My medical skills are a billion points

Wang Li immediately despised Liu Qing.

"Cut! Old antique!"

"If Mr. Xiao is a 50-[-]-year-old man with a family and a family, then if you like him, you will definitely be cast aside and shameless.

But Xiao Chu is only one or two years older than us, and he is only a teacher in name only, why do you pay so much attention? "

"Then in our medical school, there are some professors who marry their own students. When you come to the hospital, you think so much!"

Liu Qing watched Xiao Chu go away, sighed and stopped talking.

In fact, what she was worried about was not the teacher-student relationship between her and Xiao Chu.

Instead, he was worried that Xiao Chu didn't like her at all.

After all, everyone can see Xiao Chu's excellence.

Moreover, there are many female doctors and nurses who like him, and they are all eyeing Xiao Chu.

Liu Qing felt that she liked Xiao Chu, and she was under a lot of pressure.

So she just liked him silently in her heart, but she didn't dare to show it.

……

Holding Lin Wanqing in her arms, Xiao Chu walked out of the gate of the emergency department and came to a Toyota Alpha van parked not far away.

Putting Lin Wanqing on the seat gently, Xiao Chu showed a gentle smile.

"Sister Lin, pay attention to rest in the next few days after you go back. Remember to take a photo in three days later to see how you are recovering. If there are no accidents, you will be able to return to work soon!"

Lin Wanqing was always immersed in Xiao Chu's arms, unable to extricate herself.

It wasn't until Xiao Chu put him in the car that he slowly came back to his senses.

Lin Wanqing smiled at Xiao Chu, and said, "Thank you, Xiao Chu, I will remember what you said. In three days, I will come to you on time to take a picture. You go to work, I won't bother you .”

Xiao Chu waved goodbye to Lin Wanqing.

As soon as Xiao Chu returned to the emergency room, he ran into Gao Yingjun head-on.

Gao Yingjun looked at Xiao Chu with a wretched smile, pointed to the direction where Lin Wanqing was leaving and said with a smile, "Xiao Chu, are we going to eat your wedding candy from now on?"

"Old Gao, what are you kidding?"

Xiao Chu glared at Gao Yingjun and said, "She is inconvenient to move, why should I help her?"

Lin Wanqing is a top-notch beauty, and Xiao Chu certainly likes it in her heart.

If the two love each other, it is not impossible to walk together.

But neither of the two of them exposed this kind of matter, of course Xiao Chu would not talk nonsense.

"Tsk tsk!"

Gao Yingjun pursed his lips and said, "I've hugged her, but I still dare not admit it, why don't they let me hug her and help her?"

"Tch, believe it or not, it seems that you are too busy now, and you probably won't come to the patient today."

Xiao Chu cast a "curse" on Gao Yingjun.

Gao Yingjun is on duty today, receiving patients.

For a while, the emergency department was relatively free.

The busy work is done.

That's why Gao Yingjun had the time to tease Xiao Chu.

Hearing Xiao Chu said that the patient would not come today, Gao Yingjun's face immediately changed.

"Stop, stop! Don't talk nonsense, you crow mouth!"

Chapter 107 Evil Sex in the Emergency Department

Gao Yingjun immediately stopped Xiao Chu.

In the hospital, all departments have an unwritten agreement.

That is, when you are free, never say words such as "I am very free today", "I will not come to the patient", etc.

Because sometimes, this thing is really evil.

You just said that today is very busy, or that patients will not come today, and some patients will come to make you busy.

Therefore, it is very evil to say in the hospital that "the patient will not come" and the patient will come instead under normal circumstances.

In the hospital, a consensus has been formed privately between doctors and nurses.

No matter how free you are, you will never say words such as "I'm free today", "I will definitely not come to the patient".

Because after saying this, it is likely to be slapped in the face soon.

And some departments, even fruits such as dragon fruit and mango, dare not eat them.

Because dragon fruit means booming, mango means busy!

So when Gao Yingjun heard Xiao Chu say "the patient won't come today", his face immediately changed drastically.

It was hard for him to be free after finishing his work. He didn't want to be "cursed" by Xiao Chu.

And Xiao Chu looked at Gao Yingjun as if he was facing a formidable enemy, and continued to joke: "Old Gao, it scares you, don't you have a lot of free time now? Why do you come to the patient at this time? You will definitely be free until you get off work gone."

"I'll go! Xiao Chu, don't curse me, okay?"

Gao Yingjun said with a mournful face, "Good spirits don't work, bad spirits, we don't like to talk about this in the hospital."

As a result, as soon as Gao Yingjun finished speaking, a nurse rushed over and shouted at Gao Yingjun: "Doctor Gao, just now the emergency call, a serious patient from a municipal hospital is about to be transferred to our emergency department, ambulance almost there."

"Got it, I'm at the door!"

Gao Yingjun replied listlessly, then turned to look at Xiao Chu.

"Xiao Chu, you crow's mouth, you were not allowed to say it just now, but you just said it, so I was just idle for a while, and another serious patient came, you are really a crow's mouth!"

After Gao Yingjun finished speaking, he walked out of the door of the emergency department to meet the arrival of the ambulance.

Xiao Chu looked at Gao Yingjun who hurried to pick up the ambulance, and smiled helplessly.

This thing is really evil.

In the hospital, you really can't say that the doctor is idle, otherwise the patient will be brought in to beat you in the face!

