Back in 2002 as a doctor

Checking the patient's condition and asking questions, Zhou Congwen was not in a hurry, and treated it as a regular daytime ward round to see the patient.

The recovery of the patients after laparoscopy is very good, the state is stable, and the anxiety before the operation can not be seen.

Before the operation, the patient, the family members of the patient and those who had undergone the operation before inquired about the relevant situation.What I asked was a detailed one, and I almost didn't live in Li Qinghua's director's office.

For example, I know everything about the 20-25cm chest incision, the uncovering of the entire chest cavity, and even the amputation of a rib, which is more than a doctor who has never done chest surgery.

He also had a lot of questions and anxieties. For example, he was worried that he would suffer from severe pain after the operation, would have trouble breathing, and would have to inhale oxygen to survive.

As for the chest bottle, it is even more evil. It is considered good to be able to pull out the chest bottle within a week. Such a thick tube is between the ribs, and the pressure on the intercostal nerve is terribly painful.

Things like this create a strong psychological pressure on the patient.

Although the previous batch of patients taught by example, the new patients were still very nervous before the operation.

However, all their negative emotions dissipated after the operation. Speaking of recovery, they seemed to recover faster than the patients in the anorectal department.

It is hard to imagine that the operation of thoracic surgery to cut the lung lobes can recover faster than hemorrhoids, all of which have broken through the patient's psychological expectations.

Zhou Congwen walked from ward to ward, and when he came to ward 3, he didn't go to see the patient Shen Lang mentioned, but started from the beginning.

Talking and laughing with patients and their family members, auscultating with a stethoscope, squatting down to check the chest bottle, Zhou Congwen did it meticulously.

"toilet paper!"

Before Zhou Congwen could see the patient wearing the consecration object, he heard the patient's family members talking hurriedly behind him.

With the mess behind him, Zhou Congwen looked back and saw the patient covering his nose with his hands, with blood oozing from his fingers.

Zhou Congwen sighed inwardly, but did not communicate with him directly, and continued to say to the patient who had just seen the chest bottle, "Everything is fine, the lungs are fully opened, and the tube can be extubated after checking the X-ray tomorrow."

"Doctor Zhou, after I get the tube removed, will I be able to go home after the drip?"

"In principle, we don't allow it." Zhou Congwen smiled, "Didn't you sign a guarantee when you were admitted to the hospital?"

"Oh." The patient was a little disappointed.

This person is really honest, Zhou Congwen said with a smile, "But, we can't force you to stay here, everything depends on self-consciousness. Just don't cause trouble for us, okay."

"Oh, I have insomnia and many dreams, and it's not good for people in the ward to rest." The patient was still explaining to Zhou Congwen why he wanted to go home.

"That's it, let me tell you something." Zhou Congwen said patiently, "A few months ago, a patient in our general surgery department underwent thyroid surgery. The surgery was performed the next day, and the night before, we went to the noodle restaurant opposite the hospital for dinner. , was hit by a car while crossing the road."

"..." The patient froze for a moment.

"This kind of thing is hard to say. Although the bed doctor has no responsibility, it is troublesome. You see, we have a lot of patients, which delays clinical work." Zhou Congwen explained patiently.

"But……"

"Oh, what Dr. Zhou said so clearly, you can just sneak away. Take care of yourself, and the hospital will not be responsible for the accident." The patient next to him with a nosebleed "translated" Zhou Congwen's words.

Zhou Congwen laughed, isn't this patient able to understand things? How can such a smart person still believe in those nonsense things?

However, he didn't clarify this statement, he smiled noncommittally, and turned to look at the patient with nosebleed.

"Why are you still having a nosebleed? When did it start?" Zhou Congwen asked gently.

The patient with a nosebleed looked excited, "Dr. Zhou, my brother begged me for a treasure. After wearing it, I felt very healthy, as if I had eaten two catties of old wild ginseng."

"You can't make up for the deficiency, and you get too angry after eating old wild ginseng, so you get a nosebleed? Look at your small body." Zhou Congwen made a joke with the patient.

"Thoracotomy, in the words of our common people, it hurts the vitality." The nosebleed patient blocked his nose with toilet paper in his hand, and said in a low voice, "How can it be done without mending. Don't believe me, I The past few days have been very healthy, you are awesome!"

"What baby, give me long eyes."

The patient hesitated for a moment, and glanced at Shen Lang behind Zhou Congwen, but he did not reject Zhou Congwen's words, he pulled out a red thread from his chest, and pulled out a stone.

