After Director Li and Li Min went out, Dr.
Wang said to Dr.
Liu: "Yesterday's operation was too breath-holding. ”While pondering how to compile Director Chen's ward round records, Dr.
Liu said absentmindedly, "It's better than me." ”"What a thing.Before entering the abdominal cavity, the old Liang Tou stuffed the big hook to me.You say I've got one hand to pull the hook, what else can I do?
”Dr.
Liu looked up at Dr.
Wang, who was very dissatisfied, and subconsciously said, "Is Director Liang dissatisfied with you letting him be an operator?"
This is a second laparotomy. ”Doctor Wang was stunned for a moment, and said thoughtfully: "It's very likely."
But let me tell you, yesterday was a mess of abdominal adhesions, and I really had to force myself to be an operator, and I had to make it dark. ”What he said in his heart was that if he could do it after dark, would he insist on being a sorcerer?
But as soon as this thought flashed, he gave up and continued to ask himself.He didn't want to face the crucial question of whether the patient could stay on the operating table until dark.Dr.
Liu smiled: "Emergency surgery is not good at all, I don't know what situation I may face." ”"So I'm leaning towards elective surgery now.Adjust the general condition of the patient, find out the condition clearly, and when you come to the stage, you will be confident and can remove the lesion perfectly with ease. ”"I think so, too."
Dr.
Liu patted the medical records in his hand, "Fully prepared elective surgery, the final treatment effect is also good." ”Then he stopped chatting and went about compiling the few remaining rounds of the room.This ward round record was written early, otherwise when it was time to get off work, Chen Wenqiang would have looked through it......
Dr.
Wang saw that he didn't want to talk anymore, so he bored his head to write about his own.But he writes with ease.He put himself in the perspective of the director, if I was doing ward rounds, how would I say to the junior physician in view of the patient's state.Dr.
Liu saw that he was happier than what he wrote, and couldn't help but say, "You wrote it quickly." ”"It's nonsense.Not as serious as you, so it's fast. ”Dr.
Wang has already started to stamp it.When Dr.
Wang was all together, Dr.
Liu finished writing a little later.He dragged the rubber red stamp of the director's ward round, and said while covering it: "I'm most afraid of this kind of ward round, I didn't say a few words about the business, and I have to make it up like a thing when I go back."
Otherwise, one day the director was on a whim, looked through the medical records and was not satisfied, and slapped the table and scolded. ”Dr.
Wang was accustomed to this kind of ward round, smiled silently, popped out a cigarette for Dr.
Liu, and took one in his own mouth."
Let's go see how Lao Yang is?
He probably didn't know about getting his medical bills waived. ”"I don't know if that will happen yet.""
Zhang Zhengjie is not a stingy person.If Lao Liangtou proposed, he would not object.The head nurse will not.To go or not to go?
Otherwise, Lao Li Tou is back. ”Dr.
Liu was stunned for a moment, and then he understood what Dr.
Wang meant."
If you don't go, I'll go.""
When you go to work, where can you go?
Let him send someone to find you, won't he become off-duty?
”"The two of us are not here, so he will naturally go back to find Chen Wenqiang."
Dr.
Wang flicked off the ashes of his cigarette, "If you want to pull the hook for Dr.
Li, you can continue to wait here." ”Dr.
Liu quickly stood up and walked out with his stack of medical records in his arms.said to Xiao Zhai, the nurse in charge on duty: "I'm in the department, go see Lao Yang." ”Dr.
Wang smiled silently and went out after him.Dr.
Yang lay bored on the hospital bed.In fact, he has nothing to do, and he can go home a long time ago.But he didn't want to go home.I don't want to face a shrew who shouts to herself once I come.Look at her noisy appearance, when she enters the provincial capital, she is still the same as the women in the countryside who became shrews after giving birth.Why were you so blind in the first place?
Why did you marry such an unsightly woman as a daughter-in-law?
He leaned on the head of the bed all day long, thinking and pondering about the feasibility of divorce.Dr.
Wang and Dr.
Liu came in together, interrupting his reverie."
Why do you have time to come and see me today?"
Dr.
