Back in 2002 as a doctor

"Doctor Lu, what's the matter?"

"The test results of the black pleural effusion came back, and the pleural effusion amylase is indeed high, more than 5000." Lu Tiancheng kept his tone as calm as possible, "I didn't want to understand, what is the patient's disease, do you know?"

"The patient has pleural effusion on the left side." Zhou Congwen asked.

Lu Tiancheng was startled, he never said left and right, how did he know?

After recalling it again, Lu Tiancheng was sure that he didn't say left and right.This is because Lu Tiancheng made a mistake once, he reversed the left and right when writing the medical records, and Zhu Jun caught him and scolded him.

Since then, Lu Tiancheng has become a habit. When it is possible not to mark the left and right, he will not mark it. If he needs to write it, he will check it repeatedly to make sure it is correct.

"I didn't see the patient, and I didn't have a physical examination. I just said it casually, and you used it as a reference." Zhou Congwen spoke steadily like an old dog, "There are not many diagnoses of black pleural effusion. I guess the patient in your hand should be a pseudopancreatic Cyst with pancreatic-pleural fistula."

"..."

Lu Tiancheng was dumbfounded.

What diagnosis is this? !

Pancreatic pleural fistula?

"Pancreatic pleural fistula is a rare side injury of chronic pancreatitis, let's check it first, but don't worry too much, it's not difficult to treat." Zhou Congwen seemed not aware of Lu Tiancheng's emotional changes, he continued.

"Zhou... Doctor Zhou, how can I treat it?" Lu Tiancheng asked stammeringly.

He was asking, but what was in his mind was what Master said just now—do you dare to follow the treatment plan given to you by Zhou Congwen of the Third Hospital!

Yes, do you dare?Lu Tiancheng also asked himself the same question in his heart.

"Thoracoscopy." Zhou Congwen said as a matter of course, "Use thoracoscopy to find the fistula, and just put in two titanium clips. Within three days after the operation, transfer to general surgery or hepatobiliary surgery for symptomatic treatment. Without our thoracic department what's up."

Lu Tiancheng stared blankly at the wall, his hand holding the phone trembling.

Thoracoscopy, what the hell is thoracoscopy!

This thing was useless in the past, so why did it become an omnipotent weapon when Zhou Congwen said it!

Master was still right, it was useless to ask, Lu Tiancheng thanked him restlessly, and hung up the phone.

Without further hesitation, Lu Tiancheng returned to the ward to communicate with patients and their families.

Because Zhu Jun came forward to contact the First Hospital of Medical University, although the patient and the patient's family were a little surprised, they were still grateful and transferred to the provincial capital that night.

Lu Tiancheng made a thought, he left the patient's phone number, and called after three days to inquire about the situation.

When he knew that the No. [-] Hospital of Medical University had undergone thoracoscopic repair surgery the day before, the patient was now ready to be transferred to the Department of Gastroenterology for further treatment.

Sure enough, what Zhou Congwen said was not wrong at all.

Chapter 0459 Is this a big suture?

Zhou Congwen didn't know how much a patient with black pleural effusion shocked Lu Tiancheng's heart. He was sitting in the office chatting with Shen Lang.

Yesterday was a relatively busy night shift, but the injuries of the patients were relatively minor, so they didn't need to go to the operating table, and Li Qinghua and Zhou Congwen were not called. Shen Lang did debridement and sutures overnight in the treatment room.

The year 2002 was still relatively chaotic. Zhou Congwen had long been accustomed to the quiet life after the eradication of evil, and he still couldn't accept the fact that there were so many traumas in one night.

This is more disgusting than no electric burn.

There is no electric cauterization in the operation, and the operation can still be performed, but I am not used to it. It will delay some time, and the operation should be done more carefully.Zhou Congwen can't decide how many traumas come. He can't figure out why those people get into fights after drinking too much at night.

"Last night, there was a big brother. The gold chain is thicker than my finger, and the tattoo is a dragon, which is lifelike."

Shen Lang danced and told Zhou Congwen the gossip of last night.

Zhou Congwen could feel Shen Lang's fatigue, but when he talked about gossip, his eyebrows were beaming, as if he wouldn't be tired after another day of work.

