Back in 2002 as a doctor

While talking, the two followed Huang Lao's footsteps.

Walking behind Huang Lao, Zhu Jun was full of displeasure.What the hell is that little doctor from the Third Hospital, walking side by side with Mr. Huang.

But Mr. Huang and Director Deng Mingdeng didn't say anything, and he couldn't say anything else.

When he came to the box, Zhu Jun took a few steps quickly, pushed the waiter aside, and opened the door with his own hands, "Old Huang, please."

"Don't be too restrained." Huang Lao said lightly.

Zhu Jun didn't wait for Zhou Congwen to walk in before he straightened up. He really believed that if he kept this posture, the little doctor would walk in carelessly and would never be polite to him.

When Mr. Huang entered the room, he immediately arranged a seat.

Mr. Huang sat in the middle, and he sat on the left side of Mr. Huang, and arranged Director Deng Mingdeng to sit on the right side of Mr. Huang.

As for the others... Zhu Jun glanced at Zhou Congwen.

"You, make room for Xiao Zhou." Huang Lao didn't speak to Zhu Jun, but directly drove Deng Ming away.

After speaking, he patted the table lightly, "Xiao Zhou, come and sit down, you haven't finished talking to me yet."

"Director Deng, I'm sorry." Zhou Congwen was not too polite, and sat down on Deng Ming's seat with a smile.

Zhu Jun was dumbfounded.

This... this is too much!

"and after?"

"We are at the grassroots level, you know that too." Zhou Congwen said lightly, "Some things are not strictly controlled, and then people disappear."

"He's gone? What's the matter?" Deng Ming asked.

"I told my boss about a woman who died in our hospital last year. She gave birth to a boy and was treated like a baby at home. The mother was not allowed to go to the ground during confinement, and she stretched out her hands to eat and opened her mouth. Once you sleep, you will be gone."

Deng Ming sighed, this is a matter of folk customs, the doctor should say a few more words, but strictly speaking, the doctor cannot be blamed.

"I also encountered a strange thing during my internship. Boss, listen and see if you can guess what's going on." Zhou Congwen's address was very casual, and Zhu Jun's eyes fell directly to his feet.

Boss, is that what you, a little doctor from the Third Hospital, can call? !

This is not flattery. Zhu Jun wanted to flatter him when he saw Huang Lao, but he didn't dare to call Huang Lao the boss in front of his face.

The word "boss" is used by students to refer to their tutors, and it will be annoying for outsiders to call it that way.Instead of flattering, he slapped the horse's hoof directly.

Zhu Jun looked carefully at Huang Lao's expression, hoping to see a trace of displeasure.

but!

Huang Lao had a gentle smile on his face, as if looking at his children and grandchildren.Zhu Jun can see a little... kindness from his eyes.

"I was in the emergency department at the time. One night, a patient came in who had difficulty breathing, his face was bruised, and developed a rash. He said he had quarreled with someone and suddenly lost consciousness and fell down." Zhou Congwen said with a smile, and finally added, " After I came to the emergency department, I was afraid of a heart attack, so I took an electrocardiogram, and it was fine."

"Oh?" Deng Ming suddenly became interested.

Quarreling, excitement, high blood pressure, accidents are unlikely, but there is still the possibility of cerebral infarction, myocardial infarction, and cerebral hemorrhage.

Difficulty breathing, blue face, the first consideration is definitely not cerebral infarction or cerebral hemorrhage but myocardial infarction.

This little guy has a set of differential diagnoses, and he didn't deliberately make a button. He directly explained that he pulled an electrocardiogram, which showed that it was not a myocardial infarction.

What's the situation?

quarrel……

There is a lot of gossip between doctors, and driving on the operating table is just a kind of thing. Once a few old men sit down and relax, the car will have no side, and many things that cannot be said normally will come out.

Zhu Jun looked at Huang Lao suspiciously, and then glanced at Zhou Congwen.

What are the old and the young doing?Training in differential diagnosis? !

The key lies in Huang Lao, who actually started to meditate.

Zhu Jun subconsciously shut his mouth, bit his teeth on his tongue, and didn't jump up in pain.

I encountered too many strange things today, I must stay calm and not lose my composure in front of Mr. Huang.

Although it won't affect his status if he loses his composure, once Mr. Huang gives a bad comment, it won't be interesting for other people to point at him at the annual meeting in the future.

"How about the physical examination?" Deng Ming asked with interest.

