Doctor Peerless
Chapter 624 Passing the Test
Chapter 624 Passing the Test
The length of the wound is not great.
Two stitches.
Cao Xin successfully completed.
Although the stitching is not perfect, it is barely acceptable.
If this is an exam for Cao Xin.
Zhou Sheng gave him a passing score of 60 in his heart.
For an intern with only one year of qualifications and no cruel emergency training, this score is not bad.
Zhou Sheng is quite satisfied with Cao Xin.
After sewing the stitches, the rest is to bandage the patient's wound.
Zhou Sheng and Su Quan had nothing to worry about, and they were no longer on the sidelines to supervise.
The two exited the inner room and came to the outer room of the processing room.
"How is this newcomer?" Zhou Sheng asked.
"It's not bad, at least not a complete novice. It may be that I have little clinical experience and I am a little nervous. You should be able to adapt quickly."
"Well, then this important task will be entrusted to you."
"Me? I'm still an intern myself?"
Zhou Sheng patted Su Quan on the shoulder and said with a smile: "Don't be modest, I guess the interns at the Central Hospital are no better than you clinically."
What Zhou Sheng said is really true.
Su Quan's talent is not high, but he works very hard.In addition, Zhou Sheng gave him many clinical practice opportunities.
In the Central Hospital, there was really no intern who could compete with Su Quan clinically.
"That's not necessarily..." Su Quan originally wanted to say, among the interns, you, Zhou Yisheng, are much better than me.But after thinking about it, this is wrong, why did he think Zhou Sheng was an intern.He is now the leader of the fourth team of the emergency department and a resident physician.He was no longer at the same level as himself.
"There are people beyond people, and mountains beyond mountains. It's better for us to keep a low profile." Su Quan said.
"Okay, if you say you are fat, you are still panting. Are you a master?"
"Can I not listen to what you said? Guaranteed to complete the task. Try to make him a qualified emergency doctor within a month."
"This attitude is not bad!"
The two finished talking.
Cao Xin has already treated the wound for the patient.
He helped the patient out of the room.
The anesthesia effect of lidocaine is still there, and the patient's expression is still quite relaxed at the moment.
Moreover, he is quite satisfied with Cao Xin's stitches.
To be honest, even with two stitches, only professionals like Zhou Sheng and Su Quan can tell whether the stitching technique is good or bad.
Ordinary people, especially this patient, he can't see any tricks.
His most intuitive feeling is that the stitches don't hurt much.
That is actually the effect of anesthesia, and has nothing to do with Cao Xin's technique.
But it doesn't hurt, and the patient is already satisfied.
When Zhou Sheng saw the patient, he smiled and said, "How is it? The sewing is not bad."
"Yeah, it doesn't hurt very much. It really is a big hospital, and the newcomers have good skills."
"Okay, Su Quan, you can prescribe some anti-inflammatory drugs for him, and I will take Cao Xin around."
……
Cao Xin went to the disinfection room, took off the disposable gloves, washed his hands, and continued to "patrol" with Zhou Sheng.
The two walked and chatted.
"How do you feel? You're a little nervous." Zhou Sheng asked.
Cao Xin was a little embarrassed, and said, "I'm not afraid of your jokes. The thing I do most outside of my mind is to write case studies. There are not many opportunities to get started."
"It's okay. Slowly you get used to it. In the past few days, I haven't booked a consultation room for you. You just run around more. If you have nothing to do, just follow Su Quan just now. You also know him. Let him guide you more. Although he is also an intern, he has rich clinical experience."
"It can be seen that Dr. Su is much better than me. I must follow behind him and study hard."
"Tonight, I have nothing to do. Follow me first."
"Ok!"
The emergency center says it's not big, it's not small.
After familiarizing with several important places.
Zhou Sheng began to attend consultations.
According to the previous explanation, Cao Xin moved a chair in a regular manner, sat next to Zhou Sheng and began to study...
Time passed little by little.
Bai Mingming had just finished his treatment in the consultation room. He stretched his waist and looked at the wall clock on the wall. The time on it had reached 10 o'clock in the middle of the night.
Feeling a little sleepy, he yawned. Thinking that he could leave work in 2 hours, Bai Mingming's spirit improved a bit.
At this time, a young nurse ran in in a panic.
"Doctor Bai, Doctor Bai, it's not good, there is a serious illness in the emergency room."
Bai Mingming was taken aback, and he asked instinctively, "Where are Team Leader Zhou and Team Leader Liu?"
The nurse replied that they all had patients.
There was no other way, Bai Mingming had no choice but to go up.
He followed the nurse to the emergency room.
I saw a boy who looked quite immature lying on the bed.
