Back in 2002 as a doctor
Page 48
Ten minutes later, there was a knock on the door of the small intensive care unit.
Zhou Congwen opened the door, and suddenly saw Dean Li standing outside with a handsome middle-aged man in plain clothes.
"Hello, Doctor Zhou." The handsome middle-aged man bowed politely and stretched out his right hand.
Zhou Congwen shook hands with him.
He looks delicate, but his right hand is full of calluses, at least 3-4mm thick, like an iron plate.
Zhou Congwen narrowed his eyes and looked the middle-aged man up and down.
"Liao Yunqi's condition is stable, thank you for sitting in the intensive care unit and watching. Can you spare a few minutes?"
Chapter 0081 Talent
"5 minutes." Zhou Congwen said while taking out his phone to check the time.
The middle-aged man froze for a moment, looked at Zhou Congwen with the eyes of a monster, and then smiled gently.
"Xiao Song, come and see the patient." Zhou Congwen greeted the nurse.
When the nurse came in, Zhou Congwencai, the middle-aged man and Dean Li came to the doctor's office together.
Zhou Congwen also felt that Dean Li was looking at him wrongly, but he knew very well that this guy and Wang Chengfa were wearing a pair of trousers, so he didn't bother to perfunctory.
Even if he is the headmaster.
If you really dare to move yourself, it's not a big deal to go to the medical university to join Chen Houkun, collect evidence in a few years, and report with your real name.
Zhou Congwen lived it again, thinking clearly.It can be circled around without interfering with the treatment, but once life is involved, it must be serious.
"Doctor Zhou, please sit down, you have worked hard today." The middle-aged man did not introduce himself, Zhou Congwen did not ask, but made a gesture of please sit down, and sat down with him.
"Let me just say a few words, what about the patient's lover?" Zhou Congwen asked.
"She's emotionally unstable, I'm looking for someone to take care of her, and she's already asleep," the man said.
Zhou Congwen nodded. He didn't want to ask too many questions. This man probably belonged to a relevant department. The less contact he had, the better.
"Then let me briefly talk about the patient's current situation." Zhou Congwen began to tell the patient's situation from the first sight, including the physical examination and subsequent speculation, clearly and plainly.
Cardiac tamponade, the blood pressure in the heart accumulates in the pericardial cavity, the blood flowing out of the small incision on the pericardium cannot compare with heart bleeding, so the pressure in the pericardial cavity increases until the pressure is stronger than the beating force of the heart, so gradually stop beating.
Fortunately, the patient was still breathing and circulating when he came, and Zhou Congwen's physical examination after stepping down basically ruled out the possibility of irreversible damage to the nervous system.
Hearing this, the others around the middle-aged man let out a sigh of relief.Only the middle-aged man's expression remained unchanged, and the smile on the corner of his mouth seemed to be engraved on it, but it didn't make people feel false, only a feeling of spring breeze.
Zhou Congwen talked about cardiac tamponade to surgery, then postoperative complications, and finally why he sat in the small intensive care unit to see patients.
Simple, clear, and clear, Zhou Congwen explained the matter in 3 minutes.
"At present, there is about 80% probability that the patient's family members will come in to see the patient tomorrow morning, so there should be no problem." Zhou Congwen finally said with certainty.
"If there is no other problem, I will see the patient to avoid a few very rare complications."
After Zhou Congwen finished speaking, he stood up and walked out of the doctor's office.
Several people looked at each other, and Dean Li frowned, "The little doctor is ignorant, please forgive me."
"President Li, your hospital is really talented." The middle-aged man looked at the door of the office with a smile, and said leisurely, "Zhou Congwen, graduated two years after graduation, and is 25 years old. A young doctor who has only two years can perform heart repair. The doctor was also surprised."
Dean Li's conclusion.
"Your hospital has a very good system for cultivating talents. Although the doctors are young, they will fail if they fail. Liao Yunqi was lucky enough to be sent to the Third Hospital. Although I am a materialist, I still have to admit that this is fate."
"Look at what you said." Dean Li said politely, but a smile bloomed on his face.
"Then don't bother me. When Liao Yunqi's condition stabilizes, please treat Dean Li to a meal. Let us express our gratitude to your hospital and Dr. Zhou."
"you are welcome."
……
Zhou Congwen returned to the small intensive care unit and continued to take care of the patients.
