Surgeons dressed as poor people in the Republic of China

*Note: Because interns can operate or prescribe medicine only under the supervision of a superior doctor, Richard’s status has been changed to a resident doctor in the previous chapter in order not to come alone to increase the role of the scene.

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"Richard! I'm notifying you, not discussing with you!" Professor Bonn's face darkened, because of the particularity of the doctor system, under normal circumstances, superior doctors have absolute authority over subordinate doctors.

As soon as Professor Bonn opened his mouth, Richard went numb.

"I know, I know, Ye, you can follow me from now on." Richard said perfunctorily.

Dr. Ye did not speak, but showed an equally perfunctory smile at Richard, so angry that Richard almost jumped up on the spot.

Qiao Na quickly brought Ye Yibai's white coat and stethoscope, "Ye, your figure is about the same as Richard's. I took the same model as him. It takes time to make badges. You can go to the Human Resources Department to report when you are free." Here, we need to take pictures."

Ye Yibai took it with both hands, "Thank you, Sister Qiaona." He picked up the white coat and compared it to his body, and muttered as if inadvertently, "It seems to be a bit short. At my age, I will really grow up, maybe It won't last long."

Richard:! ! !

Qiao Na smiled and said, "Don't worry, it's only temporarily worn, and when you get hired, it will be tailored for you, a week at most."

"Thank you, Qiao Na." Ye Yibai smiled.

Qiao Na left happily, leaving behind the eccentric Richard, "I thought you would have basic respect for the superior doctor."

"This is what I should say to you, Richard!" Professor Bonn snapped.

Richard: "...I was wrong, sir."

"Okay, Ye, go to my office and change your clothes, and go to the ward round with us."

Ye Yibai nodded, and turned around to enter Professor Bonn's office. Unlike the last time Puji Hospital borrowed someone else's white coat, this time... it was his own.

Ye Yibai touched the texture of the white coat with his hands, and only when he touched the raised button did he realize that this was not the time to express his emotions. He patted his head and quickly changed into the white coat, while rolling up the stethoscope into his pocket With a stop, he walked quickly to the door.

Professor Bonn was already waiting in the corridor. Besides him and Richard, several blond and blue-eyed doctors, all in their thirties and forties, were standing quietly behind Professor Bonn like wooden figures.

"Teacher." Ye Yibai stepped forward to say hello to Professor Bonn, and walked to the end of the line with interest.

Except for Richard, the eyes of all the other doctors fell on Ye Yibai at once, most of them were curious.

"Ye, about a third-year student, he will follow Richard in the future. His foundation is weak, and you should teach him more when you have time." Professor Bonn said.

All the doctors nodded repeatedly, expressing their understanding.

Now is not the time to introduce themselves, the doctors smiled and nodded to Ye Yibai, expressing their welcome to join the big surgical family.

In the period of the Republic of China, the departments were not as finely divided as in later generations. For example, Jihe Hospital, as the hospital with the best medical resources in Shanghai, only had internal medicine, surgery, electrotherapy, ophthalmology, orthopedics, and dermatology. Except for orthopedics, it was independent. In addition, the rest of the patients who need to be operated on are all major surgeons.

However, this also saved Ye Yibai from the trouble of surgical rotation and running between various departments.

Jihe Hospital is small, with several floors. The first and second floors are for outpatient clinics, pharmacies, and equipment rooms. The third and fourth floors are wards.

Surgical patients are all concentrated on the fourth floor. Most of the patients are blond and blue-eyed. The doctors and nurses are all foreigners. Many Chinese come here to see the doctor and even communication is a problem. Professor Bonn has performed seven surgeries.

Five of them were mild cases. Professor Bonn asked some basic questions, then looked at the nurse's records and it was over in a few minutes. There were two other patients, one with gastrectomy. Although gastrectomy is a relatively mature operation, The duodenal stump of this patient had serious lesions, so he had to give up Billroth I surgery and use Billroth II gastrojejunostomy.

The physiological disorder caused by gastrojejunostomy is relatively high, and the probability of complications is relatively high, so Professor Bonn personally checked the patient's signs.

As for the other...

"Richard, you come to check you to make a clinical diagnosis. Ye, you follow along." Professor Bonn turned to look at Richard.

Richard paused for taking notes, and he looked at the patient on the hospital bed.

The patient was a 76-year-old man who was soundly asleep and had no signs of waking up even with so many people coming in.

