BXBX NOVEL Chapter 1410: 【1410】Inpatient department and emergency department are different
call. Director Zheng breathed a sigh of relief. It was too hot in the room and he needed to calm down. He said, "Crohn's patients are like this. Once there are various complications, it is difficult to treat. The timing of the operation must be well controlled."
"The operation they performed on him before did not know how to do it, and it did not achieve the purpose of completely draining the pus. Now the patient has a sudden high fever and convulsions after being transferred to our hospital, and then there is a possibility of blood loss. Although the patient was introduced by Director Yang, but, In this situation, it is basically difficult for surgery to operate again." Li Guoxin said, pointing the finger at the doctor who decided to admit the patient to surgery today.
"It was said that you discussed it in the emergency department before deciding to admit it to our surgery." Director Zheng seemed to have asked Section Chief Yang a similar question and asked a question.
"I wasn't in the department during the day, so they accepted it." Li Guoxin clarified, "It was said that Director Yang wanted to accept it, so how could I not accept it."
Dr. Jiang was about to scratch his head, but Director Yang didn't lie. In the emergency department, they decided to admit the patient to surgery after some academic debate. Later, he told Li Guoxin about the situation at that time, maybe Li Guoxin didn't remember his words or didn't take it seriously.
The superior doctor is always very busy, and when the patient is admitted, he is admitted. No matter what your emergency situation is, after you come in, you must only follow the strategy of the inpatient ward. Because after the attending doctor took over, the patient's treatment plan was all based on the idea of the attending doctor in the inpatient department, and he would not care what the doctor said before.
"That's right, Director. We discussed it this morning, and we agreed that—" Dr. Jiang, afraid of being held accountable by Section Chief Yang later, stepped forward and explained it to his superiors again, "The patient must be drained first, otherwise the patient will be collected. Internal medicine is also useless, so I received our general surgery one."
"Your patient's condition needs to be drained again, so he can only have another operation. He doesn't have the conditions to have another operation, don't you know?" Li Guoxin scolded Dr. Jiang. If you accept a patient, you have to look carefully first. You really can't accept it and make it clear to the leaders.
The patient was transferred to the emergency department of the National Association in the morning, and it was almost noon when the procedures were completed and he was transferred to a surgical bed for admission. The hospitalization process was very fast, but Li Guoxin, the attending doctor, was not met.
Li Guoxin has to do a whole day of surgery. The number of surgeries in the tertiary hospital has always been huge, and the surgeon is too busy to hang around in the ward. In addition to the routine rounds in the morning, Li Guoxin is basically not in the ward, busy with surgery, busy with outpatient and emergency visits and consultations, busy with meetings, busy with research, busy with a lot of things to spare. Doctors have a lot of chores.
And according to the practice of the hospital department, the newly admitted patients in the ward should be handed over to the doctor below to deal with the newly admitted patients, so as to exercise the ability of the people below. When he actually looked at the patient and medical records, it was time for the ward round the next morning. Anyway, new patients are checked first. It's not too late to discuss until the results of the inspection come out. The doctor's prescribed treatment plan must be based on data at hand.
What if the newly admitted patient is rescued? According to the rules of General Wai Yi, the attending doctor must be in place. Li Guoxin came tonight, and at first glance, he realized that the patient's situation was more difficult than he imagined.
(end of this chapter)