Back in 2002 as a doctor

Although the people in the medical record room were brought over from home, they were not dissatisfied, "Brother Liu, what happened to you?"

"No, I just thought of it suddenly, let's study it." Liu Wei was perfunctory while looking for the medical records of his death the year before last.

Chapter 0350 is very demon!

The people in the medical record room were stunned when they saw Liu Wei find out the "famous" medical records, and were a little scared.

"Brother Liu, you are not looking for you from the patient's family, you want to find something wrong in the medical record."

"How is it possible? This matter has been resolved in the hospital. I heard that the compensation was 50." Liu Wei said with a smile.

"Then..." The people in the case room were a little puzzled.

"Let's learn, inexplicable death, almost one dead and two dead, always find the reason. We do medical treatment like this, one foot in the door, one foot out the door, if you don't pay attention, who knows what will happen next It will be me."

Liu Wei casually found a reason to perfunctory.

Only then did the people in the medical record room feel relieved, and they gave their thumbs up in silent praise.

She felt that Liu Wei was very caring, and the matter had already passed, and there was no possibility that the patient's family members could find someone in the hospital to find the wrong case.

Liu Wei didn't have time to perfunctory with her, he didn't read the written records, but directly turned over the medical records to the auxiliary examination at the back.

There were no monitors for natural childbirth. At that time, there were very few monitors in the third hospital. Most doctors still behaved like doctors in clinics. They didn't know how to install ECG monitoring.

When the patient's condition was not right, the doctor pulled an electrocardiogram, and Liu Wei squinted to read the electrocardiogram.

Looking down, Liu Wei's pupils shrank!As if organophosphorus pesticides were taken orally, the pupils shrank into needlepoints.The mouth is dry, and when I swallow unconsciously, it feels uncomfortable like there is a piece of sandpaper in my mouth.

The waveform presented on that electrocardiogram is very clear - supraventricular tachycardia!

At that time, the electrocardiogram was relatively long, and Liu Wei read it bit by bit, very patiently.Time seemed to flow backwards, and he returned to today's operating room.

The waveform of supraventricular tachycardia transitions directly to ventricular tachycardia and then ventricular fibrillation.

Very standard, like a replica.

It really is!Liu Wei felt the hairs all over his body stand on end.

Although the electrocardiogram posted in the medical record of the previous year ended here, Liu Wei seemed to see the scene of the rescue at that time.

This is definitely a myocardial infarction, if the rescue method is wrong, there will definitely be big problems!

At that time, the doctors and nurses were totally unaware that it was the carbetocin problem, and the first aid was normal, and the final diagnosis was suspected of abnormal electrocardiogram caused by anaphylaxis and hemorrhagic shock.

Liu Wei studied for nearly an hour, and the medical records were almost ruined before leaving the medical record room.

Although his conjecture was confirmed, the doubts in Liu Wei's heart not only did not decrease, but increased instead.

Zhou Congwen, how did he know? !

There is even a fantasy in Liu Wei's mind - if Zhou Congwen encountered this medical accident the year before last, would everything disappear invisibly, just like what he did today.

No, the patient has follow-up treatment.

Liu Wei frowned and didn't go home directly, but subconsciously followed the "psychic calling" to the Department of Circulatory Medicine.

It was getting late, and only the doctor on duty was there.

Seeing Liu Wei coming in, she greeted warmly, "Brother Liu, why are you here?"

"Is a patient transferred from the obstetrics department today? The one whose electrocardiogram was found to be abnormal after surgery."

"Oh, yes." The circulatory physician said quickly, "Brother Liu, do you know him?"

"Well, my classmate's classmate's third cousin's sister-in-law's neighbor."

"..."

"What treatment did you give?" Liu Wei asked.

"Normal medication, the patient's ECG is very strange, and our director did not give any diagnosis."

Liu Wei sighed inwardly. It seemed that the circulatory doctor still had a dewy face, and even answered his own questions in a messy manner.

Just about to ask again, the circulatory doctor said mysteriously, "Brother Liu, it's a bit strange to say it's strange."

