godfather of surgery

Chapter 70 The Professor's Demeanor

Director Miao was very moved by Director Tian's professionalism, and it was inconvenient to say more, and took everyone to the department.

Shippo County People's Hospital can't compare with hospitals in big cities, but it is definitely far ahead in this area.

The new inpatient building is small and stylish, and the old building has also been renovated and given a new look.There are many patients in the hospital, coming and going.

Taking the elevator to the orthopaedic office, many doctors haven't finished get off work yet.

Some are talking to patients, some are writing medical records, and some are watching X-rays around the computer.

I heard that the invited professor was here, and they all wanted to have a look, so lunch was specially postponed.

"Everyone is here. These three are professors invited from Sanbo Hospital in City G, Professor Tian, ​​Dr. Song, and Dr. Yang."

Everyone stood up and applauded.

Director Miao wanted to talk about Professor Song and Professor Yang when he first introduced them, but they were too young, so they called them doctors.

"This is our doctor's office, it's a bit shabby." Director Miao made a gesture of invitation.

Director Tian looked around symbolically and said, "Director Miao, your hospital is the same every year. Not only are the buildings beautiful, but the doctors are also alive and well. It's no wonder that patients from the three provinces are all running to you, and you feel at ease at first sight. ."

An experienced doctor, who had met Director Tian before, came over to shake hands.

These doctors looked at them secretly, and occasionally invited professors to come over to fly knives, but they were not as aura.

Director Tian is personable and elegant, with a scholarly temperament, giving people a mature and stable feeling.

Song Zimo is tall and handsome, with a heroic appearance, a shoulder bag on his body, and a briefcase for Director Tian in his hand. He has thick wavy hair and a unique temperament that combines Chinese and Western styles.

Yang Ping is also a more eye-catching type, his eyes are full of confidence, and he has a kind of aura invisibly.

The big hospitals are different, these doctors lamented.

"Want to sit in my office?" Director Miao suggested.

"It's okay, just here, let's watch the movie first." Director Tian said.

Although I have watched countless of these films, I have to leave after the cutscene, so people can rest assured, otherwise the operation will be a bit perfunctory.

"Xiao Tao, hang up the film." Director Tian called the doctor in charge of the bed.

Xiao Tao is actually not young. He looks older than Director Tian. He immediately replied, "Director, I've already hung up."

Several films have been hung on the reading lamp waiting.

Director Tian walked to the reading lamp, accompanied by Director Miao, Yang Ping and Song Zimo stood on the left and right, and others surrounded him.

Director Tian held the gold wire glasses and said, "Well, the anterior and posterior columns of the acetabulum are fractured, and the displacement is obvious. The sciatic nerve at the back must be squeezed or stretched. Are there any neurological symptoms?"

"Yes, the muscle strength of the lower limb on the injured side is level [-]." Dr. Tao said.

Dr. Tao is also in his 30s, and the hair on the top of his head is very thin, which quickly bottoms out.

He looked much older than Director Tian, ​​and felt a little ashamed in his heart.He was a professor in a large hospital in his thirties, and he was throwing knives all over the place. I was just in charge of attending the clinic, and I worked late and night shifts every day.

"The iliac wing and sacrum were also fractured, and the sacroiliac joint was clearly separated. Go and see the patient."

In a few simple words, Director Tian gave an accurate summary of the condition, without arrogant English words or dazzling high school vocabulary, which not only reflects the superb level, but also does not make people feel condescending.

Dr. Tao led the way, and Director Miao led the way, and everyone went to the ward to see the patient.

When we arrived at the ward, the family members were very excited when they heard that the professor had arrived.

The patient, male, 35 years old, was injured in a car accident. He was lying on the bed, and his right lower extremity suffered supracondylar femoral bone traction.

A few family members beside the bed, the one with the briefcase in his hand should be the one who called the shots. He was a little older than the patient, his black shirt was as smooth and shiny as silk, and he looked like the patient's brother.

The man with the briefcase stood up immediately, and Director Miao introduced: "This is Professor Tian we invited. He was about to see a patient when he arrived. Professor Tian was very busy and took a lot of effort to invite him."

The man shook hands with Professor Tian: "Thank you very much, Professor Tian!"

The patient himself said nothing, looked left, looked right.

"I'm going to examine you now, let me know at any time if it hurts." Director Tian spoke very kindly.

With the consent of the patient, Director Tian pulled the patient's clothes above the chest, exposing the abdomen and chest, and began the physical examination, very seriously.

I had only seen the film before, and then I saw the patient.

At this time, new information can often be found, which the film cannot reflect, or is inconsistent with the prediction.

Strictly follow the order of orthopaedic examination according to the amount of touch, from the healthy side to the affected side, from the local to the whole body.

First, look at whether the pelvis is deformed, whether the lower limbs are shortened, whether the muscles are atrophied, and the color of the cornea and lips.

