Back in 2002 as a doctor

The little doctors in the circulatory department lowered their heads in unison.

Resisting the chief director's doctor's order does not exist in the circulatory department. Physicians are generally more honest than surgeons.

Only in a place like the chest pain center, where Zhou Congwen was standing behind Shen Lang, would he dare to do this.

Teng Fei also knew that Zhou Congwen was standing behind Shen Lang, so she patiently broke fingers with Shen Lang and said one, two, three, four, five.

The two started a heated argument, and after 10 minutes, Shen Lang was undoubtedly defeated.

He lowered his head like a defeated rooster.It seems that he is not convinced yet.

Zhang You did not participate in this discussion, he just looked at Shen Lang quietly.

After the consultation was over, the doctor in charge went to revise the doctor's order and changed the medicine according to Teng Fei's opinion.

Seeing that there was no one around, Zhang You laughed, and said to Shen Lang, "Although Director Teng and I disagree, what you did, Dr. Shen, is indeed a little wrong."

"Director Zhang, talk about your opinion during the consultation." Shen Lang said, "I don't mean to disrespect the directors."

No?Zhang You glanced at Shen Lang, the corner of his mouth was full of jokes.

It's all due to Zhou Congwen's habit. If it wasn't for Zhou Congwen, Shen Lang would have died more than 3000 times, and it was still the kind of death that he didn't know how to die.

It is wrong to deny the director's opinion during the consultation.

Although the consultation did not say that young doctors cannot speak, everyone understands that the reason why patients need consultation is because the situation is more complicated, and only directors with rich clinical experience are qualified to speak.

"Shen Lang, that's not what you said." Zhang Youchun said seductively, "Can you guarantee that what you said is correct?"

"Everyone can't guarantee that medicine itself is a flawed discipline."

Zhang You almost choked on Shen Lang's words.

This is all a rotten problem that Zhou Congwen used to come up with!After getting rabies, why did Shen Lang become a mad dog?

"I read a literature that said that a patient underwent seven angiography in a row before finally capturing the traces of coronary artery stenosis." Shen Lang said, "Although the literature didn't say what the reason is, it does exist. "

"Then you don't have a theoretical basis, don't you?" Zhang You pressed the anger in his heart and continued to communicate with Shen Lang, "What Director Teng said is a high probability..."

"The patient's electrocardiogram showed a myocardial infarction. I don't think it's possible for menopausal neurological small blood vessel spasm." Shen Lang said with his neck stuck.

Zhang You was stunned a few times by Shen Lang's words.

Why is this kid so stubborn!

"You." Zhang You sighed.

"Director Zhang, I'm sorry." Shen Lang lowered his head, "I just think there is still something wrong with the patient's condition, and I don't know what to do."

"You are stupid in reading." Zhang You comforted, "Professor Xiao Zhou is correct in many ways, but we have to look at it dialectically."

"For example, Director Teng Fei Teng is right about the matter in front of you. How do you communicate with the patient's family? You had a stent and an angiography, and you didn't see any major problems. This matter should end here until."

"But..." Shen Lang stopped here and clenched his fists.

"Being a doctor is difficult. Not only do you have to fight the disease, but you also have to consider the psychology of the patient and the patient's family." It was also a rare time for Zhang You to show kindness, and persuaded Shen Lang, "If you have a radiography and it's okay, the patient's family will think it's okay. If you do more, you will be suspected of having ulterior motives."

Shen Lang was silent.

"Let's go, if you can't, you can ask Professor Xiao Zhou." Zhang You said.

"..." Shen Lang continued to remain silent, and finally sighed.

Teng Fei's diagnosis seemed to be correct. After a period of time after changing the dressing, the drug took effect, and the patient's chest pain eased somewhat.

But Shen Lang stubbornly sat beside the patient's bed, watching the ECG monitor eagerly, as if thinking about something.

"What's wrong with Dr. Shen?" the little nurse from the chest pain center quietly asked the teacher.