Bai Mingming's heart skipped a beat immediately, this patient is probably only a teenager at most.How can you get seriously ill at such a young age?
The nurse at the side saw Bai Mingming and immediately briefed him on the patient's current condition.
Patient, male, aged 19 years.He complained that he had chest pain, chest tightness and discomfort, and vomiting after drinking half a glass of white wine at lunch.Physical examination: heart rate 103 beats/min, blood pressure 155/102mmHg.
After clarifying the basic situation, Bai Mingming looked at the patient on the hospital bed.
At this time, the patient was lying on the hospital bed weakly, and his mental state was very poor.
For a while, Bai Mingming didn't know exactly what caused the patient's chest pain.
He can only start with the consultation.
"Where is the chest pain?" Bai Mingming asked the patient.
"Here..." the boy said, touching the middle and lower part of his breastbone.
"How painful it is, can you bear it?"
"It hurts, it feels like something is pressing on my chest..." The boy closed his eyes in pain as he said this.
After simple inquiry, countless clues gathered in his mind.
He began to look for the cause of it.
It happened after drinking at noon, and it has been at least 10 hours until now. The oppressive chest pain lasted for so long.There is a high probability of organic problems.
Bai Mingming began to think about various possible illnesses in his mind.
Aortic dissection.
A symptom flashed through Bai Mingming's mind.
Chest pain accompanied by elevated blood pressure and vomiting, the first thing to rule out is aortic dissection.
This disease is that the blood in the aortic lumen enters the aortic media from the aortic intima tear, separates the media, and expands along the long axis of the aorta to form a true and false two-chamber separation state of the aortic wall.
In case of an acute attack, there is a more than 50% probability that the patient will die from cardiac tamponade, arrhythmia, etc.It can be said to be a very serious disease clinically.
However, after careful analysis, the probability of this boy having aortic dissection seems unlikely.
Because the peak age of this disease is after the age of 50.
Moreover, the pain of this disease is mostly tearing and knife cutting.
Bai Mingming thought for a while, and in his heart, deleted the aortic dissection.
That's what emergency room visits are like.
Often some serious, emergencies.
It's not easy to tell what the disease is.
But there is a principle that every emergency doctor knows.
That is, the disease that is the most life-threatening to the patient must be analyzed first.
Aortic dissection is unlikely.
Soon, a second symptom popped up in Bai Mingming's mind.
Viral myocarditis.
……
(End of this chapter)
The length of the wound is not great.
Two stitches.
Cao Xin successfully completed.
Although the stitching is not perfect, it is barely acceptable.
If this is an exam for Cao Xin.
Zhou Sheng gave him a passing score of 60 in his heart.
For an intern with only one year of qualifications and no cruel emergency training, this score is not bad.
Zhou Sheng is quite satisfied with Cao Xin.
After sewing the stitches, the rest is to bandage the patient's wound.
Zhou Sheng and Su Quan had nothing to worry about, and they were no longer on the sidelines to supervise.
The two exited the inner room and came to the outer room of the processing room.
"How is this newcomer?" Zhou Sheng asked.
"It's not bad, at least not a complete novice. It may be that I have little clinical experience and I am a little nervous. You should be able to adapt quickly."
"Well, then this important task will be entrusted to you."
"Me? I'm still an intern myself?"
Zhou Sheng patted Su Quan on the shoulder and said with a smile: "Don't be modest, I guess the interns at the Central Hospital are no better than you clinically."
What Zhou Sheng said is really true.
Su Quan's talent is not high, but he works very hard.In addition, Zhou Sheng gave him many clinical practice opportunities.
In the Central Hospital, there was really no intern who could compete with Su Quan clinically.
"That's not necessarily..." Su Quan originally wanted to say, among the interns, you, Zhou Yisheng, are much better than me.But after thinking about it, this is wrong, why did he think Zhou Sheng was an intern.He is now the leader of the fourth team of the emergency department and a resident physician.He was no longer at the same level as himself.
"There are people beyond people, and mountains beyond mountains. It's better for us to keep a low profile." Su Quan said.
"Okay, if you say you are fat, you are still panting. Are you a master?"
"Can I not listen to what you said? Guaranteed to complete the task. Try to make him a qualified emergency doctor within a month."
"This attitude is not bad!"
The two finished talking.
Cao Xin has already treated the wound for the patient.
He helped the patient out of the room.
The anesthesia effect of lidocaine is still there, and the patient's expression is still quite relaxed at the moment.
Moreover, he is quite satisfied with Cao Xin's stitches.
To be honest, even with two stitches, only professionals like Zhou Sheng and Su Quan can tell whether the stitching technique is good or bad.
Ordinary people, especially this patient, he can't see any tricks.
