Many of the young doctors on site are professionals, so I figured this out immediately.

The smarter doctors have already begun to take notes and write them down. These are valuable clinical experiences.

Although Manager Xie didn't understand, he was an old member of society. When he saw the attending doctor answering so decisively, he knew that what he said was true.

Chen Qi didn't care what others thought. He quickly looked through various inspection data to confirm whether there were any problems with his speculation.

I didn’t know it by looking at it, but I was shocked when I saw it. The patient’s hemoglobin dropped to 70g/L, and he was severely anemic. Sure enough, it might be gastrointestinal bleeding.

This can also further confirm the reason why the patient's blood pressure was low upon arrival.

Chen Qi patted the test sheet, knowing that there was evidence now, so he treated it as emergency teaching and explained to several junior doctors in more detail:

"The patient suffered from gastrointestinal bleeding, and the syncope was due to hemorrhagic shock caused by internal bleeding. The normal value of hemoglobin is 120-150g/L, but this patient's current only is 70g/L. We can draw a conclusion that the anemia is very serious.

But one thing is not clear. How much hemoglobin does the patient usually have? She just said that she also has black stools at ordinary times, which means that there is bleeding at ordinary times. There may be blood loss anemia in daily life, so where is the blood loss point?

According to the patient's description, it is most likely that the bleeding is usually caused by peptic ulcer. However, her symptoms are not severe and the bleeding may not be much, so she does not care about it, does not have a gastroscopy, and does not take any medicine. She is just unaware.<

/p>

Today, the ulcer may suddenly turn from a small bleeding into a major bleeding. Blood rushes into the intestinal cavity all of a sudden. The brain is ischemic and deprived of oxygen for a short period of time, leading to fainting at work. Due to brain ischemia and dysfunction, it is not surprising to have convulsions, not necessarily

It’s what we think of epilepsy or heart problems.

Do you understand my explanation?"

"I understand, Dean Chen!"

"Oh, when Dean Chen explained it like this, it made me suddenly enlightened!"

"Sure enough, just reading is not enough. You have to encounter such a patient, and I will remember it firmly from now on."

A group of young doctors nodded their heads like chickens pecking at rice, which gave Chen Qi a little satisfaction in his vanity of being a teacher.

"By the way, have the family members been contacted? Why haven't they come yet?"

When Manager Xie heard this, he quickly said politely: "Doctor, I will go to the door and wait for the family members now."

Chen Qi nodded: "No, we have a phone in the office. You can call to urge us. We will need family members to sign and agree to do some experimental surgeries later."

At this time, the blood transfusion department sent several units of red blood cells and 600ml of plasma.

If others want to learn about the blood transfusion department, they may not readily provide it. Now the director wants blood, not to mention 600ml, even 6000ml. They will try their best to get it.

Blood products are transfused faster.

Now it is basically clear that patients with low blood pressure, fainting, and convulsions are all caused by gastrointestinal bleeding and have little to do with epilepsy and heart. Therefore, blood transfusion and anti-shock are very important.

Bai Xue originally felt very embarrassed and upset because she couldn't help but pooped in the bed, but now she found the real cause of the black stool and felt mixed emotions.

I also heard from the doctor that gastrointestinal bleeding could lead to death. I was at a loss and had no choice but to let the doctor handle it.

Lan Lijuan arrived quickly, followed by a large group of junior doctors from the Department of Gastroenterology.

As soon as the dean's wife arrived, dean Chen, who just acted like a teacher, immediately stood up and smiled as if to please.

"Hey, Director Lan is here, very timely."

Lan Lijuan pursed her lips and said, "Be serious, I'm at work now, so many people are watching."

When the two of them are together, they always give people the illusion that Lan Lijuan is the dean, and Chen Qi is the little doctor who was scolded by her.

Chen Qi felt bored, so he asked Yi Zewen to report the patient's condition. Lan Lijuan also went to see the quilt and pants that had been packed away, and once again confirmed that it was black stool, so she suggested: <

/p>

"In this case, it is best to do a gastroscopy immediately to determine whether it is gastric bleeding or duodenal bleeding, and then decide what kind of treatment method to use, surgery or conservative treatment? In case of another major bleeding, the patient's life is still in danger."<

/p>

Has hemorrhagic shock already occurred, or twice? Doctors all know the danger.

It is difficult for ordinary people to imagine that this patient is not in good condition, can speak and is conscious, but why is he critically ill? Why is he serious? Doctors like to scare people.

When Bai Xue heard that another doctor said surgery was needed, she became even more panicked: "Doctor, can you not do surgery? I'm scared."

Chen Qi consoled him kindly:

"You can do it without surgery. Now there is an endoscopic surgery, which does not require an incision in the stomach. It is very convenient, but it requires the signature of your family members. It has been a long time, why haven't they arrived yet?"

As soon as he finished speaking, Manager Xie rushed into the hospital anxiously with a middle-aged couple.

"Xiaoxue, how are you now, Xiaoxue? Oh, hey, why do you look so ugly? My dear daughter, you, what's wrong with you?"

