Medical road ahead
Chapter 2: A newcomer to the nutrition department
"what?"
Hearing this, Qiao Tan was taken aback for a moment before asking anxiously, "What's the matter, Director Liu? But what happened?"
Didn't Director Liu go on a business trip to Daliang Mountain?
As far as Qiao Tan knew, when the first batch of doctors who supported the epidemic area were about to return, Liu Yaxiu, the director of the clinical nutrition department where she worked, suddenly proposed to go to the remote mountainous area that had been released from isolation to investigate the nutritional status of the local people .
She believes that isolation is good for the residents of big cities, at least there will be no shortage of supplies, but for those victims who live in remote areas and have inconvenient transportation, in addition to avoiding the risk of infection, timely supply of living supplies has become a must. A big problem.
That's why she proposed where to go to learn about the nutritional status of the local people after the quarantine was lifted, and by the way, popularize nutritional knowledge to prevent them from suffering from other chronic diseases.
Ordinary people think that acute diseases are terrible and terrible, but for doctors, chronic diseases like frogs boiled in warm water are the most troublesome, and chronic diseases caused by malnutrition are particularly serious, such as termites invading. Disintegrating the originally healthy body, after the core is destroyed, even if Hua Tuo is alive, it will be difficult to heal.
Therefore, as a well-known nutrition expert in the country, Liu Yaxiu's mission is to prevent problems before they happen, and kill the signs of illness in the cradle.
"I went back to City C this morning. Besides me, there were two young comrades from the Daliangshan Health Bureau, and an elderly patient. I am calling you to hope that you can come to our hotel for isolation as soon as possible. Participate in this comprehensive consultation for this special patient." Liu Yaxiu said in a hoarse but sonorous voice.
"Okay! You send me the address, and I'll rush there right away."
Qiao Tan immediately cheered up, pulled back his long hair, and quickly returned to his anti-epidemic state. After eating in two or three bites, he took a few changes of clothes and hurried away to the hotel address Liu Yaxiu sent.
"Yaoyao, be careful!"
Qiao Wei and Tan Xi sent her to the door, repeatedly exhorted her, and then ran to the window to wave goodbye to her.
"I've just left the front line, and I'm about to go to a new battlefield." Tan Xi said distressedly.
"Who told our daughter to be the people's doctor! In war, soldiers are always on call; in peacetime, doctors are on standby."
Jovi patted his wife on the back, silently praying for his daughter in his heart.
"Director Liu!"
"Doctor Joe!"
Ten minutes later, as soon as Qiao Tan arrived at the hotel where Liu Yaxiu and his party were staying, he went straight to the meeting room temporarily arranged by the hotel for the Affiliated Hospital of C University, and met Liu Yaxiu and the others.
Qiao Tan found that in the huge conference room, there were more than a dozen people sitting in densely packed places. They were all wearing white coats, some were doctors from the same hospital, some had new faces, and two of them had darker complexions. The young man with green pine and thin bamboo is the most unfamiliar, and he doesn't seem like a local.
"Come on, let me introduce you. These two are Mao Rui and Mu Shan who followed me from Daliang Mountain. They work in the local health bureau. They came here this time to take care of the elderly patient and to participate in this project." A comprehensive consultation."
Seeing Qiao Tan looking at the two of them quietly, Liu Yaxiu took her to make a brief introduction to them first, then went straight to the point and handed her a diagnosis report, "This is the patient's medical report. Consultation book, you read it first."
"it is good!"
Qiao Tan took the report and immediately read it, "Bilateral pleural effusion, bilateral pneumonia, accompanied by gastrointestinal bleeding, anemia, and protein energy malnutrition"
As he looked down, Qiao Tan's brows gradually tightened.
"Tell me about your preliminary diagnosis and treatment methods." Liu Yaxiu raised her hand to signal.
"The supplementary diagnosis of the consultation is that the patient's protein energy is seriously insufficient, so protein energy should be supplemented first, but the patient also has problems with gastrointestinal bleeding and anemia, and the suggestion given by the clinician is gastrointestinal decompression, that is, He does not eat or drink, but the patient is already in his eighties, if he does not replenish the nutrients his body needs in time, it may cause other diseases and accelerate the deterioration of the original condition."
Qiao Tan frowned, and after a moment of contemplation, he continued: "The only choice is intravenous nutrition, but considering that this patient suffers from double lung pneumonia, bilateral pleural effusion, and hypoproteinemia, the intravenous When supplementing nutrients, the workload of the lungs should not be increased, so when formulating nutritional supplements, you need to pay attention to the ratio."