"Here, this is it. It is said that the old mother with a crooked neck in Tiandang Mountain opened it up. I really can't bear it with my mortal body."

It was a gray stone with black spots, and it looked ordinary.

But it seems to have a magical power, exuding a faint luster.

The first thing Zhou Congwen thought of when he saw the stone was not the equipment of the exploration team, but Liu Xiaobie.

That guy sometimes has good skin like radiation.

What he said, Zhou Congwen quickly pushed this thought out of his mind, for fear that Liu Xiaobie would know.

"How much?" Zhou Congwen asked.

"One thousand and two! This is the price my buddy gave me. He is familiar with the master over there. Normally, this is not for sale." The patient with a nosebleed said proudly.

Chapter 0454 Radioactive Sources

"Oh, so that's how it is." Zhou Congwen looked at the stone, and didn't want to touch it, but took half a step back.

"Doctor Zhou, touch it." Seeing that Zhou Congwen retreated instead of advancing, the patient with a nosebleed struck back his thoughts. If it wasn't for the inconvenience, he would definitely pull Zhou Congwen to appreciate the baby.

"No." Zhou Congwen said firmly, "You go to check a chest plain film now. If there is nothing wrong, I will discuss it with the director and I will be discharged from the hospital immediately. Immediately!"

"..." The patient was stunned, and there seemed to be more nosebleeds, and he couldn't cover them.

Zhou Congwen's attitude was serious, he looked like Li Ran, completely different from him before.

The patient's family was stunned for a moment, not knowing where they had offended the doctor, and wanted to come up and explain embarrassingly.

"There is nothing to discuss."

Zhou Congwen's tone was very calm, but quite firm, "Shen Lang, I want two extra beds, put them in the corridor first."

"Ah?" Shen Lang was startled, he didn't understand what Zhou Congwen meant.

"If he doesn't leave, let the other two patients move out first."

Everyone was stunned, not knowing why.

Zhou Congwen then explained, "I highly suspect that this thing contains radioactive elements. I advise you to take it off and send it away immediately. Wear it next to your body, and you are not afraid of death. Nosebleeds are not caused by eating old wild ginseng, but caused by radioactive elements. broken capillaries."

The patient wanted to hit Zhou Congwen on the ground angrily, Zhou Congwen smiled, "I'm wearing a chest bottle, don't get excited."

After finishing speaking, he turned around and walked out of the third ward.

"Congwen, why are you more radical than me?" Shen Lang asked suspiciously.

"After taking a look, I highly suspect that there is extremely high-intensity radioactive material in that stone. I don't know what it is without testing, but once I guess it right, it will cause nausea and vomiting, nosebleeds, and hair loss in the patient. Malignant tumor."

"..."

"I'll talk to the director about it. It's not a trivial matter. Even if the patient insists on wearing it, there's no reason for the people in the same ward to be exposed to radiation." Zhou Congwen waved his hand and went straight to the director's office without continuing the ward rounds.

"Li Ran, do you think Congwen has changed a lot?" Shen Lang asked while looking at Zhou Congwen's back.

Li Ran raised his hand, pulled the corner of his mouth and pulled out a smiling face.

"I don't know what he was like before, so I just passed by the hospital to say hello." Li Ran said, "But after I came to the chest department, I found that Congwen is very good, whether it is surgery, diagnosis, or rescue."

"By the way, do you know?" Shen Lang quietly approached Li Ran.

Li Ran jumped to the side, avoiding Shen Lang's whisper.

The two gentlemen wanted to whisper, Li Ran was not used to this style of painting, and the straight man's heart broke out, so he almost kicked Shen Lang.

"I'm telling you something serious." Shen Lang said in a low voice.

"What's the matter?" Li Ran looked at Shen Lang with a serious and weird expression, and was on guard for fear that he would approach him again.

"Come to the duty room." Shen Lang pulled Li Ran into the room, "Did you know that Mr. Huang from 912 is going to open an academician workstation in the Second Hospital of Medical University, and it seems that Congwen will be in charge of the work."

"I know, I said it during the operation." Li Ran shook his head seriously, his expression unchanged.

It seems that such a big thing can't change his expression.

"You said how Congwen walked so fast."

"Speak well." Li Ran corrected seriously, "It's because you've been promoted so fast, it's not like you're leaving."

Shen Lang was stunned for a moment, then laughed loudly, "Yes, yes, but the meaning of Sheng can also be understood as..."

He didn't continue to say the next words, after all, it's not good to say these things behind his back.

"Li Ran, do you think Congwen will take you away?"

"I don't know, do you want to follow?" Li Ran asked back.

