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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 247

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Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 247
The test indicators above even include those from last year and the year before. This familiar action is not the first time.

It is indeed a bit ridiculous to use the previous test report to get by.

Xiao Chenguang did not take it, but asked: "There are hundreds of diseases that can cause abdominal pain. How can you be sure that he will be cured after a painkiller injection and two days of infusion? What if he needs surgery?"

After this, the family members were stunned and showed an expression of unimaginable.

"Ah, surgery? How much does it cost? Just a painkiller injection and two days of infusion is not enough. This is how it was treated in other places before. Why is it not working here? Are you deliberately cheating us?"

The family members looked questioning, as if things were not done according to her ideas, and the hospital was deliberately cheating money.

Hearing this, Xiao Chenguang hadn't spoken yet, and Gu Ting on the side was unhappy.

She could allow the family members to ridicule her, but she couldn't stand someone who dared to question and insult Xiao Chenguang's medical ethics.

"How can you say that? Director Xiao's appointment with the experts is usually not available. People queuing up rush to the hospital from home at dawn, and they have to wait for a whole morning to see an appointment in the afternoon."

"Director Xiao can come here to see your wife in the middle of the night without rest, and you are still not satisfied. Ask other family members present, how envious it is to be able to see Director Xiao."

As soon as Gu Ting finished speaking, other patients and their families who were receiving infusions and injections in the observation room nodded desperately, agreeing with what Gu Ting said.

"Is he so powerful?" The middle-aged woman looked at the young Xiao Chenguang suspiciously.

She didn't believe it at first, but the attitudes of the people around her made her feel a little uncertain.

Xiao Chenguang ignored her and turned to look at the patient.

The patient on the bed was bent like a shrimp. His lips turned white in pain and his whole body was trembling. In a moment, his clothes were soaked, and even the sheets were soaked.

"Your skin is damp and cold, and you have obvious abdominal distension and pain. Physical examination alone cannot confirm the diagnosis."

"I need to call the imaging room and the laboratory immediately and push you over for an examination."

"If you want to do it, come with me. If you don't want to do it, sign the informed consent form for refusing the examination."

Xiao Chenguang didn't have time to waste with him and directly put the choice in front of him.

"Do it."

The patient's face was pale and his teeth were trembling. Even he himself felt that the situation today was different from before.

But when the family members saw the series of examination forms, they were instantly anxious.

"Don't try to fool me!"

"Every time I check up, it's the same problem. I've checked it all in my hospital. The most serious one is cholecystitis. I've shown you the orders I made before. Why don't you believe me?"

"Are all your doctors taught by the same teacher? They will write test orders whenever they have something to do. A CT scan is worth half a month's salary for me. Do you think my family earns all the money from the wind?"

"You are afraid and dare not give my man a painkiller injection. I will go to other hospitals to get it. People can hang themselves on a tree."

The observation room was originally a little noisy, but everyone was silent under the sudden shouting of the middle-aged woman.

Only the family members were unwilling to give up, and their voices were particularly harsh in the emergency department.

Seeing that the family members were about to leave, Xiao Chenguang did not stop her, but the next second, the patient on the bed seemed to have a change in condition.

"Don't... go, I feel something is wrong."

The patient seemed to have just been pulled out of the water at this moment, with blurred eyes and a little blurred consciousness.

He was trembling, stretching out his hand, his face was frighteningly pale, and his whole expression was like he was asking for help.

This strangeness scared the family member who had just cursed.

"Husband, what's wrong with you? How did you become like this?"

The family member hurried to the bedside, and as soon as he touched the patient's hand, he was immediately scared.

"It's so cold, why is your body so cold?!"

The family member looked panicked, no longer arrogant and domineering, and was completely dumbfounded.

"Gu Ting, did the patient's blood pressure measure when he first came to the emergency room?"

In this case, the patient couldn't leave even if he wanted to.

A large number of diagnoses suddenly emerged in Xiao Chenguang's mind, and he was screening and checking.

"When the patient came, he had obvious abdominal pain and high blood pressure, 160/98mmHg."

"Measure him again."

At this time, Xiao Chenguang's fingertips had already been placed on the patient's radial artery, and suddenly a weak and turbulent water wave came.

Is this, abdominal aortic aneurysm rupture and bleeding?

An extremely fierce but rare diagnosis appeared in Xiao Chenguang's mind.

"The patient's blood pressure is only 80/27 mmHg, and the heart rate is 155 beats/minute. How could this be? I just measured my blood pressure.It was still very high, how could it drop so much in just a short time. "

After Gu Ting measured the patient's blood pressure, she was in doubt.

Although she had just come to the emergency department, she was very clear about her ability and it was impossible for her to not measure blood pressure accurately.

But the situation in front of her instantly made her think of a possibility.

"Director Xiao, he has a history of cholecystitis. Will it perforate and cause internal bleeding in the patient? Do I need to measure his blood pressure again?"

"No, this is his blood pressure. "

Xiao Chenguang didn't expect Gu Ting to have a keen sense of smell for diseases, but the risk of bleeding caused by gallbladder perforation is not so obvious.

As for retesting blood pressure, it is even more unnecessary.

Although the emergency department was equipped with a unified mercury sphygmomanometer in 1999, it requires the coordination of hands, eyes and ears to measure, and the error is relatively large.

But Xiao Chenguang is very sure at this time that the blood pressure mentioned by Gu Ting is the patient's current condition.

He looked at the confused family members with a serious expression, and a low and cold voice sounded in the observation room.

"The patient's abdominal pain this time has nothing to do with the gallbladder, but the risk of pseudo-rupture of abdominal aortic aneurysm is considered."

"You have seen the blood pressure. The patient is in danger of life. If he wants to survive, all the tests must be done again, and surgery must be performed immediately. It will definitely cost a lot. It's up to you to decide whether to spend money or life. "

As soon as these words came out, whether it was the family members, Gu Ting beside him, or even the other family members in the observation room, they all showed astonishment.

They knew that the patient was in a serious condition, but they didn't expect it to be so serious.

When the confused family members heard Xiao Chenguang's words that he wanted money or life, they suddenly woke up and shuddered.

"Life."

Without any hesitation, the family members made a choice directly.

"I understand."

Xiao Chenguang nodded in response.

In fact, he didn't want to say it so absolutely, but the patient's condition was urgent. If the family members were still hesitant and couldn't make a decision, it would inevitably affect the subsequent rescue work.

"The patient is in hemorrhagic shock. Immediately establish a dual channel, infuse fluids, and expand the volume."

"Draw all the blood that needs to be drawn in the emergency department, and ask someone to send it for examination immediately."

"Notify the imaging department to push someone up for emergency CT. Tell the operating room to pack up and prepare the table for emergency surgery."

Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 247

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