Back in 2002 as a doctor

The bilateral pupils are equal in size and round, sensitive to light reflex.

The breath sounds of both lungs were clear, and the breath sounds of the operation side were slightly weak. The chest bottle fluctuated well, no gas was drawn out, and there was a small amount of light red liquid.

The abdomen is flat and soft... No, why is the lower abdomen protruding?

Zhou Congwen began to percusse.

The patient's lower abdomen was distended, and there was a drumming sound when percussion.

Zhou Congwen squatted down and searched along the urinary catheter. When he saw that the urinary catheter was closed by someone, he really wanted to find someone to scold him.

Calm, peaceful, the world is so beautiful...Zhou Congwen tried his best to do psychological counseling.

"Congwen, what's going on?"

"Who closed the urinary catheter?" Zhou Congwen asked sternly.

"..." Shen Lang was speechless.

Zhou Congwen didn't expect to get the answer, he squatted on the ground and opened the closed catheter.

Pale yellow urine gurgled into the catheter bag, about 800ml was put in, and Zhou Congwen closed the catheter.

Just a joke!

But this kind of joke appears too much in clinical practice.

If it was Boss Zhou in his previous life, with countless doctors around him, Zhou Congwen would definitely get to the bottom of it, find that daredevil, and then hang him up and talk about it for more than ten years.No matter how many years later, the younger students will know that there is such a person who actually closed the urinary catheter after stepping down, causing the patient's vital signs to be unstable.

But now what...

Even if asked, the nurses in the operating room and chest department would deny it flatly, which became an unsolved case.

It's okay, Zhou Congwen comforted himself, as long as the matter is resolved.

Shen Lang stared blankly. He almost didn't cry when he saw that the patient's blood pressure increased and heart rate increased because the urinary catheter was closed and too much fluid had accumulated in the bladder.

That's it?

Scared myself into a cold sweat.

The key point is that Director Wang's own condition has deteriorated after the operation, and he is on a circulatory internal medicine pump, so there is no way to come.No one is responsible, Shen Lang has long been scared and dumbfounded.

Zhou Congwen waited for a full 15 minutes, and opened it again to urinate.A little more urine was released this time, 1000ml, and then he closed the catheter again.

Too much fluid cannot be drained all at once, or changes in intra-abdominal pressure can lead to countless malignant changes.

It is not uncommon for people to go into shock suddenly and disappear immediately.

Zhou Congwen would definitely not make such a low-level mistake.

Zhou Congwen waited tirelessly, and only after three consecutive times did he fully open the ureter.

The patient's blood pressure and heart rate gradually decreased as the urine was drawn out, and the monitor no longer sounded the alarm at the top of its lungs, and returned to calm.

The two walked out of the ward calmly, and Shen Lang whispered, "Congwen, the catheter must have been closed in the operating room."

Zhou Congwen also considered this way, because fluid replacement was required due to the anesthesia during the operation, so the urine output was also large.It is impossible for thousands of milliliters of urine to gush out all at once after stepping off the stage, so Shen Lang's consideration was right.

But even so, is it okay for the doctors and nurses who take over the ward?

Zhou Congwen remained silent.

Shen Lang was a little scared. He felt that Zhou Congwen had become more and more weird since he started singing against Director Wang, and he no longer knew him.

Returning to the duty room awkwardly, Zhou Congwen changed his clothes, and Shen Lang whispered, "That, I'm sorry."

"It's okay, you can tell the nurse, and you will look carefully at all the tubes on your body when you hand over the operation." Zhou Congwen said.

"Yeah." Shen Lang didn't have anything to say. If he was wrong, he was wrong. The more he explained, the more he would be looked down upon.

"It's okay." Zhou Congwen smiled suddenly, and he patted Shen Lang's shoulder, "You're not bad, call me if you know."

Shen Lang was a little confused, Zhou Congwen said this with a little too much confidence, what should I say?If it was a director of internal medicine, no matter the responsible attending doctor, Shen Lang would agree with what he said.

But Zhou Congwen...

But no matter what, Zhou Congwen solved the problem, and Shen Lang couldn't refute it.Did you call Zhou Congwen yourself?Well, think of it this way.

"Congwen, I think you've changed."

"Heh." Zhou Congwen smiled, "By the way, Wang Qiang went to the HR department to report, how many days do we have shifts?"

Speaking of this, Shen Lang almost didn't cry.

"One every two days."

"Oh." Zhou Congwen sighed deeply.

I found an excuse to block Wang Chengfa and Wang Qiang's cold arrows, but Wang Chengfa did not have an urgent need to transfer the physician to be on duty.

Forget it, one shift every two days is worth it first, that's the one that can't be helped.

After speaking a few words with Shen Lang, Zhou Congwen changed his clothes and went home.

He prayed that Shen Lang would not make any troubles, or come to the emergency room again.

It seems that Zhou Congwen's prayer had an effect, and the night passed safely.

Early the next morning, Zhou Congwen rushed to the hospital to be on duty.

Two days and one 24 hours is indeed a kind of torment.

Chapter 0075 Stepping into the gate of hell with one foot

Because Wang Chengfa was away, the atmosphere in Corey was very harmonious and casual.

Rounding up the ward, seeing patients, and writing medical records, day after day, even if Wang Chengfa is not there, the department is still running stably.

The Department of Chest is a small department in the Third Hospital. The requirements for the Department of Chest Department of the Third Hospital did not allow it to complete many high-end surgeries, but only required that the Department of Chest Department be able to complete emergency operations.

Zhou Congwen's requirement on duty is not to come to the emergency department.

Although he became a top surgeon in the latter part of his previous life, his operations were performed on a slow basis, and he became increasingly unaccustomed to the emergency treatment where every second counts.

After coming back and experiencing it for a while, Zhou Congwen has not yet gotten used to and adapted to the rhythm of receiving emergency patients and emergency rescue.

Now he could vaguely smell the adrenaline and dopamine radiating from his body, which was very annoying.

But there is no way, the Third Court in 2002 was like this, Zhou Congwen hoped in his heart that he could eradicate gangsters and evil a few years earlier.

In my memory, it was not until 2005 that drunk driving was strictly enforced. In addition to the recruitment of workers by the group company, the young people had a work unit and belonged to the shoe-wearing family. There were much fewer fights, and Corey was not so busy.

If it is true that the social security is clear and the river is stern, we have to wait for the eradication of evil.

There are at least three more years... Whenever Zhou Congwen thinks of this time, he suddenly feels lifeless.

However, it is still necessary to be on duty. In the evening when everyone gets off work, Zhou Congwen asks the nurse what he would like to eat and then orders it.

The corridor was quiet, waiting for the meal to arrive, Zhou Congwen looked at the meal and felt tightness in his chest, showing faint signs of a heart attack.

Alas, I have been unlucky recently, and I come to the emergency room every time I eat with chopsticks, which is very evil.

Don't have anything to do today, Zhou Congwen thought to himself, took the instant chopsticks out of the plastic packaging, held the instant chopsticks between his palms, and bowed to the top of his head.

"Brother Zhou, what are you doing here? It's scary." The little nurse looked amused and asked with a smile.

"Don't come to the emergency department tonight. I had a hard day yesterday, and I didn't have a good rest after the night shift. I have to be on duty again today, and I feel so nervous. If I come again today..."

"To shut up!"

"Ring Ling Ling~~"

Zhou Congwen's words were interrupted at the same time by the nurse's stern reprimand and the phone call from the ward outside.

Hearing the phone ring, Zhou Congwen's heart stopped beating suddenly as if being held by an invisible big hand.

Although he has seen big winds and waves, Zhou Congwen sincerely couldn't accept this emergency model in 2002. Whether it was the previous life or this life, whether he was a newcomer or a veteran, all that came out of his heart was resistance.

But there is no way, the patient has to look at it when it is sent... No, the head of the department, Wang Chengfa, is in the hospital. Today, I heard from the head nurse, Sister Li, that she is still in a bad state.

Was Wang Chengfa's illness so serious in the previous life?Zhou Congwen's memory was a little fuzzy.