"Oh? What?"

"In the afternoon, director Li and Zhou Congwen from the chest clinic came together and chatted with our director. After they left, the director gave the patient oral administration of diltiazem."

"What dose?"

"120mg, twice a day."

Variant angina, long-acting calcium antagonists, that's all Liu Wei's knowledge of diltiazem.

It seems that Zhou Congwen first convinced Director Li, and then Director Lu of the Department of Circulatory Internal Medicine.

"Our director seemed to be in contact with the People's Hospital when he left. The patient may be transferred there tomorrow."

"Huh? What are you doing?" Liu Wei was curious.

"Isn't the People's Hospital adjusting the machine? Director Li, who has returned from studying in Japan, is preparing to carry out a cardiac stent to treat coronary heart disease. Director Lu contacted him, and the patient was sent for angiography to confirm the diagnosis."

Liu Wei sighed, it turned out to be the case.

Zhou Congwen is quite confident.

If this kind of thing is judged correctly, it is a huge plus.

But if the judgment is wrong, it will definitely lose a lot of impression points.If Zhou Congwen didn't have self-confidence, he would definitely not be able to convince Li Qinghua.

This is for brushing your face.

"That's fine, I know. By the way, if there is any relevant news, please let me know."

"Brother Liu, you really love learning." The circulatory doctor said with a smile.

"If you don't learn, you can't do it. What will you do if you are not careful when you encounter such a thing?" Liu Wei didn't talk too much, and left home full of questions.

……

Three days later, Liu Wei was under anesthesia and received a call.

"Brother Liu, the results of coronary angiography at the People's Hospital are out."

"What did you say?"

"Intraoperatively, the coronary arteries were normal, but when the catheter was removed from the left coronary artery, the patient developed retrosternal chest pain with diffuse repolarization disturbance on the ECG."

"..." Liu Wei was taken aback.

Normal, but diffuse repolarization disorder with weak stimuli.

"The catheter was inserted again for angiography, and it was found that there was severe vasospasm in the interventricular artery, and the distal blood flow completely disappeared."

"After repeated intracoronary administration of nitroglycerin and adenosine, the blood flow in the distal coronary artery gradually recovered, and the electrocardiogram returned to normal."

"The patient's final diagnosis was variant angina pectoris. Director Li called and praised us for the timely treatment."

"What treatment are you giving now?"

"It's still diltiazem, and aspirin was added. It seems that there is nothing wrong. I can be discharged from the hospital recently."

After hanging up the phone, Liu Wei fell into deep thought.

The work was very long, and the third hospital was incompletely equipped, which made the diagnosis quite troublesome.If I hadn't followed along intentionally, this matter would have been lost in a daze, and it was gradually forgotten like the medical record of the dead woman.

When the ECG monitoring in the operating room and the ECG in the past death records appeared in front of him, Liu Wei gradually made up his mind.

There must be demons in everything that is abnormal, Zhou Congwen is very demonic.

After the operation, Liu Wei sent the patient back to the ward and ran to the chest department wearing an isolation suit "by the way".

The door of the thoracic surgery office was open, Liu Wei poked his head in, and was taken aback for a moment.

Chapter 0351 Zhou Dao

All the doctors in the chest department were sitting in chairs. Zhou Congwen seemed to have just said something, and the others burst out laughing.

The first thing that came into view was Li Ran. He stretched out his hand and pulled the corner of his mouth upwards, using external force to "pull" a smiling face.

What the hell... Liu Wei was speechless.

"Liu Wei, Mr. Liu, honored guest, sit down." Seeing Liu Wei poking his head in, Li Qinghua quickly let him in.

"Director Li, you are..."

"Oh, let's share the skills and experience of communicating with patients. There are more and more patients, and it is better for everyone to cooperate tacitly in some matters." Li Qinghua said with a smile.

Isn't this unprofessional?Corey should go to play mahjong if he has nothing to do, so why stay here to exchange ideas.

Liu Wei slandered, but sat down with a smile on his face.

