This doctor has a system

Chapter 440 505. Someone is willing to be a pioneer!
But this blood spurting experience frightened the patients and their families.

They decided to check out other hospitals and stay away from the ominous place of Fourth Hospital.

The doctor in charge hit it off with the patient, and he discharged the patient very quickly. Now that he sees the patient, he is still heartbroken. It's so scary.

The patient is only in his 40s. If he really ended up here, there would definitely be a dispute. This is the best outcome.

"Is there anything wrong with the pathology results?" Gao Feng asked.

"Oh, don't mention it. Even after such a serious crime, nothing was found wrong." The family members handed over a pathological test report, which stated that lung tissue and some inflammatory cells were visible in the specimen.

"But I'm still afraid it's a tumor." The patient was very confused.

Gao Feng understands the patient's thoughts very well, it's very simple.

After all, the positive rate of CT-guided puncture was not 100%, and the amount of specimens he took at that time was not large due to bleeding, so he naturally doubted the accuracy of the results.

This feeling of worrying about gains and losses cannot be overcome by just talking.

"Someone asked me to come here to see you for an ultrasound bronchoscopy or something." The patient carefully looked at the doctor in front of him. He was very handsome, but he seemed a little too young. He began to suspect that he had found the wrong doctor. people.

But after his son asked, the director of the general practice was the one in front of him.

"We can do one." Gao Feng said after seeing the chest CT. It was really difficult to distinguish between benign and malignant things on the patient's lungs based on imaging alone. It didn't have any characteristics.

"Doctor, is this ultrasonic bronchoscopy risky?" The patient's wife was very concerned about this.

The last experience scared her so much that her husband walked in and almost came out lying down.

In the patient's wife's mind, if the risk is really high, she might as well not do it. Even if the worst outcome is lung cancer, she can still live for a while.

But if something unexpected happens again, what will happen?

"Don't worry too much about this. The safety of ultrasound-guided bronchoscopy is pretty good." Gao Feng understood her thoughts very well.

With the ultrasound probe, the puncture needle can avoid large blood vessels. As long as there are no extremely special circumstances, there is a risk of bleeding, but it is very low.

Moreover, the puncture needle is relatively thin, so even if it penetrates a blood vessel, blood will not flow out uncontrollably.

The family members relaxed a little and took the time to go to the hospital.

"Family members, what we have in front of us is the nurse's station, which can be regarded as the nurse's office." Lin Tingran couldn't stay in the ward after finishing the morning's liquid infusion. The pager inside is connected together.”

"You click on it inside the room, and the nurse will receive it, and the bed number will be displayed."

"Brothers, if any of you are hospitalized in the future, and if something unexpected happens at night, please remember to press the pager as soon as possible."

"The one on the left should be the head nurse." Lin Tingran said into the phone, "Look, everyone, there is a horizontal stripe on her hat."

"The hat on the nurse's head has two wings like a flying swallow, so it is also called a swallow-tailed hat. It is a nurse's work hat and a symbol of the nursing profession."

"The person with three stripes on his swallow-tailed hat is the director of the nursing department. When he is angry, he can scold all the nurses."

"The person with the two stripes is the head nurse of the department. You can scold the general nurse."

"The person with the same line is the head nurse of this ward. You can scold the nurses in this ward."

"Those without any signs are ordinary nurses and are responsible for being scolded."

"Like this, the whole body is full of trouble." Lin Tingran pointed the phone at her hospital gown, "That's awesome. It is said that anyone can scold him if he is unhappy."

"Of course, this is just a joke." She said with a smile, "We are here to see a doctor, and we must have a minimum of respect for the medical staff."

"Anchor, I see that some people's hats are different colors? The nurse in the outpatient clinic seems to be wearing pink." One comment said.

"Yeah, I bought a nurse uniform online some time ago, and the hat is also pink." Someone at the bottom said.

"Upstairs, why are you buying a nurse's uniform?"

"Oh, let my girlfriend wear something for me to give me injections."

"How was the experience?" Danmaku was very concerned about this.

"I think it's pretty good," the fan replied, "I couldn't hold it back and gave her a shot on the spot."

"Everyone, calm down, don't let me destroy the live broadcast room." Lin Tingran quickly asked everyone to stop discussing injections and so on.

