lure him into
Chapter 36 Inexplicably, I Feel Some Reliable
Chapter 36 Inexplicably, I Feel Some Reliable
Huo Qianchu went back to her seat and sat down. She sorted out the medical records from last week, and a notification sound came from her mobile phone. She picked up the mobile phone, and it was a message from Cen Beichen, 【Don't you like it? 】
She didn't answer the question, but just asked, [Dr. Cen, you haven't come to work for a week, aren't you busy? 】
The implication is that he feels that he has nothing to do with sending flowers.
Cen Beichen frowned, and before he could say anything else, Director Liang asked everyone to go to the ward round, and he had no choice but to put away his mobile phone first.
On the way to the ward, Huo Qianchu walked with a few interns, talking in a low voice.
Daily ward rounds are the time when superior doctors ask the most questions, and naturally it is also the time when interns are most nervous.
After entering the ward, the first patient was a six-month-old baby who was born with no abnormalities, but later found that the head circumference increased significantly, the reaction was sluggish, and the growth and development were slow.
An intern reported the medical records and was diagnosed with fourth ventricle occlusion syndrome, which is a very rare congenital developmental malformation of the nervous system.
Director Liang also asked the interns a few questions, such as what is the fourth ventricle occlusion syndrome, what are the clinical manifestations, and what are the imaging features, all of which are relatively routine questions.
Then Dr. Zhang supplemented the medical records and said that a shunt operation was planned.
Director Liang nodded, and before he could speak, Lu Song spoke first, "Dr. Yuan, clinical diagnosis of this kind of deformity is relatively difficult. What diseases do we need to distinguish it from?"
Last night, he had already informed Yuan Xingye in advance, and even told him what questions to ask in advance.
So upon hearing this question, Yuan Xingye immediately answered, "It needs to be distinguished from other congenital dysplastic cysts of the posterior fossa and hydrocephalus."
Dr. Zhang is the doctor in charge of this patient. It stands to reason that after he said the planned operation, Director Liang would ask about the situation, such as the details of the operation. When Lu Song interrupted suddenly, Director Liang frowned slightly, but seeing Yuan Hoshino answered very quickly and fluently, so he knew he was a hardworking kid. He was naturally happy to have such a young doctor in the department, so he said a few more words to Dr. Zhang.
After finalizing the general procedure of the operation, Director Liang planned to go to the next patient's bed.
But Lu Song spoke again, this time calling Huo Qianchu directly, "Doctor Huo, do you know what are the indications and contraindications for this operation?"
Huo Qianchu was a little strange to be named. Lu Song took Yuan Xingye, and he asked him any questions, but she was taken by Cen Beichen, and in the past, director Liang usually asked questions during ward rounds.
Director Liang also knew that she rarely had the chance to enter the operating room, so in fact, he rarely asked her to ask questions about the operation.
She was stunned for a second or two, then Lu Song spoke again, with a hint of a smile in his tone, half-jokingly said, "It's okay if you don't know, go back and read more, you and Dr. Yuan dialed in together , your education is better than Dr. Yuan's, so don't be left behind by Dr. Yuan."
Huo Qianchu frowned, walked half a step forward and replied, "The surgical indications are fourth ventricle occlusive syndrome with hydrocephalus and autistic fourth ventricle with hydrocephalus."
"Contraindications are uncontrolled intracranial infection; inflammation or ascites in the abdominal cavity; high protein content in cerebrospinal fluid, exceeding 500 mg per liter, or fresh bleeding; skin infection in the head, neck or chest and abdomen."
Listening to Huo Qianchu's answer to the question, the smile on the corner of Lu Song's mouth disappeared, and he even frowned, and then asked, "What are the treatment methods?"
"One fifth of the patients do not need treatment. There are still debates on the treatment of hydrocephalus. Generally, there are three methods: simple cyst resection; ventricular shunt, cyst shunt, and lateral ventricle and cyst double shunt Endoscopic treatment." Huo Qianchu looked at Lu Song, this time without even a pause.
This kind of disease is hard to see, especially for surgical questions, you should normally ask the attending physician, not a resident physician.
She probably understood that Lu Song asked her to go with him, but she didn't go, so he purposely found an opportunity to embarrass her.
This time, Lu Song's face was a little unhappy, "Tell me again, how to perform the lateral ventriculo-cyst combined shunt?"
"Deputy Director Lu, it's more appropriate to ask the attending physician this question?" Cen Beichen frowned for a while, and he could see that Lu Song was finding fault.
If Huo Qianchu couldn't answer, he would have spoken out a long time ago, but since Huo Qianchu could answer, he didn't mind letting Huo Qianchu destroy Lu Song's prestige.
