This miracle doctor just wants to be fired!
Chapter 94 Shifting Responsibility
Faced with such a critically ill patient, Wang Jianming, the director of the emergency department, immediately requested a consultation and then transferred the patient to a specialist ward for further treatment.
Staying in the emergency room ward is like being a ticking time bomb; it's just a matter of when it will explode.
The nurse immediately made consultation calls to the neurology, cardiology, and ICU departments.
On the other side, Chen Xi and Li Yang took the patient out for cranial and chest CT scans.
Meanwhile, the results of the urgent blood test performed on the patient upon admission also came back.
Zhou Cheng reported all of the patient's examination and test results to Li Degang.
"Teacher Li, the patient's blood routine and blood biochemistry results are in, and all indicators are within the normal range with no obvious abnormalities."
"The head CT scan showed no obvious hemorrhage, edema, or space-occupying lesions. It can preliminarily rule out organic brain diseases such as brain trauma, brain hemorrhage, and brain tumors, as well as related imaging manifestations of metabolic encephalopathy."
Li Degang took the two reports and quickly flipped through them, his brows furrowing even more.
The test results were all normal, which only made the patient's condition more confusing.
"Okay, I understand. Now it depends on what the consulting doctor says."
Before long, doctors from various departments arrived at the emergency room one after another.
The first to arrive was cardiologist Li Yaping.
Zhou Cheng was a little surprised to see that it was him who came for the consultation, as the two had met before at an electrocardiogram competition.
Li Yaping walked to the bedside, carefully checked the patient's vital signs, and reviewed the resuscitation records and examination reports. After a moment of contemplation, she said, "Although the patient's heart rate and blood pressure are currently stable, the cause of cardiac arrest is still unclear."
"Based on the existing examinations, common causes such as electrolyte imbalance and myocardial infarction have been ruled out. Our cardiology department cannot find a clear cardiac-related cause at the moment, so we cannot determine the main treatment direction. This patient is not suitable for admission to our department."
Upon hearing this, Li Degang frowned deeply.
Why do you start making excuses when the patient's case is even slightly complicated?
Li Yaping looked somewhat embarrassed and quickly added, "We don't have any vacant beds in our department right now. Let's see what the neurology department thinks."
No sooner had he finished speaking than the neurologist arrived for consultation.
The doctor who came was their deputy director, Liu Chi.
Li Degang's spirits lifted slightly, and he quickly explained the patient's condition to Liu Chi, the deputy director of the neurology department.
While listening to the patient's description, Liu Chi, the deputy director of the Department of Neurology, also completed the physical examination.
He adjusted his glasses and said slowly, "My examination just now revealed that although the patient has regained spontaneous breathing and heartbeat, he is still confused and has obvious symptoms of visual hallucinations."
"The family also mentioned that the patient had previously talked to herself and had abnormal emotions. Considering the urinary incontinence she experienced when she fell ill, I think it is more likely to be delirium, and organic diseases have a high probability of inducing delirium."
"However, none of the current examinations have found any clear organic lesions, and our department cannot admit the patient alone. We may need to further investigate problems in other systems."
Upon hearing Liu Chi's consultation opinion, Li Degang was stunned.
Why is even the department head shirking responsibility for patients?!
Li Degang's face turned grim. "Director Liu, it's definitely not good to leave this patient in the emergency department. You can take him in for further examination to find out the specific reasons. We have stabilized the patient's vital signs and done what we were supposed to do."
Liu Chi shook his head: "Did the patient suffer cardiac arrest? The brain CT scan doesn't seem to show anything. I think we should see a cardiologist first. If it's a heart problem, admitting the patient to our department would delay treatment, wouldn't that?"
Li Degang was almost laughing in anger.
Just now it was said to be a neurological problem, how did it suddenly become a cardiology problem?
The last to arrive were the ICU consulting physicians.
Li Degang's last hope now is to get into the ICU.
He emphasized that the patient had suffered four cardiac arrests, and that going to the ICU for further monitoring of vital signs was the best option.
However, after the ICU consultation thoroughly reviewed the patient's condition, the resuscitation process, and the results of various examinations, the ICU consultant looked troubled and said, "This patient's condition is too complicated. Not only does he have a history of cardiac arrest, but he also has abnormal mental status. The cause is currently unknown, and there is a risk of multiple organ dysfunction in the future, making treatment extremely difficult."
"Our ICU mainly admits patients with clearly defined critical illnesses, but this patient's cause of illness is unknown, and there are intertwined problems in various systems. We cannot admit the patient rashly. We suggest that we first determine the cause of the illness before deciding on the appropriate department to admit the patient."
These words instantly created an awkward atmosphere in the emergency room.
