Back in 2002 as a doctor

Page 519

"That kid!" Director Zou said three words in a deep voice, and then stopped.

The atmosphere in the locker room was a bit depressing.

"The income of plastic surgery hospitals is high." After a long time, Director Zou said in a low voice, "I persuaded him for a long time before he left. No matter what we say, it is 912, the top hospital in the country. Mr. Huang, guess what Han Yong told me What."

"He said that the nurses assigned to him by the International Plastic Surgery Hospital are all young and beautiful, much better than our 912."

Director Zou said, grinning reluctantly.

"I know Han Yong is joking." Director Zou said, "Our 912 sounds high-end and elegant, but Han Yong thinks our income is low. A few years ago we paid 380 yuan a month here, and went to the International Plastic Surgery Hospital. 3 a month."

"Now our income is high, but the income over there is also rising. A few days ago, I heard that Han Yong can earn more than 20 a month now."

Huang Lao was silent.

Zhou Congwen took out a cigarette, and handed Bai Lingzhi to his boss regardless of Deng Ming's murderous eyes.

"Boss, smoke a cigarette." Zhou Congwen said with a smile, "Isn't it serving the people? Although plastic surgery is not a necessity, it is also the needs of the people, and it is part of the growing material and cultural needs."

"..."

"..."

Deng Ming and Director Zou looked at Zhou Congwen at the same time with complicated eyes.

Generally speaking, this kind of talk is only said when Huang Lao is instilling values. No normal person would speak in the way of meeting and making reports.

But when Zhou Congwen said such words, both of them felt inexplicably weird, and the atmosphere in the locker room seemed to be a little loose.

"Don't talk nonsense." Huang Lao gave Zhou Congwen a contemptuous look.

"Honestly." Zhou Congwen laughed, "If I didn't win [-] million, I would probably have gone for plastic surgery by now. It earns a lot more, and I can make fifty double eyelids a day. I can't see it, but I want it inside." Doubles have inner doubles, and outer doubles have outer doubles, and the level of stitching is second to none.”

"Well, Han Yong is smart and has a high level, so I feel a little pity to leave like this." Huang Lao said, "I really want them to stay, but I have self-knowledge, what can I do for them?"

"Don't think about it, no matter how much you think about this kind of thing, you won't be able to understand it." Zhou Congwen persuaded.

"Shen Tianci also has the same reasoning, but one is for money and the other is for...forget it." Mr. Huang knew that what Zhou Congwen said was right, and after he said something, he smoked sullenly.

"That's it, there are some things I really don't understand." Zhou Congwen looked at his boss with a little pity.

What happened after the boss left in the last life... Fortunately, the boss didn't see it, Zhou Congwen was afraid that the boss would lift the coffin and sit up.

Recruiting a veterinarian to be a pediatrician or an emergency doctor is enough to make the boss go crazy.

"Boss, don't blame me for talking too much, I think you meddle too much." Zhou Congwen said bluntly.

Deng Ming glared at Zhou Congwen, but Zhou Congwen pretended not to see it.

"The medical level of primary hospitals is not high, so you can take care of everything." Zhou Congwen said, "When I was still in the Third Hospital of Jianghai City, I once went to the emergency department to suture a trauma patient. The patient was a knife wound, involving five departments , I didn't squeeze in."

"While waiting for sutures, I saw an old man come to the emergency department. He was obese. The emergency physician auscultated and said that there were diffuse dry and wet rales in both lungs, mainly at the base of the lungs, and a diastolic gallop at the apex. .”

"Isn't that obvious?" Deng Ming was puzzled.

"That's right, acute left heart failure, high suspicion of myocardial infarction. The doctor in the emergency department performed an ECG, and then asked the patient to go for a lung CT."

"When I finished the stitches, the patient's lung CT just came back—diffuse symmetrical interstitial changes in both lungs, butterfly-shaped distribution, fluid in the interlobar fissures, and typical signs of pulmonary edema."

"Guess what, the emergency physician sent the patient to the Department of Respiratory Medicine with a wave of his hand."

"Uh, are primary hospitals so unreliable?" Director Zou said helplessly.

"If there is any problem, send it wherever there is a problem. It is not unreliable. If the old doctor sent the patient indiscriminately, he would be despised to death." Zhou Congwen said, "The rules gradually changed after I went to work. There are doctors and hospitals. Long-term small reports, saying that the level of the emergency department is too poor."

"The dean made an investigation and left a sentence - whoever has a high level can apply to go to the emergency department by himself."

"Hahaha." Deng Ming said with a smile, "Who would go to the emergency department if they have nothing to do? At my age, working in the emergency department for one year means losing three years of life."

