Back in 2002 as a doctor
Page 22
"Mr. Chen, you have worked hard for the operation." A middle-aged man of 35 or 6 years old greeted him and said with a spring breeze.
Wang Chengfa's footsteps stopped, why is he here!
The largest hospital in Jianghai City, the People's Hospital, is where Wang Chengfa once worked.The third hospital was established, and the technical backbones who supported the third hospital at the beginning were doctors and nurses from the People's Hospital.
This person in front of me is Li Qinghua, the chief physician in charge of the Department of Cardiothoracic Surgery of the People's Hospital. This title is a bit too common. In private, when everyone mentions Li Qinghua, they always add an attributive word - Prince of the Department of Thoracic Surgery of the People's Hospital.
He is exquisite in all aspects, quite appreciated by the old director, and he is young and willing to work, he already has a faint posture of succession.
Is he the prince of the Thoracic Surgery Department of the People's Hospital?The corner of Wang Chengfa's mouth couldn't help curling.
"Qinghua, why are you here?"
"I heard from Senior Brother Liu that you came to Jianghai City for surgery, so I'll come and see you." Li Qinghua said with a smile.
Chapter 0036: A Phone Ringing Like a Ghost
Zhou Congwen returned to the ward to be on duty after the operation.
This kind of difficult operation is not a burden for him, and he "guides" the operation without having to do it himself, Zhou Congwen's problem of not being able to keep up with his eyes has not been exposed.
Stepping down and returning to the office, he sat at the desk and took out a pack of No. 1 wire from his pocket, and began to tie a knot on the handle of the drawer.
"Brother Zhou, don't you want to eat?" the little nurse asked.
"I'm on duty, so I can't leave."
"Huh? When I took over, I saw that you were in yesterday's shift."
"Yesterday they went to drink with the professor and called me to replace a class." Zhou Congwen said flatly.
The little nurse was a little angry, and complained, "What's the business of drinking, and I specially called you to be on duty. You are so tired after working for 48 hours."
Although she complained, she didn't dare to mention Director Wang a word, even if Wang Cheng found out that she wasn't there now.
Zhou Congwen smiled, and did not continue. Instead, he tied straight knots, reverse knots, tension knots, and surgical knots one by one.
The level is still there, but some muscle memory is missing. Zhou Congwen weighed his weight clearly in his heart.
Moreover, the operation went smoothly, and the system panel in the upper right corner of the field of vision seemed to be a little clearer.The amplitude is unrecognizable at all, Zhou Congwen didn't know if it was his own illusion.
"Brother Zhou, I heard from other doctors that Director Wang won't allow you to undergo surgery." Seeing Zhou Congwen practicing knotting, the little nurse felt sorry for him, and asked quietly.
"Oh, it's okay to find a chance." Zhou Congwen said lightly, not caring.
Looking for opportunities, the little nurse knew very well that the young Zhou Congwen was dreaming.What's the use of a beautiful knot?
If you can't go to the surgery, everything is for nothing.
She couldn't bear to hit Zhou Congwen, and wanted to avoid the topic, "Brother Zhou, I heard that you had a girlfriend and brought you breakfast. They said that she looks very good-looking. Where is your home?"
It was originally a happy thing, but Zhou Congwen's face suddenly became serious, and he didn't say a word.
Speaking of Liu Xiaobie, Zhou Congwen felt uncomfortable all over.
Alas, how helpless, Zhou Congwen sighed deeply.But I guess Liu Xiaobie didn't have much interest in him, the landlord aunt forced me to deliver the breakfast, Zhou Congwen knew this.
"Brother Zhou, don't you want to get married? I think that girl is very nice. Is it true that she has no job? It's really a big thing for me to say that a girl has no job, but what did you think before you fell in love?"
The nurse nagged and helped Liu Xiaobie to talk, trying to persuade Zhou Congwen.
"No, I'm just a little tired. I've been on the night shift for an operation all day. I hope...to be quieter today."
"Shut up!" The little nurse interrupted Zhou Congwen loudly as if nervous.
In the last life, no one dared to talk to Zhou Congwen like this for a long time, and Zhou Congwen was taken aback by a stern reprimand from the little nurse.
"Don't tell me, you are honest. I bumped into you in my last shift. I took in a patient who crashed into an electric pole on a motorbike after drinking. I rescued him all night and just got home after work. I didn't even take care of washing up. Just fell asleep and died."
Zhou Congwen smiled.
Take off your socks when you go to bed tonight, and you'll be fine.
