good handedness

The patient's condition was not as scary as the emergency department said. It was indeed vomiting blood, but it was not a big mouthful, but blood streaks mixed with nausea and vomit.The chest pain was severe, but no thoracoabdominal hemorrhage, cardiopulmonary, and major blood vessel rupture were found on B-ultrasound exploration.The results of routine blood tests were also unremarkable, with only a slight increase in inflammatory indicators.

Gastroscopy only showed an ulcer on the wall of the esophagus, and the bleeding should be caused by the ulcer.The problem is, an esophageal ulcer shouldn't cause severe chest pain.The electrocardiogram is normal, the myocardial enzymes are normal, and the patient has no history of chest pain before that, myocardial infarction and acute coronary can be ruled out.

So, what happened to this dude?

Leng Jin's eyes moved away from the computer screen, and looked towards He Yubai's desk through the frosted glass.This "big expert" has never made any remarks on the cause of the disease since he entered the emergency room and a group of people withdrew to the ward.

"Director Leng, the patient's family refused to have a CT scan." Ruan Siping knocked on the door and leaned in half of his body, "I said that I didn't find anything wrong after checking it again and again, and if the CT scan can't find any problems, it's a waste of money. What should I do now? "

This kind of situation is common, and the inspection fee can cost thousands of dollars, and some of them need to be borne at their own expense.If the doctor does not ask the family members before prescribing the order, it is easy to be complained.

"Put it in the emergency observation room first, and monitor the data for two hours." Leng Jin raised his hand, "Observe for 24 hours, if there are no other symptoms, let him go home first."

Ruan Siping turned his face to leave, but suddenly remembered something, turned around and said, "Director Leng, for the operation in the afternoon, should I follow or Yao Xinyu?"

"Yao Xinyu, you go back to bed early." Leng Jin said, through the crack of the door, he saw He Yubai got up and walked out of the office, and immediately turned his head towards Ruan Siping.

"Follow, let's see what he wants to do."

He Yu noticed the tail behind him, and looked back at Ruan Siping when he got out of the elevator.

Ruan Siping grinned at him.

He told the other party very politely: "Please tell Director Leng that you don't need to monitor me, I know what I'm doing."

"Uh, Doctor He, please don't embarrass me." Ruan Siping blinked innocently.

"Are you all afraid of him?" He Yubai asked as he walked.

"I can't say I'm afraid..." Ruan Siping thought for a while, "Well, he really has a bad temper and tends to be violent. He's a good doctor, but working under him is hard."

"Doctor is a hard job." He Yubai paused, "My parents are both doctors, so they hardly have time for me."

"Do you have siblings?"

"A brother, a sister, twins."

"That's great, I'm the only child." Ruan Siping closely followed He Yubai's footsteps, "Doctor He, where are you going?"

"Emergency observation room, I have some questions I want to ask the patient."

"Oh...but the direction you are going is to go to the morgue."

"..."

He Yubai stopped walking in an instant - he clearly remembered that turning right and then turning right was the way to the emergency room.

The patient was tossing and turning on the hospital bed, and it seemed that the chest pain was still severe.He Yubai asked several questions that might cause chest pain, but the answers he got were of no reference value.He was very concerned about the ulcer on the wall of the esophagus, because the ulcer was located on the side close to the aorta.

"Let's do a CT." He communicated with his family members. "If the ulcer is formed by a wound that has not healed for a long time, it is very likely that the foreign body that stabbed the esophageal wall will also stab the aorta, causing pain and bleeding."

The family members frowned displeasedly: "Didn't your director say that there was no bleeding?"

"Subtle bleeding cannot be seen under B-ultrasound."

"Can CT see it?"

"In the early days, I couldn't see it." He Yubai said truthfully, "But at least the hidden danger can be ruled out. Aortic hemorrhage can kill you in a few minutes."

"I said you doctors, what's the matter if you don't rely on equipment to see a doctor?" The family members rolled their eyes violently, "I don't know what's wrong, and we have to prescribe a lot of checkups. We spent more than 3000 this morning. Hey , are you relying on this to give bonuses?"

Ruan Siping shrugged his shoulders at He Yubai from behind his family members. He simply couldn't count the number of patients who were delayed from the best treatment time due to care about examination fees.

