good handedness

Seeing that the patient was still conscious, He Yubai stepped forward to inquire.This is not the patient he admitted, but if it is really a fatal problem, it is better to ask more than to wait to delay the best time for treatment.

"What's wrong with you?" he asked the patient.

"Here..." The patient pointed weakly at the upper abdomen, "vomit... dizzy..."

He Yubai began to palpate: "How many times have you vomited?

"Three or four times..." The patient frowned impatiently as He Yubai's hand pressed his stomach back and forth, "Hey, the doctor surnamed Zhou has already asked me...how is it?" Still asking... Isn't it just gastroenteritis... just give me some medicine, I want to go home..."

There was no abnormality in palpation, so He Yubai had no choice but to persuade patiently: "Uncle, your blood pressure drops too fast, gastroenteritis is not like this."

"Your doctors are just like this...you look for a doctor if you don't have a disease...you treat a minor ailment when it becomes serious..." the patient muttered, "or you can find me an older one...you...you are still an intern live..."

He Yubai's expression tensed, and he pursed his lips tightly.

The family member hurriedly said: "Dad! You listen to the doctor and don't talk nonsense."

He smiled embarrassedly at He Yubai.He Yubai didn't mind. During the outpatient clinic, some elderly patients came into the room and saw his young face. They turned their heads and went to the triage desk to ask the nurse to change the clinic. He was used to it.

He Yubai confessed to the emergency nurse who was about to go out: "Please, help me get an electrocardiogram of this bed."

The nurse let out a "hmm", packed up her things and pushed the cart out.He Yubai stood by the bed and waited. After a while, an unhappy voice came from the door: "Who ordered the electrocardiogram?"

He Yubai looked back and saw that it was Zhou Yang from the second ward.

Zhou Yang had just finished suturing a child's jaw wound in the debridement room, and when he went out, he saw a nurse walking towards the emergency observation room with an electrocardiogram.But besides Ruan Siping, there was only one patient he admitted, and he never ordered an electrocardiogram.Hearing that it was He Yubai who pulled it, he was a little displeased.

——The people in your district are too self-righteous, right?The patients I accepted, please come to me after the consultation!

"Me." He Yubai walked over, and just about to take the EKG, suddenly saw Zhou Yang's other hand was still wearing a blood-stained glove, and immediately looked away.

Zhou Yang knew that he was dizzy, so he shook the electrocardiogram with disdain, raised his eyebrows and said, "I've seen it before, and there are occasional premature beats and a first-degree atrioventricular block. Dr. He, the patient has no symptoms of chest pain and tightness. What do you suspect?" ? Heart attack?"

"I need to take an EKG first."

He Yubai carefully pulled the paper out of his hands, and looked down quickly.After watching for a while, he suddenly pushed aside Zhou Yang who was blocking the door, ran to the corridor and yelled at the nurse: "Paste multifunctional electrodes on the second observation bed!"

Zhou Yang bumped his shoulder against the wall, it wasn't serious, but it was enough to make him angry: "He Yubai! What do you mean! This is my patient!"

"It's not first-degree atrioventricular block, it's third-degree atrioventricular block!" He Yubai couldn't care less about being polite to him. Ventricular fibrillation and cardiac arrest may occur anytime and anywhere in such a situation. Prepare for emergencies.

"Three... three times?" Zhou Yang hurriedly took off his gloves and threw them into the trash can, pulled the list and read it carefully from beginning to end, and said stammeringly: "This heart rate...is sixty times...why? will be……"

He Yubai was putting on the multifunctional electrodes together with the nurse. He frowned when he heard Zhou Yang's words: "The P wave is integrated into the premature beat, and it jumps separately from the QRS wave. Didn't you see it!?"

Zhou Yang was speechless.The electrocardiogram has always been hailed as a "book from heaven" by doctors. What is taught in the book is typical symptoms, but most of the symptoms encountered in practice are atypical symptoms. Without a certain amount of accumulation, it is difficult to see the problem at a glance.Besides, he specializes in trauma surgery, and he is really not good at things in his heart.

Before Zhou Yang could see the way in the "Book of Heaven", the patient suddenly convulsed, and the monitor issued a sharp alarm at the same time.

