good handedness

It was near ten o'clock that Leng Jin returned to the ward.Entering the public office area, he saw He Yu sitting at the desk with his back facing the door, holding a book in his hand, looking as if he was in the land of no one.Walking behind him and standing still, Leng Jin coughed lightly.

He Yubai was taken aback, turned his chair suddenly, and the book in his hand fell to the ground.Bending down to pick up the book, Leng Jin turned over the cover and saw that the title of the book was "Surgical Errors and Treatment".

This is the book he put in the bookcase in the public office area. It has been published for nearly half a century and has long been out of print.Although the records are all problems in minor operations, they benefit a lot after reading - the experience of the former makes future generations avoid many detours.He has been reading it frequently since he was in college, and he will memorize many passages in it.

Leng Jin sat on the desk next to him, squinting at the open notebook on He Yubai's desk.On the page are hand-drawn anatomical diagrams and key points marked with different colored pens, all written in English.The edge of the paper that has been turned over is full of sticky notes.

In the footer of this page was a cartoon figure with curly hair and a distressed expression.

Little brat, Leng Jin said in his heart.Patting his leg with the book, he asked, "You can't get on the operating table, so what's the use of seeing this?"

"The art is not overwhelming." He Yubai's eyelashes trembled slightly. He had been waiting for Leng Jin, thinking about what happened face to face in the operating room to express his apology, "Director Leng, for the afternoon, I—"

Leng Jin held up his book and interrupted him: "Just now, Lao Ji came to talk to me, let me see that you have made a contribution when you first entered the ward, and I will give you another chance... Although the merits and demerits are sometimes It cannot be offset, but I am not unreasonable..."

Seeing that Leng Jin deliberately stopped to show off, He Yubai raised his eyes to look at him, and pursed his lips.

"In this way, if you are on the night shift tonight, if you can insist on not letting others clean up the mess for you all night, I will give you another chance." Leng Jin threw the book on the table, "Study hard, the ancients said: A man will do what he wants Life Chronicle, Five Classics, read to the window frequently.”

"Zhao Heng." He Yubai said.

"Huh?" Leng Jin raised his eyebrows.

He Yubai blinked: "The ancient man you are talking about is Song Zhenzong Zhao Heng, the one who signed the Chanyuan alliance with the Liao people."

After reacting for a few seconds, Leng Jin realized that He Yubai was looking for a topic to ease the tense atmosphere between them.He stood up straight, folded his arms across his chest, slightly lowered his head and approached He Yubai, his tone was a little softer than before: "You are good at history, eh, is there anything you don't know?"

"A lot, just the things I've seen, I can't forget them with my photographic memory."

The surgical gown on Leng Jin exuded a faint smell of disinfectant, which was familiar to He Yubai.He grew up in the hospital, and the clothes of his fathers also smelled like this, which smelled very reassuring.

"Are you sleepy?" Seeing He Yubai's eyes closed, Leng Jin frowned, "Hey, there's still one night shift to go."

He Yubai hurriedly opened his eyes——too bad, he was too relaxed.

Shaking his head, Leng Jin turned and walked towards his office.

Seeing a cold, fever and eating bad stomach in the emergency room, at two o'clock in the morning, seeing that there is no patient waiting for the time being, He Yubai picked up the cup to fetch water.He was lucky, so far he has not encountered trauma.

In the tea room, he met He Yubai who was yawning. Fang Min, the head nurse of the emergency department, looked him up and down, and asked with a smile, "Doctor He, how old are you?"

"24." He Yubai also smiled back at her.

"You are so young. Those who were able to treat patients independently in the emergency department in the past were at least [-] years old."

"You are so young, don't you also become the head nurse?"

"Oh my god, I'm still young, I'm about forty." Fang Min immediately fell in love with this good-looking and sweet-mouthed little doctor. She didn't care if what He Yubai said was polite or not, anyway, it was good for her. , "Doctor He, go upstairs to sleep for a while, I'll call you if I need anything."

"It's okay, I'm not sleepy." He Yubai yawned again after speaking.

"He said he was not sleepy, tears came out."

He Yubai smiled shyly, and took out a handkerchief to wipe away the tears from the corners of his eyes.Fang Min saw him pour the liquid into the cup, and asked curiously, "What kind of tea are you brewing?"

"Five flavors are scattered, regulating qi and calming the mind."

"Do you still believe in Chinese medicine?"

"Well, there is a doctor of Chinese medicine at home."

"Then why don't you learn Chinese medicine? You're not..." Fang Min pondered for a while, but didn't say "sickness of blood" - he had to save some face for this little guy.

"I went abroad when I was 12, and it was later that I found out that I was dizzy." He Yubai waved his hand generously, "Besides, there are too many things in Chinese medicine that cannot be explained scientifically. I'm very concerned. If I really learn Chinese medicine, I'm afraid I'll lose all my hair now."

