Back in 2002 as a doctor
Page 663
Although Zhou Congwen hated the emergency department from the bottom of his heart, he subconsciously went to see it when he encountered it.
What is displayed on the TV screen of the gastroscope is the image of the fundus of the stomach.
Contrary to what Zhou Congwen had guessed before, the patient did not have varicose veins in the fundus of the stomach, and there was not much blood in the stomach, so he looked fine.
"How much blood did you vomit?"
"About 300ml." The doctor who was doing gastroscopy replied casually.
He was obviously a little anxious, and his tone was not very kind.
"Professor Jia, have you found the bleeding point?" Director Han asked in a deep voice.
The doctor who was doing the operation was startled, and turned around quickly, and she shivered the moment she saw Director Han.
Zhou Congwen thought it was funny. The clinicians were really afraid of such a strong medical director as Director Han.
"Han Chu, why are you here?" Professor Jia asked hastily.
"Oh, let's see. Did you find the bleeding point?"
Han Chu asked the same question again.
"I didn't find it. I searched a little bit, but I couldn't find the problem." Professor Jia explained.
"Let me take a look." Zhou Congwen smiled, "Is it convenient?"
When Professor Jia saw that it was Zhou Congwen, he was taken aback, thinking that it was a gastroscope, so he probably didn't understand.
But with Han Chu, Professor Jia didn't say anything, and since he had nothing to do, he didn't refuse.
Zhou Congwen went to wash his hands briefly, put on sterile gloves and started the operation.
The patient was still vomiting blood slowly, but there were no clear bleeding points in the pharynx, esophagus, cardia, gastric fundus, and gastric body.
Professor Jia saw that Zhou Congwen was not a novice, and he was much more careful in the inspection than himself. He was proficient and sophisticated, so he was relieved.But in a flash, it was more curiosity. Professor Zhou really can do anything, and he can come to anything.
"Professor Zhou, didn't you find out the problem?" Professor Jia asked.
Zhou Congwen nodded, and then pulled out the stomach tube.
"Help the patient sit up, is there a headlight?" Zhou Congwen asked.
"Headlamp?" Professor Jia was taken aback.
Hearing Professor Jia's question, Zhou Congwen knew that there must be none in the endoscopy room, so he took off his sterile gloves and started looking at the lamp.
"Don't be nervous, maybe the light is a bit dizzy, so bear with it."
The patient was slurring and slurring, but Zhou Congwen could barely understand.The patient was asking himself what was going on, and seeing his expression, he was obviously terrified.
"The upper digestive tract has been checked, and it's all right." Zhou Congwen said, "Now let me take a look at your mouth and nasal cavity."
Uh... Mouth?
Professor Jia was taken aback for a moment, then came to his senses, but immediately frowned and asked, "Professor Zhou, there isn't so much blood coming out of the mouth, right?"
"Oh?"
"There is blood in the patient's stomach, if it is in the mouth..."
"I didn't see it in my stomach, so I continued to look up." Zhou Congwen Guo smiled slightly, "Otherwise, there is no other way for the time being."
Chapter 1131 Just Tell Me Teeth Are Bleeding?
Mouth bleeding, the amount is so large that he vomits mouthfuls, this idea is a bit bizarre.
But the upper gastrointestinal tract does include the oral cavity, but clinically there are extraoral and intraoral, orthodontics and other sub-disciplines.
It's just that the upper gastrointestinal bleeding that everyone usually talks about does not include the oral cavity.
Xiao Kai was curious and wanted to get a closer look at Zhou Congwen's oral examination.
Although many years of clinical experience told him that the possibility was unlikely, after all, it was Zhou Congwen who said it, and Xiao Kai still subconsciously believed that it was reliable.
Moving forward, a "ball" suddenly blocked the front.
"Professor Zhou, there really seems to be bleeding inside."
Director Han didn't reach Zhou Congwen's ears on tiptoe, but he looked inside very hard, pushing aggressively, as if he was an intern brought by Zhou Congwen.
Xiao Kai's mood is a bit complicated, there is still someone robbing him of this job, and he is also the majestic and fearsome chief of medical affairs.
Before coming to the Second Hospital of Medical University, Xiao Kai asked the doctors and nurses who were studying here what he needed to pay attention to.
Everyone said a lot, but the one thing in common is that they must be careful of the people in the medical department, especially Director Han.
Unexpectedly, Director Han's threat to him turned out to be flattering, Xiao Kai couldn't laugh or cry.
"Well, let's find an extraoral consultation." Zhou Congwen dragged the patient's jaw with one hand, and wiped the patient's mouth with tweezers and absorbent cotton balls with the other, and said after seeing the bleeding.
"Uh... is it really about the mouth?" Professor Jia was still a little puzzled.
"A small blood vessel is bleeding, and it seems that I can't stop it." Zhou Congwen let go of the patient's hand, and patted his shoulder by the way, "It's okay, don't worry. It's just... toothache bleeding."
The patient is also at a loss.
He understands the easy-to-understand "local dialect" of bleeding teeth, but he told himself this after tossing all night?
The pants were all ready to be taken off for surgery, emergency rescue, and even the patient thought about where the cemetery was many times, and finally what he waited for was dental bleeding.
"It's about the mouth, just order a stitch outside the mouth." Zhou Congwen took off the sterile gloves for the second time, and told Professor Jia, "Observe the patient's condition after sewing, if there is still bleeding... give me Give me a call and I'll take a look."
Professor Jia felt that Zhou Congwen's exhortation was a bit redundant, but then he heard Director Han's answer.
"Professor Zhou, you are too serious and responsible."
"..." Professor Jia's remaining slander disappeared.
The fear of Director Han told her silently that she must not speak ill of Zhou Congwen, even if it was in her heart.
