Back in 2002 as a doctor

"Stop talking nonsense, hurry up, hurry up."

"What I said is true. There is no need for special treatment for the patient's condition. If medication is necessary, lactobacillus can be taken orally."

"..." Doctor Zou was very angry.

Is this what people say?

Ordinary patients can't say such things, let alone a doctor.

Is there any common sense?

Where did you study your undergraduate degree for five years? !

"Oh, yes, I'm here for a referral. A patient with acute renal failure caused by trauma needs dialysis."

"The nephrology department is full, and you need to make an appointment two weeks in advance. Didn't I tell you just now, go to another hospital to try your luck, why don't you listen to anything, do you understand human language?" Dr. Zou looked at Zhou Congwen contemptuously , Said angrily.

"The situation in other hospitals is probably similar to ours, and there are no empty flights, so it's a waste of time to go there." Zhou Congwen shrugged, "Is there any peritoneal dialysis equipment?"

"If you have nothing to do, go quickly, don't make trouble here, don't you see that you are busy." Mr. Sun said unceremoniously.

Zhou Congwen smiled, turned and left without making any distinctions.

He watched the film just now and went back to the observation room for consultation.

Because he was wearing a white suit, the patient cooperated and told Zhou Congwen everything he wanted to know.

Zhou Congwen has his own judgment. He is more and more sure that the system is still "alive", and he is working hard to survive, even cheating.

There is no specific treatment for amoxicillin-related hemorrhagic enteritis, and it can heal itself within 3-5 days.Looking at the patient's condition, Zhou Congwen estimated that he would be fine today.

Is this not cheating?

Not only do people have the desire to survive, but even the system seems to have it.

Zhou Congwen looked at the faint and invisible system panel on the upper right of his field of vision, and remembered the pitiful eyes of the patients on the 120 ambulance.

Although he wasn't [-]% sure that the previous system task notification sound really existed, he already had a basic guess.

Patients with kidney failure are actually easy to solve. There is no machine to use simple peritoneal dialysis, but this technology seems to have just been developed in the provincial capital. Zhou Congwen tried his best to recall, but he could not recall the relevant details.

After rebirth, all kinds of equipment are not at hand, and hands are tied, which is really troublesome.

Zhou Congwen sighed, took off his white clothes, and walked out of the emergency department.Sit down anywhere, take out the ganoderma lucidum and take a sip.

The night breeze was cool, and the banners drawn on the lintel of the emergency department of the hospital rattled.

"Welcome Academician Chu Zhongxiu to come to our hospital for guidance" The big characters danced with the wind, and Zhou Congwen's eyelids twitched slightly.

Chu Zhongxiu, an academician of Gastroenterology, Zhou Congwen didn't have much contact with him, but later on some academic issues had disagreements with Academician Chu's senior disciple.

Academician Chu's level is still good... The system generally does not give tasks that cannot be completed... Several thoughts intertwined in his mind, and Zhou Congwen thought of an article.

Antibiotic-associated hemorrhagic enteritis is a rare disease, which was reported in foreign literature as early as the 20s and 70s, but rarely reported in China.

Around 2002, Academician Chu began to study cases in this area, maybe it was inspired by the patients in front of him.

It's not that maybe, Zhou Congwen believes that the system is still alive!

It is saving itself!

If academician Chu can really come, the rest of the matter can be solved, Zhou Congwen narrowed his eyes, and the speed of turning the lighter between the fingers of his left hand became faster and faster.

Chapter 0006

But these are just speculations, and Zhou Congwen is not sure if it is true.After smoking, he glanced at the patients on the 120 ambulance, and walked back to the emergency department.

People were coming and going in the corridor, and the voice of the female student crying for pain gradually weakened. I don't know if the three doses of Dulantin helped or it was gradually recovering on its own, as Zhou Congwen said.

Suddenly, the chaotic sounds in the corridor disappeared like a tide, from far to near.

Zhou Congwen looked up and saw a group of people walking in.

The leader is an old man in his 60s, wearing gold-rimmed glasses and white clothes just upper body, with a gentle appearance.He was accompanied by a middle-aged man whom Zhou Congwen knew. He was the dean of the Second Hospital of the Medical University.

This group of people pierced through the corridor of the emergency department like sharp arrows, and the solemn and professional atmosphere made the voices of the surrounding patients' family members countless times quieter.