"I'm used to it." The old nurse said in a low voice, "Young, I thought Director Teng was discussing issues with him. In normal consultations, the little doctor just sits there and listens."

"Dr. Shen is good. I heard from Lao Gao that his surgery is better than Director Teng's."

"No matter how good you are, you're still a little doctor. Don't you know what's going on in your mind. You speak for Dr. Shen, do you fall in love with him? Let me tell you, change someone else soon. I think Dr. Shen has rabies, and after he recovers, he's not right .”

"No, it's pretty good."

"You have a single mind, listen to the director, do you have his little doctor's share?"

Shen Lang's ears moved, his hearing was trained in countless times of gossip in the emergency department, and it was countless times better than others.

Although the nurses kept their voices down, he could hear them.

Do you really have a problem?Shen Lang didn't think so.

The patient had obvious ST-segment depression in lead II of ECG monitoring, but nothing happened during the angiography.

Shen Lang couldn't explain why there would be such an obvious change in lead II when the right crown and circumflex were unobstructed.

Is it a machine error or something else?

Although there are similar cases in the literature, the case report did not mention the reason why the angiography appeared many times but all were normal.

What a surprise!

Although the patient's symptoms were relieved after changing the dressing, Shen Lang just felt that something was wrong.

He silently and persistently sat beside the patient's bed, staring at the ECG monitor without blinking, no matter what others said about him.

Perhaps, this is the real heart of gossip that Zhou Congwen said?

Shen Lang suddenly had such a thought, but he dismissed it immediately and focused on the ECG monitor.

Chapter 1395 The gossip seen in the book

Shen Lang felt that there must be something wrong with the patient, but he didn't know what the problem was.

What if I asked Zhou Congwen to take a look?

Ordinarily this is the best choice, but Shen Lang knows the priorities.If the patient really has something to do, that's fine. The radiography is fine. It's somewhat unreasonable for me to ask Zhou Congwen just because of a guess.

This is just an option, and Shen Lang also knows that whether it is himself or the chest pain center of the Second Hospital of Medical University, it is impossible to rely on Zhou Congwen alone for the rest of his life.

And Shen Lang clearly remembered the case report that he read as gossip.

He read relatively few papers and literature, after all, English proficiency is all that matters, if Zhou Congwen hadn't insisted, Shen Lang would not have read obscure English periodicals.

This is one of the few articles that Shen Lang has read.

The article described that a patient with myocardial infarction was fine during angiography, but the electrocardiogram always confirmed that there was a problem.It was only after many times of angiography that the stenosis was found, and the treatment was smooth.

When reading this report, Shen Lang sincerely took it as gossip, and the case report itself did not give a reasonable explanation, so what can we do if we don't read it as gossip.

What I never expected was that I encountered such a difficult patient in the chest pain center.

Shen Lang stared at the patient's electrocardiogram, while chatting with the patient without a word.

The patient herself is a little scared, she is an intellectual, and she knows one thing very well - when the doctor ignores her, she will definitely get angry; If you speak in a tone of voice, then it's not a matter of being angry, but something big is bound to happen!

Three hours later, the patient's condition took a turn for the worse after a short period of improvement.

The ST segment of the electrocardiogram was depressed again, and the precordial area pain was obvious.

Shen Lang immediately asked Teng Fei and Zhang You to see the patient together.

Looking at the waveform of the electrocardiogram and Shen Lang's persistence, Zhang You was a little annoyed, but he didn't say a word of nonsense.

When encountering a difficult patient, if you don't hide from the side, you have to face it. Zhang You feels that Shen Lang has a bag in his head.

Teng Fei was also a little numb, and at Shen Lang's insistence finally agreed to communicate with the patient's family and do another radiography.

Another 25 minutes later, the patient was admitted to the circulation intervention room.

The radiography was quick, and it was really an examination for Shen Lang.Although not as proficient as Zhou Congwen, it is safe to surpass Teng Fei.

But the result is still the same, 50% of the blockage!

Theoretically speaking, this level of blockage will not cause a huge change in the electrocardiogram at all, nor will it cause such severe precordial pain.

