Back in 2002 as a doctor

Zhou Congwen changed his clothes and went to the general surgery department to see postoperative patients.

When I came to the gate of the general surgery department, the sound of flat cars rattling behind me came.

"Doctor! Doctor!! Help!!!"

The hoarse shouts of the patient's family members came immediately.

Zhou Congwen didn't panic, and the levels of various hormones in his body were normal.

It's not a patient in my own department, so I'm nervous.

Looking sideways, Zhou Congwen felt helpless.

Lying on the flat car was an old man in his 80s, and beside him was a middle-aged man, who was the woman who clamored to be discharged from the hospital yesterday.

For acute pancreatitis, I just went home after taking the medicine for one day, and I went back to eat. See if it means going to the People's Hospital, but I can think of it with my toes.

Fulminant, acute, necrotizing pancreatitis!

The patient is basically hopeless... Even if Zhou Congwen returns to his peak level, there is no way at all.

An old man in his 80s, explosive... Alas, Zhou Congwen sighed.

Isn't this about death?

Watching the patient's family push the patient into the ward, the general surgery department became busy immediately, and Zhou Congwen didn't go to see what happened.

Zhou Congwen estimated in his mind that the probability of the patient surviving was no more than 1%, even if there were peptides to inhibit the secretion of the pancreas in the future.

What a pity, Zhou Congwen sighed.

The patient with Budd-Chiari syndrome was lying on the bed, clamoring with the old party secretary to move.

This is also normal. It is better to lie down, and the taste is not as good as dumplings, but it is also uncomfortable to lie down all the time.

Zhou Congwen checked the dorsalis pedis artery pulse of the patient, and did another physical examination.

"How does it feel?" Zhou Congwen asked the patient after the physical examination.

"It seems to be...maybe... useful," said the patient.

"Slap~" The old branch secretary slapped him on the back of the head, "How can you talk to the doctor! What do you mean by seeming, possibly!"

"Uh..." The patient clutched the back of his head awkwardly, not knowing what to say.

"Old branch secretary, don't be angry, it's all right." Zhou Congwen said with a smile, "Even if it's good, it won't be so fast."

"No, I don't think it's the same as before." The patient touched his stomach, "In the past, every time Dr. Gao punctured me to pump water, I was still swollen and uncomfortable the next day, but it was only a little better. This time it's different, today I don't feel like my stomach is full."

Zhou Congwen smiled, it is true.

In the past, the patient's inferior vena cava was blocked and the pressure was extremely high, which led to problems with venous return. The veins in the trunk were like a surgeon's occupational disease-varicose veins, which were particularly obvious and scary.

The physical examination this morning showed that although several veins on the patient's belly were not completely healed, the tension was not high. It can be said that the patient's symptoms have been relieved.

"That's good. You can't go home in a hurry this time. You have an abdominal infection, and you will need antibiotics for a while." Zhou Congwen warned, "You must be completely cured before you can go back. Don't feel bad about the money."

"Doctor Zhou, I know." The old branch secretary said seriously, "Yesterday, Doctor Gao came to see him and said that he will recover this time.

Even if it happens again, it will be ten years later.I won't let him go back early, the health center in the village is not in good condition, and I'm afraid that his intestines will be broken after he goes back. "

"..." Zhou Congwen looked at the old party secretary with a bit of astringency in his mouth.

The old party secretary really talked about everything, and his style was simple and rude, which Zhou Congwen liked a little.

"Doctor, when can I take off the salt bag?" The patient asked sadly, "It's too uncomfortable. I feel like my whole leg is useless. I won't be disabled in the future."

Zhou Congwen smiled slightly, the patient's description did not frighten him.

Just after touching the dorsalis pedis artery on the hemostasis side, the arterial pulse is strong and there will be no problem.

"It will take at least 12 hours. If you persist, you can take it off before lunch."

"It's going to take that long..."

"It's better than having a bloated stomach every day, isn't it?"

When the patient thinks about it, what Zhou Congwen said seems to be the truth.

But once the stomach is not bloated, it seems to forget the previous suffering, and now the focus is on the salt bag.

Zhou Congwen didn't talk too much with the patient. This topic was a dead end in the end, and there was nothing to talk about.

