Back in 2002 as a doctor

Page 513

Zhou Congwen regarded it as a diagnosis of lung disease in a hot water bath, but it did not affect his life.

When I came to the hospital first, it was already a quarter past nine in the morning.

The other groups are all undergoing surgery, today is not the surgery day for Zhou Congwen's medical group, Shen Lang and Li Ran are both writing medical records.

Entering the office, Xiao Kai immediately stood up.

"Professor Zhou, you are back, the operation went well, right?" Xiao Kai asked.

"Success." Zhou Congwen said, "How is your family?"

"Basically all the patients have been discharged from the hospital, and the preparations for tomorrow's operation are also completed. I think you may not be able to come back, so all patients with small nodules are accepted."

"Very good." Zhou Congwen said, "Let's watch the film first."

Shen Lang, Li Ran, and Peng Yiming took out various materials of the patients they managed, and the medical team began to consult.

As for where Zhou Congwen went and what he did, everyone didn't ask much about these gossips, and it was better to do serious things first during working hours.

They are all patients with small nodules. The medical team has its own diagnosis and treatment routines. It may be a little tiring to establish the rules, but when everyone follows the rules, it will save a lot of worry.

Zhou Congwen looked at each patient and found that the conditions were relatively simple. Only two patients over the age of 70 needed to declare their advanced age and had to be approved by the medical office before undergoing surgery.

And all consultations for senior citizens' approval are also done very comprehensively, without any omissions.

While reading the materials, suddenly Peng Yiming's cell phone rang.

She glanced at the phone, and after connecting, she said without waiting for the other person to speak, "I'm busy here, I'll call you later."

After speaking, Peng Yiming hung up the phone.

Zhou Congwen didn't care, he couldn't be like Wang Chengfa.

Zhou Congwen was very concerned about this.

After all, some rules were established by Wang Chengfa when he first went to work, which laid a solid foundation in a doctor's heart.

Zhou Congwen didn't want to completely negate what Wang Chengfa said and did. He did what was right and changed what was wrong, so as not to be tossed about by a bad old man.

Continue watching the movie, but Peng Yiming's cell phone rang again.

"If you have something urgent, just take it, don't worry." Zhou Congwen smiled slightly, and said to Peng Yiming.

"I'm sorry, Professor Zhou."

"It's okay." Zhou Congwen said, "We will consult with our own people, and do whatever you want. As long as the patient is managed well, nothing else matters."

Peng Yiming smiled at Zhou Congwen and picked up the phone.

"What's the matter, Xiaojia?" Peng Yiming asked.

Peng Yiming took the mobile phone away from a certain distance, afraid of disturbing the consultation, but Zhou Congwen simply stopped and waited for her.The voice of Peng Yiming's cell phone was not too loud, and Zhou Congwen could hear the voice speaking on that side.

"Yiming, I heard you work in a hospital?"

As soon as I heard it, I knew it was just an acquaintance relationship, and the relationship between that person and Peng Yiming was definitely not familiar.

"Yes, what's the matter?" Peng Yiming asked.

Doctors often encounter similar situations. Most of them are family members who are sick, and they consult acquaintances first.

It's kind of useful, but not very useful.

"My mother just had a checkup and said it was high blood sugar, so I wanted to ask what caused it." The person on the phone asked.

"Have you been hospitalized? Have you been checked?"

"He was hospitalized, just moved in, and took a few urgent tests, and other tests will have to wait until tomorrow morning."

"Oh, what's the blood sugar value in the outpatient clinic?"

"do not know."

"Then when you come back from the examination, you can ask the doctor for the value, and then tell me. I can't say what the reason is without the examination results, and the treatment depends on the examination results." Peng Yiming wanted to hang up the phone after finishing speaking.

"I just want to know what caused it." A stubborn voice came from the other side of the phone.

The corner of Zhou Congwen's mouth turned upwards, and there seemed to be something wrong with Peng Yiming's "friend".

To put it simply, the patient's family members on the other side of the phone couldn't understand the words.

In fact, many patients and their family members have this situation.

Zhou Congwen also understands very well. After all, he is not in the medical field. Doctors often speak with some professional terms and "code words" that only those in the medical industry understand.

