MTL - My Medical Skills Give Me Experiences-Chapter 44 You made me redefine doctor training

Presumably, at this moment, he most wants to become a mass of air, and hopes that no one will pay attention to him.

As the saying goes, the higher you jump, the harder you fall.

Du Leng was too high-profile just now, so that after the misdiagnosis, he couldn't step down.

Fortunately, everyone's attention was basically on Zhou Can and the pregnant woman.

No one pays too much attention to him.

Now everyone is most concerned about the treatment of pregnant women.

Although Zhou Can's analysis is meticulous, it makes sense. But the final result is still subject to blood tests.

"Give the patient a shot of diuretic first?"

Director Yin Hua actively seeks a cure to save the damaged image.

After all, it was a very serious mistake to almost misdiagnose and mistreat just now.

"I think it works. Even if it is not clear what the wrong medicine is for pregnant women, diuretics basically do not conflict with other medicines, and there is almost no risk of aggravating the condition of pregnant women."

Director Zhang Bihua supports this tentative treatment plan.

At this moment, the instrument for monitoring intracranial pressure issued a "beep" alarm sound.

Everyone was taken aback.

"No, her blood pressure is still rising, and effective measures must be taken immediately to lower it. Otherwise, the intracranial aneurysm may rupture at any time."

The doctors present were all professionals, so they naturally knew the consequences of the rupture of the hemangioma.

Director Yin directly ordered the doctor to inject diuretics to the patient.

"Director Zhang, do you think it is possible to insert a catheter for pregnant women now?"

Because pregnancy is a special period, the body's ability to resist diseases is reduced, and catheterization may cause urinary tract infections, and in severe cases, it may cause miscarriage.

The risk is very high, and no one wants to take this risk unless it is absolutely necessary.

"Let's not insert it for now! Her fetus is relatively large and has a very special constitution. The risk of catheterization is much higher than that of ordinary pregnant women. I asked Yang Chan to closely monitor the pregnant woman's urination. If there is no urine all the time, then consider catheterization." .”

Zhang Bihua considered for a few seconds, but did not agree to insert the catheter.

It can be seen that she is very cautious.

Almost all obstetricians and gynecologists are extremely cautious in their practice. In case of miscarriage or abnormality of the fetus, the responsibility is too great.

"I think that just giving her diuretics is too simple a way to lower blood pressure. I personally suggest that some blood be drawn from her body first to achieve the purpose of reducing blood volume and lowering blood pressure. Then it will be transfused back into the pregnant woman's body."

Director Tan proposed a blood pressure reduction plan that ordinary doctors dare not even think about.

Or how to say that the older the doctor, the more popular it is.

Older doctors, with rich experience in diagnosis and treatment, are well-informed, and many unexpected methods are flexibly used by them in actual combat.

After taking two ways to lower blood pressure for pregnant women, the effect is immediate.

Especially Director Tan's bloodletting to lower blood pressure.

This physical method of reducing blood pressure is straightforward. Compared with drugs to lower blood pressure, it has no waiting period.

Seeing that the blood pressure of the pregnant woman had been successfully lowered, the chief physicians at the head let out a long sigh of relief.

"Don't be too happy, everyone. Now the blood pressure has dropped a little, but the fundamental problem has not been solved. I hope that Dr. Zhou Can's deduction is correct. After the blood test results come out, find the culprit and give the right medicine to cure the disease completely. good her."

Director Yin now treats Zhou Can with great respect.

With his age and status, Zhou Can can be called Xiao Zhou.

However, he used the words Dr. Zhou Can to highlight his respect for this doctor.

Time is passing by every minute and every second.

The specialist laboratory also knew the dignity of this patient.

In addition, the chief directors of the three important departments are all waiting for the results in the emergency department.

In less than half an hour, the blood test results came out.

"The specialist laboratory called and found indomethacin in the patient's blood."

Indomethacin is commonly used in anti-inflammatory and pain-relieving drugs.

Taking it can cause blood pressure to rise.

"Great, finally found out the culprit."

Smiles of relief appeared on the faces of several chief physicians.

This pregnant woman is a patient that Dean Zhu personally intervened. The doctors who consulted were under a lot of pressure.

It's cured, and everyone is happy.

In case it really fails to be rescued, there is no legal responsibility, but it is difficult for the dean to explain. It is also difficult for the family members to explain.

Zhou Can smiled happily when he heard the news.

It also has an unprecedented sense of accomplishment.

Through his unremitting efforts, he finally saved the pregnant woman and her unborn baby.

[Pathological diagnosis experience value +0.8.]

[You have successfully diagnosed a super-difficult compound recessive case, and the diagnostic experience reward +100.]

