On Monday morning, Dr. Zhang came to the endoscopy center early. This is because she heard that the queue is already full of patients. In order to get time to eat at noon, she left after the morning meeting with the spare box.
When she arrived at the endoscopy center, she first looked at the list of patients who had already made an appointment. The long list made her almost desperate. Lunch, hum, I don’t know what time I can have dinner. At the same time, she thought in her heart, while speeding up the movements of her hands.
However, an untimely call from the emergency department asked her to go to the CT room. The meaning on the phone was that there was a patient who didn’t cooperate, so let her go over to help with the anesthesia.
Although I don’t want it, I think it’s a matter of the emergency department and can’t be delayed.
Three steps and two steps, she soon came to the CT room.
After seeing her coming, the emergency department doctor said with a smile on his face: Please help me numb it.
Looking at the patients sitting on the CT table and thinking about the patients in the row behind the endoscopy center, she felt that she could not argue with them for too long. Arguing may be useless. So, he sighed and said: Wait for me to sign.
As you sign, ask about the patient’s physical condition.
Ask what to ask and no answer, so she didn’t get any valuable clues. The emergency department doctor on the side also urged: “It’s okay, this time I just fell down suddenly, and they are still working in the field. No, because the patient has Parkinson’s disease, and he can’t do CT because his head is shaking.
Dr. Zhang, who was too lazy to argue with them, asked the patient to try to lie down.
However, as soon as the patient lay down, he sat up and said: No, no, breathless.
Out of breath?
The alert Dr. Zhang carefully observed the patient’s chest, and sure enough, something was different.
I was about to ask the emergency department doctor to prescribe a chest CT for the patient, when I suddenly remembered that this is the CT room.
Ask the emergency department doctor again if there are other tests, and the answer is only one blood routine.
Let the emergency department doctor quickly call it out from the computer. The emergency department doctor is still thinking: there is no major bleeding, why do you need a blood routine?
When the blood routine was placed in front of Dr. Zhang, Dr. Zhang blurted out: There is really a problem!
The emergency doctor who had just seen the routine blood test wondered: What’s the problem? It looks alright!
Doctor Zhang pointed to the line of hemoglobin on the test sheet and said: Look, the hemoglobin is over 190!
The emergency doctor said: It is very high! What’s the problem then?
Dr. Zhang said: She can’t lie down, which is probably related to this. I need a blood gas analysis to verify, Dr. Zhang said immediately.
The emergency doctor said: The blood gas has just been checked, and the results may be available now.
Turn on the blood gas test, to everyone’s surprise, the partial pressure of carbon dioxide in this patient is more than 60! What does this mean? It shows that her lungs are very bad!
Hurry up and get a stethoscope and listen to it, your lungs are full of unvoiced sounds. Combined with the “bucket-like” thorax, it can basically be concluded that she has severe lung disease.
Go back and ask the patient if there is any problem with the lungs. The patient said: No problem, just take two pills. However, she couldn’t say what medicine to take.
At this time, the emergency department doctor also felt that the situation was complicated. Ask Doctor Zhang in a low voice: Can you still be numb? No problem, right?
Dr. Zhang said: There are indeed risks. But now that the reason is known, let’s look at the patient’s attitude. If communication is poor, let’s not take the risk.
During the communication process, the family members of the patients expressed their full cooperation with the doctor and did not seek the doctor if there was a problem.
Hearing this, Dr. Zhang indicated that it was okay to be numb.
After knowing that the patient’s lungs were not good, Dr. Zhang also asked an intern student from Corey to help, along with an ambulance and simple breathing equipment.
After the examination, Dr. Zhang said in fear: If he was directly numb, and there was no equipment at hand, an examination might become a rescue!