My medical skills are a billion points

It's already the time to get off work at noon, but the patient's condition is urgent, Xiao Chu and Gao Yingjun naturally can't have the surgery after lunch.

I had to notify the operating room and let them prepare to pick up the patient.

A patient with maxillofacial space infection like this one was originally going to be operated on by maxillofacial surgery.

But because Zhou Ziqiang knew that Xiao Chu could perform this operation, he did not transfer to maxillofacial surgery.

He is on the night shift today and doesn't come to work until six o'clock in the afternoon.

Naturally, he didn't need to go to the operating table for this operation.

Instead, let Gao Yingjun and Xiao Chu perform this operation together.

Of course, Gao Yingjun had already informed Zhou Ziqiang of the emergency.

After Zhou Ziqiang knew about the patient's condition, he broke out in a cold sweat.

I am also glad in my heart.

Fortunately, Xiao Chu was there, and he performed a tracheotomy in time to open up the patient's airway.

Otherwise, if the patient died because of this, then he, the doctor in charge, might not be able to escape the responsibility.

The patient has been pushed to the operating room.

After Xiao Chu and Gao Yingjun washed their hands, Gao Yingjun smiled and said: "Xiao Chu, I found that as long as I have the surgery with you, I can't avoid having to do it."

"It was like this a while ago, but I didn't expect it to be like this today.

Why do I feel that you are a walking scalpel?No matter when, the operation continues. "

Xiao Chu sighed helplessly.

"I don't want to either, who doesn't want to have a meal after work and take a good rest.

Who would have thought that these two surgeries could be linked together!Stop whining and get this operation done.I ate the whole meal, but I was starving. "

Gao Yingjun straightened his general belly.

"Look, I'm almost hungry."

Xiao Chu glanced at his general's belly, curled his lips.

"With your stomach, you won't be able to starve to death even if you go hungry for ten or eight meals."

"Tch, what you said hurts my heart."

The two were joking and stood on both sides of the operating table.

This time, of course it was Xiao Chu who took the lead.

Gao Yingjun is the first assistant, there is no second assistant.

Because other doctors are off work.

The two of them are enough to perform the incision and drainage of the maxillofacial space infection.

The general incision site for this operation is about 0.5 cm lateral to the pterygomandibular crease and slightly medial to the leading edge of the ascending ramus.

They are all in the relatively hidden parts under the jaw, mainly for the beauty of the face.

After Xiao Chu touched the front edge of the ascending rami of the mandible with his hands, he made a longitudinal incision about 2 to 2.5 cm long.

Cut the mucosa and submucosa.

The vascular forceps bluntly separated the buccinator muscle, along the medial bone surface of the ascending ramus, and entered the pterygognathic space backward.

A cavity of pus was found, emitting a foul smell.

Chapter 269 You Are a Medicine God

Gao Yingjun hurriedly took the suction device, sucked up the pus, and then rinsed it with normal saline.

Repeatedly rinsed with normal saline several times until the pus was thoroughly washed away, and checked again that there was no bleeding point, Xiao Chu put in the drainage tube and sutured gradually.

For Xiao Chu, this operation is very simple.

However, it should be noted that there are inferior alveolar nerve, blood vessels, and lingual nerve behind and above the mandibular foramen, which must not be damaged.

Xiao Chu explained these technical points in detail to Gao Yingjun.

And Gao Yingjun just nodded crazily.

Typical eyes will, hands will not.

The operation was just finished, and it was already 02:30 in the afternoon.

It's time to go to work soon, and the two of them are also starving.

Xiao Chu directly ordered two takeaways.By the time the takeaway arrived, it was already time to go to work. The two wolfed down the takeaway and finally took a breather.

Gao Yingjun drank half a bottle of water in one breath, and sighed: "I have been working in our department for several years. But the chances of being able to perform surgery are really rare.

Xiao Chu, after following you, I found out that the chances of consecutive surgeries have skyrocketed.You have your own buff! "

After Xiao Chu finished his meal, he lay sprawled on the bed in the duty room and rested for a while.

Helplessly spread his hands.

"What can I do? I am also very helpless! Who made us emergency patients!"

"Our emergency department is a panacea, and we have to see everything."

As soon as he said this, Gao Yingjun immediately sat up, and said gossipingly:

"Xiao Chu, our dean thinks highly of you, and the directors of several other departments want to poach you. Why don't you go to the Department of Thoracic Surgery or Orthopedic Surgery?"

"How comfortable their department is. It's not like our emergency department, which is as busy as a grandson all day long, doesn't earn much money, and is often looked down upon by doctors in other departments!"

Xiao Chu put his hands on the pillow, looked at the ceiling, and said leisurely: "You want to go to the chest or orthopedics department, or I will tell the dean to let you go!"

Gao Yingjun immediately trembled, shaking his head like a rattle.

"I don't go to the Department of Thoracic Surgery and Orthopedics. Those experts have their eyes above the top, so they can't see me as a badass."

"I feel comfortable staying in our emergency department, although it is very busy. But seeing many patients, I have a sense of accomplishment. I don't care if I am an expert or not. As long as I live comfortably."

"Ha! I am the same as you. I also like the atmosphere of the emergency department and the variety of patients in the emergency department."