Zhou Can was not surprised to receive the 0.8 experience points.

But when he received a reward of up to 100 diagnosis experience points, he was completely dumbfounded.

This is a full 100 points.

You need to read 1,000 medical records, or successfully diagnose the pathology of 100 patients, to gain so many experience points.

Although diagnosing the cause of this pregnant woman is more difficult than reasoning and solving the case, all the efforts are worthwhile.

The richness of the harvest is beyond imagination.

[Pathological diagnosis, level three, current experience value 102/1000. Residential doctors are inferior. 】

This medical skill, which is the most difficult to improve, has taken a big step forward.

As long as nine more cases of this extremely difficult case are diagnosed, his pathological diagnosis can be upgraded to the attending level.

But such patients are rare.

And with his current level of diagnosis, it may be difficult to diagnose extremely difficult cases.

As for being able to successfully diagnose the cause of this pregnant woman, a lot of luck is involved.

If it were not for the accidental discovery that the patient's eyebrows were not drawn properly, and then it was inferred that there was something wrong with her vision, it would be difficult to have a successful diagnosis later.

In general, there is strength and luck.

"Treat the symptoms immediately!"

Find the drug that the pregnant woman took by mistake, which is easy to handle.

Give appropriate medicines to dissolve it.

After some emergency treatment, the pregnant woman's blood pressure finally dropped naturally for the first time.

"It's dropped, the blood pressure has finally dropped, hehe!"

Nurse Ye Tingting shouted excitedly and let out giggles.

There were smiles on everyone's faces.

After the patient's blood pressure dropped to normal, Director Tan was not in a hurry to transfuse the patient's blood back.

"Send it for a color ultrasound to check if the aneurysm has disappeared?"

Unexpectedly, before pushing her out, she woke up.

"Hmm... so dizzy! I... am I in the hospital?"

She subconsciously wanted to sit up, but she was so weak that she couldn't sit up at all.

"Don't move! You fainted in the taxi because of a sudden rise in blood pressure. We are in the emergency room of the emergency department of Tuya Hospital. After emergency treatment, your blood pressure has dropped. But there is still a certain danger , I need to send you for a head color Doppler ultrasound to see if the intracranial aneurysm disappears."

Director Zhang Bihua stepped forward to hold down the pregnant woman, and patiently explained the cause and effect to her.

"Ah, is the baby in my belly okay?"

"The child is fine at the moment."

"Thankfully, as long as the baby is okay."

The pregnant woman smiled happily when she heard that the baby was fine, and she was not worried about herself at all.

It can be seen that she really values ​​her children more than her life.

"Go and check first!"

Only when it is confirmed that the aneurysm has really disappeared can everyone be completely relieved.

After the blood pressure of the pregnant woman returns to normal, she can wake up from the coma immediately, and it can be basically concluded that the aneurysm pressing on the brainstem has become smaller or disappeared.

Not long after, the pregnant woman returned from her head color Doppler ultrasound~www.novelbuddy.com~ Let me have a look. "

Director Yin couldn't wait to take the color ultrasound film and check it against the light.

Other doctors also craned their necks, expecting good results.

"This this…"

Yin Hua's right hand holding the film was trembling, and his lips were moaning.

The expression is like seeing his deceased grandfather return to the world.

Everyone's heart sank for a while, judging from Director Yin's performance, the situation was probably not good.

"Director Yin, what happened to the result? Tell me!"

Director Xie's temper has always been more irritable.

Seeing that Director Yin has not announced the result for a long time, he can't wait.

Du Leng also pricked up his ears to eavesdrop, and everyone counted him as the most nervous.

"It's really gone, it's really gone... Doctor Zhou's diagnosis is all correct." Director Yin was extremely excited, and his heart was full of emotions.

Who said that low education means poor diagnosis?

Who said that Gui Peisheng's diagnosis opinion is unreliable?

"Doctor Zhou, I have to say, you let me redefine the word "Guipei doctor". You are the most powerful doctor I have ever seen, bar none."

Director Yin said this in front of everyone, more or less meant to apologize to Zhou Can.

After all, he scolded Zhou Can for being superficial not long ago.

He still pretends to be old in front of Zhou Can, saying that he has diagnosed tens of thousands of cases and has eaten more salt than Zhou Can has eaten.

Now the blood pressure of the pregnant woman has successfully returned to normal, and the person has woken up, and the intracranial aneurysm has miraculously disappeared.

Facts speak louder than words.

This is how medicine works. If the diagnosis is correct, the cure will be accurate. If the diagnosis is wrong, you can only pray to God and gods from all walks of life, and don't make a medical accident.