Yang moved into the bed, trying to pour a place for them to sit.The two of them found two stools in the ward and sat down in front of Dr.
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Yang's bed.Dr.
Wang said, "Didn't come to see you one day?"
But there are a lot of rounds today, and if you come later, you still have to pick and choose. ”"How are you?
Is it okay to be discharged from the hospital the day after tomorrow?
”Dr.
Liu asked."
I'm discharged from the hospital now.But is it interesting?
I've heard that the patients who are readmitted are all ordinary people. ”Dr.
Yang avoided answering that he didn't want to be discharged from the hospital and go home.Doctor Wang said with a smile: "There are Lao Li and Lao Liang, and it doesn't have much to do with me."
I can't grab a magician.But you are different, there is a urology specialist who has been admitted, and that is the specialty that you are proficient in in the whole hospital. ”Doctor Yang smiled at what he said, and said modestly: "What is proficient or not, I don't think Director Liang will do it." ”"That is, these few of them are experts in general practice.""
It is also in the past few decades that when patients enter the hospital, they all listen to the doctor, and they practice with them no matter how they treat it.If we change now, can the patient do it?
Does the hospital give us such a chance?
If we had such an opportunity, we would definitely be able to practice such skills. ”"It's not the right time."
Dr.
Yang summed it up with a sigh."
Look at our unlucky guys, when we want to grow, □□.When it's time to study, go to the countryside.It's still Xiao Liu's luck.Nothing was delayed. ”Dr.
Liu smiled and said, "How many years younger than you?"
I can't eat enough when I get out of my mother's belly, and I go to school to learn engineering and agriculture, fight private criticism, criticize Song Jiang and criticize Lin \ Biao, and I didn't delay anything.If you do, get out of the hospital.If you stay any longer, everything will be delayed.You don't know that in today's rounds, Dean Chen kicked out all those who could be discharged from the hospital.The ward was almost half empty. ”Dr.
Yang knew about the discharge of the patient, and couldn't help but ask curiously: "Those traffic accidents that have not been discussed are also thrown out?"
”"yes.He said that his head hurt, and he asked me to give a CT.But it should be clearly written in the medical record that the patient can be discharged because of his condition......"
The three big men laughed.Dr.
Yang said: "Chen Wenqiang is ruthless enough. ”He thought of himself instantly.He didn't believe that Chen Wenqiang, as a neurosurgery professional, would not be able to tell whether the injury to his head was caused by a stool or by a fall.Very good, very good.Chen Wenqiang hid it from the two little ladies, so that he didn't eat mutton and got embarrassed, and he had to add the small hospitalization fee of 2,000 yuan for nothing......
"Hey, Lao Yang, Lao Liang told Chen Wenqiang yesterday that he wanted to find Zhang Zhengjie to give you free use." ”Dr.
Wang lowered his voice.Dr.
Yang's eyes immediately glowed green."
What did Chen Wenqiang say?"
He agreed.It is estimated that Zhang Zhengjie will not object.The head nurse has always listened to the director. ”Dr.
Yang was happy, but said with regret: "It's just that the CT side can't be reduced." ”"Be greedy.If you don't lose it at all, you won't have to suffer it.How much does a CT scan cost, and you will fill it up with an elective surgery. ”"That's it.I didn't think I could save one. ”The conversation was enthusiastic, and Dr.
Yang's expression was relieved a lot."
Doctor Wang, the outpatient clinic has admitted an acute abdomen again.You hurry over to see the patient. ”Xiao Zhai came in to find Dr.
Wang.Dr.
Wang immediately stood up, "What's the matter?"
I can't do without an acute abdomen every day. ”He stretched out his hand and pulled the sitting doctor Liu and said, "Let's go."
Alas!
I just want to have elective surgery, why can't I. ”Dr.
Yang smiled: "There is not much difference between emergency surgery and elective surgery.You two do a few more, and remember to invite me to drink when you get back. ”Xiao Zhai rolled his eyes and took the lead.Doctor Wang frowned slightly, looked at the fat man in front of him a little speechlessly, and sighed deeply in his heart, he had no way back this time.But if I don't go to him for surgery urgently, I am currently suspected of gallbladder perforation, and it is not a suspicion if I continue.- That's even more troublesome.However, the difficulty of this operation ......
