Chapter 546: : Idioms of Surgery (2 in 1)

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It was twelve noon when he returned to the hospital. Wang Shou wanted to leave Chen Cang for dinner, but Chen Cang declined.
Wang Shou is now anxious, Chen Cang doesn't want to bother each other.
Instead, he said faintly, "Director Wang, come to the Second Hospital of the Provincial Government someday."
After speaking, he got up and left.
Wang Shou also nodded in relief, this Doctor Chen is really good. "Trouble you, Doctor Chen, and let you run for nothing."
Chen Cang waved his hand, nodded and left.
After all, this time the matter is noisy.
However, there are so many witnesses present, and there are monitoring records of surgery in and out of the operating room, so it is easy to collect evidence.
The trouble is Wang Shou's family dispute.
The hospital was sitting right and stable this time, telling Wang Shou that no matter how it was handled this time, it would not affect him in any way. The hospital supported Wang Shou's actions, both political and moral!
Qian Liang didn't leave, he also stayed for Wang Shou.
For decades, my department stayed in a department for more than ten years. The relationship between the two is a competitor, but they are also colleagues.
Wang Shou didn't expect to stay to help him, but Qian Liang was a little surprised.
...
...
Chen Cang ate at the mother's restaurant in the door of the Second Hospital of the Province, and then returned directly to the emergency room. He was too lazy to lie back in bed and thoughtfully.
For a long time, Chen Cang sighed.
As a doctor, you really have to adjust your emotions, and you cannot be controlled by patients and various things.
Chen Cang shook his head and stopped thinking about these things.
Open the reward for completing the operation yesterday at Jinyang People's Hospital.
Ding! Complete the treatment, successfully repair the damaged proximal hepatic vein, suture the liver injury ..., comprehensive statistics, get rewards, grade +; aortic narrowing surgery skill book;
After seeing the system prompt, Chen Cang suddenly felt happy.
The harvest is so rich!
But ... isn't aortic constriction surgery a fourth-level operation?
Aortic constriction surgery, master-level, with a study requirement level of more than 0 or a cardiac surgery professional score of more than 0, has not yet met the requirements.
Chen Cang shrugged and knew it.
However, it is very close. The surgical reward is directly at the first level. It is indeed a rare monster at level 0. It still feels cool to beat the monster and reach the level directly.
Open the blessing bag, Chen Cang gains skill points again.
All in all, the operation of yesterday was very rewarding!
...
...
All afternoon, the emergency center sent two patients in need of emergency surgery, both of which were injured in a car accident. Chen Cang and his team immediately started rescue work.
It is a pity that the first one had suffered a major bleeding and shock on the way, and when he arrived at the hospital, he was gone, and there was no time for treatment.
The emergency department is like this. Before you have time to respond, another patient will be rushed.
Throughout the afternoon, five people were nervous and had no time to rest.
It may be that He Tong realizes the importance of Chen Cang. Before sending each person, he must first ask the nurse station whether Chen Cang is there. If so, some patients will be sent.
If not, they will be taken to other hospitals.
Such targeted training has made great progress for Chen Cang!
The understanding and operation of large blood vessels in the heart are also becoming more and more proficient.
In a week or so, more than thirty large-scale operations are improving every day. This high-intensity rescue work is a hard-working training for everyone.
At eleven o'clock in the night, five people in the operating room sat on the floor with their backs against the wall.
Human hand with a bag of glucose.
Wang Qian feels that this period of time has been the fastest progress and greatest growth since he became a doctor.
Ben was born in general surgery. Where has he seen such an operation?
Wang Qian smiled. "Hey ... today I know what the liver and bowel are broken. Teacher Chen, you are so bullish, this can be repaired!"
Chen Cang shook his head and smiled, but did not speak.
Zhou Xiaodong, who was on the side, said, "Don't say that the liver and bowel are broken. It is no problem for Mr. Chen to have a liver and brain!"
Zhang Wenfu laughed, "What about another heartbreaker?"
Chen Cang is speechless. This group of people is so awesome. Idioms are still so useful!
Zhou Xiaodong is also excited. "What else ... Yes, it's called split livers and gallbladders ... stabbing heart and liver!"
Wang Qian shook his head. "Don't you know, Mr. Chen is best at opening the stomach and breaking the belly, and what he likes most is handling skin and flesh. The current level is to analyze the liver and work hard to make sure."
A group of people laughed.
Men's happiness is so simple!
The little nurse on the side was packing up the surgical stuff and heard a few people chatting, couldn't help laughing.
Yuanyuan laughed and said, "Why are you so cruel? Idioms are by you, and I don't dare use them when I talk about them."
Wang Qian laughed, "Yuanyuan, you do n’t understand, this is what you apply to learn. I did n’t know enough about these idioms before. Do n’t say after the operation is finished these days ... it ’s getting more and more I feel it. "
"You were the same as yesterday, the one who was worried about it, you think about it? The intestines twisted into a ball, can it be uncomfortable? Anxious!"
Zhou Xiaodong couldn't help but hide his face, "Qian Er, that's an intestinal obstruction."
Wang Qian nodded. "Yes, you can talk about intestinal obstruction. It's not surprising if you don't worry. How worried are you talking about! I find our ancestors are too powerful, so vivid, and the word formation is simply too strong! "
Chen Cang listened to everyone joking, and was very happy. During this time, after their running-in, their ability level had a qualitative leap.
This team seems to have taken shape and has preliminary emergency capabilities.
But he also found one thing ...
Your face is sure! And ... Wang Qian is really a team mascot.
The emergency call was originally received by the patient with a sharp tool inserted into the anterior region of the heart. Wang Qian and Zhang Wenfu picked it up. It turned out that the sharp tool was less than centimeters away from the heart.
And even the large blood vessels were not damaged, it was just piercing the pleura and hurting the ribs!
The reason for the deviation happened to be the fracture of the ribs. When the knife went in, some angles were cheap ...
This made everyone laugh and cry.
Chen Cang felt that if the patient picked it up by himself, it is likely that the knife just passed the intercostal space just right, which could hurt the intercostal nerve and penetrate the left ventricle!
Maybe a gift for an aortic rupture or maybe ...
The gap between white and black faces is still very obvious!
...
...
Wang Kai'an watched the people joking and joking. He just laughed and rarely talked. He came to the Second Provincial Hospital for less than a month, and this time was the most comfortable period for Wang Kai'an.
Even the treatment given to him by the Second House of the University of East China at that time was ok, but this working environment and working atmosphere have never been before.
In fact, the working environment and atmosphere are more important than the work unit. The Provincial Second Hospital is about five or six worse than the Second University of the East University, and it is naturally a grade worse.
However, when he was in thoracic surgery, the director did not consider himself as a deputy chief physician, and even aimed at ...
It is true that the conditions given by the hospital are good and they have been achieved, but the problem of harmony among departments is a difficult problem after all.
This is not something the hospital can regulate.
Therefore, after the contract expired, Wang Kai'an resolutely left the Second Hospital of Dongda University and came to this second provincial hospital that did not even have thoracic surgery.
The hospital promised Wang Kai'an that a thoracic surgery will be established within three years, allowing him to temporarily set up a thoracic surgery team in the emergency department, first leading the team, and then forming his team in three years.
Qin Xiaoyuan gave Wang Kai'an sufficient freedom, even including the right to form a team.
But when he first arrived, Wang Kai'an happened to join the rescue team.
Originally Wang Kai'an was still puzzled, why Director Li Baoshan asked Chen Cang to be the head of the emergency team, but now he understands.
It is because of the strength of Chen Cang, this is really a terrible person. The word genius is a bit inappropriate. One person can perform so many types of surgery at the same time, and each one is a master-level accomplishment, even leading himself There is also a big gap between Chen Cang's and thoracic surgery.
And ... because this person has a charm, he can turn a team into a force.
Therefore, even Wang Kai'an, a deputy high doctor, called Chen Cang a "teacher Chen" with a joke, and he was willing.
...
...
After Yuanyuan packed her things, she said to Wang Qian, "Qian Er, who is going to treat the six bags of glucose today?"
Wang Qian casually said, "I treat you!"
However, Wang Qian suddenly said, "Yuanyuan, why do you always ask me who treats me?"
Yuanyuan gave a smirk and smiled awkwardly. "The head nurse said, let me ask you."
When Wang Qian heard it, he immediately laughed. "Oh! Does the head nurse think I am okay?"