After seeing the patient, a group of people entered the small demonstration classroom of the emergency department.

Academician Chu also had an impromptu idea. When he heard that the emergency department required a consultation with the whole hospital when he visited the Second Hospital of Medical University, he followed to see it.But after seeing the patient, he said that he just looked at it casually, and he became serious.

The level of the Second Hospital of Medical University is not low, but the patient's situation is a bit special.

In the small classroom, the director of the emergency department reported the medical history.

Just now Academician Chu has done a physical examination, and the basic situation of the patient is clear.But he frowned, struggling to make a differential diagnosis in his heart.

"First doctor, tell me your opinion." Academician Chu said after listening to the medical history.

Dr. Zou was hiding in the corner. Academician Chu was a high-ranking scholar. He was a big boss who would be accompanied by the dean. A junior doctor would not dare to provoke him.

Although Dr. Zou also intends to please, but in the face of the undiagnosed strange disease, he still hid it wisely, and only asked Mr. Chu not to see him.

But the sad thing still happened, Academician Chu actually called his name, Dr. Zou wanted to cry but had no tears.

There was an awkward silence for more than ten seconds, Dr. Zou felt like it had been many years.

"Tell me what you want." Academician Chu said very gently, "We are doing consultations for difficult patients, and we will not blame you for saying something wrong. Boldly assume, and carefully verify."

Dr. Zou had a short-circuited brain and said subconsciously, "The patient took amoxicillin for throat discomfort 1 week before the onset of the disease, and this abdominal pain occurred 3 days after stopping the drug. It is suspected to be antibiotic-related hemorrhagic enteritis... "

"What did you say?" Academician Chu frowned, and there was a sense of tension in the air.

"I...I..." Dr. Zou regained his composure, startled by what he said.

Before that, he had been scolding the little doctor from Jianghai Third People's Hospital in his heart for talking nonsense, but the little doctor gave another set of plausible explanations.

Dr. Zou has always wanted to refute this theory, and viciously humiliate the little doctor from the hospital below.Suddenly asked by academician Chu, he said the little doctor's words in a daze.

Isn't this just looking for death!

As a professional doctor, talking nonsense in front of academicians, Dr. Zou already felt the director's sharp eyes on him.

It is estimated that if he can't make up for it, he will have to wear small shoes as soon as Academician Chu leaves.My life was ruined, ruined in the hands of a little doctor in Jianghai City, Doctor Zou couldn't bear to live.

Seeing that he was silent, the director of the emergency department beside him tugged on the sleeves of his white clothes.

"Mr. Chu...I'm talking nonsense." Dr. Zou argued, "It's a little doctor from another place talking nonsense, and it has nothing to do with me."

"Huh?" Academician Chu put his hands on the table, and tapped the table with his index and middle fingers.

"Mr. Chu, the doctors in our hospital are all of high quality, so there will be no such nonsense diagnosis." The dean quickly helped to explain.

It's so embarrassing, said the dean, and gave Dr. Zou a vicious look.

Antibiotics cause hemorrhagic enteritis, isn't this a joke!

"Where's that little doctor? Is he here for advanced studies? How long have you been working in Gastroenterology?" Academician Chu asked three questions in a row.

"No, it was the doctor from the Third People's Hospital of Jianghai City who came to refer him. There was no bed, and he didn't leave. He was still sitting outside just now." Dr. Zou explained.

"Look for him." Academician Chu said.

"..."

"..."

"..."

It showed that the classroom was quiet, and it seemed that everyone had lost their breath.

"Go quickly." The dean glared at Dr. Zou and said in a deep voice.

"Oh oh oh."

"Mr. Chu, don't be angry. The level of doctors in primary hospitals is very low. You may not have much contact with them. Every time we encounter them, we are very troubled." Workstation establishment.

"The level of primary hospitals is low? I think your level is not bad." Academician Chu said seriously, "I also suspect that the patient is hemorrhagic enteritis caused by antibiotics, so I wonder why a doctor in a primary hospital can give a clear diagnosis."

"..." The dean responded.

This sentence is a bit convoluted, but the meaning is very clear.

It turns out that from Academician Chu's point of view, his own hospital...is also a grass-roots hospital, and the dean's heart is full of sadness.

wrong!

The point should be that academician Chu even thought it was hemorrhagic enteritis caused by antibiotics?The dean was stunned immediately.

