Chapter 1410 [1410] The Inpatient Department Is Different From the Emergency Department

In the past consultation with the surgeon, if the surgical plan is mentioned, everyone knows that the surgeon pays attention to manual work. Seeing is to understand the meaning of experts, but doing is not necessarily able to do it.

call. Director Zheng took a breath. It was too hot in the room, and he needed to calm down. He said, "Crohn's patients are like this. Once various complications occur, it is very difficult to treat. The timing of the operation must be well controlled."

"They didn't know how to do the operation they performed on him before, and it didn't achieve the purpose of complete pus drainage. Now the patient suddenly had a high fever and convulsions after being transferred to our hospital, and there was a possibility of blood loss. Although it was the patient introduced by Director Yang, but, In this situation, it is basically difficult for surgery to be performed again." Li Guoxin said, pointing the finger at the doctor who decided to admit the patient to the surgery today.

"It is said that you decided to join our surgery after discussing it in the emergency department." Director Zheng seemed to have asked Section Chief Yang a similar question and asked a question.

"I'm not in the department during the day, so they accepted it." Li Guoxin clarified, "It's said that Director Yang wants to accept it, how can I not accept it."

Dr. Jiang was about to scratch his head, but Director Yang didn't lie. In the emergency department, they decided to admit the patient to surgery after some academic debate. Later he told Li Guoxin about the situation at that time, maybe Li Guoxin didn't remember what he said or didn't take it seriously.

The superior doctors are always very busy, and the patients are admitted as soon as they are admitted. Regardless of your emergency situation, you must follow the strategy of the inpatient ward after you come in. Because after the attending doctor took over, the patient's treatment plans were all based on the thinking of the attending doctor in the inpatient department, regardless of what the doctor said before you.

"That's right, Director. We discussed it this morning, and we agreed that—" Dr. Jiang was afraid of being held accountable by Section Chief Yang, so he stepped forward and re-explained it to the superiors again, "The patient must be drained first, otherwise the patient will be discharged." Internal medicine is also useless, so I received our general surgery one."

"Your patient needs to drain pus again, so he can only undergo another operation. Don't you know that he doesn't have the conditions to undergo another operation?" Li Guoxin blamed Dr. Qijiang. When admitting patients, you must first look carefully. If you really can’t admit it, you must explain it clearly to the leader.

The patient was transferred to the emergency department of the Guoxie in the morning, and it was almost noon when the procedures were completed and transferred to the surgical department with beds. The process of hospitalization was considered very fast, but Li Guoxin, the attending doctor, could not be met.

Li Guoxin had to undergo surgery all day long, and the volume of surgical operations in the tertiary hospitals was always heavy, and the surgeons were too busy to wander around in the ward. Except for the routine rounds in the morning, Li Guoxin is basically not in the ward. He is busy with surgery, emergency room visits and consultations, meetings, research, and a lot of things to spare. Doctors have a lot of chores.

And according to the practice of the hospital department, the newly admitted patients in the ward should be handed over to the doctors below to handle the new patients, so as to exercise the ability of the subordinates. When he actually looked at the patients and medical records, it was time for the ward rounds the next morning. Anyway, new incoming patients are checked first. It's not too late to discuss after the test results come out. The treatment plan prescribed by the doctor must be based on the data in hand.

What should we do if the newly admitted patients need to be rescued? According to the rules of the general surgery department, the attending doctor must be in place. Li Guoxin came here tonight. After a quick look, he found out that the patient's situation was more difficult than he had imagined.