Back in 2002 as a doctor

The pregnant woman's vomiting seems a bit too severe, not like a normal pregnancy... No, the pregnant woman's face is gradually pale, and her upper limbs are involuntarily convulsing.

"Do you know why they quarreled?" Liu Xiaobie looked at the angry man and asked with a smile.But Zhou Congwen kept his eyes on the vomiting pregnant woman, observing and judging.

His hand has touched the mobile phone, ready to call 120 emergency number at any time.

"Italian, the accent is from the north, probably from Milan." Liu Xiaobie said, "This pizzeria sells Hawaiian pizza, which is heresy in the eyes of Italians, and he thinks the waiter gave it wrong. Pizza causing my partner to vomit on the smell."

"Uh~ it's all pizza, why is there heresy?"

"Northern people eat mooncakes, and rice dumplings are also sweet. Southerners eat..."

"The messy stuffing is heresy." Zhou Congwen said casually.

"You say no, but your body is very honest." Liu Xiaobie laughed, and pulled Zhou Congwen over to watch the excitement.

"No, the pregnant woman didn't vomit because of the smell. Something happened!" Zhou Congwen walked in and observed for a minute, then said in a deep voice, "Go and take care of the pregnant woman, don't let her fall, I'll call 1 for emergency services."

"Ah?!" Liu Xiaobie was also taken aback, she didn't expect Zhou Congwen's physique to be so special that he could see the patient while walking on the road.

Is he cursed?

0366 - Pineapple Pizza

Although Liu Xiaobie slandered Zhou Congwen, she rushed over immediately, just in time for the pregnant woman to faint in her arms.

Zhou Congwen took out his mobile phone immediately, and the pregnant woman fell into a coma faster than he imagined. It seemed that her condition was more serious than he imagined.

After calling 120, the pizza in the Italian man's hand fell to the ground, and a smell of pineapple spread out.

Liu Xiaobie exchanged a few words with him in Italian with a Milanese accent. Seeing Zhou Congwen finish the phone call, she immediately said, "She has frequent nausea and vomiting, lack of appetite, and weight loss. She has been treated for hyperemesis gravidarum in the hospital for a week. .”

Zhou Congwen nodded, surprised that Liu Xiaobie's spoken foreign language was so good.

Not English with a Cockney accent, nor American English, but Italian with a Milanese accent, which is rare.

In my previous life, I was proficient in all languages ​​given by the system, and it is imaginary to be able to communicate smoothly.But Liu Xiaobie is different, she is really amazing.

While thinking, Zhou Congwen ran into the store and asked the frightened waiter for a pen and paper to write down his diagnosis of the disease as soon as possible.

Soon, the 120 ambulance drove over.

Zhou Congwen helped the emergency doctor carry the patient into the car, and said quickly, "I can't go to the nearest one, I have to go to a large hospital, a large general hospital."

The emergency doctor glanced at Zhou Congwen impatiently, "Are you the patient's family?"

"No, but the patient considers thyroid storm caused by severe vomiting during pregnancy." Zhou Congwen finished his diagnosis, took a deep look at the emergency doctor, and whispered in his ear, "If you don't want to cause foreign disputes, hurry up It's time to send it to a large hospital, at least the kind that can treat thyroid storm."

The emergency doctor was taken aback, he was startled by Zhou Congwen's words.

Thyroid storm caused by vomiting during pregnancy, where is this person a medical student, what are you talking about.

However, the doctor in the emergency department of the word "foreign affairs dispute" still recognized it very much. He saw that the patient had severe convulsions and convulsions. If the cause was unknown, he would definitely send him to a larger hospital.

"This is for you, give it to the treating doctor." Zhou Congwen handed over the "medical record" of diagnosis and treatment that he had written to the 120 emergency doctor.

What the hell, if the 120 emergency doctor hadn't been a bit qualified, he would have thrown this piece of paper away as a snot-wiping paper.

Hurry up and get on the bus, the nurse asked, "What did that young man say just now?"

The 120 emergency doctor said contemptuously, "It's probably a student from somewhere. He thought he was great after learning something, and even wrote me a handwritten medical record."

He waved the paper full of words in his hand, and was about to throw it away in a ball in disdain, when he was startled suddenly.

A piece of paper was already half saved, so he stopped the movement in his hand.

The writing on the paper was very clean, and it didn't look as messy as a doctor's handwritten medical records.The key is the standard format, and there are even simple diagnostic basis and differential diagnosis.

Very interesting student, the 120 emergency doctor thought to himself.

The nurse was inhaling oxygen for the patient and installing ECG monitoring. The space on the 120 ambulance was cramped. Seeing that the patient's vital signs were still stable, he told the nurse to pay attention to suctioning the sputum, so he sat in his seat and opened the paper.

[The patient is female, 23 years old, due to menopause for 15 weeks, vomiting for 2 months, unconsciousness, seek 120 first aid. 】

The chief complaint was well written, the 120 emergency doctor thought to himself.

