I Spent Those Years In the Operating Room Fighting Monsters
Chapter 44: Orthopedic surgeon
"Is the teacher of general surgery here? This patient is half unconscious!" The resident immediately shouted to the two wandering white coats after pushing the patient into the temporary emergency center of general surgery.
Hearing that a comatose patient came in, the two general surgery doctors immediately looked back.
But after seeing the temporary fixation planks tied to the patient's hands and legs, he immediately said, "Send the orthopedics department! Why do you send us the general surgery department?"
After speaking, he immediately went to see the next patient who was ‘real’ in their department.
The resident of the emergency department was in a hurry and said quickly, "Teacher, I just pushed the patient from the orthopedics department. They wrote the consultation opinion, saying that they recommended calling for neurosurgery and general surgery consultations. There is no absolute emergency in the orthopedics department. Treat the indications."
When a general surgeon heard this, there was a fire on his face: "Who is from the orthopedics department today? So angry?"
"Doctor Dong from the Second Department of Orthopedics." The resident answered immediately.
Dong Yihe, they still heard the name, but it seems in their hearts that Dong Yihe is not such a ignorant person, so they asked: "Is Dong Yihe alone?"
"He won't accept this patient?"
"There is another doctor who didn't know him. It was seen by another doctor. He wrote the consultation record, recorded it here, and signed the name, but it was Cai Xuan's name." The resident doctor in the emergency department was covered with thin faces. Khan, if he can't send the patient out and is planted in his own hands, then he will have more troubles behind.
He was wearing a mask and **** glasses, and the anxiety in his eyes seemed to be overwhelming: "Teacher, you guys will show it and write a consultation opinion!"
In fact, he also thinks that it is more appropriate for this patient to go to the orthopedics department, but the orthopedics department is willing to take the responsibility to say that there is no absolute emergency treatment indication. He wants them to deal with other problems first. Does he dare not listen?
Hearing the imploring tone of the resident, one of them sighed, and after coming up to touch for a while, his expression flashed and immediately said: "Hurry up and send the CT of the head and the whole abdomen for enhancement!"
"If you contact the patient's family, you may need to have an emergency abdominal operation. If you can't contact the family, you should find the chief on duty. Contact the neurosurgery department and ask them to take a look and write a consultation opinion!"
"Okay!" The man with eyes hurriedly replied, and then pushed the patient over to the imaging department.
After seeing the patient in another general surgery white coat, he walked to the white coat of the man who just answered the eye. He was only on the shoulder of the other person, and slightly raised his head and asked, "Director Zou, this patient is not in the orthopedics department?"
"The upper right abdomen has localized muscle tension. It is estimated that the liver may rupture."
"If the medical examination is not careful, it is difficult to find out. If you go to the orthopedics department and drag it for an hour, you may be going to see Marx." The tall and thin man named Director Zou said sharply.
Then he said: "This orthopedic doctor is a bit awkward. I guess he can see a little way, but I don't want to make it difficult for us, so I didn't tell the specific diagnosis."
"Otherwise, if the orthopedics department doesn't accept these multiple fractures, it would be death!"
"Oh? Oh." The young short man nodded twice and agreed, but he always felt something was wrong...
……
Cardiology.
At this moment, a burly man is mad: "Who called you to advance this patient? Do you know what you are doing?"
The one who pushed the bed was a girl who was about 1.6 meters tall. She was trained in general practice. Today is the sixth day of emergency rounds!
This is the first time she has encountered such a sudden situation. The patient has no place to send her to make her feel a little messy. She pointed to the outside: "The teacher over there called me to push it over."
The big man looked at the small splint on the patient’s foot, and he could almost tell that the patient had a fracture. This patient would not be sent to the orthopedics department to the cardiology department. Is there a brain disease?
Still the doctor, why don’t you talk about the doctor in a white coat, nie is a doctor?
"Send the orthopedic department! I'm not free here!" The burly man looked at the patient sober, but with fine sweat on his head. It is probably too painful. Surgical pain can easily cause profuse sweating.
The short girl said immediately: "I was pushed by the orthopedic doctor. This is a case book written by him, with signatures and consultation opinions on it."
This is the usual routine used when the cardiology department gives consultations to other departments. Anyway, I wrote down the consultation opinions, and you can handle the rest yourself.
The burly man immediately cursed MMP in his heart, snatched the patient's medical record and took a look at the patient's medical record, and immediately auscultated the patient.
At the same time, he asked another person in his department: "Which tiger is the person from the orthopedics department today?"
"Dong Yihe of Orthopedics, he is usually a good person." Another middle-aged pregnant woman who is stronger than this burly man replied. But he immediately added:
"Did you follow the consulting doctors in other internal medicine departments and you broke down?"
The burly white coat immediately raised a hand and motioned to his colleague to stop talking.
Ten seconds later, he immediately said: "An ECG was taken in the emergency department. It is estimated that after the traumatic vein thrombosis, the thrombus fell off and myocardial infarction!"
"Immediately prepare for oxygen inhalation, ECG monitoring, and intravenous access."
"Prepare nitroglycerin and metoprolol..."
The middle-aged pregnant belly immediately straightened, his mouth slightly opened, but there was no sound, but he knew what he was going to say.
Fuck!
Is this really the orthopedic doctor who pushed it over?
……
In neurosurgery, a doctor directly drove out the fractured patients who had been pushed in.
He cursed and said: "I don't care about Dong Yihe's Dong Yihe. If you don't deal with such an obvious fracture, what does the orthopedics want to do? I immediately called Director Kang~www.wuxiaspot.com~ and he really gave it to the orthopedics department. Director, Director Kang called.
"Lao Kang, what's going on in your orthopedics department? The open trauma patient who came out of the splint is obviously still in a normal mind, so he pushed our neurosurgery department and wrote a fart consultation record for perfunctory?"
"I know that one is Dong Yihe, and the other is someone you arranged. Ask yourself, I have to deal with the patient now."
"If such patients are sent to our department, should our department still carry out our own work? When is this?"
"If you call it in the usual way, it's fine, any trauma will cause us neurosurgery to toss again, you usually ask for a consultation, please get used to it, right?"
"Where do I have so much time to look at here and there!"
"Yes, the patients themselves are awake, crying for patients with foot pain, push neurosurgery, isn't this a fool?"
"If such a patient, the orthopedics department has to hold the shelf for the last stop, then our whole hospital will simply listen to your orthopedic department's scheduling."
After hung up, I finally felt comfortable vomiting and venting.
immediately began the diagnosis and treatment of patients in his department.
Fifteen minutes later.
The doctor in the hospital who pushed the patient in before rushed in again and said: "Mr. Du, the patient who was returned to the orthopedics department by you just now was in a coma and shocked in the CT room."
"CT of the brain showed subdural hemorrhage, extensive."
"Now the patient is transferred to the ICU, and the emergency consultation of neurosurgery is called, and then the doctor of neurosurgery calls us to ask about the situation."
The face of the person named Mr. Du and the colleagues who worked with Mr. Du changed on the spot!
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