Taking a deep breath, He Yubai said: "Modern medical technology relies on instruments to help doctors quickly and accurately detect the cause of the disease. This is the convenience brought by technological progress. For example, if you have running water at home, you will go to the well outside Do you carry water?"

The family members were stunned: "But CT has radiation, and radiation causes cancer!"

"Tap water must be sterilized with chlorine gas, and the water will form hypochlorous acid, which is also toxic." He Yubai said immediately, "Two evils are the lesser of two evils. If you do not eliminate hidden dangers, I am afraid that your family may not survive." cancer-causing age.”

The nurse next to her coughed, and it sounded like she couldn't hold back her laughter.

"Hey! What are you talking about!" The family members yelled, "Call your superiors! What kind of hospital is this, how can you hire a doctor like you!"

Leng Jin carried He Yubai from the emergency room back to the ward with a gloomy face.He actually wanted to take He Yubai to Ji Xianli's office, and then tell Comrade Ji that they could only keep one of them.

The problem is, what He Yubai said is not wrong at all.If a foreign object really penetrates the aorta, let alone live to get cancer, whether he can see the sun tomorrow morning is still open to question.

So, with a matter-of-fact attitude, Leng Jin suppressed his temper and asked, "Why do you think that the ulcer was formed by a wound?"

He Yubai said frankly: "Bold assumptions, careful verification, this is the professional quality that every doctor must have."

Leng Jin tapped his fingers on the table and said, "Doctor He, I apologize to you."

He Yubai was puzzled.

"I was really unfounded. I was worried that you would not communicate with your family members. Now it seems that I was wrong." Leng Jin's expression was more contemptuous than hearing someone leave surgical instruments in the patient's abdomen, "But according to your communication method , Dazheng General Hospital will be bankrupted by you sooner or later."

"I'm just stating the facts!"

"There are many ways to state the facts. Is the death of the cursed patient the only way you can think of?"

"Don't you think it is necessary for him to have a CT?" He Yubai asked back, "Good medicine is good for the disease, and good advice is good for the deed. Director Leng, are you timid after being complained about? Or, have you forgotten that when you entered the medical school? The oath you made?"

Leng Jin has always been the only one who is aggressive, but now he is not angry at being questioned by He Yubai like this.Yes, he was often complained by family members and patients. He has been a doctor for many years, and he seems to be used to cautious operations in this area.

He Yubai stared firmly into Leng Jin's eyes.He didn't know what the consequences of what he said just now would lead to this director who had a high self-esteem.But didn't "Uncle" also say that he sticks to his bottom line and fights to the end.

The two looked at each other for a moment, then Leng Jin grabbed the handset of the landline phone and dialed to the emergency department: "Do a combined chest and abdomen CT for the observation bed... Yes, it was requested by the director."

After hanging up the phone, he picked up the patient's medical record and slapped it in He Yubai's hand.

"If a problem is found, the patient will hand over the bed to you."

With a smile in his eyes, He Yubai's expression looked to Leng Jin like a kindergarten kid who got candy.

What a brat to be happy with a bed, he thought.

Seeing the CT results on the computer, Leng Jin rushed out of the office and called Ruan Siping and He Yubai to the emergency observation room. CT showed that there was a pseudoaneurysm close to one centimeter in size near the esophageal ulcer in the aorta. Once it ruptured, the consequences would be disastrous.

After urgently discussing the operation plan with his family members, the patient was pushed into the operating room.Before entering the operating room, Leng Jin walked up to He Yubai and asked, "Can you follow the stage?"

He Yubai pursed her lips tightly and shook her head.

Leng Jin frowned: "Even minimally invasive surgery?"

He Yubai continued to shake his head.

Mumbling "It's hopeless", Leng Jin turned and walked into the operating room.He Yubai stood in the corridor outside the operating room, staring at the slowly closing door of the operating room, his eyes were slightly hot.All his surgical experience is seen from the video, and the distribution of each blood vessel and nerve, the use of instruments, and suture techniques have long been thoroughly familiarized.

He tried, but he couldn't.Just dissecting corpses in medical school had already exhausted all his willpower. During his internship, he saw the chief surgeon cut a knife on a living person, and he lay down on the ground the moment the blood gushed out.

