Back in 2002 as a doctor
Page 859
Chapter 1472 Marginal People
Zhou Congwen was not at home, Xiao Kai took on the responsibility of organizing and coordinating.
Logically speaking, Chen Houkun should be responsible for this matter.But Professor Chen Houkun Chen is a standard technical person, and he doesn't care much about other things except seeing patients and performing operations.
Fortunately, Chen Houkun didn't care about things himself, and he didn't mind other people's management. Xiao Kai faintly took the role of chief housekeeper.
The operation was going on day by day, no matter what happened, Xiao Kai had to report to the doctor with Zhou Congwen, even if it was the most boring operation arrangement, he had to say something at least, taking the trouble.
Sitting in the office, Xiao Kai had a calm expression, but he was thinking about many things.
The World Cardiothoracic Surgery Competition is imminent, sooner than imagined.The date of the game is advanced, which means that the time to make a decision is also advanced.
Should I go to 912 with Zhou Congwen, or go back to Baishui City and be my vice president?
It can be said that Xiao Kai has done a good job in the past year. All the goals before he came here have been achieved, and they have been overfulfilled. Xiao Kai also feels that he has done a good job.
But the fruitful harvest and more choices sometimes brought more troubles to Xiao Kai.
Is this the trouble of happiness?
Looking at the junior doctors who were writing electronic medical records, Xiao Kai felt like a landlord in the past.It is only responsible for supervision and management, and there is no need to do anything by yourself.
Today, Xiao Kai already prefers to go to 912 with Zhou Congwen himself, but he doesn't know what role he will be with after he goes.
Started as a doctor?It seems a little too difficult.
It is estimated that Professor Zhou Congwenzhou will idle himself and be responsible for outpatient visits and management of the medical team.
"Dean Xiao, how are Professor Zhou and the others doing in the capital? How many surgeries do we need?" Peng Yiming turned around and asked after finishing writing the medical records.
She didn't know the new surgical method, and thought it was purely interventional surgery.
Xiao Kai also helped Zhou Congwen conceal this matter, otherwise the cunning and cunning Zhang You would not be fooled.
"It's okay. It is said that the operation has been done and it was very successful." Xiao Kai said, "Professor Zhou is not coming back recently, saying that he will directly participate in the World Cardiothoracic Surgery Competition."
Speaking of this, Peng Yiming's eyes lit up like Shen Lang.
"Dean Xiao, can you take the first place?"
"It shouldn't be a problem." Although Xiao Kai was also a little apprehensive, he didn't show it on the surface. He sat firmly on the Diaoyutai and said leisurely, "Professor Zhou's work, don't you feel relieved?"
"Dean Xiao, there must be my name, right?" Peng Yiming asked unambiguously.
Her position is rather special, different from people like Li Ran and Shen Lang that Zhou Congwen brought to the Third Hospital of Jianghai City; she is also different from Yuan Qingyao, a detached fairy-like figure.
Peng Yiming also knew that Dean Xiao Kaixiao would have good results no matter how he chose, but he might not.There are not many people who send charcoal in the snow, but not too many people who cross the river and tear down the bridge.
If I go back to be a little doctor...
In the past year, Peng Yiming has also seen the world, and she can't bear it in her heart if she wants to go back to being an ignorant little doctor.
After seeing the world, Peng Yiming knew that Baishui City was just a corner, and being a doctor there could only be regarded as a household registration without any future.
After leaving Zhou Congwen's team, let alone a sci in the future, even if it is an article with a Chinese prefix, it will be difficult to publish an article, unless it costs a lot of money.
Now, may be my last chance.
Seeing Peng Yiming's concern, Xiao Kai smiled slightly, "You must be there, don't worry. There are not many people in our medical team, and there are enough places in the team."
Peng Yiming wanted to continue talking, but the office was full of doctors. She bit her lower lip and looked at Xiao Kai.
Xiao Kai understood, stood up slowly, and walked out of the office.
Peng Yiming chased after him, "Dean Xiao, what do you think I should do."
