American drama life begins with Dr. House

Chapter 2 What Intern Doctors Know About Treating Diseases

As soon as these words came out, even Chase, who had just been protective of Du Wei, frowned.

Because he gave the order to scan the brain CT scan.

Du Wei said that he scanned the wrong position, which was obviously a slap in his face on the spot.

"What? If the patient has a brain-related disease, shouldn't he scan the brain first to check the condition?"

Furman sneered, also looking disapproving:

"Okay, don't listen to his nonsense. Young people always want to make nonsense that is not surprising.

House has the real thing, as for him, forget it."

As the only female doctor among the three assistants, Cameron also disagreed with Du Wei's "high opinions".

"Duwei, you'd better study more and see more first. There's absolutely no problem with Chase's choice to do a brain CT scan first."

Facing the words of the three people, Du Wei just looked at House, the only one who could make the decision.

House looked at Duwei's fingers with interest and asked:

"Since you think there is no need to scan the brain, which part do you want to scan?"

Du Wei smiled confidently. Naturally, he couldn't directly state the conclusion without any basis. That would only make people distrust his judgment even more.

But if the results are reasonably inferred, then there is no problem.

"First of all, what I said is that the position was not found correctly. It does not mean that the operation of scanning the brain CT scan was incorrect.

With brain CT images, anyone with a license can determine whether she has a brain tumor.

There is no need for her to be transferred to our hospital.

But others may still exist, such as aneurysm, stroke or other ischemic syndromes, etc.

But for the same reason, these diseases can also be found and treated in other hospitals.

Therefore, she must be an atypical case when she comes to us. It may be cerebrovascular inflammation or neurocysticercosis.

As for which rare case it is, more evidence is needed to support it.

I think a full-body CT scan is needed to help us find the real cause, not just a brain CT scan."

After Du Wei finished speaking, he picked up the coffee on the table that still had lip marks and drank it in one gulp.

After saying so much, these people should be impressed by him and let him let go of the treatment, right?

But it is obvious that Duwei's inference is not supported.

Because he is just an intern.

Furman shook his head directly:

"Let the patient directly undergo a whole-body CT scan?

Have you ever thought about how much it costs? We don't want to ask patients to do this unless necessary.

You have to know that if the patient later complains about the hospital's excessive charges, your career will be completely ruined.

Boy, this is the advice from your seniors, please remember it."

Chase agreed:

"Indeed, you have said so much, which only proves that your professional knowledge is very solid.

But it doesn’t really help the condition.”

Cameron didn't say anything, but rolled his eyes at Du Wei and took away the cup in his hand:

"This is mine. Next time you want to drink it, remember to go to the tea room."

Du Wei chuckled and said nothing, just waiting for House's summary.

House did not mock Duwei, but thought about it seriously, but finally he said:

"Inferences are always just inferences, and whole-body CT is not impossible.

But we need to confirm that there are no problems with the brain after the MRI."

Seeing House speaking, the three assistants stopped talking and began to contact the imaging department to arrange a time for MRI.

House, who was leaning on crutches, turned back to everyone and said before leaving the diagnosis room:

"By the way, remember to take this intern with you and let him do some practical work. He has great ideas and I like it very much."

After finishing speaking, House limped toward the outpatient room downstairs.

He still owes this hospital a full 2,054 hours of outpatient service.

It’s really impossible if you don’t work hard.

Soon the four of them gathered in the MRI room.

Looking at Furman who was taking out the contrast agent, Du Wei, who knew what would happen next, couldn't help but remind him:

"What if she is allergic to contrast media?"

Furman stopped taking out the contrast agent, looked at Du Wei and said seriously:

"So that's what you learn - communication.

It's important to communicate with the patient beforehand, and she told us she never had allergic symptoms, and that was enough."

After hearing Furman's answer, Duwei finally understood why House always talked about patients lying.

Patients will always miss some important information intentionally or unintentionally.

And this information can be quite deadly.

Du Wei took a deep breath and made plans to save people later.

After injecting the contrast agent, the four people came to the operating room with an observation window next to it.

The operation started.

I saw a patient named Rebecca being pushed into the MRI equipment by an automatic slide.

As the button was pressed, there was a noisy sound like a hammer hitting the ground rapidly.

Feeling the pain in her head, Rebecca suddenly said:

"I feel a little uncomfortable and I'm a little scared."

Chase, who has long been accustomed to this, consoled him:

"It doesn't matter. This is normal. Just hold on and it will be fine."

But suddenly a "ho ho" sound came from the speaker.

Cameron, who felt something was not right, glanced at Du Wei and tried to call out:

"Rebecca? Rebecca? Can you hear me?"

But Rebecca didn't respond.

Du Wei on the side immediately understood that Rebecca was suffocating due to laryngeal edema due to an allergy to the contrast agent.

"Get her out quickly, she's really allergic."

Chase said calmly:

"It's not necessary. You are an intern and have never seen this kind of thing. It's normal.

As we see more often, we understand that she might just be asleep.

After all, she is already very tired."

"No, that's not right."

Chase's words were denied by Cameron, who paid attention to Duwei's words:

"She had symptoms of claustrophobia in a secret room ten seconds ago, so she couldn't have fallen asleep so quickly!

Get her out quickly, if she is allergic to the contrast agent, she will die!"

Chase spread his hands and pressed the stop button reluctantly:

"It was supposed to be over in one minute. Oh, if you insist on insisting, then so be it.

The incidental losses will be borne by you."

Cameron didn't care to talk.

She hurriedly followed Du Wei into the MRI room and checked on Rebecca who was automatically pushed out.

Duwei, who was well prepared, leaned over skillfully to feel Rebecca's breathing.

Sure enough, there was no breathing.

He immediately said to Cameron opposite:

"She's stopped breathing. I need epinephrine, 0.5 milligrams! Now!"

Cameron was stunned, shouldn't this be what she did?

But the urgency of the matter did not allow her to think too much, and the instinctive memory of her muscles made her directly hand the adrenaline to Du Wei.

After Du Wei skillfully pushed epinephrine into the vein, he took the manual ventilator and started mechanical ventilation.

But he soon realized that this method would not work.

"Her laryngeal edema is too severe and mechanical ventilation is not possible. I need a tracheal incision kit."

Chase, who had just walked in, had an obvious look of suspicion on his face.

Opening the trachea requires a doctor to have keen observation skills and enough courage.

Can he, an intern who has never been a doctor before, do it?

"Well? You want to cut the trachea? Is that possible?"

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