I Have Unlimited Magic Skills

Chapter 157 Lesions in the Feet

Dr. Luo looked at the woman twice, but couldn't see the clue.

"You should go to the emergency department of internal medicine for this disease, over there!" He pointed to Dr. Wang's side.

Surgery is good at gastrointestinal surgery, orthopedic surgery, tumor resection, tendon nerve repair and so on. Surgeons are generally cautious when confronted with such internal diseases of unknown etiology, especially those involving the brain.

There is no other reason, fear of being slapped in the face, fear of accidents.

No doctor dares to prescribe prescriptions and operate on diseases that he is not good at.

Because if you prescribe a prescription without even diagnosing any disease, it is not saving people, but harming people, it is killing people.

Dr. Wang just noticed the situation here.

Hearing Dr. De Luo pushing the patient towards him, he couldn't help his eyelids twitching.

I met several patients who were almost misdiagnosed this morning.

The woman with disheveled hair knew that the illness was incurable.

Seeing the patient walking towards him, Dr. Wang looked as if he was facing a formidable enemy. I was afraid that I had scolded Dr. Luo's mother several times.

Why do you have to go to the emergency department for such a patient who is obviously uncertain?

Anyway, it's not life-threatening, so just ask them to cancel the emergency number and go to a specialist to see a doctor, can't they?

The emergency doctor's job is not good, and it was accidentally broken.

Li Quan was secretly happy at first, but finally a patient came who could have a chance to feel his pulse. Unexpectedly, Dr. Luo directly kicked him away as a football.

He secretly called it a pity.

Just now, when he performed the prospecting technique to observe the female patient, he found that the woman's lesion did not seem to be on the head. And possibly in the feet.

"Could it be that my diagnosis was wrong?"

Li Quan had never seen such a strange disease.

There is a disease on the foot, how can it cause the patient's eyes to be blind?

Logically speaking, the two parts are irrelevant.

But just now he discovered that the patient's lesion was on the foot,

Added 10 points to the skill points of Observation.

This again shows that his diagnosis was correct.

If he could feel the woman's pulse, he should be able to clarify the cause.

Let's see how Dr. Wang diagnoses it first.

Li Quan was able to position himself well. No matter how great his skills are, he is still just a trained doctor.

If Dr. Wang has not diagnosed yet, he rushes to the patient and says, your lesion is on the foot. No matter how generous Dr. Wang is, I'm afraid he will have opinions on him.

Patients will even treat him as a neuropathy.

Professor Liu often teaches them to pay attention to the way and method of doing things.

Especially when communicating with patients, we must pay attention to skills.

The mother and son have arrived at Dr. Wang's clinic.

Physician Wang doesn't know how to take the pulse and make a diagnosis.

Considering that the patient had a stabbing pain in the head before going blind, it was suspected that the transient blindness was caused by vascular tumor or intracranial tumor compression.

He first issued a brain CT examination application form to the patient, and asked the patient to take a head CT scan.

Brain CT can clearly show the number, location, size, outline, density, intratumoral hemorrhage, calcification, and degree of spread of intracranial tumors. If there is intracranial hemorrhage or hidden trauma, it can basically be detected.

Not long after, the patient came back from the examination.

Brain CT showed everything was normal.

This time, Dr. Wang was dumbfounded.

Today I really went out and bumped into Tai Sui, and it was evil. This is already the third difficult patient he has encountered.

Although the top tertiary hospitals like Huier and Sino-Ocean, there will be a large number of patients with unknown causes every year.

But as an emergency physician, the probability of encountering three such difficult patients in less than one day is too high. If you are so 'good', you can buy a lottery ticket.

Dr. Wang pondered his wording, and said to the patient and his family, "Judging from the brain CT results, the patient's brain is basically normal. I am here in the emergency department, and I deal with emergency cases. Why don't you go to the ophthalmology department again?" No, ask the doctor there to diagnose you again."

After the patient's son heard it, he didn't buy it.

"Doctor, the outpatient department of the Department of Ophthalmology is full, and we can only wait until tomorrow. But my mother's condition, how dare I delay it until tomorrow. You must help my mother to have another look. If it doesn't work, hospitalization is fine. what."

The patient's son is about forty years old, already in his forties.

If you want to fool him into seeing a doctor in the ophthalmology clinic, I don't believe you at all.

Doctor Wang was in a dilemma.

"Then you wait for a while, I'll call the internal medicine department to see if there is an ophthalmologist who can come here for an emergency."

If the cause cannot be found out, the patient's condition may deteriorate at any time.

Dr. Wang had no choice but to invite an ophthalmologist from the Department of Internal Medicine to come to the emergency department for an emergency.

Physicians in hospitals are divided into departments.

There are specialist doctors in the emergency department, but the number is very small.

This is also related to the low revenue generation of emergency departments.

To put it bluntly, the total revenue generated by the emergency department is only so much, and it can only support so many physicians.

If you look at the Department of Surgery, a major operation can earn hundreds of thousands of dollars in revenue, and its staffing is several times higher than that of the emergency department.

There is a jingle that reads like this: Golden Eye Department, Silver Surgery Department, General Internal Medicine Department, Noisy Pediatric Department, Desperate Infectious Disease Department, Mixed Food and Drink Nutrition Department, never go to the emergency department when you die.

It can be seen that the work of the emergency department is very difficult to do.

...

After a while, the internal medicine department sent an ophthalmologist over to the emergency room.

Specialist doctors come to the emergency department for consultation, which is called going out of the emergency department.

It was a young doctor in his thirties who came.

It is estimated that the ophthalmology department is also short of manpower, so a young doctor was sent here.

Logically speaking, it must be difficult for patients who cannot be handled by the surgery side.

Li Quan has been observing the situation on Dr. Wang's side.

The patient had a brain CT scan, and the results showed that the brain was basically normal. This further confirms that Li Quan's diagnosis is probably correct.

The patient's lesion may really be on the foot.

I just scratched my head and couldn't figure it out. How could a disease in my feet lead to blindness? Never heard of such a case.

Let's see if the ophthalmologist can diagnose the cause first.

The ophthalmologist looked reluctant.

"Our ophthalmology clinic is extremely busy. Dozens of patients are waiting in line to see a doctor. Don't you let the patients register for the ophthalmology clinic number in your emergency department?"

The young doctor was very angry, and scolded Dr. Wang as soon as he came over and caught him.

Physicians in the emergency department have a low status, and it is easy to be scolded for calling specialists to come to the emergency department, or sending patients to specialists.

Dr. Wang is an honest person, and he didn't say a word when he was scolded.

It's just that his face is a little ugly.

"Has any examination been done on the patient?" asked the young ophthalmologist.

"I took a brain CT scan, and found no abnormality." Dr. Wang handed the CT scan to the young doctor.

In fact, Dr. Wang is about the same age as this young doctor.

It seems a little humble no matter how you look at it at the moment.

Li Quan felt very uncomfortable watching it over there.

Physicians in the emergency department are also human beings, and their status should be equal to that of physicians in other departments. How can you be short when you see people?

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