Seeing that Huo Qianchu had answered all the questions, he thought that Lu Song would stop at enough, but who would have thought that it would be worse?
"Yes." Dr. Zhang also took the words, "This operation is preoperative basic anesthesia or general anesthesia..."
"Basic anesthesia or general anesthesia before operation, take the supine position, turn the head to the left, prepare the head, neck, and chest skin; make an incision on the head, 4 to 5 cm above the right auricle, backward to the external occipital prominence, and downward To the level of neck 1; drilling the posterior fossa..." Huo Qianchu interrupted Dr. Zhang and recounted the entire operation process.
After finishing speaking, she smiled and looked at Lu Song, "When I was abroad, I just participated in a lateral ventricle-cerebroventry-cyst combined shunt operation. This patient was treated by me and Dr. Zhang last week, so I went home. I looked through the surgery records at that time, and I didn’t expect to use it today.”
After she finished speaking, she turned to look at the nervous parents of the child, and comforted her, "Don't worry too much, this operation sounds complicated, but it is actually very easy to do. The operation I performed abroad, the child five months, one month younger than your child, the operation was successful, and the postoperative effect is also very good."
Although there are some technical terms that parents don't understand, they can understand some words. For example, Huo Qianchu's education should be very good. She has stayed abroad and had such an operation once. Although she looks young, but Inexplicably, it feels a little believable.
The child's mother nodded quickly, "I'm sorry to trouble the doctor. With you here, I'm not worried, I'm not worried."
Dr. Liang looked at Huo Qianchu, nodded in satisfaction, and then said, "Dr. Huo, you and Dr. Zhang can do this operation together."
"Okay." Huo Qianchu immediately responded.
Director Liang glanced at Lu Song again. He couldn't directly criticize him in front of other people.He knew that Huo Qianchu didn't bring it to Lu Song, so he was somewhat resentful, and he held his breath to prove that Yuan Xingye was better than Huo Qianchu, but it's not good to have this kind of mentality, he had to have a good talk with Lu Song later.
Lu Song was extremely upset that he failed to stop Huo Qianchu and won her a chance for surgery, but he could see Director Liang's expression clearly just now, and knew that today could only end here.
Coming out of the ward, Cen Beichen slowed down and walked to Lu Song's side. While walking, he asked nonchalantly, "Deputy Director Lu, what did the Vice President promise you?"
(End of this chapter)
Huo Qianchu went back to her seat and sat down. She sorted out the medical records from last week, and a notification sound came from her mobile phone. She picked up the mobile phone, and it was a message from Cen Beichen, 【Don't you like it? 】
She didn't answer the question, but just asked, [Dr. Cen, you haven't come to work for a week, aren't you busy? 】
The implication is that he feels that he has nothing to do with sending flowers.
Cen Beichen frowned, and before he could say anything else, Director Liang asked everyone to go to the ward round, and he had no choice but to put away his mobile phone first.
On the way to the ward, Huo Qianchu walked with a few interns, talking in a low voice.
Daily ward rounds are the time when superior doctors ask the most questions, and naturally it is also the time when interns are most nervous.
After entering the ward, the first patient was a six-month-old baby who was born with no abnormalities, but later found that the head circumference increased significantly, the reaction was sluggish, and the growth and development were slow.
An intern reported the medical records and was diagnosed with fourth ventricle occlusion syndrome, which is a very rare congenital developmental malformation of the nervous system.
Director Liang also asked the interns a few questions, such as what is the fourth ventricle occlusion syndrome, what are the clinical manifestations, and what are the imaging features, all of which are relatively routine questions.
Then Dr. Zhang supplemented the medical records and said that a shunt operation was planned.
Director Liang nodded, and before he could speak, Lu Song spoke first, "Dr. Yuan, clinical diagnosis of this kind of deformity is relatively difficult. What diseases do we need to distinguish it from?"
Last night, he had already informed Yuan Xingye in advance, and even told him what questions to ask in advance.
So upon hearing this question, Yuan Xingye immediately answered, "It needs to be distinguished from other congenital dysplastic cysts of the posterior fossa and hydrocephalus."
Dr. Zhang is the doctor in charge of this patient. It stands to reason that after he said the planned operation, Director Liang would ask about the situation, such as the details of the operation. When Lu Song interrupted suddenly, Director Liang frowned slightly, but seeing Yuan Hoshino answered very quickly and fluently, so he knew he was a hardworking kid. He was naturally happy to have such a young doctor in the department, so he said a few more words to Dr. Zhang.
After finalizing the general procedure of the operation, Director Liang planned to go to the next patient's bed.
