Back in 2002 as a doctor

"Then eat now?" The patient's father saw hope.

"The medicine is three-point poisonous, how can you take it casually." Li Qinghua reprimanded softly, "Go to Director Teng to see a doctor, if it is, don't spend money on medicine, the medicine is not cheap."

"Director Li, how much is it?"

"Don't ask, it hurts if you ask." Li Qinghua said with a smile, "It happens that I have it in my hand. It's useless for others to take this medicine. Hurry up and take the child to see a doctor. If Director Teng says it's okay, you can come back to me."

This time the patient's family members completely believed it, and he couldn't do it if he didn't believe it.

On the one hand, there are folk remedies handed down by experts from the provincial capital for eighteen generations, and it’s good to eat; on the other hand, there are huge medical expenses, and the child has a lot of drips every day, and he can’t get up from early in the morning to midnight.

The choice to make is obvious.

While talking with the patient's father, Li Qinghua deliberately walked back to the ward, allowing the little patient to hear everything that followed.

Heart disease needs heart medicine medicine, which is also a very simple clinical method.Zhou Congwen understood and had a deeper understanding of Li Qinghua.

The patients are just poor people who look down on patients. Li Qinghua still seems to care about the leaders of the group company. Zhou Congwen looks at Li Qinghua's figure, and the smile on his face gradually becomes thicker.

0515 - The Spider-Man Who Suicide

After explaining to the patient's family, Li Qinghua and Zhou Congwen made another phone call to Teng Fei when they were walking back.

Li Qinghua has done his best, no matter whether the patient is rich or poor, he is just a patient in his eyes.

Although the feedback from the other party is different, in Li Qinghua's place, he does his best.

Teng Fei heard that it was Zhou Congwen's diagnosis, so she responded directly.

"Congwen, what kind of illness do you think it is?"

"Growing pains in adolescence." Zhou Congwen said, "It's very common, abnormal ECG... I think the same as your judgment, it's a problem with the machine."

Zhou Congwen knew that Li Qinghua needed repeated confirmation before he could use psychotherapy.If you have good intentions, but in the end it delays the treatment of the patient's disease, it is better not to do it.

Just as he was talking, Zhou Congwen's cell phone rang.

"Congwen! Come to the emergency department! A spider-man committed suicide by caesarean section!!"

Through the mobile phone, Zhou Congwen could feel the raging flames burning on Shen Lang's body.

Spider-Man, laparotomy? !

Spiderman Zhou Congwen knows that patients with Budd-Chiari syndrome are called spidermen, and Marfan syndrome is also a spiderman, but what does caesarean section mean?

Shen Lang is also powerful. It seems that after his rebirth, he disrupted the timeline of his previous life, causing ripples. Shen Lang was seriously affected, and he became a salted fish directly, letting himself go.

Is he so connected to the emergency department now? !Zhou Congwen was a little surprised.

"Director, I'm going to the emergency room." Zhou Congwen and Li Qinghua greeted each other, and hurriedly walked to the emergency room.

Zhou Congwen didn't believe it was really Spider-Man, just like Spider-Man.

Mysterious and strange things always have a reasonable explanation. If there is no explanation, it means that human technology has not yet arrived.

The end of science is theology, but what is the end of medicine... Zhou Congwen came to the emergency department while thinking in a mess.

The attending physician in charge of general surgery has arrived, and Dr. Gao is probing the patient's wound wearing a pair of sterile gloves.

The patient was lying on a flat car with a bulging belly and dry and thin limbs, which was a typical spider-man sign.

Shen Lang stood in a corner, observing what happened while not interfering with the rescue.

Seeing Zhou Congwen rushing over, Shen Lang waved.

"Congwen, this person looks so weird. I heard that the escort from the emergency department called me and said that a spider-man came. I thought it was impossible for them to make a fuss. But when I rushed over and saw it, I was stupid , It’s really Spider-Man!”

"Don't talk nonsense, no." Zhou Congwen said, "This is a typical Budd-Chiari syndrome patient."

"What syndrome?" Shen Lang was startled.

Budd-Chiari syndrome is a rare disease, and it has nothing to do with thoracic surgery. It is normal for Shen Lang not to know.

Let alone Shen Lang, Dr. Gao, the chief physician in charge of the general surgery department, seemed to have no idea what the patient was suffering from.

