Chapter Ten This patient should not have died
Today wasn't Ye Nan's main shift, after finishing the ward rounds and writing a few prescriptions, there was nothing much to do, so Ye Nan sat there flipping through medical records with boredom.
At this time, a patient came in, around 50 years old. His family said that he was mainly not feeling well mentally and had not been wanting to eat anything for the past few days. Zhang Li, the doctor on duty, examined him carefully but did not find any major problems, so she decided to have him stay in the hospital for observation and prescribed some nutritional medication first.
After Zhang Li finished treating the patient, another critically ill patient arrived soon. Zhang Li saw Ye Nan sitting there with nothing to do and looking relaxed, while she herself was busy running around, sighing: "It's really a different fate for people, I don't know why my luck is so bad today, I've been busy all morning."
Ye Nan heard this and couldn't help but yawn, covering her mouth with a smile: "We've got to have something to do, if we're all idle, our bonus for this month will be in danger. The capable ones work harder, Lijie, you just bear the hardship for the sake of our bonus this month, and strive to collect more."
Before Ye Nan could finish speaking, Zhang Li suddenly grabbed a book and threw it at him, hitting him on the back of his head. She laughed and scolded, "You heartless little thing, gloating over someone else's misfortune! Just wait until I'm done with my work, then see how I'll deal with you!"
Ye Nan flipped through half an hour of medical records and was really bored, so he went to the ward to take a look around, took a look at his own patients, and chatted with them casually.
This is Ye Nan's habit, Ye Nan is relatively young. In this industry, young doctors are always difficult to make some patients feel at ease. So many times, he tries his best to contact with patients more, care about the patient's situation more, which has a great comforting effect on the psychology of patients and their families, and can also gain more trust from patients!
Ye Nan walked to his own bed eighteen, the patient was "chronic bronchitis", recovered well, chatted with him a few words, asked about the situation, and was about to leave, when he suddenly found that the seventeen beds next door didn't feel quite right, as if it was the patient who had just arrived in the morning.
Ye Nan walked over quietly to take a look and saw that the patient was sleeping soundly. The family member, seeing Ye Nan approach with an intention to wake the patient, stopped him saying: "Doctor, my dad hasn't been sleeping well these past few days, now that he's finally asleep, can you let him rest for a bit?"
Ye Nan nodded, but felt that the patient was like the old lady last time, and the spiritual energy in his body began to dissipate slowly. He asked the family member in a low voice: "Has the elderly been sleeping poorly these past few days? Does he usually have insomnia?"
"No, my mom often has insomnia, but my dad never had this problem." "How's his body usually, and have there been any special situations in the past few days?" Ye Nan continued to ask.
"No, he's usually fine, just had a few words with my brother the day before yesterday and wasn't feeling well, also didn't eat anything. Afraid that the old man wouldn't be able to hold on, so came to the hospital to get some nutrient injections." The patient's family seemed somewhat unconcerned.
When the patient had an experience of quarreling with others, Ye Nan's heart skipped a beat. He quickly ran to the office to fetch a small flashlight and came over. Despite the family members' obstruction, he lifted the patient's eyelids, looked at the patient's pupils, and found that the pupils were constricted and only moved left and right. The light reflex was also dull. He called out to the patient, but the patient had no reaction.
Ye Nan's heart sank again, this was very much like an overdose of sedatives!
Ye Nan quickly asked the family member: "What medicine does your mother usually take for insomnia?" "Diazepam."
"Why don't you call your mom and ask her to check if there are fewer tranquilizer pills?" The patient's daughter was also anxious, took out her mobile phone, and hastily called home: "Mom, go take a look at your bottle of tranquilizers, see if there are any fewer pills inside."
After a while, the person opposite responded, and the patient's daughter was stunned. Her mobile phone fell to the ground, and it took her a while to react. She cried to Ye Nan: "A new bottle of sleeping pills we just bought at home is all gone."
Ye Nan was shocked and quickly ran out to call the nurse: "Twenty-one bed gastric lavage, oxygen preparation, hurry up."
Two nurses on duty at the nurse station saw Ye Nan's appearance and quickly put down their work, running to the rescue room to push over a gastric lavage machine and an oxygen humidifier bottle, starting to give the patient oxygen and insert a tube for gastric lavage.
Oxygen and gastric lavage machine have been brought over, Ye Nan asked the nurse beside him to hurry up and push the rescue cart over as well.
The rescue vehicle arrived soon. Ye Nan said seriously to the nurse waiting beside him, "Rescue order for bed 21: Prepare the monitor, administer 20ml of 5% glucose plus 0.8mg naloxone immediately, and administer 10mg dexamethasone immediately." With Ye Nan's instructions, the nurse executed each step flawlessly.
Five minutes later, Ye Nan checked the pupils again and they had slightly improved. The monitor showed a normal heartbeat and blood pressure was maintained at 100-90/60-50 mmHg.
At this time, the nurse who performed the gastric lavage reported that the procedure was completed and there was still some undissolved white medicinal paste in the stomach. Ye Nan took a look and nodded, saying: "Leave the specimen to be sent to the laboratory for examination."
Ye Nan continued to instruct another nurse on the medical orders: "5% glucose 250ml plus naloxone 1.2mg IV drip, for the critically ill patient, closely observe vital signs changes. And notify the hyperbaric oxygen chamber to prepare, enter the chamber in half an hour!"
After finishing all this, Ye Nan called the family members to the office and gave them a critical illness notice and some predictions about the general prognosis. After the family members signed, they were notified of the department head's consultation, which finally let out a sigh of relief.
At this time, Zhang Li had just come out of another critically ill patient's room. After hearing about it, she was frightened. Zhang Li patted her chest, with a feeling of relief: "Fortunately you were careful, otherwise if we had delayed discovering this by ten more minutes, the consequences would have been severe!"
After a while, Ye Nan went to take another look and felt that the patient's spiritual energy had no signs of dissipating again, only then did he truly put his mind at ease. This patient was rescued in time, after high-pressure oxygen treatment, should make a good recovery.
Ye Nan was also frightened by this matter, carefully recalling the whole thing, thinking that if he had diagnosed this patient himself, it would have been difficult to find the real cause of the disease at first, and would have done ordinary treatment first.
Moreover, if one doesn't have a way to sense the human body's vital energy, even if one is very responsible and serious, it's likely that they will think the patient has fallen asleep, making it difficult to discover the patient's abnormality in a short period of time. Generally speaking, this kind of accident was inevitable, but fortunately, both I and Zhang Li were lucky!
In the afternoon, the department head convened a small meeting for the entire department to once again emphasize the importance of being meticulous and responsible. He also praised Ye Nan, but did not criticize Zhang Li because she had been very busy with work in the morning and didn't have time to constantly observe the patient's condition. This incident could have happened to anyone, so he simply reminded and required his colleagues to be more careful.
After the meeting, Zhang Li bought a big pile of fruit and warmly washed an apple with her own hands and handed it to Ye Nan, expressing gratitude. Then she called together colleagues to share together, calling it a celebration of her narrow escape from death, surviving a disaster!

