Since 1981 Health School Chapter 523

  Chapter 523 The family members are going to have a moth

  Many of the little doctors on the scene are professionals, and it was immediately clear after a little dialing.

  The clever little doctors have already started to take notes, which are all valuable clinical experience.

  Although Manager Xie couldn't understand, he was an old society person. Seeing the doctor's answer so decisively, he knew that what he said was true.

  Chen Qi didn't care what other people thought. He quickly looked through the inspection data to confirm whether there was any problem with his speculation.

   I don't know if I don't see it. I was shocked when I saw it. The patient's hemoglobin dropped to 70g/L, and he was severely anemic. It might be gastrointestinal bleeding.

  This can further confirm the reason why the patient's blood pressure is low as soon as he comes.

  Chen Qi patted the test sheet, knowing that there is evidence now, so he treated it as an emergency teaching, and explained to several young doctors in more detail:

   "The patient suffered from gastrointestinal bleeding, and the syncope was due to hemorrhagic shock caused by internal bleeding. The normal value of hemoglobin is 120-150g/L, and this patient is only 70g/L now. We can draw a conclusion that the anemia is very serious.

   But one thing is not clear, how much hemoglobin does the patient usually have? As she said just now, she usually has black stools, which means that she also has bleeding. Maybe there is hemorrhagic anemia on weekdays. So where is the blood loss point?

  According to the patient's description, it is likely that the bleeding is usually caused by peptic ulcer, but her usual symptoms are not serious, and the bleeding may not be much, so she didn't care about it.

Today, the ulcer may suddenly turn into a hemorrhage from a small ulcer, and the blood rushes into the intestinal cavity. The brain is short of blood and oxygen for a short time, which leads to fainting at work. It is what we think of epilepsy or heart problems.

  Do you understand me when I explain it this way? "

   "Understood, Dean Chen!"

   "Oh, with such an explanation from Dean Chen, Mao Sai suddenly understood!"

   "Sure enough, just reading books is not enough, you have to meet such a patient, and I will firmly remember it in the future."

  A group of little doctors nodded like chickens pecking at rice, which satisfied Chen Qihao's vanity of being a teacher again.

   "By the way, have the family members been contacted, why haven't they come yet?"

  When Manager Xie heard this, he hurriedly said politely: "Doctor, I will go to the door and wait for the family members now."

  Chen Qi nodded: "No, we have a telephone in the office, you can call to remind us, and we will need the family members to sign and agree to perform some experimental operations."

   At this time, the blood transfusion department sent several units of red blood cells and 600ml of plasma.

  Others who want to learn blood transfusion may not be ready to take it out. Now the dean wants blood, let alone 600ml, even 6000ml, they will try their best to make it.

  Blood products were lost at a faster rate.

   Now it is basically clear that the patient's low blood pressure, coma, and convulsions are all caused by gastrointestinal bleeding, and have little to do with epilepsy and heart. So blood transfusion anti-shock is very important.

  Bai Xue was very ashamed and annoyed because she couldn't help pulling the bed, but now she found the real cause of the disease because of the black stool, and she felt mixed feelings.

   I also heard from the doctor that the gastrointestinal bleeding might be fatal, and I was at a loss for a while, so I had to let the doctor handle it.

  Lan Lijuan came very quickly, followed by a large group of small doctors from the Department of Gastroenterology.

  As soon as the dean's wife arrived, Dean Chen, who had just been a model teacher, stood up immediately, smiling all over his face as if flattering.

   "Hey, Director Lan is here, very timely."

  Lan Lijuan pursed her lips, "Be serious, I'm at work now, so many people are watching."

  When the two are together, it always gives people an illusion that Lan Lijuan is the dean, and Chen Qi is the little doctor who was reprimanded by her.

  Chen Qi was bored, so he asked Yi Zewen to report the patient's condition. Lan Lijuan also went to see the quilt and trousers that had been packed, and confirmed again that it was black stool, so she suggested:

   "In this case, it is best to do a gastroscopy immediately to determine whether it is gastric bleeding or duodenal bleeding, and then decide what kind of treatment to use, surgery or conservative treatment? In case of heavy bleeding again, the patient's life is still in danger."

  Hemorrhagic shock has already occurred, or 2 times, and doctors know the danger.

  It's hard for ordinary people to imagine, isn't this patient well, able to speak and conscious, why is he critically ill? Why is it serious? Doctors love to scare people.

