Running in the early morning, Li Min didn't see Mu Jie, and he felt a little unhappy for some reason.This is not happy at all, and it is not until I put on the white hat words that I can be regarded as completely getting rid of it.Today is Zhang Zhengjie's official return to work after his injury, he is in a good mood, smiling and greeting everyone, even the hygienist mopping the floor in the corridor did not miss.When it was time to start the ward rounds, he even suggested to Chen Wenqiang: "Dean Chen, today is a holiday, and the hospital stipulates that we must conduct ward rounds, which is also for medical safety."
I don't think it's better to do this, you check your treatment group, I'll check this side.If you check less, you can be careful, and you can finish it early, and then see if there is anything to discuss together, okay?
”Absolutely.But this is equivalent to Zhang Zhengjie taking the initiative to reduce his director's authority by half.Chen Wenqiang's ward rounds are more practical, focusing on breast cancer and rectal cancer patients after surgery.As for Director Li and Director Liang, both of them used to be his tutors, and he didn't skip it, but it was just a discussion between the three of them.It was not yet half past nine, and their group had completed their rounds.Back in the office, Li Min picked up the twenty or so medical records and threw them in the middle of the table, which is all the patients in their group that are now in charge.Director Liang held Hongta Mountain in his mouth, and asked Director Li and Chen Wenqiang for help while flipping through the medical records."
The intestinal obstruction I did on the afternoon of the 30th, and in the end, I didn't figure out that it was the cause.I handed over the patient to Dr.
Liu.Later, when they come back from their rounds, they will have to discuss and discuss, otherwise I will always be at the bottom of my heart. ”But apparently Director Li and Chen Wenqiang also noticed this patient."
Didn't see anything unusual during the operation?""
yes."
Director Liang's face, which has always been very kind and uncaring, rarely saw a sad face."
I've touched all the places I can explore, and I haven't found anything unusual.What was seen during the operation was nearly half a meter of ileal necrosis near the end of the ileocecal region. ”"Then I'll have to wait a few days, when he can withstand the barium enema, make a full gastrointestinal barium meal, and add a colonoscopy.""
Is it necessary to have an angiogram?""
Well, I also paid attention to the blood supply of this necrotic intestinal tube, and I didn't find any changes in the blood supply of his part of the intestinal tube."
Director Liang took off his hat, threw it in the drawer, turned to Director Li and said, "When I came back from the operating room that day, Xiao Liu joked that it might be an intestinal tumor, don't say it, I always feel that his suspicions are reasonable."
Although it is not like that, otherwise it will not explain the cause of the obstruction.The history was asked by me personally.The vague pain in the right lower abdomen has been more than half a year, and he has been repeatedly treated conservatively according to chronic appendicitis in the district hospital.Antibiotics have been given many times, and recently even Pioneer VI. has been given.Since the patient got sick, his food has been halved and he has lost more than a dozen pounds.The day before yesterday, his abdominal pain worsened, and yesterday morning he vomited, and the district hospital mobilized him to have an appendectomy, but he refused to operate at the district hospital.I came to the emergency department in the afternoon.Physical examination does not support the diagnosis of appendicitis.Before the operation, I suspected that he did not have appendicitis, so I explained to the patient's family that he would have an exploratory laparotomy. ”"Is there something wrong with the appendix?""
Nope.It's normal to be slick.Fortunately, there was no preoperative explanation for appendicitis. ”Director Li closed his eyes and thought for a while, and said, "Anyway, let's do a superior mesenteric artery imaging first."
If it is really a tumor, enhancement can also help with development. ”"Are you also inclined to tumors?""
Exclusion method.Obstructions that could not be found to be of a cause could only be discharged one by one. ”"By the way, his vomit yesterday morning, I got angry when I talked about it, and the patient vomited into his toilet, spitting and flushing the water.What is it that vomited, and actually told me that I don't know. ”Director Liang said this, and angrily pressed the cigarette butt in his hand into the ash cup.The character, color, and taste of vomiting are very helpful in determining the specific location causing the obstruction, and even in determining the cause of the obstruction to a certain extent.Chen Wenqiang looked at him sympathetically and comforted him: "When their group comes back from the ward round, let's discuss it together."
Xiao Li, come with me to see the two children in the pediatric department first. ”Director Li stopped him and said, "Let's go later."
I don't see any patients in their group, and they should be back soon. ”"If I bet on a cigarette, they may not come back when I come back from pediatrics.""
Don't look at people from the old emperor's calendar.Without Xiao Li in that group, who did he ask?
Pancreatic cancer and intestinal obstruction just now, what can he ask?
”"The foreign body fetish that I received the night before, and the osteosarcoma before, these two are enough."
Li Min saw that Director Li was no longer in the way, and immediately put away the pen and walked with Chen Wenqiang.* "Xiao Li, I heard that you and Mu Jie went shopping yesterday?"
Also bought a lot of things?
”Chen Wenqiang asked with a smile.Li Min looked at Chen Wenqiang in surprise, and then blushed."
Dean, who did you listen to?""
We know more people in our hospital than you can recognize.You just say you have it, right?
”Li Min nodded shyly and admitted, "Yes." ”Then he added clearly: "I'll be back this afternoon." ”"Are you going to join the army in the future?""
Nope."
Li Min immediately shook his head and denied it."
He'll be transferred back to the provincial capital soon.""
What if you can't get it back?
Do you remember Director Liu of the Department of Gynecology?
