else, your body temperature must be higher than normal."
The boy who originally doubted Li Quan had a shocked expression on his face.
"Uncle doctor, I have all the symptoms you mentioned. Is it true that my illness is not caused by a fall?" The boy is fifteen or six years old, and he should have started high school.
is quite assertive.
After Li Quan said all the symptoms before his fall were correct, his suspicion of Li Quan's medical skills has decreased a lot.
The boy’s parents saw Li Quan and several other medical staff suddenly put on masks, and they felt a strong sense of anxiety.
"Let’s do a blood routine first, then the cause will naturally be clear."
As soon as Li Quan’s voice fell, Luo Wenhao had already begun to write an examination application form to the patient.
"Have you been with your child all this time?" Li Quan asked the child's parents.
"We have been with the child since the child fell at school in the morning." The child's parents are somewhat nervous at the moment. They don't know what disease the son is suffering from?
"You guys put on the mask first!"
Li Quan took out three more masks and gave them to the patients and their families.
"Doctor, what kind of disease is our son suffering from?" After the child's parents took over the mask, they were a little flustered.
"It’s not confirmed yet, but I suspect it is tuberculosis. This disease is very contagious. Later, your son will have his blood test done. If he really has tuberculosis, then you must also have a blood test."
Li Quan said to the two family members in a very serious tone.
"How can this be possible? Isn't tuberculosis just a cough? How can it cause lumbar pain and unable to sit or walk?" The family still didn't believe it.
"Go for an emergency blood test first. Dr. Tang, you accompany them. Be careful not to let them spread to others."
Li Quan handed this errand to Tang Zhengyuan.
Hospitals are densely populated and highly mobile. There are really infectious diseases, causing cross-infection and spreading, and the consequences are disastrous.
So, when you go to the hospital, it is best to wear a mask to protect yourself.
Because no one knows what disease other patients have?
There is not much difference between emergency blood routine and ordinary blood routine. But the time to results varies greatly.
General blood routine, if the amount of specimens submitted for examination on the same day is large, it may take more than an hour to get results.
Hospitals generally require results within half an hour to one hour.
Emergency blood routine, usually results can be obtained within 15 minutes.
To put it bluntly, it is to give priority to inspection.
When the receiving doctor thinks that the patient is in an urgent condition and requires emergency surgery or emergency treatment, he will apply for an emergency blood test. This patient is most likely suffering from the highly contagious tuberculosis.
Li Quan applied to patients for emergency blood routine, which met the requirements of the hospital.
……
It didn’t take long for the patient to return after completing the blood routine.
At this moment, the expressions of the two family members collapsed.
The woman’s eyes were filled with tears.
The man's brows were frowning.
Originally, they thought their son was an ordinary fall injury. After completing the blood routine, the results of the examination caused them to collapse.
Li Quan’s diagnosis was fulfilled.
Their son really has tuberculosis.
"Dean, the patient had a tuberculin test and it was positive. Routine blood tests showed that the white blood cell count was higher than normal."
Tang Zhengyuan's tone is serious.
At the same time, there is still a trace of worry between the eyebrows.
Because they did not do any protection when they treated the boy before.
TB is very contagious. It can be spread through saliva and droplets.
Being a doctor is actually a very dangerous profession.
"Since the diagnosis has been made, immediately send it to a tuberculosis specialist for treatment!" Li Quan is in orthopedics, not infection. He can't cure tuberculosis.
Moreover, this kind of infectious disease is generally treated in isolation.
There are no conditions here.
"Family, you also have to do a tuberculin test. If it is negative, it will be fine. If the result is positive, you must be hospitalized immediately. Prevent transmission to others."
Li Quan said to the boy’s parents.
In addition, you don’t have to have any ideological burdens. Tuberculosis treatment technology is already very mature. As long as you cooperate with doctors for diagnosis and treatment, you will soon recover and be discharged.
Looking at the middle-aged couple with a frightened expression, Li Quan comforted them.
"Doctor, can you tell us that my son has tuberculosis. Why does it cause low back pain and unable to sit up?"