"The opening of the hepatic vein and the blockage of the upper inferior vena cava are called Budd-Chiari syndrome." Zhou Congwen said simply, "There are three types. This patient looks like the chronic type."

"..." Shen Lang looked blank.

"The chronic type is mostly caused by the blockage of the hepatic vein or inferior vena cava by the diaphragm. The condition is much milder than that of thrombus blockage, but the signs are too obvious."

"Like a spider?" Shen Lang looked at the patient and asked suspiciously.

The patient's abdomen was swollen and his limbs were thin and weak, like a four-legged spider. Shen Lang was right about this.

"Here, look at the patient.

The arteries in the thoracic and abdominal walls are so thick, they meander and crawl, like small bugs.Also, you pay attention to the patient's feet, from the ankle joint down, called the bootie, there is pigmentation. "

"Yeah." Shen Lang nodded repeatedly, he had already seen that the patient's feet were indeed wearing boots.

Before Zhou Congwen said it, Shen Lang also noticed this, but he didn't know what it meant.

"Reading more is still useful." Zhou Congwen persuaded Shen Lang without losing the opportunity.

After finishing speaking, Zhou Congwen was startled suddenly, how could he be as willing to value values ​​as the boss?

Although there is no clear and "boring" value output, the meaning contained in the three words "read more" is indeed.

Zhou Congwen thought that he was being led astray by his boss.

It's not easy to learn well, but it's easy to learn badly.

"Yes!" Shen Lang's reaction was beyond Zhou Congwen's expectation, he nodded vigorously, "I must read more, otherwise... By the way, Congwen, why do you think he looks like a spider?"

"Patients with late type III Budd-Chiari syndrome have a typical "spiderman" body due to malnutrition, protein loss, increased peritoneal effusion, and emaciation.

Big belly, that's because of ascites.The limbs are thin and weak, because too much protein is lost. "

"Oh, so that's the case!" Shen Lang was stunned.

Zhou Congwen noticed that Shen Lang clenched his fists, as if he had made a subconscious decision.

Do you read more?

Hehe, Shen Lang's goal of reading more books is definitely not to cure diseases and save lives, but to satisfy his own curiosity.

"Doctor Gao." An old man in his 60s with a weathered face stood beside the patient, rubbing his hands together and said, "Is there any help?"

"What's wrong, come to the hospital if it doesn't work, is this suicide?" Dr. Gao said very unhappy.

Because the patient's vital signs are stable, he still has a chance to be unhappy.If the patient is in shock now, it is estimated that Dr. Gao will cry without tears.

"Oh, don't mention it." The old man said, "This bastard said he didn't have long to live, and he drank too much recently. I talked to him, and he said that going to the hospital would cost too much money, so it's better to keep the money Buy wine."

"..."

"..."

Zhou Congwen and Shen Lang were taken aback when they heard what the old man said.

What kind of concept is this?

"Why did he commit suicide? It's not impossible to relieve it." Dr. Gao said angrily.

"He didn't commit suicide..." the old man sighed, "I went to see him a few days ago and urged me to come to the hospital to see you.

But this bastard said that the operation you performed is simple, and he is going to do it at home.I thought it was a joke, but I didn't expect that he had sheep dung in his mind, and he actually stabbed himself at home. "

Zhou Congwen smiled wryly.

But he can understand the psychology of patients.

Budd-Chiari syndrome can indeed be cured, but it is definitely not as curable as Dr. Gao.

Insert a drainage tube to drain all the peritoneal fluid. This is drinking poison to quench thirst, which will lead to more protein loss.

Type III Budd-Chiari syndrome requires interventional treatment.

"Doctor Gao, is he okay?" the old man asked.

"Secretary Duan, I checked it out, and there should be no abdominal organs injured. I'll sew it up when I go back, and I have something to explain to you." Dr. Gao sighed and explained to Secretary Duan on the opposite side.

Chapter 0516 Zhou Congwen is too shameless!

"Congwen, this disease seems to be very stubborn. It's not impossible to just induce ascites, but after that, it has to ooze out. The more the oozes, the lower the protein, and it's a vicious circle." Shen Lang asked in a low voice. road.

"Well, if you want to recover, you need to do interventional surgery." Zhou Congwen said.

"..." Shen Lang looked at Zhou Congwen suspiciously.