Moreover, patients and their family members are impatient and worried, which virtually creates a communication barrier between the two.

Peng Yiming was helpless, "Have you communicated with the outpatient doctor? What about the inpatient doctor?"

"They told me to wait for the results."

"Then wait for the result." Peng Yiming said.

"I just want to know why my mother's blood sugar is so high."

"Obesity due to overeating and reduced physical activity is the most important environmental factor for type 2 diabetes, predisposing individuals with a genetic predisposition to type 2 diabetes to develop it.

Patients with type 1 diabetes have an abnormal immune system. After infection with certain viruses such as Coxsackie virus, rubella virus, parotid virus, etc., they can cause autoimmune reactions and destroy insulin β cells. "

Peng Yiming had no choice but to explain to the man with the words in the book.

"But all these can be found, don't tell me this, I just want to know why my mother's blood sugar is high!"

Zhou Congwen smiled wryly when he heard this.

This is no longer a communication barrier, but the patient has fallen into a state of paranoia.

"But I don't know anything now, I need to see the results of my aunt's examination." Peng Yiming said.

"I just want to know why my mother's blood sugar is so high. It shouldn't be difficult."

Zhou Congwen vaguely saw flames rising above Peng Yiming's head.

But Peng Yiming's temper is not bad, she forcibly endured, and continued, "Did Auntie have other diseases before?"

"Don't ask such a useless question. I just want to know why my mother's blood sugar is so high. Just explain it clearly!"

Peng Yiming hung up the phone with a blank expression and turned off the phone.

Chapter 0883 Unreliable

"Hahaha." Zhou Congwen laughed, "Yiming, don't worry, she must be in a hurry."

Peng Yiming sighed, "It was like this when I was in school, and I'm used to it."

"Your classmate? Are you on good terms?" Shen Lang asked.

"I just knew each other, and we lost contact a long time ago. I haven't contacted her since I got a mobile phone. As a result, she got married last year. I don't know where to find my mobile phone number, and she notified me."

"After she got married, she didn't contact her again until this time."

"Yiming, don't be angry, sit down." Xiao Kai said, "When you encounter this kind of thing, you must be calm. Similar situations are not uncommon in outpatient clinics."

"I know, Dean Xiao." Peng Yiming tried to show a smile after sitting down.

"Your classmate doesn't count. In fact, many patients don't know about common sense problems. But if everyone knows, why do you need a doctor?" Zhou Congwen said with a smile.

"Professor Zhou said yes."

Zhou Congwen looked at Peng Yiming, choked, speechless.

Xiao Kai said, "When I was eating, the most common sentence I heard was that the doctors in the anesthesiology department were the least skilled, and I didn't even bother to explain it to them."

"Anaesthesia is difficult." Zhou Congwen said, "Monitor blood pressure, heart rate, heart rhythm, and blood oxygen saturation; monitor central venous pressure, invasive blood pressure, and blood gas when necessary; manage infusion volume, bleeding volume, and urine volume.

It’s okay to meet simple patients, but if you encounter difficult or elderly patients, the anesthesiologist will be really tired. "

As he said that, Zhou Congwen remembered that when more and more operations were performed in the future, and when the ratio of clinicians to patients became smaller and smaller, at least half of the doctors who were exhausted to death were anesthesiologists in the anesthesiology department.

He died of exhaustion, like a donkey in a production team.

"That's responsible." Peng Yiming was upset, she lowered her head and said, "We had an accident..."

As she spoke, Peng Yiming obviously realized that she had said the wrong thing, so she stopped quickly and glanced at Xiao Kai.

Xiao Kai glared at Peng Yiming, he had already said this, so there was no need to hide it.

If you keep your mouth shut at this time, it seems that there is a ghost in your heart, and it may make Zhou Congwen feel bad.

"That's right, Professor Zhou." Xiao Kai said, "We have a second-generation doctor. The old man in the family is an old anesthesiologist in Baishui City. After graduation, he returned to the Anesthesiology Department of Baishui Central Hospital to work as an anesthesiologist. His level is very poor. And irresponsible."

"How bad is it?" Zhou Congwen asked.

