Back in 2002 as a doctor

Chapter 1033 Misdiagnosis?

Mr. Fang was looking for topics to chat with Zhou Congwen all the way. Zhou Congwen had something on his mind, and his careless kindness made Mr. Fang feel a little uncomfortable.

This little uncle really has a temper.

Immediately, Mr. Fang remembered the rumors of 912 - that Zhou Congwen transformed after surgery, so that he and Mr. Huang had to bow and apologize to Director Zou of the anesthesiology department before performing newborn surgery.

This is the rhythm of being angry with the daring nurse at night, and preparing to go on stage to scold the daring boss.

Mr. Fang's heart suddenly soared.

There are too many legends about Zhou Congwen. Among them, the incident of hanging Dr. Miyamoto on the wall in Wellington Hospital due to his bad temper has almost all been spread.

Doctors have relatively high academic qualifications, so there are very few people who use their fists to solve problems, but this little uncle is an outlier.

Mr. Fang's blood is boiling, as long as he doesn't break people, what's so great about seeing the excitement.

After changing his clothes, Mr. Fang cautiously followed behind Zhou Congwen, thinking in his mind what he should do if the little uncle wanted to teach the brave Mr. Wei a lesson.

It is better to pull it, or to become a transparent person, and it is better not to pull it.

"Here, Professor Zhou." While hesitating, Mr. Fang led Zhou Congwen to the emergency room.

Kicking open the door (note), a strange smell came in.

Zhou Congwen frowned.

Hepatobiliary surgery rarely has this kind of peculiar smell, and it is usually patients with gastrointestinal diseases.If the gastrointestinal surgery department catches up with an operation to dig out large stools, it is very common to not eat for three days and three nights after going down.

What kind of patient is this?

"Why are you here?" Boss Fang was taken aback when he saw the people inside.

"Don't mention it, I encountered a troublesome patient." The doctor who was performing the operation sighed, "Please give me another mask, I'm about to die."

"Isn't it a liver and gallbladder surgery?" Mr. Fang asked.

"It was indeed cholecystitis before the operation. During the operation, I saw that the patient's intestines were perforated..." The daring Mr. Wei sat in the corner, almost crying with aggrieved eyes, and said with a frown, "I cut the gallbladder and searched for the stomach and intestines. Come up for a consultation."

"Then why don't you go?"

"Old Hu disagreed and said he wanted me to accompany you." Mr. Wei said with a mournful face.

"That's not enough to cry."

"It's not crying, it's tears from being smoked." Mr. Wei said in a low voice, it was obvious that he had to be careful even when breathing.

Zhou Congwen ignored Mr. Wei, but came to the operating table.

The surgeon had just opened the peritoneum, and there were a large amount of intestinal contents, gastric juice, feces, and food residues in the abdominal cavity.

"Is the patient's stomach soft before the operation?" Zhou Congwen asked.

"Yes." Mr. Wei said, "I did a physical examination, and Murphy had some tenderness. The B-ultrasound report thought it was acute cholecystitis. But as soon as the operation was performed, something was wrong inside, so I hurriedly called Lao Hu for consultation. .”

"Warm salt water, rinse." The operator glanced at Mr. Wei who was sitting in the corner, and said contemptuously, "Let me tell you, Xiao Wei, if you leave, don't blame me for saying you misdiagnosed."

"Old Hu, you can eat indiscriminately, but you can't talk indiscriminately. I can't press my stomach, and the doctors in the emergency department can testify to me."

"I'm not feeling well, don't mess with me."

"Old Hu, what's wrong with you?" asked the caring boss.

"It was complained." Mr. Wei said, "They have a patient with diabetes today. They ordered glucose, and they came to find Lao Hu at home."

"No insulin?"

"Added it, how could it not be added. But the family members of the patient didn't agree, so they insisted that patients with diabetes should not use glucose. Lao Hu explained to others, what energy and biochemistry, they didn't listen at all."

"How could it be?" The equipment nurse handed over the warm salt water. Although she was holding her breath and trying to breathe as little as possible, she couldn't help but say something.