"It is to insert the guide wire and puncture the diaphragm of the vein. Generally, the diaphragm of type [-] Budd-Chiari syndrome is not completely blocked, so the onset of the disease is relatively slow. The next balloon is inserted, and the vein is opened little by little. Just stretch the diaphragm."

Zhou Congwen briefly explained the operation process, but seeing Shen Lang's expression, he knew that this guy must not have listened carefully.

The operation or not has nothing to do with Shen Lang, his attention is all on chronic Budd-Chiari syndrome.

"Go." Zhou Congwen touched Shen Lang.

"Ah? Where are you going?" Shen Lang was startled.

"When Brother Gao finishes sewing his stomach, I'll have a chat with Brother Gao," Zhou Congwen said.

"Don't you need to go on stage?" Shen Lang was a little puzzled. In his opinion, the patient should go on stage for a laparotomy to see if there was any damage to the intestines and other internal organs.

"Firstly, the patient has no money; secondly, the patient's stomach is full of ascites.

If you want to cut the intestines across the board, you are going to commit suicide, which is not in line with the patient's previous mentality. Zhou Congwen said with a smile, "Brother Gao will definitely make it clear to the village party secretary, observe first, and operate if there is a problem." "

"Oh oh oh." Shen Lang thought for a while, and it was true, "Congwen, how much does it cost to treat this disease?"

"A complete cure requires 10,000+." Zhou Congwen said lightly.

"..." Shen Lang was speechless.

"The diaphragm is opened and expanded a little bit. If the situation permits, a big frame will be used to support it, and it will not happen again in the future. But the big frame is so expensive. The medical expenses of 10,000+ are all consumables. The technical fees of real doctors' operations It's not high, and it's annoying to hang upside down."

Zhou Congwen said with a smile, he didn't look annoyed at all.

"It's really... seeing a doctor..."

Before Shen Lang could finish his sentence, Zhou Congwen patted him on the shoulder.

"Go and tell Johnson & Johnson and Olida that we are here to cure diseases and save lives, so you can give it for free." Zhou Congwen said with a smile.

Shen Lang thought about it and scratched his head.

Why do multinational companies produce these consumables?Isn't it for making money?Zhou Congwen said yesterday that those capitalists can't get up early if they don't make money. If they don't make money, who would invest a lot of money in researching these things?

However, the speculation here is too complicated, and it cannot be solved at all. If it is to be solved, it needs to go to the ultimate form of human beings.

Don't think about things you don't understand, Shen Lang never makes things difficult for himself.

It's just that Zhou Congwen just asked for a big air in Olida's hands, and in the blink of an eye... Shen Lang felt very embarrassed.

Zhou Congwen has such a thick skin!Shen Lang sighed.

"Congwen, why don't you put on airs?" Shen Lang asked.

"What? Looks soft-hearted?" Zhou Congwen said.

"Yeah." Shen Lang didn't deny it, he nodded, "I use a knife to cut my own stomach just to drain it, it's too painful to do it."

"I'll ask, don't worry." Zhou Congwen and Shen Lang went back, and Shen Lang didn't go directly to the general surgery department, but returned to his own ward.

The stitching took at least half an hour. At this time, there was no place to stand when I went to the station. I couldn't tell people outside the general public that I was going to gossip.

Back in the duty room, Shen Lang smoked silently, Zhou Congwen saw that he was deep in thought, and found it very funny.

Taking out his mobile phone, Zhou Congwen thought about it, and called Director Jiang from the Department of Vascular Surgery of the Second Hospital of Medical University.

"Director Jiang, hello, I'm Zhou Congwen."

Director Jiang on the other side of the phone was silent for a second, and then said with a little excitement, "Doctor Xiao Zhou! Mr. Huang came to our hospital to set up an academician workstation. I heard that you are in charge of the work. Is it true!"

"Yes." Zhou Congwen smiled slightly and did not deny it.

"Great!" Director Jiang didn't ask Zhou Congwen why he called him. He said excitedly, "Hurry up, what can you do in Jianghai City? You don't even have a dsa machine. My side There are patients, if you don't mind..."

"Director Jiang." Zhou Congwen interrupted him, "I have something to trouble you."

Shen Lang frowned, and Zhou Congwen spoke to the director of the Second Hospital of Medical University too casually.

"Ah? That's right, what's the matter with you calling me?" Director Jiang realized that Zhou Congwen had something to ask for himself.