Chapter 705: Chapter 289: The Relationship between Falls and Pulmonary Infiltration Shadows, Making a Difference Again_3
Tuya Hospital’s specialists conduct their clinical consultations here, a shared honor and a shared responsibility.
When encountering a patient whose condition couldn’t be identified by one specialist, they tackle it together.
Unity is crucial at this moment.
“Director Zhang, is it too minimal to only conduct a chest X-ray on the patient?”
Deputy Director Shi looked at the patient who was inhaling more than exhaling, anxious like an ant on a hot pot.
Leading this crisis response team isn’t easy.
The first day on the job could end disastrously with a patient’s death.
“The chest X-ray shows a blizzard-like pattern in the lungs, which must be taken seriously as it could easily be fatal.”
Another specialist expressed an opinion.
“So many bruises on the body indicate severe subcutaneous pinpoint hemorrhages.”
An obstetrics specialist also refused to be outdone.
Director Jiang then stepped forward, closely examined the patient’s consciousness and head, and reviewed all the examinations.
“Her head has no obvious injuries, yet she displays symptoms like chest tightness and palpitations typical of neurological disorders. The diagnosis should focus on the cardiovascular and pulmonary systems. The likelihood of a brain issue is very low.”
Director Jiang, a physician at the Neurology Department, holds certain authority in neurological diagnostics.
Numerous specialists gathered discussing back and forth.
Journalists, sniffing out a story, swarmed around, snapping photos.
Director Tang’s face darkened, he had advised against bringing the patient to the outpatient hall, now any mishap would be hard to handle.
As the experts urgently collaborated in their diagnostics, Zhou Can once again reviewed the patient’s blood report.
White blood cell count was normal, but the blood test indicated multiple abnormal markers.
Currently observed subcutaneous pinpoint hemorrhages and blood analysis are critical references.
“Her blood test shows reduced platelets, which might relate to subcutaneous pinpoint hemorrhages and bruises on the upper body. I checked her legs, and no bruises appeared there. It likely concentrates on the upper body.”
Deputy leader Zhou Can also contributed earnestly.
“Moreover, the patient’s serum lipase is significantly elevated, I suggest checking the free blood lipids and performing a urinalysis for urinary lipids.”
At this moment, Zhou Can clearly had a major diagnostic breakthrough.
He possesses a special medical skill in emergency life saving, which is especially prominent while rescuing critical patients.
This skill makes his mind exceptionally clear, enabling unprecedentedly agile thinking.
“Dr. Zhou, where do you suspect the patient’s condition stems from?”
After hearing Zhou Can’s diagnostic suggestions, Director Zhang looked interested.
“From the patient’s symptoms and the current test data, I personally lean towards Fat Embolism Syndrome. During my orthopedics residency, I was fortunate to hear a senior doctor caution about this condition following traumatic fractures. The patient has indeed suffered a femoral head fracture from a fall, and the onset was within approximately 48 hours.”
“Generally, the likelihood of developing Fat Embolism Syndrome is highest within 72 hours following a traumatic fracture.”
Zhou Can has been able to learn alongside one or more attending physicians in every department, joining them in consultations and surgeries.
And he’s earned their recognition, who generously shared their knowledge.
In essence, these are precious clinical experiences compiled by the predecessors.
“Immediately conduct a free blood lipid test for the patient! Then perform an emergency urinalysis.”
The pregnant woman’s situation now prevents autonomous urination.
Her consciousness is nearly comatose.
Here, removing her trousers, and inserting a urinary catheter is something the family would never consent to, nor would the doctors compromise the patient’s privacy.
“First, take her to the emergency room, insert the urinary catheter to collect urine samples, and send it immediately for examination, instructing the lab to prioritize the urinary lipids.”
Actually, with high-tech automated equipment today, urine and blood test results come out quickly.
It often feels prolonged due to the queue of patients awaiting tests.
“Director Zhang, isn’t it a bit hasty to conclude the patient has Fat Embolism Syndrome?”
Du Leng, who knows, might have been whimsical.
Also eager, he came over to help diagnose.
Unfortunately, it was ineffective.
He had arguments with a family member twice yesterday, and it notably affected his consulting today. Although the new patients weren’t aware of his comparability, nervous about facing another embarassing situation, he immediately refers any challenging diagnosis to other doctors.
Consequently, fewer patients consult him.
People aren’t fools; standing in line, they observe how Du Leng treated the previous patients. This he couldn’t handle, that he couldn’t diagnose. It becomes clear to them that this returnee Ph.D. is merely superficial.
Other than the hype, his medical ability is far inferior to other true specialists.
Thus, some patients who initially registered for Du Leng switched to other specialists.
Besides, registration is free.
They wouldn’t want to entrust their lives to a merely superficially impressive returnee Ph.D. For patients and their families, while titles like doctor and professor are attractive, what they truly need is someone who can cure their ailments.
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