Back in 2002 as a doctor
Page 305
No way, Li Ran looked around for a week and found that the anorectal doctor who was idle also took up a pen and pretended to write medical records, and no one paid him any attention.
Li Ran was stunned for a moment, so he had no choice but to go out and ask the nurse to borrow a ballpoint pen.
As long as there is no ballpoint pen, Zhou Congwen is still as generous as ever, talking about some details of positioning, fearing that Li Ran won't understand, he tries to keep it simple, simple and simple.
Li Ran wrote down the medical records quickly, and the time slipped away from the pen.
After about an hour, Shen Lang walked back quickly.
"Why are you so busy picking up a patient?" Zhou Congwen asked.
"Here comes another one." Shen Lang said, "It was sent by the director of the Nursing Department. His relative had a chest pain after storing autumn vegetables. He came to check and broke two ribs."
"Oh." Zhou Congwen said casually.
"The director has gone for a consultation, why don't you take a look first?" Shen Lang looked at Zhou Congwen like he was looking at an idiot.
Zhou Congwen scratched his head, the director of the nursing department sent it... also, he should take a look.
Chapter 0531 People are different
But Zhou Congwen just thought of it, saw the expression on Shen Lang's face, and felt something was wrong.
"Shen Lang, is there a problem with the patient?" Zhou Congwen asked.
Shen Lang scratched his head, "The patient is very hypocritical, he broke two ribs, he has no pneumothorax, no traumatic wet lung, and the broken ends are in good alignment, so it shouldn't hurt so much, but he doesn't even dare to take a breath, Lying on the bed motionless."
"Oh, it's normal." Zhou Congwen said lightly.
"Director Yanchun of the Nursing Department asked if there is a single room." Shen Lang spread his hands and whispered in Zhou Congwen's ear.
"Didn't you tell her?"
There is only one single room in the thoracic surgery department, and it has been given to a certain leader of the group company who is going to be operated on. It is estimated that the relatives of the director of the nursing department can only live in the general ward.
Although this is not a problem, it takes a lot of talking.
"I'm a little doctor, and my words aren't very useful, at least you have to go and have a look." Shen Lang said, "I called the director, and he will be back soon."
"Go, let's take a look first." Zhou Congwen saw that Li Ran had recorded too many things and couldn't digest them for a while, so he went to see the new patient with Shen Lang.
Shen Lang's physical examination, Zhou Congwen, was not to be trusted. He had to auscultate to confirm that there was no pneumothorax.As for broken ribs, you can connect them if you want; if you don't, you can just keep them.
When he came to a three-person ward, a group of people by the bed by the window were asking for their health. Zhou Congwen saw a man in white clothes bending over to talk to the patient.
"Director Yanchun, hello." Zhou Congwen walked over and greeted him politely.
"Xiao Zhou, I'm causing you trouble." The director of the nursing department straightened his waist and looked at Zhou Congwen, "My third aunt told me not to store autumn vegetables, so I insisted. Now I can buy everything in winter, and I have to buy a bunch of Chinese cabbage, Keep the scallions at home."
Zhou Congwen hastily interrupted the nagging of the director of the nursing department. Once this topic about autumn vegetables is brought up, he doesn't know when it will go.
"Director Yanchun, where's the movie?"
"here."
Zhou Congwen took the film and glanced at the sun.
What Shen Lang said was correct, the patient did not have pneumothorax, and the alignment of the fracture was also good.There may be pain, but most patients do not feel much pain.
Hearing the patient's ouch, Zhou Congwen put down the film and smiled slightly, "Let me listen."
The patient had a painful expression on his face, and every wrinkle of the 60-year-old man seemed to be telling pain.
Zhou Congwen didn't think the patient was hypocritical and had too many things to do.
People have different constitutions and different levels of tolerance to pain. Some people are just sensitive to pain, so it is impossible to discriminate against patients just because of this.
On auscultation, breath sounds in both lungs were clear without rales.
After ruling out the possibility of pneumothorax, Zhou Congwen was relieved, explained a few words, and called the director of the nursing department to go out and talk about the private room.
When Zhou Congwen turned his head, he suddenly saw the patient who had just been sitting in a wheelchair standing behind him as if he was okay, looking around curiously. Zhou Congwen really didn't know how to comment.
The patient, who looked like a normal person, was actually seriously injured. If his family and the patient hadn't firmly refused the surgical treatment, Zhou Congwen would have gone up and pressed more than a dozen memory alloy plates on him to fix his ribs.