He was really a little scared."
Come on, family, I'll give you a preoperative explanation.""
Patients with recurrent episodes of chronic cholecystitis, you as family members should be well aware.Right?
”The patient's subject had several children with them, all nodding in agreement."
Doctor Wang, this time the city hospital asked us to transfer to the hospital for surgery quickly.Originally, I was hospitalized for a week, and I was almost fine, thinking that I could go home for the holiday before 'eleven'.Who would have thought that after the infusion yesterday, he sneaked out to eat roast chicken by himself while I was home. ”"How much did you eat?""
He said he was half small."
The woman said very unconfidently, small - how is it possible?
Dr.
Wang supports his forehead, no wonder he is so fat!
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No wonder the acute attack of chronic cholecystitis."
I'll be honest with you, his surgery is very difficult to do.""
We get it.The same is true of the city hospital.Let's go to the hospital affiliated to the medical university or your provincial hospital. ”Dr.
Wang wanted to ask them why they didn't go to the medical university.But without waiting for him to ask, the patient's family said it themselves."
He went to live at the medical university because of chronic cholecystitis.There are too many patients.I don't see the doctor all day long.So we came to the provincial hospital. ”Dr.
Wang felt very bad, and he coughed lightly to interrupt the woman's chatter."
He's going to have this operation, I have to explain it to your family first.Recurrent episodes of chronic inflammation in his stomach now, all the organs are glued together.It's very hard to separate.But you can't remove the gallbladder without separation. ”"Then if you take off your gallbladder, are you very timid?"
Dr.
Liu was helping to open the checklist on the side, and he burst out laughing when he heard the words."
The bold and the timid have nothing to do with the gallbladder.""
Is there any harm in removing the gallbladder?"
The woman asked cautiously.Dr.
Wang rubbed his hands, "Let's not talk about the harm of removing the gallbladder and gallbladder."
First of all, let's talk about the disadvantages of your wife's not removing the gallbladder.First: if you continue to develop, the gallbladder will be perforated, and you will get biliary peritonitis.The bile that comes out will digest all the intestines in his stomach.Do you understand?
”The family members were so frightened that their faces changed."
The city hospital told you before the transfer that continued anti-inflammatory treatment was ineffective.You have to have a surgical gallbladder removal, right?
”The family nodded."
That's how we came to the provincial hospital.""
Second: if he didn't have immediate surgery, he would have died of cholecystitis.""
We operate."
Dr.
Wang wrote as he spoke: "The first thing to do in surgery is anesthesia, and there will be anesthesia accidents.Abdominal adhesions are severe, and collateral damage to organs may occur during surgery.His wounds did not heal easily after surgery.Because the fat layer is too thick.There will also be sinus tracts, bile leakage, ......," Balabala said a lot.Those who listened were already pale and shaky.Dr.
Wang wrote as he spoke, and finally signed his name and said: "Because the gallbladder has the effect of concentrating and storing bile, some people will have nausea and vomiting after gallbladder removal, and even if they don't eat meat, they will also have such a condition."
If you all understand, sign here.Write your consent to the surgery. ”"Mom, my dad ...... this surgery," the daughter stopped her mother who was about to sign."
If you don't do it, you will wait for death, and if you do it, you will die for a lifetime, isn't it a doctor?""
Pretty much.I will do my best to give him this surgery.But sometimes we have to say the ugly thing in front: medicine does not kill the disease.You decide as soon as possible whether or not to have surgery, and if not, write here that your family asks for conservative treatment. ”Dr.
Wang's finger gestured under the operation information form, "Write here that you have understood the outcome of acute cholecystitis." ”The woman looked up and saw that her son was looking at her daughter, "Let's transfer to the hospital for surgery." ”Dr.
Wang began to write down the hospital course records.After writing half a page, he raised his head and said, "If it drags on any longer, I'm afraid that you will think about signing for surgery, and he will be even sicker and even unable to bear it."
No matter what you decide, you're going to give me a result when I'm done writing this page. ”() The distance is a bit far