Back in 2002 as a doctor
Page 117
Seeing that the patient was in a stable condition, Zhou Congwen put on the lead suit and kicked out everyone including the anesthesiologist, and began to take X-rays of the patient.
Bedside X-rays have a high radiation dose, so it is better not to eat thread if possible.Zhou Congwen didn't care much about it. Normally speaking, X-rays are straight rays. Besides, he had done countless interventional surgeries in his previous life, so he didn't care too much about it.
After filming, Zhou Congwen handed the film box to Shen Lang, "Please go to the Radiology Department for cleaning."
"Congwen, are you okay?" Shen Lang looked at the ECG monitor in a daze and asked.
"It's okay, don't worry, I'm here." Zhou Congwen patted Shen Lang on the shoulder and said.
Both Wang Chengfa and Director Sui had already left. Liu Wei looked at Zhou Congwen with a surprised look, "Xiao Zhou, you are cruel enough. I didn't expect you to let even one of the directors go."
"Let it go?" Zhou Congwen smiled, "Why didn't they want to let anyone go when they dumped the blame?"
Liu Wei sighed.
He was too clear about the twists and turns, but if he didn't have enough confidence, who would dare to point at the noses of the two directors and scold them for not being able to see a doctor, or even percussion.
I did have a diagnosis at the time—neurogenic shock.But do you dare?
Zhou Congwen dared.
"What should we do next?" Liu Wei asked in a low voice looking at the patient who had regained his sanity.
Chapter 0201 from the text, you drift
The patient's condition improved little by little, the light reflex of both pupils was normal, he was conscious, and he answered fluently, and he couldn't see that he was dying 10 minutes ago.
"Observe for three or 10 minutes. If there is no problem, we can operate." Zhou Congwen lost the vigor of scolding the two directors just now, bowed his hands behind his back, turned and left slowly.
The anesthetist glanced at the monitor, and whispered something to the assistant to catch up with Zhou Congwen.
"Xiao Zhou, I've been quite angry recently." The anesthetist Liu Wei said with a smile, "Come on, let's smoke a cigarette."
"En." Zhou Congwen responded.
Instead of going to the locker room, the two came to the anesthesiologist's duty room.Liu Wei opened the window and took out a pack of red Dafu from the cabinet.
"I don't know what your taste is, but why do you like to smoke ganoderma lucidum? It's too pungent." Liu Wei gave Zhou Congwen a cigarette, and took the lighter to light it first.
Zhou Congwen smiled and took the lighter from Liu Wei.
"Xiao Zhou, are you scared? When you come out, don't talk." Liu Wei asked.
"Don't be afraid." Zhou Congwen took a puff of cigarette and said lightly, "Consultation, express your own opinion, there is nothing to be afraid of."
"Just make a high-profile statement. Let me tell you, our anesthesiologists are the most accurate at seeing surgeons. Xiao Zhou, you've been a little drifting lately." Although Liu Wei had a normal relationship with Zhou Congwen, he still persuaded him earnestly.
"Did it float away?"
"I know that you learned thoracotomy in secret, and you may also be able to do laparoscopic surgery, but you can't go on in the hospital if you do this. Professor Ouyang from Modu Hepatobiliary Hospital, do you know?"
Zhou Congwen nodded. That Professor Ouyang was a bit interesting. In the last life, I once regarded him as a signpost in life.
Professor Ouyang stayed in the People's Hospital after graduating from graduate school seven years ago. It is said that he is arrogant, but Zhou Congwen doesn't think so.Later, there was a medical accident during the operation, and instead of helping, the colleagues around me made things worse.
Soon Professor Ouyang was sent to the farm to feed the rabbits.
Farm, rabbit... Zhou Congwen suddenly felt a little dazed when he thought of these two words, and then smiled helplessly.It may be that when I first went to work in my last life, I heard that Professor Ouyang had too much influence, so the psychological projection still exists until now.
Later, Professor Ouyang was unwilling to be resigned, and he felt resentment in his heart. He got a doctorate in Shanghai, and stayed in Shanghai to work after graduation. He has become a first-class expert in China.
"Why did Professor Ouyang stay in Shanghai?" Liu Wei asked.
"High level, good temper."
"Yes!" Liu Wei slapped his thigh, "No matter how high your level is, can you live without accidents? The higher your level, the more eyes are staring at you. Even if you are full of iron, how many nails can you pick?"
"Thanks, Brother Liu." Zhou Congwen smiled.