However, Zhou Congwen didn't care about the patients who were seriously ill and couldn't get out of bed.
"You, go back and lie down, move lightly!" Zhou Congwen said to the strong man.
"Doctor, I'm fine." In order to show Zhou Congwen that he was fine, the strong man shrugged his shoulders vigorously as if he was exercising, and Zhou Congwen was taken aback by what he meant, as if he wanted to punch his chest with his fist.
"Stop!" Zhou Congwen hurriedly yelled at the strong man, breaking out in a cold sweat inexplicably.
"Hey." The strong man smiled honestly, "It's okay, doctor, you go and do it, I'll tell this old man."
"Don't move around, in case the broken end punctures the pleura and lungs, we won't be responsible for minor lesions and serious illnesses." Zhou Congwen warned for the first time.
"Oh, I see." The patient said perfunctorily.
"I didn't scare you. If there is a complication, you will have to go to the emergency room and have a thoracotomy. Such a long incision." Zhou Congwen warned for the second time, and gestured for a 20cm wound.
The patient was not afraid at all, and looked into Zhou Congwen's eyes and smiled, as if there was nothing in this world that could scare him.
But this person is just brave, plus he is not sensitive to pain or has a high endurance, but he is not particularly good at pretending like a little ruffian, and he is uncomfortable in all kinds of ways.
Zhou Congwen had a good impression of this patient, but he was a little worried, and after repeated exhortations for a long time, he almost walked away with what the patient said.
After leaving the ward with the director of the nursing department and returning to the office, Zhou Congwen explained the current situation.The director of the Nursing Department didn't insist either, and it was really up to fate to ask for a single room.
After dealing with the trivial matters in the ward, Zhou Congwen waited to pick up Chen Houkun.
A few hours passed in the blink of an eye, Zhou Congwen also called Master Shi in the afternoon, and took a taxi to meet Professor Chen at the station.
After meeting, Professor Chen patted Zhou Congwen's shoulder vigorously, "Xiao Zhou, I didn't expect you to do so well recently."
"good."
"Okay?" Chen Houkun laughed loudly, "Did you know that the doctors in the second year of the medical university have passed away, and many people said that when you rejected Academician Chu, they thought you were an idiot, but they didn't expect that the idiot turned out to be themselves in the end.
It would be an idiot for a cardiothoracic surgeon to follow Academician Chu instead of following Mr. Huang. "
"..." Zhou Congwen tucked up his crew cut, "Is that what they said?"
"That's how I understand it." Chen Houkun said a little happily, "They are all academicians, but can academicians be the same as academicians? Following Mr. Huang, there is no need to switch to internal medicine. This is the best choice."
Zhou Congwen smiled slightly.
"The academician workstation is entrusted to you to host, Xiao Zhou, you really have it!"
"Old Huang trusts me and hopes that I..."
"Don't talk about these useless things, what are you still doing in the Third Academy, hurry up!" Chen Houkun was a little anxious.
"This side is just getting started, I'll bring another one. By the way, Brother Chen, in a few years, the Third Hospital may not invite you to throw knives."
Chen Houkun was slightly taken aback, then nodded clearly, "Are you looking for the professor of 912, I know."
"Oh?" Zhou Congwen looked at Chen Houkun, "Brother Chen, you shouldn't be angry."
"How could it be?" Chen Houkun said, "I'm too lazy to run out now. It is said that Zhang Youyin has cheated on me, but looking at it now, it seems that what you said is right, he led himself into a ditch."
"Oh?" Zhou Congwen smiled slightly.
"I'm quite well-known in the provincial capital now. The small nodules detected by the provincial and municipal departments are all operated on by me. Director Zhang is very depressed recently."
Chen Houkun said with a smile, a little proud.
Chapter 0532 no feeling of trauma
People from provincial and municipal government agencies came to the door to perform surgery, and Chen Houkun's network expansion was naturally conceivable.
In the future, even if Zhang You plots against Chen Houkun again, it may not be so easy.
You know, Zhang You was in control of this area in the past, and it was definitely not Chen Houkun's turn.
"Can't you do too many surgeries?" Zhou Congwen didn't mention his connections, but asked with a smile about the amount of surgeries.
"Well, the number of surgeries is increasing now, and that child Yuan Qingyao will be exhausted." Chen Houkun said, "If you go, we can discuss the money, but the problem is that there are still too few beds. After all, Zhang You is a college student. Director, I can't stand just moving my hands and feet from the bed."
