Only when the patient was rescuing an unexpected situation occurred, other doctors rushed to the scene to point it out. Therefore, this other doctor has a very important significance and role, which is equivalent to putting a safety valve on the patient's life.
Although the chief resident position was later criticized by many young doctors as a coolie position because they were too busy and had no money, however, it was really a fuse.
Just think about it, what will happen if there is a problem with this fuse?
In this way, it is understandable why some hospitals later established a layer-by-layer superintendent, with detailed requirements in the executive regulations of the inpatient general.
Thinking of this, Dr. Zhang Desheng couldn't help but look serious. He patted Dr. Zhang on the shoulder again with his palm: "Brother, maybe we two accidentally fell into the pit together."
Dr. Zhang had already thought of the right direction at this time. He didn't say whether he could fall into the pit or not. He only said that the pit surprised him at first: "It's impossible."
"What are you saying is impossible?" Dr. Zhang Desheng urged again.
"Is it possible? He is a male, and he is a middle-aged patient -" Dr. Xiao Zhang said while turning back to look at the patient.
"Why do you pay attention to his age?"
The patient groups of some diseases have a large age and gender bias, and exceptions cannot be ruled out.
Dr. Zhang's eyebrows were extremely worried. He saw that Dr. Zhang Desheng was right in criticizing him, and Dr. Xie Wanying had already uncovered all his leaks with just one sentence.
"Do you think he needs to be transferred to another department for treatment? Do you need me to contact people from other departments for consultation?" Keeping in mind the responsibility of being called in, Dr. Zhang Desheng continued to ask the other party.
"No need." Dr. Zhang shook his head and smiled bitterly.
Lupus nephritis is one of the clinical manifestations of systemic lupus erythematosus. Their nephrology department has never received such patients.
Even if you find someone to consult, you should never go to a gastroenterologist or a general surgeon, but to an endocrinologist.
Fortunately, no one from these two departments came. He would have been laughed to death by everyone in the hospital.
Systemic lupus erythematosus, as we know from the news, is more common among women and among young people.
Look at what the textbooks say: Systemic lupus erythematosus (SLE) is an autoimmune inflammatory connective tissue disease that affects multiple organs and affects multiple organs, mostly in young women.
There is a large imbalance in the incidence ratio between women and men, with the highest incidence among young people, and the proportion among elderly and young children. As for middle-aged male patients: this is extremely rare.
This is where the pitfalls in medicine come from.
Another statement in the textbook is also the reason why Dr. Zhang fell into trouble. The number of early, mild and atypical cases of this disease is increasing day by day.
If this patient's symptoms were not picked out by Dr. Xie's frighteningly sharp academic eye, it would be difficult for a young and inexperienced doctor to associate the patient's atypical and non-specific symptoms alone with the perfect age and gender that could easily lead to misjudgment by doctors. to lupus nephritis.
After getting back the patient's medical record, Dr. Zhang had the urge to tear it up and start over again!
The boss is right, medical diagnosis is the most important. Why, if the diagnosis is wrong, there will be terrible consequences if the step is wrong, and the treatment may be completely wrong.
The first hurdle for all clinically difficult and complicated diseases is basically diagnosis.
In contrast, Dr. Xie, who discovered the problem before him and could immediately find the problem as soon as he looked at the patient and medical records?
Doctor Xie, how old are you? Dr. Zhang had the same question marks as Dr. Ma.
(End of chapter)