Fang Min was amused by him: "No, you have a lot of hair volume, hey, are you perming or self-curling?"

"Access, there are three children in the family, and I'm the only one like this." He Yu curled up the bangs hanging on his forehead, with a childish smile on his face, "There is a one-third probability that it will be passed on to me."

Just as he was about to ask He Yubai who was his senior at home, Fang Min suddenly heard a voice calling "Doctor He" from the corridor, and quickly stopped the chat.

The patient was a college student who was suddenly woken up by severe pain in the left rear side of his waist when he fell asleep, and was sent to the hospital by three boys who shared the same bed.After He Yubai's consultation and palpation, he suspected the onset of kidney stones, and immediately arranged for the patient to take a B-ultrasound.

It turned out that there was indeed a calculus, and the ureter had been blocked. Surgery must be performed as soon as possible.Just as he was about to issue a hospital bill to the patient, He Yubai suddenly noticed a nervous tremor in the patient's hand, which had not occurred before the B-ultrasound.The trembling is extremely subtle, and you can't see it unless you look carefully.

Considering that kidney stones do not cause neurological problems, he pondered for a moment and asked the patient: "Have you ever suffered a severe blow within 72 hours?"

The patient was in excruciating pain, and he didn't have the mood to answer, lying on the edge of the treatment bed and patronizing "Ouch".One of his roommates thought for a while and said: "Our team played against the outer court the afternoon before yesterday. When he was dribbling for a layup, he was hit by an opponent's elbow."

"Where did you hit?" He Yubai asked again.

"I didn't see it clearly. Anyway, he fell to the ground." The roommate shrugged. "There was a school doctor at the scene, and he said it was fine."

He Yubai frowned, lifted the patient's chin and opened the other's eyelids, and saw several pinpoint-sized bleeding spots on the whites of the eyes.

"Has he vomited in the past two days?"

"I threw up once when I came back from a morning run this morning."

"He needs to take a head CT." He Yubai hurriedly issued a checklist, "Don't let him go by himself, borrow a wheelchair from the nurse."

"What the hell?" The roommate opened his mouth wide in astonishment, "Why do you need a head CT scan for kidney stones?"

"I suspect it's a subdural hematoma. Didn't you say that he fell after being hit by someone?" He Yubai explained quickly, "It's also possible that the stone fell into the ureter due to the impact, causing pain after being blocked. If you guessed correctly, he should have fallen to the ground on his back and hit the back of his head."

The roommate recalled the scene at that time, and then nodded.

He Yubai followed into the CT room, and the tomographic images on the screen confirmed his speculation.In this way, the kidney stones can only be released first, and the intracranial hematoma must be removed first.The emergency department called Director Luo from Shenwai to come over for consultation. After seeing the CT film, Director Luo patted He Yubai on the shoulder.

"Yes, you saved the boy's life."

"As long as he is hospitalized, Director Leng will find out tomorrow morning during his rounds." He Yubai is not modest, if this level of development continues, the patient will have obvious signs of subdural hematoma within a few hours.

Director Luo said while arranging the operation with his assistant: "If this kind of problem is discovered one minute earlier, the survival rate of the patient can be increased by several percentage points."

He Yubai smiled but said nothing.

"Are you following the stage, Doctor He?" Director Luo asked with a smile.

With a frozen smile on his face, He Yubai shook his head in embarrassment.It was an honor to be invited to perform surgery with the stage, but unfortunately he had to decline.

"Oh yes, you're dizzy." Director Luo laughed dryly, "I'm sorry, I didn't mean to poke your sore spot on purpose."

"It's okay, I'm used to it." He Yubai picked up the medical record, and nodded to Director Luo, "I'll go back to the emergency department first, and when Director Leng comes tomorrow, ask him to confirm with you the time to transfer to the ward."

"Buy you."

Just as he was about to leave, He Yubai suddenly remembered something and said to Director Luo: "The patient is now in the stage of acute kidney stone attack, and his kidney function is impaired. Do not take more than [-] ml of medication a day after surgery, otherwise a large amount of urine will be retained and infection may occur. leading to chronic nephritis."

"Yo, don't tell me I really didn't pay attention to this." Director Luo raised his hand, "I'll ask them to adjust the postoperative medication list."

"Excuse me."

He Yubai nodded, turned and left.Looking at his back, the assistant shook his head regretfully: "This kid, it's a pity, if he doesn't get dizzy, he can do a lot."

Director Luo curled his lips.

"If he can partner with Leng Jin in the future to accurately diagnose and add the right hand of God, then it will be a perfect match."

TBC

The author has something to say: It’s okay to be a perfect match, just don’t get married, otherwise director Leng won’t live to retire

Let me explain, the symptoms described are basically taken from real cases, but the artistic processing has omitted a lot of professional steps necessary for diagnosis, just watch the fun, and welcome colleagues from related professions to catch bugs