"The knife cut it just right, cutting down from the dragon's head, splitting the dragon on his body in two. If I cut it with a scalpel, it seems that I can't cut it so accurately."

"When I was going to sew it up, the elder brother said that it must not be seen. If the sew is crooked, he will kill me."

Zhou Congwen smiled and asked, "Are you afraid?"

"Scared, my hands are shaking." Shen Lang laughed.

"and after."

"Since the eldest brother has said so, I will ask him in front of his younger brothers if he wants to use anesthetic." Shen Lang said with a smile.

"The elder brother took the courage of Guan Yunchang to scrape the bone to cure the poison and told me not to use it at all. He didn't feel any pain. Then I sterilized it with 95% alcohol."

"Oh." Zhou Congwen sighed.

"As soon as the alcohol was poured, the elder brother let out a cry, which startled me. But he was able to bear it, and he managed to endure the alcohol disinfection. Maybe it was because he felt embarrassed in front of his younger brothers. .”

"When I was suturing, he was sweating all over after three stitches. His body was shaking... By the way, there is a metaphor called chaff sifting. I have never seen it before, but this time I really know what chaff sifting is."

Shen Lang told with a smile.

"Did you use anesthesia later?" Zhou Congwen asked.

"I must give him a step up, otherwise he will throw all his resentment on me." Shen Lang said, "I thought of a way to praise first, and then use anesthesia halfway. I just don't have a camera, if I have one I’ll definitely take a picture of it for you to take a look at.”

Zhou Congwen was taken aback, and then realized that mobile phones in 2002 did not have a camera function.

"The sewing is very good, and the needle holes are evenly distributed like scales. It is true to say that this person has unlimited potential. I was forced by my elder brother to maximize my level. This is the most satisfying sewing I have ever done."

"Is it okay after that?" Zhou Congwen asked.

"It's okay, my elder brother is also very satisfied. I went to the emergency department to pay for tetanus, and a gangster came up and threw me two big blessings."

"Congratulations." Zhou Congwen smiled.

A Dafu cigarette costs about 180 yuan, and two cigarettes are basically equivalent to half a month's wages for Shen Lang.

Just as he was talking, a person appeared at the door of the office.

"Doctor Shen." He said sullenly.

"Huh?" Shen Lang looked sideways at that person, then smiled, "Did you pay the fee?"

"I didn't pay the fee. There are a few things I don't understand. Please explain to me." The man trembled in mid-air with Shen Lang's handwritten receipt in his hand, with a stern look on his face.

It is better to have less contact with patients with stab wounds, God knows what they will do, Zhou Congwen is ready.

"What? What can't you understand?" Shen Lang looked at the man suspiciously.

"I see that the fee bill you issued said major sutures. Where is my wound?" The patient walked up to Shen Lang and asked.

"That's right, the sutures we stipulate may be different from what you think." Shen Lang patiently explained, "1-3 stitches belong to small sutures, 4-7 stitches belong to medium sutures, and more than 8 stitches belong to large sutures. The fees are charged by the hospital. According to the regulations, I can't do anything about it."

The patient looked ruthless, and slapped the list in front of Shen Lang with a "snap". Zhou Congwen was startled, thinking that he was going to do something.

Just because of a large suture that costs more than ten yuan, it is not possible.

"Brush", the patient then tore off his clothes, revealing the white gauze on his chest.

He took off the gauze without hesitation, and a wound of about 10cm appeared in front of everyone.

"A big fart injury, you tell me it's a big stitch? Who are you burying here!"

Zhou Congwen glanced at it. Shen Lang sewed 12 stitches, the stitches were relatively wide, and the stitches were not particularly tight.

This kind of opening is considered a large suture, which is absolutely right.

"Your hole is at least 10 centimeters, it must belong to..."

"Say it again! I don't understand what big sutures are. Such small openings are small sutures!" The man stared at Shen Lang and roared.

"..."

"Changed!" The man said unhappily, "If people know that I have stitched up, I will have no face!"

Zhou Congwen was taken aback.

It turned out that it was not a fee evasion, but was entangled in the size and judgment of the wound.

Does it matter?Zhou Congwen smiled helplessly.

Or I just feel that I can't bear to evade the fee directly, so I come back to find an excuse and then evade the fee.

