I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 612 The person is already dead, what's the use of regretting it? Trust the doctor!!
That was an exploration of the child's current condition.
In fact, this child is now a red-labeled individual.
Exploration is inevitable.
Even without system prompts, this is something he should be doing.
"Teacher Xiaochuan, the main problem is that this child can't even raise his hand horizontally. Sisi, can you show this doctor how to raise his hand?"
Dr. Liu Si looked at Zhang Lingchuan with a somewhat anxious expression.
I hope to get some help from Dr. Zhang.
Because she genuinely felt there was something wrong with the child, and if Dr. Zhang also thought there was no problem, then she would truly accept it.
It's just that I'm overthinking things.
"Oh……"
This little boy named Sisi is actually named Husisi.
After hearing what Liu Si said, he nodded and made this gesture of raising his hand.
“Look, Mr. Xiaochuan, your hands can’t reach the horizontal line at all. Sisi, touch your nose again, that is, the tip of your nose.”
After Liu Si demonstrated, she then had Hu Sisi perform other actions.
"Ah."
Hussi reached out and touched his nose.
But there are always some discrepancies each time.
The whole thing felt like it was never going to be completed.
"Dr. Xiaochuan, look, everyone says you're a great doctor. The CT scan report is here, and there's no problem. But the family strongly refuses to admit the patient. What will you do?"
At this moment, Dr. Gong Quan looked at Zhang Lingchuan with a playful expression.
It seemed as if they wanted to know what he should do at this moment.
"Come on, little one, let me do a check-up."
At this moment, Zhang Lingchuan arrived next to Hu Sisi.
Then I did a thorough check.
"You little doctor! Have you finished your examination? My grandson just accidentally fell and tripped. He can walk and jump now. Why are you demanding hospitalization? Isn't this robbery? What are you doing?!"
"Yes, doctor, we even had a CT scan done for our child based on Dr. Liu's advice, but the scan didn't find anything wrong. I know that your hospital has quotas for each department, and even hospitalization rates. I absolutely disagree with putting my child in there directly! If you dare to do that, I will definitely file a complaint!"
The child's grandmother had just finished speaking when the child's mother added another sentence.
The tone was very firm.
It doesn't sound like he's lying at all.
"Little friend, where did you bump your head?"
Zhang Lingchuan has not yet answered the family's questions.
Instead, they asked the children.
[System precise scanning is in progress...]
At the same time, a precise scan was conducted immediately.
"I bumped into this spot."
The child pointed to the back of his head.
"Are you in pain now?"
Zhang Lingchuan asked another question.
"It hurts a little, but not much. Doctor, I want to go home."
The child looked at Zhang Lingchuan.
There is also his mother and grandmother.
"Don't worry, baby, Mommy will definitely take you home. We won't be in the hospital today."
The woman's name was Lan Xiaomei.
Gently stroking the child's head.
"Grandma has made the decision! We'll go home in a bit. Since the X-ray is fine, why don't you just prescribe some medicine for us? There's no need to stay in the hospital at all!"
The old lady became even more resolute.
Today he looked determined to take his grandson away.
"This……"
Liu Si hesitated, then looked at Zhang Lingchuan.
Dr. Zhang, please say something!
I feel like there's something wrong with this child. Am I intuition wrong, or what...?
Gong Quan watched quietly from the side.
After all, Dr. Ogawa has now become involved.
Let's see what insightful opinions the other party has.
"Actually, I suggest that the family members should stay in the hospital for observation."
Just then, Zhang Lingchuan spoke.
It wasn't that he insisted on keeping the child.
However, the children's situation is indeed not optimistic.
System scan complete.
[Patient Name: Hu Sisi]
[Patient's gender: Male.]
[Patient's age: 4 years old.]
[Patient Status: The child fell while playing in the park, hitting their head and crying briefly before gradually exhibiting abnormal behavior. Currently conscious but less responsive than before, the child complains of headache. Physical examination revealed that both arms were unable to be raised to a horizontal position normally, fine motor skills were significantly limited, and the child was unable to complete the finger-to-nose test, suggesting central nervous system dysfunction. Vital signs are relatively stable: temperature 36.7℃, heart rate 98 bpm, blood pressure 100/65 mmHg, no significant vomiting or convulsions. Previous CT scans did not show clear signs of bleeding, but there was blurring in the midline region, posing a risk of missed diagnosis.]
[Patient Diagnosis: Suspected acute epidural hematoma (early stage, radiographically insidious period), accompanied by focal neurological dysfunction, marked in red, indicating a risk of rapid progression to intracranial hypertension and brain herniation.]