  Bai Xue was even more panicked when she heard that another doctor said she needed surgery, "Doctor, can I not have surgery? I'm afraid."

  Chen Qi comforted him kindly:

   "It doesn't matter if you don't have surgery. Now there is an endoscopic surgery. It doesn't need to cut open the stomach. It's very convenient, but it needs to be signed by your family members. It's been a long time, why hasn't the person arrived yet?"

  As soon as the words fell, Manager Xie rushed into the hospital with a middle-aged couple anxiously.

   "Xiaoxue, how is Xiaoxue doing now, hey, why is your face so ugly, my dear girl, you, what's wrong with you?"

  When the middle-aged woman saw her daughter, she took her daughter's hand and burst into tears.

  Emotions are so agitated, it is obviously Bai Xue's biological mother. This kind of worried look is impossible for a mother-in-law. Only biological parents will be scared to tremble when their children have an accident.

  The middle-aged man who ran in was anxious when he saw his daughter like this, but he had something more to worry about.

  So Chen Qi, the attending doctor, quietly pulled aside:

   "Doctor, before I came here, I heard from my daughter's work unit that my daughter has epilepsy? What should I do? My daughter will be ruined if she gets this disease. Can it be cured?"

  Chen Qi quickly comforted:

"According to our examination, we initially feel that this is not epilepsy, but that your daughter has gastrointestinal bleeding, and just pulled out a lot of black stools, which shows that the bleeding is very large, which leads to brain ischemia and hypoxia. Fainting convulsions.

   But the specific situation inside the gastrointestinal tract is not clear, and it is also to prevent further bleeding, so we want to perform a gastroscopy immediately, and may also perform an endoscopic operation to repair the bleeding point as soon as possible. "

   "Isn't she epileptic and crazy? Good, good, thank God, thank God."

  Bai Xue's father relaxed when he heard the news, and thanked the Bodhisattvas for their protection with his palms together.

  Suddenly he thought of something and reacted:

   "Wait, doctor, what did you say? Do you need a gastroscopy? This is not good, this is not good, we will not do this, it is too dangerous, it will kill people."

  Doing a gastroscopy will indeed kill people.

  Chen Qi personally encountered a patient in his previous life with esophageal and gastric varicose veins.

  At that time, the gastroscope was performed by a regular training doctor, who was not good enough and handled it improperly. When the gastroscope lens accidentally touched a varicose blood vessel, he accidentally poked it hard.

   Now it's healed, the esophageal and gastric fundus veins ruptured instantly, bleeding profusely, and the patient was not rescued.

   But this is an extreme case.

  At least Chen Qi has seen so many gastroscopes, because only one or two died from gastroscopes, the proportion is very low. Generally speaking, gastroscopes are quite safe.

   This sudden reversal made Chen Qi and all the doctors present dumbfounded. It was hoped that the cause of the disease could be quickly treated, but the patient's family members were in trouble.

   This is really not a family, do not enter a family.

  Disagree with gastroscopy? Is that really the stupidest thing in the world?

  The patient may bleed again at any time, and this side refuses gastroscopic examination, Chen Qi really wants to swear:

  What the hell, gastrointestinal bleeding does not require endoscopy or surgery, so how can it be stopped? Do you want to stop the bleeding by thinking?

  Lan Lijuan is a lesbian, and she is relatively patient, so she explained the symptoms and possible serious consequences.

  Bai Xue's father still didn't make sense, and thought he had a reason:

"Let me tell you doctor, we used to have a neighbor who also had stomach bleeding for a gastroscopy, and then died for no reason. I can't let my daughter repeat the same mistakes. I heard that Yunnan Baiyao can stop bleeding, no matter how big the stomach bleeding is. Hold on, bleeding like a faucet can be cured, there is no need for surgery.”

  The more the doctor persuaded, the more Bai Xue's father felt that the doctor was tricky, probably just to earn more medical expenses, the more he refused to do gastroscopy.

  The treatment was at a stalemate, and no one could convince anyone, and the time passed little by little amidst such meaningless arguments.

  Chen Qi's face turned green with anger.

  Can you cover the bleeding from the faucet?

  I can only patiently explain again and again that gastroscopic hemostasis for gastric bleeding is a routine operation and a standard operation. Generally, people will not die, and the probability of saving people is higher.

  But no one can guarantee that some bleeding may not be stopped by gastroscopy, or there are other more complicated problems. No one knows whether the gastroscopy caused the patient's death. The cases I heard have no evidence.

