My medical skills add experience

Chapter 310 Reading too much doesn't necessarily mean seeing a doctor, Yang Chan is in a good mood
Pregnant women belong to a special group of patients, and what they are most afraid of is infection.

Whether it is infection during pregnancy or postpartum infection, it is very fatal.

I'm 37 weeks pregnant, and I'm only a few months away from giving birth.At this time, a severe respiratory infection appeared, but it was more difficult to treat.

After Director Zhang read the information, he passed it on to other experts for review.

After everyone read it, the information was passed back to Professor Hu Wanjun.

"Experts from Tuya Hospital, do you have any good suggestions?"

Professor Hu Wanjun was the first to lose his composure and asked everyone.

"The patient has a high fever and a severe cough. I think it is safe to use acetaminophen drugs to lower the body temperature of the pregnant woman, and then use antibacterial drugs to control the infection. It is safer to recover slowly with the help of her own immunity."

Director Luo from the Department of Obstetrics and Gynecology took the lead in speaking.

"Well, this treatment plan is good. It's just how to treat the fetus in the pregnant woman's womb? Also, the upper respiratory tract infection of the pregnant woman seems to be spreading to the lower respiratory tract."

Severe respiratory infections in pregnant women are just one of them.

The fetal heart rate is getting weaker and weaker, which is also a serious problem.

If you don't pay attention, it is easy to die in the womb.

In addition, the spread of infection to the lower respiratory tract is also very tricky.

The lower respiratory tract mainly refers to the parts below the larynx, trachea, bronchi, and lungs, the most serious of which is lung infection.That is often said that the occurrence of pneumonia in pregnant women.

In fact, the infection in this pregnant woman was so severe that lower respiratory tract involvement was inevitable.

Pregnant women have a severe cough phenomenon is the best proof.

Medication for pregnant women is very strict, not only the history of allergies must be considered, but also the safety of the fetus.Drugs that may cause fetal malformation, death, disability and other problems cannot be used.

"It's best for us to actually check the condition of the pregnant woman first and then formulate a corresponding treatment plan." Zhang Bihua stopped Director Luo from continuing.

"The patient is in the ward, why don't I take the experts over there now?"

Professor Hu Wanjun was particularly positive about this matter, indicating that the patient's condition may be worse than imagined.

A group of people came to the ward in a mighty manner, and it was close to [-]:[-] in the evening.Usually, most of the doctors are off work at this time.

As many as twenty doctors entered the ward, and the two pregnant women and their accompanying family members in this ward were particularly surprised.

There are four beds in this ward, but only two pregnant women are hospitalized.

It also indirectly reflects the poor operating conditions of Xinxiang Maternity and Children's Hospital.

Half of the beds are empty, which is unimaginable in Tuya Hospital.On Tuya's side, it's hard to find a bed in every department.The beds in the obstetrics department are even more serious.

Many pregnant women are still unable to be admitted to the hospital for treatment. They can only stay in a hotel near the hospital, or go home and wait until the ten fingers are opened before sending them to the hospital for delivery.

No way, the bed is really tight.

There have also been many cases of puerpera falsely claiming to have high blood pressure and heart disease in order to be admitted to the hospital.

I don't know if I learned this trick from a doctor?
Doctors sometimes speak of the seriousness of the condition to frighten family members and patients.Those pregnant women are learning and using it flexibly, which in turn frightens doctors and nurses.

It doesn't matter if you don't take me to the hospital, let me tell you, I have high blood pressure, and if I have a problem, I will call you.

Most of the mothers have a little high blood pressure, and this trick is really easy to use at the beginning.

Almost time-tested.

Later, the obstetrics department held a special meeting on this matter. Pregnant women who claimed to have high blood pressure or heart disease needed to provide proof of past medical history.In the end, this unhealthy trend was restrained.

Zhou Can's qualifications are relatively low, so he consciously stands near the door of the ward at the moment.

He just quietly watched Director Zhang and others ask about the condition of the pregnant woman and check the pregnant woman.

Even at a distance of seven or eight meters, he could see an abnormal color on the skin of the pregnant woman's neck and abdomen.Can't tell, it's kind of dark brown.