His most intuitive feeling is that the stitches don't hurt much.
That is actually the effect of anesthesia, and has nothing to do with Cao Xin's technique.
But it doesn't hurt, and the patient is already satisfied.
When Zhou Sheng saw the patient, he smiled and said, "How is it? The sewing is not bad."
"Yeah, it doesn't hurt very much. It really is a big hospital, and the newcomers have good skills."
"Okay, Su Quan, you can prescribe some anti-inflammatory drugs for him, and I will take Cao Xin around."
……
Cao Xin went to the disinfection room, took off the disposable gloves, washed his hands, and continued to "patrol" with Zhou Sheng.
The two walked and chatted.
"How do you feel? You're a little nervous." Zhou Sheng asked.
Cao Xin was a little embarrassed, and said, "I'm not afraid of your jokes. The thing I do most outside of my mind is to write case studies. There are not many opportunities to get started."
"It's okay. Slowly you get used to it. In the past few days, I haven't booked a consultation room for you. You just run around more. If you have nothing to do, just follow Su Quan just now. You also know him. Let him guide you more. Although he is also an intern, he has rich clinical experience."
"It can be seen that Dr. Su is much better than me. I must follow behind him and study hard."
"Tonight, I have nothing to do. Follow me first."
"Ok!"
The emergency center says it's not big, it's not small.
After familiarizing with several important places.
Zhou Sheng began to attend consultations.
According to the previous explanation, Cao Xin moved a chair in a regular manner, sat next to Zhou Sheng and began to study...
Time passed little by little.
Bai Mingming had just finished his treatment in the consultation room. He stretched his waist and looked at the wall clock on the wall. The time on it had reached 10 o'clock in the middle of the night.
Feeling a little sleepy, he yawned. Thinking that he could leave work in 2 hours, Bai Mingming's spirit improved a bit.
At this time, a young nurse ran in in a panic.
"Doctor Bai, Doctor Bai, it's not good, there is a serious illness in the emergency room."
Bai Mingming was taken aback, and he asked instinctively, "Where are Team Leader Zhou and Team Leader Liu?"
The nurse replied that they all had patients.
There was no other way, Bai Mingming had no choice but to go up.
He followed the nurse to the emergency room.
I saw a boy who looked quite immature lying on the bed.
Bai Mingming's heart skipped a beat immediately, this patient is probably only a teenager at most.How can you get seriously ill at such a young age?
The nurse at the side saw Bai Mingming and immediately briefed him on the patient's current condition.
Patient, male, aged 19 years.He complained that he had chest pain, chest tightness and discomfort, and vomiting after drinking half a glass of white wine at lunch.Physical examination: heart rate 103 beats/min, blood pressure 155/102mmHg.
After clarifying the basic situation, Bai Mingming looked at the patient on the hospital bed.
At this time, the patient was lying on the hospital bed weakly, and his mental state was very poor.
For a while, Bai Mingming didn't know exactly what caused the patient's chest pain.
He can only start with the consultation.
"Where is the chest pain?" Bai Mingming asked the patient.
"Here..." the boy said, touching the middle and lower part of his breastbone.
"How painful it is, can you bear it?"
"It hurts, it feels like something is pressing on my chest..." The boy closed his eyes in pain as he said this.
After simple inquiry, countless clues gathered in his mind.
He began to look for the cause of it.
It happened after drinking at noon, and it has been at least 10 hours until now. The oppressive chest pain lasted for so long.There is a high probability of organic problems.
Bai Mingming began to think about various possible illnesses in his mind.
Aortic dissection.
A symptom flashed through Bai Mingming's mind.
Chest pain accompanied by elevated blood pressure and vomiting, the first thing to rule out is aortic dissection.
This disease is that the blood in the aortic lumen enters the aortic media from the aortic intima tear, separates the media, and expands along the long axis of the aorta to form a true and false two-chamber separation state of the aortic wall.
In case of an acute attack, there is a more than 50% probability that the patient will die from cardiac tamponade, arrhythmia, etc.It can be said to be a very serious disease clinically.
However, after careful analysis, the probability of this boy having aortic dissection seems unlikely.
Because the peak age of this disease is after the age of 50.
Moreover, the pain of this disease is mostly tearing and knife cutting.
Bai Mingming thought for a while, and in his heart, deleted the aortic dissection.
That's what emergency room visits are like.
Often some serious, emergencies.
It's not easy to tell what the disease is.
But there is a principle that every emergency doctor knows.
That is, the disease that is the most life-threatening to the patient must be analyzed first.
Aortic dissection is unlikely.
Soon, a second symptom popped up in Bai Mingming's mind.
Viral myocarditis.
……
(End of this chapter)
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