"How is the patient?"
When Lin Yi and Fang Xiaoran pushed the patient into the emergency room, Lu Chenxi, who was patrolling the bed, immediately came up to him.
While auscultating the patient, ask about the condition.
[Tip: The patient is complicated by adhesive intestinal obstruction. 】
"The patient had a sudden acute appendiceal perforation and was complicated by adhesive intestinal obstruction, and emergency surgery must be initiated."
Follow additional system prompts.
Lin Yi immediately told the patient's condition.
"Patients transferred from the general surgery department? Isn't there enough room in their operating room?"
"The general surgery department doesn't even come to stay with the doctor!"
Lu Chenxi's face immediately darkened.
"Who is the chief surgeon? If something goes wrong, whose fault is it?"
This time the central hospital was expanded and an operating room was specially set up in the emergency department.
Generally, surgical procedures that can be performed in the emergency department are performed within the department itself.
If the operating rooms of other departments are full and patients are in urgent need of emergency surgery, in principle, they can also use the emergency department operating room for surgery.
But the possibility of this happening is extremely slim.
No matter how minor a surgery is, there may be unpredictable risks.
If problems arise when borrowing operating rooms from other departments, the division of responsibilities becomes troublesome.
Lin Yi introduced the patient's condition in such detail.
Lu Chenxi took it for granted that the patient should be transferred from the general surgery department.
"Teacher Lu, the patient was not transferred from the general surgery department."
Facing Lu Chenxi's stern questioning, Lin Yi answered carefully.
"She suffered a sudden emergency while queuing outside the emergency department."
"What!"
Lu Chenxi's voice suddenly rose an octave.
He stepped on the brake of the flat car and the vehicle stopped firmly at the door of the operating room.
"You are saying that this has just happened to the patient."
"Then what tests have you done? And how do you confirm it?"
"The patient's abdominal pain is due to acute appendiceal perforation, accompanied by concurrent adhesive intestinal obstruction!"
Lu Chenxi's scalp almost exploded.
Even if the patient has undergone some routine examinations, these two people cannot pass their own judgment.
He made such a clear diagnosis to the patient and activated the emergency surgery mechanism.
How could these two little residents have the confidence to make their own decisions?
I have to ask her as a teacher anyway!
"yes!"
"How was he diagnosed."
Fang Xiaoran, who was following the cart, also looked at Lin Yi blankly.
There are many causes of abdominal pain.
This patient kept his teeth tightly closed from beginning to end, and didn't reveal even a hint.
"The patient's abdomen is swollen and hardened, his pulse is stagnant and blocked, and his breath is foul-smelling..."
"There are various signs that the patient has suffered a serious perforation of the appendix and must undergo surgery immediately."
Of course, there is no way to tell the existence of system prompts.
Lin Yi could only combine his two lifetimes of medical experience to organize his language and explain his diagnostic methods.
"What a weird way to diagnose!"
Lu Chenxi and Fang Xiaoran looked at Lin Yi like fools.
Bloated stomach, bad breath...
No matter how it sounds, it sounds a bit like the way traditional Chinese medicine deceives people.
The key is!
No matter how famous the old Chinese medicine doctor is, he can't even diagnose perforations and adhesions using Western medicine's judgment methods, right?
Lin Yi's diagnosis methods and treatment plans are more like the combination of traditional Chinese and Western medicine.
There is no convincing basis at all.
"Dr. Fang, immediately perform an abdominal B-ultrasound and electrocardiogram on the patient...immediately determine the specific cause of the patient's abdominal pain."
Lu Chenxi immediately issued the latest inspection instructions.
She now understood a little bit why the director wanted to rub Lin Yi.
This Lin Yi not only has a very reliable surgical teacher, Professor Cao.
But he also studied a very unreliable major, general medicine.
Lu Chenxi felt it on his first day at work.
This so-called general practitioner is so unreliable in treating patients!
No wonder the employment scope of this profession is limited to community hospitals at the small clinic level.
All diseases can be treated with a headache and a cold. Isn’t this nonsense?
"Let go!" Lu Chenxi shouted sharply.
Looking at Lin Yi's hand, he was still pressing hard on the patient's right lower abdomen.
She couldn't wait to step forward and slap this guy twice.
"I don't care what major you majored in."
"But you should know that when you diagnose appendicitis, you cannot press the affected area at all. This will only aggravate the patient's pain!"
This should be common medical knowledge that a doctor should at least understand.
"You can't let go, Teacher Lu. If I let go, the patient will probably faint from the pain."
Lin Yi quickly explained to Lu Chenxi.
It’s not that he doesn’t understand why appendicitis patients shouldn’t press hard.
But the system gave such a counterintuitive prompt.
Fortunately, after being prompted by the system and pressing at the appropriate location, the patient's pain was indeed relieved.
"You still know that I am a teacher!"
"Let go now or get out of my emergency room!"
Lu Chenxi was so angry that he just wanted to hit someone. He had never seen such a self-righteous doctor.
When the cause of the disease is unknown, pressing the patient's abdomen forcefully can easily cause secondary injury to the patient.
"All right!"
Lin Yi withdrew his arm unwillingly.
He didn't want to be sent back to his hometown on the first day of work.
And although the patient's condition is urgent, it is not yet life-threatening.
As long as the cause of the disease is determined quickly and surgery is performed immediately, the impact will be within control.
"Ah...it hurts..."
Just as Lin Yi withdrew his hand.
The patient suddenly trembled all over, big beads of sweat dripped down his chin, and he groaned in pain.
"Teacher Lu, the patient's heart rate is extremely unstable and there is a possibility of shock at any time!"
Fang Xiaoran, who was doing an electrocardiogram on the patient, reported anxiously.
"Um?"
"what's the situation!"
Lu Chenxi hurriedly approached the patient, opened his pupils, and scanned left and right with a penlight.
How could the various indicators that were relatively stable just now have such huge abnormalities?
"Prepare for adrenaline injection." Lu Chenxi ordered decisively.
If the patient's condition worsens, he may even go into shock.
Rescue measures must be used decisively.
"I come!"
Lin Yi was under everyone's surprised gaze.
Stretch out your palm and press it on the position you just pressed.
"call......"
Although the patient was already in a semi-conscious state, everyone could hear the loud gasping from the heart clearly.
The stiff and trembling body began to gradually relax.
Even the expression on his face changed from extremely painful to relieved.
"this......"
The nurses and doctors around looked at Dr. Lu, and then at the patient on the bed.
I don’t know what to say.
"What are you doing standing still? Hurry up and continue the inspection!"
Lu Chenxi's face turned dark, and she felt a little broken inside.
It seems that only the legendary acupuncture can achieve such a miraculous pain relief effect.
Anyway, use the medical knowledge she has learned.
There is no way to explain the situation in front of me...