"Hello..." Richard was about to wake up the patient, but was stared at by Professor Bonn, "There is no need to wake up the patient, just look at it like this, what can you see?"

Richard's eyes widened in an instant, so what could he see? ? ?

"Um, um, the patient's expression is peaceful, his breathing is steady, and his pulse..." He reached out to feel for the patient's pulse, but due to being overly nervous, he couldn't find anything for a long time. "The pulse is stable, there shouldn't be any problem."

Professor Bonn stared at Richard, the disappointment in his eyes was undisguised, "Although you have not received formal domestic training, you have been in Jihe for half a year, and you have learned this? I don't think a college student can perform better than You are bad."

"Ye, come and take a look."

Richard's face turned red, and he knew he was really not doing well.

Richard is a graduate of St. John's Medical College in the United States, but he did not enter an American hospital for resident and specialist training after graduation, but came to China directly after receiving his degree.

In this era, the doctor training system in Huaguo has not yet been perfected. Richard has improved his surgical skills in the past six months, but in terms of health assessment... isn't it possible to draw conclusions just by looking at the nurse's recorded data?Why do you have to ask him to watch temporarily?

Richard was ashamed, but he didn't think Ye Yibai, a college student with poor foundation, could say anything.

Ye Yibai stepped forward and took out a pocket watch. He also checked his breathing and pulse. When Richard saw this, the disdainful expression on his face became even stronger. Let's see what you can make up.

Ye Yibai stood motionless in front of the patient's bed for 6 minutes.

"No, no, just say it, don't waste everyone's time." Richard muttered softly.

"Shut up." The two, one old and one young, said at the same time.

Richard's eyes widened suddenly. He looked at Professor Bonn with grievance on his face, and looked at Ye Yibai with anger in his heart. His face changed from grievance to anger. It seemed that his nerves were extremely healthy.

"The patient has tidal breathing, combined with the patient's age, consider cerebral arteriosclerosis and central nervous system insufficiency; the patient's pulse presents alternating pulses, combined with the patient's case, consider hypertensive heart disease. The patient is old, has multiple underlying diseases, and has just undergone the above For abdominal surgery, attention should be paid to possible postoperative pulmonary complications.”

"That's all for the time being." Ye Yibai frowned as he spoke, "Why didn't you see the patient for oxygen supply with such an obvious indication?"

Professor Bonn frowned suddenly when he heard this, "Where's the medical records?"

When Ye Yibai said just now, a doctor was looking through the nursing records of the nurses, looking at the record at Ye Yibai, and at the record and then at Ye Yibai.

Could it be that he was sure that the medical record had never been touched in his hands, and he wondered if Ye Yibai had read it secretly.

Hearing Professor Bonn's words, the doctor holding the medical record immediately reacted, handed the medical record to Professor Bonn with both hands, and thoughtfully turned the nursing record to the two pages of yesterday and today.

Professor Bonn glanced down, his brows furrowed tighter and tighter, "Oxygen inhalation regularly? No, if the patient finds that he has difficulty breathing during sleep, there is no way to rescue him. There are several iron lungs in the equipment room, and they will be used immediately."

The iron lung mentioned by Professor Bonn is a negative pressure ventilator invented by two Americans in 1928. It is so large that the patient needs to lie in an iron tank to inhale oxygen, so it is called the iron lung.

The volume of the iron lung is only a little smaller than that of the MRI machines in later generations, and it is inconvenient to move and difficult to manage. At this time, doctors do not choose it and artificial timed oxygen supply, and most of them will choose the latter.

"Yes, Dr. Bonn." The doctor who just took the medical records came down with sweat. He was the one who ordered the regular oxygen inhalation. He wiped the sweat from his forehead and walked out of the ward to the equipment room to contact the equipment.

The eyes of all the doctors looking at Ye Yibai suddenly changed, good guy, the real person doesn't show his face.

This kind of diagnosis based on basic physical signs is actually not difficult. Any doctor can tell it by looking at the nursing records of the nurses, but they are sure that Ye Yibai has never read the nursing records from the beginning to the end, which means that these diagnoses are his. It was judged in 6 minutes.

This is what Professor Bonn said was a junior with a poor foundation?All the doctors looked at Professor Bonn with awe. Fortunately, Professor Bonn was not their teacher when they were students.