"You say you, what happened today has nothing to do with you, why come out?"
"Because they're already putting the pot of shit on Shen Lang's head. I'm not considered a superstar. At most, someone else will shovel it if the road is uneven. Two dignified surgical directors, letting a little doctor take the blame, what the hell."
"..." Anesthesiologist Liu Wei never expected Zhou Congwen's answer to be this reason.But he automatically ignored Zhou Congwen's last sentence, just pretending that he didn't say it.
He saw the situation clearly at that time. He felt like he was in neurogenic shock, but there was no clinical evidence, so he could only take medication and treat it as soon as possible.
But Director Sui and Director Wang panicked and started biting.Who is most likely to be bitten?It must be Shen Lang.
These are actually very simple, Liu Wei doesn't think there is anything abnormal, but feels that Shen Lang's luck is really not very good.
However, Zhou Congwen, who had nothing to do with it, rushed up and overturned the two directors like a garbage truck, embarrassing them.
Liu Wei looked at Zhou Congwen with the eyes of an idiot, from head to toe, from foot to head, and looked at it several times.
"Brother Liu, I have flowers on my face?" Zhou Congwen smiled.
"If it's a girl, I'll recognize it, and become a confidante in anger, who doesn't have a confidante." Liu Wei said in disbelief, "You...cough cough cough, you and Shen Lang don't seem to have a good relationship Where are you going?"
"It doesn't matter whether it's good or not. They can put the shit pot on Shen Lang's head today, but they can't put it on your head tomorrow?"
"He dares!" Liu Wei said contemptuously.
"I know you have a good relationship with your director, but I can't." Zhou Congwen looked at Liu Wei with a smile, his eyes were clear and bright, "I won't help Shen Lang this time, what will be my turn next time? In the end, no one helped me Tell me, what will you do then?"
"I don't know if I helped Shen Lang."
"He doesn't need to know."
Liu Wei understood that Zhou Congwen was trying to put himself off, but the fact that a young doctor directly overturned the two directors was unreal from his point of view.
"Professor Ouyang was sent to feed the rabbits at last." Liu Wei said seriously.
"I understand, Brother Liu." Zhou Congwen replied seriously, "But it doesn't seem that easy for Director Sui or Director Wang to overthrow me."
What I said... Liu Wei felt that Zhou Congwen was really drifting, and he was so drifting that he didn't know his last name.
The director picked up a little doctor and didn't pinch him with his hands?Zhou Congwen really thought he was so awesome that no one could cure him?
"But I still have to thank you for telling me your heartfelt words." Zhou Congwen stubbed out the cigarette butt and stood up, "It's okay, I'm paying attention. If they want face, I'm fine. If shameless play society, I don't seem to be afraid .”
Liu Wei looked at Zhou Congwen with strange eyes, and said nothing until his figure left the doctor's duty room.
Zhou Congwen changed his clothes and left the stage, Shen Lang came in just before leaving.
"Congwen, are you alright?" Shen Lang asked.
"There was nothing wrong with it at first. The patient suffered from neurogenic shock caused by pain. Brother Liu's treatment was correct." Zhou Congwen said lightly.
"It scared me to death." Shen Lang slumped onto the chair in the locker room, almost collapsed into a pile, "I thought I missed the diagnosis."
Zhou Congwen looked at Shen Lang and knew that he didn't understand what happened just now.Sometimes ignorance is also very happy, such as the current Shen Lang.
"It's okay, let's change clothes and go down." Zhou Congwen patted Shen Lang on the shoulder.
"Congwen." Shen Lang grabbed Zhou Congwen's white clothes.
"Ok?"
"Thank you."
……
……
"Thank you." Li Qinghua hung up the phone.
He asked a fellow student studying at Harvard Medical School to verify the authenticity of the documents in The Lancet, and fell into deep thought after getting the answer.
What Zhou Congwen said seems to be true. The treatment for small pulmonary nodules at Harvard in the United States is wedge resection.
Chapter 0202 A Difficult Decision
"Qinghua, have you been under too much pressure recently?" Li Qinghua's lover finally couldn't bear it and asked in a low voice.
Because she was worried about irritating Li Qinghua, she kept this question in her heart for several days and dared not say it.Seeing that he was calling a friend in the United States to consult with an English magazine after the operation, he seemed to be crazy, so he couldn't help asking.
"It's okay." Li Qinghua heaved a sigh of relief after getting a definite answer. He smiled, "Fengjuan, I have made a decision."