Fortunately, I am not on duty today, so this serious patient will be handed over to Gao Yingjun to take over!

I am going to get off work soon, and I have received a serious patient, so it is impossible to get off work on time!

Gao Yingjun is busy!

It was already 11:30 in the morning, and Gao Yingjun came out to pick up the patient.

From the time he received the patient, he opened the hospitalization procedures for the patient, and when necessary, he also needed to lead the patient to do various examinations.

There are still various medical records to be written. Even at the fastest time, it will take more than an hour to process this patient.

At that time, not to mention getting off work on time, even lunch may not be available.

Soon, the ambulance came roaring and galloping, and Gao Yingjun began to get busy.

Since Gao Yingjun was on duty today, it was naturally impossible for Xiao Chu to go up to help.

When receiving patients, we should pay attention to the first-diagnosis responsibility system. Whoever receives the first patient will be responsible for the whole process of this patient to the end.

No matter how many patients there are, as long as Gao Yingjun doesn't ask for help, Xiao Chu can't go up to help.

Otherwise, there will be suspicion of robbing patients.

Xiao Chu glanced at the busy handsome Gao, then went back to the doctor's office to write the medical records.

When it was time to get off work, Xiao Chu had lunch in the staff canteen of the hospital, and then went home for a lunch break.

At 02:30 in the afternoon, Xiao Chu came to work at the hospital on time.

Although he wasn't on duty to admit patients today, he belonged to the second-line shift, a doctor in the mobile group.

It is the doctors on duty. If they are too busy to handle the patients, they need the second-line shift to handle them.

If there are more patients on a certain day, the second-line class is also busy.

But today looks fine, Gao Yingjun is the one who is busy.

Xiao Chu, a doctor in the second-line class, is relatively free, and mainly comes to write medical records, the course of the disease and so on.

Xiao Chu sat in the office and was typing on the computer when Gao Yingjun walked in with a frown.

Seeing him like this, Xiao Chu knew that Gao Yingjun must have encountered a problem.

Then he asked, "Senior Brother Gao, what's wrong with you? Like an eggplant beaten by Shuang?"

"Ugh!"

Gao Yingjun sighed and said: "That patient who came here this morning when he was about to get off work was a bit strange, and he couldn't figure out what was going on. I was in a hurry. Otherwise, Xiao Chu, come and show me?"

Gao Yingjun is also a senior resident doctor.

You can be promoted to attending physician next year.

He can't even handle the patient, probably some intractable disease.

Now that Gao Yingjun asks Xiao Chu for help, of course Xiao Chu can't just sit idly by.

So he asked, "What's the patient's condition?"

"The patient is a 51-year-old male."

Gao Yingjun began to introduce the basic situation of the patient to Xiao Chu.

"This patient had a stone in his left kidney with a diameter of one centimeter. Since the stone could not be crushed by ultrasound outside the body, the local municipal hospital performed a percutaneous kidney stone removal on him. It used a conventional surgical method. "

"The patient had undergone the operation for the first two days, and nothing happened. His vital signs were relatively stable. It was today, the fourth day after the operation. Abdominal pain, abdominal distension accompanied by fever suddenly appeared, and the blood oxygen saturation decreased, and the blood pressure Also down. Vital signs are very unstable."

"The local hospital saw that the vital signs could not be controlled, so it was transferred to our hospital.

After the patient came, he underwent blood routine, PCT, abdominal CT and abdominal color Doppler ultrasound.

Blood routine white blood cells are relatively high, pct is also high.Chest CT showed no major problems, but abdominal CT showed no obvious problems.

The place where the kidney was operated on is not a big problem, and the color Doppler ultrasound only shows cholecystitis.The most critical problem for this patient now is that his blood pressure has been unable to maintain, and the blood pressure can only be raised a little with the use of booster drugs. "

"Judging from the current situation, this patient is obviously in septic shock. The infection is so severe that it caused shock, but what I am more concerned about is, where is the source of the infection? Can't I find it?"

"I did all the checks that should be done, but I couldn't find an obvious source of infection. You say it's weird."

After Gao Yingjun finished explaining the patient's current medical history in detail, he still looked puzzled.

After hearing about the cause of the disease, Xiao Chu had a rough judgment on this patient in his heart.

But what is the specific reason, causing severe infection.

Where is the source of infection?

Of course, you need to see the patient before you can be sure.

Xiao Chu stood up and said, "Let's go and see the patient."

No matter how detailed the patient's medical history is, Xiao Chu can't tell what kind of disease the patient is without seeing the patient himself.

Chapter 108 Xiao Chu is Not a God

Xiao Chu and Gao Yingjun soon arrived at the emergency intensive care unit.

The patient is a man in his 50s, gray complexioned and comatose.

The endotracheal tube was inserted, and the breathing was assisted by a ventilator.

There is also a drainage tube on the left waist, which belongs to the drainage tube of the kidney stones made in a local hospital.

Gao Yingjun pointed to the data on the ECG monitor and continued to introduce the patient's condition.

"Xiao Chu, look at this patient, his blood pressure is extremely unstable now, he has already used norepinephrine and metaraminol bitartrate, but his blood pressure is still unstable.

It drops from time to time, and now the amount of booster drugs has been taken away, and his procalcitonin is particularly high, reaching more than 200.

Moreover, the lactic acid level is also very high, which lasts around 9.0mmol/L. This patient's microcirculation is very poor, and the infection is particularly serious, which is estimated to be very dangerous. "