Rebirth of Medicine Practices the World
Chapter 141 Random inspection is hooliganism
"Third, the worsening of the patient's condition is related to the fever, but it is not absolutely related. The most obvious change when the patient's condition worsens is the change in blood pressure. The patient's blood pressure curve is trending downward. In fact, this is very
dangerous."
"Fourth, the patient's general condition is indeed not very good, but it is not to the point where two critical illness notifications need to be issued in a row. Why they did this, I don't know."
"Fifth, it's morning now. According to the patient, the situation is not the worst. Please pay attention to the situation this afternoon and see if there is any improvement."
"Sixth, the patient's blood test results are very distinctive. Blood tests show that almost all blood cells are elevated, including red blood cells, white blood cells, and platelets. Everyone seems to have not noticed this."
"Everyone should pay attention to the fact that any phenomenon does not occur without reason. Why would a patient with a lung infection experience such changes in his blood picture? It is worth pondering."
"Also, everyone does not pay enough attention to the biochemical examination of patients. Any examination we do must always have a purpose, otherwise, it will be a random examination and 'playing hooligans'." Lin Lin said the catchphrase before her rebirth.
Zi said it.
"Uh... Dean Lin, do you think so?" Even Ling Xiaoyun, who always spoke out of turn, couldn't help but say something.
"Oh, I'm sorry, I used the wrong words. Everyone thought I didn't say that." Lin Lin realized that she was "dislocated in time and space."
Ye Xiu also glanced at Lin Lin and thought to herself: "This senior brother is really like the legend. His words are out of the ordinary, but he is very vivid. Checking randomly is just a hooligan. Hey, it's not wrong at all. Senior brother
, you are so wild!”
"Everyone looks at the blood biochemistry results, high potassium, high sodium, high uric acid, high urea nitrogen, high creatinine... You see so many 'highs', but the patient's condition is not very bad. Don't you feel that there is something wrong?
Problem?"
"I hope that when you analyze a patient in the future, you will combine the information you can get and the patient's situation you have seen before conducting analysis. Don't be led by others, let alone follow what others say.
."
"Okay, I won't say much else. This patient's diagnosis is 'bilateral lower lung infection, hypovolemic shock'. When the patient's urine output increases and the patient's blood pressure returns to normal, you can
Check the biochemistry and blood routine again. I believe the results will not be so disastrous."
"As for the next step of treatment, I think the patient's lung inflammation has begun to improve, but it has not yet been completely controlled. I also agree to change to a different antibiotic."
"I looked at the treatment records of the People's Hospital. They have not used Fudaxin for the patient. Let's give it to him. Just follow the regular dosage."
"To be honest, we are lucky doctors now, treating the 'end of the disease' for patients. Of course, not everyone can judge the 'end of the disease', otherwise, they would not have issued critical illness notices twice in a row."
"Dr. Ye, please follow up. Pay attention to intake and output, changes in blood pressure, changes in body temperature, and changes in urine output. If the patient's appetite recovers, encourage him to eat more gradually. A person without enough nutrition will
How to fight bacteria?”
"If my judgment is correct, as the urine output increases and the blood pressure rises, the patient's sputum will become less sticky and become easier to cough up."
"Well, I seem to be verbose. Let's see if anyone has any questions or anything to add."
"Dean Lin, as long as you are here, we have nothing to fear. You are the anchor of our department." Ding Feng's ability to maintain a stable position in the Department of Neurology is inseparable from Lin Lin's support.
"I feel the same way. It seems that no problem can stump Dean Lin." Zhuo Yiming's statement carries a lot of weight.
"Teacher Zhuo, I don't dare to take your words seriously. I often say that doctors always follow the disease. In front of the disease, no one can move. This is true for patients and so is the doctor."
"It makes sense, that makes sense." Li Yun'e no longer dared to challenge Lin Lin. On the contrary, she began to respect Lin Lin.
"Well, I'm still thinking about what Dean Lin said just now." Ling Xiaoyun said thoughtfully.
"What words?"
"You are playing hooligan. I slowly thought about it. Dean Lin's statement is not only very vivid, but also very appropriate. Isn't any examination regardless of the result not playing hooligan?"
"Well, I agree with this sentence very much. It's a stroke of genius." Ye Xiu made no secret of her admiration for Lin Lin.
Soon, this sentence spread in the affiliated hospitals and was used by many doctors, especially department directors.
The next morning, as soon as Lin Lin returned to the office, Ding Feng's call came in.
"Dean Lin, this is amazing, really amazing." Ding Feng seemed to be incoherent.
"Hey, Director Ding, what's going on?"
"Hey, I'm so happy. I mean, Dean Lin, you are such a god! According to your opinion, the patient you saw yesterday was in good spirits today and his blood pressure was normal. The blood routine I just checked yesterday afternoon
As you can see, except for the slightly elevated white blood cells, all other indicators are normal."
"Haha, the blood biochemical test results are all normal. All the 'high's have miraculously returned to normal. From yesterday afternoon to now, the patient's body temperature has been normal and there is no more 'fever'."
"Dean Lin, I, Ding Feng, admire you so much." Ding Feng's voice was so loud that everyone around her might hear it.
"Director Ding, you are welcome. In fact, if you calm down and analyze, you can do it. There is no need to belittle yourself."
"Dean Lin, I am not belittling myself. You, Dean Lin, know my character very well. One is one, and admiration is admiration. After admiration, you have to study diligently. I hope that one day I can learn from Dean Lin's ten
One-third of the power."
"Haha, Director Ding, you know, now I can work here with peace of mind because of your good management in the department and your good handling of things."
"I am a member of the department. Sometimes, it is right and necessary to go back and participate in some work of the department. You don't have to be polite."
"Okay, okay, I'm welcome. It's just that I just returned to the department and saw that the patient's condition was so good. I became happy and called you to report to you to make you happy too."
"Well, I'm happy. It's indeed worthy of being happy. Haha, we are lucky doctors."
"Haha, Dean Lin, that's what I said. Without your accurate judgment and decisive action, the patient would probably be doomed. Okay, I won't disturb your work. Goodbye."
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