Dr.
Wang said that sentence when Director Zhang came in.After that, regardless of Director Li's contempt for himself, and regardless of whether Director Chen would find the backcourt because of his words, his eyes were glued to them all the time.He looked at them very eagerly, but he didn't expect the nurse to come in and throw a sentence: "Patients with acute abdomen, which of you wants?"
”Dr.
Wang immediately stood up: "I'll take a look." ”ShhThe excitement of your brains beating out of dog brains is not as good as the acute abdomen outside the general public.After he finished examining the patient, he hesitated for a moment, and felt that he should still find Director Liang to back him up.Thinking that Director Liang should still be in the B-ultrasound room, he immediately called to find someone."
Hey, B-ultrasound room, right?
I'm a trauma surgeon.Director Liang is not there with you?
”......
"before leaving?"
Oh, then please help chase it.We have an acute abdomen in our department, and we need him and Dr.
Li to come back quickly. ”The nurse who answered the phone on the other side agreed very happily, and Dr.
Wang put down the phone with satisfaction.walked to the door of the office and caught up with Zhang Zhengjie: Zhang Zhengjie's face disappeared from the tense posture of asking for guilt just now, but walked out with a calm face.A strong intuition told him that it must have been Director Li and Chen Wenqiang who teamed up to convince Zhang Zhengjie.Dr.
Wang turned sideways to make way for Zhang Zhengjie.Seeing Zhang Zhengjie's short and sturdy back disappear at the door of the duty room, his heart suddenly ignited again.I went to a health school and went to a medical college, is it worse than Zhang Zhengjie?
At about the same age, he is already the head of the department, what about himself?
Now Director Li suggested that Chen Wenqiang should leave Director Liang to accompany him in the thoracic surgery.Director Zheng of the Department of General Surgery is not in good health......
Here's your chance!
I should go back to Puwai, pry up the deputy director, and let him know Director Liang's plans, of course, the premise is that I can go over to be the deputy director.Just looking at the increasing number of patients in the Department of General Surgery, sooner or later it will follow the trajectory of the Affiliated Hospital of the Medical University, and divide into several wards such as hepatobiliary and burns.Only when I become the director of the department can I truly build the "general surgery" worthy of the provincial hospital according to my own wishes.But there is another key question, will Chen Wenqiang agree to be the deputy director in the past?
The chances of agreeing are too slim.Chen Wenqiang has been secretly rejecting himself.He suddenly regretted that he had not had a good relationship with Chen Wenqiang in the past.In fact, he was even more annoyed that his father-in-law had not taken action earlier.Now that Chen Wenqiang is in charge of the medical work of the Department of Surgery, Fei Baode will not have the final say on the matter.Realizing this, Dr.
Wang couldn't help but feel a little distracted."
King, why are you standing at the door?"
Dr.
Liu rubbed his hands and walked over to ask."
Nothing, nothing."
Dr.
Wang retracted his mind."
I just picked up a patient with an acute abdomen, and I was thinking about emergency surgery, and I was a little distracted.Laparotomy exploration, you can't get on?
”Dr.
Wang not only responded to Dr.
Liu with a smile, but also asked a rhetorical question.If it weren't for the fact that Director Zhang and Dr.
Yang had fallen behind and broken the diagnosis and treatment structure of the two medical teams, it would have been impossible for Dr.
Wang to ask Dr.
Liu for such an operation."
Okay.I'm fine today.Go up and give you a hook. ”Dr.
Liu smiled and agreed.It's also idle to be idle, so it's better to give him a hand."
There's Dr.
Li on the hook.You can help me prepare those preoperative test sheets, this patient came in and did not check anything on the blood and urine routine.I have to complete the surgical consent form, preoperative explanation, etc. ”Dr.
Wang smiled and discussed with Dr.
Liu."
Okay.What is the diagnosis?
”Dr.
Liu understands that this is a "special" outpatient patient."
The diagnosis is filled in with 'exploratory laparotomy' first.I called the ultrasound room, and Director Liang had just left.The nurse went to chase after him, and he and Dr.
Li should be back soon.Hey, you remember to put all the tests on the emergency stamp, otherwise when we finish the operation, we will come back with a positive hepatitis B report form, which will be a pit for us. ”"Okay.Don't worry, I know these old rules. ”Dr.
Liu took a test sheet, grabbed the first page of the inpatient medical record in Dr.
Wang's hand, copied down the patient's name and age, crossed out the gender, threw the home page back to Dr.
Wang, picked out various test sheets, and began to fill them in.Chen Wenqiang and Director Li in the office saw Dr.
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Wang's arrangement, so they no longer cared about the newly admitted patients, and the two of them went about their own affairs.After a while, Director Liang walked in a little angrily, and saw that Dr.
Wang was the only one in the office who was busy at the desk.Director Li, Chen Wenqiang, and Dr.
Liu were not there."
Hey, my lord, why are you alone?"
Director Liang was anxious, and he was also anxious when he asked."
Oh, Director Liang, you're back."
Dr.
Wang showed a happy expression."
Director Li, they were all there just now.I was in a hurry to write the preoperative explanation of this patient who was admitted to the hospital, and I didn't notice when the person left.What about Dr.
Lee?
”"She'll go to the CT room first and be back in a minute."
Dr.
Wang said regretfully: "I'm still waiting for her to write a record of her first illness before going on stage." ”Dr.
Liang immediately ridiculed him sarcastically: "It's not enough for you to ask her to write a big medical record?"
Can't you write your own record of the first course of your illness?
How many words of stuff. ”Dr.
Wang smiled wryly, the discharge summary is simpler, didn't you let Dr.