As soon as the middle-aged woman saw her daughter's appearance, she held her daughter's hand and burst into tears before she came down.

She is obviously Bai Xue's biological mother who is so excited. This worried look is something that a mother-in-law cannot possibly have. Only biological parents would be so frightened that their hands and feet would tremble when their children have an accident.

The middle-aged man who ran in felt anxious when he saw his daughter like this, but he had something more worried about.

So Chen Qi, the attending doctor, quietly pulled aside:

"Doctor, before I came here, I heard someone from my daughter's work unit say that my daughter has epilepsy. What should I do? My daughter will be ruined if she gets this disease. Can it be cured?"

Chen Qi quickly consoled him:

"Based on our examination, we initially feel that this is not epilepsy, but that your daughter has gastrointestinal bleeding and just had a lot of black stool. This shows that the amount of bleeding is large, causing temporary ischemia and hypoxia in the brain.

Fainting and convulsions.

But we don’t know exactly what’s going on inside the gastrointestinal tract, and we want to prevent another massive bleeding, so we want to do a gastroscopy right away, and possibly an endoscopic surgery, to repair the bleeding point as soon as possible.”

"Isn't it epilepsy? Okay, okay, thank God, thank God."

When Bai Xue's father heard the news, he relaxed completely, clasped his hands together and thanked the gods and Bodhisattvas for their blessing.

Suddenly he thought of something and reacted:

"Wait a minute, doctor, what did you say? We need a gastroscopy? This won't work, this won't work, we won't do this, it's too dangerous and will kill people."

Gastroscopy can indeed kill people.

Chen Qi personally encountered a patient in his previous life who had esophageal and gastric varices.

The doctor who performed the gastroscopy at that time was a doctor with regular training, but his skills were not good and he handled it improperly. When the gastroscopy lens accidentally touched a varicose blood vessel, he accidentally poked it hard.

It was better now, but the esophageal and gastric veins instantly ruptured, causing massive bleeding, and the patient was not rescued.

But this is an extreme situation.

At least Chen Qi has seen so many gastroscopy, because only one or two people died during gastroscopy, and the proportion is very low. Generally speaking, gastroscopy is quite safe.

This sudden reversal made Chen Qi and all the doctors present dumbfounded. Originally, it was obvious that the cause of the disease could be found and treated quickly, but the patient's family members made trouble.

This is really not a family, don’t enter the same door.

Don’t agree with gastroscopy? Is that really the stupidest behavior in the world?

The patient may bleed again at any time, and they are still unwilling to undergo a gastroscopy. Chen Qi really wants to swear:

What the hell, if you don’t need gastroscopy to stop bleeding from gastrointestinal tract bleeding, or surgery, how can you stop bleeding? Do you want to stop bleeding with your thoughts?

Lan Lijuan was a lesbian and was relatively patient, so she explained the symptoms and possible serious consequences.

Bai Xue’s father still doesn’t make sense, and he still thinks it makes sense:

"Let me tell you, doctor, we had a neighbor who had stomach bleeding and had a gastroscopy, but then died for no apparent reason. I can't let my daughter make the same mistake again. I heard that Yunnan Baiyao can stop bleeding, and it can stop stomach bleeding of any size.

Live, bleeding can be cured just like a faucet, there is no need for surgery.”

The more the doctor tried to persuade him, the more Bai Xue's father felt that the doctor was shady, probably just to earn more medical expenses, and the more he refused to do a gastroscopy.

The treatment was at a stalemate, and no one could convince anyone. The time passed little by little amidst such meaningless arguments.

Chen Qi's face turned green with anger.

Can you cover the bleeding faucet?

I can only patiently explain over and over again that gastroscopy to stop bleeding from gastric bleeding is a routine and standard operation. It generally does not kill people, and the probability of saving people is greater.

But no one can guarantee that in some cases of severe bleeding, the gastroscope may not be able to stop the bleeding, or there may be other more complicated problems. No one knows whether the gastroscope was to blame for the patient's death. There is no evidence in the cases that have been heard.

Bai Xue's parents were still resolute, and the father directly said:

"Since it may be stomach bleeding or other gastrointestinal bleeding, then we might as well go home and ask the Qi Traditional Chinese Medicine Doctor in Nanmen to prescribe a few hemostatic drugs. I heard that his medical skills are very good."
p>

In a word: No gastroscopy.

Chen Qi felt that he was tired. The first patient in the emergency department of the People's Hospital met such a strange family member. It was really dumbfounding.

Dean Chen is also a person with a temper. He can't persuade the devil with good words. If he can't persuade him, then he won't persuade him. He will love him to death.

"Lao Yi, bring me the informed consent form for refusing treatment. Your family members say that it's okay not to receive treatment. Just bear the consequences yourself. Come on, come on, you are the father of the patient. Please sign it. What happens after you are discharged has nothing to do with our hospital.

.Once you sign, you can leave."

After saying that, Chen Qi handed over a pen.

Now Bai Xue's father hesitated again and began to worry about gains and losses:

"Doctor like this, my daughter is already married, and such a big matter always has the final say on the husband's family. Let's wait and see what the attitude of my in-laws is."
To be continued...