Gao Yingjun never imagined that the reason why Xiao Chu stayed in the emergency department was to earn more points.

And Xiao Chu also did not expect that Gao Yingjun would think so freely.

Only now did he realize that this tall and handsome man had a hint of Buddhist thought.

He is not like some young doctors who are dedicated to climbing up the ranks, getting promoted to professors, and doing everything for fame and fortune.

But Xiao Chu couldn't see that Gao Yingjun had such thoughts.

Otherwise, he wouldn't be an attending physician, and he hasn't been hired after waiting for several years.

If it was the kind of person who is dedicated to making progress, he would have already left the relationship and been promoted to the main ruler.

The two chatted for a while, then walked out of the doctor's duty room and started their respective jobs.

Gao Yingjun guides the trainee doctors and interns to write medical records on the computer.

And Xiao Chu went back to his consulting room and continued to see patients.

Today is Friday, and it is still afternoon, there are not many patients.

Xiao Chu was reading some medical literature, when a middle-aged woman walked into the consulting room nervously, supporting an old lady in her seventies.

The old lady appeared to be panting and short of breath.

Even when she sat down, her chest rose and fell a lot.

The middle-aged woman should be her daughter, without waiting for Xiao Chu to ask, she said directly:

"Doctor, I was shopping with my mother just now, and suddenly she felt flustered, chest tightness and discomfort. I will call her to your hospital as soon as possible. Look at my mother, what's wrong?"

Xiao Chu picked up the stethoscope, ready to auscultate the old lady.

"Does your mother have any medical history before? Do you have a history of high blood pressure or diabetes?"

The middle-aged woman hurriedly said: "My mother has coronary heart disease. She has been taking medicine for two years. She is fine, and she has never had a problem. Why do you suddenly feel flustered and tight in the chest today?"

Xiao Chu didn't answer, but picked up the stethoscope and listened to the old lady's chest.

Then I found that the old lady's heart rate was uneven.

Then auscultate both lungs, and some moist rales can also be heard.

Moreover, when Xiao Chu performed a physical examination on the old lady, she found that her lower limbs were slightly edematous.

Combined with the old lady's history of coronary heart disease, Xiao Chu already had a basic answer to the old lady's disease.

Xiao Chu looked at the eager middle-aged woman, and said: "Your mother's heart rate sounds uneven, it should be atrial fibrillation. Have you ever had a history of atrial fibrillation?"

The middle-aged woman shook her head immediately.

"I didn't have atrial fibrillation before, but when I was shopping today, I suddenly felt flustered and tight in my chest."

Xiao Chu knew even more in his heart that this old lady must have suffered sudden atrial fibrillation.

Sudden atrial fibrillation like this can be corrected after timely medication.

If it is a perennial old atrial fibrillation, medication cannot change it.

Xiao Chu nodded, and continued: "The old lady may be suffering from coronary heart disease, heart failure induced atrial fibrillation."

"The recommendation is to use inpatient treatment. If you only take oral medicine, the treatment effect will not be good, and it may aggravate heart failure or atrial fibrillation cannot be corrected."

"Okay, let's go through the hospitalization procedures for my mother!"

As the middle-aged woman spoke, she took out her medical insurance card.

Xiao Chu went through the hospitalization procedures for her on the computer.

Then the old lady was arranged in the ward, and the intern gave her an electrocardiogram, which really indicated rapid atrial fibrillation.

Of course, this patient was handed over to Gao Yingjun for management.

First, the patient's blood was drawn for routine blood tests, liver and kidney function, electrolytes, and heart failure quantification.

Then use 25% GS20ml+cedilan 0.4mg, slow intravenous injection.

As the cedilan was slowly injected into the old lady's body, Xiao Chu and Gao Yingjun also closely observed the changes of the electrocardiogram on the electrocardiogram monitor.

When the injection of Cedilan was about to be completed, the old lady's electrocardiogram finally changed.

From rapid atrial fibrillation to sinus rhythm suddenly.

Xiao Chu immediately asked the old lady.

"You feel flustered and tight in your chest, are you better?"

At this moment, the old lady seemed to have less shortness of breath, and she said gratefully: "I don't feel flustered now, and I don't feel tight in my chest anymore. You are a god of medicine, doctor!"

Atrial fibrillation is equivalent to a racing heart. Now that the racing stops, of course there is no panic or chest tightness.

Pointing to the electrocardiogram on the monitor, Xiao Chu said to the patient's daughter: "Your mother's atrial fibrillation has been corrected with medication, but the condition of heart failure still needs to be corrected.

If the heart failure is not completely corrected, there may be atrial fibrillation.So the old lady needs to be hospitalized for about a week for treatment.

Family members must take good care of the old lady and avoid her strenuous activities, so as not to aggravate heart failure. "

After hearing Xiao Chu's explanation, the middle-aged woman hurriedly nodded her head in agreement.

Chapter 270

As soon as the patient was treated, a dispute came from the emergency room.

Xiao Chu and Gao Yingjun hurried out.

An extremely beautiful young lady covered her right cheek with toilet paper, her face stained with tears.

She was accompanied by a middle-aged woman, possibly a member of her family.

I was arguing with the trainee doctor Wang Panpan there.

"Can you be a young doctor? My daughter, but her face is injured."

"If your level is not good enough, my daughter will be disfigured!"