As for Richard, who is also a student of Professor Bonn, he received sympathetic eyes from many doctors for a while.

Richard: ...

Naturally, Professor Bonn also noticed Richard who was stunned holding a pen and paper, and his expression sank, "Why are you in a daze! Didn't you hear what Ye said! Write it down!"

Richard: "...good teacher."

After the ward rounds, Professor Bonn's impression of Ye Yibai improved a lot. He has made Ye Yibai into an aspiring young man who loves medicine and is good at self-studying medicine in the Department of Foreign Languages.

"I'm going back to school in the afternoon. Richard, you can take more contact with surgery. He has a solid theory, but his operation skills are relatively poor. You can help him more." Professor Bonn said.

When Richard heard this, his spirit that had been sluggish all morning suddenly trembled again, "Okay teacher, no problem teacher!" He looked at Ye Yibai, showing unprecedented enthusiasm, "Ye, I will take you to school tomorrow. Surgery, what do you want to do, how about cutting an appendix and stitching it up, I'll let you stitch it up."

Ye Yibai: "Thank you so much, Richard."

Richard: "You're welcome!" Richard said briskly, the teacher is right, this leaf theory is solid, but the hands-on ability must be poor, an intern who has never even been on the operating table, he will let him know tomorrow The status of surgery is determined by the knife in hand, not this basic physical examination.

"Then... what do we do now?"

After the ward rounds, the doctors went to the outpatient clinic, and those who returned to the office returned to the office. In an instant, only a few nurses were left in the corridor talking and working, which was a scene of leisure.

Ye Yibai couldn't help frowning.

This is a major surgery. Shouldn't nurses in a major surgery not touch the floor, and family members line up at the door of the doctor's office?

Even when he was in Mayo, because of the adjustment of scientific research work, he shortened the clinical operation time, and there was no time to go to work and do nothing.

Richard stretched his waist, "Today is a beautiful Tuesday. Teacher Bonn doesn't have an outpatient clinic, and I don't have an operation schedule this afternoon. Oh, other teachers have surgery schedule offices. If you need to observe, you can sneak in by yourself." , as for me, I stayed up all night yesterday and need to go to sleep."

As he spoke, he yawned and walked unhurriedly towards the office.

There is no emergency department in Jihe, and patients are admitted by outpatient clinics of various doctors. Ye Yibai and Richard are not qualified to go out to outpatient clinics, and Professor Bonn, who is the only one with outpatient clinic qualifications, also takes care of the work of the medical school, and only goes out twice a week. It was an outpatient clinic in the morning, so Ye Yibai really didn't have a chance to be on the operating table for a while.

Although he was mentally prepared, he was still a little bit disappointed. Let's go to the office to see the surgical operation list.

Thinking of this, Ye Yibai followed Richard to the office, but just as the two of them turned a corner, they saw Qiao Na running over in a hurry before they went up the stairs.

I saw her go straight to Richard, "Richard, it's good that you are here, a lady named Jenny is injured, and she is downstairs now, and she insists on looking for you." asthma.

"Which Jenny? The one at the Half Moon Bar or the waiter at the coffee shop?" Richard responded subconsciously, "Why do they ask me when they get hurt? I'm just friends with them, really."

There was a moment of silence in the corridor, and Qiao Na looked at Richard as if she was looking at a scum.

Ye Yibai's eyes wandered, and he never commented on other people's private lives.

Richard obviously noticed the change in the eyes of the two, with an annoyed look on his face, "Really, I am just friends with them, friend"

"Okay, Richard, I don't care what relationship you have with them. Now someone is injured in the lobby and has to clamor to see you, which has affected our normal work. You must go see her!" This word is very heavy.

As the head nurse of Jihe Hospital, Qiao Na has a greater say than many small doctors.

"Okay, okay, I'll go." Richard said with some reluctance, he turned his head to look at Ye Yibai, "Ye, you come with me."

Ye Yibai nodded, he was idle anyway.

The two followed Qiao Na downstairs, and before reaching the hall, they heard a woman's hysterical voice at the top of the stairs.

"Oh, no, no stitches in my face! I don't want that centipede scar! Richard, I want Richard! He can help me!"

There was a pause when Richard stepped down the stairs, and he turned his head to look at Qiao Na and Ye Yibai awkwardly, "Ye, I suddenly have a stomachache, why don't you go and see for me first?"