My medical skills are a billion points

Chen Bin took a deep breath.

Even he can only do one or two level 4 surgeries in general surgery.

Unexpectedly, Xiao Chu said that most of them have dabbled.

Really amazing!

But after all, Chen Bin didn't see it with his own eyes, nor did he take it seriously.

Level [-] surgery is not something ordinary people can do.

No matter how perfect Xiao Chu's appendectomy was, it was only the appendix.

Compared with the fourth-level surgery, it is nothing.

But generally speaking, Chen Bin finally had a comprehensive understanding of Xiao Chu.

He thinks Xiao Chu is a very practical and capable doctor.

But he still needs more experience on the operating table to consolidate his position.

After thinking about it, he said to Zhou Ziqiang who hadn't left yet:

"Isn't Xiao Chu with you now? There will be surgery in the future, if Xiao Chu can do it, try to let him be the chief surgeon."

I have to say that Chen Bin is definitely a good director.

He felt that Xiao Chu was a useful talent, so he prepared to pave the way for Xiao Chu.

Such people are really rare in such a complex society.

Of course Zhou Ziqiang understood why Chen Bin said that, so he nodded in agreement.

"No problem, Director Chen, whenever there is an operation in the future, as long as Xiao Chu himself says he can be the chief surgeon, I will let him be the chief surgeon. I can help him."

It can be said that Xiao Chu's performance recently has completely convinced Zhou Ziqiang.

Xiao Chu has far surpassed Zhou Ziqiang in terms of diagnosis, knowledge and surgical skills.

Now Zhou Ziqiang worships Xiao Chu endlessly.

He didn't think it would be a bit embarrassing for Xiao Chu to fight.

On the contrary, I feel that following Xiao Chu, I can learn a lot and improve my technical level at the same time.

It can only be said that Zhou Ziqiang's vision is very good, and he even has the idea of ​​asking Xiao Chu for advice.

……

Coincidentally, when going to work in the afternoon, Xiao Chu actually picked up another patient who needed an appendectomy.

Sometimes in the hospital, it is very evil.

The same case may sometimes not be encountered for a few days.

And sometimes, several cases can be encountered in one day.

Needless to say, this time the operation was still performed by Xiao Chu.

And this appendicitis patient was only acute simple appendicitis, without suppuration or perforation.

This time, Xiao Chu's operation was even faster.

After the anesthesia was completed, the appendix was removed in just over 20 minutes.

Zhou Ziqiang was secretly speechless.

He secretly thought that Xiao Chu was a pervert.

Chapter 35 Unusual Pesticide Poisoning

For the next few days, Xiao Chu only watched Fang Wenyuan's hand recover every day.

Then in addition to writing medical records every day, I see patients.

During this period, Zhou Ziqiang handed over all the patients with appendicitis to Xiao Chu directly.

Watching Xiao Chu undergo surgery, Zhou Ziqiang even suspected that he was an intern.

This morning, Xiao Chu was typing medical records in the office when he saw Zhou Ziqiang running towards him in a hurry.

"Where did you go just now? I've been looking for you for a long time!"

"Go to the bathroom, what's wrong?"

Zhou Ziqiang grabbed Xiao Chu and walked towards the ward.

"There is a patient with strange symptoms, come and have a look!"

Although Zhou Ziqiang is the attending physician, he now regards Xiao Chu's status as higher than his own.

Once there is any case that he is not sure about, he will ask Xiao Chu to see it.

It can be said that Zhou Ziqiang now regards Xiao Chu as a superior doctor.

There is no way, the strength is there!

Even if he is an attending physician, his strength is still not as good as this resident training doctor.

In the ward, a young woman was lying on a hospital bed with a listless look.

Oxygen has been infused and a drip has been put on.

Zhou Ziqiang pulled Xiao Chu to the patient's bedside, and said:

"A young woman, 26 years old, who lives in the suburbs, said that after spraying pesticides in the field today, she experienced dizziness, nausea, and panic.

I did an electrocardiogram, but there was nothing wrong with it, but the cholinesterase decreased, and it was considered to be poisoning from pesticides absorbed through the skin. "

Having said that, Zhou Ziqiang paused.

"The problem is that the red blood cells and hemoglobin in the blood test are relatively low, but the pesticide poisoning can't explain the low blood test, but she has no other symptoms except dizziness, nausea, and palpitation."

Zhou Ziqiang briefly described the situation of the female patient.

Then she looked at Xiao Chu to see what opinion he gave.

Now is the weather in June. If pesticides are applied at noon, it is easy to cause poisoning by the pesticides absorbed through the skin.