"What did Xiao Zhou say?"

"Oh, during my internship, when I met patients with suspected pain, sometimes they were given analgesics." Zhou Congwen said with a smile, "Communication in Chinese is to give certain medicines. If you say 'Pan Ke', it is a simple Sinicization of English painkillers. The nurse will inject 2ml of saline into the muscle."

"..."

This is crooked way, Liu Wei is speechless.

"I once met a patient with uterine fibroids who underwent interventional embolization. The patient suffered from severe pain after the operation, and he had to take pethidine for two days. I always felt that it was not the case. Later, I used this method on the patient and it was not bad. , and the effect of Demerol is similar.”

"Uh." Liu Wei scratched his head, should these details be standardized?If so, it would be a huge system engineering.

"Brother Liu, what's the matter?" Zhou Congwen asked with a smile.

"It's okay, I'm taking the patient off. I just happened to take a look and ask how many surgeries are going on this weekend." Liu Wei said with a smile.

"There are six this weekend." Li Qinghua replied.

Liu Wei was taken aback.

He was just looking for a place to take a stroll and refresh his face.The number of chest surgeries is increasing now, but it is a joke to say that Professor Chen can be invited every week.

How many surgeries are performed in the Chest Department of People's Hospital a week?How could the Third Academy surpass them.

But when Li Qinghua said that there would be six operations this week, Liu Wei was a little confused. He thought Li Qinghua had heard it wrong.

"Director Li, I asked about this week, not last week." Liu Wei corrected.

"Oh, it's just this week. We're going to decide the order of the surgery after we've exchanged ideas. I'll have to work hard on you this weekend."

"..." Liu Wei was speechless.

Six surgeries on two weekends in a row?

For the Thoracic Surgery Department of the Third Hospital, this is simply a myth, an ancient myth, without any credibility.

"I was just looking for you, and you just came." Li Qinghua stood up, "That's it, everyone, go get busy."

"Director Li, what's the matter?" Liu Wei asked in surprise.

"Congwen gave me a suggestion, and I think it makes sense." Li Qinghua said as he walked towards the director's office, "That's right, working overtime on weekends is really hard. You and Wenbo, I thought about it. It doesn't matter once or twice. It's not good if it takes too long."

Liu Wei's heart moved, he had already guessed what was going to happen, and he was overjoyed.

Li Qinghua and Zhou Congwen are really sensible, praise!

"Congwen suggested to explain directly to the family members of the patients that our hospital has an awesome anesthetist, and the surgery would be impossible without the two of you." Li Qinghua pushed open the door of the director's office and walked in. Liu Wei returned with a warm heart. Hands close the door.

"I won't talk about the previous ones. It's our cooperation and training. Starting from this batch of patients, I made it clear to the patients that each patient who asks a professor for surgery will need an extra 200 yuan as an anesthesia fee."

really!

A wave of heat rushed straight to Liu Wei's forehead.

2400 a day, 2002 if you do it every weekend for a month.In [-], this is definitely not a small income.

According to what Director Li said, half of the family members of the patients will definitely prepare red envelopes, ranging from 200 to 500, and most of them will be 200, which is a lot of money.

It costs thousands of dollars a month just to hire specialists in the thoracic department!

"Thank you Director Li, thank you Director Li." The smile on Liu Wei's face became much more sincere.

"You're welcome. We are also very sorry to add a station on the weekend. I have caused you and Wen Bo a lot of trouble recently. It is our thoracic surgery department that should say thank you." Li Qinghua said with a smile, "But I was not sure about this path before. Whether it can go on or not, it should be no problem now.”

"It's definitely no problem, no problem." Liu Wei said dazedly after being dazed by Feilai's windfall.

"Then it's settled for now." Li Qinghua took out 600 yuan in cash from the drawer and handed it to Liu Wei, "It is said that the work of our medical workers does not apply to the labor law. It is not easy for anyone to make a living by working and earning a living.”

"It's only right and proper to work and earn money without talking about high-ranking people."