My Medical Skills Give Me Experience Points

Chapter 1245: Chapter 491: Unexplained High Fever Reaction and Multifocal Hemorrhage

After performing an emergency endoscopy on the patient, the situation was quite dire.

The patient’s entire gastric mucosa appeared pale, indicating the presence of gastritis, and the condition was very severe.

This situation arises when there is erosion, ulcers, or inflammatory edema exudation on the gastric mucosa surface.

No wonder the patient’s physique appeared emaciated; the patient’s father mentioned that the child spends all day playing games, hanging out, and hardly eats at home. With such severe gastritis, symptoms like nausea, vomiting, indigestion, acid reflux, and heartburn are inevitable.

In such a situation, how could the patient possibly ingest food?

However, the formation of gastritis is often due to irregular eating habits. Skipping meals, overindulging, drinking on an empty stomach, or eating spicy and barbecued food, among other things.

In general, gastritis is mostly self-inflicted.

People don’t cherish their health until it’s too late.

Eventually, the most stressed organ can’t cope and starts malfunctioning. It’s at this point that one gets ill.

The endoscopy showed old linear mucosal bleeding lesions on the posterior wall of the gastric fundus, superficial erosions on the greater curvature and gastric folds, with fluffy secretions and recent bleeding spots attached to the surface.

The antrum and duodenal bulb were normal.

A rapid urease test was performed on the patient, resulting in negative.

By this step, the cause was basically clear.

It’s gastric bleeding.

After discussing with Zhou Can, Ali decided to first treat with blood transfusion and intravenous infusion of hemostatic drugs.

Almost all responsible doctors prioritize medication treatment when curing diseases. Only if medication treatment is ineffective will they consider surgical treatment.

Because any surgery will cause harm to the patient’s body.

"Dr. Zhou, do you think using Batroxobin as a hemostatic drug is okay?"

"Using just one, it’s a bit too thin. Let’s add tranexamic acid as well!"

Zhou Can replied.

Batroxobin is an immediate hemostatic drug, commonly used for this kind of urgent internal bleeding. Tranexamic acid has a long-lasting and potent hemostatic effect. It is a drug that inhibits the fibrinolytic system, mainly used for surgical bleeding due to hyperfibrinolysis and gynecological surgical bleeding.

Additionally, it has a powerful ability to cross the blood-brain barrier, so it is often used to stop bleeding in central nervous system bleeding.

After dealing with this patient, Zhou Can quickly went into the operating room.

He instructed Ali that if the above treatment methods were ineffective, they would have to discuss a new treatment plan.

...

A little after noon, Zhou Can finished the surgery and went to the canteen with team members to eat.

Just past the triage desk, Dr. Ali called out to him.

"Dr. Zhou, are you just out of surgery?"

"Yes! There were quite a few emergency surgeries today, so I got out a bit late."

Some surgeries need to be dealt with promptly, without delay.

Such as stopping bleeding and suturing for traumatic wounds.

And there’s finger replantation.

The Emergency Department rarely handled finger replantation surgery in the past because this type of surgery requires extremely high technical skills. Only Dr. Xu could complete it. Additionally, the surgery time is quite long.

If an emergency patient in need of surgery arrives when Dr. Xu is performing finger replantation surgery, there would be a shortage of manpower.

Emergency surgeries, especially wound suturing, dog bites, falls, and other emergency trauma treatment, need to be well managed by the Emergency Department. If patients of this type are pushed to specialized departments, they will be scolded.

A few years ago, Director Xie got into a conflict with Vice Director Ye because the Emergency Department performed several surgeries.

Actually, Tu Ya never lacks sources of minor surgery patients.

For this well-known top-tier hospital with certain prestige within the province and a reputation in the country, the annual outpatient and emergency volume has been rising at an astonishing rate.

All departments can get ’well-fed,’ and many specialized departments even experience ’indigestion’ due to an overflow of patients, forcing them to refuse some mild patients.

Therefore, specialized departments have a very contradictory need right now: the fewer simple minor patients, the better; the more patients with moderate difficulty and above, the better.

For department revenue creation, severe patients and those with high treatment difficulty are prioritized.

Because this kind of patient can ensure the department’s bed capacity runs at full load to the greatest extent.

If the Emergency Department pushes patients who can be treated with simple procedures to specialized departments, they are sure to get reprimanded. In the end, it’s all about interests.

Now the Emergency Department operating room is already flourishing, with a regular operating room, a class 100 operating suite, and an endoscopic surgery room under construction.

The surgical team has expanded from just a few members to twenty-five or twenty-six.

Including more than a dozen surgeons and a dozen surgical nurses.

Now, even if either Zhou Can or Dr. Xu takes a vacation, there’s no problem with emergency operations running smoothly.

"Dr. Zhou, could you please help take another look at the patient with upper gastrointestinal bleeding? After a 1000ml blood transfusion, the patient has slightly improved, but the bleeding hasn’t stopped and now there’s a high fever, with the temperature rising to 39.4 degrees."

Ali somewhat embarrassedly requested Zhou Can.

She, a nearly fifty-year-old attending physician, has sought help from a twenty-something Resident Doctor numerous times.

In other words, she has long been accustomed to it.

"I’ll go check on the patient with you!"

Zhou Can prioritized the patient above all.

"Dr. Zhou, should I prepare your meal while you go look at the patient?" Qiao Yu quietly took care of Zhou Can in daily life.