"The color of the hat is related to the department. Nurses' hats in the internal medicine and surgical departments are generally white; nurses' hats in pediatrics are uniformly pink; nurses' hats in the emergency department are green; nurses' hats in the operating room and ICU are blue." Zhou Yun said.

"The nurses in the emergency department are so pitiful" Lin Tingran
"Ignore them, go back to the ward quickly. People from the nursing department will be here soon." Zhou Yun said to Lin Tingran.

"Okay." Lin Tingran responded.

"Family, the nurse just asked us to help with the inspection." Lin Tingran lay down on the bed quickly, "It seems that there are KPI assessments everywhere."

After a while, two clerks from the nursing department followed Zhou Yun in.

"Hello, do you know who your responsible nurse is?" one of them asked.

Lin Tingran responded fluently to the questions raised by the other party.

"Family, the anchor's memory is pretty good." She said into her phone, "I have successfully completed the task assigned by the nurse."

"I'll go, who can't remember these names?" The barrage expressed that he was speechless.

"It is indeed very simple." Lin Tingran said, "I don't know why the nurse told me repeatedly."

In another room, an old man looked confused when asked by the director of the nursing department.

"Uncle, don't I preach to you every day?" After the examiner left, nurse Zhou Yun was about to cry.

"I can't remember." The uncle smiled awkwardly, "Girl, sometimes I can even remember my wife's name wrongly."

The medicines he takes now are all put in the timed medicine box by the child in advance, otherwise he will forget to take them, or in other words, he will forget whether he has taken them after taking them.

"You just need to treat us properly. Why do you do so many fancy things?" the uncle said.

But since there is such a provision, it must have a certain meaning.

"The little girl I picked up the day before yesterday." Gao Feng asked, "She's the one doing the live broadcast. How is she?"

"Last night, the fever was still low, 37.8℃, and the patient had night sweats at night." Bu Zhengyanghui reported, "The erythrocyte sedimentation rate was too fast, and I feel that tuberculosis is very likely."

"But the sputum was negative for acid resistance."

"Oh, no, let's just do a bronchoscopy tomorrow." Gao Feng said. Whether the lavage fluid is used for acid-fast staining or Mycobacterium tuberculosis testing, the positive rate is much higher than that of sputum testing.

"Okay, then I'll talk to him today." Bu Zhengyang said.

"Let's go and have a look together, and tell the students about tuberculosis by the way." Gao Feng said, because tuberculosis is now a specialized disease and has special treatment, and many current trainees only know about this disease from books.

"Just now a doctor came over and said that the director will lead everyone to conduct a teaching round on the anchor." Lin Tingran said excitedly to the mobile phone, "Later, brothers will also gain knowledge and see what medical treatment is." Teaching rounds.”

The first step is to report the cases, which is the responsibility of a regular trainee who follows Bu Zhengyang.

"The patient is female, 25 years old, due to..."

"I have been in good health and have no history of food or drug allergies."

"I am unmarried and have no children, my last menstrual period has been irregular, and I have a history of dysmenorrhea." Should I say this in front of so many people? Lin Tingran was dumbfounded.

"Haha, the anchor is not in good health. Why don't you take care of yourself quickly?" one after another commented in the barrage.

"I have a plan. If it works, the anchor will be free from menstrual cramps for 10 months. Is it worth talking about?" someone said.

"This plan is very promising! I would like to be a pioneer!"

"This classmate, please tell me about the common sites of secondary tuberculosis." Gao Feng pointed at a student standing at the end and said.

Hehe, if you stay back, I will ask you a specific question.

"Well, the most common site of infection is in the lungs." The doctor replied after holding it in for a long time.

The answer was so good. The most common site for tuberculosis is not the lungs. Bu Zhengyang on the side wanted to give him a big mouth.

"The classmate in front of you, please tell me."

"The posterior segment of the tip of the upper leaf and the posterior segment of the lower leaf." This graduate student performed well.

"Then let's ask another classmate to talk about the clinical manifestations of tuberculosis." Gao Feng said, "Is there anyone who wants to answer the question?"

The answer is no.

One lucky female trainee was selected.

"It's just cough and fever," she said.

"anything else?"

"Well, night sweats and loss of appetite." Nvgui Peisheng thought of a few more things.

"The answers are all correct, but they are too one-sided." Gao Feng was a little disappointed with the foundation of this group of students.