Yuanyuan was a little embarrassed. "The head nurse said that you are a slapbag, and you like to treat guests. He also said, do n’t ask Doctor Chen, who is so hard, do n’t think about these things, and if doctor Chen asks, ask the operating room for reimbursement. . "
The little nurse on the side also said, "Yes! The head nurse also said that glucose is also money. You can save it if you can save it. Doctor Wang is generous and doesn't care about this money."
"By the way, Brother Qian, I'll keep your account! Hee hee ..."
Wang Qian froze suddenly, dumbfounded, "I'm relying on, I'm wrong ... I'm sitting here, and exploiting me, won't you feel heartache?"
After everyone heard it, they laughed.
But Wang Qian didn't really care, a few bags of glucose ... ohh ...
...
...
In the early morning of the next day, Chen Cang habitually came to the emergency department, but this morning he ate a little too much, a little bit ...
There were more patients in the morning and there was a long line at the door.
Last night, Director An's night shift, he said to Chen Cang, "Little Chen is here. Come and see the patients in the clinic. There is a special patient in the monitoring room. I will take care of it."
Chen Cang nodded and asked the nurse at the medical desk to call in.
Just sat down on the 7th and 8th, one man and one woman came in, both were in their fifties.
But ... both were holding a plastic box.
After the man sat down, his face was a little flustered, and he said anxiously, "Doctor, I may be sick!"
Chen Cang asked, "What's going on?"
The man sighed and took a box-like box out of the black plastic bag. "A little bitter, doctor ... don't you mind?"
Chen Cang nodded. "Well, it's okay, first tell me where are you uncomfortable?"
The man shook his head. "I'm not uncomfortable ... I said I got up to the bathroom this morning and I found ... my urine is green!"
After speaking, the man took out the transparent box, and at this time through the box, he could see the dark green liquid inside.
Chen Cang frowned slightly. "Open me and see."
The man nodded and opened the lid.
After seeing the dark green urine, Chen Cang frowned slightly and asked, "Have you ever eaten anything recently? A dyed one."
The man quickly shook his head. "No! Peacetime is almost the same."
Chen Cang nodded. Generally speaking, the normal urine color is pale yellow, transparent, and there is no turbidity of precipitation.
But the color of urine is really weird. It has all colors, red, white, blue, yellow ...
This kind of dark green ... This color of urine is mostly related to medication, not caused by disease.
Of course, if there is cholera, maculopathy will also occur, but this is almost impossible.
Thinking of this, Chen Cang asked, "Have you ever been sick, what medicine have you taken? What have you taken now?"
The man said, "I have high blood pressure, chronic heart failure, and I have eaten Beijing Antihypertensive No. 0 and that Shi Huida.
When Chen Cang heard it, some suddenly realized that "Beijing Buck No. 0? How long have you eaten?"
The man thought for a while, "I have eaten for several years, but intermittently, my feet are swollen at the front end time ~ EbookFREE.me ~ Doctor asked me to eat more recently."
"Doctor ... I won't get anything strange, right?"
Chen Cang couldn't help but say, "I guess you're fine, but I can't draw conclusions for you now. So, you can check a urine routine and microscopy, let's see."
"Maybe it has something to do with the reserpine you've eaten recently, which is Beijing No. 0."
The man yelled, "Beijing Jiangya 0 can also make urine green?"
Chen Cang nodded "Yes, if you do n’t have any other special diseases now, this dark green urine may be caused by the compound reserpine and ampicillin tablets. You need to have a urine test Right. "
After the man heard it, he was relieved and hurriedly got up and went outside.
It's not a big illness ...
At this time, the woman behind came over, a little embarrassed.
"Doctor, why are my stools gray and gray ..."
Chen Cang was surprised, what happened this morning?
Yes ... Did I eat too much for breakfast?
...
...
After he finished writing the chapter last night, he hesitated for a long time, and finally decided it was like that. I am worried that you do n’t like it. After all, it is the solution. According to the outline, it is actually a story of the hero pretending to save, but ... After thinking about it, that would be boring. I temporarily thought about the events at that time and changed it.
Fortunately, everyone can still accept it. Thank you for your support!
This chapter is two in one.
Well, compound reserpine (Beijing Antihypertensive No. 0), as a commonly used antihypertensive drug and diuretic, can lead to green urine. If you have this condition, don't worry, just stop the medicine.
(End of this chapter)
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