The cardiologist said the cause was unknown, the neurologist said other system problems needed to be investigated, and the ICU refused to admit the patient on the grounds that the cause was unknown and the condition was complicated.
Several departments started passing the buck, none of them willing to take on this difficult patient.
Looking at the situation before him, Li Degang felt a headache coming on.
He took a deep breath, suppressing his anger, and turned to the family members at the door, his voice tinged with weariness: "This patient's condition is too complex, and the cause is unknown. Our hospital's current diagnostic and treatment capabilities may not be able to provide the most precise treatment. I suggest you transfer to the Provincial People's Hospital, a provincial-level tertiary hospital with more comprehensive departments and more advanced equipment, which can better diagnose the cause and reduce the risks of subsequent treatment."
The family members' faces changed instantly upon hearing the words "transfer to another hospital".
The man frowned and said hurriedly, "Transfer to the provincial capital? Our family isn't well-off. How much would it cost to get medical treatment there? Besides, the child has only just stabilized. What if something unexpected happens during the transfer?"
The woman stopped sobbing, her eyes filled with resentment: "No! We can't be transferred! You're the best hospital in the city, and even you can't treat him, yet you want us to transfer somewhere else? Don't you want to take care of our child anymore?"
Li Degang quickly explained, "It's not that we don't want to take care of it, but the child's condition is too unique. The cause hasn't been determined, and no specialist can provide targeted treatment. We transferred him to a higher-level hospital for the child's own good, so that the problem can be investigated more comprehensively."
"For our own good?" The woman's voice suddenly rose, her emotions escalating again. Pointing towards the emergency room, she shouted, "If you really cared about us, you wouldn't be passing the buck! I heard you just now, and now you're trying to get us transferred to another hospital—aren't you just trying to push the trouble away?"
"I'm telling you, this child must be treated at your hospital today! If you refuse to admit him, we'll file a complaint against you! We'll complain about your inaction and shirking responsibility for the patient!"
The man echoed, his tone forceful: "We know you're afraid of taking responsibility, but the child's accident happened in your hospital, so you have to take full responsibility!"
"Can you bear the risks of transferring me to another hospital now?"
"If anything happens to you on the way, we'll never forgive you! We don't have the money to go to the provincial capital, and we don't dare take the risk. We have to be admitted here today! Otherwise, we'll report you to the Health Commission and ruin your hospital's reputation!"
The family members' voices grew louder, attracting a crowd of patients and their families in the corridor.
Li Degang was speechless after being rebuked, his face turning pale and then red.
Just then, Director Wang Jianming rushed over. He had already heard most of the argument in the corridor.
He frowned as he dispersed the crowd, then gestured for Li Degang to remain silent. He turned to the family members, speaking in a gentler tone: "Please calm down and don't get agitated. I know you're worried about your child, and I understand your difficulties."
The woman remained adamant: "Calm down? Our child is lying inside, his life hanging in the balance, and you're trying to push us away. How can we calm down? You're a hospital leader; you have to give us an explanation today! Either let our child stay here for treatment, or we'll file a complaint!"
Wang Jianming inwardly groaned. This was a critical period for the hospital's tertiary hospital review. If the family complained, not only would his department be affected, but the entire hospital's review process could also be implicated.
After much deliberation, he ultimately decided to compromise, fearing the consequences of a complaint.
"Alright, stop arguing," Wang Jianming said. "The child will remain in our emergency department for now. We will continue to organize consultations with relevant departments to determine the cause as soon as possible. Once we have a clear diagnosis, he will be transferred to the appropriate specialist for treatment. Are you satisfied with this arrangement?"
Hearing this, the family members calmed down a little.
The woman snorted: "That's more like it. I hope you keep your word and stop trying to fool us."
The man nodded: "We'll trust you this time. If any problems arise during the follow-up treatment, we'll still file a complaint!"
You'll Also Like
-
Having escaped famine, I was accepted into Hogwarts
Chapter 246 40 minute ago -
Kamen Rider: Evolution
Chapter 527 40 minute ago -
HP: Azkaban's Outstanding Graduate
Chapter 357 40 minute ago -
The brave Simmel wants to resign
Chapter 370 40 minute ago -
Pirate: I'm an admiral now, what's wrong with taking a little extra money?
Chapter 305 40 minute ago -
Douluo Continent: Just as he was about to transform, Emperor Tian awakened the simulator.
Chapter 281 40 minute ago -
American comic book: I, with my abundant martial virtue, love to do good to others.
Chapter 739 40 minute ago -
Harry Potter, the savior of Night City
Chapter 211 40 minute ago -
American comic: I, JoJo, am going to heaven!
Chapter 179 40 minute ago -
Naruto: From Novice to Grave
Chapter 324 40 minute ago