Armpits, groin, he couldn't go up and ask to see them.

However, the same is expected to happen.

"Squad leader!"

Zhou Can turned to look at Yang Chan who was also standing at the door.

"what?"

Her tone was a little fierce.

"Did you notice that the pregnant woman's neck skin is dark and brown?" Zhou Can said.

"Isn't it normal for pregnant women to become ugly due to changes in hormone levels in their bodies?" She didn't know what Zhou Can's intention was.

"You are a lesbian, can you check her armpits and groin for skin discoloration before going to the hospital bed?" Zhou Can could only ask her to help.

"Why don't you go by yourself. You are an expert, and I'm just a second-line assistant doctor." She seemed a little dissatisfied that Zhou Can was better than her and had surpassed her in status.

"I'm a man. I ran up to check other people's groin and armpits. Others thought I was a pervert." Zhou Can looked depressed. If he could do something, he wouldn't ask her for help!
"Wait!"

She pushed forward.

This is a promise.

In fact, as long as Zhou Can puts forward a valid reason, she almost responds to every request.

Du Leng, who was standing not far away, had been secretly watching Zhou Can.Seeing that Zhou Can was so interested in the skin changes in the neck and groin of pregnant women, he secretly pondered the pathology.

Zhou Can stole the limelight every time he diagnosed such difficult cases and made great contributions.Today, in front of the doctors of the two hospitals, his reputation as a returnee doctor can no longer be weakened.

"What is the use of this clue discovered by the surname Zhou?"

Du Leng frowned, thinking carefully.

It's just that even if he scratched his head, he couldn't think of any relationship between the darkening of the neck skin of pregnant women and the respiratory tract infection and weakening of the fetal heart rate of pregnant women.
In the final analysis, doctors are not those who have read more books.

Lightbond has to apply what it has learned and has rich experience in clinical diagnosis in order to guarantee its level.

Yang Chan is Zhang Bihua's lover, and with this kind of relationship, no one really dared to say anything about her when she squeezed in front of the hospital bed.

After whispering a few words with Director Zhang, she asked the patient for his opinion.

With consent, the curtain was drawn to help the pregnant woman check.

Not long after, the bed curtain was drawn.

Director Zhang was very happy with Yang Chan's active learning attitude and gave Yang Chan the greatest support.

She completed the task assigned by Zhou Can and came back.

"Looked at it just now, the groin is darker. The armpits are darker than the neck."

"Okay, thank you for your hard work."

Zhou Can got an affirmative answer, and thinking about some of the symptoms of pregnant women, he already had some ideas for diagnosis.

"Have you discovered something already? Share your diagnosis ideas!"

The only symptom she can see so far is respiratory tract infection, and the body temperature of the pregnant woman has basically been controlled.From high fever to low fever.It shows that Xinxiang Maternity and Children's Hospital has already used medicine after admitting the patient.

It is undeniable that in terms of diagnosis, Zhou Can is indeed much better than her.

Zhou Can was about to share his diagnosis ideas with Yang Chan, when he caught a glimpse of Du Leng standing in front of him listening with his ears up, he couldn't help but smile.He pointed at Yang Chan's phone.

Then quickly enter text on the phone screen.

Du Leng, who was waiting to eavesdrop, suddenly heard nothing.

He felt a little strange, subconsciously looked back.

After discovering that Zhou Can was exchanging private messages with Yang Chan on his mobile phone, he couldn't help but secretly scolded Zhou Can for being stingy.Isn't it just a diagnostic idea?Still need to hide it?

"Dr. Du seems to be very interested in our conversation! Do you want to join us?"

Yang Chan is also a smart person.

Seeing Du Leng's expression, and thinking of Zhou Can suddenly communicating with her on his mobile phone, he immediately understood.

She could not help but smile and run on Du Leng.

"Ahem... no, thank you!"

How could someone as proud as Du Leng lower his figure to 'discuss' with Zhou Can?
"Dr. Du is a talented student from a famous overseas school. His diagnosis is much better than ours. He doesn't bother to discuss it with regular students like us!"