And this female patient experienced dizziness, nausea, palpitation, and decreased cholinesterase after the application of pesticides at noon, which indicated that she might be poisoned by organophosphorus pesticides.

The key point is that Zhou Ziqiang can't figure it out.

Pesticide poisoning will not cause blood routine red blood cells and hemoglobin to drop!

How can this be explained?

This female patient was in poor spirits and her complexion was a little pale. Xiao Chu could tell at a glance what was wrong with her.

But he still went forward to examine the patient.

Then he said to Zhou Ziqiang, "Did you ask her if she had her period?"

A trace of confusion flashed across Zhou Ziqiang's face.

"I asked, her period has just passed a week."

"But she said that her menstrual flow is normal. The problem of low red blood cells and hemoglobin should not be caused by excessive menstruation."

The reason why Zhou Ziqiang couldn't diagnose this patient clearly was because of various reasons, which caused a coincidence.

First of all, because this patient applied pesticides at noon, when he sweated the most, it was easy to cause pesticide poisoning.

And her symptoms are only dizziness, nausea, and palpitation, which are also symptoms of pesticide poisoning.

So it is easy for people to directly diagnose pesticide poisoning.

But this female patient is very anemic.

Pesticide poisoning will not cause anemia.

So all these situations caused confusion to Zhou Ziqiang.

Xiao Chu didn't speak, turned around and went to the nursing treatment room, and took a [-]ml syringe.

Seeing Xiao Chu brought back a syringe, Zhou Ziqiang was even more puzzled.

He couldn't figure out what Xiao Chu was going to do?

Xiao Chu first used iodophor to sterilize the patient's left lower abdomen, anti-Mai's point.

Then he said to the patient: "I'm going to perform a paracentesis on you now, don't be nervous."

The female patient nodded slightly.

Zhou Ziqiang understood immediately.

"Xiao Chu, are you suspicious of her ectopic pregnancy? It's impossible, her period has just passed."

Xiao Chu smiled.

"Look it up, you'll know if you don't!"

As Xiao Chu said, he performed a puncture on the patient's lower left abdomen.

As the syringe plunger was pulled out, dark red blood was drawn out of the syringe immediately.

Xiao Chu drew about four or five milliliters, then pulled out the syringe.

Shaking it against the light, the blood in the injection did not coagulate.

Zhou Ziqiang was stunned immediately!

"The abdominal cavity is drawn out without clotting!"

"She is really an ectopic pregnancy!"

There are a small amount of lubricant in the abdominal cavity of normal people.

But with a syringe, it is impossible to draw out blood, let alone draw out blood.

There is only one possibility that blood can be drawn from the abdominal cavity, and that is that the patient has intra-abdominal hemorrhage.

However, this patient was not injured, so rupture of the liver or rupture of the spleen can be ruled out.

Then there is only one possibility, which is ectopic pregnancy.

Because the patient has an ectopic pregnancy, it is usually accompanied by menopause.

As for this patient, his menstruation had just passed for a week, so Zhou Ziqiang ignored him.

At this time, Zhou Ziqiang saw the tube of blood in Xiao Chu's hand, and he was secretly glad in his heart.

Fortunately, Xiao Chu had a look at it, otherwise he wouldn't take this patient's anemia seriously.

Then this patient's ectopic pregnancy will continue to bleed, resulting in missed diagnosis, which will make her condition critical.

Zhou Ziqiang glanced at Xiao Chu gratefully, and wiped his sweat secretly.

Now the patient's condition is basically clear.

However, further examination is needed to complete the relevant evidence.

Xiao Chu handed the drawn non-clotting blood to the nurse at the side, and said, "Give her a color Doppler ultrasound of the uterine appendix, check blood HCG, make blood type and prepare blood, and prepare for surgery."

Zhou Ziqiang immediately said: "Okay, I'll go and do these tests on her now, and ask the family members to sign the consent form for the operation."

Surgical treatment is the only option for ectopic pregnancy.

What Xiao Chu has to do now is to communicate with the family members as soon as possible and ask him to sign the operation consent form.

The family member is a young man who is also the husband of the female patient.

Hearing that an operation was to be performed, I was very nervous.

"Doctor, what is an ectopic pregnancy? Why do you still need surgery?"

It is normal for ordinary people to not understand ectopic pregnancy.

Xiao Chu patiently explained to him.

In this case, if he does not explain clearly to his family, he will not sign the consent form for surgery.

Talking before surgery is normal work.

Xiao Chu stood beside the patient's bed and said to her husband: