"The patient I mentioned to you just now is the old man's daughter." Director Jiang explained.

Xu Qiu nodded towards the woman as a greeting.

"I feel relieved now that Dr. Xu is here. My father is saved!"

The woman let out a long sigh of relief. At this moment, she just felt relieved.

She followed the two of them, step by step, sometimes faster and sometimes slower, her throat twitched a few times, and she stopped talking.

Xu Qiu glanced: "What's the matter?"

"Doctor Xu, I...I just gave birth to a baby in our hospital last month..."

"Congratulations."

"No, no, I want to say that she wasn't sleeping a few days ago, so I took a look with a magnifying glass and found a short golden hair under her arm. Is this okay?"

Xu Qiu shook his head: "It's nothing serious."

"Also, there is a very small mole on her arm, which can only be seen with a magnifying glass. Do you think it will get worse? Could it be cancer?"

"Don't worry too much."

"But when I looked with a magnifying glass, there was a thin streak of blood on her eyelids. What should I do?"

Xu Qiu was silent for a few seconds, "Throw away your magnifying glass."

…

When they arrived at the door of the ICU, Director Jiang was blushing.

I almost laughed out loud.

To be honest, the medical advice of throwing away the magnifying glass is indeed the best treatment for mothers with excessive anxiety...

It’s just as funny as it sounds.

The key is that Xu Qiu was not joking, but gave the treatment plan in a serious and well-founded manner.

"This is the patient's condition. This is a more detailed examination report..."

Director Jiang took the case sent by the nurse and passed it to Xu Qiu with both hands.

Xu Qiu looked through it while walking.

The patient's name is Tao Changhan, and he is sixty-six years old this year.

It started with fatigue and poor appetite, so the first consultation was with a gastroenterologist.

After checking for a long time, it was found that it was not chronic gastritis, heart failure, or abnormal liver function, which are common causes in the elderly.

Later, a CT scan was performed and pneumonia was found. I was transferred to the respiratory surgery department and the diagnosis was confirmed.

Typical pneumonia is characterized by cough, sputum and fever, but Tao Changhan happened to have atypical pneumonia.

At first, the family thought it was just a case of indigestion, so they went to the pharmacy and prescribed some digestive medicine.

It wasn't until it didn't work that I went to Linhai No. 1 Hospital and discovered that it was actually pneumonia.

The cost of delaying this precious treatment time is that the elderly person progresses from pneumonia to severe pneumonia.

On the day he was admitted to the hospital, the old man suffered an acute exacerbation of symptoms, including shortness of breath and extreme hypoxia. Finally, he was even put on a ventilator and almost went into shock.

After he stabilized slightly, the respiratory department immediately transferred the patient to the ICU in a hurry.

Two things to be thankful for about the referral process.

First, the old man arrived in the ICU successfully. Here, as long as he has money, he will not die easily.

Secondly, the family members did not worry about "I was fine at home, but why did my condition worsen when I came to the hospital?"

"Doctor Xu, is my dad okay? His life is not in danger, right?" The woman finally turned her attention back.

“For elderly people over 65 years old who develop severe pneumonia, the mortality rate is about 40%.”

"ah?!"

The woman's pupils shrank instantly, her neck felt as if someone was pinching her, and she had difficulty breathing.

"But don't worry, the ICU has dealt with many cases of severe pneumonia. Among the severe cases, he is still relatively mild, and there is still hope." Xu Qiu comforted him.

Sure enough, the patient's mood immediately improved a lot.

Excellent doctors can often control the balance between "unrealistic expectations" and "unfounded panic", and can easily control the mentality of patients and their families.

Director Jiang couldn't help but nod.

Neither raising high expectations nor frightening family members is a communication art that many doctors have to learn throughout their lives.

And Xu Qiu has already used it extremely well.

…

After reading the case, Xu Qiu finally understood why Director Jiang blocked her at the door.

This patient's treatment effect was very good in the first 72 hours after being admitted to the ICU.

Clinically, most doctors have summarized a lot of golden time.

For example, Huang Jia's rescue time for acute infarction is two hours.

Cerebral infarction lasts 3 to 4.5 hours.

There are four golden minutes for cardiac arrest, 4 to 10 minutes for foreign bodies in the trachea, and six hours for finger amputation in hand surgery.

There is also a golden seventy-two hours after surgery.

This is the time when postoperative complications are most likely to occur. As long as the first three days are passed, the chance of subsequent infection and bleeding will be much smaller, and the operation is basically declared safe.

Severe pneumonia in the ICU also has three golden days.

The treatment effect is good within three days and it can be brought under control quickly.

As long as there are no recurrences, the patient's probability of recovery is greater than 80%.

After three days of treatment, Tao Changhan used broad-spectrum antibiotics. His infection indicators dropped and his consciousness became clearer. The chest X-ray sent by the imaging department also showed that the pneumonia had improved.

But a problem arose. In the next five or six days, as all indicators of the old man improved significantly, and everyone was waiting for him to be transferred from the ICU to the general ward, Tao Changhan began to have repeated fevers!

Upon examination, it was found that the pneumonia had not worsened and was still getting better compared to before.

In addition, the patient's fever was not high, only between 37.9 and 38.3.

However, this temperature is fatal to an old man lying in the ICU with a trachea inserted.

Tao Changhan's spirit was visibly depressed. Although various indicators were reporting good news, the patient's actual performance was not optimistic.

Director Jiang said with a headache: "We have also used antipyretics in the past few days.

This fever is also strange.

After taking the medicine, the symptoms immediately subsided, and the patient's vitality and energy returned immediately.

As soon as the medication was stopped, the temperature spiked up again, and the patient's consciousness began to become blurry."

The doctor in charge of the bedside said: "On the fourth day, we planned to wean him off the machine, but he started to have a fever and his respiratory indicators dropped again. I had to reconnect him quickly."

"What about the physical exam?"

"We have checked the chest and abdomen, lower limbs, central nervous system, urinary system, skin, pupils, face, etc., and no abnormalities were found."

The ICU is different from other departments.

For example, in the respiratory department, one doctor takes care of more than a dozen patients and is on duty at night, and there are only one or two nurses in each ward.

Intensive care is different. Take Linhai No. 1 Hospital as an example, the ratio of ICU doctors to beds is 0.8:1.

Assuming there are ten hospital beds and ten patients, there must be at least eight doctors. Basically, the number of doctors and patients is matched, and one-to-one special care is provided.

Therefore, ICU doctors often have a more detailed understanding of patients and know their medical records by heart.

"Um."

Xu Qiu nodded.

After arriving in the ward, he conducted another examination.

Indeed, as the bed doctor said, there were no abnormalities worthy of attention anywhere that could be seen with the naked eye or touched upon examination.

Things like increased spinal curvature, intervertebral disc atrophy, etc. are all degenerative diseases of the elderly, commonly known as age, and have no diagnostic significance.
Chapter completed!