Big Doctor Live Room
Chapter 953 Hereditary Varicose Veins
Chapter 953 Hereditary Varicose Veins
A little girl's delicate voice came from behind, "When is the time for retribution, can we break this curse cycle? Professor Chen's example to eliminate some domineering customs in the hospital is also an inevitable need for the development of modern medicine!"
Chen Qun immediately turned back.
"Can you find a better and more suitable method? I'm all ears. If you can't come up with it, don't talk about it here. You interns still have human rights? Let me tell you, interns have no human rights. I don't care about other departments. The emergency center and My department has been passing on this fine tradition."
The doctor who finished the intubation at the back wiped the sweat off his face. Hearing Chen Qun's words, he was very relieved and went straight to make up the knife in the back.
"You should be thankful that it's 2020. If it's 40 or [-] years, whoever wants to babble will be kicked out by the professor. Even our Director Huang has been kicked by Dean Liu, You are lucky that the teacher forbids beating people, and you can have fun secretly! In addition, I will answer Professor Chen’s question. We no longer use light sticks for intubation. If it is not urgent, we will call the respiratory department for another update. Professional intubation."
Chen Qun ignored the interns whose atmosphere became very strange for a while, pointed to the exposed arm part of the patient, and began to think about it.
"Now take a look, the patient's wrist and ankle have a little bruise, what's your first impression?"
There was another silence in the audience, and no one answered.Although everyone felt that the youngest Professor Chen's teaching style was the same as that of Academician Huang, but he was more domineering and inhumane, and he was straightforward.I heard that these guys are the powerful people who contradicted Academician Huang every day, and finally made Academician Huang unable to step down from the stage. Now it seems that they are a little stronger than what Academician Huang said.
The most fundamental difference is that the pace is too fast, and people don't think about it at all.
"It's probably due to a decline in liver function!"
This time it was the resident doctor who answered. Anyway, the older doctors knew that Chen Qun's Ni Lin was in the operating room, not in the diagnosis.In terms of diagnosis, he will also admit that he is wrong, let alone think that he is an authority, or even have that kind of thinking.Only surgery is not allowed to question.
Chen Qun took a step forward, gently lifted the two hands of the unconscious patient, then signaled Zhao Xue to raise the patient's bed a little, held the patient's sleeves with both hands, and looked towards a group of students .
"You tell me, what is this?"
This time they answered in unison.
"Shaking hands!"
Chen Qun lowered his arms and glanced directly at the crowd.
"What about the conclusion?"
There was another depressing silence, the eldest lady couldn't stand it any longer, and began to criticize unceremoniously.
"If you fart, let it go, don't hesitate to talk about it!"
Chen Quncai picked up the panel in the doctor's hand and read directly.
"Hypotension, tachycardia, and jaundice, these phenomena can not only indicate that the patient has biliary colic, but also point to liver failure. However, coupled with the bruises on the body and the wing-like tremors that appeared in the two fingers just now, it is a sign of biliary colic." Symptoms that colic does not appear, this should be acute liver failure."
When Chen Qun said this, he looked directly at his girlfriend, "What is the result of your robot diagnosis?"
"11.00% probability of multiple organ failure, 70.00% nine probability of acute liver failure, 20.00% seven probability of lung failure, 40.00% seven probability of undetermined cause..."
The robot next to the eldest lady has already come up with a series of answers under the operation of the eldest lady, and uttered them in an electronic voice without emotion.
Chen Qun waved to a group of interns in front of him.
"Have you heard, your homework today is to find out the real situation of this patient. Everyone will fill in your diagnosis results on your own diagnosis form and explain the reasons. You can watch and listen to the patient , but you are not allowed to do anything. Now you can go back to the infirmary to discuss. If the result is not as good as the robot, then what is the use of you?"
All the interns scattered and began to try to prove their abilities.Everyone knows that less than one-third of the people can stay. If they can't even win the robot competition, they can really jump off the building.
After Chen Qun waited for the intern to leave, he patted the unknown doctor on the shoulder, "Send it for an examination first, especially the heart may be the real serious problem, pay attention, these liver failures are incidental diseases. Maybe you show the results of the examination to Qi Hong, she is the closed disciple of Old Yang, and she should be more familiar with the heart."
The unknown doctor nodded again and again. After knowing this, he would inform his attending doctor in advance. If Chen Qun gave so much information and could not find a specific reason, then their professors could go to the cardiology department. There I went back to the furnace for further study.
When Chen Qun walked out of the emergency room here, Dongfang Wenxin stared at Chen Qun.
