Great doctor starts with adding points

The people in the entire department took off their white coats and work clothes at this moment, and ate happily in the office with gloves on.

It may be that the smell of barbecue spread out, so Qin Chongyuan walked in with a bag of drinks in a short while, knocked on the door and pushed it away, saying: "Director Lu, Brother Fatty, I have worked hard for all of you today."

"It's because I didn't think so thoughtfully. I didn't realize that you guys haven't had supper yet. Why don't you bring some water here?"

"It's not something expensive, so I'll put it here, so I won't disturb Director Lu and you guys to eat." Qin Chongyuan put down his drink and backed out with a smile.

He Ling is slightly fat. Some people in the same generation call him Fat Doctor, and some call him Fatty Brother.

Hearing this, He Ling untied his gloves and went out: "Chongyuan, come in and have some food together. Director Lu ordered a bit too much today."

Qin Chongyuan quickly waved his hands: "Fatty brother, thank you, I'm not hungry, and I don't have such rules. Let's go. My mother's wife may not be able to take care of her alone. She has to go to the county to see the child tomorrow."

"I won't eat. Next time, I'll ask you guys to have a good meal and drink a little." Qin Chongyuan said sincerely, and put He Ling's hand down.

When He Ling came out, he grabbed two bottles of drinks: "Then you drink two bottles of the water you bought yourself. It's embarrassing. It cost you money."

"Hi!"

"Fatty brother, it's boring for you to talk like that. It's just a few bottles of water. That's it. Fatty brother, you go back first." Qin Chongyuan took the drink from He Ling generously, without much greetings.

When He Ling walked in again, Lu Junyin continued to invite him to eat.

Only now did Wu Xie put down the bone of the chicken leg that he had gnawed, slowly chewed and swallowed it, and said, "Brother He Ling, Director Lu, can I make a small suggestion about the situation of Uncle Zhou in bed 10? "

He Ling was putting on his gloves while tilting his head and nodding: "Say it, little crab."

Without the patients and family members around, He Ling and the others were still accustomed to Wu Xie's nickname Xiaoxie, which made them feel closer.

"The 10 beds, I don't think it may be an infection, we can observe for a period of time, and don't rush to remove the sutures."

"Although there is a small amount of exudate on the surface of the wound, although the epidermis of the cut surface seems to be in a situation of elevated tension, the redness and swelling of the patient's skin surface are not particularly obvious, and the local skin temperature rise is also quite limited."

"That's why I told Guo Lixiang not to open the wound for the time being." Wu Xie said seriously.

Lu Junyin frowned a little when he heard this, nodded and said while eating skewers: "You can also observe Uncle Zhou's situation for two days first, and then deal with it. It doesn't hurt too much."

Lu Junyin's explanation was quite casual, making it sound like he was deliberately explaining everything to Wu Xie.

As soon as he heard this casual tone, he knew that it was a step down for Wu Xie.

After speaking, he took another bite of beef, which was delicious.

Now Wu Xie is the backbone of the infection cases in the department, so He Ling also said: "Xiao Wu, since you think so, let's observe for another two days and see the situation."

Wu Xie's heart trembled when he heard the words, and after a little hesitation, he decided to explain again: "Director Lu, the reason why I think so is the following reasons."

"Uncle Zhou took a bath three days ago. If there were signs of infection, I believe Director Lu of the People's Hospital would have chosen to open the wound, but he didn't do that and referred the patient to our hospital. It is estimated that they have done a detailed assessment. Isn't it?!" Wu Xie was only halfway through.

Lu Junyin rolled his eyelids and joked: "Xiao Wu, that's it. Isn't this Liu Chunhua an example."

"I'm just kidding, you continue to talk, let's study the case of Uncle Zhou together." Lu Junyin interrupted halfway to reconcile the atmosphere. He didn't like the atmosphere in the department to be too rigid.

When Wu Xie heard the words, he put his tone a little more casually: "During the process of scar healing, after the completion of cell proliferation and new angiogenesis, the tissue begins to remodel the extracellular matrix, that is, the formation of new collagen fibers and elastic tissue. fibers. This process is called the remodeling phase. During this process, the extracellular matrix becomes harder and harder, eventually forming a scar."

"Cells around the surgical wound are stimulated by the outside world, and for some reason, extracellular fluid will leak and accumulate. This will cause local swelling and redness."

"Moreover, after the unhealed surgical wound is exposed to water, moisture may also enter the wound, causing local swelling and redness."

"The principle is that water stains prolong the inflammation period and local new blood vessels regenerate, so the local surface will look crimson and shiny and reflective."

"I suggest that Uncle Zhou can be properly treated with some detumescence drugs, such as oral Maizhiling. If not, then choose half a dose of mannitol for treatment, and then rinse the wound with hydrogen peroxide locally and then disinfect it with complex iodine." Wu After Xie explained, she took a special look at the expressions of Guo Lixiang and Zhong Yusheng.

If these two little brothers feel that they are doing too much, then Wu Xie will not be bothered to interfere with other people's patients in the future, and it will be thankless.

Fortunately, the two people have no disgusted expressions now. Guo Lixiang held half of the saury in one hand, wiped his mouth with a tissue in the other hand, and said enviously: "If I have such a deep knowledge reserve like Brother Crab alright."

