【1089】It’s not easy to clean up the mess caused by our peers

Geng Lingfei brought her a chair and helped her sit on the chair to let her rest for a while.

"Thank you." Fan Yunyun said.

"Thank you." Geng Lingfei turned his head, thinking that if he could move faster and look better, this kind of thing would not happen. Explain that you and she need to continue exercising. Don't blame Teacher Xie for telling him to do physical exercise.

"It's sudden." The nurse explained to Xie Wanying and Song Xuelin. "The patient may be confused and doesn't know what he is doing."

When the fever reaches a certain level, the brain cannot withstand it. Now the patient's body temperature is 40 degrees Celsius. Xie Wanying speculated that the patient was likely to develop severe acute obstructive suppurative cholangitis. If this continues, systemic toxemia and toxic shock will kill people.

Simply using physical means to reduce fever or giving antipyretic injections will only treat the symptoms but not the root cause. Fever is just a symptom of illness, and obstruction is the most terrifying and life-threatening disease.

It is necessary to find out where the obstruction is.

The medical record stated that the T-shaped drainage tube could not be removed after the operation, and the patient's drainage fluid did not meet the extubation index.

Normal postoperative drainage fluid should be clear and transparent yellow or yellow-green, without pus, sediment, floc, or turbidity, and the drainage volume will gradually decrease. Take a photo of the bile duct to see if the bile duct is unobstructed. Try to clamp the tube. If the patient has no symptoms such as fever, it can be removed.

Now, this patient cannot reach any of the indicators and cannot be extubated. Patients and their families who cannot have the tube removed are very irritable. Patients cannot always live and work with a drainage tube, so they have reached the limit of their tolerance for the original hospital's technology.

It stands to reason that there are several infectious diseases hospitals in the capital, and the one the patient went to is not the most famous one, but its technical reputation is not too bad. I can only say that this obstruction is very difficult.

If obstruction occurs again after surgery, if the situation is not right, you will need to go to the operating room again for treatment. It happened that this patient was HIV-infected and had low immunity. It is estimated that the doctors at the hospital took this into consideration and did not dare to send the patient to the operating room for another laparotomy. They were afraid that the patient would die on the operating table and be unable to get off the operating table, and the problem would be even greater.

The experienced nurse frowned and knew that the body would have to be collected in this situation. Who asked them to work the night shift tonight were two newcomers to the wheel department, so they couldn't be counted on.

"Do you want to call Dr. Tao?" the nurse asked the doctor on duty.

Neither Song Xuelin nor Xie Wanying heard her words, and they were concentrating on palpating the patient's abdomen and checking the drainage tube. The patient did not have the conditions to go to the operating table for emergency surgery, so he could only think of ways to deal with the drainage tube.

"The patient didn't bring the CT scan taken at the previous hospital, did he?" Xie Wanying turned around and asked the servant.

"Probably not," the nurse said. If so, they will be given together with the medical records when they are first submitted to the doctor.

Upon hearing this, Geng Lingfei ran out to help the teacher ask the patient's family members.

Not really. The doctor over there may have forgotten to give it to the patient. The patient's family did not ask for it from the previous hospital. If the patient was transferred to another hospital, the doctors at the previous hospital should have been more responsible and handled these details so that the patient could be transferred safely. There is only one possibility. There is too much conflict between the doctor and the patient's family. If the patient wants to leave, let him leave quickly. The mentality is equivalent to getting rid of a burden. These small details will not be remembered and done.

Colleagues who are dumping the burden will not take care of the medical unit and doctors who take over, so they are acting hooligans if they do not contact the unit that receives the patient first.

Song Xuelin stood up and took another breath. He needed to continue to adjust his mood, and he was almost pissed off.

It’s very troublesome not having a CT scan. Only CT scans can clearly show where the obstruction is.