  Bai Xue's parents are still resolute, and the father said directly:

   "Since it may be gastric bleeding or other gastrointestinal bleeding, we might as well go home and find the Qi Chinese medicine doctor at the south gate to prescribe some hemostatic medicine. I have heard that his medical skills are very good."

  One sentence: no gastroscopy.

  Chen Qi felt that he was tired. The first patient in the emergency department of the People's Hospital met such a wonderful family member, which is really dumbfounding.

  President Chen is also a person with a temper. It's hard to persuade the **** ghost with good words. If you can't persuade him, then don't persuade him.

"Old Yi, bring the informed consent form for refusal of treatment. Your family members can say no to treatment, as long as you bear the consequences yourself. Come on, you are the patient's father, you sign your name. What happens after you leave the hospital has nothing to do with our hospital. .Sign it and you can go."

   After finishing speaking, Chen Qi handed over a pen.

   Now Bai Xue's father hesitated again, and began to worry about gains and losses:

   "Then this doctor, my daughter is already married, and the in-laws always have the final say on such a big matter. Let's wait and see what attitude my in-laws have."

  The family members here refused to sign the contract, refused to undergo surgery, and even refused to have a gastroscopy.

   "I said you should be treated if you are sick. Look at how pale this little girl is."

   "Yes, the parents are immediate relatives, they must be closer than the in-law's family, and the signature is the most appropriate."

   "The doctor said, if it drags on and causes another hemorrhage, it will be dangerous. It must be right to listen to the doctor."

  The onlookers were talking all kinds of things. Chen Qi saw that so many doctors were delaying the work because of one patient, so he said to Lan Lijuan:

   "If you go back first, I guess this endoscopic surgery won't work."

  Lan Lijuan doesn't care, anyway, there are many patients with gastric bleeding, and she can do it next time if she doesn't do it today, but as a doctor, she still can't bear to see the patients and their families slowly going to the abyss because of ignorance.

   "Why don't I try to persuade the patient again, young people should be able to communicate better, after all, life is their own."

  Chen Qi also thought about it: "Okay, you can ask her for personal opinion, as long as she agrees, she can sign it herself."

   This young couple was still worrying about the patient, and a large family hurried in at the door, including men and women, old and young

   Manager Xie led him in, and it was probably her husband and in-laws who arrived.

   But looking at the faces of the family, the stern and somewhat indifferent look was in stark contrast to the anxious and worried expressions when the patient's biological parents arrived before.

  Chen Qi and Lan Lijuan looked at each other, knowing that Yao Mozi had arrived again.

   Sure enough, when Bai Xue's parents saw their in-laws coming, they greeted them warmly.

   "Father-in-law, mother-in-law, Xiaoshu, you are here."

  The young man named Xiaoshu was obviously Bai Xue's husband, and at this moment he called out in embarrassment: "Dad, Mom."

   But the parents-in-law next to her still didn't have half a smile on their faces, nor did they show any concern for their daughter-in-law. Instead, they spoke with a shocking sentence:

   "Dear-in-law, I have something to ask, did Xiaoxue ever suffer from epilepsy when she was at home?"

  Bai Xue's parents turned pale immediately.

  Bai Xue on the hospital bed was still tearful just now, thinking that her husband was here, and she was relying on her, but she didn't expect her mother-in-law to say just such a sentence, she was stunned for a moment, and she couldn't hide the panic in her eyes.

  Even the doctors and nurses in the emergency department stopped what they were doing and looked at the family.

  As for the crowd of onlookers, they were even more gossipy. Everyone was experienced. With the appearance of these two families, there must be a war of violence about to begin.

  Bai Xue's father came to his senses. Although he was upset, he still pretended to be indifferent and said with a smile:

   "Dear mother, you are right. My daughter has grown up healthy since she was a child. She rarely even catches a cold. Who in the neighborhood does not boast that Xiaoxue is fair and clean. How could she get epilepsy? Absolutely not."

  The mother-in-law sneered, and looked at the daughter-in-law on the hospital bed not far away like needles in her eyes:

"That's not what I heard. Now it's spread all over the outside world. It's said that Bai Xue has epilepsy. She had two seizures just in the unit. Today, she was sent to the hospital directly. In front of everyone's eyes Can't you hide it? I said how long will you keep it from us?"

  As soon as these words came out, everyone in the room was shocked, and needles could be heard.

  (end of this chapter)

Chapter end