[System prompt: Acute epidural hematoma is mostly caused by head trauma. In the early stages, it may not be detected by CT due to the small amount of bleeding or the lack of imaging coverage. Some cases have a "consciousness interval," meaning that the initial symptoms are mild, but as the bleeding continues, the intracranial pressure gradually increases, and the condition can deteriorate rapidly in a short period of time.]
The child currently presents with:
The history of head trauma and neurological dysfunction (motor impairment of both upper limbs, impaired coordination) were not matched with the imaging results and clinical presentation.
This suggests the possible presence of occult intracranial hemorrhage or space-occupying lesions. If not identified and intervened in a timely manner, it may rapidly progress to increased intracranial pressure, deepening of consciousness disorders, pupillary changes (unilateral dilation), brain herniation, and compression of the respiratory and circulatory centers, endangering life.
Children have limited intracranial compensatory capacity, and once the critical point is crossed, the condition deteriorates very rapidly.
Emergency handling recommendations are as follows:
Immediately treat the patient as a high-risk case of intracranial hemorrhage, perform a repeat head CT scan or higher resolution imaging examination (multiplanar scanning if necessary), continuously monitor the neurological system, assess changes in consciousness, pupils and limb function every 15–30 minutes, strictly keep the patient in bed and avoid strenuous activity, and immediately initiate emergency neurosurgical evaluation if there is a decrease in consciousness, vomiting, abnormal pupils or fluctuations in vital signs.
He should be hospitalized as soon as possible for further treatment.
[Ding! Daily task successfully activated! The child is currently in the incubation period of intracranial hemorrhage. Early intervention can significantly improve the prognosis. If misdiagnosed as a minor injury and treatment is delayed, it may progress to a fatal brain herniation in a short period of time. Please immediately implement monitoring and follow-up measures. Successfully identifying and intervening in the condition will earn you a pediatric treatment package.]
This is the result of his scan.
The child has been diagnosed with an acute epidural hematoma.
Simply put, it's a brain hemorrhage.
If there is bleeding in the brain, it's a very serious matter.
He's still perfectly healthy and active. Actually, he should be hospitalized and resting in bed, as required.
Otherwise, the child could suddenly deteriorate and die.
"Hospitalization? We're not going to be hospitalized! It's just a minor scrape, why should we be hospitalized? And why does it cost so much to be hospitalized! As a hospital, you can't be this heartless! Do you give hospitalization certificates to everyone who comes to see a doctor?!"
Hussi's grandmother exploded the moment she heard this.
They made it clear that they would not be hospitalized.
He even launched into a tirade of abuse at Zhang Lingchuan.
"Dr. Zhang Lingchuan! Why did you admit my child to the hospital? My child's test results are perfectly normal! If this is the kind of heartless hospital you are, I'm going to film this and post it online to expose you!!"
The child's mother, Lan Xiaomei, was no pushover either.
After glancing at the nameplate on Zhang Lingchuan's chest, he immediately called out his full name.
"Are there really parents this outrageous? Dr. Ogawa suggested they stay in the hospital for observation, but they insisted on going home. These aren't their own children, are they?!"
"Well, to be honest, the situation Xiaochuan is encountering in the live stream is very conservative now. Many parents just take their children and leave, completely ignoring the need for observation. They just insist on going back, and then when something goes wrong, they just blame the hospital. I've encountered that before!"
"Absolutely! There are just too many patients and their families like this!"
"Doctors, I am a normal parent. If it were me, I would do all the tests. If the doctor says to do something, I would do it. If I don't trust this doctor or this hospital, I will switch to another hospital immediately. I can't gamble with my child. I would rather spend more money."
"Yes, when facing doctors, don't interfere with their judgment. Leave professional matters to professionals, and the best treatment is for patients to listen to and follow instructions. My mother was sick once, and all sorts of tests couldn't find a problem. The old lady kept cursing and complaining that I was being ripped off. I just insisted on cooperating with the doctors and doing all sorts of tests, and finally they found the problem. Machines can lie too. You have to trust the judgment of professional doctors."
In fact, photographer Sun Peng had already pointed the camera at this side.
The technical department then blurred out the crucial parts featuring minors.
Because children definitely need to be protected.
So it appears on camera.
Everyone was naturally shocked when they saw this group of parents.
Especially those normal parents.
The doctor calmly stated that this situation was actually quite conservative.
There are many eccentric people in this patient group.
Some people even gave examples.