"It's okay, wait for me." Zhou Congwen said, "I didn't expect your laparoscopic surgery to go so smoothly."
"I don't have enough beds, and the specialist consultation is full once a week."
While chatting, the two got into a taxi.
Chen Houkun didn't care what kind of car he made, and he didn't ask Zhou Congwen where the black red flag went.
Just out of the train station, the phone rang.
"Congwen, take a look at the patient." Shen Lang's hasty voice came.
"I'm picking up Professor Chen, what's wrong?" Zhou Congwen asked with a frown.
"The patient with rib fracture admitted in the morning saw cyanosis of the lips, weak breath sounds on the right side of auscultation, and felt a traumatic pneumothorax."
"I'll be there soon, let the director take a look first."
Zhou Congwen sighed, which patient is not important, what is important is that the rib fracture is accompanied by traumatic pneumothorax, and the chest needs to be opened to stop the bleeding.
"The emergency department has a headache." Chen Houkun understood the way in the middle, and said with a smile, "The academician workstation of the second year of medical school, there is no emergency department, and going out to the clinic every day for surgery, as simple as it is."
Zhou Congwen was looking forward to that day, but Li Qinghua always wanted to recruit someone first.
Otherwise, as soon as he left, the Third Academy would collapse in half.The situation just opened has returned to before liberation.
Besides, he still wants to take Li Ran and Shen Lang away.If they were taken away now, the Thoracic Surgery Department of the Third Hospital would die suddenly, let alone develop.
"Brother Chen, take you to the hotel."
"No, you're in a hurry, go back to the hospital and take a look at the patient." Chen Houkun said, "I also look at the patients who will be operated on tomorrow, and I know it well. Don't worry about me, if it's time for emergency thoracotomy, I will do it myself. .”
Zhou Congwen wasn't polite with Chen Houkun either, since they were so familiar, there was no need to be polite.
Back at the hospital, Zhou Congwen changed his clothes and looked for Shen Lang.
"Have you started filming yet?" Zhou Congwen asked when they met.
"Shot, right side pneumothorax, lung tissue compressed by about 45%, moderate amount of pleural effusion." Shen Lang sighed.
The film was inserted into the film viewer. It was a typical film. Zhou Congwen could tell at a glance that something had happened to the strong man.
Multiple rib fractures on both sides, pneumothorax on the right side, no way, open it.
"I told him two or three times that he didn't listen. Other patients in the ward said that he was so bored that he was walking and moving around in the ward, and then he heard a click..."
Zhou Congwen sighed, people with weaker pain sense also have problems - he was moving hard, and there was a "bedridden" next to him, he accidentally moved too hard, and he was about to go to the operating table.
Oh, what does that say.
"What did the director say?"
"The director said let us go, and he accompanied Professor Chen to see patients." Shen Lang said.
Let’s go ahead, Zhou Congwen is good at performing thoracotomy surgery, and now the Third Hospital already has electric burns and one minor surgery.
"I'll take a look, and then I'll send the patient up." Zhou Congwen took off the film and carried it in his hand to see the patient with Shen Lang.
The patient sat on the edge of the bed, still not lying down, very energetic.
If it wasn't for repeated confirmation and auscultation, Zhou Congwen would have thought that the patient by the window who kept whining and crying for pain needed surgery.
"You say you."
After the physical examination, Zhou Congwen looked at the patient quietly, like a bitter woman.
Can't you save some time? Zhou Congwen didn't say this kind of complaint, but he showed it clearly.
"Doctor, I don't think there is any problem. Dr. Shen told me that my life is in danger, but I feel fine and can be discharged from the hospital at any time." The strong man said disapprovingly.
Zhou Congwen really wanted to smash the film on his face. A moderate amount of pleural effusion means bleeding of about 1500ml.
Is that all right?
"Did Dr. Shen tell you?" Zhou Congwen asked cautiously.
"You said it, and told me in detail, that I have a small artery that is bleeding continuously, and if I don't treat it, I will go into shock soon. But... I really don't feel it." The strong man also said helplessly.
"Do you agree to the operation?" Zhou Congwen asked again.
"Can the doctor still lie to me?" The strong man's medical obedience is very good. He looked at Zhou Congwen and grinned, "I was just joking, and I definitely agree to the operation."
"Come on then."
Zhou Congwen walked out of the ward carrying the film.
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