Back in 2002 as a doctor

Wang Chengfa nodded leisurely.

When he came to the office, Wang Qiang closed the door with his hands back, with an angry expression on his face, "Master, Zhou Congwen has gone too far!"

"I know."

"We must not let him go after a while."

Wang Chengfa's eyelids drooped, and he glanced at Wang Qiang with disdain.

"Master, you..." The tail behind Wang Qiang has already shaken a phantom.

At this time, what the master lacked was a fan, Wang Qiang naturally knew this, and he did a good job.

Whether it is expression, tone or action, it is impeccable.

"In the future? I'll take care of him today!" Wang Chengfa curled his lips.

Wang Qiang was silent, and stood beside Wang Chengfa with his head down, listening quietly.

"Patients are sent to the provincial capital. I just asked. There are no beds at all. There are more people in the dialysis row in the provincial capital, and it will be less after two weeks."

"That……"

"Can Zhou Congwen throw the patient to the provincial capital? Does he have the guts! Even if he dares, if the patient's family sees the patient dying before their eyes, do you think they will come back to trouble him?"

A relaxed smile appeared on Wang Qiang's face, he had already thought of what Master meant.

It's still Master who is scheming!Wang Qiang admired it in his heart.A simple little trick made Zhou Congwen unable to eat.

"If he doesn't come back, he should be on duty tomorrow." Wang Chengfa said coldly, "I can't control anything else, things like absenteeism... Hey!"

After Zhou Congwen finished, Wang Qiang instantly understood what Wang Chengfa meant.

high!

How tall! !

Chapter 0004 Inexplicable Pain

Zhou Congwen took the patient to the Second Hospital of Medical University in the provincial capital in an ambulance.

The patient's acute renal failure did not require him to deal with it, and Zhou Congwen could guess Wang Chengfa's plan.

They are all old foxes who have practiced for thousands of years, so don't talk to anyone about Liaozhai.

Moreover, Zhou Congwen will face more open and dark arrows in the future, and the level will be higher. Wang Chengfa's small tricks are really not enough in his eyes.

Along the way, Congwen "adapted" to his body last week, and the smile on the corner of his mouth became stronger and stronger.

It's good to be young, Zhou Congwen is very happy to be able to return to the peak of physical function.

The only thing that worries Zhou Congwen is the system. He hopes that by completing the task in front of him, he can give the system some energy through the law of cause and effect.

In fact, the application of the law of causality is more difficult than quantum mechanics, and Zhou Congwen didn’t understand it very well. He didn’t even know whether the operating principle of the system was the law of causality, but he had similar guesses in some task reminders in the previous life.

……

Three hours later, the 120 ambulance arrived outside the emergency department of the Second Hospital of the Provincial Medical University.

Zhou Congwen got off the car and went to communicate with the emergency doctor of the Medical University.

Walking into the corridor of the emergency department, the hospital with the architectural style of the former Soviet Union looked a little dilapidated.

There is still about a year to move, and the Second Hospital of Medical University will be one of the top hospitals in the province in the future, and even ranked among the top [-] in the country for a period of time in terms of surgery volume.

But now, the hardware is too bad, and everything is just beginning.

"Aww~~~" A shivering voice echoed in the dilapidated corridor. The faces of those who heard the yell were very ugly, and some women even blocked their ears with their hands.

"Doctor Zou! Doctor Zou!! Bed 2 is starting to hurt again!"

The nurse hurried to call the doctor.

Zhou Congwen's expression remained unchanged, looking left and right at the people in 2002 as if he hadn't heard.

As a doctor, empathy is totally non-existent.If the empathy is too strong, Zhou Congwen can guarantee that the doctor will not be able to work for 3 years.

After all, this profession is used to life and death, indifference and professionalism are necessary qualities.

"I have used 3 injections of pethidine, why can't I suppress it!"

The doctor threw away the patients in the room and hurried to the observation room.

Zhou Congwen raised his eyebrows slightly.

3 injections of pethidine, this doctor is really courageous, really big.

"Ding dong~"

An extremely weak system task prompt sounded in Zhou Congwen's ear.

He was stunned for a moment, and his heart immediately hung up.