The 28 surgical lines are tied into knots. Although there is no digital display, Zhou Congwen can feel that his level is constantly improving.
In the last life, with the help of the system, it took a full ten years to almost reach the state of doing whatever you want, and this is rooted in Zhou Congwen's rigor, seriousness, and willingness to endure hardships.
What now?
After a few days of adaptation, Zhou Congwen felt that he should be able to recover in half a year.
After all, the previous life belonged to "learning", and this life belongs to "memory".
Just thinking about it, suddenly the phone at the nurse's station rang, and the ringtone was as eerie as the classic background music in a horror movie.
The first time he heard the ringtone, Zhou Congwen's heart rate increased, his blood pressure increased, and he could even smell the adrenaline and dopamine radiating from his body.
Zhou Congwen was a little helpless that he still had a similar conditioned reflex after so many years.
"Hello, Thoracic Surgery."
"Doctor Zhou is on duty."
"Okay, I'll tell him right now."
The nurse's voice came in intermittently, and Zhou Congwen sighed.
The more I want to be free, the more I can't be free. I don't know which department the consultation is for.Don't be a consultation on the table in the operating room, and don't be a neurosurgery.
Zhou Congwen was thinking in a mess, got up and walked out.
"Brother Zhou, urgent orthopedic consultation." The nurse called out.
"Is it a car accident?"
"I didn't say it."
"Prepare a set of closed drainage. If I need it, I'll call you and send it to you, please." Zhou Congwen said simply, with his hands behind his back and his waist bent, he walked out of the ward at a faster pace.
When he came to the orthopedics department, Zhou Congwen was temporarily relieved that he didn't smell the bloody smell of trauma patients at the door.
Walking into the ward, I saw a flat car parked in the corridor with a middle-aged woman lying on it.
The clothes on her body were clean and there were no blood stains, so it shouldn't be a car accident.
The left calf was swollen and deformed, and the intern knew at a glance that it should be a fracture of the tibia and fibula.
Why are you looking for a consultation with yourself?Zhou Congwen looked at the orthopedic doctor.
"Congwen, you're here." The orthopedic surgeon greeted enthusiastically, "A patient with a broken bone was admitted, and he broke it while walking. Would you like to take a look at the film?"
Dr. Teng described the condition in words that the patient could not understand, but every doctor knew very well that the patient's problem was not the fracture, but the leg broke while walking!
Pathological fracture!
Zhou Congwen knew why he called him here. He glanced at the middle-aged female patient. The patient didn't know that bad luck had come, and she only cared about the pain in her leg.
Generally speaking, pathological fractures are defined as osteoporosis, old age, various malnutrition, endocrine and other factors that can cause systemic osteoporosis.
But the patient in front of me is a middle-aged female patient in her 30s, which does not involve endocrine factors such as menopause, and it is likely to be caused by a tumor.
Moreover, it has reached the advanced stage of cancer, and bone metastasis will occur when the bones cannot support the weight of the body and fractures will occur.
"Is there a movie?" Zhou Congwen asked in a low voice.
"There is a chest X-ray. I want you to take a look. The patient reported coughing and expectoration for more than half a year. He took medicine at home and never came to the hospital to see it."
Dr. Teng's voice became smaller and smaller, he was afraid that what he said was wrong and aroused the patient's suspicion.
Walking into the office, the head of internal medicine was already watching a film. He saw Dr. Teng coming in, "Xiao Teng, do a CT scan for the patient and explain it to the family. It may be terminal cancer, so don't think too much about it."
"Can we do orthopedic surgery?" Dr. Teng asked.
"Do it or not...do it." The chief on duty in the internal medicine department sighed.
A patient in his 30s is about to face death at such a young age. No one would state this in a cheerful tone.
Zhou Congwen stood watching the film frowning.
Chapter 0037
The film is a very old frontal and lateral chest film, and it is also the longest examination done around 2002.
Normally, the emergency department should not check a chest radiograph for a patient with a fractured calf, but should send it directly.It may be that Dr. Teng is careful and has considered the possibility of pathological fractures.
Zhou Congwen heard from an orthopedic surgeon during his internship that as long as it is not an open fracture, don't panic when going through the hospitalization procedures, call all the surgeons, and accept whoever should accept it.It's all right, it's the turn of the orthopedics department to admit patients.
It is estimated that Dr. Fuji did an extra examination based on this idea, and it turned out that something serious happened to the patient.