Zhou Can used words to lift Du Leng to a higher place.

As long as there is a chance, he doesn't mind killing Du Leng's arrogance.Not for anything else, just to see this uncomfortable.

With the name of an overseas doctor, he is as proud as a rooster all day long, why bother?

"No no!"

Du Leng smiled awkwardly and turned his head back.

Zhou Can and Yang Chan looked at each other and smiled, their positions on this matter were surprisingly consistent.

At this time, Zhou Can had already finished typing out his diagnosis ideas.

Send it directly to Yang Chan.

"It's mysterious, but I want to see what your diagnostic thinking is?" Yang Chan muttered, checking WeChat information.

After reading it, she couldn't help but widen her eyes.

"Your... brain circuit is too tortuous! She checked this item when she was admitted to the hospital, and the result was normal!" Yang Chan said in disbelief.

Du Leng, who was standing in front, was a little absent-minded.

Because he found that the knowledge he had learned was completely useless, like a three-year-old child who had a house full of thermal weapons, but he couldn't use them to deal with the approaching wolves.

Du Leng eavesdropped on every word of the conversation between Yang Chan and Zhou Can.

Which item was checked at the time of admission?
Du Leng couldn't help thinking about it.

Also, what is the diagnosis that Zhou Can told Yang Chan?
The more he couldn't figure it out, the more curious Du Leng was.

Zhou Can, however, smiled confidently at Yang Chan and said, "Only you can speak in front of Director Zhang. You can mention it to Director Zhang, and then give the patient another examination of this item. I believe there will be major discoveries." of."

"Trust you once! But you have to promise me that you must teach me the way of diagnosis after the fact."

When she said that, she basically admitted that Zhou Can was stronger than her.

"No problem. We are old classmates. As long as you want, you can exchange various cases on WeChat at any time."

Zhou Can and Qiao Yu often discuss medical issues on WeChat, but they rarely talk to Yang Chan, an old classmate.

In Zhou Can's impression, she was aloof.

Zhou Can didn't dare to harass her if there was no important matter.

So as not to be fed soft nails by her.

But this moment, that moment.

Zhou Can's current strength is much stronger than her. It's her turn to ask Zhou Can for advice. No matter what, her attitude will be much better than before.

Yang Chan squeezed to the front again and asked Zhang Bihua for inspection suggestions.

At this moment, the chief physicians have already discussed it almost.

However, no definite conclusions were drawn.

When discussing obstetric cases, there are only a few experts such as Director Zhang Bihua and Director Luo who can make great efforts on the spot.

Those like Deputy Director Shi of the Department of Gastroenterology, Director Jiang of Shennei, etc., are really helpless in the diagnosis of obstetrical diseases.

That is to follow to gain a little knowledge.

"Teacher, can you check this patient's blood sugar?" Yang Chan made a suggestion to Director Zhang at the right time.

"The patient's blood sugar was checked when he was admitted to the hospital, and it was normal! Did you find anything new?" Zhang Bihua was very happy to see her lover actively participating in the consultation and discussion.

"I suspect that the patient is likely to have diabetic ketoacidosis!"

Yang Chan boldly continued to follow the diagnosis ideas provided by Zhou Can in the message.

"The patient has no history of diabetes!" Professor Hu Wanjun looked at Yang Chan in confusion.

The other doctors had similar expressions.

"Didn't I close the curtain on purpose to do a physical examination on the patient just now? Her armpits and groin had obvious skin color changes, dark and brown. One of the symptoms of diabetes is the change of skin color. Also, the patient recently took When drinking water from the cup, it was empty at first, indicating that there was something wrong with her eyesight. This is also one of the symptoms of diabetes.”

Yang Chan didn't even know how Zhou Can's observation skills were more detailed than women's.

When the pregnant woman took the water glass just now, I believe someone must have noticed that she was empty for the first time.But everyone thinks that it was caused by her serious condition and frailty.

Only Zhou Can keenly judged that the vision of the pregnant woman was blurred.

"Can you read the words on this paper clearly?"

