When doctors have a simulated operating room

The patient was very sick, but the condition was not good.

Zhang Yi was anxious.

He pointed to the shadow on the CT scan and said:

"It's not acute gastroenteritis! Please look at this position. If it's not obstruction, what is it? Do you only look at the CT scan? Can't you make your own judgment?"

Faced with Zhang Yi's questioning, the emergency doctor felt a little embarrassed.

He looked up at the family members around him.

He lowered his head and looked at the CT scan again.

It seems that it is indeed not ordinary gastroenteritis...

But the signature on this examination form is Li Youhui, the director of the imaging department!

How could Director Li's signature be fake?

Immediately, the doctor felt more confident.

No matter what, he is also the attending physician of the emergency department of Yundu First People's Hospital!

Can't you trust your own judgment? !

He quickly pointed to the signature on the CT sheet and said:

"This is the signature of Director Li of our imaging department. How can it be fake? Who are you? A family member?"

Zhang Yi shook his head and said:

"I am not a family member of the old lady, but I am also a doctor!"

Wow!

Not a family member? !

The emergency doctor looked at him and asked: "Doctor of our hospital?"

"No, from another hospital."

Hehe!

Not a family member nor a doctor of our hospital!

Who do you think you are?

Still shouting here!

"That's right, you are from another hospital and come to our hospital to make trouble? This signature of Director Li, is it your turn to speak?"

The movement in the emergency room attracted Liao Zhu, the director of the emergency department.

When the emergency doctor saw Liao Zhu coming over, it was like seeing a savior.

He said quickly:

"Director Liao, this guy is a doctor from another hospital! He insisted that the old lady with acute gastroenteritis had intestinal obstruction and stopped me from giving medical advice!

Look at this checklist, it is clearly signed by Director Li.

Director Li has worked in the imaging department for so many years, how could he be wrong?"

Liao Zhu frowned, glanced at Zhang Yi, and took the checklist.

While Liao Zhu was carefully examining, the emergency doctor continued to tell the medical history.

"This old lady drank a bottle of expired milk in the morning, and she started vomiting and diarrhea at noon, and also had abdominal pain.

This is a blood routine checklist, the white blood cell count has risen to 14!

It is obviously acute gastroenteritis."

Liao Zhu stared at the CT film, and the more he looked at it, the deeper the wrinkles between his eyebrows became!

Then, he looked up at the emergency doctor in his department and yelled:

"Hurry up and do another small bowel angiography! This is just an intestinal obstruction, not acute gastroenteritis! Stupid!!"

"Also! Notify the gastrointestinal surgery department and the operating room while doing the small bowel angiography! This may require surgery!"

The emergency doctor was stunned by the roar.

He said in a daze: "Ah? It really is... intestinal obstruction?!"

Damn!

This young man actually got it right?

"Hurry up and get ready!" Liao Zhu yelled again.

"Oh! Okay, I'll notify them right away!"

The emergency doctor ran over to make a phone call.

Liao Zhu turned his head and looked at Zhang Yi and asked:

"Which hospital are you from?"

"I'm not from Yundu, I'm from Tianhe City."

"You look quite young, are you an attending physician or a resident?"

"Neither, I'm a resident trainee."

Dr. Wang, who had just treated Xu Changyuan, happened to pass by here.

When he heard Zhang Yi say this, he immediately came over with a shocked look on his face and asked:

"What? You...you're still a resident trainee? Didn't you just say you were the assistant director?!"

When Zhang Yi said he was the assistant director just now.

Wang Hao thought this guy was a top-notch person in some hospital.

After all, it's almost impossible to become an assistant director at such a young age.

Unless he is very outstanding and has a high degree of education.

The result was unexpected!

This guy is actually just a resident trainee? !

Zhang Yi glanced at him and said:

"Why? Can't a resident trainee be an assistant director?"

Wang Hao was stunned by the question!

He didn't know whether a resident trainee could be an assistant director!

But!

He swore!

This was the first time he heard that a resident trainee could be an assistant director!

It was really like a dragon-slaying sword cutting his butt, it was really eye-opening!

Not only Wang Hao.

Liao Zhu beside him was also shocked.

A resident trainee can be an assistant director? ?

If he wasn't bragging, it would probably be true.

Which hospital?

They actually promoted a resident trainee to be an assistant director?

Liao Zhu asked again:

"I'm curious.

A question, how do you judge that acute gastroenteritis is intestinal obstruction? "

Zhang Yi: "Isn't it simple? Look at the examination list. First, the electrocardiogram shows atrial fibrillation, which means that the old lady has arrhythmia.

Secondly, the blood routine test shows an increase in white blood cells, indicating inflammation.

I won't talk about electrolytes, the diarrhea must be abnormal.

In addition, her total cholesterol is also high.

Of course, the CT examination report is what allows me to directly confirm the diagnosis.

Although Director Li of your hospital diagnosed it as acute gastroenteritis, I observed that the result on this list is clearly intestinal obstruction. "

"However, I suggest that you perform surgery immediately, because I speculate that she has strangulated intestinal obstruction. "

Hearing Zhang Yi's words, Liao Zhu and Wang Hao's eyelids twitched.

Good fellow...

You really speak without thinking...

We haven't even done small bowel angiography yet!

You said it was strangulation?

There are so many types of intestinal obstruction.

And the most common intestinal obstruction is caused by adhesions.

The second is tumors.

How could it be the most serious strangulation intestinal obstruction right away?

"Why do you say that?"

A middle-aged man suddenly appeared behind the few people.

Liao Zhu was startled.

The director of gastrointestinal surgery is here.

In addition to being the director of gastrointestinal surgery, this man is also the director of the entire surgery department and the vice president.

Zhang Yi turned his head and glanced at the middle-aged man.

His badge read:

Vice president, director of gastrointestinal surgery, Gu Hongtao.

A high-ranking official is here, right?

That's great, let's complain about the work of the imaging department.

"I don't know what's going on with the imaging department of your hospital.

It was clearly intestinal obstruction, but it was diagnosed as acute gastroenteritis!

This is a misdiagnosis!

If I meet a young doctor who can't see the correct result again.

Then the old lady might have died in the hospital today. "

Gu Hongtao frowned and took the examination form from Liao Zhu.

He knew it after just a glance.

What the young man said was true.

He turned to look at Liao Zhu with some anger:

"Go to the imaging department immediately! Director Li should not make such a low-level mistake. It should be one of his apprentices who misdiagnosed it."

Liao Zhu nodded and hurried to the imaging department.

Then, he turned to look at Zhang Yi and asked:

"You haven't answered me yet, how can you be sure that it is strangulated intestinal obstruction?"

There are many types of intestinal obstruction.

The specific situation can only be known after a small intestinal radiography.

Some even have to go to the operating table for laparotomy to know the exact situation.

This young man...

How can he be so sure?