"Yes, the emergency department is a department that is busy, tiring, and has no future. There are fewer and fewer people who want to work in the emergency department, and the level is naturally lower and lower." Zhou Congwen said, "All those who are capable go to higher-level hospitals and take root in the emergency department. ?Take root in the countryside? The countryside must also have that condition.

Moreover, the hardware level of rural and grassroots hospitals is poor... Let's not speculate, this is a fact. "

"Boss, don't be depressed. At that time, there were fewer people and more people, and everyone didn't have high expectations. What was the average life expectancy before the founding of the People's Republic of China? I think it should be 35 years old."

"Think about it, 40 and less than 50 are considered long-lived. What's wrong with it? Barefoot doctors are only responsible for raising the average life expectancy to above 60, so it must be a relatively simple matter."

"But now."

As he said that, Zhou Congwen smiled and said, "Don't talk about anything else, just a simple fever. Clinical medicine is a first-level discipline under medicine, and there are 18 branches of second-level disciplines below it. Each discipline has its own treatment for fever. consideration."

Zhou Congwen then began to talk nonsense.

The topic strayed far from the point of frustrating my own boss.

Chapter 0894

"It's really not that important for a rare disease." Zhou Congwen talked nonsense for at least 5 minutes, and finally came back.

Although Director Zou also knew that Zhou Congwen was talking nonsense, Zhou Congwen talked about various pathogenic infections, blood diseases and malignant tumors, allergic diseases, connective tissue diseases, hyperthyroidism, thyroid storm, severe dehydration, blood loss, heat stroke, etc. Heart failure, tissue necrosis, and 33 rare diseases.

This series of cumbersome and complicated diseases made him gradually silent.

Knowing that Zhou Congwen was talking nonsense, he wanted to move the topic away from the two resigned doctors, but the level of clinical diagnosis that was inadvertently revealed was outrageous.

Have you ever met a doctor like Zhou Congwen?

Director Zou felt that except for Mr. Huang, no one really had his profound diagnostic skills.

Young, profound knowledge, and superb surgical skills, these points together can only prove one thing - the future must belong to Zhou Congwen.

"I had dinner with Lao Liu from the dermatology department some time ago, and he said that there was a patient in the city below who registered with his expert account to see dermatitis." Director Zou understood, and began to gossip, "The first doctor saw it and said it was psoriasis; The second doctor saw it and said it was seborrheic dermatitis. When the two doctors met, they said half was psoriasis and half was seborrheic dermatitis.”

"..."

"In the end, I came to our 912, and even waited in a long line for three days to get an expert number, and finally got a diagnosis."

"It's not bad." Deng Ming also said, "I ran a knife once. It was a good local hospital. I thought the technical level was not bad. After the operation, I looked around the patient as usual, and suddenly heard to the cry of a child."

"Child? My family's doctor?" Director Zou asked.

"Yeah." Deng Ming nodded, "I heard something wrong with the crying of the child, it was weak, and there was a... dead air."

Dead air, this is a very metaphysical description, but everyone is an experienced clinician and understands what it means.

It is to form a rough judgment through the crying of the child-the child is probably not good.

"I asked a question at the time, and the director gave the nurse a pause, saying that he shouldn't bring the child for an IV or something." Deng Ming said, "I quickly pulled him away and said that I wanted to see the child, probably for diagnosis. There is a problem, and it is not handled properly. Otherwise, the endangered child should at least be hospitalized, and why would he not casually drip in the duty room."

"When I entered the duty room, I saw the nurse holding the child and sitting on the bed crying. At that time... how should I put it, I was shocked."

"Uh..." Zhou Congwen glanced at Deng Ming, what kind of scene would it be to scare the big brother into a fright.

"There was blood all over the swaddling baby, but the nurse didn't feel anything. She just sat there and cried. I wondered, since I'm a medical staff anyway, how come I don't even know about the blood in my own child's stool."

"I was anxious, I didn't pay attention." Zhou Congwen said, "Director Deng, the child you are talking about is probably a condom."

The intussusception mentioned by Zhou Congwen is the abbreviation of intussusception, which means that a section of intestinal tube is inserted into the intestinal lumen connected to it, and causes intestinal content to pass through obstacles.Intussusception accounts for 15% to 20% of intestinal obstruction.There are two types of primary and secondary.

Primary intussusception mostly occurs in infants and young children. If you bring your child to the hospital in the middle of the night, and the child has a stomachache, you must think about intussusception.

As for the treatment...it's not very difficult, just open the intussusception with an air enema.

Although it is simple, as far as Zhou Congwen knows, in the future, many hospitals will not carry out this treatment at all, or even cancel this treatment.

A family with a precious child, crying to death, the adults are in a state of disquiet.During the air enema, the child cried even more, and had to take the risk of intestinal rupture for treatment.

In order to avoid disputes between doctors and patients, and to avoid a lot of trouble, the vast majority of hospitals directly admit that they are counselors—we will not.

