Back in 2002 as a doctor

He was not angry, but relieved for a while.

He remembered this picture. The medical record recorded a patient with acute renal failure caused by trauma. The patient died 2 days later due to aggravated renal failure due to a large amount of fluid infusion.

The patient would not have died, but his condition deteriorated sharply due to treatment errors.

Zhou Congwen still remembers rushing to the hospital two days later in the morning. The 2-year-old male patient could no longer lie flat. There was too much fluid in his body but he could not drain it, so he could only sit up and breathe.

The patient's eyes were pleading, and he looked at Zhou Congwen helplessly and pitifully.Guided by a strong desire to survive, he grabbed Zhou Congwen's white clothes with trembling hands, but he couldn't utter a single pleading word.

He didn't want to die, and Zhou Congwen didn't want him to die either.

But he had to die—according to director Wang Chengfa's instructions, a large amount of infusion "flushed" the blocked renal tubules, and he would definitely drown to death.

In the future, Zhou Congwen would occasionally recall this patient, and he felt more or less regretful in his heart—he was responsible for the death of the patient.

My technical level is not superb enough, and I can't question Director Wang Chengfa's treatment plan as a small doctor.

After the patient died, Wang Chengfa threw the blame on Zhou Congwen, and he was kicked to the emergency department in the second half of the year.

If I live my life again, can I let this old thing bully me?Zhou Congwen suddenly smiled, the sun was shining brightly.

Now that he's back, the patient won't die, and Wang Chengfa...he won't get well!

"You can't even write a medical record, and you still say that you are a doctor, and you are worthy!" Director Wang Chengfa looked at Zhou Congwen with disdain, and said in his unique voice.

Once upon a time, when Zhou Congwen saw the photo of Director Wang hanging on the wall, his heart would beat fast. There was no word PUA in 2002, and now he knows where the negative emotions that have plagued him for many years come from.

"Director Wang, I don't know where I made a mistake in my medical record, which made 'you' lose your temper." Zhou Congwen calmly squatted down to clean up the medical record. He bit your words to death, as long as anyone can hear the words in disdain.

The office suddenly fell silent.

"How are you talking to Master, Zhou Congwen!"

A young doctor slapped the table and stood up, glaring at Zhou Congwen.

His name is Wang Qiang, and he and Zhou Congwen came to the newly established cardiothoracic surgery department.Director Wang Chengfa likes Wang Qiang because he can drink and flatter.

The reason why Zhou Congwen was not liked by the old director was because he refused the glass of white wine in front of him during the first department dinner.

As a qualified dog leg, Wang Qiang jumped out at the first time, which is another point of Wang Chengfa's appreciation for him.

As the director, it would be too ugly if he quarreled with a young doctor on the spot.So it's time for Wang Qiang to jump out and question Zhou Congwen on Wang Chengfa's behalf.

Zhou Congwen glanced at Wang Qiang, smiled and said, "I just want to ask why, you jump so high, do you want to bite me?"

"You..." Wang Qiang didn't expect Zhou Congwen, who had always been taciturn, to accuse himself directly. Doesn't he want to do it!

"I've been speaking well, and I haven't hit anyone with a medical record clip. What do you think of Wang Qiang?"

While talking, Zhou Congwen sorted out the medical records, went to a chair and sat down, opened the medical records, and turned to the medical records.

The medical records in 2002 were still handwritten. Seeing the familiar handwriting, Zhou Congwen was a little dazed.

His fingers lightly brushed the medical record paper, so real, he raised his head.

Zhou Congwen squinted his eyes slightly as the sun fell on his face, but he did not avoid it, whether it was the glare of the sun or Wang Chengfa's sinister gaze.

"Director Wang, what you are talking about is yesterday's ward round record." Zhou Congwen said calmly, "It is clearly written in the course record - Director Wang Chengfa instructed after seeing the patient to give 3000ml of liquid per day, and use a large amount of liquid to flush out the blockage Blood clots in the renal tubules."

Zhou Congwen knew what he wrote without looking at the medical records.

In 2002, the medical level of prefecture-level hospitals was really low, he couldn't help but sigh in his heart.

Such an absurd treatment plan can appear in the hospital. If it is changed to ten years later, it will definitely be scolded as a bloody sprinkler.

But at this time, the country had just joined the WTO last year, and the miracle of accumulation had just been staged, and it had not yet been transmitted to the medical system.

