Back in 2002 as a doctor
Page 828
Chapter 1416
"It's nothing, it's not good enough, you have to find something wrong to be willing." Zhang You cursed angrily.
"Calm down." Zhou Congwen pulled Zhang You to persuade him, "How old is the clinical director, why are you angry if you haven't seen any patient before?"
"Professor Xiao Zhou, you don't know how annoying this patient and his family are." Zhang You said naggingly.
Mr. Chai silently watched Zhou Congwen comforting Director Zhang like an old director, but Director Zhang was already used to it.Mr. Chai has seen this picture many times, but he still finds it unacceptable.
It wasn't until the two of them entered the director's office that Mr. Chai sighed.
"Director Zhang, what's going on." Zhou Congwen asked as if he didn't know.
"The patient's family is looking for trouble. Damn it, it's just a fart." Zhang You scolded.
Zhou Congwen looked at Zhang You with a smile. He opened the window, took out a ganoderma lucidum and lit it.
"It's an outpatient. When I came here, I said that I had intermittent dysphagia. Then check it out. The chest X-ray is fine, the electrocardiogram is fine, and there is some problem with the barium penetration of the upper gastrointestinal tract. But I thought it was an artifact, so I asked the patient to do it again. Once and ordered an extra movie.”
"It doesn't cost patients money!"
Zhou Congwen smiled, he knew that Zhang You was talking about the second time, and the films before that should still cost money.
This is also Zhang You's most proficient way of speaking. When I heard it, I thought all the money was spent.
"In the second film, the esophageal wall was smooth, so there was nothing wrong with it." Zhang You said, "I let the patient go back."
"But within a few days, he came to the door again, saying that he had difficulty swallowing." Zhang You continued, "So I asked him to have a gastroscopy, so let's look directly at the head office this time."
"The gastroscope is okay?"
"It's nothing, at least I didn't see a tumor." Zhang You curled his lips, "Damn, it's all for nothing!"
"Director Zhang, calm down, why did the patient's family come to you this time?"
"It's not that the money is spent, but I still feel uncomfortable." Zhang You said disdainfully, "Actually, the first time I didn't spend much money, but they didn't let me go. What if I don't let him have a gastroscopy. But the gastroscopy also I don’t see the problem, what can I do? Create a big tumor for him?”
Zhou Congwen smiled slightly, and said with a cigarette in his mouth, "I heard from the boss that a B-ultrasound doctor was complained to 912 a while ago."
Zhang You was slightly taken aback, he originally thought that Zhou Congwen wanted Huang Lao to go up and preach to him.
What did Zhou Congwen teach himself to do?You don't have to pinch your nose to admit it.Although I don't agree with it in my heart, I have to give Zhou Congwen this face no matter what.
He and Zhang You, Huang Lao's researcher on new techniques, were upset, and they didn't know whether they were absolutely sure of being number one in the world next year.
Unexpectedly, Zhou Congwen's words were aimed at him, Zhang You suddenly bared his big teeth, and his face burst into a smile.
"One day, the doctor in the B-ultrasound room examined the patient. The work was done and there was nothing wrong with it. Later, the patient pointed to his stomach and said——doctor, I'm always in pain here, please help me take a look."
"Cut." Zhang You pouted.
This kind of thing has been seen a lot clinically, and it has long been no surprise.
"The doctor in the B-ultrasound room took a quick glance and didn't see any problems, so he explained the situation directly to the patient. The patient said, here it is, you can take a look again."
"There is still a long queue behind, and the doctor in the B-ultrasound room asked him to go to the relevant department and let the clinician confirm the location before coming back."
"Within three sentences, the patient said angrily—what kind of doctor are you, you have no medical ethics at all."
"Hahaha." Zhang You laughed loudly when he heard this sentence.
"So, that doctor was complained." Zhou Congwen raised his hands and twisted his flat hair, rustling.
"Generally speaking, the patients who really make people anxious are the patients who have no major issues but are very troubled."
"Yes, that's it!" Zhang You confirmed that Zhou Congwen was on his side, and immediately became happy, "Professor Xiao Zhou, you said that the patient and the patient's family members are completely dumb."
Zhou Congwen didn't answer Zhang You's words, he smiled and continued, "Some patients are a little concerned about their health, but they don't understand it at all, or they have heard it somewhere and want to confirm it with the doctor.
Or a sudden curiosity bursts out, and I want the doctor to popularize medical knowledge on him.But there are so many people in the hospital to see a doctor every day, there is no time to chat with him. "
"exactly!"
Zhang Youlian said three right things, "Professor Xiao Zhou, it's really difficult for us to be a doctor. Every day, such unreasonable patients and their family members can't answer correctly enough."
