Chapter 855 - 402: Administering Medication Without Examination, Mutual Trust (Part 2)

Chapter 855: Chapter 402: Administering Medication Without Examination, Mutual Trust (Part 2)

She also said that those who fall ill are the most unfortunate, their bodies enduring pain day and night, so sometimes they might act irrationally. She advised me to be more accommodating when dealing with patients and their families in the future.

However, I am inherently straightforward, dislike playing mind games or beating around the bush, and am still prone to offending patients and their families.

Later, I started to change my career plan, specializing in critical care medicine."

Rong Xuekai spoke earnestly about his medical experience.

"Xiaoli, one thing is certain, practicing medicine is the right thing to do. As long as you act with integrity, you can have a clear conscience. Not everyone in this world is reasonable; those who harm doctors are a minority. Talented doctors like you, if you leave this field, it’s not only a loss for the hospital but for all patients.

99% of the patients are innocent.

I’ve understood your bone setting technique, it’s truly a practical medical skill that can bring great benefits to patients. It can significantly reduce their treatment costs, lessen their suffering, and lead to better recovery than surgery, with lower risks.

I hope that no matter how big a setback you encounter in the future, you will pass on this excellent medical skill.

Just like the critical care medicine I am researching now, some very young patients come in when they are already at their limit. But after resuscitation, they survive, transfer back to the general ward, and are discharged home. I find this particularly meaningful.

If you want to learn someday, I am always willing to teach you all the knowledge and experience I have. From you, I can sense the compassionate heart of a healer, which is extremely precious.

Especially after being attacked by a patient, you still maintain this compassionate heart, which is truly admirable."

Rong Xuekai has his own set of principles for understanding people.

He likes Li Jingsheng, not only because of Li Jingsheng’s exceptional potential and solid medical foundation but more because Li Jingsheng has the compassionate heart of a healer.

Compassion is the most important virtue for a healer.

A doctor with ulterior motives is a significant threat to all patients.

"Director Rong, the patient in bed 76 is convulsing, their blood pressure is dropping!"

A nurse hurriedly ran over to report.

"I’ll go take a look right away!"

Rong Xuekai appeared calm and composed after hearing this.

"Everything was fine just now; it’s been less than half an hour, how did things suddenly go wrong?"

Lian Tao’s mood became heavy.

Earlier, Li Jingsheng had reminded them that the patient seemed stable but was very dangerous.

However, he didn’t give it much thought, and Rong Xuekai was completely confident in his medical skills and likewise didn’t pay much attention.

Moreover, based on the rich experience of Lian Tao and Rong Xuekai, they believed that even if the patient had any complications, it would manifest slowly.

Especially since a pulmonary embolism had just been treated recently.

There seemed to be almost no possibility of other complications.

The three of them rushed to the patient’s bedside, where two doctors and a nurse were already performing resuscitation.

"Did the patient start convulsing suddenly?"

Rong Xuekai asked gravely.

"Yes."

The attending doctor frowned at the patient’s steadily dropping blood pressure.

"Director Rong, should we immediately increase their blood pressure?"

"Don’t rush."

Having experienced countless battles, Rong Xuekai had seen all kinds of critical cases.

To him, the current symptoms of the patient were child’s play.

He lifted the patient’s eyelids to take a look, then examined their fingers.

"It should be a cerebral thrombosis, most likely blocking a cerebral artery. Try immediate thrombolytic medication."

There was no room for negotiation throughout the process.

Not a word was wasted.

Simply by briefly checking the patient’s eyes and fingers, he determined it was cerebral thrombosis and proceeded with resuscitation based on that diagnosis. Li Jingsheng was quite impressed.

Ordinary doctors, fearing responsibility, would never dare to act like Rong Xuekai.

At the very least, they would conduct an imaging exam before targeted treatment.

But Rong Xuekai dared to do it like this.

Just like how Li Jingsheng performs bone setting; if a patient trusts the doctor and doesn’t cause trouble, almost no patients need an X-ray. Bone can be treated directly by touch.

With thrombolytic and anticoagulant medication administered, the symptoms indeed quickly improved.

The dropping blood pressure began to gradually rise again, and the patient stopped convulsing.

Breathing was still somewhat rapid.

"Director Rong is amazing!"

Li Jingsheng watched with admiration; who wouldn’t want to learn such incredible skills?

This kind of clinical diagnostic ability is summed up from countless rescue experiences.

After a series of resuscitations, the patient’s vital signs stabilized temporarily.

However, this time, Director Rong’s eyebrows furrowed, and his expression turned slightly grave.

"Given the current treatment, the occurrence of cerebral thrombosis indicates the problem is more serious than imagined." After speaking, he looked up at Li Jingsheng. "Xiaoli, maybe your warning was right."

"Let’s go, we’ll talk outside."

Rong Xuekai motioned to the others.

Then he turned to the attending doctor, "Add 250,000 units of streptokinase, complete the intravenous drip within half an hour."

"Understood."

The attending doctor nodded in agreement.

The three walked out of the intensive care unit but not outside, instead entering a nearby break room.

There were several computers and some workstations here.

It could be used for doctors to rest, write prescriptions, apply for examinations, and access patient medical information, etc.

"Finished treating a pulmonary embolism in the morning, how could it turn into a brain embolism so soon? Jingsheng, I find you’re like a jinx, every diagnosis you make seems to come true." Lian Tao was the primary physician for this patient.

Now that the patient was in the ICU, it was already irritating him.

One wave had just subsided, and another was rising, making it hard for him to cope.

"Xiaoli, you think this patient is at risk, so please tell me, where does the risk come from?"

"The primary danger definitely comes from the heart. But the patient’s pathological mechanism cannot be concluded based on a single organ. I still believe we need to immediately identify liver issues, address them at the source, then resolve the lung problems. In fact, after resolving liver issues, the lung issues will only require resolving heart failure."

These organs are interconnected, forming almost a deadlock.

Rong Xuekai and Lian Tao both tried various treatment methods, but facts proved Li Jingsheng’s analysis was correct.

Because their treatment measures didn’t achieve the expected results.

If nothing changes, the situation will likely worsen.

Both are experienced, and naturally understand continuing this treatment may result in the patient eventually dying despite resuscitation efforts.

"Director Lian, what’s your opinion?"

Rong Xuekai seemed to agree with Li Jingsheng’s strategy after hearing it.

However, he didn’t immediately express an opinion.

This patient was Lian Tao’s, and significant decisions must consider his opinion.

"I agree with Jingsheng’s analysis and strategy. If things drag on, the patient may encounter more complications." Lian Tao now recognized the situation and highly trusted Li Jingsheng’s diagnosis. "You’ve seen the patient’s current condition; conducting examinations is quite difficult. Jingsheng, I know you excel in diagnosing these difficult cases. Just tell us, what is most likely wrong with the patient’s liver?"

"The greatest possibility is a tumor! Based on current examination results and the patient’s actual situation, I think his problem is likely a liver tumor. But the chest X-rays didn’t reveal a clear tumor, so there’s only one possibility, should we check the bile ducts?"

Li Jingsheng was constantly pondering the patient’s liver etiology.

After repeated elimination, he determined a liver tumor was most likely.

And it’s malignant.

Some malignant tumors grow slowly, possibly taking seven or eight years, even a decade.

Currently, the patient hasn’t experienced significant weight loss in a short time, indicating the tumor isn’t large.

It’s likely still at an early liver cancer stage.

Some malignant tumors can grow noticeably in one or two months, others appear benign overall.

They grow slowly, as if being suppressed.

This is related to personal constitution and tumor nature.

Overall, some malignant adenomas pose higher risks.