"I don't want to." Shen Lang said firmly, "Our income has increased now. Although we have a lot of work, we are writing medical records. I heard that we will change the HIS system by the end of the year and use computers to write medical records. At that time, we will have less money here. There are so many places, why go to the provincial capital?"

Li Ran's unmoving expression relaxed a little. He looked at Shen Lang, completely unable to understand what this guy was thinking.

Doctors belong to a profession that desperately needs a platform.

In Jianghai City, the doctors of the People's Hospital and the doctors of the Third Hospital are completely different concepts, and they are not respected to the same degree.

This is only in Jianghai City, if it is replaced by a doctor from the Second Hospital of the Provincial Medical University...

Why didn't Shen Lang want to go?Li Ran was a little strange.

He didn't believe that Shen Lang was playing tricks, just like what he said, and what Zhou Congwen said.

"You can talk to Congwen in advance." Shen Lang said in a low voice, "Go to the second year of medical school. In ten years, you will come back and throw knives! Let me ask you, are you awesome or not!"

"What about you?"

Li Ran asked the same question again.

"Me?" Shen Lang chuckled, but did not answer.He looked out the window leisurely, not knowing what he was thinking.

A few minutes later, Zhou Congwen returned to the duty room.

"Congwen, what did the director say?"

"Report to the hospital, it is highly suspected that the stone contains a radioactive source." Zhou Congwen said, "The director contacted the exploration company, and professionals will be here soon."

"I'm going, really?!" Shen Lang was surprised by Zhou Congwen's handling.

According to his idea, it was a "blessing" object, and Zhou Congwen would probably turn a blind eye to it.

But what Shen Lang never expected was that Zhou Congwen actually mobilized the crowd, and actually invited professionals from the exploration branch of the group company to do inspections.

"The patient's condition has already explained the problem. It happened yesterday, but the nosebleed started today. It is estimated that the amount of radiation in that thing is not small. If you take it off earlier, you may still be able to live. If it is later, I am afraid that no one will die. gone."

"so serious?"

"In Brazil in 1985, two people went to an abandoned factory to pick up cesium-137. They thought it was a good thing. Emmm, it was indeed a good thing. It was worth tens of thousands of dollars at the time, but it was a pity that they had no luck."

"After a week or two, people in the neighborhood were affected and showing symptoms."

"How many blocks?" Shen Lang's eyes lit up, gossiping, completely unaware that the hospital ward is so big, if the stone is hugely radioactive, he would not be able to escape.

"Well, the radiation range of cesium 137...Forget it, I won't tell you this. The stone worn by the patient should not have such strong radiation, but it is quite dangerous for him."

"What happened later?" Shen Lang's focus on issues was always different from others.

"The family died, and the neighbors nearby were also affected." Zhou Congwen said, "Every time similar things happen in our country, it is a major event. For example, the satellite wreckage fell in the wilderness and was picked up by someone, and the limb was amputated a few days later. .”

"Amputation!"

"That's right, so you don't touch inexplicable things." Zhou Congwen said, "This is a big deal. It doesn't matter if the patient is happy or not. Carrying radioactive sources is a danger to public safety."

0455 - Black Pleural Effusion

People's Hospital, Department of Thoracic Surgery, Lu Tiancheng squatted on the ground looking at the chest bottle, with black lines all over his forehead.

The liquid in the breast bottle was dark, as if it would undergo quantum fluctuations, and unconsciously, it had rushed from the breast bottle to the top of Lu Tiancheng's head.

He stared blankly at the chest bottle in a daze, how did this thing come out of the patient's chest cavity?

After working for more than ten years, Lu Tiancheng looked at the chest bottle almost every day. He had never seen a dark chest effusion.

Lu Tiancheng's first thought was bloody pleural effusion, because a large number of macrophages with iron blood yellow deposits appeared, and the hemolysis caused the drained fluid to be black.

But he had seen bloody pleural effusion, it was not like this at all.

It is also difficult to describe the liquid in the chest vial with hemolysis, because although they are all black, black is not the same as black.

What the hell is this? Lu Tianxiang looked like he went to the bathroom without paper. He squatted on the ground helplessly watching, pondering over and over again, but couldn't find the answer.

"Doctor Lu." The patient lay on the bed and saw Lu Tiancheng's awkward posture, and was moved a little at first, but Lu Tiancheng didn't move or speak, and he became more and more nervous.

"Ah?" After a few seconds, Lu Tiancheng responded.

"Why is my pleural effusion different from other people's?" asked the patient.

Lu Tiancheng raised his head and tried to squeeze out a smile.