Chapter 236 If the other hospital can’t cure it, I, Xu Qiu, can!
"Who knows.
After the money was returned and the lawsuit was withdrawn, the patient suddenly began to feel sick and vomit within a few days.
Before the doctor on duty could give a diagnosis, the patient went into shock and fainted. He was rushed to the emergency room and later transferred to the ICU..."
Xu Qiu looked a little strange.
Why does this sound more and more familiar...
He asked: "The diagnosis is anaphylactic shock?"
Gao Pei'an looked at Xu Qiu with a strange look, took a few bites of the kebab, and said: "You really guessed it right. I just said a few words and you made a diagnosis.
I really want to make a brain slice for you to see how it looks!"
Xu Qiu ignored this joke and said: "Can I go see the patient?"
"Now?"
"Yeah."
"You are interested in him? But that's right, his condition is too critical, and I don't know if he can survive tonight..."
Gao Pei'an's tone was a little disappointed.
People at the People's Hospital privately said that this was retribution for the patient.
In fact, every time Gao Pei'an thought of this, he felt relieved.
But thinking carefully, he felt more sad than hatred - as a doctor, even though this family had crossed the river and destroyed the bridge, human life is human life, how can a doctor expect the patient to die?
"Not eating anymore?"
Seeing that Xu Qiu had already packed up, Gao Pei'an looked at the few appetizers that had just been served and felt a little toothache.
He also ignored his status as a top expert, and directly asked for a plastic bag, poured all the remaining dishes into it, and left with the bag.
...
Linhai People's Hospital, Intensive Care Unit.
"Professor Gao is here."
Several nurses nodded and shouted listlessly: "Professor, the director is not here tonight, and we are also busy. Do you have anything to do?"
Suddenly, another voice sounded.
"Doctor Xu is here too!"
Swish!
Instantly, all the young nurses stood up and looked excitedly at the two people who had just got off the elevator.
Walking side by side with Gao Pei'an was the person in the news and the special issue that was snapped up - Xu Qiu!
Gao Pei'an was dumbfounded.
Back then, he watched handsome juniors flirt with seniors and nurses, while he studied hard and caught the attention of Academician Chen. He was accepted as a student by him and rose to prominence from then on.
As a result, he has reached this position now, but he still has to experience the feelings he had in college...
Fame and status are all floating clouds, and being handsome is something that lasts a lifetime!
"Good evening, Professor Gao. Good evening, Doctor Xu!"
"Professor Gao, please sit down. Doctor Xu, do you want to go to our reception room for a cup of tea?"
The nurses were still very considerate and did not ignore Gao Pei'an directly.
But Gao Pei'an felt even worse.
Xu Qiu didn't look like a guest at all. He smiled and said, "I plan to go see your patient. Is that okay?"
"Of course, no problem!"
"I've seen the news. Doctor Xu and the police have uncovered a button that took the lives of ICU patients as a bet... Doctor Xu, we don't have one here either!"
Xu Qiu smiled and said, "I'm just here to see the patient, Professor Gao's liver cancer resection."
"Oh, bed number 6, I'll take you there. The indicators are already very bad. I don't know if you can survive tonight."
Speaking of patients, the nurses also put away their teasing thoughts and became a little serious.
Followed by them, they came closer.
The patient's name is Xue Lang, 57 years old.
He is in the intensive care unit, and his body is full of tubes. The hospital is trying to correct it with medication, but all vital signs are still on the verge of collapse.
"It's a bit too late to save him." Professor Gao sighed silently.
Xu Qiu's eyes lit up.
This person's condition is exactly the same as Zhang Qiulan's at the time...
"Do you have a medical record?" Xu Qiu asked.
The nurse handed it to him enthusiastically.
Xu Qiu opened it and checked it.
During the rescue by the hepatobiliary surgery department, fluids were supplemented and vasoactive drugs were given.
After being transferred to the ICU, a full-body physical examination and examination were also performed.
The physical examination results were similar to those of Zhang Qiulan.
Laboratory examination:
Blood gas analysis:
PH \u003c 6.80. (Normal value 7.35~7.45, low means acidosis. Below 7.20, acidosis is extremely severe.)
PaCO2 19mmHg (normal value 35-45mmHg)
PaO2 148mmHg (normal value 80-110mmHg)
In addition, blood lactate increased significantly, white blood cells in the blood routine were four times the upper limit of normal people, platelets were also far beyond the normal value, etc.
The rescue measures on the ICU side were almost the same as those of Zhang Qiulan.
Tracheal intubation;
Opening a vein, rapid fluid resuscitation;
Giving vasoactive drugs to maintain blood pressure...
And so on.
The more Xu Qiu read, the more silent he became.
This is almost a replica of Zhang Qiulan.
Click.
Xu Qiu didn't plan to look at the rest, and turned directly to the medication side.
Epinephrine;
Cetirizine;
Glucocorticoids...
There are also various anti-infective drugs, etc.
Xu Qiu was looking for it, and suddenly, his eyes stopped, staring at a brand new name added to the course of treatment two days ago.
"Liver Peace"
And the patient's first attack was that night two days ago!
At this moment, Xu Qiu felt like the clouds had cleared and the moon was shining.
Gao Pei'an noticed the change in Xu Qiu's expression, squeezed the nurse away, leaned closer and asked in a low voice: "Do you have an idea?"
"Not an idea."
"That……"
"That's the answer."
Gao Peian was confused.
A few glances at the course of the disease can overturn the original diagnosis. The Hepatobiliary Surgery Department and ICU of the People's Hospital are not just for free!
