Famous Among Top Surgeons in the 90s -
Chapter 508 - Chapter 508 508 Fight Desperately
Chapter 508: [508] Fight Desperately Chapter 508: [508] Fight Desperately “`
Listening to He Guangyou’s words, Tao Zhijie’s gaze fell to the floor, as if deep in thought, or perhaps he had anticipated this and showed no sign of emotion on his face.
Xie Wanying’s anxiety rose, and at that moment she realized something. Senior Tao’s lack of urgency to transfer the patient to the Hepatobiliary Surgery might be because he had foreseen the possibility that the patient could have a tendency for active bleeding, which touches upon the relative contraindication for the artificial liver.
Once the artificial liver couldn’t be used, given the patient’s rapidly progressing condition, it was likely a dead end.
“Senior Tao, I don’t agree with this idea.”
He Guangyou lifted his head, his gaze met hers with a start: she had guts, as few medical students dare to voice opposition directly to a clinical teacher. Tao Zhijie had previously seemed to lean towards supporting his idea, so how would Tao Zhijie react to this?
Truth be told, Xie Wanying also felt a bit nervous: Was Senior Tao really that approachable?
“Hmm, go on,” said Tao Zhijie as he turned his head, his smiling eyes unchanged.
Xie Wanying took a reassuring pill from his smile and began, “The patient’s medical history mentions a history of upper gastrointestinal bleeding, but this is only based on his own account of black stools. There are no specific laboratory results yet. There’s no vomiting of coffee grounds nor any severe vomiting of blood. At the moment, you can’t tell if there’s active bleeding. There are no petechiae on the skin. There’s no appearance of anemia. Today’s blood test results showed hemoglobin within normal limits. It is very likely that these two medications caused acute liver failure. As for the symptoms of upper gastrointestinal bleeding, I think we can temporarily attribute it to gastrointestinal discomfort caused by the medication.”
“So what’s your thought?”
“Go for a CT scan to check the brain and liver, and then immediately proceed with the artificial liver without waiting for the results.”
Her suggestion was… truly taking a gamble.
Tao Zhijie blinked.
He Guangyou couldn’t bring himself to speak.
What did Student Xiao Xie say? Teacher Sun Yubo, who was on the phone at the other end, finally noticed his student talking to the big Buddha of the Hepatobiliary Surgery and hurried back, giving her a look: What did you say to Da Niu?
Teacher Sun, it’s fine, Senior Tao is easy to talk to. Xie Wanying sent a reassuring look back to Teacher Xiao Sun,
In Sun Yubo’s heart: This student, so straightforward, probably got sweet-talked by Tao Zhijie.
What he didn’t expect was…
“Hmm, do as she says,” Tao Zhijie suddenly decided, “Write up the medical orders and transfer the patient to our department. Do the CT scan first.”
“Yes, Senior Tao,” Xie Wanying quickly responded and ran to the nurses’ station to ask the nurse to help send the patient for the examination.
He Guangyou hesitated, “Teacher Tao, our department is out of beds.”
“Transfer patient 03 to the general ward, and move bed 16 to an extra bed, he’s being discharged tomorrow,” Tao Zhijie said briskly.
Upon hearing him say this, He Guangyou knew for certain that he was set on doing it this way.
If a doctor wants to save someone, the lack of beds is no hindrance. The desire to save is not a question of the doctor’s heart, but of the doctor’s judgment. Doctors are not heartless; they simply adhere to professional standards. For a patient like this one, following the initial judgment, there was no chance, so there was no need to arrange for a transfer or a bed. No department likes to take on a patient destined to die. Sending them to Hepatobiliary Surgery rather than ICU would just be prolonging the inevitable, hoping for a miracle. After all, the ICU has ventilators and a more comprehensive array of rescue equipment for critically ill patients.
Had Tao Zhijie changed his mind because he believed what she said?
He Guangyou thought of what happened during the last surgery. After Xie Wanying had left, the outcome of their operation was indeed as she had said: a fistula.
“`
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