Now there is not one dialysis machine in the whole hospital, and it is estimated that there are no more than five in the whole city.This is completely different from the situation where there will be dozens of dialysis machines in any specialized private hospital in the future.

Zhou Congwen sorted out his emotions, looked at Wang Chengfa and said with a smile, "Director Wang, I thought the patient had crush syndrome. I put forward my opinion after you saw the patient, but you interrupted me."

"Now let me say it again, I think the patient's condition is that the toxic intermediate metabolites after the destruction and decomposition of tissue protein after trauma are absorbed into the blood, so acute tubular necrosis after trauma is caused."

"Of course, you are the director. I have no right to speak about treatment."

"but!"

Zhou Congwen stared into Wang Chengfa's eyes, and said coldly, "Did you say what I wrote down in the course record yesterday? Did I make up a word!"

The air in the office was frozen into ice, making it impossible to breathe.

No one dared to talk to Director Wang Chengfa like that, never before.

Decades ago, Wang Chengfa led people to beat up the old director of the largest hospital in the city, and sent him to the farm to feed the rabbits, and then he became the chief surgeon.

Although his education is not enough and his ability is average, he is courageous and has gained some social recognition after more than 20 years of accumulation.

The name Wang Yidao is sometimes mentioned.

Moreover, Wang Chengfa was strong and fierce, and the professional fox breeders in his hometown would invite him back when they killed foxes, because he had a murderous aura about him.

In the hospital, especially in the cardiothoracic surgery department, when everyone saw Wang Chengfa, let alone talk back, they dared not even breathe.

No one has ever dared to speak directly to Wang Chengfa like this.

Nowadays!

Zhou Congwen is back.

He didn't have the slightest fear of Wang Chengfa, and he asked the most pointed question with his eyes facing each other.

How the hell are you misdiagnosed, treated outrageously, and still sitting there talking nonsense?

How shameless!

The room was quiet, except for Wang Chengfa's heavy breathing, the others didn't even dare to breathe.

Zhou Congwen looked around for a week, especially took a deep look at Wang Qiang.

The astonishment in the colleagues' eyes was more fearful, and they looked at Zhou Congwen like a madman.

How dare he talk to Director Wang like that!

Who gave him the courage?Is Zhou Congwen crazy? He doesn't want to do it anymore?

Zhou Congwen put the medical records on the table, stood up and went to the window to pick up the fourth edition of "Internal Medicine", turned to the chapter on crush syndrome, and slapped the book heavily in front of Wang Chengfa.

"Director Wang, it's clearly written in the textbook that what you spend is what you earn, and what you earn is less than what you spend. It's clearly written in black and white, you probably don't know it."

Wang Chengfa's face has changed from cloudy to lightning and thunderous.

"You are the director, and I am a junior doctor. In theory, your consultation opinion should be respected. But!"

Zhou Congwen raised his voice, stared into Wang Chengfa's eyes, and did not back down.

"I want to know what's wrong with me writing the medical records like this. Please explain."

People in the whole department had apnea, and everyone even had the illusion of cardiac arrest.

Zhou Congwen, who has always been honest and trustworthy...he is really crazy.

This is killing me!

"Is it because I recorded everything you said, so I made a mistake?"

"You're the director, what's wrong with what you said?"

The other doctors and nurses tried their best to shrink their bodies like quails, and then shrink again, so as not to be seen by Director Wang and suffer from a catastrophe.

What is crush syndrome is blurred in their minds, but it doesn't matter, everyone's attention is focused on the confrontation between Zhou Congwen and Wang Chengfa.

Wang Chengfa is tall and burly, even sitting on a chair, he has an imposing manner, which makes people frightened.

Zhou Congwen was not at all inferior in his aura, condescending, pressing down on Wang Chengfa and asking questions one after another.

"Zhou Congwen, you have the courage to say it again." Wang Chengfa suppressed his anger and said in a deep voice.

A smile appeared on Zhou Congwen's cheek, light and joyful.

"'You' are old and your ears are hard of hearing? Or is your eyesight blurred and you can't see the words on the book?" Zhou Congwen asked with a smile.

"..."

"..."

"..."

Everyone was stunned.

"You want to tell me to get out of the thoracic surgery department and report to the personnel department." Zhou Congwen said calmly, "Director Wang, I advise 'you'."

He cleared his throat and looked at Wang Chengfa with a smile, "You are not the director, but the head of the department, but I respect you as the director. But anyway, you are a doctor first. I can't find my medical problems, like Playing around like a shrew is bad for your reputation, Wang Chengfa."