There are too many sayings here, Zhou Congwen has a headache when he thinks about the air enema, so he just doesn't think about it.

It is one thing to be curable, but quite another to be sure of the diagnosis.

Ordinarily, top hospitals in prefecture-level cities should not be unable to diagnose intussusception, but Zhou Congwen made the above judgment from Deng Ming's words and expressions.

This is a very weird judgment, and Zhou Congwen doesn't really believe it.

It is said that the children of the medical staff should not be misdiagnosed.

Deng Ming shook his head, "Xiao Zhou is right, the child is intussusception and has started to bleed. Guess how the doctor over there made the diagnosis?"

"Gastroenteritis?"

"Yeah." Deng Ming nodded, "I checked the body, and the signs are obvious. I searched all the hospitals, but no one can do air enemas... Sigh."

"Not so much."

"There is a machine, but it is said that there was a doctor's air enema that caused the intestine to rupture, and it was broken by the patient's family, so no one dared to do it anymore." Deng Ming said, "I thought it was all from this hospital, and someone should be able to try it. Yes, but their hands are too raw, so I did the air enema in the end."

"Tongkai also has a lot of things to do." Zhou Congwen said.

"Sent to a nearby provincial capital." Deng Ming said, "Pediatric surgery has always been a problem. Generally speaking, it would be good if there are one or two hospitals in the province that can do pediatric surgery."

Huang Lao smoked a cigarette silently, Zhou Congwen took the cigarette butt immediately, smiled wryly, "Boss, you don't almost eat the cigarette butt every time."

"There are fewer and fewer opportunities to smoke, and I will work for another 50 years, 50 years." Huang Lao's voice was a little low, he stood up, and put his hands behind his back, "That's it, Xiao Zou, please summarize. If there is another time, It's always good to have more people."

After finishing speaking, Huang Lao stopped talking and left.

Zhou Congwen followed his boss back to the office, and watched the boss open a filing cabinet, which contained various yellowed files.

"Boss, Xiehe's medical records have already been photocopied and entered into the computer." Zhou Congwen laughed.

"Well, I have also found someone to do it in recent years." Huang Lao said with a little sorrow, "It's just that I have been used to it all my life. I always feel that looking at the computer is not as comfortable as looking at the medical records."

"Advance with the times, when I come back next year, find someone to do it with me." Zhou Congwen watched the boss sitting on the ground playing with the medical records collected for many years, with mixed feelings in his heart.

Although the boss didn't say it, as long as there is not enough investment in this kind of thing, the living flesh and blood of doctors and patients will be ground between the two big grinding discs.

If they really want to be level, it seems like a fantasy now.The AI ​​system before Zhou Congwen's rebirth couldn't do it.

But in the end, the boss, engraved in his life is only a few words of dedication and death.

Thinking of these eight characters and seeing the boss's hunched body, Zhou Congwen felt a little sad.

The unity of knowledge and action, the boss can be said to have been doing it all his life.

But what he paid, only he himself knows.

Chapter 0895 once closed disciple

"Dong Dong Dong~"

After knocking on the door, Deng Ming walked in with a medical record in his hand.

As the boss's close disciple, he knows the boss's every move to the bone.

When encountering a rare disease, it must be followed by data collation and classification.

"Boss, this is the medical record of today's patient, which bag is it in?"

"19950802." Huang Lao said.

"En." Deng Ming nodded, squatted beside the boss to find the file bag, and put the medical records in it.

"I had someone rewrite the medical records, and I also copied materials from other departments."

"Not in a hurry."

The medical records in the filing cabinet have turned yellow, but there is no dust and it is very clean.

Deng Ming took out a file according to the date the boss said, opened it and took out the homework files inside.

This is the handwritten medical record from that year, and a line of beautiful small characters comes into view.

……

……

It is not a good person to enjoy a lot of banquets; to be a good scholar is not to be a good scholar; to be a good minister is not to be a good official.

A line of elegant and small characters flowed out of Parker Jin's pen.

Shen Tianci, who was nearly forty years old, looked at this line of words, as if he was missing the boss who instilled values ​​in his ears every day.

How troublesome it was back then, and how much I think about it now.

I haven't listened to the boss's instilling values ​​for many years, and now I still think a little bit, people, what a cheapie, Shen Tianci looked at the words on the A4 paper and smiled self-deprecatingly.

It's just that I took that step a few years ago. To put it more seriously, I have betrayed the teacher, and I can never go back.

"Teacher, there is an email in the mailbox, which is from the Organizing Committee of the World Surgery Competition, inviting you to be a judge. This...is this the fourth or fifth invitation."

"Oh, I got it." Shen Tianci smiled, "The boss has accepted a closed disciple, so this time it's true, right?"