"Why don't you say that you have no experience in the operating room, and you don't know the hardships of the clinical frontline without dealing with patients and their families." Mr. Wei sat in the corner with a little dejection, "Now I am a family member of a patient, you can ask me to try. "

"Just try it, you think we don't touch patients." The equipment nurse said unconvinced.

"Doctor, why did you use glucose for my mother?" Boss Wei is also a living treasure, enduring the stench in boredom and trying to fight with the nurse to talk and play.

"It doesn't matter, that liquid is insulin added."

"But my mother has diabetes, and you use glucose."

"Using it is good for the body. Insulin is added to it. Do you know that insulin is used to eliminate sugar."

"I understand what you said, but diabetics can't use glucose."

The equipment nurse's mask visibly moved, as if the next sentence was - you know what a fart.

But she held back at the last moment and didn't curse.

"It can't be used directly, but I use insulin to eliminate sugar... just to neutralize the glucose in it. Normal human body still needs energy, glucose..."

"My mother's blood pressure started to go up after using up the glucose!" Mr. Wei imitated so vividly that Zhou Congwen even saw Mr. Hu on the operating table shaking his hands.

No one can help when encountering such family members of patients who can't understand or listen to what they say.

"Insulin and glucose have nothing to do with blood pressure. Is it because the antihypertensive drugs have been taken irregularly recently?" The equipment nurse resisted the irritability in her heart and tried to answer in a normal tone.

"I'm going to sue you! My mother has diabetes and you give me sugar water!"

"..." The equipment nurse was speechless.

"Shut up!" Boss Hu yelled in a deep voice, annoyed.

"The ward is like this. There are too many people like this. It doesn't make sense. Our 912 is not bad. The patients are somewhat in awe, and the lower-level hospitals are even more chaotic." Mr. Wei sat in the corner and kept wiping his tears.

The ventilation in the operating room is obviously not enough, it really hurts the eyes.

Zhou Congwen estimated that there were at least 1000ml of feces and food in the abdominal cavity.It's strange to say that the stomach is like this, and it is said that there is at least a plate-shaped belly, but Mr. Wei said there is no.

Zhou Congwen didn't worry too much about all kinds of strange things in clinical practice.

After the gastrointestinal tract was cleaned, the boss began to look for the problem. A small intestinal perforation was found 50cm away from the ileocecal, with a diameter of about 2.0cm. Feces and a small amount of incompletely digested vegetables, watercress, and bean shell-like food residues could be seen flowing out.

"Prepare more warm salt water, and you have to rinse it repeatedly." The boss of Gastrointestinal turned his head and rubbed his eyes on the assistant's shoulder.

His eyes were filled with tears, not because of the deep love, but because of being hot.

Zhou Congwen's brows became tighter and tighter, and he already realized what the system task meant—it was the operation in front of him.

If there is no system task prompt, if you don't come up by yourself, you may cause a catastrophe.

"Wait a moment."

The electric knife in the hands of the boss of Gastrointestinal was just about to drop when Zhou Congwen said suddenly.

Mr. Fang's eyes lit up all of a sudden. Are you looking for trouble?definitely is!

Chapter 1034

"Who are you?" The boss of Gastrointestinal asked impatiently.

"It's my boss's student, Professor Zhou Congwen, the one who recently won No.1 in the World Cardiothoracic Surgery Competition." Mr. Fang hurriedly introduced Zhou Congwen's identity.

Everyone in the operating room listened to Mr. Fang's introduction, and they were immediately in awe.

Number one in the world, these four words are not a joke.

"Are you the Professor Zhou who was chasing after Mr. Huang with a broom before he went to the front line?" the head of the Gastrointestinal Surgery Department asked respectfully in surprise.

The smile on Zhou Congwen's face froze. It seems that the doctors and nurses of 912 in this life have the impression of themselves being in a "different place" and chasing after their boss with a broom.

He nodded politely, "Mr. Hu, right, you can't do this in surgery."

"What?" Mr. Hu from the Department of Gastrointestinal Surgery was startled.

He never expected that Zhou Congwen would educate him so bluntly.

The surgery...although it hurts the eyes, it is actually not that difficult.

Zhou Congwen, a cardiothoracic surgeon, actually said that what he did was wrong? !

