Back in 2002 as a doctor
Page 625
Alas, Professor Zhou Congwen Zhou's hands are steady, in fact, his body is also steady, and his mind is even more steady.
"There is a large hospital in Imperial City, not top-notch. A patient had a stomachache and had a CT scan. He said it was peritonitis. After being hospitalized, he was given a fourth-generation cephalosporin."
"Is it true?"
"Really, the patient didn't even have a flat abdomen. Later, I found Director Deng and prescribed two boxes of amoxicillin capsules." Zhou Congwen shook his head helplessly, and the ash fell down.
"It is indeed too much to be admitted to the hospital without indications."
"There are even more extreme things." Zhou Congwen said, "A patient from another province went to the circulatory department and said that he needed a stent. Because it was a new technology, the patient didn't know much about it, so he was in a panic, so he went to the emperor to find it. Director Deng."
"It's not easy to go to the imperial capital and know Director Deng." Xiao Kai laughed.
"Director Deng took a look at the medical records and was stunned. It was a valve disease that required a big operation, and it had nothing to do with stenting for coronary artery stenosis." Zhou Congwen said lightly.
"!!!"
Xiao Kai was speechless.
"Director Deng directly took the patient in, repaired the valve and left the hospital. He didn't tell the patient about the specifics. When the patient was about to be discharged from the hospital, he heard from other patients' family members that the medical level in the imperial capital was just the same, and that every place could put on airs. Solve the problem, but come to the imperial capital to use a big sword."
"No way, let's earn some conscience money, this is not something we can solve." Xiao Kai said.
Both of them understand what is said here, but neither Zhou Congwen, who is at the peak of technology, nor Xiao Kai, the vice president of Baishui City, is powerless and has no way to solve it.
Shallow chatting, Shen Lang didn't come out after a long time.
Zhou Congwen really wanted to put Shen Lang in the emergency department, so if he was willing to watch the excitement, he could just stay in the emergency department for the rest of his life.
Two and a half hours later, the patient who ate the red sugar cane was sent by the 120 ambulance.
Zhou Congwen checked the child first and found that his condition was not particularly serious.But after all, there is a possibility of onset within 8-48 hours, so it is recommended to be admitted to the hospital for continued observation.
The medical level of the Second Hospital of Medical University must be higher than that of Baishui City. Even if the neurotoxin poisoning occurs later, the probability of recovery is always higher.
After dealing with this patient, Zhou Congwen let out a long breath, "Dean Xiao, go back."
"Thank you, Professor Zhou."
"My own, why are you being polite." Zhou Congwen smiled, "Shen Lang, let's go."
Shen Lang was still a little bit reluctant, but it was indeed getting late, and he had to rest early when he went back, and get up early for a morning run tomorrow morning.
"What did you see?" Zhou Congwen asked.
"A lot of messy patients." Although Shen Lang said so, he was obviously very excited.
Zhou Congwen couldn't figure it out. For a clinician, the emergency department is synonymous with hell.
But here with Shen Lang, it turned out to be like a sweet pastry, and he would think about it if he didn't come for a few days.
This person is also a character of death.
With that said, the three walked out of the emergency department.
At the corner, a few people suddenly approached, Zhou Congwen's expression immediately sank.
Chapter 1071
Zhou Congwen turned sideways to get out of the way of the girl opposite.
The girl supported a person, and she wanted to say sorry, but when she looked carefully, it was Zhou Congwen, her face turned red.
"Shi Ning, why are you here?" Zhou Congwen scratched his head, did he come to the hospital to look for him?Most of the night.
"Week...week...week..."
Shining seemed to have just walked out of the treatment room that day, stammering, unable to even utter a complete sentence.
The ascetic man Zhou Congwen just frowned when he saw Shining supporting his manager Gao Lu.
As for the girl next to her, Zhou Congwen glanced at her and stopped paying attention when she saw that she was a normal person.
In Zhou Congwen's eyes, there are only normal people and patients. Those girls who are beautiful and well-dressed are directly classified into the category of patients' families by Zhou Congwen.