It's still there!

Zhou Congwen doesn't need any rewards, he just treats the system as an old friend and doesn't want it to disappear.

There was no task prompt on the system panel at all, and even Zhou Congwen wondered if he had an auditory hallucination just now.

No matter, go and see first.

Standing behind the doctor at the door of the observation room, Zhou Congwen looked the patient up and down.

The patient is young, female, about 20 years old, and looks like a college student.She was pale and sweating profusely from the pain.Covering his stomach with his hands, he curled up into a ball on the hospital bed.

Internal medicine disease, Zhou Congwen can judge it at a glance.

Surgical bleeding, acute peritonitis, etc. are afraid of pressing, and will not press hard on the stomach.For Zhou Congwen, the clinical judgment of liking to press and refusing to press has formed a conditioned reflex, and he does not use his brain at all.

Could it be enteritis?Zhou Congwen narrowed his eyes.

It's not like that, patients with enteritis rarely have severe pain, let alone pain that can't be suppressed even after three injections of pethidine.

Zhou Congwen did not continue to "guess" the diagnosis, and without auxiliary examinations, there were more diseases with corresponding symptoms.

A doctor is a doctor, not a fortune teller.

The most likely diagnosis of the young female patient is abdominal aortic dissection, but the doctors in the Second Hospital of Medical University are not so bad, and they are still under observation in the emergency department after dissection.

Although the conflict between doctors and patients in 2002 was not serious, they didn't do it like that.

Dr. Zou in the emergency department had a physical examination and interrogation. He was sweating too much, but he still had no clue.He also called the patient's family members outside to explain the condition, saying that the medical and surgical hospitalization would arrive soon.

Zhou Congwen heard from Dr. Zou's words that the patient was a young woman who was usually in good health and had no history of gastrointestinal diseases.

The patient had abdominal pain and blood in the stool 2 days before without obvious inducement.

The onset was very urgent this time. The patient had severe abdominal pain, and the pain was located around the navel. There were no obvious positive signs in the physical examination.The patient had multiple bloody stools after abdominal pain, all of which were dark red bloody stools without mucus and pus attached.

Abdominal CT and contrast-enhanced CT were also done, and it is said that mesenteric vascular thrombosis or embolic disease was ruled out.

Zhou Congwen folded his hands behind his back, twirling his thumb behind his back, lost in thought.

It is a very rare disease, and there is nothing wrong with the treatment of the emergency doctor of the Second Hospital of Medical University.It is estimated that the patient had an examination first, and there was no obvious indication for laparotomy, so pethidine was used.

After all, you can't watch the patient's severe pain and refuse to deal with it.

But what is the disease?

While thinking about it, Zhou Congwen went to contact the patient about dialysis.

As expected, all the dialysis machines in the Second Hospital of Medical University were fully occupied, and there was no spare machine at all.

The patients were all suffering from renal failure, so Zhou Congwen had no way to discuss with others and leave the opportunity to be on the computer to his own patients.

We are all human, let's line up first, no matter how urgent you are, it's useless.

Zhou Congwen misses the future a little bit, but there is no good solution in front of him. During the earthquake in 08, dialysis machines and nephrologists were dispatched from all over the country to Rongcheng, because a large number of patients in need of dialysis suddenly appeared, and it could only be done by the whole country.

There are still too few machines, and development is the last word. This sentence is correct.

But how to solve it now?Zhou Congwen thought for a while, and he was not in a hurry, but explained to the family members of the patients on the 120 ambulance, explained the situation, and tried his best to find a solution.

Returning to the emergency department, Zhou Congwen found a place to sit down and pondered the solution to the problem.

A middle-aged doctor wearing glasses with a haggard face, wearing an isolation suit and slippers on his feet, strode over.

"Xiao Zou, what's going on? Didn't you just finish the consultation?"

"Mr. Sun, the patient is in severe pain. He has received three injections of pethidine, but it still doesn't work. I'm worried..."

As Dr. Zou said, he gave Mr. Sun a look.

Coming out of the observation ward, Dr. Zou leaned into Mr. Sun's ear distressedly and said, "Mr. Sun, when I beg you, please accept it."

