My medical skills are a billion points

The patient in front of me repeatedly forgot things and talked about things, and his memory is obviously not good enough. It is really necessary to rule out Alzheimer's disease.

For Wang Panpan to think of this, he really worked hard.

It also shows that her basic knowledge is very solid.

Xiao Chu nodded.

"Well, what you said makes sense. Patients are very forgetful, and we really need to rule out whether they have Alzheimer's disease."

"Wang Panpan, go get ready and give him a check on this aspect."

"Yes, Teacher Xiao!"

Wang Panpan hastily agreed.

She feels a little rejoicing now, but more of it is fear.

In fact, the patient was still a little timid when the situation suddenly appeared just now.

But in desperation, she blurted out the solution, and she was worried that Xiao Chu would say that she had dealt with it privately.

Fortunately, Xiao Chu is a very open-minded teacher, he doesn't care about his disposition, on the contrary he appreciates it.

This made Wang Panpan feel even more that it is a very wise choice to study with Xiao Chu.

After the patient's vital signs were stabilized, Wang Panpan and his family members pushed the patient for a head MRI examination, and the results showed that the patient did have early Alzheimer's symptoms.

However, even if the disease is diagnosed, there is no good way to treat it.

Only symptomatic medication can be used to reduce the progression of the disease.

As soon as Wang Panpan and Xiao Chu returned to the doctor's office, Gao Yingjun immediately said:

"Xiao Chu, now you are not only a great hero, but also a great hero of our department!"

Xiao Chu looked confused.

"When did I become a great hero again?"

Gao Yingjun said: "By the way, you don't know, when you went to see the patient just now, the family of the beautiful woman you saved came again."

"He not only sent you a big pennant, but you don't accept his big red envelope, and donated it to our department fund. You can't refuse it, you can't refuse it at all."

Xiao Chu was really surprised.

He didn't expect that the beautiful woman's family would be so persistent.

It seemed that wanting his money was like wanting his life.

Xiao Chu smiled modestly.

"Handsome, you can't say that, it's not my fault!"

"Saving that woman's life is thanks to everyone in our emergency department!"

Gao Yingjun waved his hand and said, "It was you who performed the operation on her, and it was you who did it bravely. Of course, you deserve the greatest credit!"

Xiao Chu laughed.

"This family is persistent and caring. Donating funds to our department is also a great act of kindness!"

"Yes!"

Gao Yingjun sighed: "This family member is really caring. He is a good person. He understands and supports our doctor's work. It's rare!"

Everyone agreed with Gao Yingjun's statement.

Several people were discussing this matter, and the siren of the ambulance sounded again.

After Xiao Chu went out for consultation, it turned out that she was a pregnant woman with acute abdomen.

Wang Panpan hurried over to help carry the patient to the rescue bed.

The patient was sweating profusely at this time, and his stomach hurt unbearably.

"The patient is 26 years old, 28 weeks pregnant, acute intestinal perforation, septic shock, body temperature 38.5 ℃."

Xiao Chu first made a detailed physical examination on the patient, and felt that the emergency doctor's initial diagnosis was correct.

Xiao Chu already understood the patient's condition.

So Wang Panpan asked about the relevant medical history.

Wang Panpan asked about the medical history, then did a physical examination, and began to issue medical orders.

"Check blood routine, biochemistry, blood and urine amylase, nine items before surgery, blood type, etc."

"Then, prepare for an abdominal ultrasound."

Originally, this kind of patient needs to check CT, but the patient is a pregnant woman, so she can't check CT, and can only check color ultrasound.

After conducting all the inspections, Wang Panpan let Xiao Chu have a look.

Xiao Chu nodded and asked, "What do you think about this patient?"

Wang Panpan knew that Xiao Chu was testing his diagnostic ability.

She looked at Xiao Chu and said confidently:

"The patient was 28 weeks pregnant and had lower abdominal pain for one day. Her body temperature was 38.5 degrees, her blood pressure was 80/50mmHg, and her heart rate was fast.

Physical examination: tenderness in the lower abdomen, rebound tenderness positive plate-shaped abdomen, and symptoms of local peritonitis. It is considered that the patient may be acute intestinal perforation combined with septic shock.

Further examination with color Doppler ultrasound is required, and surgical exploration may be required. "

Wang Panpan finished reporting his condition in one breath and gave his own diagnosis.

Xiao Chu couldn't help but nodded in agreement with Wang Panpan's diagnosis.

"Well, your diagnosis is good. Prepare for the operation. We need to operate on her urgently. Intestinal perforation is the most likely."

