Practicing Medical Skills in a Small Clinic

Chapter 749 - 348: The Case That Stumped the Directors—Masters of Passing the Buck

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Chapter 749: Chapter 348: The Case That Stumped the Directors—Masters of Passing the Buck

Ordinary people do not understand medicine and are more likely to misinterpret, directly deifying doctors.

Under normal circumstances, when a patient has a fracture, taking an X-ray could take ten to twenty minutes. This is if the patient is highly cooperative and there’s no need to wait in line.

If it’s just a dislocated shoulder joint without any other abnormalities, he might possibly treat it within a few seconds.

The electric bike quickly took Li Jingsheng to the entrance of the Second Hospital.

"We’re here!"

"Thanks! Remember to visit my clinic tomorrow."

Li Jingsheng hurriedly ran towards the emergency department.

The easiest places to find in a hospital are the emergency department and registration hall.

Usually, the emergency department is adjacent to the registration hall, right next door. There is often at least one ambulance parked outside.

Li Jingsheng rushed into the emergency hall, glanced at the triage desk, but didn’t see Director Hua’s figure.

He looked towards the emergency room, a crowd of people gathered there.

This is often the situation there, nothing too surprising.

Some patients have many family members, and they might be quite generous in helping others in daily life, so when something happens, relatives and friends rush to the hospital to visit and offer assistance.

Other patients might be alone in this big city, struggling, and when rushed to the hospital, there isn’t even someone to sign for them.

It’s still around seven twenty in the morning, so the emergency department isn’t too busy.

You can only see a scattered few patients receiving treatment.

Generally, these are nighttime emergencies.

For instance, stomach pain, injuries from drunken brawling, or sometimes couples chasing thrills with unusual practices and encountering problems. Occasionally, there are asthma patients, and the most common is children having high fevers in the middle of the night.

Overall, the emergency department is relatively quiet from midnight to eight in the morning.

"Dr. Li, you’re here this early for the consultation, right?"

"Yes! Director Hua from our orthopedic department notified me to come for a consultation. He said there was a boy who fell, resulting in a coma and fracture."

"The directors are all in the consultation room! You can go straight in, the case seems quite complex."

The emergency duty doctor pointed towards the consultation room.

"Alright, thanks!"

Li Jingsheng quickly walked towards the consultation room, which was diagonally opposite the emergency room, in the third room.

It is said that initially the consultation room was set in the first room opposite the emergency room, but during consultations, family members would often barge in, disrupting doctors’ discussions and consultations, so later it was moved to the innermost room.

Caring leads to chaos.

Family members worried about the patient’s safety can act out during times of anxiety.

The door was slightly ajar.

Voices of discussion from the doctors inside could be heard.

Even the nurses were actively participating.

Li Jingsheng didn’t knock on the door, as under such circumstances knocking would disturb the ongoing discussion about the illness. Upon entering, he immediately saw Director Hua.

Also present were the department director of the emergency department and two attending physicians.

Additionally, Director Luo from the neurology department was also there.

These directors hardly ever do night duty. As Director Hua would say, attending physicians are generally older, with diminished vigor and physical strength, so night duties are left to the young male and female doctors.

In fact, interns and resident physicians are the main force for night duty.

Larger departments might leave an attending physician in charge.

Smaller departments often have a senior resident physician overseeing.

At night, unexpected situations generally don’t occur, so there is no need for attending physicians to step in.

Seeing so many hospital bigwigs gathered together, Li Jingsheng immediately sensed something unusual.

The attending physicians were sitting there discussing, evidently already there for some time.

Even if they came from nearby, it would take at least ten to twenty minutes, wouldn’t it?

Doesn’t this mean they were already heading to the hospital around six o’clock? Even a severely injured ordinary patient wouldn’t cause so many attending physicians to appear simultaneously.

Adults never act for nothing.

There’s only one possibility, this patient’s identity is not simple.

To be precise, it is not the boy who fell but his parents who are not simple. They are likely not ordinary people.

"Jingsheng, come sit over here!"

Director Hua waved at him.

The other attending physicians and nurses merely gave Li Jingsheng a cursory glance, not taking him too seriously.

"Director Hua, how is the hospitalized child now?"

"In the emergency room, he is still in a coma. Here are the patient’s records, take a look first."

Director Hua handed over the patient’s examination records and consultation notes to Li Jingsheng.

The little boy, only eight years old, got up in the middle of the night at home to go to the bathroom and suddenly fell. When his family heard the noise and went to check, he was already in a semi-comatose state.

They immediately dialed 120 for emergency assistance.

Given that the Second Hospital is the only tertiary hospital in the southern city, practically monopolizing the area, the boy was brought here by ambulance.

Admission examinations showed a body temperature of 36.6°C, which is normal.

A pulse rate of 47 beats/minute, which is somewhat alarming.

Respiration rate of 29 times/minute, nearly normal.

Blood pressure at 121/70 mmHg.

At admission, consciousness was in a shallow comatose state, and no bruises or subcutaneous bleeding were found on the surface skin. Superficial lymph nodes were not swollen, and there were no significant lacerations or hematomas on the head. However, the patient’s right arm was fractured from the fall.

The patient also had an irregular heartbeat, and a systolic murmur was heard during heart and lung auscultation. Lung breath sounds were clear, the abdomen was soft, and no significant abnormalities were found in the liver and spleen regions.

When conducting a pinprick test on the patient, there was a pain response.

Which is the most common probe test on some of the patient’s superficial areas, showing a distinct prick pain response.

Moreover, the patient’s pupils were of unequal size.

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