Zhou Congwen didn't ask for specific details, his eyes were always on the film.
The film looks like inflammation, and there seems to be a solid shadow in the gray-white inflammation image...
Although the burr-like image at the edge looked malignant, Zhou Congwen judged based on his years of experience that it did not look like a lung tumor, and the lymph nodes did not enlarge.
Zhou Congwen has already begun to refine the simple chest X-ray in his mind, using his own experience to visualize the patient's lung disease.
But at the beginning of the reconstruction, Zhou Congwen's brain "flickered" and his body tilted.
"Congwen, what's wrong with you?" Dr. Teng quickly supported Zhou Congwen.
"I've been on duty for two days, and I haven't eaten at 6 and a half hours after surgery today. It should be a little hypoglycemia." Zhou Congwen said helplessly.
Dr. Teng was also enthusiastic. He helped Zhou Congwen sit down and hurried to get some glucose.
It seems that without the blessing of the system, some things cannot be done, and it has exceeded the limit of ordinary brain calculations in just a moment.Zhou Congwen has his own assessment, the extent to which the brain-computer interface and the causality system can enhance human beings is simply too obvious.
In the later period of the last life, the system issued fewer and fewer tasks, and its functions became more and more "small". Only then did Zhou Congwen know that the system was silently doing a lot of work behind his back, such as watching movies that he was accustomed to.
After a moment of emotion, Zhou Congwen returned his attention to the patient's film.
Although there is no way to use the super god state, he can still understand this film.Both Dr. Teng and the general on duty in the internal medicine department were wrong, and Zhou Congwen didn't think it was cancer.
"I don't think it's lung cancer," Zhou Congwen said.
"There are obvious shadows in the lungs, what else can it be if it's not lung cancer." The chief on duty in the internal medicine department pointed at the shadows on the film a little unhappy, "Doctor Zhou, if you can't do it, you can transfer to a higher-level hospital, but you said it's okay...you are not fooling around What about the glitch-like shadow, even if the chest X-ray is not clear, I think a lung CT scan should be done."
Zhou Congwen shook his head and got used to it. As long as he doesn't try to reconstruct the image body, there will be no problem.
He got up and walked out of the office to the patient.
"Hello, I'm a doctor from the Third Hospital." Zhou Congwen deliberately concealed his identity as a thoracic surgeon, "I heard from Dr. Teng that you have been coughing for a long time. When did it start?"
"I caught a cold half a year ago." The woman reluctantly replied with some confusion.
"Have you taken any medicine?"
"Doctor, can you ask something useful?" A man with a temper walked up to Zhou Congwen, pushed him on the shoulder, and searched in a low voice.
"What I'm asking is a serious matter." Zhou Congwen didn't change his face. This kind of misunderstanding is just a piece of cake for him.
"My wife's leg is broken. You asked about the cold half a year ago. Did you just graduate and practice with my wife? Do you understand or not?" The man pointed at Zhou Congwen's nose and reprimanded him.
"Please be polite, I am a doctor, here to consult your lover." Zhou Congwen said calmly.
Although he understands the mood of the patient's family, it doesn't mean that Zhou Congwen will be scolded honestly.
Hearing the beating, scolding and noise, Dr. Teng hurried out with glucose and pulled the patient away.
Pass the glucose to Zhou Congwen, "Congwen, take a sip first, what's wrong?"
"I asked the patient what medicine he took after catching a cold half a year ago, and whether he had been taking it all the time."
Doctor Teng couldn't laugh or cry.
Does it matter?Does it make sense?
Zhou Congwen... Well, if it wasn't for the fact that he almost had hypoglycemia and came for consultation...
"Go and have a rest first, what else can you take for a cold, cold medicine, at most, add some anti-inflammatory drugs."
"The patient's cough has been bad." Zhou Congwen reminded.
"Stimulated by the tumor." Dr. Teng said in a voice that only the two of them could hear.
"uncertain."
"All right, I'll ask. I'm the attending doctor, and I'm going to perform surgery on patients later. They should treat me better. You look too young, like an intern doctor." Dr. Teng persuaded Said, "What medicine do you think she should take?"
"Codeine phosphate."
"Okay, I see." Dr. Teng pushed Zhou Congwen into the office, and the head of the internal medicine department smiled disdainfully.
"Codeine phosphate? You can really think. Dr. Zhou, are you particularly good at pushing patients in the chest department? If you can't do it, go to the People's Hospital, what the hell, Wang Chengfa brought out a decent person."
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