Chapter 305

Xiao Chu paused, then said:

"The patient is in shock now. First, give the patient an infusion of cefoperazone sulbactam to fight the infection, and give 100 mg of dopamine intravenously to correct the shock. Rapid rehydration is required, and emergency surgery is planned."

After all, Xiao Chu is experienced.

He quickly made a diagnosis and issued a series of doctor's orders, preparing to operate on the patient immediately.

The patient's husband was very nervous.

"Is my wife okay?"

Xiao Chu said: "We are going to conduct an exploratory laparotomy on her. There is a high possibility of intestinal perforation, and surgery is needed as soon as possible. I have told you the details just now. Sign the consent form for surgery as soon as possible and perform surgery as soon as possible."

"Doctor, the operation will not affect my child, will it?"

Xiao Chu said: "It will not affect the fetus, you can rest assured."

"Don't worry, I will keep your mother and child safe!"

Now Xiao Chu speaks in such a rigid manner.

Speaking hard comes from strong ability.

And Xiao Chu has this skill and ability.

Most doctors dare not say that, and only Xiao Chu dares to say that.

If it were other doctors, they would never talk so full.

If adults and children cannot be protected, it will become a medical malpractice, and the family will definitely not let him go.

"Wang Panpan, you come to help me this time."

Xiao Chu decided to train Wang Panpan well and let her become a qualified doctor with superb medical skills.

At the very least, it is absolutely appropriate to speak out in their county hospital.

Gao Yingjun was a little confused.

"Director Xiao, then, what about me?"

In the past, when Xiao Chu had surgery, it was Gao Yingjun who assisted him.

Now it was suddenly replaced by Wang Panpan, of course he was a little unhappy.

"You will be the second assistant today! Let's give training doctors a chance to learn!"

Gao Yingjun didn't say anything anymore.

In fact, he can also win this surgery, but he just wants to learn more surgical experience and skills from Xiao Chu.

Since Xiao Chu gave the opportunity to Wang Panpan, Gao Yingjun would not say anything.

After all, doctors in lower-level hospitals also need to learn and train.

The preoperative preparations were ready, and the patient was quickly sent to the operating room.

After the anesthesia was completed, Xiao Chu immediately went to the stage and began to repair the perforated intestine.

Wang Panpan stood opposite Xiao Chu and acted as the first assistant.

Gao Yingjun was the second assistant, and he stood on Wang Panpan's left.

Xiao Chu cut open the belly with ease, and he quickly found the location of the perforation of the small intestine.

First use a suction device to suck up the intestinal juice and exudate.

The mesentery and omentum were checked for damage.

After the perforation site was disinfected with povidone iodine, the perforation repair began.

Xiao Chu's movements were fast and steady, as if he was making a work of art.

The role of Wang Panpan as the first assistant is to expand the surgical field of vision, ligate the bleeding point, tie knots, and cut threads.

Now Wang Panpan, for the first time, actually has the feeling of being the master knife.

After all, this is her first time as a helper!

She is also quite proficient in the operation of these first aids.

After all, in their hospital, her level is considered pretty good.

Seeing a bleeding point, Wang Panpan promptly clamped it with a hemostat, and then ligated it.

Need to expand the surgical field of view, need to tie knots, Wang Panpan can follow Xiao Chu's movements.

This made Xiao Chu look at her with admiration.

To be able to keep up with the steps of the chief surgeon, the strength is not bad.

During the operation, Xiao Chu looked at Wang Panpan several times.

He was very surprised by Wang Panpan's tacit cooperation.

"Okay, the operation is complete, will Wang Panpan close his abdomen?"

Xiao Chu asked.

"can!"

"Okay, then I'll leave it to you to shut up the stomach!"

Xiao Chu stepped back from the operating table.

But he did not leave the operating room, but stared at Wang Panpan's operation.

And Gao Yingjun was also watching from the side, he also wanted to see how well this trainee doctor was.

Fortunately, Wang Panpan's suturing skills are not to say extremely strong, but they are still worthy of the stage.

It is better than ordinary trainee doctors.

When the operation was finally over, Xiao Chu said to Wang Panpan: "Panpan, your sense of surgery is good, and you can train well in the future to become a good surgeon. Your suture technique needs to be strengthened in terms of stitch length and aesthetics."

Of course, Wang Panpan accepted all the questions raised by Xiao Chu with an open mind.

As soon as he got off the operating table, the nurse came over and shouted, "Director Xiao, an emergency patient is here."

This is really one crop after another!

There is no effort to drink saliva.