The boy’s father asked.
"The earliest infection of your child should be tuberculosis. The failure to detect and treat it in time caused the tuberculosis bacteria to spread in the body and damage other body tissues.
When they invade the vertebrae, it becomes a relatively rare form of bone tuberculosis.
Your child fell off the bed, it should be just an incentive. Even if there is no such fall, there will be symptoms of inability to sit, stand, and walk.
Now diagnosed in advance is a good thing for your children. "
Li Quan patiently explained to the family members.
Bone tuberculosis is a destructive disease caused by Mycobacterium tuberculosis invading bones or joints. Most of the affected parts are bones or joints with heavy load, many activities, and prone to strain. The best part is the spine, followed by hips, knees, feet, elbows, hands, etc.
Early diagnosis of bone tuberculosis is difficult.
Experienced doctors often need to conduct comprehensive analysis and diagnosis based on medical history, physical signs, imaging, tuberculosis culture, pathological tissue, blood examination, epidemiology and other data.
Li Quan also encountered this disease for the first time.
Now helping patients to diagnose in time, this is the greatest contribution.
As for the follow-up anti-tuberculosis treatment, in fact, don't worry too much.
Because the current technology is very mature, Whale Hospital has a tuberculosis specialist, which will definitely cure this patient.
"Teached! No wonder you can become the dean at such a young age. The medical skills are indeed very good." The man should have a good degree of education and speak well.
"Mr. Hou, you're overwhelmed! By the way, because your son is suffering from highly contagious tuberculosis, according to the regulations, we need to register. All information about the school your son is attending must be provided in detail."
According to the hospital's regulations, infectious diseases should be registered and reported at various levels.
Every hospital has a person in charge of the daily work of infectious disease epidemic management.
Once an infectious disease is found, report it to the CDC immediately according to the level of the infectious disease.
"Row!"
Hou's family now respects Li Quan very much.
Li Quan arranged for Hu Yueer to help the patient and family members to do a detailed registration, and then sent Tang Zhengyuan to take the two people to a tuberculosis specialist treatment.
After the patient left, Li Quan arranged for someone to come and kill the outpatient.
Fortunately, there are no patients today.
Otherwise the consequences will be disastrous.
Don’t think that tuberculosis is just a Class B infectious disease, not the highest class A, but it is extremely harmful.
In crowded places, if the patient keeps coughing, a large number of tuberculosis bacteria can accumulate in the air.
Other healthy people inhale into the respiratory tract and are easily caught.
"Dr. Luo and Hu Yue'er, you two did not take protective measures when you were diagnosed and treated just now. Therefore, according to the regulations, you need to isolate and observe for two days, and then do a tuberculin test. There is no problem before you can continue to work.
This is to prevent doctors from spreading to patients.
In fact, from this incident, it is also reflected that Luo Wenhao, Tang Zhengyuan and others are not strong in security awareness.
If you find that the patient is coughing, put on a mask in time to protect it, and you don’t need to be isolated.
After making arrangements, Li Quan quickly took the registered information and asked the staff of the hospital's infection management department to immediately report to the CDC.
This case must be taken seriously.
The boy was a student and was studying at school when he became ill.
The risk of transmission is extremely high.
Students are the future of the motherland, and their health and safety must be protected.
After the City Center for Disease Control received the report, it also attached great importance to it and immediately organized personnel to go to the school where the boy was studying for investigation.
……
Li Quan became the dean on the first day, and he felt quite fresh.
Slowly I get used to it.
As soon as he returned to his office, He Yuanzhu gave him a compiled and latest department business report for review.
The business situation and personnel situation of each clinical department are indicated above.
As the dean, you must look at the overall situation and focus on the business development and talent management of the entire hospital.
These reports are very clear, the data is transparent, and they can be understood at a glance.
I don’t know, I was surprised at first glance.
He found that since He Zhen became the dean, the business volume of the entire Whale Hospital has been shrinking in the past two months, which is really shocking.
In some departments, the business has shrunk particularly sharply.
For example, the department of Chinese medicine has shrunk by almost 99%.