What to do? The question was very vague, but Xiao Kai knew what Peng Yiming was thinking.
He hadn't talked to Peng Yiming before, because his own affairs were still pending.Peng Yiming is quite capable, and with the experience of studying in the Second Hospital of Medical University this time, Xiao Kai already regards her as one of his own.
Now that Peng Yiming asked anxiously, Xiao Kai smiled, "What's the rush?"
"Dean Xiao, can you take it easy?" Peng Yiming said aggrievedly, "I always thought you had to go back. If that's the case, I won't be at a disadvantage."
"What about now?" Xiao Kai asked with a frown when he heard that there was something in Peng Yiming's words.
"I heard from Mr. Chai that you want to follow to 912?!"
"..."
Xiao Kai scolded his mother in his heart.
Boss Chai is talking nonsense about things he doesn't know.
"What did Mr. Chai say?" Xiao Kai asked calmly.
"He said that Professor Zhou is too young to be convincing. You must be the deputy director. Director Deng has become dean Deng. You must be the director of the department. In fact, Professor Zhou has the final say."
"!!!"
Xiao Kai was really shocked by such a large brain circuit. He is the director of thoracic surgery in a basic hospital. How can he be the director of 912?What a joke!
What a surprise!
Xiao Kai cursed in his heart.
"President Xiao, what should I do if you follow me to 912?" Peng Yiming was so wronged that he almost cried.
"I don't even know where I'm going." Xiao Kai smiled helplessly, and comforted him, "Don't think so much, I'll ask you something."
"Dean Xiao, tell me."
"How is Professor Zhou?"
Peng Yiming was slightly stunned, and thought for a few seconds, "Dafang, I have never seen a clinical director who has some money. It is best to have money. Others... many directors eat alone, and the neurology department of our hospital... ..."
"Cough cough cough." Xiao Kai looked around and coughed twice.
Peng Yiming also knew that he had said too much, and was a little embarrassed, "Professor Zhou won't do this, so I also want to..."
"President Xiao, do you think I have a chance?"
Peng Yiming felt a little relieved when he asked the question he wanted to ask the most.
Xiao Kai smiled wryly, because he hadn't made up his mind, so he didn't ask Zhou Congwen about Peng Yiming.
"When the competition is over, I'll ask Professor Zhou." Xiao Kai said.
"Oh." Peng Yiming sighed.
"Ring ring ring~" Xiao Kai's cell phone rang.
He took out his mobile phone, glanced at the phone number, gestured to Peng Yiming and connected the call.
"Leader, what's wrong." Xiao Kai asked seriously.
There was some confusion on the other side of the phone, and the voice was hurried.
Xiao Kai's frown became tighter and tighter. Peng Yiming felt that something was wrong, so he shut up and listened hard.
Soon Xiao Kai said, "Leader, I'm in the provincial capital, so I'll arrange it."
After speaking, he hung up the phone and immediately called the emergency department and nephrology department.
It was the city leaders who came to Xiao Kai to see a doctor, and Peng Yiming was very envious.
If I have the status of Dean Xiao, I can go anywhere.
Chapter 1473 Chicken Stew with Mushrooms
After making arrangements, Xiao Kai made another phone call.
As usual, Peng Yiming would have left early in the morning knowingly.
But today she asked the deepest question hidden in her heart, but Xiao Kai didn't give an accurate answer, she stood aside in a daze when she was stubborn.
Xiao Kai didn't push Peng Yiming away either. After contacting him, he held his mobile phone and waited quietly for news from there.
It took a full 20 minutes before the call came.
"Dean Xiao, the results of the emergency investigation are here." The voice on the other side of the phone was much clearer than before, and Peng Yiming could tell that it was Director Wang Weiwang from the emergency department.
"Simply put." Xiao Kai said.
"Now the heart rate is only 38 beats/min, the limbs are numb, and the creatinine is 904 μmol/L."
"..." Xiao Kai was taken aback.