"Doctor Zhou!" The nurse anxiously called him for advice on how to deal with it, "The patient has ventricular fibrillation!"

Zhou Yang panicked and suffered trauma every day. He had never dealt with this situation independently.

"200J for defibrillation! Get ready for endotracheal intubation, epinephrine!" Seeing that Zhou Yang was in a daze and looking stupid, He Yubai immediately told the nurse—don't care who takes the patient at such a time, life-saving is the most important thing!

After receiving the instructions, the nurses followed suit one by one. Fortunately, He Yubai just asked for a defibrillator, so he is not in a hurry right now.After the defibrillation was completed, He Yubai saw Zhou Yang still poking around stupidly, and hurriedly shouted: "CPR!"

That roar made Zhou Yang feel like the other party was possessed by Leng Jin.But the situation could not be delayed, and he immediately started to perform chest compressions on the patient.

He Yubai squatted halfway to the head of the bed, took the laryngoscope handed over by the nurse and intubated the patient's trachea.That calm demeanor, even a well-informed emergency nurse has never seen such a young doctor.

After connecting the ventilator and waiting for 2 minutes, He Yubai got up to check the patient's vital signs and found that there was still pulseless ventricular tachycardia, and then performed 200J defibrillation.After defibrillation, he continued to press the chest cavity, making Zhou Yang's tired sweat drip down his nose and chin.

After 2 minutes, the nurse reported: "Heart rate 45! Blood pressure 70/40!"

Hearing the patient's spontaneous heart rate, Zhou Yang retreated to the side to wipe his sweat.He Yubai checked the patient's monitoring data, and issued Zhou Yang's doctor's order: "Atropine 0.5 mg is administered intravenously, and the electrode pads are set to external pacing mode, pacing on demand, 50mA, frequency 60 beats/min."

At this time, another nurse sent an electrocardiogram for reexamination. Zhou Yang panted heavily and dragged it over to take a look, his eyes immediately widened.Within half an hour before and after, the electrocardiogram was no longer a "magic book", and medical students could diagnose it—the "red flag" was flying across the inferior wall leads, typical characteristics of inferior wall myocardial infarction.

He Yubai read the electrocardiogram and confessed to the nurse: "Do another electrocardiogram of the right side of the heart."

The nurse was taken aback for a moment - it is rare for a doctor to ask for a right heart ECG.

Seeing that she didn't respond, He Yubai attached the ECG lead to the patient's right chest wall by himself, and then urged the nurse to take the ECG.The electrocardiogram was taken over and checked, which confirmed his speculation—the right heart was also infarcted, and the patient's hypotension symptoms just now were caused by the inferior wall myocardial infarction involving the right heart.

"Increase the amount of fluid replacement and let the cath lab prepare for the interventional operation." After giving the doctor's order, He Yubai turned to look at Zhou Yang - Zhou Yang's mouth hadn't closed since he got the second ECG.

He suddenly realized that he had robbed the opponent's patient, so the aura that dominated the audience when he first rescued him immediately dissipated, and he returned to his usual soft attitude.He pursed his lips and asked, "Is there any question, Doctor Zhou?"

Zhou Yang swallowed his saliva, and praised sincerely: "You are really good."

"Actually, this is the first time I have led the rescue of a patient with myocardial infarction." He Yubai smiled shyly, "It is not in vain to get the ACLS certificate from the American Heart Association."

Oops, I haven't taken the certificate yet!

Zhou Yang suddenly felt that he was shorter than the opponent.

In the middle of the night, there were no more patients, Zhou Yang was free, thought about it and decided to go find He Yubai.He knocked on the door of a consulting room, pulled a chair and sat across the table.

He Yubai looked around and asked him, "Looking for me?"

Zhou Yang cleared his throat and said hesitantly, "Doctor He, I just... had a bad attitude, so I came here to apologize to you."

This made He Yubai feel embarrassed, he took a sip of water from the cup, lowered his eyes and smiled: "No, I shouldn't have meddled with your patient at will... It's just that the inferior myocardial infarction may cause abdominal pain instead of chest pain , I saw a sudden drop in blood pressure of the patient... I was worried about misdiagnosis."