Instructing the old branch secretary, Zhou Congwen went to talk to Dr. Gao again and returned to the ward.

After waiting for a few minutes, everyone went to the doctor's office one after another, and began to shift shifts and make ward rounds.

Eight surgical patients have been prepared and are waiting for surgery tomorrow morning.

Li Qinghua didn't pay much attention to it either. The patients who were preparing for the operation chatted for a few minutes and passed away. They didn't have the operation yet, so they didn't say anything more.

What the Thoracic Surgery Department of the Third Hospital lacks now is the emergency surgery that I personally do, but Zhou Congwen is not in a hurry.

When the effect is opened, some people are naturally unwilling to spend 3000 yuan to hire experts. Li Qinghua will have more surgeries in the future.

After finishing the class, Zhou Congwen and Li Qinghua entered the director's office.

"Director, there are still some wards in the second inpatient department that can be merged." Zhou Congwen said straight to the point.

"I'm also thinking about it." Li Qinghua smiled, "Congwen, sit down and talk."

"Now the situation has been initially opened, and the next thing is the problem of personnel and beds. We need people and wards. Anyway, we are short of everything." Zhou Congwen said bluntly.

"I'm a bit hypocritical." Li Qinghua also said the truth, and did not hide his uneasiness, "Now patients are rushing to invite experts to come here. Once this side can't keep up, the bed utilization rate suddenly drops. When reporting work..."

"Director, you are thinking too much." Zhou Congwen smiled, "From the perspective of the economic environment, the overall situation is positive, and the awareness of physical examination must be getting stronger.

When everyone has money, they will definitely hire experts.There is no need to think too much about the number of patients. Patients from nearby counties and villages will come in the future. If there is no preparation for a rainy day, I am afraid that our postoperative patients will have to live in the corridor with extra beds in the future. "

Li Qinghua was fascinated by the bright future described by Zhou Congwen, and laughed.

Postoperative patients in other departments can live in extra beds in the corridor, but patients in the chest department cannot.

Because there is a chest bottle, the bed where the patient lies must have a certain height.

The extra bed in the third hospital is an ordinary camp bed, which is relatively short.

The height alone is not suitable, which is a hidden danger.

"Congwen, I will report to the dean after a while, let's talk about it first." Li Qinghua said, "It will be next year at the earliest..."

Just as he was talking, a strange voice came from the corridor.

"doctor!"

Chapter 0530 Taste the Herbs

It might be an emergency, Li Qinghua stood up immediately, and Zhou Congwen turned around and went out immediately.

A strong man was sitting in a wheelchair, looking around as if nothing happened, looking at the thoracic surgery department.

He saw patients in the anorectal department wandering in the corridors wearing patient skirts, and he was quite surprised, with a curious look on his face.

There were several family members of the patient beside the wheelchair, and one of them was holding an X-ray film in his hand. When he saw Li Qinghua coming out of the director's office in a white suit, he went up to meet him.

"Director?" The person who brought the patient asked directly, it was so stiff that it could hit a dog when thrown out.

"What is wrong with me?"

"My friend fell and the emergency department said we should be hospitalized."

Li Qinghua took the film and lifted it up to look at the lights in the corridor. The patient, who saw nothing wrong, was seriously injured. Multiple ribs on both sides of the chest wall were fractured, and 10 ribs had to be tightened together.

The patient's performance really does not show that there is such a serious trauma, but Zhou Congwen has seen similar patients before, so he is not too surprised.

The nurse came to measure the blood pressure, and the patient's vital signs were stable. He was just a "little" patient, and whoever should pick it up.

If you want to have an operation, you can fix it with a memory alloy board. If you don’t have money, you can use Wang Chengfa’s old method, steel wire.

Shen Lang was on duty today, receiving patients, and started to get busy. The conversation between Zhou Congwen and Li Qinghua was interrupted, and he was not interested in talking. Anyway, we have already talked about what should be talked about. It depends on Li Qinghua's operation.

Sitting in the doctor's office, Zhou Congwen quietly watched the flow of people outside the door, holding a suture in his hand, and skillfully tied it without looking at it.

"Congwen, can I have a try tomorrow when the small nodule is punctured and positioned?" Li Ran leaned over, held the corner of his mouth with both hands and lifted it up, "showing" a smile.