Zhang Bihua obviously still didn't believe it. He took a checklist and placed it one meter away from the pregnant woman to let her identify the words on it.

"I can't see clearly!"

The pregnant woman shakes her head.

Director Zhang moved the paper closer, but the pregnant woman still shook her head.

"Those words and patterns look very blurry. I can't see clearly."

"Have you ever been nearsighted?"

"no!"

This time, everyone finally believed that there was a real problem with the vision of pregnant women.

"If Dr. Yang Chan's diagnosis is correct, the baby in the patient's womb will be in danger. Diabetic ketoacidosis not only endangers the patient's life, but also seriously endangers the life of the fetus. Her current symptoms are not obvious, and there should be time. Check it out quickly. Take a look at your blood sugar."

Director Zhang Bihua has rich clinical experience and immediately realized that pregnant women and fetuses were in danger.

However, further investigation is needed to clarify.

Typically, diabetic ketoacidosis presents with nausea and vomiting.However, for pregnant women with severe respiratory infections like this, even if symptoms of vomiting and nausea occur, it is very easy to be ignored.

The nurse took a blood sample for the pregnant woman on the spot.

"Come on, give me the specimen. Human life is at stake. We must hurry up the laboratory." Section Chief Tang took the specimen and ran the trip himself.

It can be seen that the senior management of Xinxiang Maternity and Children's Hospital is also secretly paying attention to the consultation between the two hospitals.

As long as there is a need, we will do our best to mobilize all medical resources to treat patients immediately.

Less than 8 minutes later, Section Chief Tang directly called Professor Hu Wanjun's cell phone.

As soon as the connection was made, Hu Wanjun's face changed drastically after hearing a few sentences.

"News came from the laboratory that the patient's blood sugar was as high as 17.2mmol/L." After Professor Hu Wanjun said this, it was like a bolt from the blue, which made many doctors present tremble.

This is very bad news.

"Obviously, the blood sugar was normal when I was admitted to the hospital. It's only been two days. Why did the blood sugar suddenly rise so fast? It's too evil." Although Professor Hu Wanjun is only a gynecologist, he has also treated many cases of obstetrics.

She has never encountered such a thing.

"It's a good thing that the problem was found. If it hadn't been found, the patient's blood sugar was already so high. I'm afraid that after tonight, her fetus might not be able to survive. Even an adult would be in danger. I hope it's still too late .”

After hearing the blood sugar results, Zhang Bihua quickly calmed down from the initial shock and fear.

We must race against time to correct the patient's blood sugar immediately.

The subsequent treatment became simpler. Among the experts present were endocrinologists. Correcting the blood sugar of pregnant women was nothing more than a trivial matter for them.

The most commonly used treatment method is to be filled with saline, and then add insulin to the saline for continuous intravenous infusion to lower blood sugar.

"It's enough to leave some of our obstetrics and gynecology doctors and nurses here. You have worked hard all day, and you still need to go to the clinic tomorrow. Go back to the hotel and rest first!"

Zhang Bihua looked at the other experts.

"Wait! Director Zhang, experts, there are still a few cases that I would like to ask you to help discuss together. If possible, please go to the conference room to rest for a while, we will be there soon."

It will take a little time for this pregnant woman to correct her blood sugar.

Hu Wanjun was worried and left right away, reckoning to stay in the ward for about 10 to [-] minutes at most before seeing the effect.

Intravenous infusion is considered to be a treatment with a faster onset of effect.

"Then you all go to the conference room to rest first!" Director Zhang said to everyone, his eyes turned and fell on Yang Chan's pure face that was so beautiful. "Yang Chan, you performed well! You really impressed me today!"

Seeing his apprentice perform so well, Director Zhang Bihua not only felt that his face was bright, but he was also very happy and gratified in his heart.

Teachers expect their students to succeed.

Yang Chan's face blushed immediately after being praised by her in public.

It is undeniable that she was quite the show just now.Numerous experts, doctors, nurses, and even family members and patients looked at her with admiration.

Because she discovered the patient's blood sugar problem and saved two lives.

(End of this chapter)