Geng Lingfei brought over a chair for her, helping her to sit down and take a rest.
"Thank you," Fan Yunyun said.
"No need for that." Geng Lingfei turned his head, thinking if he could act a bit faster, have keener eyesight, this wouldn’t have happened. It proved that both he and she needed more training. No wonder Teacher Xie urged him to do physical exercise.
"It’s sudden," the nurse explained to Xie Wanying and Song Xueling, "The patient might be delirious, not knowing what they’re doing."
A high fever will eventually overwhelm the brain. The patient’s temperature is now 40 degrees Celsius. Xie Wanying conjectured that the patient is likely to develop severe acute obstructive suppurative cholangitis. If this continues, septic shock will be fatal.
rely using physical thods to reduce fever or administering antipyretics is just symptomatic treatnt, not addressing the root cause. Fever is just a manifestation of the illness, but obstruction is the real life-threatening issue.
We must identify where the obstruction is.
The dical record stated that the post-surgical T-tube drainage couldn’t be removed since the drainage did not et the standards for tube removal.
Normally, the postoperative drainage should turn clear, transparent yellow or yellow-green without pus, sedint, or flocculation, and not turbid, with the drainage volu gradually decreasing. An imaging test of the biliary tract should show patent bile ducts. If the tubes are clamped and the patient doesn’t exhibit symptoms like fever, then the tube can be removed.
Currently, this patient does not et any of the criteria and the tube can’t be removed. Patients and their families who cannot have their tubes removed are extrely agitated. A patient can’t live or work with a drainage tube indefinitely, thus reaching the limits of tolerance for the technical capabilities of the original hospital.
In theory, there are several infectious disease hospitals in the Capital, and the one the patient went to is not the most renowned, but its dical reputation shouldn’t be too bad. It’s just that this obstruction is particularly troubleso.
If there is a postoperative re-obstruction, surgery rooms are considered if the condition is critical. This patient happens to be an HIV-infected individual with low immunity. Presumably, the doctors in the previous hospital considered this and dared not send the patient back into the surgery room for another open abdominal surgery, fearing the patient might not co off the operating table alive and the problems would escalate.
Experienced nurses nearby frowned, knowing that at this rate, they might be facing a fatality. It was unfortunate that the night shift was staffed with two newcors rotating through departnts, not much to rely on.
"Should we call Dr. Tao?" The nurse asked the on-duty doctor.
Neither Song Xueling nor Xie Wanying seed to hear her, focused intently on palpating the patient’s abdon and inspecting the drainage tube. With the patient unable to undergo ergency surgery, the only option was to figure out another solution at the drainage tube.
"Did the patient bring over the CT scans from the previous hospital?" Xie Wanying turned her head and asked soone.
"Probably not," said the nurse. If there were any, they would have been provided along with the dical record when they were first handed over to the doctors.
Upon hearing this, Geng Lingfei ran out again to ask the patient’s family on behalf of the teacher.
Indeed, there were none. The doctors from the other hospital might have forgotten to provide them to the patient. The patient’s family did not ask for them from the previous hospital. In the case of hospital transfer, it was the responsibility of the doctors from the previous hospital to ensure these details were managed properly for a safe transfer. There was only one possibility; the doctors and the patient’s family had a significant disagreent, and the patient was rushed to leave, which was tantamount to the hospital ridding itself of a burden, and so these minor details were overlooked.
Colleagues who offload their burdens do not consider the dical facilities and doctors taking over the case, thus not contacting the colleagues at the receiving dical facility is akin to hooliganism.
Song Xueling stood up and took a deep breath, needing to adjust his emotions, feeling almost at his limit of frustration.
Not having the CT scans is troubleso. Only with the CT scans can we clearly locate where exactly the obstruction is.
User Comments
0 comments from readers