As for how good-looking and righteous they are, Zhou Congwen never cared.
But Shining's expression should not be too obvious, Shen Lang's eyes lit up all of a sudden.
This is big gossip!
Shen Lang's brain's CPU directly overclocked, and he thought of many things related to Zhou Congwen.
"What's wrong?" Zhou Congwen asked.
"My heart is uncomfortable." Gao Lu said with a pale face, covering his heart.
Myocardial infarction, this was the first thought of Zhou Congwen, Xiao Kai, and Shen Lang.
Shen Lang didn't wait for Zhou Congwen to speak, he turned around and beckoned the nurse to push a wheelchair over.
"How long has it been?" Zhou Congwen asked as he pushed the wheelchair inside.
"It's been more than three years, and there's nothing wrong with every inspection." Gao Lu replied intermittently.
"Sister Lu may be worrying too much about our girl group." Shining said timidly from the side like a kitten.
girl group...
Zhou Congwen couldn't recall when the first domestic girl group formed.
Rocket girl?That's pretty far behind.What what 48?It doesn't seem to be a 2003 thing either.
It was so ahead of its time. Zhou Congwen put aside the things he couldn't figure out and didn't remember, and pushed Gao Lu to the emergency room.
"The patient complained of precordial pain, please do an ECG." Zhou Congwen and the emergency physician said.
Seeing that Zhou Congwen hadn't left, the emergency physician just thought he had met an acquaintance, and without thinking about it, he gave Gao Lu an electrocardiogram.
Zhou Congwen stood in front of the heart motor, looking at the printing paper spit out by the machine, aiming frame by frame.
Question... Gao Lu's electrocardiogram did not show typical symptoms of myocardial infarction, such as tombstone lines, and did not pull a small flag.
Sinus bradycardia, the waveform is very regular.
Zhou Congwen frowned slightly.
"Doctor Zhou, how is Sister Lu?" Shining used all her strength to get close to Zhou Congwen and asked in a low voice.Her voice was so low that even Zhou Congwen couldn't hear her clearly.
"What did you say?" Zhou Congwen glanced at the EKG paper again.
"How is Sister Lu?" Shining raised her voice, but whispered in Zhou Congwen's ear as if she was whispering.
The hot wind blows into the ear, itching slightly.
"It's okay." Zhou Congwen looked at Gao Lu suspiciously and asked, "Did there be any relevant questions three years ago?"
"Doctor Zhou, I changed careers as an agent three years ago, and I've been suffering from this problem since then." Gao Lu replied, "I get sick as soon as they perform on stage, and I'm used to it."
Shen Lang stood behind Zhou Congwen and was stunned.
What does it mean that the manager who leads the team will fall ill as soon as the artist under his hand performs on stage?
The performance of the girl group can indeed make the audience scream and their heart rate increase, but the manager has a heart attack, how can this be said.
Before he knew it, the fire of gossip in Shen Lang's eyes was blazing.
Xiao Kai stood far outside the emergency room, and he could tell at a glance that Professor Zhou Congwen Zhou had an unusual relationship with that tall, thin little girl.
Young and flirtatious, Xiao Kai raised the corners of his mouth and smiled happily.
Is this right? Zhou Congwen is only 26 years old, and he looks like an abstinence school, which does not conform to objective laws.According to the nature of animals...
Xiao Kai thought about it and thought of the other side of the sky.
"Lie flat, clothes up." Zhou Congwen said while helping Gao Lu lie on the flat car, and curled up Gao Lu's legs with his arms.
"Relax, take it easy."
Zhou Congwen was rubbing his hands habitually.
"Doctor Zhou, my stomach doesn't hurt." Gao Lu didn't know what Zhou Congwen was going to do, so he quickly explained.
After tossing for a while, Gao Lu's condition also eased, and she tried to smile at Zhou Congwen.
"It doesn't hurt? That's not necessarily the case." Zhou Congwen smiled and put his hand near Gao Lu's navel.
"Who is he, Shining?"
A member of the girl group looked at Zhou Congwen with pursed lips.