As he said that, Zhang You suddenly felt that something was wrong, and hurried back to make up for it.
"However, if I suspect a malignant or serious illness, I must communicate with the patient and his family in detail, specifying what to do next, and I am afraid that we will not pay attention to the delay. If the illness is sudden and difficult to accept, I will not rush to cry for a while. "
Zhang You tried his best to keep his attitude gentle, expressing enough benevolence as a doctor, and even the words "benevolence and righteousness" faintly appeared on his big teeth.
Zhou Congwen nodded slightly.
"However, examinations have been done, and laboratory tests have been done, and the patient's main complaint is not progressive dysphagia, but dysphagia, which occurred intermittently more than ten or twenty years ago." The more Zhang You said, the more angry he became. He said angrily, " It’s been so many years, it’s definitely not esophageal cancer.”
"Well, probably not." Zhou Congwen gave Zhang You an affirmative answer.
"Right, Professor Xiao Zhou." Zhang Youdao, "You can just blame them. Isn't it a good thing that they didn't find out the problem? If you have to ask why there is a problem, who can know why this kind of neurological symptoms."
Zhou Congwen looked at Zhang You with a smile.
"I went to the consultation a few days ago, and the hospitalization in the gastroenterology department was always tiring like a grandson." Zhang You suddenly changed the subject.
"A little girl who is usually pretty, how long has she been in the hospital, three months!" As he spoke, Zhang You raised three fingers, "I can't even see it, it looks like a piece of junk."
"..." Looking at Zhang You's big teeth, Zhou Congwen felt a little nauseous.
Zhang You never changed his nature day by day, thinking about what to do.
"How busy the doctor is, so many sick patients are enough to squeeze people dry, and they have to deal with these patients who are not sick and looking for illness."
Zhou Congwen suddenly remembered an "old" joke, and said to Zhang You, "There is a patient who thinks about his illness every day, and then one day he went to the hospital with a broken finger. The doctor asked how he broke it. He said he broke his finger, and everything else There is movement, click, click, but the ring finger can't make a sound."
"Just broke the bone by yourself?" Zhang You opened his eyes wide, and even the big die seemed to emit a light of surprise.
"Ah."
"Are you looking for trouble for nothing?" Zhang You scolded.
Chapter 1417 What the hell is Zhang You!
After chatting with Zhang You for a while, seeing that he was in a better mood, Zhou Congwen came out of the director's office to call Shen Lang.
I found Shen Lang in the fire escape, who was smoking with the patient's family and scolded Zhang You.
Seeing Zhou Congwen coming in, the patient's family members didn't pay much attention, they just went to denounce Zhang You.
"I understand that the doctor is busy, but Director Zhang is such an asshole. He is a good person, who would come to the hospital for nothing!" said the patient's family angrily.
Seeing that his expression was the same as that of Zhang You, Zhou Congwen smiled.This person is basically the same at the beginning.
Shen Lang handed over a cigarette, but Zhou Congwen refused.
"It's not that I haven't seen a responsible doctor. My buddy's father had a cerebral hemorrhage. The doctors and nurses who were sent to the hospital's brain surgery were more anxious than us. After the physical examination was confirmed, they dragged the bed and trotted to the CT room."
The patient's family members smoked and told a story about someone else's family.
"There was someone in the elevator who was wearing a hospital gown and didn't know how to hide. We didn't react, and the nurse just started scolding. For emergency rescue, you have to go out or step aside."
"It's quite powerful." Zhou Congwen stood not far from the patient's family and gave a comment.
"We were all dumbfounded. The man in the hospital gown was probably a little confused too. After the nurse finished speaking, he huddled in the corner of the elevator, not even daring to fart."
"What happened later?" Shen Lang asked habitually.
"When I went to the CT room, there were a lot of people outside." The family member of the patient said, "The nurse pulled the bed and placed it directly at the door of the CT examination. Before I went, I was afraid of queuing up and delaying time, but the nurse directly took us to the line."
"Normal, emergency cerebral hemorrhage can't afford to delay." Zhou Congwen said, "Does anyone else have any opinions?"
"There were one or two murmurs, but they were all dismissed by the nurse." The family member of the patient said, "We really don't know the nurse, and neither do the doctors."
"Normal." Zhou Congwen said.
"The operation was done later, and it was quite successful. My buddy and I took his father to the CT room for re-examination on the third day after the operation."
As he spoke, a smile appeared on the faces of the patient's family members.
"And then? Is it still stuffed this time?" Shen Lang asked.