"There is still one aspect of the poor level. The main reason is that there is no sense of responsibility." Xiao Kai whispered, "There was a cholecystectomy in the general surgery department. The surgeon saw him and called for someone, but he didn't come back, the anesthesiologist in the next operating room...the anesthetist ran over to help take a look."

Zhou Congwen frowned, "What's going on? The plumbing problem?"

Xiao Kai was taken aback for a moment, then gave a thumbs up, "Professor Zhou, awesome!"

"It's not hard to guess." Zhou Congwen said, "Is the patient okay?"

"It was discovered early, and the anesthesiologist in the next-door operation room helped to reconnect the ventilator's pipes. It was a life saved. If it was later, I'm afraid the person would be gone." Xiao Kai said.

"Do you usually have an assistant? What does the assistant do after he goes to smoke?" Zhou Congwen asked seriously.

"He took his assistant to smoke together..."

"I've seen someone who is irresponsible, but I've never seen someone who is so irresponsible."

"That's right. Later, when I came up, I found an excuse to kick him to the logistics." Xiao Kai said, "This kind of person is a big thunder in the clinic. It might explode at any time. And it's still in the cesspit. Throwing mines will easily blow up my shit."

"That's true. There are similar second-generation doctors everywhere. Xiehe has a few, and they can't understand when they see a doctor. They rely on other people to help them wipe their buttocks, but they are also good at it." Zhou Congwen said, "Xiehe's technical level is too high , everyone gave their hands intentionally or unintentionally, but nothing major happened."

"Looking at it, I feel annoyed and flustered."

"I went to the emergency department yesterday, and saw that the doctor in the emergency department had an argument with the patient." Seeing that Zhou Congwen was not in a hurry, Shen Lang also began to gossip, "A patient with a toothache, the emergency doctor wanted to do an electrocardiogram, and the patient was in a hurry .”

"Oh, the probability is three out of ten thousand, I think it's better to do it." Zhou Congwen said vaguely.

The data was clear, but he didn't say what it was.

However, when it comes to electrocardiograms, everyone knows that it must be a myocardial infarction.

"Professor Zhou, is toothache symptom three out of ten thousand? So accurate!"

"There are statistics from abroad." Zhou Congwen said, "Misdiagnosis is easy to occur. I think it is not expensive to have an ECG. All patients should have one routinely."

"Hahaha, that's true, I've seen patients with myocardial infarction symptoms that were vomiting."

"This probability is higher, anyway, just be careful."

"Vomit?" Shen Lang thought for a while, and then he understood what was going on.

"It's okay, urine early pregnancy test is the most difficult." Zhou Congwen said with a smile, "I have seen many patients say that they don't have a boyfriend, and they refuse to do urine early pregnancy test. If you are with a menopausal mother again, you will die or die , as if doing so would destroy the girl's chastity."

"If you encounter ectopic pregnancy and ectopic pregnancy with heavy bleeding, it will be lively."

After chatting casually for a few words, Zhou Congwen continued the consultation.

After reviewing the patient's information, he began to transfer to the ward for physical examination.

Except for Xiao Kai, everyone was holding a stack of medical records and reporting the situation at the patient's bedside, looking very serious.

In fact, Zhou Congwen could memorize all kinds of data after reading the test sheet.

But the more formal and ceremonial the performance, the deeper the impact on the patient's subconscious will be.

Gain the trust of patients, and work is easy.

This is only part of the details.

Walking from one hospital bed to another, Zhou Congwen had a physical examination and chatted with the patients, enjoying himself.

After seeing Zhou Congwen, the patient didn't think he was young, but showed surprise or dissatisfaction.

Zhou Congwen understood that Xiao Kai and the doctor in charge of the bed had done a good job, and he must have blown himself up before, such as 912, the closed disciple of the most powerful old expert in the country, and so on.

These are all part of the details, but Zhou Congwen didn't praise Xiao Kai just because of this.

Xiao Kai is an old fox, he doesn't count what he says, Zhou Congwen knows it very well.

After making preoperative preparations, Zhou Congwen went home.

Liu Xiaobie didn't know where he went, Zhou Congwen put hot water on it first, took a comfortable bath, thinking about the big infectious disease that was about to start.

……