"Okay, you are too insidious. You dug a hole for a group of young people, and then prepared to bury them alive. Do you know that you destroyed the self-confidence of many students for so many years in an instant, and made They couldn't believe themselves!"
Chen Qun remained unmoved, stared straight at his girlfriend, and expressed his opinion.
"Surgeons themselves need their forefoot to cure the dead, and the back foot has to cheer up to deal with the next patient. If this blow can't stand it, it's better to switch to the laboratory and pharmacology department! Besides, it's a certainty that surgery will be promoted by robots. , first use the cruel facts to educate them what's wrong?"
Chen Qun originally thought that the patient he was helping would not have any major problems, but unexpectedly, after taking a few steps, a rapid electronic siren sounded in the back ward.
Chen Qun quickly gave the eldest lady and Zhao Xue a look, turned around and ran back.
In the emergency room inside, the unknown doctor gave orders in a panic.
"100 grams of vitamins, 100 grams of succinylcholine, I need two large-bore IVs!"
Chen Qun hurriedly asked.
"Something happened again??"
"Yes, the patient has coughed up blood! The blood coagulation index is stable, the blood volume is reduced, and there is no fluid phenomenon."
"Let me come, it should be that the patient has hereditary varicose veins, which will cause this sudden bleeding when the INR keeps rising..."
Before he finished speaking, the electronic buzzer immediately made a rapid sound, and then fell silent.
"Sudden cardiac arrest, cardiac pacing immediately, 1 amp EPI continuous infusion of cells, I inflated his stomach, should be able to stop the bleeding!"
Jumping directly onto the hospital bed, Zhao Xue, who was performing CPR on the patient, squeezed her chest hard while paying attention to the data beside her.
"I haven't breathed for 45 seconds!"
"Don't panic, continue manual resuscitation, give me the three-lumen two-capsule catheter and the proximal balloon!"
"Is it Bruchner's tube? Found it, here it is!"
Dongfang Wenxin, who was acting as an equipment nurse again, really had a big question mark in her heart. Without any hesitation or thinking, she found what Chen Qun needed in the cabinet, almost for the emergency room. The arrangement is clear.
That's impossible, she hadn't spent any length of time in the emergency room at all.Everything is temporary, and the operating room and laboratory are her working places.Although the layout specifications of each room in the hospital are consistent, why is she so familiar with it?
(End of this chapter)
A little girl's delicate voice came from behind, "When is the time for retribution, can we break this curse cycle? Professor Chen's example to eliminate some domineering customs in the hospital is also an inevitable need for the development of modern medicine!"
Chen Qun immediately turned back.
"Can you find a better and more suitable method? I'm all ears. If you can't come up with it, don't talk about it here. You interns still have human rights? Let me tell you, interns have no human rights. I don't care about other departments. The emergency center and My department has been passing on this fine tradition."
The doctor who finished the intubation at the back wiped the sweat off his face. Hearing Chen Qun's words, he was very relieved and went straight to make up the knife in the back.
"You should be thankful that it's 2020. If it's 40 or [-] years, whoever wants to babble will be kicked out by the professor. Even our Director Huang has been kicked by Dean Liu, You are lucky that the teacher forbids beating people, and you can have fun secretly! In addition, I will answer Professor Chen’s question. We no longer use light sticks for intubation. If it is not urgent, we will call the respiratory department for another update. Professional intubation."
Chen Qun ignored the interns whose atmosphere became very strange for a while, pointed to the exposed arm part of the patient, and began to think about it.
"Now take a look, the patient's wrist and ankle have a little bruise, what's your first impression?"
There was another silence in the audience, and no one answered.Although everyone felt that the youngest Professor Chen's teaching style was the same as that of Academician Huang, but he was more domineering and inhumane, and he was straightforward.I heard that these guys are the powerful people who contradicted Academician Huang every day, and finally made Academician Huang unable to step down from the stage. Now it seems that they are a little stronger than what Academician Huang said.
The most fundamental difference is that the pace is too fast, and people don't think about it at all.
"It's probably due to a decline in liver function!"
This time it was the resident doctor who answered. Anyway, the older doctors knew that Chen Qun's Ni Lin was in the operating room, not in the diagnosis.In terms of diagnosis, he will also admit that he is wrong, let alone think that he is an authority, or even have that kind of thinking.Only surgery is not allowed to question.
Chen Qun took a step forward, gently lifted the two hands of the unconscious patient, then signaled Zhao Xue to raise the patient's bed a little, held the patient's sleeves with both hands, and looked towards a group of students .
"You tell me, what is this?"