"I know, Professor Zhou, if I have any questions, I have to trouble you." Professor Jia replied honestly with a sense of humor.
"You're welcome." Zhou Congwen turned around and left, as if he had no intention of communicating.
Director Han followed behind Zhou Congwen, "Professor Zhou, you must have rich clinical experience. The idea of taking a look at the oral cavity for upper gastrointestinal bleeding is too unbelievable."
"I've seen it. I have an impression. Next time I will take a look subconsciously." Zhou Congwen said, "Han Chu, take a look at the structure of the endoscopy room. It's getting late, you should go to bed early."
The three of them walked around and found that Zhou Congwen had no special understanding of building structures, which reassured Director Han.However, Zhou Congwen still put forward some principled opinions and selected a position.
"I'll go to Keli to take a look." Zhou Congwen and Director Han said.
"Professor Zhou, I heard that the doctors in your medical team basically don't get off work until around nine o'clock?"
"Well, there is a lot of work, and I have to do it more meticulously. There is no way." Zhou Congwen said, "Go and take a look, and invite everyone to have a supper."
Director Han didn't leave, but followed Zhou Congwen, talking and laughing upstairs.
Xiao Kai followed silently, thinking about Director Han.
"Why don't I just die!"
As soon as the elevator door opened and the signal was received, Chief Han's cell phone rang crazily.
And Zhou Congwen's cell phone rang, one after another, a little flustered.
Zhou Congwen smiled, picked up the phone, saw that it was Liu Wei, and answered the call, "Old Liu, let's have dinner together."
"*...*&¥%&..."
Liu Wei's voice was extremely low, like a mosquito screeching, even Zhou Congwen couldn't hear it clearly.
"What did you say? Be louder."
Next to him, Han Chu raised his voice and said what Zhou Congwen wanted to say.
Zhou Congwen scratched his head, waved his left hand with Han Chu, made a gesture, and then took the mobile phone to the fire escape.
"Old Liu, what did you say?"
"Congwen, something went wrong, where are you?" Liu Wei's voice was a little louder, and Zhou Congwen could barely hear it clearly.
"I'm at the door of the department, where are you?"
"I'm in the operating room, come here."
Liu Wei seemed out of his mind, and his way of speaking was slightly different from Zhou Congwen's.
"Okay." Zhou Congwen frowned and said firmly.
It was an accident with the anesthesia. I still don't know what happened.Zhou Congwen glanced at the upper right corner of his field of vision. The system panel was quiet and no tasks were issued.
I hope it’s not a gas embolism or something. When Zhou Congwen thinks about scratching his head, he feels oppressed in the precordium, radiating pain, a large amount of dopamine and adrenaline are secreted in the body, and even the mitochondria have started to run at high speed to provide energy support.
Alas, Zhou Congwen sighed, and then strode out of the fire escape.
"Han Chu."
"Professor Zhou."
Zhou Congwen and Director Han said in unison.
"I have something to do in the operating room..."
The two said the same thing again.
Zhou Congwen knew that something serious must have happened, otherwise Director Han would never have received a call from the operating room.
Generally, if you can’t come to Taiwan, you should find someone to save Taiwan first.
Zhou Congwen knew exactly what it meant to call the chief of medical affairs immediately.
"You also received a call?" Director Han was startled.
"I don't think it's interesting for Lao Liu to go back. He's staying in the department to study." Zhou Congwen explained, and boarded the elevator with Director Han.
"Han Chu, what news do you have?" Zhou Congwen asked.
"I didn't say that on the other side, I hesitated and said that I would know it at a glance." Director Han said with a little dissatisfaction.
But dissatisfaction is just dissatisfaction, you should go to see it or go.
Zhou Congwen concentrated on the two things, and felt that something was wrong.
If you make a mistake in the operation, you will not go to the medical office directly, let alone talk to Han Chu, who is like the king of Hades in the clinician's perception, immediately.
At this point, disturbing Han Chu, isn't that courting death?
But the person who said the matter hesitated, and asked Director Han to come up and take a look to find out, what happened?
Although Zhou Congwen has rich clinical experience, he was a little at a loss for a while.
Full of curiosity, the two came outside the operating room.
An anesthesiologist saw Zhou Congwen and Director Han coming down from the elevator, and trotted to Director Han and began to whisper in his ear.
Chapter 1132
"Stay away from me, gentlemen, whisper like girls, are you disgusting?" Director Han reprimanded mercilessly.
The anesthetist was taken aback for a moment, then glanced at Zhou Congwen, as if he was having some difficulty, he hesitated to speak.
Zhou Congwen saw a gap in the locker room, and it seemed that Liu Wei looked at it, but he didn't greet him, but immediately shrank his head back.
All of a sudden, Zhou Congwen became more curious, what happened? !
It is definitely not that he cannot come to Taiwan. Judging from Zhou Congwen's many years of experience in saving Taiwan, the situation in front of him has absolutely nothing to do with the patient.
The anesthesiologist glanced at Han Chu, and finally his eyes fell on Zhou Congwen, as if he was in a dilemma.
"Professor Zhou is one of his own, so there is nothing you can't listen to." Director Han was particularly upset. Although he realized that things might exceed his expectations, he still sold a favor to Zhou Congwen.
While speaking, Director Han walked to the locker room.
"Director Han, a group of patients who were fighting suddenly came here just now, and their intestines were drained with a knife. Professor Wen took two hours to complete the operation."
Neither Zhou Congwen nor Director Han spoke.
The anesthetist just told the background, not even solving the problem, let alone acting.
"But when the abdomen was closed, we checked the number of instruments and equipment, and found that there was a piece of gauze missing, so we started looking for it immediately."
"No matter what you do, the gauze can be thrown away." Han Chu reprimanded him indiscriminately.
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