The person just now must be the leader of the relevant department. Zhou Congwen didn't feel close to him because of the smile on his face. The patient was lying in the intensive care unit, and there were no family members of the patient communicating in the office, so there was nothing to say.
Moreover, dealing with them is very troublesome. Zhou Congwen had a deep understanding in his previous life. The later the day, the better.
It is enough to simply say the matter, the key is whether the patient can be cured.To say something unpleasant, he recovered and was discharged from the hospital, hello, hello, hello everyone; if something goes wrong, I'm afraid the man will say something ugly.
"Song Yuan, give the patient furosemide 10mg, intravenously." Zhou Congwen glanced at the status after returning, and explained to the nurse.
"Why give furosemide, I think the urine output is okay." The little nurse asked doubtfully.
"Patients lose a lot of blood, and when fluid replacement is insufficient after surgery, it is easy to cause hypovolemia, and the heart rate is accelerated to compensate. The coronary artery filling time is shortened, coronary blood perfusion is reduced, myocardial tissue ischemia, and severe arrhythmia is caused.
But ordinary shock is good. The patient himself was stabbed in the heart. Although the blood pressure is not high, try to avoid some heart burden. "
"Brother Zhou, you're amazing. Why do I feel more and more like an old doctor these days." The little nurse was confused, but Zhou Congwen said so much, and she sounded very professional. The little nurse's eyes There is a light in it.
Holding the medical record folder, Zhou Congwen recorded various indicators of the patient on a piece of paper.
The use of antiarrhythmic drugs should not be arbitrary. It is necessary to observe the heart rate, heart rate, blood pressure, and changes in consciousness. The dosage, concentration, and speed of the drug should be strictly controlled, and the total amount of drug administered, the route of administration should be recorded in detail, and the curative effect and side effects of the drug should be observed.
I told the little nurses about many things, but they didn't understand, and Zhou Congwen didn't have the idea of being a good teacher.
Alas, 2002, so tired.
Cedilan was injected intravenously, and 5 mL of 20% glucose + 75 mg of amiodarone was given intravenously, and then 5 mL of 50% glucose + 600 mg of amiodarone was given intravenously for maintenance. The patient fell into a deep sleep, and the arrhythmia gradually improved.
One piece of paper, two pieces of paper, three pieces of paper, densely packed with changes in the patient's condition.
Zhou Congwen was very distressed, and looked meticulous, but tomorrow it will become a medical record, and he has to check it with the nursing record.
Although patients may not have any medical disputes, and the status of doctors was still very high in 2002, and patients would not want to make trouble for no reason, Zhou Congwen has long been used to doing things tightly.
Time passed bit by bit, the sky was getting brighter, and the patient's snoring became heavier and heavier.
I sucked the sputum several times in one night, but the amount of sputum was not much, and there was no trace of blood in the sputum.Seeing the increasingly stable life indicators, Zhou Congwen also felt relieved.
Nothing.
Until [-]:[-], when the patient woke up, Zhou Congwen chatted with him.
Shenqing Yuming said that this is a medical term. Simply put, it means that the patient has no neurological symptoms, and no complications such as cerebral hypoxia or brain death have occurred.
In addition, the patient has obviously recovered. Less than 12 hours after the operation, he even saw a halo of blood on his cheek.
It's good to be young, Zhou Congwen sighed and went back to the duty room for a while.
Zhou Congwen didn't sleep well, but this time he was really tired, and he fell into a deep sleep when he lay down.But before anyone else came to work, there was a noise in the corridor.
Chapter 0082
Nurse Daye's surprised voice came in, waking Zhou Congwen straight from his sleep.
"What are you doing, hurry back, go back!"
I'm going... What the hell is going on? !
Zhou Congwen woke up suddenly from a dream, his back was wet with sweat.
The duty room didn't even have an air conditioner, which was the only condition in 2002.Before he had time to complain, he jumped up immediately, and before he even had time to put on his shoes, he ran out barefoot.
Daye nurse Zhao Shanshan stood in the corridor, reaching out to support a man walking with a chest bottle, Zhou Congwen was taken aback.
The position of the chest bottle and the voice of the man speaking...
I wiped it, it turned out to be the patient who underwent surgery last night!
Zhou Congwen knew that he was in good health,
Zhou Congwen also knows that many things in this world are illogical,
Zhou Congwen has even seen many miracles that cannot be explained by medicine.
But this is too fast!
It was less than 12 hours since I fished him out of the gate of hell, and his body was covered with... I only gave him a breast bottle, but there was still some drips!