"Of course, if you still care about reputation."

shrew!

When Zhou Congwen said that to Wang Chengfa, the other doctors and nurses not only dared not speak, but subconsciously suppressed their breathing.They dig the ground with their toes, and they have already dug out the area of ​​three bedrooms and one living room.

"By the way, Director Wang, you are just a department head. I am an employee of the mining area. You have no right to fire me." Zhou Congwen said with a smile.

Chapter 1070 Conscience Money

"Now it's still a bit of a rule." Xiao Kai said, "The 90s was very chaotic...Professor Zhou, do you know anything about that time?"

"No." Zhou Congwen said truthfully, shaking his head.

"Aside from other things, at that time, there were rice cookers in the pharmacy of the district hospital. Can you believe it?"

"Hehe, just prescribe the medicine, and exchange the rice cooker for the people in the pharmacy at a low price? You can say that rice cookers were still a rarity at that time. There were probably quite a few people who changed them. Or the director of the pharmacy is a fat job, no matter what. When." Zhou Congwen laughed.

"Yes, my heart was cold when I saw it." Xiao Kai shook his head, "But several large factories nearby have closed down, and this is still such a small wasteland in Baishui City."

Speaking of the hard landing at that time, Zhou Congwen was not too impressed, and the scales and claws were all pieced together after hearing people's gossip.

"A lot of people lost their livelihoods all of a sudden. If you don't say that the profession of a doctor is still good, being a doctor was considered very popular at that time."

"President Xiao, to persuade people to study medicine is like a thunderbolt." Zhou Congwen said.

Xiao Kai laughed, he didn't understand what Zhou Congwen said about the future.

"Professor Zhou, you made a joke that rhymed, but the doctor's life was pretty good at that time, but the clinical practice was too chaotic and not standardized at all." Xiao Kai said, "Either we still have to develop, the economy is good, and the clinical It also gradually became more formal, which I saw with my own eyes.”

"Ah."

"At that time, the vast majority of doctors had business in the society. For example, many stores in our department store in Baishui City were opened by clinical directors. There was no need to send red envelopes, and the purchase receipts were sent directly."

"Hahaha, this is a disguise. Dean Xiao, what kind of business have you started?" Zhou Congwen asked confidently.

"Hey." Xiao Kai felt a little embarrassed.

"Tell me, just the two of us."

"At that time, the funeral homes in the city were not the same as they are now. The dead patients were all parked in the morgue of the hospital, at least for a day."

"Have you contracted the morgue?" Zhou Congwen asked.

Zhou Congwen hadn't mentioned the word "contract" for a long time, but now that he mentions it, it feels very strange even to him.

"Well, the morgue in the hospital and all the supermarkets are mine." Xiao Kai said, "I originally wanted to follow the four steps of birth, old age, sickness, and death."

Zhou Congwen gave a thumbs up.

Xiao Kai is really capable of tossing around.

"But it changed very quickly. Later, I set up the largest funeral home in Baishui City together with others." Xiao Kai said, "That's really making money."

"Dean Xiao, your family property is hundreds or even thousands." Zhou Congwen asked, "You still care so much about clinical practice. You can say that you have never forgotten your original intention."

"No way." Xiao Kai said with a smile, "how do I earn money? I have a clear mind. Professor Zhou, tell me what I will order. If I collapse in the hospital, the business of the funeral parlor will be swallowed up in a year at most Lose."

Zhou Congwen smiled, it is true.

"In the past, the largest curtain wholesale business in our Jianghai City was owned by Wang Chengfa." Zhou Congwen added.

"To be honest, the current clinical directors are better than the directors I was at that time." Xiao Kai said, "At least you don't have to worry about outside business while going to work every day. But don't worry, you won't be able to leave work every day." I have to wait for my wife to get off work."

Xiao Kai didn't say much, this is a sad story, and he felt that his throat was a little blocked when he said it.

"But people have to be conscientious." Zhou Congwen, smoking a cigarette, squinted his eyes and looked at the neon lights of the emergency department of the Second Hospital of Medical University.

"Yes."

"I... I heard Director Deng said two things." Zhou Congwen was smoking a cigarette, his legs were spread wide apart, and he seemed to be in a daze looking at the three characters of emergency department.

After a full half a minute, Xiao Kai didn't dare to disturb Zhou Congwen's thoughts, but he suddenly saw that the cigarette dangling from Zhou Congwen's mouth did not move at all, and the gray ash was long and did not fall.