It's hard for her to take care of two children alone. ”Li Min hesitated for a moment and replied seriously: "In three years, my parents will be retired."
Not afraid. ”"Your parents agreed?""
I haven't told them yet.""
You'd better ask your parents for advice first."
Chen Wenqiang said earnestly."
Yes
.
"* There were four children in the pediatric care unit, and Li Min changed into a white coat and followed Chen Wenqiang inside.I found that the little girl recovered well after meningioma, and after not seeing her for more than a day, I felt that there was more flesh on her face.Chen Wenqiang lowered his head and stretched out his left and right index fingers in front of the little girl, and the little girl grabbed his two fingers and wanted to sit up, but fell back halfway through the seat.The nurse next to her reached out to catch her."
I wanted to sit up this morning.""
Hmm.The recovery was pretty fast.If she can sit, let her sit, so as not to lie down for a long time and have pneumonia or something.Or you still have to knock her on the back often. ”"Yes."
The light reflex is normal, the muscle tone is close to normal, and the line of sight can follow the Bolang drum in Chen Wenqiang's hand."
This kid looks good and cares a little more.If there's nothing going on, you can move out after the holiday. ”Chen Wenqiang explained to the nurse."
Don't worry, Dean, we'll be careful."
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The newborn with a cerebral contusion laceration was lying on his side in a glass-covered incubator with electrodes attached to his chest.The hair was shaved clean, and the liquid was slowly dripping into the body through the scalp needle, and the ECG monitoring on the side was flickering.Chen Wenqiang walked over, sighed obviously, looked at the child through the glass cover, and reached out to check the light reflection of his pupils."
Has anything changed with this kid?""
Nothing has changed.After crying a few times overnight, Director Liang came over to adjust the doctor's order. ”"Can you cry?"
The nurse in the intensive care unit handed Chen Wenqiang the medical order book."
Well, let's do as Director Liang does.This is also a little pitiful, you should pay more attention.How is this one more?
”"It was sent by the obstetrics department this morning.It's a premature baby like that.However, this is a 7-month smooth delivery, just 4 and a half pounds. ”Li Min walked over to look at Niankou's son.The little guy thrust his fist into his hand and smacked it."
Do you still eat while you're asleep?""
It's hungry again.This child will definitely grow well in the future, eat, sleep, sleep and eat, and it will not be troublesome at all. ”The nurse walked over and took a look, then took out a bottle marked No. 3 from the incubator on the side, which contained 30 ml of milk.As soon as the pacifier touched his lips, he immediately withdrew his fist and changed the target of his sucking."
This child has a strong mouth, and he will definitely grow strong in the future."
Chen Wenqiang took the bottle and held it, his eyes were full of pity for the little guy."
This is the mother who had an appendectomy?"
Li Min looked at the action of the hand just now, and did not miss Chen Wenqiang's eyes."
Yes.His family named the child Yu Hualong. ”"Ha, my parents' wishes are not small."
The difference between the two children is less than 30 hours, but their vitality is obviously much worse.The nurse took another bottle with about 30ml of water and stuffed it into the newborn's mouth.Then she explained to Li Min: "This child can only feed at noon today, so feed some warm glucose water first."
Trouble Dr.
Li to give another bottle to bed No. 1.Just give it to her, and she can hold the bottle herself. ”Li Min handed the No. 1 bottle to the little girl after meningioma surgery, and stood by her bedside to watch her finish eating.I looked back and saw the premature baby who had just come in eating and resting.Over there, Yu Hualong finished eating early, Chen Wenqiang picked up the child and gently patted the milk burp and put it down, and the premature baby on this side only sucked half of the glucose water.* Li Min followed Chen Wenqiang out of the pediatric waiting elevator, and Director Wu hurriedly trotted over, shouting, "Dean Chen, Dean Chen." ”"The elevator didn't arrive.Lao Wu, are you in a hurry?
”Chen Wenqiang was quite surprised.He comes to the pediatrics at least three or four times a day, what is there to do for him?"
Well, it's not like I didn't see you last night.I think for these two children, you and Lao Li and Lao Liang have been tossing around this side, so let's quickly find a few hands after the festival and set up the pediatric surgeon. ”"Lao Wu, I have no opinion on recruiting people.But the people in the provincial capital are better to say, otherwise there must be no household registration indicators.Also, you can't prepare a house for people.At least it's the attending physician's building.If you are a director, you have to prepare a three-bedroom house.Without these, hehe......"
Chen Wenqiang watched Director Wu's face collapse."
Hey, Dean Chen, last time you said that you were recruiting people to set up pediatric surgery, but that's not what you said.I've already handed over letters to my classmates. ”"You can't think about it all.If you recruit people, you have to pay attention to your age, and the male deputy chief physician level must be under 50 years old.And where is the pediatric surgery located?
Your pediatric department will have an extra bed in the corridor in the autumn and winter. ”"Dean Chen......"
Director Wu was aggrieved, "You and I are having an official relationship?"
”"Do you think I look like an official?
I'm telling the truth.You've got to weigh where to put the pediatric ward, right?
Otherwise, if someone gets it, if you don't have a hospital bed, you will be idle.But don't worry, I'll remember you.When the hospital builds a new dormitory, I will try to reserve four houses for my children.Is that okay?
”"What can be?
When will the provincial hospital be able to build another dormitory building?!
”Director Wu was extremely aggrieved.() The distance is a bit far