At first, I was contemptuous, and wanted to find out the fault of this elementary school student who didn't know the heights of the sky and the earth, but the more the 120 emergency doctor looked at it, the more serious his expression became, and his eyes were straightened at the end.

What was written later was very different from the format of the basic medical records, but he read it roughly and then went back and read it carefully.

[Human chorionic gonadotropin and TSH have the same a subunit, similar beta subunit and receptor subunit. When the secretion of HCG increases significantly, a large amount of HCG stimulates the TSH receptor, which increases the level of thyroxine and TSH Concentration is suppressed and occurs methionine, claims pregnancy thyrotoxicosis. 】

120 The emergency doctor read each word together, and he...he didn't know each word.

There are a lot of technical terms in it, and it looks like it was written by "my own people".

But the logic of the front and back is very weird. The 120 emergency doctor is also considered a senior doctor. He read it carefully three times but he didn't understand it.

120 The emergency doctor continued to look down.

[60% of hyperemesis gravidarum patients may have transient hyperthyroidism, manifested as long-term severe nausea and vomiting, weight loss of more than 5%, dehydration and ketosis; no positive signs of thyroid gland; serum TSH level decreased, FT4 or FT3 increased; TRAb negative; HCG significantly increased. 】

[It is recommended to check the thyroid function in emergency department. If abnormal thyroid function is confirmed, propylthiouracil 150mg q6h, propranolol 10mg tid, Li Kejun tablet 20mg tid, and hydrocortisone 100mg intravenous infusion q8h are recommended.

At the same time, face mask oxygen inhalation, ECG monitoring, physical cooling, parenteral nutrition support. 】

Uh……

120 The emergency doctor was stunned. He didn't know what propylthiouracil was.

However, this "medical record" made him feel professional in his bones. He took a look at the patient's vital signs and found that he was stable. Although his breathing was short but there was no phlegm sound, the 120 emergency doctor began calling relatives and friends for consultation.

The higher the call level, the more serious the expression of the 120 emergency doctor.

He understood more and more that the young man he met on the street was not a medical student at all, but an expert in diagnostics.

For other problems, the superior doctor did not give instructions because he did not see the patient, but the pathophysiology of the disease that the young man said was correct.

It is really possible that the patient had thyroid storm caused by vomiting of pregnancy... The 120 emergency doctor believed it at first, but he was a little confused when he thought of the logical relationship.

It doesn't matter, if you go there, check the three items of emergency jiagong according to what is written on the paper.

……

……

"Zhou Congwen, don't you want to follow along?" Liu Xiaobie asked leisurely as he watched the 120 ambulance leave.

"Don't go, the basic quality of the hospital in the imperial capital is still there, you have to believe it." Zhou Congwen comforted the pale-faced clerk and the front office manager, telling them that the patients were sick themselves, not because they smelled pineapple Pizza leads.

But Zhou Congwen also knew that what he said was useless, they should still be worried.It's too coincidental, there's no way.

"Bie, do you think it's so extreme? Why didn't I know that Italy is so popular." Zhou Congwen asked suspiciously.

"Cut..." Liu Xiaobie rolled his eyes and said with a smile, "Zhou Congwen, why don't I take you to eat soup dumplings?"

"Okay, it doesn't matter what you eat." Zhou Congwen said.

Although he said he believed in the quality of the imperial capital's medical staff, his thoughts were still on the patients, Liu Xiaobie knew.

Chapter 0367 The Wheel of History Rolling Back and forth

In fact, thyroid storm caused by severe vomiting during pregnancy is not uncommon, but many doctors don't know it.

Not to mention other hospitals, if doctors from the Third Hospital and the People's Hospital were gathered together in Jianghai City, there would definitely not be more than [-] doctors who could tell about thyroid storm.

In addition, vomiting is also induced by endocrine system problems during pregnancy, and there are even fewer people who can give correct judgments.

I wrote the medical records myself, and left the rest to the doctors in other imperial capitals. Zhou Congwen knew it well, so he insisted on taking the 120 ambulance to the hospital without making any noise.

As for the soup dumplings, Zhou Congwen is not interested at all. In his opinion, there is no difference between soup dumplings and pizza, they are both food for hunger.

After walking slowly for four or ten minutes, when Liu Xiaobie brought Zhou Congwen into a Japanese food restaurant and served soup dumplings, Zhou Congwen was dumbfounded.

In Zhou Congwen's imagination, the soup dumplings should be served hot in a bamboo drawer.If you are more particular, you will take a small bite and suck the hot soup and hot water inside little by little.

The deliciousness is in that sip of soup.

But the soup dumpling in the Japanese food restaurant made Zhou Congwen look stupid...it's really hard to describe.

There are also buns and soup, but the soup is on the outside instead of inside the buns.