This time they answered in unison.
"Shaking hands!"
Chen Qun lowered his arms and glanced directly at the crowd.
"What about the conclusion?"
There was another depressing silence, the eldest lady couldn't stand it any longer, and began to criticize unceremoniously.
"If you fart, let it go, don't hesitate to talk about it!"
Chen Quncai picked up the panel in the doctor's hand and read directly.
"Hypotension, tachycardia, and jaundice, these phenomena can not only indicate that the patient has biliary colic, but also point to liver failure. However, coupled with the bruises on the body and the wing-like tremors that appeared in the two fingers just now, it is a sign of biliary colic." Symptoms that colic does not appear, this should be acute liver failure."
When Chen Qun said this, he looked directly at his girlfriend, "What is the result of your robot diagnosis?"
"11.00% probability of multiple organ failure, 70.00% nine probability of acute liver failure, 20.00% seven probability of lung failure, 40.00% seven probability of undetermined cause..."
The robot next to the eldest lady has already come up with a series of answers under the operation of the eldest lady, and uttered them in an electronic voice without emotion.
Chen Qun waved to a group of interns in front of him.
"Have you heard, your homework today is to find out the real situation of this patient. Everyone will fill in your diagnosis results on your own diagnosis form and explain the reasons. You can watch and listen to the patient , but you are not allowed to do anything. Now you can go back to the infirmary to discuss. If the result is not as good as the robot, then what is the use of you?"
All the interns scattered and began to try to prove their abilities.Everyone knows that less than one-third of the people can stay. If they can't even win the robot competition, they can really jump off the building.
After Chen Qun waited for the intern to leave, he patted the unknown doctor on the shoulder, "Send it for an examination first, especially the heart may be the real serious problem, pay attention, these liver failures are incidental diseases. Maybe you show the results of the examination to Qi Hong, she is the closed disciple of Old Yang, and she should be more familiar with the heart."
The unknown doctor nodded again and again. After knowing this, he would inform his attending doctor in advance. If Chen Qun gave so much information and could not find a specific reason, then their professors could go to the cardiology department. There I went back to the furnace for further study.
When Chen Qun walked out of the emergency room here, Dongfang Wenxin stared at Chen Qun.
"Okay, you are too insidious. You dug a hole for a group of young people, and then prepared to bury them alive. Do you know that you destroyed the self-confidence of many students for so many years in an instant, and made They couldn't believe themselves!"
Chen Qun remained unmoved, stared straight at his girlfriend, and expressed his opinion.
"Surgeons themselves need their forefoot to cure the dead, and the back foot has to cheer up to deal with the next patient. If this blow can't stand it, it's better to switch to the laboratory and pharmacology department! Besides, it's a certainty that surgery will be promoted by robots. , first use the cruel facts to educate them what's wrong?"
Chen Qun originally thought that the patient he was helping would not have any major problems, but unexpectedly, after taking a few steps, a rapid electronic siren sounded in the back ward.
Chen Qun quickly gave the eldest lady and Zhao Xue a look, turned around and ran back.
In the emergency room inside, the unknown doctor gave orders in a panic.
"100 grams of vitamins, 100 grams of succinylcholine, I need two large-bore IVs!"
Chen Qun hurriedly asked.
"Something happened again??"
"Yes, the patient has coughed up blood! The blood coagulation index is stable, the blood volume is reduced, and there is no fluid phenomenon."
"Let me come, it should be that the patient has hereditary varicose veins, which will cause this sudden bleeding when the INR keeps rising..."
Before he finished speaking, the electronic buzzer immediately made a rapid sound, and then fell silent.
"Sudden cardiac arrest, cardiac pacing immediately, 1 amp EPI continuous infusion of cells, I inflated his stomach, should be able to stop the bleeding!"
Jumping directly onto the hospital bed, Zhao Xue, who was performing CPR on the patient, squeezed her chest hard while paying attention to the data beside her.
"I haven't breathed for 45 seconds!"
"Don't panic, continue manual resuscitation, give me the three-lumen two-capsule catheter and the proximal balloon!"
"Is it Bruchner's tube? Found it, here it is!"
Dongfang Wenxin, who was acting as an equipment nurse again, really had a big question mark in her heart. Without any hesitation or thinking, she found what Chen Qun needed in the cabinet, almost for the emergency room. The arrangement is clear.
That's impossible, she hadn't spent any length of time in the emergency room at all.Everything is temporary, and the operating room and laboratory are her working places.Although the layout specifications of each room in the hospital are consistent, why is she so familiar with it?
(End of this chapter)
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