The genius doctor starts from the game
Chapter 4
Chapter 4
"Mr. Wang, it's Lu Cheng. It was Lu Cheng who went to change the dressing for the last time."
"It's all my fault. At that time, Teacher Li told me to go down for surgery, so I hurried down."
After the ward check, in the office of the director of the third orthopedics department, Zuo Liwei first pointed at Lu Cheng, and then took the initiative to blame himself.
Lu Cheng opened his mouth slightly, and looked at Zuo Liwei pointing at his hand in a little surprise, with a strange look on his face,
Zuo Liwei is too good at talking nonsense, right?
Lu Cheng thought to himself, apart from being a little more handsome than Zuo Liwei, he had never offended him from the beginning to the end. Now why does Zuo Liwei suddenly put a shit bowl on his head?
Sitting in front of the two, Wang Xiaoyang, the director of the Orthopedics Department III Ward, stared at Zuo Liwei seriously, his expression unmoved: "Are you sure, Lu Cheng went there for the last dressing change? The wound on the 17th bed is exuding , just because of a dressing change?"
Wang Xiaoyang, currently the director of the orthopedic third ward of the Second Affiliated Hospital of Seoul University, a professor title, is also a postgraduate tutor and a doctoral tutor.
Currently the most popular academic and surgical department in the hospital is at the top, and the next orthopedic director is almost a sure thing.
Compared with him, Zuo Liwei is nothing but a little relationship in the family.
Therefore, under Wang Xiaoyang's intense gaze, Zuo Liwei did not dare to look at him at all.Then he lowered his head and explained: "Yes, it was Lu Cheng who went there."
"Wound exudate is a symptom and sign of suspected infection, and if the principle of sterility is not paid attention to in the process of dressing change, it will easily cause exudate, a precursor symptom of infection."
"The last time the dressing was changed was three days ago. If this situation existed before, the gauze would definitely not have been soaked in three days."
After hearing this, Wang Xiaoyang remained unmoved, then turned his head, looked at Lu Cheng, and asked, "Is what Zuo Liwei said true?"
Only then did Zuo Liwei take a meaningful look at Lu Cheng, and he didn't dare to make any abnormal movements in front of Wang Xiaoyang, so he didn't show any threat, but the threat was there.
If this seepage occurs, it would be fine if it occurs on ordinary people, but the identity of this 17th bed is very unusual.
Zuo Liwei just heard from his tutor, Mr. Li Huili, that a son-in-law of this patient works in the Huaguo State Academy.Her status and status are extremely high. Originally, her total hip replacement surgery was going to be done in Kyoto, but the old lady didn't want to delay the work of her daughter and son-in-law. She was afraid that they would ask for leave to take care of her.
He flew back to his hometown directly and hired an escort to take care of himself.
For such a patient, there is no big reward for doing well, but once something goes wrong, there will definitely be a big problem.
So Zuo Liwei had to take it seriously, which is also the reason why he took the initiative to hand over the pot to Lu Cheng for the first time.
If he wants to get a direct blog post, then he can't get involved with this matter, otherwise all the previous efforts may be in vain.
Seeing Wang Xiaoyang looking at him, Lu Cheng knew that he couldn't figure out whether he was the one who changed the dressing for the last time.
Because interns are at the bottom of the hospital, hard chores such as changing dressings, writing medical records, and buying water are all done by themselves and others, while conversations and signings are completed by graduate students, regular trainees, and training doctors. Therefore,
If Zuo Liwei insisted that he went for the last dressing change, who else could prove to Lu Cheng that Lu Cheng didn't go, except Pang Lin?
Lu Cheng then said: "Mr. Wang, I did change the medicine last time."
When Zuo Liwei heard Lu Cheng's answer, he was a little surprised and at the same time suddenly realized.
I thought to myself, this Lu Cheng usually seems to be honest, but he is actually very righteous, he should also know that he wants to pursue that direct blog post, but he himself has no chance anyway,
They are both interns, even if the infection is caused by changing the dressing, there will not be too many punishments. He Zuo Liwei dare not admit it, mainly because he doesn't want to be thought by his superiors that even the aseptic principle of changing the dressing can't be managed well.
Otherwise, he would admit it openly, but Lu Cheng is different. Anyway, it doesn't matter what impression he leaves in other people's hearts.
Wang Xiaoyang scratched his hair. He was very dissatisfied with Lu Cheng's answer. As a doctoral supervisor, he
I really want to find some better seedlings to cultivate, so the undergraduates of this school are actually a better talent pool.
He also heard that someone recommended Zuo Liwei to him, and also inquired about Zuo Liwei's grades in private, so today he decided to come to the school to take an examination of Zuo Liwei.