"Difficulty breathing, rash, it should be an allergy." Huang Lao said lightly, "How did you deal with it? Did you make a clear diagnosis at that time?"

Allergies... Zhu Jun almost didn't cry.

Why is it allergic, quarrel, the past history of the patient is a quarrel!

Mr. Huang said... No, it must be that Zhou Congwen didn't give enough conditions and deliberately made things difficult for others. Director Deng's question was right.

Deng Ming frowned slightly, then looked at Zhou Congwen with a raised eyebrow and a smile.

"I was still an intern at that time, and my brain was ignorant, and my whole body went numb all of a sudden, and I stood by and watched my teacher rescue me." Zhou Congwen said, "It was indeed an allergy. Although my teacher didn't diagnose it, he still treated it according to the subconscious. The idea is to call the ENT department, ready to open the trachea at any time."

"When the otolaryngologist came, the throat was edematous, and the breathing stopped. The incision was done in time, and the person was rescued."

Except for Mr. Huang, Deng Ming understood about half of it, but Zhu Jun and the doctor who came to accompany him were confused. They didn't know what Zhou Congwen from the Third Hospital was talking to Mr. Huang.

"Allergic to penicillin?" Huang Lao asked.

Zhou Congwen gave a thumbs up.

"I'm allergic to penicillin, boss, how did you guess that?"

"You said it all, although the rash and difficulty breathing are not necessarily penicillin allergies, but..." Huang Lao raised his eyelids and looked at Zhou Congwen with interest, "This question is not difficult."

Chapter 0262

"Old Huang, did the patient take penicillin capsules at home?" Lu Tiancheng asked cautiously, "Doctor Zhou didn't say anything."

"That's not necessarily true." Huang Lao smiled, "I believe you will meet and hear about some nurses being transferred."

The topics ranged from patients to nurses, and everyone listened quietly to Mr. Huang.

"Some nurses don't even know that they have a history of penicillin allergy. When adding the medicine, a little powder comes out, and they pass out directly."

Indeed, similar situations often arise.

But it still has nothing to do with the case mentioned by Zhou Congwen.

"I also encountered a very rare case. Once I went to the frontier for support. At night, I read a book by a kerosene lamp, and a group of people outside drove a mule cart to deliver a woman."

"At that time, the woman was having difficulty breathing, and I didn't have the corresponding treatment equipment at hand. Alas, I had no choice but to take out the 50ml syringe as soon as possible. I brought it from the imperial capital, and I treasured it so much that I was reluctant to use it."

Zhu Jun also knew that Mr. Huang was going to do cricothyroid membrane puncture at that time, at least it could give the patient a chance to be rescued.

But there is no diagnosis, no symptomatic medication, and the chances of the patient being rescued are not great.

"I couldn't see well, so I asked about the medical history while I was resuscitating. At this time, I smelled a smell of urine."

"Smell of urine?" Lu Tiancheng was taken aback, "Is the patient already incontinent?"

"No, it came from the patient's hand with the rash. I had an idea and asked the family what was going on. At that time, the doctors who supported the border area were like gods in the hearts of the local residents, and immediately told me that they were holding the baby. When the child urinates."

"I followed the clues, and it turned out that the child had just taken penicillin capsules, and the fever had subsided. Unexpectedly, the child's mother passed out."

"Some people said ghostly things." Mr. Huang said with a smile. "At that time, I judged that it was allergic to penicillin. I inserted it with a 50ml syringe needle first, and then took symptomatic treatment. The patient gradually recovered."

"..." Zhu Jun and Lu Tiancheng were taken aback. The child took penicillin and urinated on the woman, so is he allergic to penicillin?

"Boss, you can find similar cases in whatever medical records I say, you are cheating." Zhou Congwen laughed.

"This is clinical experience. You are still young and have seen a few patients." Huang Lao said lightly.

"That……"

"I think the patient that Xiao Zhou mentioned was sprayed on the face with saliva during the quarrel, and the other party had taken penicillin orally, and the patient had a history of penicillin allergy, so he passed out directly due to allergies."

This thinking logic is a bit too far-fetched, Zhu Jun's first thought was not to understand, but judging from Zhou Congwen's expression, what Huang Lao said turned out to be true!

"Old Huang, amazing!" Zhu Jun exclaimed sincerely.

