Chapter 592: Chapter 252: Utter Foolishness, Director Zheng’s Post-Disaster Survival
Director Shang was already alert to the diagnosis and treatment of this case, believing that Dr. Huang Liang’s approach of simply reducing fever, replenishing fluids, and expanding blood volume was somewhat inappropriate.
After all, the patient was already in such pain, indicating that the abdominal symptoms were not alleviated but were gradually worsening.
Some diseases progress very rapidly.
Once they develop to a certain stage, they bee unstoppable like a cracking stone shattering a mountain.
Every year, countless patients die at Tuya Hospital, many of which due to ineffective emergency treatment after onset.
But the ones who truly die after life support is withdrawn are very few.
Hearing Zhou Can express himself with such gravity, Director Shang’s expression also became serious.
Others might not be aware of Zhou Can’s capabilities, but he had deeply experienced them.
On Zhou Can’s first day in Digestive Internal Medicine, he saved a medical accident. Since then, he has made significant contributions in the diagnosis and treatment of multiple cases.
Such capability was only lacking in experience.
Otherwise, he was fully able to stand on his own and bee a cornerstone of the department.
“Director Zheng, this patient is from your team. May I ask what your opinion is?” Director Shang turned to Zheng Hongtao.
In terms of age, Zheng Hongtao was two years older than him.
However, in any organization, status is never determined by age. It depends on ability, talent, connections, education, and performance.
Director Shang and Zhou Can both chose to ignore Dr. Huang Liang, which made Huang Liang’s face turn red, then gradually pale.
In front of so many doctors, nurses, family members, and patients, being treated as if invisible was certainly hard to bear.
He could only blame himself for not recognizing the seriousness of the situation.
The patient was already in a grave condition, yet he was still trying to assert his presence. That Director Shang did not publicly reprimand him was already polite enough.
“Do you also support Zhou Can’s view, Director Shang?”
Zheng Hongtao was somewhat hesitant.
The patient’s condition had already somewhat exceeded his control, and he had to admit he lacked experience in diagnosing such patients.
It wasn’t just him; even Director Shang struggled to diagnose this patient.
Surgery and Internal Medicine truly have their boundaries.
They specialized in Digestive Internal Medicine, and when it came to symptoms leaning towards surgery, they were really uncertain.
“Zhou Can, explain the basis of your diagnosis to everyone.”
Director Shang turned to face Zhou Can.
“My diagnosis is based on two points. First, the patient has persistent abdominal pain, and the symptoms have worsened instead of easing after symptomatic treatment. This morning, the patient’s temperature rose, and fever set in, indicating symptoms tending toward septicemia. The patient does not have a cold, and the rise in temperature, I believe, is likely due to intestinal perforation, infection of the abdominal cavity, and consequently, an inflammatory reaction occurring in the body.”
Zhou Can introduced his diagnostic basis with great posure.
With extensive experience in surgical procedures, some symptoms that might easily be overlooked by other doctors were quickly identified by Zhou Can as potentially dangerous.
Upon hearing the patient had symptoms of intestinal perforation, everyone’s nerves tensed up.
Especially the previously unconcerned Director Zheng Hongtao, whose expression had now bee even more serious than Director Shang’s.
The patient was under his responsibility, and if something went wrong, he would be in deep trouble.
Intestinal perforation is extremely dangerous and can lead to death.
“Second, the white blood cell count is 32.08×10^9/L, which also supports the likelihood of my diagnosis of intestinal perforation. In addition, the patient has pensatory metabolic acidosis and reduced urine output, further indicating that not only has intestinal perforation occurred, but it has also been present for some time. The contents of the intestines contaminating the abdominal cavity have started to trigger acute systemic septicemia symptoms, leading to these diagnostic results.”
Zhou Can’s diagnostic reasoning was rigorous and clear.
The doctors of Internal Medicine present had previously been myopic due to placency and a lack of familiarity with surgical symptoms, failing to detect the dangers.
Now, after hearing Zhou Can’s analysis, their expressions were grave and serious.
“Director Zheng, I think it’s best to be cautious. Immediately summon a gastroenterology surgeon for a consultation, or send the patient directly for a secondary abdominal CT scan.”
One of the deputy chief physicians under Zheng Hongtao advised.
“I also believe we should take it seriously and act quickly to rescue the patient. If it really is an intestinal perforation, the progression of the disease is extremely rapid. Once shock occurs, it’ll be too late to save the patient.”
Another chief physician agreed with Zhou Can’s diagnostic opinion.
“But… the patient had already undergone abdominal ultrasound and CT scans when admitted, and no problems were found!”
Huang Liang still couldn’t accept defeat and was arguing in defense of his so-called pride.
“Idiotic! The patient was admitted a day ago, and so much time has passed since. It is very possible for the patient’s intestines to have perforated. Arguing here with a day-old examination is utterly foolish.”
Zheng Hongtao was the first to lose patience, and without waiting for Director Shang to scold him, he shouted furiously at Huang Liang, his neck thickening and jumping with anger.
Any ethical physician hates to see someone put their pride above a patient’s life.
Before the life of a patient, all personal vanity and interests should give way.
The hospital allows for petition, even encourages it, but never internal strife.
From the first day doctors begin medical training, the first lesson they learn is to respect life.
Huang Liang was publicly berated by Zheng Hongtao, which somewhat woke him up.
After a moment of stun, he hung his head down, a face full of shame, and said, “I was confused.”
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