He knows the patient's condition. He has high blood pressure, coronary heart disease and other senile diseases. How come he still has renal insufficiency now?
"Sent to the ICU."
"Okay, Dean Xiao. Do you have any other instructions?" asked the director of the emergency department on the phone.
"Wait for my call." Xiao Kai said in a deep voice.
He was not at home, and there were very limited things he could do, but out of habit, Xiao Kai called Zhou Congwen.
It wasn't until Zhou Congwen picked up the phone call that Xiao Kai realized that he had already formed muscle memory.
What the hell, Xiao Kai felt a little embarrassed.What are you doing!
Professor Zhou didn't even see the patient, so he had to ask questions, what was the difference from those family members of patients who didn't understand the clinic.
The doctors in the hospital hated it the most.
But when Xiao Kai reacted, the call had already been connected.
"Dean Xiao, what's the matter?" Zhou Congwen asked.
Xiao Kai was speechless.
"Dean Xiao?"
"Professor Zhou, I... made the call smoothly." Xiao Kai first admitted his mistake.
"Hahaha." Zhou Congwen's hearty laughter came, and he asked, "Why are you so anxious, is there an emergency patient?"
"Well, a leader in the city suddenly had numb limbs and elevated creatinine." Xiao Kai said, "I was not at home, and felt that there was something wrong with my condition, so I subconsciously called you."
"What's the situation?" Zhou Congwen asked as he seemed to have nothing to do.
"The patient is 56 years old this year and has a history of hepatitis C. He has a physical examination at the Central Hospital every year. His hypertension, coronary heart disease, and diabetes are well controlled. In the last physical examination before I left, he had liver cirrhosis and a small amount of ascites."
"What about the previous kidney function?" Zhou Congwen asked.
"Kidney insufficiency, but they are all within the range of deliberate acceptance."
"Oh, ask if you have been taking diuretics, and then ask what you took yesterday and today." Zhou Congwen said.
Xiao Kai hung up the phone with a look of difficulty urinating.
However, in a little over a year, Xiao Kai has accepted many things. Professor Zhou Congwen Zhou wants to know, because he has his own reasons.
Xiao Kai was busy on the phone, put Peng Yiming aside, and pretended not to see her expectant eyes.
She hasn't made a decision yet, and she's not in a hurry.
Xiao Kai still wanted to take Peng Yiming away. Whether it was going back to Baishui City or going to 912, the worst thing was to leave Peng Yiming in the Second Hospital of Medical University.
Thinking of this, Xiao Kai burst out laughing.
When did staying in the Second Hospital of Medical University become the worst choice as a doctor?
After inquiring about related matters, Xiao Kai called Zhou Congwen again.
"Professor Zhou, I'm done asking. The patient's condition is not very good now. He has hyperkalemia and the potassium ion is 7.5mmol/L. He needs dialysis. There is only one dialysis machine at my side."
"Hyperkalemia." Zhou Congwen pondered.
"I asked about it. The patient ate steamed buns with vegetarian stuffing at noon yesterday. He went out to dinner with friends in the evening. He drank 2 taels of wine and ate chicken stewed with mushrooms. The soy milk fritters he ate at the breakfast stand downstairs early this morning. It's already uncomfortable."
Xiao Kai briefly reported on the patient's oral medication, and then said, "Professor Zhou, there is no cause for hyperkalemia."
Tangerines, oranges, and bananas are all fruits that contain more potassium ions. The patient did not eat them, and Xiao Kai also noticed this.
The patient usually does not eat fruit, so diet-induced hyperkalemia can be ruled out.
Xiao Kai believed that it was because of liver cirrhosis and ascites that the patient took potassium chloride sustained-release tablets after oral administration of spironolactone and hydrochlorothiazide for diuresis.
But even if there is renal insufficiency, normal doses of potassium chloride sustained-release tablets will not cause hyperkalemia.
At least Xiao Kai never encountered it in his medical career.
"Chicken stewed with mushrooms... the patient should drink the soup." Zhou Congwen suddenly asked a wild and unconstrained question.
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