The system takes me for surgery

Shen Changhe continued: "The Second Hospital discovered the charm of the Internet celebrity effect, invested a lot of money in the development of the anorectal department, and built it into the largest and most advanced anorectal hospital in Chenghong. Afterwards, with funds, it began to train and introduce talents. It took three to four years. , in the eyes of the local citizens, the Second Hospital surpasses other hospitals’ reputation.”

Liang Yi said in his heart, it is very important to use points to radiate into a surface, and it is worth emulating. We have to try this in the future. As long as one department is good enough, other departments will also increase the number of patients due to the diversion effect of this department.

At this moment, Lu Shanren's cell phone rang, and it was the dean Xiang Hongzhi calling.

Lu Shanren said with his lips: "The dean's phone number."

It was originally a very lively dinner with cups and cups intertwined, but immediately fell silent, and everyone sat quietly.

Lu Shanren answered the phone, and it turned out that the mother-in-law of the dean Xiang Hongzhi came to ask him to be hospitalized in the nephrology department.

After receiving this call, Lu Shanren felt a stone in his heart. He fiddled with the chopsticks back and forth on the plate, but he didn't know what to put in his mouth.

Fei Yunfei said: "Old Lu, the dean's mother-in-law is now in your hands. If you cure her, then our dean will owe you a favor."

Lu Shanren shook his head and said: "This kind of thankless work should be less, and I don't dare to expect the dean to owe me favors, just thinking that her old mother-in-law can enter the hospital safely and leave in good health." For my family, I am Amitabha Buddha."

As soon as he finished speaking, a call came from Lan Yulu, a resident physician in the Department of Nephrology.

Sudden disturbance of consciousness of the patient!
Lu Shanren, who was already a little drunk, immediately dropped the chopsticks in his hand when he heard that the dean's mother-in-law had a disturbance of consciousness.He put on his clothes, got up and said, "I have to go back to the department now."

Impairment of consciousness refers to the decline of the individual's ability to perceive and respond to the surrounding environment. Usually, symptoms appear after the disease is more serious, and special attention is required.

The others didn't dare to keep Lu Shanren any longer, he got up and found walking two steps, staggered a bit, Liang Yi quickly stood up and supported him.

During the dinner, everyone else drank a relatively large amount of alcohol.Only Liang Yi had Zhao Yonghui to help hold back the alcohol. He only drank a glass and then drank a few bottles of mineral water. Now the smell of alcohol has almost disappeared.

Liang Yi said: "I drink less, why don't I send Director Lu back to the department."

The others were also reeking of alcohol, Zhao Yonghui and Fei Yunfei said, "Then send Director Lu back."

Liang Yi called a car to take Lu Shanren back to the department.
Lan Yulu from the Department of Nephrology was giving a doctor's order. When he saw Director Lu coming, he quickly got up and came over, trembling slightly, looking very nervous, and said: "The patient was admitted to the hospital for a long time because of abdominal pain, diarrhea with fever, and vomiting."

"How is the state now?" Lu Shanren walked a little unsteadily, and Liang Yi kept standing next to him for fear that he would fall.

"Half an hour ago, there was a disturbance of consciousness." Lan Yulu sorted out the admission records and said.

"Have you done an auxiliary inspection?"

"An urgent investigation has been done. The blood pressure dropped, procalcitonin increased, and the urine test was positive." Lan Yulu said.

"What disease are you considering?"

"Acute gastroenteritis with septic shock."

"What did you do?"

"Give supportive treatment such as anti-infection, volume expansion, and correction of electrolyte imbalance."

"Take me to have a look." Lu Shanren said.

Lan Yulu took Lu Shanren to the ward, and as soon as he entered the door, he saw a middle-aged man wearing a jade finger ring and an amulet hanging on his chest, walking towards Lu Shanren and smoking.

Lu Shanren saw that this should be Dean Xiang Hongzhi's brother-in-law, so he pushed his hands with a smile and said, "I don't smoke."

The dean's brother-in-law said: "This old man doesn't seem to have changed much?"

"We are investigating the reason..." Lu Shanren said cautiously.

"The inspection report has been done. You doctors can make a diagnosis just by looking at the report. Why is it so troublesome." The dean's brother-in-law obviously has a lot of opinions.

Lu Shanren patiently explained: "Auxiliary examination is only part of it, and a comprehensive judgment is required based on doctor's experience and diagnostic thinking."

"It turned out to be so troublesome. I thought it was just to check and open it. Wherever there is an arrow, it will say what is wrong."

Lu Shanren re-examined the dean's mother-in-law, and went back to the office to reorganize the medical records. Lan Yulu's diagnostic thinking was not wrong, but why did the shock and neurological symptoms not improve?

Lan Yulu complained from the side: "Hey, I am most afraid of these relatives of the leader. The leader himself is fine, but this family member treats the hospital as if it is their own home. They don't cooperate with anything, and they need all kinds of green channels."

Liang Yi also encountered this kind of situation, that is, it is the most troublesome for patients with acquaintances and relatives to be admitted to the hospital. They want all kinds of convenience, and many times there will be many problems when they are convenient.

the phone is ringing,

Dean Xiang Hongzhi's phone call.

Lu Shanren's hands shook slightly, and the phone fell to the ground, and now the phone is like a soul-inspiring bell.

"How is the old lady now?"

"Supportive treatment has been given, but the person has not woken up yet."

"Okay, I'll be there later."

Logically speaking, it is not uncommon for an old doctor like Lu Shanren with 30 or [-] years of experience to encounter such a situation, so he would not be in such a hurry. Maybe in front of this special patient, the pressure will double, which is why he is so anxious and flustered. , Liang Yi thought.

Liang Yi also stood by and carefully looked at the medical records and various reports, and found that Lan Yulu's diagnosis seemed to be correct, but there was something vaguely wrong.

At this time, the nurse hurried over and said: "The old lady's blood pressure is still dropping, and her heart rate is increasing."

Lu Shanren and Lan Yulu hurried over to give the old lady symptomatic treatment and correct her shock blood pressure.

Liang Yi saw the old lady's son sitting outside, listening to music, as if the things inside had nothing to do with him, and thought of what Lan Yulu said before, "The patient's family members are not cooperative."

This sentence usually means that the patient's family members want all kinds of privileges, and they may also be full of arrogance towards young doctors, which is likely to miss important information about the patient.

Liang Yi decided to ask himself. When the old lady's son saw him, he nodded his head and started playing with his phone again.

Liang Yi asked: "Can I ask some more information about the old lady? For example, did she have any other diseases before?"

The brother-in-law was a little impatient and said: "No, no, she can still go to the vegetable market to buy vegetables. I have already said what kind of illness she may have. The old lady just has a bad stomach. You new doctors can't see it. Well, that old doctor seems to be about to retire, why is his technique still so poor, why does Hongzhi still let this kind of person be the director, he will come later, I have to talk to him."