Doctor Peerless

Chapter 406 The Meaning of Communication

"Teacher Xiao Zhou."

"Hello, Teacher Xiao Zhou!"

The honorifics from the heart made Zhou Sheng blush a little, and He Fugao pointed to the table that had already been cleaned up and said, "We have limited space here, you two have a desk."

"Let's get to know each other first. When the director arrives, let's go to the ward rounds. Yesterday's patient was transferred to the ICU. The situation is not optimistic."

When the patient was mentioned, the mood in the room became slightly solemn.

Yesterday's accident has been reported, and the reporter came to interview last night. It is estimated that the news in the province will be broadcast tonight. On the one hand, it is to emphasize the seriousness of the traffic problem, and on the other hand, it is also an affirmation of Zhou County Hospital's work in rescuing patients. .

However, whether the patient can survive or not is another matter.

Yesterday's condition was already a first-degree disability, and it was a lucky result that he didn't die on the spot.

"Okay, I see. I'll take a look at the inspection report first."

The attendant on the side quickly brought it up, "Mr. Zhou, look, I'm going to make tea... or coffee?"

"Ah, let's have coffee, thank you."

Passing by Bai Mingming's side, of course he couldn't ignore it, "Where's Doctor Xiaobai?"

Bai Mingming wasn't annoyed at all, he knew what level he was at, and he just had fun secretly when someone else helped him.

"Let me drink tea. Well, I'll go with you and get to know the place." Bai Mingming knew how to do it, and he didn't hold back. With just one sentence, he attracted the favor of many people.

It was five past eight.

Director Che arrived, followed by Yuan Liang, Director Gao and other leaders, greeted each other, and everyone rushed to the ICU.

Outside the ward, the patient's condition can be seen through the window, and he is not awake.

The accident caused a lot of blood loss, and the physical stress response naturally caused a coma. It is still uncertain when the person wakes up, so that the family members have been isolated outside, and they can only know the situation through the communication between doctors and nurses.

"From the inspection data, the situation is not very good, the inflammation is too high, the abdominal cavity and the lateral kidney incision have inflammation and swelling, and the hematuria is severe." The ICU doctor reported the news.

Director Che held the report card and looked at it, frowning, "The infection problem is a bit serious."

The sterile operating room only reduces the occurrence of postoperative infection, not completely eliminates it. Let alone such a large-scale operation, even if the appendix is ​​removed, the patient's low immunity will also lead to infection.

"Do you dare to increase the anti-inflammatory dose?" Dean Liang asked.

"I'm not very daring..." Director Che glanced at Zhou Sheng who had been silent all this time.

There is no other meaning, but to remind Dean Liang, who is not very professional, that he has one kidney removed, and the external drainage tube is still urinating blood. If he continues to administer large doses of antibiotics, isn't that a big deal?Why don't you bring up such a basic question?
Dean Liang understood and was not embarrassed. He turned his head and looked at Zhou Sheng with a smile: "What suggestion does Xiao Zhou have?"

Zhou Yisheng had already thrown out the A-level detection scan.

Critical assessment grade: A-
Only half a grade better than the intraoperative situation.

The treatment method given by the system is only conservative treatment.

Surgery is not a panacea, and it is very common for patients to die after surgery due to severe injuries.

"Let's treat it conservatively. The current situation can only be left to the patient to bear. In addition..."

"Reduce the single dosage, use the medication multiple times, and observe the wound every six hours. If inflammation occurs, it is best to deal with it as soon as possible."

"Huh." Director Gao and Director Che exchanged glances, "This is a good way."

It’s not that they don’t understand, but it’s that they don’t deal with cases of kidney removal patients. Unilateral kidney removal will lead to reduced kidney function and changes in various immune systems. It’s not advisable to increase the dosage, but it’s a good way to take multiple medications for a long time.

This is not only the treatment plan of Western medicine, but also often done in Chinese medicine.

If you can't withstand the strong medicine, then reduce the dose and increase the number of times.

Zhou Sheng was born in Chinese medicine, and a lot of Chinese medicine thoughts have been added to his habitual thinking. Of course, this is not a bad thing. Judging from the current situation, it can be regarded as a constructive suggestion.

"Continue to observe. If the 24-hour hematuria problem is not resolved, another operation may be required." He continued.

When everyone heard it, they all understood.

Wound inflammation On the one hand, hematuria will inevitably occur after kidney extraction, but if there is no tendency to subside, the residual renal bed tissue at the kidney extraction site is bound to have greater inflammation, and a second operation is required to remove the inflammatory part.

Scraping meat from rotten meat is scalp tingling just thinking about it.

suffer.

The seminar was approved unanimously.

Everyone can't stay here all the time, the ICU is guarded by doctors on shift 24 hours a day, so they don't have to worry too much.

Leaving the ICU, a group of leaders deal with the family members.

Director Gao led Zhou Yisheng to go outside, "Xiao Zhou, although you are outside, you can also participate in our surgery. Besides kidney, are you good at those surgeries?"

Lancet publishers don't need to think about technology anymore, yesterday's kidney harvest was enough to convince everyone.

They are different from Jiang Jiancheng.

Of course, Director Jiang also approved of Zhou Sheng, otherwise he would not be allowed to perform the surgery, but Director Jiang didn't know what the Lancet had published, let alone that Xiao Zhou could perform kidney transplantation.

For a while, Zhou Sheng was also thinking...

Are you being too low-key?

If you put on a little gesture, can you mention the treatment in the Central Academy?
Of course, now is not the time to think about it.

I had a kidney transplant yesterday, which was great.

But it's just the beginning.

Director Gao obviously meant to send for surgery, his eyes were hot: "Generally speaking, gastrointestinal operations can be performed, but the liver, gallbladder and blood vessels are slightly weaker."

Gee.

Director Gao couldn't help but click his tongue when he heard it. Xiao Zhou said it modestly, but it sounds like he is proficient in the stomach and intestines. If the liver and gallbladder are weak, he can do it. With the addition of a kidney operation, this kid just eats the general surgery. ?

Of course, general surgery covers too many directions, that is, it is not specialized, otherwise it will not extend to separate hepatobiliary, urological, and anorectal departments.

However, Zhou Sheng's accomplishments in the kidney are already enough to handle the big responsibility outside the kidney, which is why they hugged Zhou Sheng tightly.

Director Gao came here with an order, and he acted as an outpost to remind Zhou Sheng: "What Dean Liang means is that I still hope that you can undergo kidney surgery, but there are no patients in our hospital now, but don't worry, it has been delayed." If someone goes to the patient, there will be news within three days at most."

"Can you... find patients by yourself?" Zhou Sheng was confused.

Treated so well?
In order to perform an operation on me, this is too much trouble for you.

Seeing Zhou Sheng's flattered look, Director Gao naturally understood, and then smiled wryly.

Looking for a patient is to steal a teacher from you.

Director Gao must not be able to speak clearly, he also needs an old face.

I just said haha, and said in one stroke: "You can look for it. There were confirmed patients before, but our hospital doesn't do kidney surgery very much. Just because you are here, the problem has been solved."

"Before that, you can take a look around and tell us what you think is suitable, and we can discuss it."

Dean Liang is not lying.

Surgery is really a life choice.

While Zhou Sheng was excited, he didn't forget about Bai Mingming: "By the way, Director Gao, I cooperate better with Dr. Bai. When the time comes for surgery, I'll work with him."

Director Gao had expected it a long time ago, and he understood what he should say yesterday: "Okay, but Teacher Xiao Zhou, you are helping out, bringing a hospitalized person to the stage as a second assistant, and let them learn more from you. It’s about communicating.”

(End of this chapter)