The system takes me for surgery

Liang Yi said: "When we see images and images, they are easy to recognize because they have the characteristics of three-dimensional or two-dimensional. Memory and resolution are closely related. Visual images are an easy-to-recognize three-dimensional image storage. , easy to extract and identify, so it is easy to recall."

Gan Xiaoyi said: "It's amazing! It's amazing! Now that we have this method, we will no longer have to tremble when changing shifts in the future, and we can simply walk sideways."

"Forget about it as soon as you are proud." Liang Yi had a speechless expression.

In the past, Gan Xiaoyi had a headache every time he encountered a shift change, because there were a lot of patients in the general surgery department, and Xu Bowen asked everyone to hand over shifts in detail. , often scolded.

Xu Bowen came over and saw Liang Yi standing in the corner obediently in the general surgery department, and asked, "Why are you free to come to our department today?"

"Director Shen Weiwei of the Department of Obstetrics and Gynecology gave me a day off, and I came to the General Surgery Department thinking that I would have nothing to do." Liang Yi said truthfully.

Hearing the name Shen Weiwei, Xu Bowen's expression changed subtly, and then he said as usual: "Shen Weiwei gave you a holiday, you still haven't had a good blind date, and you even came to our department, it seems that you will be the only one in your life. I want to be a bachelor."

"Hey, this thing can only be left to chance." Liang Yi said helplessly spreading his hands.

Xu Bowen said: "Since you are not in a hurry to go on a blind date, I just had an operation today. Let's take a look at it later. This disease is quite complicated, and I have been studying it for several days."

"Okay, I haven't done general surgery for a long time, I'm afraid it might be a raw hand."

Xu Bowen didn't believe what Liang Yi said, and said in a slightly teasing tone: "You know how to do raw hands, are your hands itchy?"

"Eh... I have them all, and I want to get started."

When the surgeon does not use the knife, he will worry about his hand feeling getting worse, because he is extremely nervous during the operation, and the tense nerves suddenly relax after the operation, a large amount of dopamine is secreted, the whole person will be very happy, the whole person will be very excited, and watching A dying patient will have a very strong sense of pride when he "returns the dead to life" through his skillful hands.

Xu Bowen looked at the time, it was eight o'clock, he was always on time, and said, "Let's take over the shift first, and I'll tell you later."

Gan Xiaoyi rolled up his sleeves, rolled them up to the crook of his arms, and came to the right side of the desk with a gesture of generosity. He used the memory palace method mentioned by Liang Yi.

According to the order of the confirmed patients, their chief complaints were described one by one, and there were some special situations. The whole process was very smooth without any flaws.

After handover,
This kid didn't hem and haw like a stroke patient today, it's strange, Xu Bowen said with a smile: "If your shift is so smooth every day, kid, you won't have to be brain-struck."

Gan Xiaoyi glanced at Liang Yi, his eyes were full of gratitude, thanks to his "rescue" in time, otherwise Director Xu would have to blow his head again in the morning, Xu Bowen took a look, he must have taught Gan Xiao some tricks Yi, he said: "If Liang Yi has any good things in the future, don't hide them, but share them with everyone."

Liang Yi knew what he was referring to, and said, "Xiao Yi understands everything, just ask Xiao Yi."

Gan Xiaoyi said with a bitter face, "How would I know."

Xu Bowen said: "Then Xiao Yi, when will you make a learning experience and share it with everyone, so that everyone can be like you."

The director even spoke like this, how could Gan Xiaoyi dare to refuse, Deaf pulled his face and said: "Okay, then I will check the information and make a courseware."

"Okay, then I will leave this task to you. Don't copy and paste it everywhere for me. If I find out, you will have to redo it."

"I know, Director."

After the morning meeting, Xu Bowen beckoned Qin Hanyun to bring over the medical records of patients with difficult cases.

Liang Yi took a look and frowned. From the patient's medical records, it could be seen that portal hypertension had already occurred, including hepatosplenomegaly, esophageal variceal bleeding, ascites, hypersplenism, and varicose veins of the trunk and both lower extremities. , Lower extremity swelling, hyperpigmentation, left ankle with persistent ulcer.

This is really a typical symptom of Budd-Chiari syndrome!

Budd-Chiari syndrome refers to hepatic venous hypertension, central venous and hepatic sinusoidal dilatation, hemorrhage, or inferior vena cava stasis caused by obstruction of the hepatic venous outflow or inferior vena cava return.

Xu Bowen looked at Liang Yi's expression and said, "What do you think?"

