Chapter 44 The Orthopedic Surgeon
"Is the general surgery teacher here? This patient is semi-conscious!" After pushing the patient into the emergency temporary center of the general surgery department, the resident doctor immediately shouted to the two wandering white coats.
When they heard that a comatose patient had come in, the two general surgery doctors immediately looked back.
But after seeing the temporary wooden boards tied to the patient's hands and legs, he immediately said: "Send him to the orthopedics department! Why did he send us the general surgery department?"
After saying that, he immediately went to see the next patient who 'really' belonged to their department.
The resident physician in the emergency department immediately became anxious and said quickly: "Teacher, I just pushed the patient over from the orthopedics department. They wrote a consultation opinion and said that they recommended calling neurosurgery and general surgery for consultation. There is no absolute emergency in orthopedics.
Treatment indications.”
When a general surgeon heard this, his face immediately lit up: "Who is coming from the orthopedics department today? So angry?"
"Dr. Dong from the Department of Orthopedics." The resident doctor answered immediately.
They had heard of the name Dong Yihe, but it seemed that in their hearts, Dong Yihe was not such an ignorant person, so they asked again: "Is Dong Yihe the only one?"
"He won't accept this patient?"
"There is another doctor I don't know. He was seen by another doctor. He wrote the consultation record and recorded it here. He signed his name, but the signature was Cai Xuan's name." The face of the resident doctor in the emergency department was covered with fine lines.
Khan, if he fails to send the patient out and falls into his own hands, he will be in a lot of trouble later.
He was wearing a mask and large-rimmed black glasses, and the anxiety in his eyes seemed unbearable: "Teacher, just take a look and write a consultation opinion!"
In fact, he also thinks that it is more appropriate for this patient to go to the orthopedics department. But the orthopedics department is willing to take the responsibility and say that there are no absolute indications for emergency treatment. He wants them to deal with other problems first. How dare he not listen?
Hearing the pleading tone of the resident doctor, one of them sighed, then came up and touched for a while, and immediately said with a flash of his face: "Hurry up and send a head CT and a full abdominal CT with enhancement!"
"Contact the patient's family. Emergency laparotomy may be needed. If you can't contact the family, ask the general manager on duty. Contact the neurosurgery department and ask them to take a look and write down a consultation opinion!"
"Okay!" The man with eyes replied quickly, and then pushed the patient over to the imaging department.
After another general surgery man in white coat looked at the patient, he walked towards the man in white coat who had just answered the question. He was only as tall as the other man's shoulders. He slightly raised his head and asked, "Director Zou, does this patient not live in the orthopedics department?"
"There is localized muscle tension in the upper right abdomen, and it is estimated that the liver may be ruptured."
"If you don't do a careful physical examination, it will be difficult to find out. If you go to the orthopedics department and wait for a long time, you may have to see Marx." The tall and thin man named Director Zou said with sharp eyes.
Then he added: "This orthopedic surgeon is a bit of a tiger. He probably has some knowledge, but he doesn't want to make it difficult for us, so he didn't give the specific diagnosis."
"Otherwise, if we don't treat these multiple fractures, the orthopedics department will be seeking death!"
"Oh? Oh." The young short man nodded twice to agree, but he always felt that something was not right...
…
Cardiology.
At this moment, a tall and burly man was furious: "Who asked you to push this patient in? Do you know what you are doing?"
The person pushing the bed is a girl about 1.6 meters tall. She is a general practitioner and today is her sixth day in the emergency department!
This was the first time she encountered such an emergency. There was no place to send the patient, which made her a little confused. She pointed outside: "The teacher over there asked me to push him over."
The big man looked at the small splint on the patient's foot and could almost tell that the patient had a fracture. This patient was not sent to the orthopedics department and sent to the cardiology department. Was there something wrong with his brain?
As for that doctor, why don't you say that the doctor in the white coat is not a doctor?
"Send him to the orthopedics department! I'm not free here!" The burly man saw that the patient was conscious, but his head was covered with fine sweat. He was probably in severe pain. The pain of surgery can easily cause him to sweat profusely.
The short girl immediately said: "It was the orthopedic doctor who asked me to push it here. This is the case book written by him, with his signature and consultation opinions on it."
This is a common routine used by the Department of Cardiology when consulting other departments. Anyway, I have written the consultation opinions and you can handle the rest by yourself.
The burly man immediately cursed MMP in his mind, grabbed the patient's medical record, took a look at it, and immediately auscultated the patient.
At the same time, he asked another person in his department: "Which tiger is the person coming to the orthopedics department today?"
"Dong Yihe from the Department of Orthopedics, he's usually a nice guy." Another middle-aged man with a big belly who was stronger than this burly man replied. But he immediately added:
"Did you learn from other internal medicine consultants?"
The burly man in the white coat immediately raised a hand, signaling his colleague to stop talking.
Ten seconds later, he immediately said: "Let's do an electrocardiogram in the emergency department. It's probably a myocardial infarction due to post-traumatic venous thrombosis, where the blood clot fell off!"
"Prepare oxygen inhalation, ECG monitoring, and intravenous access immediately."
"Prepare nitroglycerin and metoprolol..."
The middle-aged man with a big belly straightened up immediately and opened his mouth slightly, but no sound came out, but he knew what he wanted to say.
Damn it!
Was this really what the orthopedic surgeon called for?
…
In the neurosurgery department, a doctor immediately kicked out a patient with a fracture who was being pushed in.
He also cursed and said: "I don't care whether Dong Yihe or Dong Yihe is not treated. If such an obvious fracture is not treated, what on earth does the orthopedics department want to do? I'll call Director Kang right away."
After saying that, he actually called Director Kang, the chief director of the Department of Orthopedics.
"Lao Kang, what's going on in your orthopedics department? A patient with an open trauma who came out with a splint, obviously still sane, pushed us to do neurosurgery, and then wrote a crappy consultation record to deal with it?"
"I know that one is Dong Yihe and the other is the person you arranged. Go and ask yourself. I still have to deal with patients now."
"If all these patients are sent to our department, will our department continue to do our job? When will this happen?"
"It's okay if you just shout out normally. We have to go through our neurosurgery department for any kind of trauma. You are used to asking for consultations, right?"
"How can I have so much time to look here and there?"
"Yes, the patient himself is awake, and he is calling the patient with foot pain to recommend neurosurgery. Isn't this nonsense?"
"If the orthopedics department has to be the last stop for patients like this, then we as a whole hospital might as well just listen to your orthopedics department's arrangements."
After hanging up, I finally felt comfortable complaining and venting.
He immediately started diagnosing and treating patients in his own department.
Fifteen minutes later.
The doctor from our hospital who had pushed the patient in hurriedly ran in again and said, "Mr. Du, the patient who was just pushed in and sent back to the orthopedics department by you is unconscious and in shock in the CT room."
"Brain CT showed subdural hemorrhage, extensive."
"Now the patient was transferred to the ICU and asked for emergency consultation from the neurosurgery department. Then the neurosurgery doctor called us in the emergency room to ask about the situation."
Chapter completed!