It looked like a bowl of wontons, but the big, pleated buns were in the soup, so Zhou Congwen couldn't even think of wontons anyway.

"What is this stuff?"

"Japanese soup dumplings are similar to Korean ones." Liu Xiaobie said with a smile, "Hey, don't you know why Italians hate pineapple-flavored pizza? Try something different from your impression Let's fill the soup buns."

"..." Zhou Congwen was speechless.

He doesn't care about diet, but it doesn't mean that he can accept this kind of "heresy" soup dumpling.

What the hell is this!

Seeing Liu Xiaobie eating happily, Zhou Congwen suddenly made up a picture in his mind - Liu Xiaobie was sitting on a tree branch with a soup dumpling in his hand.

The setting sun seems to be very beautiful. The soup and water reflect the sun, and the beauty is in a mess.

"Shall I prepare some pieces of chewing gum for you?" Zhou Congwen asked.

"I didn't eat any garlic." Liu Xiaobie picked up the bowl and took a sip of the hot soup with a happy and satisfied expression on his face.

"Because when chewing gum, the stomach will be tricked by your chewing action, thinking that you are still eating continuously, and it will speed up its peristalsis. The faster the stomach peristalsis, the faster the food will be digested, and there will be no fullness feeling." Zhou Congwen explained.

"No." Liu Xiaobie said, "It's a very happy thing to be able to eat enough. I don't need to lose weight, why should I lie to myself?"

Zhou Congwen didn't think so, but it seemed to be a very happy thing to see Liu Xiaobie eating happily.

It has nothing to do with weight loss.

And Liu Xiaobie is really confident, even said that he doesn't need to lose weight, he has seen it for several years!I don't believe that she has Lu Yu's physique.

The phone rang, and Zhou Congwen had atrial fibrillation subconsciously, but he suddenly realized that he was in the imperial capital, which belonged to the "safe" range, and there would be no problem.

……

……

Jianghai City, the Office of the Thoracic Surgeon of the Third Hospital.

Li Ran was on duty, with a stiff smirk on his face, and he was practicing smiling at the shiny medical record folder.

It's a fake smile, but in fact it's just Li Ran's own feeling, and he also knows that laughing is uglier than crying.

"Li Ran, don't practice, I think it's cool for you to keep a straight face every day." Shen Lang said weakly as he fell on his chair.

He was so tired watching Li Ran practice smiling.

"Is it cool?" Li Ran glanced at the folder of the medical records again.

The shadow on the folder of the medical record is very blurry, much worse than the ancient bronze mirror, as if covered by a layer of smoke.

Only in this way can Li Ran dare to look at his face, otherwise he would feel that he is too "scary".

"It's so cool!" Shen Lang's voice couldn't hear even a hint of coolness, and Li Ran knew he was joking.

"Go home as soon as you finish your work. Is there anything else?" Li Ran asked.

"It's okay, I'll take it easy. It's true that Director Li has been free for a while since Director Li came, but now there are too many emergency operations..." Shen Lang half-lyed on the chair, lazily looking like a beggar.

"Isn't it good to have too many operations? I have some experience in holding mirrors recently, let me tell you..."

"Don't say it, I feel sick when I hear the words "supporting the mirror." Shen Lang pretended to cover his ears, "I'm so tired when I go home that I don't even have the mood to climb the grid."

Li Ran couldn't understand Shen Lang's brain circuit. Could it be that as the number of operations in the department increased, everyone could see a little bit of hope, isn't that bad?

Shen Lang was not like this in the past.

He turned around to face Shen Lang, grabbed the corner of his mouth with both hands and lifted it up, "showing" a smiling face.

"..." Shen Lang was speechless.

Although Shen Lang knew that Li Ran wanted to give himself a warm and warm smile, like a spring breeze, but no matter how you looked at him, his expression was serious, three points cold, three points skillful, three points careless, one point contempt, weird very.

Especially when the corners of the mouth were pulled up, this weird expression became more intense.

"Okay!" Shen Lang sat up and sighed, "Why don't I go home?"

"That's not what I mean, but I feel that you are too pessimistic. Isn't it good now?" Li Ran asked vaguely, pulling the corner of his mouth.

"It's really good. If the department was like this half a year ago, I wouldn't go home at night." Shen Lang said sadly, "Let me tell you the truth, Li Ran, at that time Director Wang wouldn't let Zhou Congwen and I have surgery, and Congwen died. Do it, I am timid, so I can only hide aside."

Li Ran knew about this, and now the outcome has been decided.Sometimes when he heard the nurse talk about those things in the past, he was also quite embarrassed.

"I decided to hang out at that time. Anyway, I have a salary, so I won't starve to death. I like to write novels, so I write every day. But after Director Li came, he was promoted from literature to a doctor, and more and more operations were performed. , I can also feel that if I hold the mirror for a long time, I can learn surgical skills. But..."