At that time, he told the middle-aged man that he was at risk of cerebral hemorrhage. The other party also pointed to Li Quan's nose and called him a black-hearted doctor, thinking that Li Quan wanted to trick him into doing more examinations and want to trick him into the hospital.
It is precisely because he did not follow Li Quan's advice that the middle-aged man ended up where he is now.
Cerebral hemorrhage is a very terrible disease.
The onset of the illness is acute, the condition is dangerous, the condition progresses rapidly, and the prognosis is extremely poor.
Usually the patient will die very quickly. Even if he survives by chance, hemiplegia, loss of mobility and language skills are more likely. Cognitive impairment and so on.
At this moment, the middle-aged man was unconscious and his face was gray, just like a dead man.
If it weren’t for the patient’s heart rate, respiration, and blood pressure displayed on the multi-function life monitor, I’m afraid I would mistake it for a dead person.
Li Quan received a call from the hospital yesterday afternoon.
It means that this middle-aged man has been sick yesterday afternoon.
Ocean-Ocean Hospital did not operate on the patient, but a series of first aid measures should be taken. Otherwise, the patient cannot live until now.
In terms of medical skills and strength, Yuanyang Hospital is only stronger than Huier Hospital.
Why doesn’t it operate on patients?
A terrible thought popped up in Li Quan's mind. There is only one possibility that the patient’s bleeding site is in the brain stem.
It is called the restricted zone of life, and the risk of surgery is extremely high.
General top three hospitals dare not perform this kind of surgery at all.
Ocean Hospital should be able to perform brainstem hemorrhage surgery.
Why not do it?
It must be that the difficulty of the operation is beyond imagination. They were not sure, so they dared not perform surgery, and finally chose to let their families take conservative treatment.
"Hey, what's wrong with the patient's brain waves? Is it not installed?"
Dr. Zhou Chang looked at the patient’s brain waves almost turned into a straight line, but both breathing and heart rate. He thought that Li Quan installed a multifunctional life monitor for a patient for the first time, but it was not installed properly.
"It should be installed, all neurons have been fitted in place."
Li Quan was also a little puzzled.
Dr. Zhou Chang has already started to personally check to see if the sensor probe of the instrument does not fit the patient’s brain in place.
"There is no problem with the installation, this is troublesome."
Dr. Zhou Chang has a wealth of rescue experience. He wrinkled his brows when he discovered that the equipment was not installed in place.
'S face also became particularly solemn.
"Why hasn't Dr. Yang come yet? This patient is afraid that he will not be able to keep it." Dr. Zhou Chang stomped anxiously.
Cardiac arrest, respiratory arrest, there is still the possibility of rescue.
Brain death, there is actually no need to save it.
Because brain death is official death.
No wonder Yuanyang Hospital dare not operate on patients. I would rather transfer the patient to hospital than change the treatment plan.
Conservative treatment is adopted, and the hospital does not take responsibility for the death of the patient.
If a patient dies on the operating table, even if he does not take responsibility, it is not easy to say.
At the same time, it will also pull down some indexes of the hospital.
"Doctor Yang is here!"
As soon as the nurse's voice fell, Dr. Yang walked in.
"I just talked to my family about the patient’s situation and the reasons for the transfer. This patient is difficult to treat, and we must prepare for the worst."
This is the first sentence that Dr. Yang Yu said after entering the rescue room.
Leaders are leaders. They stand at different heights, and their methods of handling things are more advanced than those of Dr. Zhou Chang.
"Li Quan, you seem to have questions?" Dr. Yang Yu focused on Li Quan.
"I..." Li Quan hesitated.
"But it's okay to say it." Dr. Yang Yu's voice was gentle.
"Didn’t you teach us that if you encounter a critically ill patient, you must first rescue it? Why did you come in for the rescue after talking to your family?"
Li Quan boldly asked his doubts.
I am mainly afraid of offending a higher-level physician and being put on small shoes.
"This question is a good question. You will definitely encounter it in the future. First of all, let me explain the reasons why I don't rush to rescue the patient. The patient was transferred from the Yuanyang Hospital. The rescue method that can be used, the Yuanyang Hospital must be I have used it again. No matter how anxious I am, it will not help."
Doctor Yang Yu was not angry, but patiently taught Li Quan the way to deal with such patients.
"There are also patients who are transferred from the outer hospital. You must be extra cautious when receiving them. If you are not sure, you must dispel the risks. If the patient's family is difficult, then you must not be relentless, and you must recommend transfer to a higher level The hospital, or until the patient’s family signs the various risk consent forms."
Doctor Yang Yu said so, Li Quan understood.
No wonder many patients’ family members are complaining, go to the hospital to see a doctor and ask you to sign a bunch of informed and risk consent forms.
"I understand, I will pay attention to it later."
Li Quan nodded solemnly.
Doctor Yang Yu turned his head to look at Dr. Zhou Chang.
"How is the patient's condition?"
"Look, the patient's brain waves are almost flat. Does this have any significance for rescue?" Dr. Zhou Chang cautiously asked for instructions.
Doctor Yang Yu stared at the monitor's screen for a few seconds, and his brow wrinkled.
"Has the critical illness notice been given to the patient’s family?"
"not yet."
Dr. Zhou Chang is only at the hospital level, and the attending is not here. How can he make his own mind?
If Dr. Yang Yu is not there, or if he can’t arrive in time, that’s another story.
"Let’s get critically ill first! Then we will carefully check the patient’s cerebral hemorrhage and the treatment plan."
Doctor Yang Yu has already started to check the checklist transferred from Yuanyang Hospital.
Yuanyang and Whale are both top-tier top three hospitals at the same level. All the checklists were made yesterday and today, so they can be used.
Of course, from the perspective of hospital revenue generation, doctors naturally hope that all examinations will be done in this hospital.
There is another principle. If the hospital for the examination is lower than Whale Hospital, Whale Hospital will definitely not approve it. One hundred percent will ask the patient to be checked again in this hospital.
"From the results of the examination, the patient should be a pontine hemorrhage in a brainstem hemorrhage. It is caused by hypertension and arteriosclerosis. This type of brainstem hemorrhage has a mortality rate second only to medullary hemorrhage. But it is also very high, reaching It’s about 30% to 70%."
"As far as I know, the patient suddenly suffered from numbness in one limb at about 1:00 yesterday afternoon, accompanied by severe brain pain, and was then rushed to the ocean hospital for rescue."
"It has been more than 20 hours since yesterday afternoon, and it can’t last for five hours like this kind of illness. It shows that the rescue measures of Yuanyang Hospital are effective and timely. If our Whale Hospital can save this patient, this is also true. One opportunity. We are far less famous in the field of brain medicine than Yuanyang Hospital. The directors of the Department of Neurology and Neurosurgery of our hospital are already holding their breath."
Doctor Yang Yu said lightly.
Li Quan's heart moved slightly. It seems that Dr. Yang Yu wanted to let Whale Hospital step on the powerful opponent of Yuanyang Hospital.