Lu Junyin put down the stick, maybe it was because he was old and his stomach couldn't digest easily, so he took off his gloves and prepared to stop the fire: "Then you have to read the book carefully, just staring at you, Brother Crab, and you can't copy it."

"Don't think I don't know. When you often write medical records, you don't use your brain and directly copy Wu Xie's cases. You only know that he writes well in this way. If you don't think about the inner logic, how can it work?" Lu Junyin took the opportunity to hit Guo Lixiang who was following him.

Guo Lixiang lowered his head in embarrassment: "Director Lu, I want to learn about Brother Xie's way of dismantling and analyzing medical records."

"Eat as much as you want, Xiaoxie, is there anything else you want to add? If not, I'll relax for a while." When Lu Junyin said this, he pursed his lips into a smile.

Leisure actually means to smoke a cigarette and relax.

Wu Xie quickly shook her head: "No more, Director Lu."

"Then I'll be leaving." Lu Junyin stood up unceremoniously, as if asking everyone to swallow a cloud and smoke a stick.

And just after Lu Junyin left the office, He Lingcai looked at Wu Xie: "Xiaoxie, Guo Lixiang, and Zhong Yusheng, you are all the same. When encountering a case like Liu Chunhua in the future, I will be suspicious." When the time comes, we must explain the situation as soon as possible, and don't be afraid of disturbing or affecting the emotions of our superiors."

"Even if the suggestion is wrong, we can discuss and learn together." He Ling's words were more formal, and it was a rule.

Wu Xie nodded and said, "Brother He Ling, it's not that I don't want to say it immediately, but that I have to think about it carefully. After all, the time since I saw Liu Chunhua's case is so short, so I don't want to be careless. guess."

Guesses must be based, reasonable, and have internal logic.

Otherwise, guessing randomly, isn't it just Baidu to see a doctor, cancer starts, and it is not uncommon in the late stage.

"Well, that's true." He Ling's tone slowed down again, and then he greeted: "Come on, little crab, eat another chicken leg, you have done a good job today. Eat more, you bastard, look It looks thin and weak, just like Guo Lixiang, you have to eat your muscles."

...

When he walked out of the hospital, Wu Xie still didn't know why the 12-bed patient would gain two points of knowledge. It seemed quite ordinary. Compared with Jinping's condition, it was not serious or complicated, so it was worth it. When such a high knowledge point.

Moreover, at this moment, Wu Xie was still quite entangled in his heart.

Because, these twelve o'clock have not yet passed, and the knowledge point gain of his patient in charge has dropped from 10 points to 8 points, which is two points lower than when he first came to the department.

Wu Xie muttered silently in his heart.

Liu Chunhua's condition has now been alleviated——

The knowledge point gain has been reduced from 3 points to 1 point!

And it hadn't been another day since Liu Chunhua was admitted to the hospital, so Wu Xie didn't enjoy the knowledge gain of her difficult illness at all.

"Hey, I've been tossing myself, but it's not the best." Wu Xie muttered to himself, but he was also smiling.

Indeed, this is not the best for me, but for Liu Chunhua and Qin Chongyuan, this is the best!

If it is to use other people's heads to add more benefits to oneself, there is no place in Huaguo that has such three views, at least Wu Xie does not approve of it.

"Anyway, I drank a bottle of drink and had a happy and knowing thank you. This is more touching than learning. It's very good."

Wu Xie continued to mutter in a low voice, and then walked towards home.

It was very late.

The neighbors in the neighborhood closed their doors to sleep early, and all the way back, there was no one to greet them, and they arrived home smoothly.

Just as he opened the shutter, he saw Uncle Qin Ling and his aunt Wu Zhen coming down the stairs. When he saw Wu Xie, Jin Ling immediately smiled and said, "You're back, little Xie. Your mother talked about you."

"You should also be a little more considerate. My brother Chongyuan just transferred his aunt from the county. It really didn't occur to me that you didn't eat. I will definitely ask him to treat you to a good meal next time."

Wu Xie not only saved money for Liu Chunhua, but may also save his life. This is no joke of kindness.

"Uncle, according to what you said, there is really no need to spend money."

"Today is our director's invitation to eat." Wu Xie hurriedly stepped forward to greet him with a smile.

"Then eat at home. When the time comes, come to my house and everyone will have a group together. Anyway, it's just a few feet away. I will go to Pengjiazhai to bring a pig to slaughter the New Year pig. Then I will eat the slaughtered pork." Qin Ling generously said. Said so, and then told Wu Guonan.

"Second brother, you must come when the time comes. When the time comes, we will finish our lunch and throw two shots."

Wu Guonan nodded with a smile and said, "Come, definitely come."

In the town, it is a good thing and a warm thing for a pig slaughterer to invite you to dinner, so it is not appropriate to invite them, and it is also a tradition.

Xiang Mei said: "Sister, brother-in-law, it's getting late, I won't keep you guys. Come play again tomorrow..."

While talking, he looked at Wu Xie with pride in his eyes.

The family of three watched Wu Zhen and Qin Ling go home, and then turned around. Wu Guonan patted Wu Xie on the shoulder and smirked: "Hey."

It seems that nothing has been said, but it seems that everything has been said.