"Let's line up, it's not so urgent." The family member of the patient said, "When the queue was about to arrive, the sound of the flat car behind was heard, and a doctor I didn't know ran over pulling the flat car, and there was a patient's head full of blood on it. .”
"This is the first time I've been stuffed and I haven't commented yet." The patient's family member smiled. "My buddy even told me that being stuffed means that the old man is fine."
Zhou Congwen smiled after listening to the nagging of the patient's family.
"The hospital is not a good place." The patient's family did not forget to denounce Zhang You, he said angrily, "Everything is there, who wants to come if there is nothing wrong, and pretends to be mentally ill. I think Director Zhang is so stupid. Mental illness."
"Look at his big die, you know it's not a good bird."
Neither Zhou Congwen nor Shen Lang spoke.
Zhang You is indeed not a good bird, so there is no need to say more about it.
"My dad just doesn't feel well after eating. Although the examination is fine, it's not esophageal cancer, but there must be an explanation. I came to ask, and Director Zhang got impatient and insisted that I was just looking for trouble."
"You say it, you say it!"
"What shit!"
Zhou Congwen raised his hand and rolled his flat head, rustling.
"Is there any information?"
"Here, more than 1000 yuan for the examination is useless. Now doctors will not see a doctor without the machine." The patient's family members nagged.
"I'll look at the information." Zhou Congwen said.
"you?"
"We are doctors in this department." Zhou Congwen said lightly.
"..." The family member of the patient was stunned for a moment, with embarrassing expressions on their faces.
"Look at it, if you can't see it, Zhang You may not be able to see it from the text." Shen Lang smiled and teased, holding a cigarette case in his hand, and beckoned to the patient's family whether they would like another cigarette.
The patient's family hesitated to take out the report, Shen Lang took it and handed it to Zhou Congwen, and then chatted with the patient's family.
"Let me tell you, I have a buddy who works in a TV station, and he is responsible for filming various accidents."
The patient's family felt that the two young doctors seemed different from the ones he had seen, and Shen Lang didn't seem to notice the emotions of the patient's family, telling stories on his own.
"Jump off a building, you know."
In a word, successfully attracted the attention of the patient's family members.
Zhou Congwen thought to himself that Shen Lang seemed to have matured.If he can get straight to the point when he writes a novel, he jumps off a building at the beginning, causing a big conflict and attracting readers' attention, and he should get more attention soon.
But Zhou Congwen thought so, and immediately looked through the patient's examination report.
"People who jump to their death from a building will basically not have any obvious trauma." Shen Lang gossiped, "But as long as those who jump from the sixth floor or above, basically have no teeth."
"No teeth?"
"The reason why the impact force of the landing knocked off the teeth on the jaw." Shen Lang said, "To be honest, I didn't notice this before I heard my buddy say it."
"When encountering a patient who jumped from a building, physical examination is one aspect. Cleaning up foreign bodies in the mouth and upper respiratory tract is also very important. You don't know?" Zhou Congwen asked, raising his head.
"Hey, don't you know now?" Shen Lang smiled, "When my buddy first photographed the patient who jumped off the building, he was so scared that he peed."
"It's scary, is it dead?"
"Twelfth floor, what do you say?"
"Tsk tsk."
"At the beginning, he still had some concerns, whether it's right for him to shoot here if everyone dies." Shen Lang said, "But after working for ten years, when he rushed to the scene, his only thought was to finish the filming and leave."
"After working for ten years, you still go to the scene. Your buddy is doing badly." The patient's family said.
This person's thinking is the same as Shen Lang's, and he jumped out of the way. Shen Lang was also startled for a moment, and then he laughed, "It's the same for doctors. They are relieved when they see that there is no esophageal cancer. Seriously, if there is, That would be troublesome."
"But I want to know what's wrong and why I always feel uncomfortable eating." The patient's family members heard Shen Lang talking for Zhang You, moved to the side, and kept a distance from him, their eyes were full of vigilance.
"High blood pressure, it's common, and it can't be cured, it can only be controlled." Shen Lang started talking nonsense like Zhou Congwen, "That's how medicine is, it's not perfect. Let me tell you, high blood pressure wasn't a problem decades ago. Counting illnesses, the presidents of the United States all died of hypertensive cerebral hemorrhage."
"Just, just like your buddy's father." Shen Lang said, "That is to say, the current level of medical care must be better than that of the US president decades ago."
The patient's family members were led astray by Shen Lang's brain circuit, thinking about this sentence full of flaws in a daze.
Chapter 1418
"It's the same if you work for a long time." Shen Lang said, "As long as it's not cancer, and it's been such a long time, I definitely won't care."
"Then you also need to know what the disease is." The patient's family insisted.
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