Looking at the radiography, Teng Fei said a little unhappy, "Dr. Shen, it's almost there."

Shen Lang was silent for a long time.

"Doctor Shen? The results of the angiography prove that the patient's precordial pain was not caused by myocardial infarction." Teng Fei emphasized this point again, "Let's go."

Because the patient was under local anesthesia on the operating table, Teng Fei spoke more restrainedly.

But Shen Lang remained motionless, as if he didn't hear the words of the senior doctor Teng Fei.

Teng Fei was a little angry, Shen Lang really turned into a mad dog!Nonsense! !

But Zhou Congwen stood behind this mad dog, and Teng Fei also knew that she couldn't do anything to Shen Lang.

Director Fuji couldn't even...could...say a damn serious sentence.

"Doctor Shen!" Teng Fei emphasized her tone, clearly expressing her displeasure, and even her anger.

"Director Teng, I want to ask Cong Wen to take a look." Shen Lang said softly.

Teng Fei didn't speak, and turned angrily to step off the stage.

The lead coat was torn apart by Teng Fei, and she threw it on the ground with a "boom".

The nurses in the operating room and the doctors standing in the operating room were startled and embarrassed.

Director Teng was offended by Shen Lang, a mad dog. You said Shen Lang was the same, and the superior doctor said what he said, so why bother to make Director Teng angry.

And it turns out that the patient's coronary arteries are nothing serious.

If you have to talk about the narrowness of 50%, then you really have nothing to do.Even Zhang You thought that Zhou Congwen secretly instigated it to test Teng Fei's obedience.

High-intensity suppression, hitting once, pulling once, and repeated, will make people fall into a weird thinking trap.

Zhang You often used this kind of tactic. When he was wooing Zhou Congwen, he had already figured out how to fight and how to pull in the future.

It's just that Zhou Congwen didn't give Zhang You this chance.

"Call Congwen, please." Shen Lang frowned, staring intently at the results of the imaging on the screen.

From the imaging point of view, the patient's precordial pain and ECG changes should have nothing to do with coronary arteries.

But Shen Lang is strange, the fire of gossip is burning in his heart.

No, absolutely not!

That obscure article appeared in front of Shen Lang's eyes, and he unconsciously entered a state of flow.

It's just that the doctors and nurses present did not move after hearing Shen Lang's words, and everyone looked at Teng Fei.

Whoever is big and who is young has the final say, these people still know it well.

Shen Lang entered a flow state, comparing the images in front of him with the images in the article, and didn't notice that no one called at all.

The embarrassing few seconds that made people want to dig the ground with their toes passed by bit by bit, and the big teeth behind Zhang You's mask came out.

It can make Teng Fei feel embarrassed, and he has nothing to do. This is what Zhang Youxi likes to see.

"Shen Lang, you said that you are the same, and you insist on seeing the superior doctor." Zhang You "complained" to Shen Lang, while preventing the patient from having any objections, while feeding Teng Fei a handful of flies.

He dialed Zhou Congwen with his mobile phone, entered the operating room, and put the phone to Shen Lang's ear.

"Congwen, I have a problem here, can you take a look?"

"The situation is a bit complicated. Let's talk about it when you come."

"Okay, I'm in the operating room, let's not go down first."

After a brief exchange, Zhang You hung up the phone, and Teng Fei was so angry that the sterile cap was raised a bit.

……

……

In less than 5 minutes, Zhou Congwen walked in with big strides.

Seeing that it was local anesthesia, he greeted Shen Lang, closed the airtight lead door, and looked for the patient's contrast image in the operating room.

Zhang You reported the patient's medical history to Zhou Congwen like a junior doctor.

He was very neutral and objective, he didn't favor Shen Lang, let alone Teng Fei.

Teng Fei sat on the side angrily, looking at Zhou Congwen coldly.

About 10 minutes later, Zhou Congwen smiled and pressed the intercom.

"Shen Lang, the operation is over, come down."