Liang Yi frowned, shook his head and said, "It's a bit complicated. I really can't see any specific reason just by looking at the medical records. Let's see the patient."

"Strict enough, let Hanyun take you to see it." Xu Bowen said.

Qin Hanyun took Liang Yi to see the patient, and the two chatted while walking.

She said: "This old man doesn't trust doctors much now, so we tried to be careful with our words when we went in. I also seemed a little impatient when I saw that I was speaking to my family members."

Liang Yi nodded and said, "I looked it up, and his medical history is quite complicated. It seems that he has been to the doctor many times, and he will indeed have a natural rejection of the hospital. Dou, I think doctors will fool me, not really for the purpose of curing diseases and saving lives."

This sentence really hit Qin Hanyun's heart, because the old man had indeed said similar things to her, and she also sympathized with the patient's experience. Qin Hanyun said: "Yes, misdiagnosed all the way from the grassroots level, so now everyone treats the doctor I'm not confident anymore, but having said that, if I didn't like it after watching it so many times, I might be even more devastated than him."

This old man is 68 years old. Twenty-five years ago, he had sudden abdominal pain and yellow skin symptoms. When he first visited the doctor, the doctor initially diagnosed him with acute jaundice hepatitis. After giving liver protection treatment, the abdominal pain and yellow skin symptoms improved significantly.

However, after examination, it was found that it was not hepatitis. The old man went to other hospitals for examination to no avail. In the end, due to economic and work pressure, he had no choice but to accept the diagnosis of hepatitis and started long-term liver protection treatment.

The old man had strictly adhered to the liver protection treatment according to the doctor's advice, and had regular checkups, but the thing that worried him most still happened.

He was diagnosed with liver cirrhosis!
After learning of liver cirrhosis, the old man did not tell his family the result, but continued to work under pressure and brought up the children.Seeing their children get married one by one.

After being found out by the children in the family, he came to the big hospital for treatment after repeated persuasion.

Liang Yi walked into the ward.

The old man was reading the newspaper, and when he saw Qin Hanyun and Liang Yi entering the ward, he raised his eyes slightly, his expression was very calm, with an expression of calmness in the old well, usually patients would say hello after seeing a doctor, this old man was a little "High cold".

Liang Yi smiled and asked, "What are you looking at?"

Then the uncle folded the newspaper without any haste, smiled slightly, the smile was very shallow, it was just polite, and said: "Looking blindly, reading some useless stories."

Liang Yi asked cautiously: "Can you tell me about the whole process of seeing a doctor for your disease?"

The uncle thought for a while, then started to talk about how he was misdiagnosed by a quack doctor, and told Liang Yi that he no longer had any confidence in the doctor. He came here because his youngest son was going to get married and he insisted on seeing a doctor by himself. Willing to come to the hospital, the old man thinks that it can be cured anyway, as long as it cannot be cured, and the child will be fine once he gets married.

Although Qin Hanyun had asked about the medical history quite clearly when she received the consultation, Liang Yi was still used to asking herself again, because this operation is very risky, and any missing details may affect the result of the operation.

He asked, "Have you felt any changes in recent years?"

The old man said: "Yes, why not, there are some minor problems in the body."

This sentence is too broad, and if you say it, you don’t say it. Liang Yi asked: "What is uncomfortable? Or is there any change?"

"For three or four years, my legs and feet bulged out like lumps of earthworms. My legs were very sore after standing for a long time or walking too much, but it didn't hurt so I ignored him. I was so busy at home, how could I have time to care about this small problem? .”

Liang Yi touched his inner left thigh and said, "Have you ever used a knife on this place before?"

Although this action is somewhat indecent, sometimes doctors often use their own body as a model for the convenience of consultation, which is convenient for patients to understand and saves time.

The old man said: "Three years ago, there was another lump bulging there. After going to the local hospital for an examination, he told me that the operation was risky and suggested that I take some tape for conservative treatment."

Maybe the hernia belt was used, Liang Yi thought about it in his mind.

"Oh...okay." Liang Yi shook hands with him and said, "I probably understand. If there is anything unclear, I will ask you again."

Qin Hanyun added: "A month ago, the old man came to our hospital after accidentally touching the skin of his calf and the wound did not heal for a long time."

"Is it you who received the doctor?"

"Yes, I received a doctor. After the examination, I found that the old man's lower limbs were broken, severe varicose veins, and a history of liver cirrhosis, so he was admitted to the hospital for treatment."

"Anything else?"