novelraw Chapter 319 - 173: Diagnosis Meritorious, Truly Not Making Things Difficult (Part 2)
Chapter 319 - 173: Diagnosis Meritorious, Truly Not Making Things Difficult (Part 2)
In terms of wealth and family background, he was confident he could outshine Li Jingsheng.
In his work, he previously considered himself to have a significant advantage. It wasn’t until he found himself on the actual battlefield that he realized how vast the gap was between him and Li Jingsheng.
It wasn’t that he was strong, but that Li Jingsheng was just so much stronger.
"Quickly check the urine and blood, and borrow a ventilator. Dr. Qin, you go borrow a ventilator, hurry."
Director Hua’s gaze locked directly onto the group of young doctors standing at the back.
In the end, Dr. Qin ended up as the unlucky one doing the errand.
"Which department should I borrow it from?"
Dr. Qin was very frustrated, thinking he’s a senior resident after all, why not send Xiao Jing for such errands?
"Go to Pulmonary Medicine! Quickly."
Director Hua replied with an impatient look.
Li Jingsheng’s expression and tone were very serious when he mentioned preparing a ventilator, which put some pressure on Director Hua.
Because of Li Jingsheng’s excellent performance in all areas, Director Hua realized that Li Jingsheng would certainly not speak carelessly.
Now, what he feared was that something might indeed happen to the patient.
"Alright! I’ll go immediately."
Dr. Qin didn’t dare to delay and immediately ran off to Pulmonary Medicine.
"Director Hua, if possible, I recommend you prepare some emergency medication for fat embolism right away. The patient’s respiratory rate has increased by three times per minute in this short period. And even after receiving oxygen, the blood oxygen levels have not significantly improved. I’m worried that the time left for us to rescue is diminishing."
Li Jingsheng gave another rather pertinent suggestion.
A year of practicing in the clinic had made him steady and wise.
He considered every aspect carefully and did not go into any battle unprepared.
These abilities, let alone young doctors in their twenties, even doctors in their forties might not possess.
"Dr. Ruan, prepare immediately. You know what emergency medication for fat embolism is, right?"
"Yes, I do!"
If Ruan Xiaoqin couldn’t even handle this matter, her role as an attending physician would be in vain.
"Dr. Li, can you talk about the reasons or diagnostic approach that led you to suspect the patient has a fat embolism?"
"The reasons are quite sufficient, but I haven’t fully thought through the diagnostic approach yet. May I take some more time to consider it?"
Facing two chief physicians, several young doctors, two nurses, and the scrutiny from the patient’s family, Li Jingsheng felt a bit uneasy.
"No problem, take your time, and whenever you’re ready, let us and Professor Wu know."
Director Hua handed over the patient’s examination data directly to him.
"If you need to check the patient’s medical records and treatment plan, you can directly view them on the office computer."
"Okay, thank you."
Li Jingsheng could feel that Director Hua valued him greatly.
"Old Wu, do you think the likelihood of a fat embolism is higher than sepsis?"
Director Hua didn’t engage him further and instead started a new discussion directly in the ward with Professor Wu.
Since the patient had not transitioned to a stable condition, Director Hua dared not leave.
"Well... a fat embolism is indeed somewhat more likely."
Professor Wu’s face turned slightly red.
It was undeniable; today, he’d been given a harsh lesson by this young doctor.
Li Jingsheng’s performance was truly dazzling.
"Long-term fractures are more prone to fat embolism. If the patient truly has a fat embolism, we must clarify the pathology to prevent similar cases in the future."
...
About seven to eight minutes passed, and the ventilator still hadn’t been brought back when the patient suddenly experienced limb convulsions.
Blood pressure dropped rapidly once again.
The complexion, fingers, and lips turned cyanotic at a speed visible to the naked eye.
Professor Wu quickly increased the oxygen concentration, but it was ineffective.
As he was about to increase the oxygen concentration again, Li Jingsheng hurriedly advised, "We can’t increase it anymore; otherwise, it’ll be counterproductive. Using a ventilator now is the only way to save the patient."
The concentration of oxygen isn’t the higher, the better.
An overly high concentration can lead to oxygen toxicity.
Moreover, too high an oxygen concentration can actually suppress respiration and lead to atelectasis.
The patient was already experiencing pulmonary edema and difficulty breathing, so providing high-concentration oxygen would be like adding insult to injury.
It would directly send the patient on their way.
Undoubtedly, Professor Wu understood these medical facts, but in the practical clinical rescue situation, the oxygen concentration needed to be adjusted flexibly. He probably lacked experience in this area, and seeing the patient on the brink of death drove him to frantically increase the oxygen concentration.
After being reminded by Li Jingsheng, Professor Wu’s face turned red once again.
"I didn’t consider it thoroughly. Why hasn’t Dr. Qin brought back the ventilator yet? This is really urgent!"
Professor Wu anxiously stamped his foot.
If he had followed Li Jingsheng’s advice initially, he wouldn’t have been in such a hurry now.
Fortunately, Dr. Qin proved to be reliable.
The ventilator was brought over at a critical moment.
"The doctors in Pulmonary Medicine were very helpful. Hearing about our critical patient, they were concerned since we rarely use ventilators and came over specifically to help with the setup."
Dr. Qin even brought back a male doctor.
It happened to be a familiar face to Li Jingsheng, Dr. Tang Weilin from Pulmonary Medicine.
An excellent young doctor under Director Mu.
"Dr. Li, I heard you’ve joined our Second Hospital now, congratulations! You’re always welcome as a guest at our Pulmonary Medicine department!"
Tang Weilin smiled and greeted Li Jingsheng upon seeing him.
"Thanks, thank you! The patient just had convulsions, and the symptoms of hypoxia have worsened, let’s save the patient first!"
"Alright!"
Tang Weilin turned to look at the two chief physicians.
"Director Hua, Director Wu, I’ll take care of it. If I’d known earlier that Dr. Li was here, I wouldn’t have needed to come over; Dr. Li is very competent."