It's just that I didn't expect that Zuo Liwei suddenly threw this question out,
Throw it out, just throw it out, and now the person who was thrown out has recognized it again, so what the hell is he still taking the school exam?
It was a temporary idea, so there was basically no possibility that Zuo Liwei had colluded with Lu Cheng before.
Wang Xiaoyang continued to ask: "Then what?"
Lu Cheng took a deep breath and said, "However, the chance of infection caused by changing the dressing is actually not great."
"According to the current literature records and statistics, the infection caused by changing the dressing accounts for no more than [-]%. Moreover, in the [-]% of the cases, there are also early symptoms of infection, but they cannot be classified as other reasons."
"In trauma surgery, where most of the skin grafts are done, the wound is left open to the air."
This answer directly surprised both Wang Xiaoyang and Zuo Liwei,
Wang Xiaoyang's eyes lit up immediately, while Zuo Liwei's face was full of astonishment, and he stared at Lu Cheng for a while with a dazed expression.
Wang Xiaoyang pursed his lips slightly, without interrupting, he continued to ask: "Go on, what do you think now?"
Lu Chengcheng said: "Wound exudation after joint replacement can actually be classified as a type of poor wound healing. It is not necessarily a sign of infection."
"The liquefaction of fat, the tearing of the inner sutures of the incision, and the outflow of residual fluid in the joint are all reasons for the exudation of the wound."
"Joint exudate caused by wound infection is mostly turbid, and a few have an unpleasant smell."
"However, the exudate from bed 17 today has no smell at present, and there are not too many impurities deposited on the auxiliary materials, so it may not be an infection."
"It's just that the risk of infection is high right now."
When Wang Xiaoyang heard this, he nodded slowly,
"Well. Then what do you think, what can we do next?"
Hearing this, Zuo Liwei finally came to his senses.
It turned out that Wang Xiaoyang called him and Lu Cheng into the office today not to hold them accountable, but to examine them.
Zuo Liwei was so regretful that his intestines turned green, but Zuo Liwei couldn't figure out why Wang Xiaoyang wanted to take the school exam, not calling him and Pang Lin or him and Chang Guangkun, but calling him and Lu Cheng in at the same time.This Lu Cheng, he never appeared among Zuo Liwei's competitors at all?
New book set sail, please collect and recommend.
(End of this chapter)
"Mr. Wang, it's Lu Cheng. It was Lu Cheng who went to change the dressing for the last time."
"It's all my fault. At that time, Teacher Li told me to go down for surgery, so I hurried down."
After the ward check, in the office of the director of the third orthopedics department, Zuo Liwei first pointed at Lu Cheng, and then took the initiative to blame himself.
Lu Cheng opened his mouth slightly, and looked at Zuo Liwei pointing at his hand in a little surprise, with a strange look on his face,
Zuo Liwei is too good at talking nonsense, right?
Lu Cheng thought to himself, apart from being a little more handsome than Zuo Liwei, he had never offended him from the beginning to the end. Now why does Zuo Liwei suddenly put a shit bowl on his head?
Sitting in front of the two, Wang Xiaoyang, the director of the Orthopedics Department III Ward, stared at Zuo Liwei seriously, his expression unmoved: "Are you sure, Lu Cheng went there for the last dressing change? The wound on the 17th bed is exuding , just because of a dressing change?"
Wang Xiaoyang, currently the director of the orthopedic third ward of the Second Affiliated Hospital of Seoul University, a professor title, is also a postgraduate tutor and a doctoral tutor.
Currently the most popular academic and surgical department in the hospital is at the top, and the next orthopedic director is almost a sure thing.
Compared with him, Zuo Liwei is nothing but a little relationship in the family.
Therefore, under Wang Xiaoyang's intense gaze, Zuo Liwei did not dare to look at him at all.Then he lowered his head and explained: "Yes, it was Lu Cheng who went there."
"Wound exudate is a symptom and sign of suspected infection, and if the principle of sterility is not paid attention to in the process of dressing change, it will easily cause exudate, a precursor symptom of infection."
"The last time the dressing was changed was three days ago. If this situation existed before, the gauze would definitely not have been soaked in three days."
After hearing this, Wang Xiaoyang remained unmoved, then turned his head, looked at Lu Cheng, and asked, "Is what Zuo Liwei said true?"
Only then did Zuo Liwei take a meaningful look at Lu Cheng, and he didn't dare to make any abnormal movements in front of Wang Xiaoyang, so he didn't show any threat, but the threat was there.
If this seepage occurs, it would be fine if it occurs on ordinary people, but the identity of this 17th bed is very unusual.
