My Medical Skills Give Me Experience Points-Chapter 124 - 93: Advanced Bootlicking, The First Time Opening the Abdomen

Emergency Department, though underrated and less influential than other departments, possesses unique privileges not available to others.

When encountering an unresolved case, doctors can summon specialists from any department for consultation.

These requests cannot be refused.

There are strict time limits for responding to emergency cases as mandated by the hospital.

Specialists responding to emergencies cannot simply give up if they can't manage the situation; they must call for higher-ranking doctors if necessary.

If in the end, despite all hospital efforts, the patient cannot be saved, then there's nothing that can be done.

The matter would be reported following protocol.

While other departments can also request consultations for challenging cases, the nature of these requests is significantly different.

For instance, when Orthopedics receives a patient with a fracture suspected of internal bleeding or other severe diseases,

if the department feels it's beyond their capabilities and potentially dangerous,

they would invite a doctor from Internal Medicine for consultation.

The Internal Medicine doctor, upon receiving such a request, might be reluctant since every doctor has a load of tasks, and doesn't really have time to take care of other department's issues!

However, these consultations are obligatory.

Everyone belongs to the same hospital, so if you help me today, I'll help you when you're in trouble.

Cooperation is essential.

The Internal Medicine doctor checks the patient.

Upon reviewing, they say, "My, the internal bleeding is severe, the patient is already in shock."

After a thorough review of the medical report, they feel the patient is unlikely to survive surgery.

While informing the Orthopedic doctor about the diagnosis, they also report to their superior unless they are the head physician, in which case no report is necessary.

They might directly express a certain attitude.

"It's tough to save this patient, unlikely to survive surgery, please handle subsequent decisions."

After saying this, they can leave.

This is the difference between responding to an emergency and a standard consultation.

...

Shortly after, the patient's blood test report came back showing abnormal white blood cells, indeed there's pyosis.

Doctors from Emergency Department also arrived in succession. Digestive Internal Medicine and Liver and Gallbladder Surgery each sent a senior doctor.

These rankings are quite high.

Their diagnostic experience, personal capability, and expertise are certainly not lacking.

"What disease is it?"

"Acute cholecystitis!"

"This isn't too difficult to handle! Wasn't Dr. Xu previously our chief surgeon? He should be able to handle it!" The Liver and Gallbladder Surgery doctor sounded relaxed upon hearing this.

He might not have meant to mock Dr. Xu.

But it sounded somewhat disparaging towards Dr. Xu regardless.

Considering his age, he seems to be a newly promoted senior surgeon from recent years.

He still retains a bit of young people's striving spirit.

Being young and promising, some arrogance is inevitable.

Only time and harsh realities of life will gradually temper this.

"Doctor Ruan should first examine the patient's condition," Zhou Can said, standing aside and speaking up for his mentor.

The Gastroenterology doctor had already reviewed the medical records and was examining the patient.

Internal Medicine doctors conduct very thorough examinations, checking pupils, tongue coating, hands, complexion, etc., carefully looking at each. They also inquire about specific details like diet, bowel movements, and exact locations of abdominal pain.

Many details are not written in the medical record.

These typically just briefly record the patient's symptoms, condition, time of acceptance, etc.

Doctors in China still carry traces of traditional Chinese medicine.

Experienced Internal Medicine doctors would know a bit about traditional diagnostic methods like visual examination, smelling, questioning, and pulse-taking.

Zhou Can silently learned the diagnostic methods while observing the Internal Medicine doctor examining and diagnosing the patient.

After completing the diagnostic process, the Internal Medicine doctor didn't hurry to express an opinion.

He just stood by with a slightly serious expression, calmly waiting for Doctor Ruan from Liver and Gallbladder Surgery to give his diagnostic output.

Five minutes passed, then eight… Doctor Ruan furrowed his brows, checking the medical information and examining the patient, yet hesitating to provide a diagnostic opinion.

"Doctor Ruan, surely you must have treated many cases like this. You've seen the reports and examined the patient, what do you think should be the treatment?"

Zhou Can deliberately praised the doctor, seeing his difficulty, which was kind of... 'naughty'.

"Uh… I need to study this further!"

Doctor Ruan's face showed a hint of embarrassment.

"Weren't you just saying this disease isn't hard to handle?"

Zhou Can cornered him.

Having caused embarrassment to Dr. Xu upon arrival, Zhou Can of course had to administer a light punishment.

To make him think twice before speaking next time.

"This disease is usually treatable, but this patient is a bit challenging. By the way, what is the Emergency Department's treatment suggestion?" Doctor Ruan's quick-wittedness was impressive.

He swiftly shifted the topic and focus.

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Earning the role of a senior doctor comes from countless interactions with patients.

Without the ability to adapt quickly, he would've faced numerous difficulties from patients and their families.

Zhou Can looked towards his mentor.

This question should be answered by the most senior doctor present.

As a junior training doctor, he kept his position clear,

never speaking out of turn when it was not his place.

"Our suggestion is first to perform a puncture to draw some bile for imaging and localization, followed by a puncture to drain the pericholecystic abscess, providing the patient with anti-inflammatory treatment. Once the inflammation subsides, surgery can be scheduled."

Dr. Xu had adopted Zhou Can's treatment suggestion.