"Liao Yunqi, what are you doing! Who told you to go to the ground!" Zhou Congwen felt that his mouth was a little sloppy when he spoke, but his stern tone was not fake.
"Doctor Zhou, I have nothing to do. Come down and take a walk. I can't stay idle."
Liao Yunqi turned around and saw Zhou Congwen, grinning.
"Go back." Zhou Congwen frowned and glared at Liao Yunqi's escort, "Where did you come from? How could you carry an IV bottle and accompany him for a stroll!"
"Doctor Zhou, I see Brother Liao is well. He said he wants to go to the field, so..." the young man explained with some embarrassment.
"Go back, you have to lie down for at least 1 to 2 days, and you can't get up during this period." Zhou Congwen waved his hand indisputably.
"Okay, okay, let's go back now." Liao Yunqi grinned, but Zhou Congwen didn't feel the warmth from his smile, and his heart was still sullen.
One foot less than 12 hours ago... No, the whole person has entered the gate of hell, holding Mengpo soup in his hand, and he is about to drink it.It was considered lucky to bring him back, Zhou Congwen didn't think he was his savior, but Liao Yunqi!
Physical fitness is simply too fucking good!Zhou Congwen suffers from numerous reading problems, and this is the first time he has seen such extreme physical fitness.
After pushing Liao Yunqi back, and tirelessly telling him to lie on his back for at least 2 days, Zhou Congwen finally installed the ECG monitor. Seeing that the vital signs were stable and the ECG oscillogram had returned to sinus rhythm, he was relieved.
My sweet dream, I just dreamed that the surgical capsule was successfully developed. What the hell, I can't wait to be discharged from the hospital.
Going back again, the dream could not be picked up. Zhou Congwen thought about it, went to wash up first, and then sat in the office and began to write the progress record.
A few densely packed pages recorded all kinds of data of the patient last night, and each item was completed according to time. This is a big task.
Although the patient is fine, and the possibility of medical disputes after the incident is very small and almost non-existent, Zhou Congwen still writes records meticulously according to his habit.
This is his requirement for doctoral students. Now that he returned to 2002 and started over again, although Zhou Congwen felt that it was not necessary, he still did it.
Do unto others, do not impose on others.
Slowly, the outside of the office became lively.The family members of the patients who bought and delivered breakfast, and the nurses who came to take over the shift early in the morning, the sound of the elevator kept coming, mixed with the aroma of various breakfasts, with a little smoke and fire in the world.
suddenly,
There was a sound of footsteps in unison.
Different from other noisy footsteps, the footsteps of more than a dozen people were almost in unison. Zhou Congwen even had a feeling of resonance, and his heart beat along with it.
Although there were not many people, and they did not step forward and stepped on the concrete floor with their heels, Zhou Congwen could hear the indomitable momentum of thousands of troops.
The pen in his hand froze slightly, and there was a knock on the door.
When Zhou Congwen turned his head, a middle-aged man in ordinary clothes was standing at the door, his waist was straight, like a spear and a halberd, and his eyes were piercing.
"Excuse me, is Dr. Zhou here?"
"I am."
"Hello, we are colleagues of Liao Yunqi." The middle-aged man strode into the office.
The young people behind him walked in following his footsteps, and everyone took exactly the same distance with each step.
No one spoke, but sometimes the silence is more shocking than the noise.
Although several of them still had scratches on their faces and bodies, they were even more serious.
This office will be transformed into an intensive care unit in half a year, which is larger than ordinary offices, about 3-40 square meters.
The middle-aged man was followed by eleven young people. It is said that standing with more than a dozen people should not feel cramped and crowded.
But after they walked in, the whole room seemed to hold nothing else.
"Thank you, Doctor Zhou." The middle-aged man stood at attention, stood in front of Zhou Congwen, and raised his hand in salute.
"brush!"
The 11 people behind him saluted together.
Zhou Congwen stood up in a hurry, but he didn't know how to return the gift.
"you are……"
The middle-aged man did not answer Zhou Congwen's words, but stretched out his hands.
His hands were dry and warm, and Zhou Congwen also extended his hands to shake the middle-aged man.
"Thank you, thank you." The middle-aged man said very simply without explaining, "Let's take a look at Comrade Liao and then leave."
After finishing speaking, the last young man turned around, not going forward, not a guard of honor, but uniform, just like one person.
"I'll take you there."
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