Back then, he thought about fulfilling He Quan's long-cherished wish and becoming a top thoracic surgeon.But the reality was too cruel, no matter how much he practiced, he still couldn't overcome the bloodsickness.

After going to many hospitals, he finally accepted the fact that he could not hold a scalpel.Coming to Dazheng General Hospital was the last chance he gave himself. If he couldn't continue, he would have to go back to his uncle's pharmaceutical factory and stay in the laboratory for the rest of his life.

During the disinfection, Leng Jin met Director Xu of the second district who had just undergone surgery, and Leng Jin nodded politely at him.Xu Jianxing, the director of the ward, has the oldest qualifications and is very likely to become the next vice president.But Leng Jin was well-known, and some people said that Ji Xianli wanted to promote him, so he always felt that Lao Xu was competing with him.

Xu Jianxing raised the corner of his mouth at him: "Director Leng, I heard that a new diagnosis expert with blood sickness has arrived in your district."

Which pot is not opened and which pot is lifted, Leng Jin presumes he didn't hear it.

"Old Ji really entrusted you with a heavy responsibility." Xu Jianxing didn't care about the other party's ignorance, "I also heard that Dr. He is a relative of a high-level person. You have to pay attention to your temper. If you offend him, when the time comes Give you little shoes to wear."

Leng Jin shook his hands and turned to look at Xu Jianxing.He actually guessed that He Yubai must have a background, otherwise, based on the dizziness of blood, which hospital would want him?

"Thank you for the reminder, Director Xu." He was sincere. At least the other party was a senior who was a few years older than him. "But even if he is a relative of the chairman, as long as he works under my hands, don't expect to receive special care."

Xu Jianxing smiled: "Well, that's all I appreciate about you. Stick to principles and don't give anyone face."

"Just think you're praising me."

After leaving the words, Leng Jin turned around and walked outside the disinfection room.The one on the operating table is waiting for help, he has no time to chatter here.

Seeing Leng Jin remove a small but hard fishbone from the patient's aorta, the operating room immediately became lively.Everyone had only heard of this kind of situation, and it was the first time they encountered it, and they all took pictures to commemorate it.

The fishbone had been around for a while, first piercing the esophagus, and then piercing into the aorta close to the esophagus.He Yubai's speculation was correct, the ulcer on the esophageal wall was indeed formed by a wound that had not healed for a long time.Leng Jin had to admit that this little guy had some skills.

After he came out of the operating room, he realized that he hadn't eaten lunch yet, and the scheduled operation was about to start, so he hurriedly ordered the interns following the stage to go to the cafeteria to get some food, and he swiped his phone in the locker room to take a break.

A serving of steaming curry beef rice was handed over to him.Leng Jin raised his head, and saw He Yubai standing in front of him, holding his presumably his own meal in the other hand.

"Thank you."

After receiving the meal, Leng Jin raised his eyebrows slightly - what do you mean?Kiss him?

"You're welcome."

Sitting next to him, He Yubai opened another serving, bowed his head and began to eat.Leng Jin glanced sideways, and found that He Yubai's portion was still the same as yesterday, green pepper and potato shredded rice.

"Are you vegetarian?" he asked curiously.

"Eat some fish." Swallowing what was in his mouth, He Yubai raised his eyes and stared at the locker, "Director Leng, thank you for supporting my decision."

Being thanked suddenly, Leng Jin was a little embarrassed: "Ah, yes, I was going to find you, and your judgment is correct."

"Actually, I did nothing wrong." He Yubai sighed, "I have followed some teams before, but the team leaders always feel that my existence is... a threat."

Leng Jin couldn't help laughing: "Could it be that they are afraid that you will suddenly rush into the operating room and snatch the scalpel?"

Turning his head to the side, He Yubai frowned slightly: "Director Leng, what you say hurts my heart."

"Well, that's a really high rating."

Leng Jin felt quite happy.

TBC

The author has something to say: Can you catch up like this?I feel... unlikely.dry laugh

In fact, we Xiaobai are not very soft.

At present, there are more than 400 cases on hand, wait for me to study slowly and choose special ones to write