Xu Qiu took out his cell phone and took a look at the Zhang Qiulan case sent by Wang Fan to Gao Pei'an. The latter's expression changed drastically.
Cover up the name and he might even think it's the same person!
"Not anaphylactic shock?!" Gao Pei'an saw Zhang Qiulan's diagnosis.
Xu Qiu shook his head: "Septic shock."
"Why is this like this... He has been in the hospital. Where did the infection come from?"
Xu Qiu turned Xue Lang's medical record to the page about medication and said, "If nothing else, it should be this liver tranquility."
Gao Pei Anzai looked at it carefully, his face became even worse, and said: "The postoperative medical instructions I gave did not include this medicine at all... Why did your director add the medicine privately?"
The little nurse is innocent and helpless.
You go ahead and scold the nurses in the hepatobiliary surgery department, but why do you want to affect our ICU nurses?
"Xu Qiu, I have to apologize. The hepatobiliary surgery department is really just doing nothing!" Gao Pei'an cursed weakly.
But he was still a little confused and said, "How are you sure it's this medicine?"
Xu Qiu briefly recounted the fact that Shen Ning's parents and the police had detected the presence of Escherichia coli in Ganan Ning Injection.
Gao Pei'an was shocked.
He had heard of this medicine. Some patients who were transferred from the clinic said that they should be prescribed this medicine.
At that time, the hospital pharmacy did not include it, so he went to check it out.
He originally thought it was a self-developed medicine from a small hospital or clinic, so he didn't pay much attention to it.
Only then did I realize that Gan An Ning’s background was terrifying!
He said solemnly: "I'm going to check the origin of Gan An Ning first, and I'll give you the news before tomorrow afternoon."
…
Then, the two temporarily put aside the matter of liver safety, intervened forcefully, and started the rescue according to Xu Qiu's previous treatment measures and drug administration standards, with fine-tuning based on Xue Lang's personal situation.
The next day, the patient was still in a coma.
However, the GCS score has improved, and the pH value of the blood gas analysis has finally reached around 7.13.
Although I am still in the range of severe acidosis, it is much better than last night at 6.80, when I was about to die at every turn.
Other values also gradually fell back.
This meant that Xue Lang spent the most critical night.
However, people's body functions vary greatly. The same disease course and the same medication may not have the same effect on different people. Whether Xue Lang can be saved in the end depends on his fate.
At work, this matter was also reported back to Linhai No. 1 Hospital.
The doctors in the first hospital were very excited. Beier was proud of it.
Patients who cannot be saved in other hospitals, our Xu Qiu can save them with just one look during her off-duty hours!
Before going to the clinic, Wang Ping went out of his way to find Xu Qiu.
"Director, what's going on?"
"I heard Wang Fan say... you don't have a computer?"
Xu Qiu thought it was a matter of Gan An Ning. Hearing this, he nodded a little unexpectedly.
"I called the dean last night and explained the situation to the medical department and finance department. The hospital plans to equip you with a computer - by the way, you should also have a need for reading pictures. Over there at the imaging department A dedicated screen will be called up..."
Compared with the reading screens dedicated to the imaging department, computers are cheap.
In the imaging reading room of Linhai No. 1 Hospital, the price of a screen is about 30,000 yuan, and the image quality is very high.
Moreover, this thing is not available on the market, and can only be "purchased" from hospitals.
"The dean came forward, so it is very efficient. I can go to your place to install it tonight... If you have any requirements in the future, please mention it to the hospital at any time. We will solve it without being careless!" Wang Ping assured, patting his chest. .
After Xu Qiu thanked him, he accepted the hospital's arrangement.
After thinking about it, he explained the matter to Bai Xi.
Bai Xi: "Damn it! Sister, I plan to go to the little sister's shop tomorrow to buy you a super high-end computer!"
Xu Qiu was silent.
Ever since the landlady referred to his best friend's "Guardian Medical Center" as a small clinic, he finally understood the brain circuit of this rich lady who owned several buildings.
The so-called small shop——
It may cover an area of several thousand square meters, or it may be a science and technology park.
…
At noon.
Wang Ping sent another message.
After taking a look, Xu Qiu immediately became energetic.
“Representatives from Liver Anning Medicine came and negotiated with the director, hospital purchasing department, and pharmacy in the morning.
I had said hello to the dean and the pharmacy in advance.
So, put this matter on hold for now! "
Xu Qiu put down her mobile phone, her eyes a little deep.
Before he could find someone to live in peace with, the other party came to his door first.
Da da da--
At this moment, the sound of high heels falling was heard in the corridor.
Boom, boom, boom!
Immediately afterwards, Xu Qiu's office door rang.
He went over to open the door, but before he could see the person clearly, a gust of fragrant wind came from outside.
"Hello, I'm Tong Yan."
A soft-looking woman leaned against the door with a smile. She was wearing a hip-hugging skirt, and her long legs wrapped in black stockings were wearing a pair of red high-heeled shoes. She looked very tall.
She walked in without waiting for Xu Qiu to say hello.
Xu Qiu frowned and opened the door, wanting to see what tricks this person was going to play.
Suddenly, a voice came from behind, "Doctor Xu, you'd better close the door, otherwise, the misunderstanding will be even deeper if the door is open!"
As the voice fell, the sound of high heels also stopped abruptly, and the other party stopped.
Xu Qiu didn't understand what Tong Yan was going to do, and stood at the door and looked back.
The next moment, his pupils on his originally calm face suddenly shrank!
——
Both of these are 3,000-word chapters!
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