Zuo Liwei just heard from his tutor, Mr. Li Huili, that a son-in-law of this patient works in the Huaguo State Academy.Her status and status are extremely high. Originally, her total hip replacement surgery was going to be done in Kyoto, but the old lady didn't want to delay the work of her daughter and son-in-law. She was afraid that they would ask for leave to take care of her.
He flew back to his hometown directly and hired an escort to take care of himself.
For such a patient, there is no big reward for doing well, but once something goes wrong, there will definitely be a big problem.
So Zuo Liwei had to take it seriously, which is also the reason why he took the initiative to hand over the pot to Lu Cheng for the first time.
If he wants to get a direct blog post, then he can't get involved with this matter, otherwise all the previous efforts may be in vain.
Seeing Wang Xiaoyang looking at him, Lu Cheng knew that he couldn't figure out whether he was the one who changed the dressing for the last time.
Because interns are at the bottom of the hospital, hard chores such as changing dressings, writing medical records, and buying water are all done by themselves and others, while conversations and signings are completed by graduate students, regular trainees, and training doctors. Therefore,
If Zuo Liwei insisted that he went for the last dressing change, who else could prove to Lu Cheng that Lu Cheng didn't go, except Pang Lin?
Lu Cheng then said: "Mr. Wang, I did change the medicine last time."
When Zuo Liwei heard Lu Cheng's answer, he was a little surprised and at the same time suddenly realized.
I thought to myself, this Lu Cheng usually seems to be honest, but he is actually very righteous, he should also know that he wants to pursue that direct blog post, but he himself has no chance anyway,
They are both interns, even if the infection is caused by changing the dressing, there will not be too many punishments. He Zuo Liwei dare not admit it, mainly because he doesn't want to be thought by his superiors that even the aseptic principle of changing the dressing can't be managed well.
Otherwise, he would admit it openly, but Lu Cheng is different. Anyway, it doesn't matter what impression he leaves in other people's hearts.
Wang Xiaoyang scratched his hair. He was very dissatisfied with Lu Cheng's answer. As a doctoral supervisor, he
I really want to find some better seedlings to cultivate, so the undergraduates of this school are actually a better talent pool.
He also heard that someone recommended Zuo Liwei to him, and also inquired about Zuo Liwei's grades in private, so today he decided to come to the school to take an examination of Zuo Liwei.
It's just that I didn't expect that Zuo Liwei suddenly threw this question out,
Throw it out, just throw it out, and now the person who was thrown out has recognized it again, so what the hell is he still taking the school exam?
It was a temporary idea, so there was basically no possibility that Zuo Liwei had colluded with Lu Cheng before.
Wang Xiaoyang continued to ask: "Then what?"
Lu Cheng took a deep breath and said, "However, the chance of infection caused by changing the dressing is actually not great."
"According to the current literature records and statistics, the infection caused by changing the dressing accounts for no more than [-]%. Moreover, in the [-]% of the cases, there are also early symptoms of infection, but they cannot be classified as other reasons."
"In trauma surgery, where most of the skin grafts are done, the wound is left open to the air."
This answer directly surprised both Wang Xiaoyang and Zuo Liwei,
Wang Xiaoyang's eyes lit up immediately, while Zuo Liwei's face was full of astonishment, and he stared at Lu Cheng for a while with a dazed expression.
Wang Xiaoyang pursed his lips slightly, without interrupting, he continued to ask: "Go on, what do you think now?"
Lu Chengcheng said: "Wound exudation after joint replacement can actually be classified as a type of poor wound healing. It is not necessarily a sign of infection."
"The liquefaction of fat, the tearing of the inner sutures of the incision, and the outflow of residual fluid in the joint are all reasons for the exudation of the wound."
"Joint exudate caused by wound infection is mostly turbid, and a few have an unpleasant smell."
"However, the exudate from bed 17 today has no smell at present, and there are not too many impurities deposited on the auxiliary materials, so it may not be an infection."
"It's just that the risk of infection is high right now."
When Wang Xiaoyang heard this, he nodded slowly,
"Well. Then what do you think, what can we do next?"
Hearing this, Zuo Liwei finally came to his senses.
It turned out that Wang Xiaoyang called him and Lu Cheng into the office today not to hold them accountable, but to examine them.
Zuo Liwei was so regretful that his intestines turned green, but Zuo Liwei couldn't figure out why Wang Xiaoyang wanted to take the school exam, not calling him and Pang Lin or him and Chang Guangkun, but calling him and Lu Cheng in at the same time.This Lu Cheng, he never appeared among Zuo Liwei's competitors at all?
New book set sail, please collect and recommend.
(End of this chapter)
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