"Then what do you think is the most appropriate way to deploy?" Liu Yaxiu asked.
"Focus on the proportion of carbohydrates (grain) and fat. It is necessary to slightly increase the proportion of fat, reduce carbon dioxide emissions, and reduce the burden on the lungs. At the same time, the patient's heart and kidney functions must also be taken into account. Nutrition, but can't aggravate the original condition." Qiao Tan said.
"That's right! Before you came here, during our consultation and discussion, I also suggested the same. However, the proportion of nutritional supplements for this patient is very particular, and the operation is not as easy as talking on paper. Therefore, I have to complete the work myself. , with your assistance. Are you okay?"
After speaking, Liu Yaxiu turned her head to look at Qiao Tan, and explained: "The two senior brothers of yours need to stay in the hospital and cannot get away. However, you have just come back. If your health is too strong, I will send another senior brother over here. , You help him, you don’t have to be directly responsible for the preparation of nutritional supplements, after the initial work is completed, you can release the isolation and go back to the hospital to work normally.”
"No, I can." Qiao Tan said hastily.
"Look at me, how strong I am, not to mention helping you prepare nutritional supplements, even if I go to the epidemic area again, it will be fine."
Then, she patted her arm again and added with a smile.
"Haha! Girl, what are you talking about, you are healthy and plump."
Liu Yaxiu was amused by her naivety, she laughed and hugged her, the tension in her heart was relieved, and she said softly: "Yaoyao, it's great that you can come to our nutrition department. "
"Ha ha."
Hearing this, Qiao Tan just smiled without saying a word, and turned his head slightly to avoid Liu Yaxiu's hot gaze, and scratched his cheek with some guilt.
In fact, she has been secretly planning in her heart, planning to stay in the nutrition department for a few years, and then find a way to transfer to the endocrinology department, because becoming a doctor in the endocrinology department has been her wish since she was a child, and she chose to enter the nutrition department. Branch, it is the expectation of parents.
"Doctor Qiao, let me take you to see that patient. Only by understanding his condition in detail can we help you prescribe the right medicine."
In a short time, Liu Yaxiu returned to normal, solemnly leading Qiao Tan to the room where the patient was, and the latter quickly withdrew his mind and entered his new battlefield as a new student in the nutrition department
Hearing this, Qiao Tan was taken aback for a moment before asking anxiously, "What's the matter, Director Liu? But what happened?"
Didn't Director Liu go on a business trip to Daliang Mountain?
As far as Qiao Tan knew, when the first batch of doctors who supported the epidemic area were about to return, Liu Yaxiu, the director of the clinical nutrition department where she worked, suddenly proposed to go to the remote mountainous area that had been released from isolation to investigate the nutritional status of the local people .
She believes that isolation is good for the residents of big cities, at least there will be no shortage of supplies, but for those victims who live in remote areas and have inconvenient transportation, in addition to avoiding the risk of infection, timely supply of living supplies has become a must. A big problem.
That's why she proposed where to go to learn about the nutritional status of the local people after the quarantine was lifted, and by the way, popularize nutritional knowledge to prevent them from suffering from other chronic diseases.
Ordinary people think that acute diseases are terrible and terrible, but for doctors, chronic diseases like frogs boiled in warm water are the most troublesome, and chronic diseases caused by malnutrition are particularly serious, such as termites invading. Disintegrating the originally healthy body, after the core is destroyed, even if Hua Tuo is alive, it will be difficult to heal.
Therefore, as a well-known nutrition expert in the country, Liu Yaxiu's mission is to prevent problems before they happen, and kill the signs of illness in the cradle.
"I went back to City C this morning. Besides me, there were two young comrades from the Daliangshan Health Bureau, and an elderly patient. I am calling you to hope that you can come to our hotel for isolation as soon as possible. Participate in this comprehensive consultation for this special patient." Liu Yaxiu said in a hoarse but sonorous voice.
"Okay! You send me the address, and I'll rush there right away."
Qiao Tan immediately cheered up, pulled back his long hair, and quickly returned to his anti-epidemic state. After eating in two or three bites, he took a few changes of clothes and hurried away to the hotel address Liu Yaxiu sent.
"Yaoyao, be careful!"
Qiao Wei and Tan Xi sent her to the door, repeatedly exhorted her, and then ran to the window to wave goodbye to her.
"I've just left the front line, and I'm about to go to a new battlefield." Tan Xi said distressedly.
"Who told our daughter to be the people's doctor! In war, soldiers are always on call; in peacetime, doctors are on standby."