Who is the doctor of gastrointestinal surgery?

Although surprised in his heart, Mr. Hu didn't question it openly, but wiped his eyes on the assistant's shoulder again, "Professor Zhou, why don't you come?"

"Okay." Zhou Congwen was not polite, and turned to brush his hands.

Mr. Hu originally wanted to be a general, but he didn't expect Zhou Congwen to respond directly, and he was stunned for a while.

Zhou Congwen went to brush his hands, and his back disappeared. Mr. Hu looked at Mr. Fang unhappily, "Xiao Fang, what kind of temper do you guys have? You also want to grab the job of digging up shit?"

"..." Mr. Fang was speechless.

Professor Zhou Congwen Zhou, his own little uncle, is so harsh.

Who wants to do the job of digging out dung.Besides, it was a gastro-intestinal surgery, he is a caring doctor... he is sick.

"Can he do it?" President Hu asked a little unhappy.

He is just the head of the hospital, the boss. He knows that Zhou Congwen looks young, but he is not something he can provoke.

No matter how dissatisfied he was, he could only hold back.

Offending Huang Lao's closed disciple for no reason, offending a surgeon who just won the No.

"I don't know." Mr. Fang glanced at Mr. Wei who was sitting in the corner, and told what happened just now.

"Go down and look at the test report, I'll take Professor Zhou to look at the test report." Mr. Wei finally found an excuse, stood up from the ground, and said energetically.

When he spoke, he was too impulsive, took two mouthfuls of air that irritated his eyes and choked his nose, and his voice suddenly became hoarse.

"Wait first." Zhou Congwen finished brushing his hands, raised his hands flat in front of his chest, and walked back quickly.

"Professor Zhou, the patient you are taking care of can just make a phone call, and even make a special trip." Mr. Wei said.

"The patient may have other problems. Please take me to have a look at the laboratory test later. If I don't make a diagnosis, I will have to trouble my boss." After Zhou Congwen finished speaking, He Xunxuan said, "Sister, please prepare a 50ml syringe."

"Syringe?" The itinerant nurse was taken aback.

"Yeah." Zhou Congwen nodded, "Mr. Hu, take off the burner, I'm dizzy."

A few words weighed on the hearts of everyone in the operating room like a boulder.

It was so heavy that even breathing became a lot more difficult.

Isn't this a blind command?

Zhou Congwen was talking about nothing.

The boss of Gastrointestinal thought that Zhou Congwen was going to come up to show off his skills, to scare himself.

He was still disdainful just now, Zhou Congwen is the number one in the world, why is he doing gastrointestinal surgery?

Mr. Hu doesn't think that Zhou Congwen can't do stomach and intestines.

There is a procedure in cardiothoracic surgery called esophageal cancer radical resection, which involves large gastric resection and anastomosis. As long as the chest doctor is of a good level, it is not a problem to perform basic gastrointestinal surgery.

However, no one thought that Zhou Congwen would unreliably ask the electric burner to be removed.

After Zhou Congwen finished speaking, he wiped his hands, put on his clothes, and went on stage.

He did not stand in the position of the surgeon, but occupied the opposite of Mr. Hu.

Reaching for the syringe, Zhou Congwen stuffed the head of the syringe into the patient's intestinal hole, and asked his assistant to seal the gap with dry gauze and then began to stroke the intestines.

What is this for? !

Mr. Hu watched in surprise as Zhou Congwen used a 50ml syringe to pump out gas from the patient's intestines.

Just kidding, intestinal perforation, big brother, President Hu's contemptuous words almost blurted out.

If it is intestinal obstruction, there is a lot of gas in it, and it is indeed necessary to puncture and extract the gas accumulated in the intestine before.

Otherwise, if it is opened directly, jetting and other situations may occur, which is a nightmare for gastrointestinal surgeons.

But the patient in front of me is intestinal perforation!Such a big hole is in the ileocecal area, so why smoke?

Mr. Hu was nagging in his heart, but he still didn't say anything.

After Zhou Congwen smoked a tube of gas, he suddenly heard Zhou Congwen say, "Sew it up."

"..."

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