Practicing Medical Skills in a Small Clinic
Chapter 751 - 348: The Illness That Stumps the Directors—Masters of Passing the Buck (Part 3)
Chapter 751: Chapter 348: The Illness That Stumps the Directors—Masters of Passing the Buck (Part 3)
Despite being a woman, her aura is incredibly strong.
None of these attending physicians dare to challenge her.
It’s obvious to everyone that Bei Yan is already starting to get angry.
With only one child at home, and her being forty-one years old, the possibility of having more children is extremely slim.
"Bei Yan, we all understand why you’re anxious. I’m also a mother of two, and every time I see my kids get sick, it feels like my heart is being cut with a knife. However, your son is currently unconscious, without apparent external injuries, and his condition is indeed complex. Transferring him to another hospital might not guarantee immediate admission! The best solution right now is for our experts at Second Hospital to work together, identify the cause of the child’s illness, and then come up with a practical treatment plan.
Even if you really want to transfer your child, I suggest you wait until his condition stabilizes before considering that option."
The person speaking is likely the head nurse and director of the nurse station in the emergency department.
Her status is quite high.
At least in the emergency department, her words carry weight, and the nurses at the station will follow her instructions.
She probably saw that Director Yan was bearing the brunt of Bei Yan’s anger, so she stepped in to help diffuse the situation.
After all, she and Director Yan are comrades in the same camp.
In any department, it’s similar; the department head and head nurse often have a relationship like comrades.
On the contrary, the attending physicians under them might sometimes sabotage if they have thoughts about the department head’s position, employing some underhanded tactics.
Li Jingsheng still doesn’t know the specific identity of Bei Yan.
It’s like going to the village committee, everyone is called director or leader; it might just be a polite term.
In this situation, transferring the patient is indeed inappropriate.
Unless her influence is astonishingly great.
Even if her position is high, the receiving hospital might still hesitate to take the case!
If they accept and successfully treat the child, it would be a significant achievement. But if they fail, and the child dies in the hospital, who would bear that responsibility?
Few doctors would willingly take on such a risky situation.
Let alone those who have reached leadership positions like department heads.
The first survival rule for leaders is to push away any responsibility; there’s no one foolish enough to take it head-on.
This child’s situation is complex and his identity special; transferring him might not even be a decision that the emergency department head can make alone. It would require consultation with the hospital’s senior leadership.
"I’ll sit here and wait for your results! Whoever you need to call for a consultation, help me invite them. If you can’t, I’ll call Dean Fu for assistance."
She sat down in the back row.
With Bei Yan present at the scene, the atmosphere in the consultation room became tense.
Everyone felt a bit of pressure.
The head nurse poured Bei Yan a glass of water. "We are already contacting experts from the cardiology department. Our Director Yan and several experts will also make extra efforts."
Bei Yan’s expression looked slightly better.
Yet she was still very anxious.
Her brows were furrowed, frequently checking her watch.
"Considering that the child lost consciousness due to a fall, I think the possibility of a concussion is quite high. At present, we also need to rule out the possibility of a subdural hematoma because the child’s condition is worsening, but there are no obvious external injuries on the head. The fracture in the right arm should not be enough to cause unconsciousness and hemiplegia."
Director Luo expressed his opinion.
A concussion can indeed cause temporary light unconsciousness, sometimes lasting only a few minutes before relieving.
If it lasts longer, it might take a few days to relieve.
"I support Director Luo’s opinion. But the child’s pulse is only 47 beats per minute, and there’s a systolic murmur, indicating there must be a heart issue. Director Hua, could the fracture in the patient’s right arm cause severe internal bleeding?"
Director Yan was actively participating in the discussion.
After all, Bei Yan was sitting right there listening.
"From the X-ray film, the possibility of internal bleeding is minimal. Our department’s Dr. Li Jingsheng is very adept at diagnosing such issues; having him examine the child would be more prudent. After all, sometimes machinery examinations can miss things."
If there were significant internal bleeding, it would surely show as fluid accumulation on the film.
So, the possibility of a missed diagnosis is very slim.
Director Hua was giving Li Jingsheng a chance to emerge and showcase his abilities.
"As long as it’s beneficial for my son’s treatment, I support it! Who is Dr. Li Jingsheng?"
Bei Yan asked after listening.
"I am Li Jingsheng."
"So young! Please go to the emergency room and check my son again to confirm if there’s any internal bleeding at the fracture site."
It was a commanding tone.
Many leaders with some authority adopt this attitude in hospitals. It’s just that other leaders are more tactful and subtle in their speech, not as blunt.
Worried about her son’s safety, Bei Yan couldn’t bother with the niceties.
"Don’t underestimate Dr. Li because he’s young; he’s actually our hospital’s chief physician in the orthopedic outpatient department, and many patients from other provinces come specifically to seek his treatment." Director Hua praised Li Jingsheng’s skills.
Sometimes, you have to boast about yourself to gain recognition.
Otherwise, being young, and if Bei Yan didn’t know about his high skill level, she might unconsciously underestimate him.
It’s human nature.
Such underestimation would be extremely detrimental to his diagnostic work.
"A talented young doctor, well that’s excellent; I appreciate your hard work, Dr. Li."
Her attitude towards Li Jingsheng noticeably became more polite.
People are just realistically this way.
"It’s my duty."
Li Jingsheng went to the emergency room, briefly explained the situation to the nurse, who then led him to the rescue bed of the child.
The child’s face was extraordinarily pale, but the breathing seemed normal.
There was swelling in the right arm’s elbow, and its shape was evidently abnormal.
Based on Li Jingsheng’s experience, he could immediately tell it was likely a dislocation of the elbow joint or similar.
He had already reviewed the X-rays of the child’s hand before coming.
There were minor fractures and joint dislocations.
In Li Jingsheng’s eyes, such an injury was nothing serious and could be easily treated.
However, he certainly wouldn’t treat the arm right then.
That would be too reckless.
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