Jovi patted his wife on the back, silently praying for his daughter in his heart.
"Director Liu!"
"Doctor Joe!"
Ten minutes later, as soon as Qiao Tan arrived at the hotel where Liu Yaxiu and his party were staying, he went straight to the meeting room temporarily arranged by the hotel for the Affiliated Hospital of C University, and met Liu Yaxiu and the others.
Qiao Tan found that in the huge conference room, there were more than a dozen people sitting in densely packed places. They were all wearing white coats, some were doctors from the same hospital, some had new faces, and two of them had darker complexions. The young man with green pine and thin bamboo is the most unfamiliar, and he doesn't seem like a local.
"Come on, let me introduce you. These two are Mao Rui and Mu Shan who followed me from Daliang Mountain. They work in the local health bureau. They came here this time to take care of the elderly patient and to participate in this project." A comprehensive consultation."
Seeing Qiao Tan looking at the two of them quietly, Liu Yaxiu took her to make a brief introduction to them first, then went straight to the point and handed her a diagnosis report, "This is the patient's medical report. Consultation book, you read it first."
"it is good!"
Qiao Tan took the report and immediately read it, "Bilateral pleural effusion, bilateral pneumonia, accompanied by gastrointestinal bleeding, anemia, and protein energy malnutrition"
As he looked down, Qiao Tan's brows gradually tightened.
"Tell me about your preliminary diagnosis and treatment methods." Liu Yaxiu raised her hand to signal.
"The supplementary diagnosis of the consultation is that the patient's protein energy is seriously insufficient, so protein energy should be supplemented first, but the patient also has problems with gastrointestinal bleeding and anemia, and the suggestion given by the clinician is gastrointestinal decompression, that is, He does not eat or drink, but the patient is already in his eighties, if he does not replenish the nutrients his body needs in time, it may cause other diseases and accelerate the deterioration of the original condition."
Qiao Tan frowned, and after a moment of contemplation, he continued: "The only choice is intravenous nutrition, but considering that this patient suffers from double lung pneumonia, bilateral pleural effusion, and hypoproteinemia, the intravenous When supplementing nutrients, the workload of the lungs should not be increased, so when formulating nutritional supplements, you need to pay attention to the ratio."
"Then what do you think is the most appropriate way to deploy?" Liu Yaxiu asked.
"Focus on the proportion of carbohydrates (grain) and fat. It is necessary to slightly increase the proportion of fat, reduce carbon dioxide emissions, and reduce the burden on the lungs. At the same time, the patient's heart and kidney functions must also be taken into account. Nutrition, but can't aggravate the original condition." Qiao Tan said.
"That's right! Before you came here, during our consultation and discussion, I also suggested the same. However, the proportion of nutritional supplements for this patient is very particular, and the operation is not as easy as talking on paper. Therefore, I have to complete the work myself. , with your assistance. Are you okay?"
After speaking, Liu Yaxiu turned her head to look at Qiao Tan, and explained: "The two senior brothers of yours need to stay in the hospital and cannot get away. However, you have just come back. If your health is too strong, I will send another senior brother over here. , You help him, you don’t have to be directly responsible for the preparation of nutritional supplements, after the initial work is completed, you can release the isolation and go back to the hospital to work normally.”
"No, I can." Qiao Tan said hastily.
"Look at me, how strong I am, not to mention helping you prepare nutritional supplements, even if I go to the epidemic area again, it will be fine."
Then, she patted her arm again and added with a smile.
"Haha! Girl, what are you talking about, you are healthy and plump."
Liu Yaxiu was amused by her naivety, she laughed and hugged her, the tension in her heart was relieved, and she said softly: "Yaoyao, it's great that you can come to our nutrition department. "
"Ha ha."
Hearing this, Qiao Tan just smiled without saying a word, and turned his head slightly to avoid Liu Yaxiu's hot gaze, and scratched his cheek with some guilt.
In fact, she has been secretly planning in her heart, planning to stay in the nutrition department for a few years, and then find a way to transfer to the endocrinology department, because becoming a doctor in the endocrinology department has been her wish since she was a child, and she chose to enter the nutrition department. Branch, it is the expectation of parents.
"Doctor Qiao, let me take you to see that patient. Only by understanding his condition in detail can we help you prescribe the right medicine."
In a short time, Liu Yaxiu returned to normal, solemnly leading Qiao Tan to the room where the patient was, and the latter quickly withdrew his mind and entered his new battlefield as a new student in the nutrition department
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