If the patient is going to die, he can only quickly question all the potential problems that might have occurred before.
This patient shouldnât have been admitted. This was Li Guoxinâs thought after interacting with the patient tonight. If admitted, they should have gone to the gastrointestinal ICU. Donât let them die in surgery; it will be hard to explain.
The thoughts in the superior doctorâs mind were seen by Doctor Jiang. He knew all this was because of the sudden worsening of the patientâs condition. When the patient was transferred to the hospital during the day, the vital signs were still acceptable, and no special situation occurred, so they proceeded step by step, just waiting for the full consultation by the doctors tomorrow morning. They only needed to follow the plan discussed earlier in the morning for drainage. No one expected the situation to suddenly change.
Doctor Jiang couldnât directly refute his superiors or argue with them, so he just stood aside. What upset him most was seeing Director Zhengâs expression turning anxious due to what Li Guoxin said.
Director Zheng felt as if his department was inexplicably about to take the blame for this matter, revealing a hint of dissatisfaction in his furrowed brows, and asked in a coarse voice: "The patient hasnât woken up, right?"
"Yes, by the time I returned to the ward, he was already unconscious. They reported that the patient couldnât be awakened after convulsions. After hearing this, I immediately suggested calling someone from neurosurgery for a consultation. Coincidentally, Huang Zhilei was the chief resident, so they called him over. After examining the patient, Huang Zhilei said it didnât seem like a brain issue. Right now, the patient canât undergo a CT scan." Li Guoxin said.
The patientâs condition was too critical, with low blood pressure, low hemoglobin, and an unstable heart rate, fearing that cardiac arrest could occur directly during the CT process. They could only wait for the patientâs condition to stabilize before proceeding.
Li Guoxin continued to report his actions to the leadership: "I asked Huang Zhilei to seek Cao Yongâs opinion. After the blood transfusion, the patientâs blood pressure rose, but he hasnât regained consciousness, so itâs unclear if itâs truly a brain problem. Weâre seeing if there are alternative solutions without a CT scan and whether we need to administer some neurosurgical medication."
Afraid that the recent resuscitation efforts might be too late, might the patient suffer brain death?
Director Zheng turned back and glared at Doctor Jiang: Did you know about the situation when you admitted the patient?
Both superiors blamed him for not thoroughly assessing before admitting the patient. Doing the cleanup work for colleagues is something few are willing to do. The leadership wanted to give some face to the university teachers, but the ones doing the work are not them; itâs the doctors below. Certain things need to be explained to the leadership in advance. Some tasks arenât something you can just take on.
Doctor Jiang was subject to scolding from the superiors repeatedly.
Having spent a long time in clinical practice, such incidents are frequent. When something goes wrong, the leaders are the first to hold the people below accountable. He was accustomed to it. He knew the leadership was angry and needed someone to vent on, later to comfort him.
What Doctor Jiang worried about was... he turned his head to look at Xie Wanying.
She was the one who suggested this patient be admitted to surgery in the emergency department. Teacher Jiang was being scolded because of this. Xie Wanying felt distressed seeing this. Had Teacher Jiang not signaled her with stern glances to keep quiet, she would have rushed out to say: One should take responsibility for their own actions; how could she let him take the fall for her?
Standing at the door, Pan Shihua heard the people inside talking, and after his empty eyes gradually regained focus, he looked at Student Xie first. Student Xie was being blamed for admitting her classmate to surgery for treatment.
He furrowed his handsome brows:
Whose fault is this really?
Should his classmate really not have been admitted to Guoxie for treatment?
The sound of footsteps was heard at the door as Huang Zhilei, holding his phone after completing the call, walked back into the ward.