"It's nothing serious, just see more." Mr. Huang smiled slightly, "You can't panic as a doctor, but it's extremely difficult to do this. I saw someone dying in front of me, but I didn't even feel sick about it." If you can’t say it, who can not panic.”

"Yes Yes Yes."

A series of voices echoed.

No matter what people at Huang Lao's level say, even if they fart, they are right.

"Old Huang, I just ordered a few dishes, what else do you want to eat?" Zhu Jun came over with a menu.

Mr. Huang didn't answer, but said casually, "Whatever. I also have an allergic case, let me tell you about it."

Zhou Congwen turned his head and said, "Director Zhu, his boneless chicken feet are pretty good, please help me get a copy."

Zhu Jun felt tired for a while, and just hesitated to say something to him regardless of his identity, but Zhou Congwen turned his head and started chatting with Huang Lao.

You are a little doctor, you really have no clue, do you have a place to speak here!Zhu Jun slandered.

He didn't speak, just handed the menu to the waiter and whispered a few words.

"One time the pediatric emergency department said that a child with congenital heart disease was coming for consultation. I happened to be fine. I was afraid that the patient's family members would get lost in 912, so I went directly to the emergency department."

"In the corridor of the emergency pediatrics department, a family member of a patient was holding a 3-year-old child on an IV drip. I glanced at it and felt something was wrong. The child's face was purple and his whole body was convulsing. The parent of the child immediately went to call the doctor, and I observed it for more than ten seconds. "

"Allergy?" Lu Tiancheng asked.

"The doctor in the emergency department of pediatrics also judged it that way, but I don't think so."

As he spoke, Huang Lao stretched out his left arm, picked up the cushion behind him with his right hand and placed it on his left arm.

"At that time, I didn't ask about the medical history, and I didn't have time at all, so I could only give it a try. I picked up the child and put it on my left arm, head down and started to pat the back."

"..."

Is the road rough?

Huang Lao, a person from the thoracic surgery department, should take a big risk to meddle in the pediatrics.

But it doesn't matter, what kind of existence is Huang Lao, even if he did something wrong, who can say anything.

"After a few strokes, the child spit out a piece of candy." Huang Lao said proudly, "It's not an allergy at all, but a foreign object blocking the airway."

"Boss, the rescue technique is very skilled." Zhou Congwen praised, "Heimlich's effect on children is mediocre, but your technique works best."

"You still need to say, just follow me." Huang Lao laughed, "Later, the director of pediatrics took someone to thank me. There is nothing to be grateful for."

Mr. Huang didn't test the school, but directly stated the cause and effect.

Even Zhou Congwen would not be able to guess this kind of clinical experience, and it is extremely accidental.

Zhou Congwen smiled, if Huang Lao hadn't passed by, the child would probably have to be rescued as an allergic reaction.Rescue is definitely useless, the child will die in a short time.

Either it becomes an unsolved case, or an autopsy will have the final conclusion.

In that case, it is estimated that the family members of the patients are confused, and no one would think of using sugar to coax children who are unwilling to get injections.

Doctors do not have an accurate past history, so it is impossible to make the right choice in just a few minutes of rescue.And what the child lacks is those few minutes.

The boss is right, in many cases we still have to act decisively.

"So, don't panic when you encounter something." Huang Lao said leisurely, "Look at all directions and listen to all directions, all information is useful. Have you guessed it, Xiao Zhou?"

"No." Zhou Congwen said bluntly, without the slightest embarrassment.

The boss asked himself only when he gave the answer, where is to let himself guess.Zhou Congwen replied with a smile, "Boss, if I encounter a similar situation, I will definitely do a tracheotomy first."

"However, your method is better, I will remember."

Deng Ming smiled slightly. The young doctor's questions and answers all scratched the boss's itch.If it hadn't been for sure that he had never met Zhou Congwen before, Deng Ming would have thought that some clever junior had collected a lot of medical records to please the boss.

Chapter 0263

Zhu Jun didn't understand Huang Lao's behavior.

Gossip, I often gossip at the wine table, but no one like Huang Lao will throw aside the gossip itself and talk about diagnosis and differential diagnosis.

Take Huang Lao just now as an example, if the rescue is successful, there should be flattery on the wine table.

but!

Deng Ming, the eldest disciple of Huang, didn't say a word, while Zhou Congwen started discussing the differential diagnosis and what he would do if it were him.

Mr. Huang didn't look unhappy at all. He was very interested in discussing with such a young doctor as Zhou Congwen, regardless of his status.