Li write it?
But he smiled calmly and coaxed Director Liang: "Okay, good, you can do whatever you want."
Dr.
Liu was also there just now, and he also helped to open all the test sheets, and he also came to the stage after a while. ”Dr.
Liang was suddenly a little unhappy, "What acute abdomen is worth four people on stage?"
”But he groaned for a moment and asked, "What causes the acute abdomen?"
”"I think it's 'gastric perforation caused by a stomach ulcer.'""
What tests did you do?
Abdominal puncture?
Got an upright X-ray?
”Dr.
Wang was stunned, "Abdominal puncture should be done, but this patient is already a bit of a plate-like abdomen, I thought about how to have an emergency laparotomy to explore, so I didn't puncture or take X-rays."
Why don't I take an emergency abdominal x-ray for him right away?
Or do an emergency CT?""
If you have a plate-like abdomen, do you think you still have time to do abdominal x-rays and CT?"
Dr.
Wang was a little embarrassed by Director Liang's question.Whether it is plain abdominal x-ray or CT examination, no matter how fast it is, it is not possible to get the results in half an hour.He was silent and did not answer."
How long has it been piercing?"
Director Liang asked."
Be conservative, it's going to take more than three hours.This patient has a history of gastric ulcer, which is more than ten years old.It has been getting worse and worse since around the Spring Festival.In the past, I also had a cholecystectomy because of chronic cholecystitis. ”Director Liang nodded: "Write the preoperative explanation carefully."
This is another laparotomy, I don't know if the adhesions inside are easy to peel off. ”Dr.
Wang hurriedly responded.It was because he had an open stomach again that he called Director Liang to come back.In the CT examination room, Li Min handed the patient's application form to Director Hu: "I'm sorry to trouble Director Hu." ”"Just this patient?
Who are your relatives and friends?
”Li Min didn't know what Chen Wenqiang said, so he nodded vaguely and said, "Director Chen instructed me to send the patient." ”"Alright, I got it.""
Then I'll go back.Thank you, Director Hu. ”Li Minruhua's smiling face and heartfelt thanks made Director Hu very useful."
Alright, you can go back.It was her turn next.When I'm done, I'll call you Director Chen. ”It is simply too normal for a young doctor who has just worked to be transferred by a senior doctor or a director.However, Director Hu couldn't even think that Chen Wenqiang was afraid that he would not have surgery this week and would be flattened by the operating room.Director Liang went to the disposal room to say a word to Sister Luo, and then went to the elevator room to smoke.After smoking a cigarette, lighting another one, and halfway through the cigarette, Li Min ran up from the stairwell."
Director Liang."
Li Min ran a little panting, she was in the stairwell on the tenth floor just now, like a dying fish, opening her mouth to catch for a while before running the last floor.Director Hu took the CT order and said that it would be her turn next.After I finish it, I will call Dean Chen. ”"Why didn't you take the elevator up?"
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Director Liang looked at Li Min's appearance and clearly ran up.It's hard to get up to the 11th floor by yourself.It's good to be young!"
There are too many people taking the elevator, and this point will stop layer by layer, too slow."
Director Liang nodded: "Let's go, come with me to see the patient."
This patient is under the care of Dr.
Wang.The outpatient clinic gave a diagnosis of acute peritonitis.He asked for a medical history that was considered to be a gastric perforation. ”Li Min nodded, and followed Director Liang, who was slowly moving, to the ward.Director Liang asked as he walked: "If it is a gastric perforation, what will be the signs and symptoms?"
How do you want to be diagnosed?
”"There is usually sudden, severe epigastric pain.Signs include generalized abdominal tenderness, abdominal muscle tension, and pronounced rebound tenderness.If a paracentesis is done, a cloudy fluid can be aspirated.If there is free air under the diaphragm, it can be determined that there is a gastric perforation. ”Li Min tried to answer as short as possible."
What kind of person gets a stomach perforation?""
Has a history of recurrent gastric ulcers; or a history of binge eating prior to the piercing. ”"Anything else?"
Li Min was asked.Director Liang smiled: "There are also drugs that can also cause gastric perforation."
Go back and see what caused the gastric perforation. ”"Yes."
Li Min is embarrassed."
What about treatment?""
If the perforation is relatively small, it can be repaired simply or with the help of omentum.Gastrointestinal decompression can even be sustained, giving the perforated area a chance to heal on its own.This risk is relatively high, and it can only be done by close observation.Once peritoneal irritation is present, conservative treatment should be discontinued.As for the radical cure, a large gastrectomy should be performed. ”"Have you ever had a large stomach cut?"
Li Min hesitated: "I did it for a dog." ”Director Liang couldn't help but laugh "hahaha".Li Min added, "I'm a sorcerer. ”Then in Director Liang's incessant laughter, she explained with a blushing face: "I am an operator in all experiments. ”Director Liang smiled even more.He took a cigarette to the dressing room, and Sister Luo handed him a disposal bag."
I'm ready for you, it's all in there.""
It's still Lao Luo who understands my mind."
In exchange for a roll of Sister Luo's eyes.Walking to the door of the ward, Director Liang took the remaining cigarette butt and took a sip of it, and then threw it into the corner.coughed lightly, and then walked in calmly from the door of the ward opened by Li Min.※※※※※※※※※※※※※※※※※※※※ thanks to the little angel who voted for me or irrigated the nutrient solution~ Thank you to the little angel who irrigated [nutrient solution]: Wenwu Bei is 5 bottles of Yun; Thank you very much for your support, I will continue to work hard!
() The distance is a bit far