"Oh? Do you have any experience?" Zhou Congwen has always been optimistic about Li Ran.

Although he was worried that he would be beaten to death because of the smelly face syndrome when communicating with the patient's family, but after all, it has not yet reached the era of medical disputes 1.0.

At that time, Li Ran will already be a professor, and he is still the kind of unsmiling professor who looks majestic at first sight.

"Yes." Li Ran took two film bags, pulled Zhou Congwen to the film reader, took out the film from one of the film bags, and inserted it into the film reader.

Zhou Congwen took a glance and knew that it was Li Ranguan's patient.

"I've been thinking about the puncture of this small nodule for two days, and I basically know the location." Li Ran said.

"Where are you going to puncture?"

"Look here." Li Ran took out the film from another film bag, "This is my position."

Zhou Congwen was taken aback.

My positioning, what does this mean?

The second film was inserted into the film reader, and Zhou Congwen saw the "positioned" electrode film on it at a glance.

"Here, I didn't take off the electrode membrane. Let's see if the needle is inserted from here." Li Ran took off his white clothes, and then took off his shirt directly, exposing the electrode membrane on the left chest wall.

"..." Zhou Congwen was speechless.

"Is it wrong?" The corners of Li Ran's mouth twitched slightly, then he raised his hands and pulled the corners of his mouth with a crying expression.

"That's right." Zhou Congwen sighed, "You paid for the movie?"

"Yeah." Li Ran was a little happy, "Don't trouble your friends, the director of the CT room is strict, and you have to spend money to produce the film, there is no way.

Not to mention this, I thought about it for a long time, and I was sure that the needle should be inserted from here, and I also thought about the angle of the needle. The position of the hemiclavicular bone is at an angle of 80°, and it is estimated that the distance from the small nodule is less than 1cm. "

"Almost, you do it tomorrow, and I'll watch from the side." Zhou Congwen said seriously.

Shennong tasted all kinds of herbs, Li Ran can also be said to have a certain spirit of Shennong, experimenting on himself, and using the fastest speed to win a chance to do it himself.

Zhou Congwen patted Li Ran on the shoulder, "Put on your clothes and let people see what you say."

"Hey." Li Ran looked at Zhou Congwen with a serious and strange expression, and let out a hey laugh, a little scary.

"How long have you been studying?" Zhou Congwen asked.

"I've studied it from the very beginning, and after a few weeks of practice, I've learned a little bit about it." Li Ran was proud.

Looking at Li Ran, and then at Shen Lang, Zhou Congwen's teeth itch with hatred.

That good-for-nothing Shen Lang was actually lured by Wang Xueteng's beauty to study, what the hell!

The two began to chat about the experience of puncture positioning, and Zhou Congwen soon discovered that Li Ran really had some experience. He had a deep understanding of puncture positioning, and he touched on the key points in several points.

Zhou Congwen was very relieved that Li Ran had already entered the door, and he did not meet by chance.

What about Shen Lang?

Zhou Congwen took a glance and saw that Shen Lang hadn't come back, so he continued to chat with Li Ran, Zhou Congwen said some things that Li Ran didn't notice or think of.

Li Ran became more and more silent.

It turns out there are so many things I don't know!

He thought he had mastered it and found a new method that no one else knew, not even Zhou Congwen knew.

But as soon as he said it, Zhou Congwen told himself a lot of things that he never thought of.

Li Ran's expression became more serious and weird.

He tried his best to write down what Zhou Congwen said, but Li Ran didn't have the ability to take a quick look at the stele. Zhou Congwen just said a few words and his mind was a little dizzy.

"Congwen, wait a minute!" Li Ran immediately called Zhou Congwen to a halt, and reached for a ballpoint pen in Zhou Congwen's pocket.

"What are you doing?" Zhou Congwen slapped Li Ran's hand off, covering his chest as if protecting his most precious possession, "Don't take mine, it's yours!"

"I don't know, let me use it."

"I've lost six pens this month! This is the last one, don't even think about it!" Zhou Congwen said seriously.

Li Ran spread his hands.

"Go to someone else to ask for it, don't try to get it from me." Zhou Congwen refused without hesitation.