Chapter 18 Let me assess Xu Qiu? I'm not worthy(1/2)
"Doctor Xu, my level...is indeed not good enough!"
The nurses around were shocked when they heard this.
Director Wang is well-known in the field of emergency medicine and has trained a large number of talents in the emergency field.
His level is not up to par, and there are probably not many people in Linhai First Hospital who would dare to say that they are capable!
Wang Ping didn't care about the surprised looks around him.
He held Xu Qiu's hand, suppressing his excitement and said: "The patient was rescued. He had acute high-risk pulmonary embolism and was rescued within one minute of the attack!"
A stone fell from Xu Qiu's heart, and she said, "Just save her."
This calm expression made Wang Ping feel a bit confused.
Just listening to the conversation, Xu Qiucai looks like a chief physician!
However, Wang Ping didn't care so much. The more he looked at Xu Qiu, the more he liked him and said, "Has the department arranged an outpatient clinic for you?"
Xu Qiu shook his head.
In major tertiary hospitals, almost all the people who visit outpatient clinics are deputy directors and directors.
As a resident doctor, he is far from qualified to conduct independent consultations.
Wang Ping patted Xu Qiu's shoulder and asked, "Can I sit in for a consultation?"
"Of course."
"Okay, how about you go to the outpatient clinic this afternoon and I ask Wang Fan to follow you for an inspection?"
Xu Qiu agreed immediately.
He understood that Wang Ping was giving himself special privileges!
Having an independent consulting room is a sign that a doctor has a firm foothold and a place in the department.
For ordinary doctors, it may take about ten years to reach this point.
And Xu Qiu...it only took ten days from admission to the present!
…
…
afternoon.
A senior attending physician held his luggage, looked back with a wry look at Clinic No. 7 behind him, and left reluctantly.
Wang Fan stood at the door and waved: "Brother, keep up the good work and be promoted to deputy director. The new clinic is waiting for you!"
Senior doctor: "I can be promoted to deputy director within a year, just wait!"
He believed that he would definitely be able to take back Clinic No. 7.
Ten minutes later, Xu Qiu arrived here, and the afternoon outpatient clinic officially began.
The first patient was an 18-year-old female patient.
When she came in, she was pale, holding her stomach and looking very painful.
"Doctor, I'm in pain~" The girl stared at Xu Qiu, completely intoxicated.
Wang Fan stood aside, feeling unhappy all over.
Damn, is this the treatment a handsome guy gets when he comes to the doctor?
Soon, Xu Qiu completed the consultation.
The patient complained of lower abdominal pain, accompanied by abnormal bleeding from the lower body for three days.
I have no history of dysmenorrhea. My last menstrual period was last month.
Next is the physical examination.
Xu Qiu asked the girl to lie on the hospital bed and pressed her belly.
"Ugh, it hurts!" the girl immediately cried out.
After pressing in a clockwise circle around the navel, there was tenderness and rebound pain all over the abdomen.
Percussion shows no indication.
I can't feel the lump either.
These signs are not specific.
Appendicitis can occur, as can various acute abdomens, and the specific cause cannot be determined at all.
When asked about sex.
The girl blushed and hesitated: "I...I'm only a freshman..."
Only a freshman?
Some people spent more time playing than you in their first year of high school.
Xu Qiu shook his head,
He added a checklist and said: "Go for an hcg measurement. Then do an ultrasound."
The girl begged: "I'm not pregnant, I just have a stomachache. Please give me some painkillers!"
A hint of tenderness flashed across Xu Qiu's stern expression, and she said, "Go for a check-up."
The originally determined girl suddenly wavered, nodded dazedly and left.
…
During this period, Xu Qiu saw several more patients.
Wang Fan was shocked by the skilled consultation process and experienced experience and judgment.
With such ease, is this really a resident doctor?
The chief doctor is nothing more than this!
At this moment, Wang Fan felt a sense of inferiority in his heart.
Director Wang also asked him to assess Xu Qiu...
He, Wang Fan, is not worthy!
…
Two hours later, the girl came back with the inspection report.
"Doctor, please take a look for me." The girl lowered her head and handed over the two examinations.
Xu Qiu glanced quickly.
The blood hcg value is 355u/l, while the value of a normal person is 0-5iu/l.
As high as 355iu/l, it is basically certain to be pregnant!
He quickly looked at the gynecological B-ultrasound.
No abnormal masses or gestational sacs were seen in the uterine cavity.
However, there is an abnormal signal mass in the ampulla of the fallopian tube!
"Ectopic pregnancy..."
Xu Qiu immediately gave a diagnosis.
Blood hcg indicates pregnancy. Ultrasound indicates suspicious extrauterine mass.
It can basically be concluded that ectopic pregnancy is.
It is also commonly known as ectopic pregnancy.
"I...how is it possible? It's only one or two times..."
The girl's face suddenly turned pale, her hands and feet were cold, as if she had received a huge blow.
She looked at Xu Qiu, as if grasping a life-saving straw, and whispered: "Doctor, can you perform surgery on me?"
"No need for surgery."
If the ectopic pregnancy has not ruptured, the gestational sac is less than four centimeters, and the hcg is less than 2,000, it can be treated conservatively.
Xu Qiu wrote a list and said, "I'll transfer you to the obstetrics and gynecology department..."
"No, I want to stay with you." The girl insisted.
The pen in Xu Qiu's hand paused for a moment, then he paused and said, "That's okay. I'll prescribe some methotrexate. If the medication is effective, there's no need for surgery."
Methotrexate is a chemotherapy drug mainly used to treat malignant tumors.
However, it can also kill ectopic embryos.
Compared with surgery, conservative treatment with methotrexate is less harmful to patients and is also the preferred clinical method.
"Let's go to the hospital." Xu Qiu wrote a hospitalization slip and ended the consultation.
To be continued...