Zhou Congwen's memory was interrupted by the nurse's hasty cry, "Brother Zhou, emergency consultation in the emergency department!"

"Didn't you say we won't accept the emergency department anymore?" Zhou Congwen's head buzzed.

"He was stabbed in the heart with a knife, and he was said to be dying, so he couldn't be sent to the People's Hospital."

"Oh." Zhou Congwen sighed.

Although helpless in his heart, he still stood up and walked out quickly.

Whether you want to go or not, the emergency department is there.

Jogging all the way, Zhou Congwen no longer has the leisurely energy to walk slowly with his hands behind his back.After all, it was stabbed in the heart with a knife, and there is a high probability that the person will die, but what if there is still rescue.

But his current identity... Zhou Congwen felt a little headache when he thought of this.The medical industry pays attention to seniority ranking, but in fact, there is nothing wrong with it in principle.

It is said that the funds consumed to train a pilot are equivalent to the same height and weight of gold.Although the cost of training a mature doctor is not as direct as that of a pilot, the hidden cost behind it is not small.

For example, Shen Lang didn't notice that the urinary catheter was closed last night, and the patient's blood pressure was ridiculously high after the operation...

These are collectively referred to as clinical experience.

I can't have a major operation yet, and I can't participate in a major rescue. Zhou Congwen told himself repeatedly along the way that he must know his identity, and he must not be impulsive.

I ran to the outpatient building, came down from the second floor, and saw a police car suddenly braking at the door.

Two blood-stained men in police uniforms ran in carrying the patient.

Hearing the sound, the accompanying examiner from the emergency department rushed to the trolley and put the patient on the flat trolley.

It was a policeman, and Zhou Congwen had a judgment in his mind when he was injured during the mission.The patient's chest was still rising and falling. Although it was very weak, it proved that he was not dead when he was sent to the hospital, at least he was still breathing.

Can save!

Zhou Congwen kept up with the flat car and did an inspection first.

The patient is in his 30s, with pale skin and no blood on his lips.He lay motionless on the flat car, only the occasional rise and fall of his chest proved that he was not dead.

A policeman held a towel and pressed the patient's left chest. While running with the flat car, he cried out in despair, "Old Liao, Lao Liao, don't sleep, why don't you sleep!"

But his shouts were useless at all. The stabbed patient lay motionless on the flat car, as if dead.

One of the patient's feet has entered the gate of hell.

"This side, this side, people just arrived." A messy voice came from behind, Zhou Congwen frowned, turned around and saw Dean Li, several doctors and two people in uniforms hurried over.

And Wang Chengfa was among them.

Zhou Congwen let out a sigh of relief, and it's good that Wang Chengfa is here.

Although this guy's operation is not detailed enough and rough, but because he has seen a lot of emergency first aid, he is still good at it, and he can score at least 60 points.

With him here, he can check for gaps and fill in gaps by himself, even if he steps into the gate of hell with both feet, he can still bring people back.

"The injury I got when I cooperated with the anti-drug..."

"Dean Li, no matter what, we have to save him..."

Zhou Congwen heard their conversation intermittently.

The person was sent to the emergency room. The doctors and nurses were ready to start the physical examination and indwell the intravenous access.

The vein was transparent, and the nurse missed two needles in a hurry.

Zhou Congwen stretched out his hand, "I'll do it."

The nurse froze for a moment, "Doctor Zhou, you..."

Zhou Congwen didn't say much, took the indwelling needle from the nurse, prepared the tee, and re-sterilized it.

The steel needle is at an angle of 34°, and after entering the skin, pick it up from the text.

The current method is not enough, Zhou Congwen does not want to make any mistakes.This method of acupuncture is a special method for pediatrics. The advantage is that it is meticulous, but the disadvantage is that it is more painful.

This is related to the characteristics of pediatric patients.

One needle, seeing blood, Zhou Congwen let out a long breath, "Low to the right."

"coming!"

Zhou Congwen didn't hang the liquid directly, but pulled back vigorously, and first drew out a tube of venous blood.

At the same time, the ECG oscilloscope on the ECG monitor that was just connected became weaker and weaker, almost pulling into a straight line.