"There is no indication for surgery, why do you want me to put it away? Open it and have a look before sewing it up? Come on, I will take you on stage together, or just zip the patient, but you have to be responsible for any accidents."

Dr. Zou wanted to cry, but he walked into the consulting room with a sigh.

With a sound of "swipe~", the film was inserted into the film reader.

"Look." Mr. Sun pointed at the film, "There is no intestinal obstruction, and there is no indication for surgery during the physical examination. Please don't ask me to come down again. I am doing gallbladder emergency."

Chapter 0005

"But you also saw the patient, it hurts like hell, I really can't help it."

"Go to the internal medicine department. If the boss can't do it, you can go to the director. If the director can't do it, you can go to the medical office to organize a hospital consultation. Someone has to solve the problem." Mr. Sun speaks more forcefully than Dr. Zou.

"Have you had a gastrointestinal endoscopy?" A strange voice asked.

"I did it in the afternoon, but the mirror couldn't go in, and the patient was in severe pain." Dr. Zou replied subconsciously.

"Is the patient's fasting strict? Did he eat without permission?"

The voice is calm and professional, and the questions asked may sound fringe, but they are very sophisticated.Dr. Zou knows that when there is no other way, he can only start with clues.

Dr. Zou and Mr. Sun were watching the film, their minds were full of the patient's condition, and they were taken aback when they heard the question from the slightly dignified and condescending superior doctor.

They immediately stood at attention with serious expressions.

Which director is this for consultation?Or is it that the academician of gastroenterology is here?

Looking back, Dr. Zou saw a young doctor standing behind him, and he couldn't laugh or cry.

"Who are you."

Just now, I thought it was some superior doctor who came for consultation, but I was sweating all over from the fright of that question.Seeing that it was a young doctor with the logo of Jianghai Third People's Hospital printed on the left chest of the white suit, he immediately asked unhappily.

A small doctor from a lower-level prefecture came to the Second Hospital of the Medical University to ask questions, what kind of big hand did he think he was?What the hell!

"Abdominal CT showed that the patient's ascending colon and transverse colon were diffusely thickened and swollen, but this location is not a predisposed site for ischemic bowel disease." Zhou Congwen squinted his eyes and looked at the CT film on the film reader, talking to himself Said.

It's good to be young, and I can still see clearly when I'm nearly three meters away from the film.

"Did the patient have any special behavior before admission?" Zhou Congwen seemed to be asking, but also seemed to be talking to himself.

"..."

Dr. Zou and Mr. Sun looked at the ignorant doctor in front of them in surprise. Mr. Sun was about to kick him out, but he saw the little doctor from Jianghai City turn around and leave without saying hello.

The two looked at each other and asked the same question - who is he?

"What are the doctors from Jianghai City doing here?"

"It's not about transferring patients." Dr. Zou said disdainfully, "It's probably because he just learned how to watch movies when he first arrived in the clinic, and he just wanted to show off, and he forgot what he was doing here. Young doctors are really unreliable, by the way, what about others? "

Mr. Sun was a little annoyed. He was also taken aback by Zhou Congwen's superior doctor's tone just now.With a background in surgery, he has a very hot temper, and knowing that the other party is a junior doctor from a lower-level city, he is even more courageous.

"I'll drive him away." Mr. Sun followed him out, "What are you doing, I don't know any rules."

Dr. Zou didn't care either. He made a phone call to report the situation to the director and then sat down to see the patient.The emergency medical department will never be idle. It is normal to have more than 100 patients a day. If it is delayed for a few minutes, a group of patients will pile up outside.

After a few minutes.

"Highly suspected that it was caused by the patient's oral amoxicillin treatment for pharyngitis three days ago."

"..." Dr. Zou was seeing a doctor, when he heard the young man's voice outside the door, he felt extremely absurd.

Is this what a doctor can say?

Allergies to amoxicillin caused by oral administration will occur within 24 hours at the latest, and the symptoms may be mild or severe. I took amoxicillin 3 days ago and there is a hairy relationship between the diffuse thickening and swelling of the ascending colon and transverse colon!

How ignorant!