How can this be!Never heard of it.There are many side effects of antibiotics, the most serious being anaphylactic shock.Antibiotics cause enteritis?It is simply a fantasy.

If these words hadn't come out of Academician Chu's mouth, the dean would have yelled at him long ago, as if he had always wanted to scold Dr. Zou.

"Wait for him to come and listen to his opinion." Academician Chu looked at the door and casually perfunctory the dean.

"Boom boom boom~" A knock on the door sounded.

Then Dr. Zou opened the door and Zhou Congwen walked in, followed by Liu Xiaobie.

"Are you..." Academician Chu asked in a drawn out voice.

"Hello, Academician Chu, I am Zhou Congwen, a cardiothoracic surgeon at the Third People's Hospital of Jianghai City." Zhou Congwen said calmly.

In the previous life, he fought with Academician Chu's disciples, and almost lost his brains.

But at this moment, when I saw a certain big boss from the previous life, I felt a little inexplicable.

Academician Chu smiled slightly, it's nice to be young, and this doctor's attitude is neither humble nor overbearing, which is a bit interesting.

He nodded and said lightly, "Doctor Zhou, tell me about your judgment on patients."

"Antibiotic-associated hemorrhagic enteritis is a rare disease. It has been reported in foreign literature as early as the 20s and 70s, but there are few reports in China."

"Antibiotic-associated hemorrhagic enteritis is mainly caused by oral administration of amoxicillin and penicillin derivatives. It may be a specific toxic reaction caused by the components of penicillin, or it may be related to the high sensitivity of the intestinal mucosa to drugs."

"Amoxicillin-induced hemorrhagic colitis is a rare complication of amoxicillin, clinically manifested as bloody diarrhea with or with strong abdominal cramps."

"Boom, boom, boom." Academician Chu knocked on the table, staring at Zhou Congwen, "Is this your guess?"

Chapter 0007

Zhou Congwen said calmly, "The Second Hospital of the Medical University has a high standard, and infectious diarrhea, necrotic enteritis, ischemic colitis, inflammatory bowel disease, allergic purpura and other diseases have been ruled out."

"The differential diagnosis is very clear, and all possibilities are ruled out. If the patient's abdominal pain is so severe that three injections of pethidine can't suppress it, then there is only one diagnosis."

For many years, the background music sounded in the ears of the young doctor—the truth is that there is only one voice echoing in his ears.

Someone even saw a light flash in Zhou Congwen's eyes.

"What about the treatment?" Academician Chu stared into the eyes of the young doctor opposite and asked.

"Without treatment, I have been sitting outside the observation room listening to the patient's voice. The patient should have fallen asleep now, and the pain has eased." Zhou Congwen said lightly, "The abdominal pain relieved in 3-5 days, which is the basic feature of antibiotic-induced hemorrhagic enteritis. "

"Because the patient refused to undergo a colonoscopy, I can only deduce it backwards. I think my deduction is correct. Academician Chu, what do you think?"

Academician Chu looked Zhou Congwen up and down.

Although he is young, his face is full of childishness, and the student spirit cultivated by the school has not been washed away by the poison of society.But his argument was well-founded, and he said everything that Academician Chu still didn't know clearly.

This kid is not bad!

Academician Chu smiled slightly, "I think the same as you."

There was an uproar in the classroom.

All the doctors and hospital leaders subconsciously uttered their voices, but immediately realized that it was impolite and immediately silenced.

"Doctor Xiao Zhou, what degree do you have?" Academician Chu smiled and asked a seemingly irrelevant matter.

The dean was surprised, and the doctors in the room knew what was going to happen, and their hearts bleed with envy.

This is the rhythm of accepting apprentices on the spot!

Otherwise, Academician Chu didn't need to ask this little doctor about his qualifications.

"Graduated from a bachelor's degree." Zhou Congwen replied with a smile.

"Let's take the postgraduate entrance examination, take my postgraduate entrance exam." Academician Chu said, "Although I don't have any graduate students, I can take the postgraduate entrance examination for your big brother."

big brother?Stop it.

Zhou Congwen shook his head in his heart, that bastard was still pointing at making himself his student with so much vitriol?Isn't this nonsense.

Even though he thought so in his heart, Zhou Congwen didn't directly refute Academician Chu's face, and nodded with a smile, but he didn't comment.