Really, if you don’t want to pay the money, just leave, Zhou Congwen sighed.

Shen Lang also wanted to explain to the patient that more than 8 stitches belonged to the rule of major sutures. Zhou Congwen immediately stood up and pulled Shen Lang aside.

"I'm here to change it. It must be a small suture." Zhou Congwen said lightly, "Li Ran, take him to disinfect and change the dressing."

As Zhou Congwen said, he looked at the man in front of him with a smile, "Can we do small stitches?"

"can."

"Well, after all, there is a needle's eye, so it doesn't matter if I write you a debridement." Zhou Congwen said.

The man was very satisfied, and he glared at Shen Lang viciously, then turned around and went to the treatment room with Li Ran to change the dressing.

"Congwen, is he sick?" Shen Lang complained helplessly.

"Well, I'm sick." Zhou Congwen took out the prescription and re-issued the order, "You wrote that the copy paper is out of oil, give me another one."

Shen Lang sighed, took out the box of copy paper from the drawer, and handed a sheet to Zhou Congwen.

"I used half a prescription last night." Shen Lang said helplessly, "I said Congwen, you are too cowardly."

"I don't think there is any dispute with him. I don't think he is short of money. He just cares about the size of the wound, hahaha." Zhou Congwen couldn't help laughing as he spoke.

This kind of shit even came back and asked the doctor to write a small suture to prove that the knife wound was not serious. If it was serious, I am afraid that he is lying on the hospital bed obediently and dare not move.

Chapter 0460 Can't hold back

"Congwen, how can you spoil him so much." Shen Lang was still rambling angrily.

"It's not necessary." Zhou Congwen said with a smile, "It's a trivial matter. It doesn't matter if there are conflicts among the people."

"People, are there people like him?" Shen Lang said disdainfully.

"Don't talk nonsense, you don't care if you are a people or not." Zhou Congwen wrote another list and tore it out of the prescription book.

To be honest, there is a difference of ten yuan between the small suture and the big suture.

Although it was not a small amount in 2002, it is absolutely not possible to have a dispute with the patient because of ten yuan.

That person was just out of face. Although Zhou Congwen didn't understand it, he "followed the good".

"Dong Dong Dong~"

A girl appeared at the door knocking with tears in her eyes.

"Who are you looking for?" Zhou Congwen glanced at her and asked casually.

"Doctor, I was bitten, and the emergency department asked us to come and see it." The girl said with sobs.

"Don't cry, don't cry, the injury is not serious, don't scare the doctor." Another girl comforted her.

The angry expression on Shen Lang's face disappeared, and he leaned into Zhou Congwen's ear and said, "Congwen, you don't even feel it when you go to stitch it."

"..." Zhou Congwen bumped Shen Lang's stomach with his elbow.

This guy really never forgets anything. It has been a few months, but he still remembers it in his heart, and he can use it anytime, anywhere.

"Let's go, go to the disposal room." Zhou Congwen stood up and said.

Glancing at Shen Lang, it must be the aftermath of this guy's emergency call last night, and it has nothing to do with him.

And this is a small job, Zhou Congwen thinks that the girl must have been scratched by the cat at home, and there is only a problem with the expression.

Generally, patients will make many slips of the tongue, which are related to everyone's perception of society and the world.

"It's okay, go to the treatment room and I'll take a look at the wound." Zhou Congwen walked past the two girls and led them to the treatment room without looking back.

After entering the treatment room, Li Ran just changed the medicine for the social elder brother.

There is a deep blue dragon pattern on the back, split from the middle, and covered with gauze, it looks like the third prince of the Dragon King who was raped by Nezha.

Zhou Congwen took it for granted, but the two girls behind him were startled, their faces turned pale, and the injured girl cried even more sadly.

"Here is your list, see if you are satisfied." Zhou Congwen took the prescription and handed it to the social elder brother.

Seeing the small stitches written on it, Brother Society grinned, "Thank you."

"You're welcome, go and pay the fee, please send the bottom link back." Zhou Congwen sent the social elder brother away and found a nurse to come in.

"I'll take a look at the wound," Zhou Congwen said.

The girl cried with pear blossoms and rain, I feel pity for it.