bookpower Chapter 645
Chapter 645
But!
Despite knowing that the patient currently has a lung problem,
Lin Feng couldn't make a specific diagnosis.
Because the patient's condition does not allow.
Death at any time!
The patient's wife asked at this time: "Dr. Lin, I heard that the ICU is more powerful, can I send the ICU?" "
Lin Feng shook his head: "I don't recommend going to the ICU... Because your husband is now very seriously ill, we can't help him when he goes to the ICU, it will only make him suffer more treatment pain, including inserting various tubes... In addition, the ICU is completely closed, you can't see him, and in his last days, you are not with the bedside, which I think is very regrettable. "
"Another point, your husband's situation is too serious, I'm afraid that on the way there, the person will already be gone..."
"It's better that your family, accompany him here first, do you have grandchildren?"
"There are granddaughters, and two old people are there..."
"Call them all..."
Lin Feng's meaning is obvious, this is to let them have time for the family, spend the last time, and explain the aftermath.
Suddenly
Wives, sons and daughters, tears welled up in their eyes.
In fact, according to ordinary doctors, everything that should be saved may be saved, lest the patient find a lawyer to sue the doctor for inaction and delay the condition.
However, Lin Feng still felt that this patient, there was nothing to save, it was better to take advantage of the last time, the family to explain the aftermath, and send the last ride. Otherwise, he was sent to the ICU, died, and there was not even a relative around him, which was miserable for the patient.
The family eventually decided to stay in the emergency room to accompany him on his last journey.
After 10 minutes,
The patient's parents and granddaughter came.
Family together.
After they arrived at the hospital, less than 20 minutes later, the patient explained what happened, then played a little game with his granddaughter, and then stopped breathing.
The patient died.
Woooo
The rescue room was crying.
This night, not calm...
......
Going to work in the middle of the night, because of the care of the god of night shifts, is really boring.
A group of people were in the duty room, gurgling and drinking milk tea or something...
At this time,
There is a doctor, idle and bored, sharing his work,
"The day before yesterday, when I was at work, a patient came to me for consultation, and after I finished my diagnosis, the patient actually said: Doctor, your diagnosis is not right, it is different from the diagnosis of the doctor in the hospital next door! ......"
The doctors and nurses laughed.
I have seen a lot of this kind of thing.
It is common for two doctors to diagnose the same patient differently.
Whether it is going to the hospital to see a doctor, or reading popular science on the Internet, you may encounter different doctors have different statements, today this doctor said so good, tomorrow the doctor said so good, all said their own science, it sounds like they all make sense.
For example:
As mentioned earlier, atomization is useless for children's cough, and there is no need to do atomization.
But!
Many doctors across the country will choose to do atomization for child patients.
Why?
Experience!
Those doctors think: atomization is useful for coughing in children!
So
This raises the question: who is the most standard and effective diagnosis and treatment?
Who should listen to when the doctor says otherwise?
It is common for doctors to disagree on the diagnosis of a child's specific disease, and sometimes the diagnosis is clear, and the doctor's treatment plan may also differ.
So, how to tell who is right and who is wrong?
To put it bluntly, it is to look at the evidence!
And then it stretches to one word -
"Evidence-based medicine"!
Simply put, "evidence-based medicine" is to quantitatively analyze medical problems through scientific statistical methods, and obtain more reliable and optimized diagnosis and treatment methods to solve medical problems.
It appears because:
Medicine is a highly specialized discipline, and the answers to most of the questions are unknown.
And the previous "standard answers", with the deepening of the research, some have indeed been overturned, not only patients do not know, doctors whose knowledge has not been updated also do not know, and then patients hear different statements from different doctors and do not know who to listen to.
Evidence-based medicine, then, is to judge who should be listened to.
Look at the evidence, of course!
Medical evidence, graded!
Randomised controlled studies, systematic reviews
Cohort studies
Case-control studies, clinical reports
The doctor's own clinical experience
Animal testing/in vitro testing/cell testing
From high-level to low-level, the criterion is: high-level evidence is preferred.
But
Even advanced evidence may be overturned over time, replaced by another kind of evidence, become the new medical standard, and then be overturned again over time...
Keep improving...
For example, many doctors' Bibles, the Guide, are constantly being overturned and updated.
......
Diagnosing different things is a common thing, so a group of boring people, without much conversation, changed to another topic.
"Have you heard? In the next province, there is a small hospital, and an emergency doctor was complained and removed from his post because he did not deal with the child's head bleeding, and many people talked about it on the Internet..."
A doctor said.
The others were startled.
"Huh? And this? "
"I didn't notice..."
"What is the situation? Tell me..."
The removal of emergency doctors touched on a sensitive point.
The sleepiness in the middle of the night is gone.
The doctor elaborated: "The matter was exposed to the Internet by the child's father, saying that the child went to the emergency department of the Fourth Hospital of Hehe after falling and injured his head, and after registration, he waited for 27 minutes without seeing the doctor to come out for treatment, and finally the parents took the child to another nearby hospital for bandaging, and after that, they complained about the original hospital... Yesterday during the day, and then the Internet made a big noise, but later it was found that the doctor was treating other patients' wounds, and the doctor was removed by the hospital on the same day..."
After everyone listened, the first reaction was to sympathize with the child, but the second reaction was also to sympathize with the emergency doctor.
Children are naturally very pitiful.
Bleeding from the braincase may be very dangerous, and if it penetrates deep into the braincase, it will be a big trouble.
However, the emergency doctor is estimated to be wronged.
Emergency is the last department that doctors want to go to.
Busy!
Busy to the explosion!
Intern doctor Chen Hao was a little indignant: "It's understandable that the child's family is waiting for the emergency to complain, the doctor is treating the wounds of other patients, it's understandable to be late, but what is the matter of the hospital firing the doctor?" "
Other doctors and nurses couldn't help but complain.
"Since you are dealing with another patient, why suspend you?"
"That is, what the hell is this hospital?"
"The right thing to do, shouldn't the hospital stand up and apologize? It must be that there are not enough hospital positions, or other doctors have not come out to help... This is definitely a problem with the functioning of the hospital. "
"Sometimes two patients together, the emergency doctor really can't keep busy..."
Lin Feng glanced at the reported photo,
Well
Bleeding from the back of the head is not serious.
Hope the child is okay.
。