"Dr. Wen from the Municipal Hospital: Let me tell you a story. Back in the 1990s, when I was interning at the hospital, the daughter of a lab technician slipped and fell down the stairs after evening self-study in high school. She didn't seem to react at the time, went home, washed up, and went to sleep. The next morning, when they woke her up, they found that she was already dead. Her mother was devastated. After this incident, whenever a doctor's child slipped and fell at home, they would immediately bring them in for a CT scan and observe them for a day. They wouldn't feel at ease until everything was fine (back then, a CT scan cost 400 yuan during the day, and double that at night)."
And among these examples are real cases from medical staff themselves.
Yes.
Falling down should never be underestimated.
Otherwise, you might regret it for the rest of your life.
For example, this netizen named Dr. Wen from the Municipal Hospital, whose daughter is a doctor in the same hospital's laboratory department, would definitely ask her daughter to undergo the examination if she could turn back time.
It's likely that after his daughter left, he dreamt every night of regret, wondering why he hadn't gotten her checked out.
If only a check-up had been done, and if he hadn't been so careless, his high school daughter might not have left him forever.
"Dr. Xiaochuan, the CT scan shows no problems, and the family strongly insists on taking the child home. Are you still planning to keep the child in the hospital? Be careful, or you'll be branded as a heartless doctor."
In public, Gong Quan couldn't be too blunt in his words.
Then, she looked at Zhang Lingchuan with a half-joking expression.
“But we’ve only done one CT scan so far. The amount of bleeding is too small and there’s a possibility of misdiagnosis. So I think we should do a multiplanar scan and continuous neurological monitoring to assess changes in consciousness, pupils, and limb function. If any abnormalities occur, we can immediately contact the neurosurgery department.”
Zhang Lingchuan shared his thoughts.
Actually, this is the solution provided by the system.
"You want another test? Do you think our money grows on trees? Aren't tests expensive? We're not doing them! We're leaving!"
"Grandma, Mom, Sisi doesn't want to have a checkup, Sisi wants to go home!"
Right after the child's mother, Lan Xiaomei, said those words, the little boy, Sisi, also started to want to go back.
I don't want to be in the hospital.
"My dear grandson, I'm taking you home now. We're not coming back to this lousy hospital!"
Mrs. Lai immediately wanted to take her grandson away.
"Auntie, you can't take the child away. He's already been examined here, and we have a responsibility to the child! I also suspect the child might have symptoms of a brain hemorrhage. I suggest observing him for 24 hours before going back!"
Zhang Lingchuan stepped forward to stop him.
"what happened?"
At that very moment, a voice rang out.
It was Ke Yingtong, the director of the pediatrics department, who arrived.
"You're the head of pediatrics, right? Here's the thing: our child came here for a checkup, but your doctor insisted on admitting us to the hospital because of his KPIs. We didn't want to be admitted, but he kept forcing us to. This doctor named Gong Quan clearly stated that there was nothing wrong with the report and there was absolutely no reason for us to be admitted."
Lan Xiaomei's gaze immediately fell on the identity badge.
After learning that Ke Yingtong was the director of pediatrics, they immediately started to go on a rampage.
"These days, there aren't many good doctors like Dr. Gong! My grandson is going back now, so please keep a close eye on your staff!"
After praising Dr. Gong Quan, the old lady glared at Zhang Lingchuan.
I also hope that Ke Yingtong can manage her subordinates well.
We cannot compromise our conscience for the sake of performance.
"Thank you for the family's approval. It's really nothing. This is the right choice that any responsible and conscientious doctor would make."
Gong Quan shrugged and replied.
"Won't Dr. Gong Quan consider Dr. Xiao Chuan's opinion?"
"Of course! Veterinarian Zhang stopped them! It must be quite serious. I think it's best to get it checked out! Just to save face!"
"Well, the situation in the pediatrics department is a bit complicated. Back then, Dr. Gong and Dr. Xiao Chuan had a conflict because Dr. Gong took on that patient with the huge tumor. So, if the examination is normal, Dr. Gong probably won't give Dr. Xiao Chuan any face."
After seeing Dr. Gong Quan's reply, some netizens commented.
They felt the other party was being too hasty.
Dr. Xiao Chuan has made so many contributions to the hospital.
We should value the other party's opinion.
"I wonder what the director will say next."
"That's right, a single sentence from the other party could probably directly influence the entire course of events."
Actually, it's not just netizens.
Even Liu Si was looking forward to it.
We hope Director Ke can put in a good word for them.
Zhang Lingchuan's gaze also fell on Director Ke Yingtong.
This child's situation is special.
We absolutely cannot let them escape.
If I go back, I might not survive tonight!
But now the family insists on taking it away!
...(End of this chapter)
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