But Lu Song spoke again, this time calling Huo Qianchu directly, "Doctor Huo, do you know what are the indications and contraindications for this operation?"
Huo Qianchu was a little strange to be named. Lu Song took Yuan Xingye, and he asked him any questions, but she was taken by Cen Beichen, and in the past, director Liang usually asked questions during ward rounds.
Director Liang also knew that she rarely had the chance to enter the operating room, so in fact, he rarely asked her to ask questions about the operation.
She was stunned for a second or two, then Lu Song spoke again, with a hint of a smile in his tone, half-jokingly said, "It's okay if you don't know, go back and read more, you and Dr. Yuan dialed in together , your education is better than Dr. Yuan's, so don't be left behind by Dr. Yuan."
Huo Qianchu frowned, walked half a step forward and replied, "The surgical indications are fourth ventricle occlusive syndrome with hydrocephalus and autistic fourth ventricle with hydrocephalus."
"Contraindications are uncontrolled intracranial infection; inflammation or ascites in the abdominal cavity; high protein content in cerebrospinal fluid, exceeding 500 mg per liter, or fresh bleeding; skin infection in the head, neck or chest and abdomen."
Listening to Huo Qianchu's answer to the question, the smile on the corner of Lu Song's mouth disappeared, and he even frowned, and then asked, "What are the treatment methods?"
"One fifth of the patients do not need treatment. There are still debates on the treatment of hydrocephalus. Generally, there are three methods: simple cyst resection; ventricular shunt, cyst shunt, and lateral ventricle and cyst double shunt Endoscopic treatment." Huo Qianchu looked at Lu Song, this time without even a pause.
This kind of disease is hard to see, especially for surgical questions, you should normally ask the attending physician, not a resident physician.
She probably understood that Lu Song asked her to go with him, but she didn't go, so he purposely found an opportunity to embarrass her.
This time, Lu Song's face was a little unhappy, "Tell me again, how to perform the lateral ventriculo-cyst combined shunt?"
"Deputy Director Lu, it's more appropriate to ask the attending physician this question?" Cen Beichen frowned for a while, and he could see that Lu Song was finding fault.
If Huo Qianchu couldn't answer, he would have spoken out a long time ago, but since Huo Qianchu could answer, he didn't mind letting Huo Qianchu destroy Lu Song's prestige.
Seeing that Huo Qianchu had answered all the questions, he thought that Lu Song would stop at enough, but who would have thought that it would be worse?
"Yes." Dr. Zhang also took the words, "This operation is preoperative basic anesthesia or general anesthesia..."
"Basic anesthesia or general anesthesia before operation, take the supine position, turn the head to the left, prepare the head, neck, and chest skin; make an incision on the head, 4 to 5 cm above the right auricle, backward to the external occipital prominence, and downward To the level of neck 1; drilling the posterior fossa..." Huo Qianchu interrupted Dr. Zhang and recounted the entire operation process.
After finishing speaking, she smiled and looked at Lu Song, "When I was abroad, I just participated in a lateral ventricle-cerebroventry-cyst combined shunt operation. This patient was treated by me and Dr. Zhang last week, so I went home. I looked through the surgery records at that time, and I didn’t expect to use it today.”
After she finished speaking, she turned to look at the nervous parents of the child, and comforted her, "Don't worry too much, this operation sounds complicated, but it is actually very easy to do. The operation I performed abroad, the child five months, one month younger than your child, the operation was successful, and the postoperative effect is also very good."
Although there are some technical terms that parents don't understand, they can understand some words. For example, Huo Qianchu's education should be very good. She has stayed abroad and had such an operation once. Although she looks young, but Inexplicably, it feels a little believable.
The child's mother nodded quickly, "I'm sorry to trouble the doctor. With you here, I'm not worried, I'm not worried."
Dr. Liang looked at Huo Qianchu, nodded in satisfaction, and then said, "Dr. Huo, you and Dr. Zhang can do this operation together."
"Okay." Huo Qianchu immediately responded.
Director Liang glanced at Lu Song again. He couldn't directly criticize him in front of other people.He knew that Huo Qianchu didn't bring it to Lu Song, so he was somewhat resentful, and he held his breath to prove that Yuan Xingye was better than Huo Qianchu, but it's not good to have this kind of mentality, he had to have a good talk with Lu Song later.
Lu Song was extremely upset that he failed to stop Huo Qianchu and won her a chance for surgery, but he could see Director Liang's expression clearly just now, and knew that today could only end here.
Coming out of the ward, Cen Beichen slowed down and walked to Lu Song's side. While walking, he asked nonchalantly, "Deputy Director Lu, what did the Vice President promise you?"
(End of this chapter)
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