Doctor of Healing

Chapter 481 The Most Dangerous Situation

"Teacher Zhai, you can't." Zhao Mengmeng asked very puzzled.

"It's very possible." Zhai Yuhan said, "The chance of encountering similar patients in clinic is not high, but you can still encounter them after a long time. There is an old saying that if you often walk by the river, you can't get your shoes wet. this means."

"This..." Zhao Mengmeng still had an incredulous expression on her face.

From the perspective of the children in the ivory tower, the world is clean, beautiful, and full of vigor, just like the propaganda says.

And Zhai Yuhan, who has experienced being rubbed on the ground by the iron fist of society, has long since had no similar thoughts.

"In the emergency department, some people always say that they are uncomfortable and their symptoms are very similar, and they want to prescribe pethidine. I haven't experienced it a few years ago, but I have heard of it, and they went to the emergency department to get pethidine. of."

"..." Zhao Mengmeng was speechless.

"This is the simplest, and there are more difficult ones. For example, if a pregnant woman finds a stillbirth in a pregnancy test, she hides her medical history and goes to the emergency department for an IV drip, and then says that it was caused by intravenous administration of drugs." Zhai Yuhan was a little tired when talking about these things. , but say it anyway.

It is obvious that Zhao Mengmeng needs clinical experience. Recently, she has been working very hard. Zhai Yuhan hopes that she will know the dangers of clinical practice and outline a medical environment as complete as possible for her.

Otherwise, with Zhao Mengmeng's understanding of this world, he suddenly broke into it, and it is estimated that he would be rubbed off by the society soon.

What will happen then is hard to say.

This can be regarded as a small gain for Zhao Mengmeng to participate in the show.

"This... is too much." Zhao Mengmeng stammered.

"There are even more extreme things." Ji Xiang said, "I heard from Mr. Meng in the emergency department that a few years ago, before the eradication of evil, people traffickers abducted sick children and couldn't sell them. If you die, you will die, and you will be taken to the hospital to extort money."

"Extort money?! How to extort money?"

"Holding the child and talking about symptoms while busy, pretending that the child is asleep. Then refusing the physical examination, saying that the child has finally fallen asleep, don't disturb, just sleep quietly for a while, and just need an injection.

The doctors and nurses are busy and don't have time to check. If an injection is given according to their requirements, they will say that the child was killed by the injection in the hospital. "

"!!!" Zhao Mengmeng's face turned pale, pale and pale.

What Ji Xiang said made her shudder, and it was hard for Zhao Mengmeng to imagine that such a person existed.

In just a split second, she brought herself in.

If I encounter a similar situation clinically, I estimate that there is a high probability that something will happen.

The child was found to be "dead" shortly after the injection...the doctor couldn't get away with it anyway.

Zhao Mengmeng was terrified, tears were shining in her eyes, she almost cried.

"There are many similar things, Mengmeng, be careful in the future." Zhai Yuhan took a deep look at Ji Xiang and told Zhao Mengmeng.

Zhao Mengmeng was a little dazed, and nodded blankly.

"Doctor Xiaoji, what is the most dangerous situation you encountered in the clinic?" Zhai Yuhan asked.

"I have been trained for less than half a year." Ji Xiang shrugged, "I have never encountered a similar situation, I just heard about it."

Zhai Yuhan was speechless when he saw Ji Xiang talking about playing a scoundrel with an upright face.

"There are fewer medical troubles now, and I have never seen too unreasonable patients and family members. But I heard from Mr. Meng in the emergency department that there are several kinds of patients he is more afraid of. Patients with rib fractures."

"Fractured ribs?! Isn't it just pneumothorax? There's nothing to be afraid of. The next closed drainage will draw more than 1ml of dark red bloody fluid within 200 hour before you can go on stage." Zhai Yuhan said with a little disdain.

She has changed her attitude toward Ji Xiang now, but she still subconsciously thinks that the doctor Meng that Ji Xiang mentioned is a low-level doctor at the prefecture and city level.

"Mr. Meng said that he has worked for 20 years and has encountered 8 patients with rib fracture and aortic dissection." Ji Xiang said.

Zhao Mengmeng didn't understand what Ji Xiang meant, but Zhai Yuhan understood in seconds.

Aortic dissection is extremely dangerous. Although it may be confused with other diseases, it can always be seen from the severe tearing pain in the chest and back.

However, if the rib fracture is combined with aortic dissection, the pain of the fracture will cover up the symptoms, and the pain caused by the aortic dissection itself will be considered fracture pain.

Once taking analgesics or intramuscular injection of analgesics, the patient falls into a deep sleep, even if he does not die suddenly in his sleep, the moment the patient wakes up and sits up, the blood pressure rises, and it is very likely that the dissection will rupture suddenly and die in the ward.

By the time……

Facing the situation described by Ji Xiang, Zhai Yuhan immediately thought that the family members of the patient did not understand, the patient obviously walked in and spoke clearly, so why did he die.

This is different from coming to Pengci with a dead child in his arms. What Jixiang said was a pure disease, and it was a disease that the doctor who took over did not see it.

Reasonably speaking, if this kind of case is handled by the medical investigation committee, it is at least a liability accident.

Even the family members of the patients did not understand and did not cooperate, and parked the corpse in the ward without saying anything...

Di Yuhan was already sweating, and his palms were wet.

"This situation is the most dangerous, and there may be other situations, such as carotid intimal avulsion syndrome with a probability of one in [-], delayed cerebral hemorrhage, etc. But overall, Mr. Meng still I think rib fracture combined with aortic dissection is the most dangerous."

"Doctor Xiaoji, how did that teacher Meng deal with it? Can your hospital still do emergency 64-slice CT at night?" Zhai Yuhan asked.

"Teacher Meng said that he is not liked by patients, nor by inpatient doctors." Ji Xiang smiled slightly when he mentioned Meng Qingfei, thinking that he hadn't been with Meng Qingfei on duty for a few days.

"How to say?"

"But for patients with rib fractures, others can just do a chest X-ray. Mr. Meng insists that patients have a chest CT scan. He always laughs at himself, saying that he is the kind of crappy doctor who can't see a doctor without the machine."

"But chest CT may not be able to see it." Zhai Yuhan immediately pointed out the flaws in Ji Xiang's words.

"Mr. Meng means that as long as there is any doubt, he will definitely go to the general inpatient of thoracic surgery." Ji Xiang said, "He was a little too cautious, but I think Mr. Meng was frightened."

"Is it...a frightened bird?"

When Ji Xiang said the word frightened bird, Zhai Yuhan smiled bitterly.

As the general manager of the hospital, she knew very well what a bird of fright was, just like a patient with torsion of the gallbladder. If she encountered it, she could only say that she was unlucky.

"Teacher Meng often said that a doctor should be cautious and tread on thin ice. He also said..."

Ji Xiang talked endlessly.

Originally, Zhai Yuhan was going to teach Ji Xiang and Zhao Mengmeng, but after a few rounds, it became Ji Xiang teaching them.

(End of this chapter)