"Symptoms of tuberculosis poisoning, such as long-term low fever, night sweats, and complexion. At the same time, fatigue and appetite may also occur. Female patients may have irregular menstruation. Patients with severe pulmonary tuberculosis may experience chills when combined with other bacterial infections or early stage tuberculous pleurisy."

"Respiratory symptoms include coughing, sputum production, blood in the sputum, difficulty breathing, and chest pain."

"Have you ever rotated through respiratory medicine?"

"Not yet," the students replied.

"That's okay." Gao Feng breathed a sigh of relief, "Go back and read the book carefully."

He also wanted to ask about the specific treatment plan for tuberculosis, but gave up after thinking about it. The students probably knew the treatment principles: full course, regularity, early stage, sufficient amount, and combination.

Because this concept is often tested.

"Everyone, please listen to the breath sounds. Wet rales can be heard in the patient's lungs." Bu Zhengyang directed, "Get in line and come one by one."

"Everyone, please remember, the chest must be completely exposed during auscultation. During the exam, auscultation with a clothed cover will score zero points."

Anchor Lin Tingran’s face turned green.

"Doctor! This can't be done!" she said anxiously, "I'm just a young girl."

"But in reality, it still depends on the situation." Bu Zhengyang signaled Lin Tingran not to worry, "Like this patient, she is still a young girl, so we are separated by hospital gowns."

Before leaving, Lin Tingran agreed to have a bronchoscopy tomorrow. Since she needed a family member, she contacted her mother. .

"Mom, why are you sitting so far away?"

"Hey, hey, don't come over. Tuberculosis will be contagious." Mother Lin wore two layers of masks. "I'm just going to come up and take a look. I'll leave later and come back tomorrow."

"The love between mother and son is deep," the barrage said.

"My biological child, identification completed!"

"Where's my dad?" Lin Tingran asked, "Why don't you come to see me?"

"He still has to go to work." Mother Lin put a bunch of food and drink in the cabinet in the ward.

"I'm going to have surgery tomorrow, under general anesthesia!" Lin Tingran said dissatisfied, "Old Lin isn't worried either!"

"Then he went to work for you," said Mother Lin. "You have accomplished nothing, so your dad can only work hard."

Lin Tingran

Father Lin was also a bit lazy when he was young, and it was useless no matter what Mother Lin said.

Later, Lin Tingran was born, and he was stupider than other children since he was a child. Everyone would run away, but she couldn't crawl. Everyone can sing, but she can only call her mom.

When he was three years old, his family took Lin Tingran for a checkup.

The doctor at the growth and development department said there was no problem with the child's development.

"She might just be that stupid kid."

Father Lin had no choice but to work hard for his daughter. Finally, at the age of 33, he was admitted as a civil servant in the Municipal Urban Construction Bureau.

"Tike has grown up." Lin's mother said with a smile on her face, "Now she is much busier than before."

"I'm shocked, the anchor is actually the second generation!"

"Miss Lin, can I be responsible for the public rental housing project in Zzhou City?" the barrage said in a funny voice.

"You can't just find something to do." Mother Lin said, "What kind of live broadcast will you do all day long?"

"Your dad doesn't even dare to mention what you do in the workplace. It's so embarrassing."

At that time, Dad Lin was quite curious about his daughter's live broadcast. He lurked in it for a few days and almost got angry to death when he heard his daughter calling people "giegie" every day.

The next day

"Hey, why did you come in with a mobile phone?" asked the anesthesiologist Zheng Xinglong.

"I want to live broadcast the process of doing a bronchoscopy." Lin Tingran explained.

"Hey, are you running a live broadcast?" Zheng Xinglong was shocked, "This is not allowed. We can't take pictures without permission."

"Besides, you'll fall asleep as soon as I give the medicine, so you won't be able to live stream it."

"That's true." Lin Tingran felt that what he said made sense.

"By the way, is your live broadcast complicated to operate?" Zheng Xinglong asked, "How about I try it?"

"you?"

"Yes, I'm also very curious about this live broadcast." Zheng Xinglong said, "Can I just hold up my phone?"

"Yes, if you look at this interface, it's actually similar to recording a video." The two started communicating.

"Isn't this against the regulations?" Liang Congyue looked troubled, "How can anyone do a live broadcast in the bronchoscopy room?"

"This is a very serious place. If something goes wrong, who will be held responsible?"

(End of this chapter)