Check the feeling of the skin, the movement of the toes, palpation of the abdomen and chest, and finally ask about the color of the urine.

The entire physical examination was comprehensive, without omissions, and highlighted the key points, reflecting excellent professional quality.

Director Tian picked up the patient's wrist and counted the pulse.

"Is there a stethoscope?" Director Tian asked.

Whoever is a surgeon with a stethoscope, you look at me, I look at you.

Director Miao asked loudly, "Who brought a stethoscope?"

No one answered, no!Can't even ask.There was a nimble doctor who trotted all the way. When he came back, panting, he handed the stethoscope to Dr. Tao and handed it to Director Tian.

Director Tian pulled the patient's clothes up again and leaned over to start auscultation.

Listen to both lungs first, no problem.

Then there is the heart. After listening to the five conventional auscultation areas, focus on listening to special parts.

"Murmurs can be heard in the third and fourth intercostal spaces on the left sternum, grade [-] to [-] holosystolic murmurs with tremor, and small ventricular septal defect." Director Tian got up.

"Yes, he has congenital heart disease." The family immediately replied.

The onlookers were secretly amazed, a professor is a professor, and even physicians are so skilled in heart auscultation, which is different in large hospitals.

Director Tian continued to listen to his abdomen and said, "The bowel movement is relatively slow, so I usually have abdominal distension."

"Yes, Professor, my stomach has always been uncomfortable, and it feels like air inside." The patient answered himself.

The professor gets to the point.

Director Tian said: "The retroperitoneal hematoma stimulates the celiac ganglia, which leads to slow bowel movements and poor defecation and exhaust. I will look at the medical records."

Dr. Tao handed over the medical records, and Director Tian carefully checked the medical records and checked the inspection items one by one.

"The hemoglobin is a bit low, only 90."

"Well, fortunately, there is no damage to the rectum and urethra." Director Tian said while watching.

When I saw the ECG page, I opened the folded ECG chart and said, "There is an rSr wave in lead V1, which is indeed a small ventricular septal defect."

ECG report: sinus rhythm, 80 beats/min, roughly normal ECG.

As soon as the patient heard it, he did have the disease, and because there was no obvious discomfort, he didn't care. He was injured this time, and he didn't tell the doctor that the professor was amazing, so it was obvious.

"Yeah, Professor Tian, ​​I have this disease. I have it every time I have a physical examination and a color Doppler ultrasound. I have visited the hospital several times. The doctor said that it is congenital, the defect is very small, and no surgery is required." The patient and his family were convinced.

The doctors present were also completely convinced. They could even read electrocardiograms, which were more accurate than those in the cardiology department and the electrocardiogram room.

"For heart problems, let the Cardiology Department come for consultation, and ask the color Doppler ultrasound room to do a bedside color Doppler ultrasound, hurry up!" Director Miao instructed.

This professional quality is different. Director Miao's face is full of confidence. He invited people, so he naturally has face.

Director Tian took the patient's hand and said, "The operation is difficult and risky, but don't be too nervous, we will go all out to pursue perfection."

The patient kept nodding.

After seeing the patient and returning to the doctor's office, Director Miao said, "The surgery is scheduled for [-] o'clock in the afternoon. Let's go to the office to have a cup of tea, take a break, and then go to eat."

"Okay!" Although Director Tian is young and not well-known, it is not the first time to fly a knife, and he is familiar with it.

Director Miao led them to the Director's office and poured a few cups of tea.

Director Miao said: "Professor Tian, ​​this patient's family is a wealthy family in Shipo, a famous local family. I ask you."

Director Tian smiled and said, "Director Han has explained it to me in detail, and I will do my best. You see, Director Han is also very cautious. He asked me to bring two more people. Usually, I have more operations together, so it's easier to cooperate."

Director Miao added tea: "Or Director Han thought it through, oh, the patient's family members, who were there just now, his brother, want to know more about the operation in person, do you think it's convenient, I'll let him come over?"

Director Tian was looking at the calligraphy and painting on the wall and said, "Okay, come here, I'll talk to him again."

Director Miao immediately went out and brought in the older brother of the patient just now.

The family members held the black briefcase with smiles on their faces: "Professor Tian, ​​trouble everyone!"

"You guys talk, I'm going to ask about the disinfection of the instruments in the operating room."

Director Miao took the door behind him.

　Thank you for the many rounds of rewards for Qianqian Junzi and Bieyi for self-shepherding and playing badminton when they have nothing to do!Hands down, thank you!Thank you for your favorites and votes.In the second round of recommendation, the results were very gratifying, all because of everyone's support.The ranking of recommended tickets is also rising day by day. On the premise of ensuring a certain speed, I must write a wonderful story and live up to your high expectations!
　　
　
(End of this chapter)