On Monday morning, Dr. Zhang arrived at the endoscopic center early. That's because, she's heard it's already full of patients. In order to win time for lunch, she finished her morning meeting and left with a spare box.
When she arrived at the endoscopic center, she first looked at the list of patients who had already made an appointment. The long list made her almost desperate. Lunch, hum, maybe what time to eat. At the same time, she thought in her heart and sped up the movements of her hands.
However, the emergency department called at an inopportune time and asked her to come to the CT room. The meaning of the phone call is that one patient does not cooperate, let her go over and help numb it.
Although I don't want to, I think it's a matter for the emergency department and can't delay.
Three steps and two steps, she soon came to the CT room.
After seeing her coming, the emergency department doctor said with a smile on his face: Trouble help numb it.
Looking at the patients sitting on the CT examination bed, and thinking of the patients in the row behind the center of the endoscopy, she felt that she could not argue with them for too long. Disputes may also be useless. So, with a sigh, he said: Wait for me to sign.
While signing, he asked about the patient's physical condition.
The answer to the question did not make her get any valuable clues. The emergency department doctor on the side also urged: It's okay, this time it is a sudden fall, and people are still working in the field. No, because the patient has Parkinson's and can't do CT all the time, I ask you to help.
Dr. Zhang, who was too lazy to argue with them, asked the patient to try to lie down.
However, as soon as the patient lay down, he sat up and said: No, no, I can't catch my breath.
Can't catch your breath?
The alert Dr. Zhang carefully observed the patient's chest, and sure enough, there was something strange.
I just wanted the emergency department doctor to prescribe a chest CT to the patient, and suddenly remembered that this was the CT room.
Asked the emergency department doctor again if there were any other tests, answered that there was only one blood routine.
Let the emergency department doctor quickly call out of the computer, the emergency department doctor is still thinking: there is no heavy bleeding, why do you want blood routine?
When the blood routine was placed in front of Dr. Zhang, Dr. Zhang blurted out: There is really a problem!
The emergency department doctor who had just seen the blood routine examination in passing wondered: What is the problem? It doesn't look like anything!
Dr. Zhang pointed to the hemoglobin line on the test form and said: You see, hemoglobin is more than 190!
The emergency department doctor said: It is very high! So what does that mean?
Dr. Zhang said: She can't lie down, it is likely to be related to this. I need a blood gas analysis to verify it, Dr. Zhang continued.
The emergency department doctor said: The blood gas has just been checked, and the result may be out at this time.
Opening the blood gas examination project, what surprised everyone was that the partial pressure of carbon dioxide in this patient was actually more than 60! What does this mean? It shows that her lungs are very bad!
Hurry to find a stethoscope to listen to it, and the lungs are full of clear sounds. Combined with the "bucket-like" chest, it can be basically concluded that she has a serious lung disease.
Turning back and asking the patient whether there was a problem with his lungs, the patient said: Don't get in the way, just take two pills. However, she could not say what medicine to take.
At this time, the emergency department doctor also felt that the situation was complicated. Whispered to Dr. Zhang: Can you still have numbness? Wouldn't that be a problem?
Dr. Zhang said: There are indeed risks. But now that you know why, look at the patient's attitude. If communication is not smooth, let's not take this risk.
During the communication process, the patient's family said that they fully cooperated with the doctor and did not look for the doctor if there was a problem.
Hearing this, Dr. Zhang signaled that he could numb.
After knowing that the patient's lungs were not good, Dr. Zhang also asked a trainee student from Corey to come to help, and pushed the rescue car and simple breathing equipment.
After the examination, Dr. Zhang was afraid: If you directly numb the past, there is no equipment at hand, and an examination may become a rescue!
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