The obstetrics and gynecology department shrank by 17%.
The brain department shrank by 21%.
Neurosurgery and Neurosurgery are twin brothers. Each shrank by 15%.
The emergency department shrank by 18%.
If you compare the business of a hospital to the water in a lake. Then the emergency department is equivalent to the largest inlet of the lake.
The shrinkage of individual departments may only prove that there is a problem in this department.
When the emergency department business of a hospital begins to shrink, it must be highly regarded. Because it means that the entire hospital’s business has gone wrong.
There is fierce competition among the major hospitals in the magic capital.
Even if the original level is maintained, medical skills and equipment have not kept pace with the times, and business volume may decline. Because you are not improving, other hospitals are improving.
He really became the dean for two months, and he kept on dying.
Kicked Li Quan away, and the US expert team also left. Then Professor Liu, the biggest golden sign, was so angry that he became ill and eventually retired. There are also various departments who violate the regulations and promote incompetent people to important positions.
Such all kinds of deaths are added together, Whale Hospital desperately drove backwards here, and other hospitals are all working together.
While Hospital’s business shrinks sharply, it is inevitable.
The most puzzling is ophthalmology, which has shrunk by 37%. The atrophy is severe, ranking second only to TCM departments.
is the department with the worst performance.
"If the business decline cannot be restored, it is estimated that my dean will not work long."
Li Quan is very self-aware.
When meeting in the morning and pushing Li Quan to the throne of the dean, the veteran leader surnamed Guo said that he should be prepared for a heavy burden.
Now that he understands the situation of each department, Li Quan feels that the burden on his shoulders is more than heavy?
is heavier than ten thousand catties.
Looking at the various departments like a mess, Li Quan knew that it was impossible to pull all the departments up at once.
can only come one by one.
Ophthalmology is the most serious, so the ophthalmology disease is treated first.
"Director Hu, come to my office."
Li Quan wants to help the ophthalmology department to boost its business, he must first understand the actual situation of the ophthalmology department and find out the reason for its sharp decline in business.
Soon, Director Hu came in.
"HI, Lee!"
Xen followed Director Hu and walked in.
His old face is full of smiles.
"Li, our research encountered a problem, and you promised to help us solve it. Do you think you can help us now?" Xen asked.
"Let's go! I'll be there soon!"
[Reading red envelopes] Follow the public.. public account [Book Friends Base Camp], reading up to 888 cash red envelopes!
Li Quan asked Xen to help a lot today. The other party has fulfilled his promise and gave him the results of years of studying blood diseases.
Now ask Li Quan for help, Li Quan will naturally not refuse.
"Director Hu, you first secretly investigate the cause of the sharp decline in the ophthalmology business, and you will report to me later." Li Quan confessed and followed Xen to the laboratory to help solve the problem.
Able people should do more work.
He found that the greater his abilities, the more things become.
is getting busy.
……
The problem that helped the Xen team solve this time was a bit difficult. Li Quan was busy until he got off work, but still couldn't solve it.
No way, after having dinner in the hospital with this group of American experts who had spent time and sleeplessly doing research, they had to continue to help with experiments.
At this moment, Li Quan's cell phone rang.
"Dean, can I see you now?" Dr. Wen sent a message.
"Yes! You can come directly to Lab 2." Li Quan returned a message to her and continued her research.
Not long after, Dr. Wen arrived.
She knows the rules very well, standing at the door knocking.
"Come in!" Li Quan felt that Dr. Wen was not an outsider.
"Hi!" Dr. Wen smiled and waved, and greeted Xen and others.
"Hello!" Xen, a Chinese expert, also nodded with a smile in response.
"Dr. Wen has anything to do with me?" Li Quan asked without raising his head. He is concentrating on experimenting.
is mainly to test the response of Chinese medicine to those cultured hematopoietic stem cells.
"Well... Or I will accompany you to do the experiment first. Let's talk when you are finished. I am also afraid to interfere with your experiment." Dr. Wen's eyes flashed.
It seems that what she wants to say does not want to be known by outsiders.