As long as you have long eyes, you can tell that there is a story between Shining, Gao Lu and Zhou Congwen.
The point is that Zhou Congwen is quite young, and he doesn't look like an experienced old doctor. He won't give people any sense of trust in the emergency room of the hospital.
"Sister Lu said that her stomach doesn't hurt anymore, why is he still pressing her stomach? Could it be..."
"I reckon it's because they're obsessed with sex at first glance. You've seen a lot of people who pretend to be cold, but are actually full of gossip."
"That's right, isn't this a hooligan?"
Several girls stood aside and talked in a low voice, their voices were much louder than Shining's, Zhou Congwen could hear them clearly.
But Zhou Congwen didn't care, he pressed near the navel and then lightly pressed a few times next to Gao Lu's navel, and then pressed his right hand on Murphy's point.
"Oh~" Gao Lu screamed, curled up like a prawn.
"Miss Lu!"
"Sister Lu, what's wrong with you!"
"It's okay." Zhou Congwen took his hand away, "Let's do a B-ultrasound."
"What did you do to Sister Lu!" A girl group member scolded Zhou Congwen fiercely.
"It's not a heart problem, it's probably cholecystitis, maybe there are stones." Zhou Congwen turned to wash his hands as he said, as if there were countless bacteria on Gao Lu's fair skin.
Shen Lang was dumbfounded, but he couldn't ask at this time.
How did Zhou Congwen know that the patient had cholecystitis?Shen Lang heard the patient's dictation just now, and there was no complaint of gallbladder problems at all.
A normal physical examination is fine, but Zhou Congwen pressed Murphy's point directly and purposefully.
strangeness.
Zhou Congwen was not in a hurry to go home, so he took Gao Lu to the next door for a B-ultrasound.
Gallbladder stones, stones incarcerated in the cervical canal, the gallbladder wall was also significantly thickened on the image, consistent with abdominal symptoms and signs.
"Go to the hospital and prepare for the operation." Zhou Congwen said after seeing the video on the machine, "Hurry up and do it, don't delay."
"Zhou... Zhou..." Xiao Keba came up to talk to Zhou Congwen again.
But Shining's stuttering is getting worse and worse, Zhou Congwen is like a nerve blocker, directly acting on Shining's internal environment, irreversible.
Chapter 1072 Worry Syndrome
"Don't worry, it's fine." Zhou Congwen comforted, "Go to the emergency department to go through the hospitalization procedures. I'll ask who is on duty for the liver and gallbladder. If the fasting time is met, hurry up and perform the operation. If you can sign it, please."
Seeing that Zhou Congwen talked to her so much, Shining felt a little excited in his nervousness, and almost passed out directly.
"Doctor Zhou, my heart hurts." Gao Lu always felt that she had a heart attack, she said lying on the bed.
"I know." Zhou Congwen said, "It was a reflex."
"I..." Gao Lu hesitated for a while, but still told the truth, "Once when I came to see a doctor by myself, the doctor said that I had a heart attack, and the electrocardiogram was relatively clear. But I think I am young, and I can't delay my work, so I insisted Resist not telling them."
"It's so courageous." Zhou Congwen smiled slightly, "If it's really a heart attack, I'm afraid it's because you have a bigger problem now, and you may die at any time."
"..."
"It's not a myocardial infarction, it's a false appearance of clinical symptoms."
"Huh?" Gao Lu was taken aback.
At the same time, the doctors in the emergency department also felt that there was something wrong.
Myocardial infarction is a clinically urgent and common disease. Everyone would rather believe it or not, so as to avoid accidents.
Now the patient has said that he once had an ECG, why did Professor Zhou directly deny it?
"I judged it to be gallbladder-heart syndrome. Simply put, it is cholecystitis and gallstones, but there is no pain in the abdomen. It manifests as chest tightness, shortness of breath, and even myocardial infarction in the electrocardiogram. Don't worry, just cut off the gallbladder."
Zhou Congwen did not explain in detail what gall-heart syndrome is. Instead, he handed over the B-ultrasound sheet to the doctor in the emergency department, and then turned around and left without saying hello.
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