"Don't worry, even if you can't do anything after you cut off your lungs, don't you still have me in this family." Li Qinghua's lover said firmly.
"Silly boy." Li Qinghua smiled gently, as before.
Seeing the familiar smile, Li Qinghua's lover tried to smile, with tears in his eyes.
"I want to transfer work."
The next words made Li Qinghua's lover startled. Didn't he need an operation? Why did he turn around and switch jobs?
But with just a flash of thought, she "understood" what Li Qinghua meant.
People's Hospital has many surgeries and the competition is fierce.Usually, Li Qinghua is as warm and gentle as jade in front of others, but every day after get off work, he will lock himself in his study and think about things quietly.
There is no such thing as stress.
His operation seemed to cut off a lobe of the lung, and a good person cut off a lobe of the lung... Li Qinghua's lover should become a useless person with a simple point of view.
The high-intensity competition in the People's Hospital should no longer be suitable for Qinghua, and it should be right for him to find a place to retire.
Forget it, as long as people live.When there is a person, the family is complete, even if he can't do anything.
"I support you, find a quieter place, where is life. I don't believe that people can starve to death now." Li Qinghua's lover said.
"It's not as bad as you think, don't worry." Li Qinghua gradually stabilized his emotions, and tried his best to bring back his former gentle self.
After persuading his lover to go away, and calming down for a while, Li Qinghua connected the information he searched on the Internet these days, the documents he read in the provincial library, and the answers given by his teacher and brother three times in his mind.
For small pulmonary nodules, wedge resection is more suitable than segmentectomy and lobectomy.
The statistics of large-scale clinical operations show that no lymph node dissection is required in wedge resection for small pulmonary nodules, and the recovery rate over five years is as high as 98%.
In addition to my major, I have been reviewing regularly, and if there are problems, I will say that there are problems, and there is a high probability that there will be no particularly serious consequences.
These things are very complicated to say, but there is only one sentence in summary - what Zhou Congwen said is true!
Li Qinghua picked up the phone after deciding how to go next.
"Xiaowei, how is your father doing?"
Li Qinghua's lover was taken aback for a moment, she didn't expect her husband to be interested in helping others when the sky was falling.
Xiaowei is a child of an old patient's family, and the old man's heart is not feeling well.After being admitted to the hospital, he was diagnosed with myocardial infarction and has been taking medication.The effect is not very good, but my house is already on fire, so how can I still care about the patient's affairs.
But she didn't interrupt Li Qinghua's phone call. Looking at his profile, Li Qinghua's lover gradually had a feeling that lung cancer was not as serious as he thought?Or maybe there is a new treatment in the United States?
Amidst her full of doubts, Li Qinghua hung up a phone call and dialed another number.
"Congwen, I have something to trouble you." Li Qinghua said with a smile, his tone was as gentle as jade and gentle.
"I have an old neighbor..." Li Qinghua then briefly explained the patient's situation, "I originally wanted to persuade the patient to come to our department for bypass surgery, but because he is relatively old, he has been hesitant. This is not thinking of you and the Medical University. Is Director Fujifi of the Second Hospital on good terms, and ask if you can find a hospital bed for Director Fujifi to take a look at the braces."
Hearing what Li Qinghua said, Zhou Congwen knew what he meant.
Seeing a doctor is one thing, and patients do exist, but the drunkard's intention is not to drink.
It is estimated that Li Qinghua has already figured out the matter, but he did not say it directly, but contacted himself one after another.
Naturally, there are more snack machines but not annoying.
It's just that the case just now is a bit interesting, Zhou Congwen asked, "Qinghua, I'll take a look at the electrocardiogram."
"Send it to...email? Is it convenient for you to surf the Internet?"
"..."
Zhou Congwen gripped the phone hard, making it creak.
It is now 2002, instant messaging is weak, and there is no way to directly send an electrocardiogram.
"Then trouble you to bring me the information and find a place to sit for a while, just to chat." Zhou Congwen said helplessly.
……
……
An hour and a half later, the two met in a cold drink shop near the Third Hospital.
There was no pleasantries, Li Qinghua sat down after shaking hands briefly, and opened the file bag that he carried with him.
The A4 paper that had just been copied was handed over to Zhou Congwen with residual warmth.
"Congwen, I'm going to run some old relationships tonight." Li Qinghua said with a smile, "It should be no problem to transfer to the Third Hospital."
"Oh?"
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