Zhou Yang asked curiously: "I heard that you have never worked as a director in any hospital, but you have quite a lot of experience."

"My parents are both doctors, and my supervisor is a well-known expert in diagnostics. They have given me a lot of professional guidance... In the past few years, I have read 10,000+ case materials and memorized them all, so clinically See, most of them can tell the difference." He Yubai looked at him frankly, "Doctor Zhou, I'm not showing off...I can't compare with you, you can take over patients anytime and anywhere, but I...I can only take patients from a distance. Watching you race against death, so when I meet a patient who may increase my clinical experience, I will... be troubled."

"No, thanks to you, otherwise something serious will happen, and I will be scolded to death by Director Xu." Zhou Yang said, turned his head to look at the door, and after confirming that the door was closed tightly, he lowered his voice and said to He Yubai: "Doctor He, You and Director Leng, please pay attention. A few days ago... I saw a surveillance video of the ICU corridor on the director's computer. You two are there... Ah, I'm not saying that you can't do it like this, but I'm afraid...I'm afraid that someone will make a fuss about this..."

He Yubai's face turned red, he hurriedly lowered his head to drink water, trying to cover up his shame with a thermos.Zhou Yang's kind reminder was long overdue, and Leng Jin had already been punished for this matter, but it also confirmed his previous guess - this matter was indeed stabbed to Zheng Zhiqing by Xu Jianxing.

Seeing that he didn't speak, Zhou Yang warned again: "Don't tell Director Leng, just make up your own mind, otherwise I'm afraid that Director Xu will screw my head off."

"Well, thank you, I won't tell him." He Yubai assured him.

Zhou Yang breathed a sigh of relief: "Okay, then I'll go to bed first, and you should hurry up and rest."

"it is good."

He Yubai watched the other party leave.

When Zhou Yang went out, He Yubai walked to the window, staring at the cold light outside the window, frowning slightly.Influenced by He Quan's values, he also doesn't like the kind of person who secretly trips up his colleagues.Work belongs to work, no matter how big the disagreement is on professional issues, no matter how fierce the quarrel is, it is just a matter of fact.

However, playing tricks behind the scenes is narrow-minded at a light level, but at a serious level, it is a problem with character.

After thinking about it, He Yubai took out his mobile phone and sent a message to his father: [Dad, the candidate for the vice president, please think again, I don't think Director Xu is suitable for managing Taisho General. 】

He didn't realize it was three o'clock in the morning until he sent it out, and he couldn't help feeling a little regretful, worrying about disturbing Zheng Zhiqing's rest.

As a result, the phone call came quickly: "Xiaobai, are you still awake?"

"On the night shift on behalf of a colleague." He Yubai pursed his lips, "Dad, I'm sorry to disturb your sleep."

"It's okay, I just finished the meeting with the US side." Zheng Zhiqing's voice was a little tired, after all, he was not young anymore, and couldn't help staying up all night, "Why did you suddenly think of telling me about the vice president?"

After briefly explaining the situation to his father, He Yubai added: "Father, I may be a little impulsive... Although it happened to me, it is the board's decision to let Director Xu be the vice president, I... I'm talking too much .”

"Then who do you think is suitable to be the vice president?" Zheng Zhiqing asked, "Leng Jin?"

"No, no, no, I didn't mean that!" He Yubai grabbed the edge of the window sill subconsciously, "Director Leng's personality is not suitable for high-level management, he will offend everyone."

A chuckle came from the receiver: "My Xiaobai has grown up and knows people. It seems that I can retire early."

He Yubai also smiled: "I'm afraid you will say that I prefer him..."

Zheng Zhiqing said dissatisfied: "You still don't favor him? I didn't really want to beat him that day. I saw you in a hurry and even stared at Dad. Hey, Dad's heart is about to break."

Suddenly, He Quan yelled in the background sound: "What are you talking about in the middle of the night!? Zheng Dabai, are you still asleep!?"

"Dad, go to bed, good night."

After hanging up the phone, He Yubai rolled his eyes - didn't he really want to call?If we try harder, Director Leng will have to use a wheelchair.

TBC