This doctor has a system

Chapter 134 132. Are you twisting the Buddha beads

"My brother came back from Guangdong." Li Youliang said to Gao Feng, "You can't let him come to us as a handyman, and he can usually drive or something."

"Okay." Gao Feng thinks it's okay, "Actually, there's really no need for Jiaran to go on regular training, so let's just quit the training."

Hu Jiaran also didn't want to continue the regular training. He couldn't stay in the provincial hospital even after the three years of regular training. Under the current situation, he didn't want to go back to his hometown either.

"Tomorrow, I'll go to the training office to talk about it, and I'll leave when I'm done with Mr. Ma Liang in the emergency department." Hu Jiaran decided.

Several people chatted for a while, and then went back to each other, "Bring your brother over next time." Gao Feng explained to Li Youliang.

When she got home, Li Xinyao was sitting on the sofa eating an apple, and she was unhappy when she saw him come back.

"You don't even know that the group of people in the department are crazy. They will come one by one to ask about the situation of the two of us. I am annoyed by the tone of their speech."

"What's the trouble?" Gao Feng took the apple in her hand and took a bite, "It's the same in my department, everyone's eyes glow blue when they see me."

"There is a man named Shi Peiyuan, who saw that my teeth were crushed, and he trembled childishly."

"When are we going to get the certificate?" Li Xinyao asked.

"Didn't our mother agree, next Tuesday." Gao Feng replied, "Has the date changed again?"

"No change. My director told me to take you to get the certificate quickly, so as not to run away with others."

"Blame me for being too good." Gao Feng laughed, "Dr. Li, don't put too much pressure on you. After all, you have already got my body. I am still relatively conservative."

"Are you that conservative?" Li Xinyao rushed over, "Let me try again."

5000 words are omitted below.

"Please help me read the paper again." Gao Feng pushed the beautiful woman beside him, "I changed some places, and I plan to submit it in the next two days."

"Tired, let's do it tomorrow." Li Xinyao's whole body is limp now.
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"How are you doing today, old man?" Gao Feng took Zhang Tianci and Huang Liya on a routine ward round, and Dong Qianqian went to an asthma-related meeting today.

The old man with coughing syncope is much better. "I didn't cough very much today, and I didn't have a bad cough yesterday. I haven't fainted again." The patient is very happy, "I'm going to observe for two days, and if there is nothing wrong, I will be discharged from the hospital. Home."

"It's ok, you haven't found any problems with the others, just be careful not to catch cold in the short term after you go home."

"How is the old lady?" Gao Feng glanced at the bed next door, "Where is she?"

"I took my son to buy fruit for you." The old man smiled, "She's cured. She coughed for a while yesterday, and she will be discharged from the hospital with me."

"You are too polite."

The patient in bed 35 is a patient with lung adenocarcinoma. He had undergone 6 treatments in the provincial hospital before, but this time he came to see a doctor because of chest tightness and cough.Gao Feng looked at her chest CT and found that there was a large amount of pleural effusion on the right side and metastases appeared in the left lung.

Obviously, this is the progress of the disease, and the patient himself has noticed it, and his expression is a little depressed.

"You can do a genetic test. If there is a mutation, it is a good choice to take targeted drugs." Gao Feng suggested that the probability of EGFR mutations in lung adenocarcinoma is relatively high, and there are many types of targeted drugs. The financial situation is also good, and can afford expensive expenses.The key is that the patient is only 37 years old, and his children are very young. If the survival period can be prolonged, he should be treated as aggressively as possible.

"I heard that this targeted drug has many side effects, and it will become resistant later." The patient's husband was very worried. He had been under tremendous psychological pressure since the day his wife was diagnosed with lung cancer.

"Most of the side effects are relatively mild, and many people will not experience them." Gao Feng explained, "The current situation can only be taken one step at a time."

"That's fine." He discussed with his wife and decided to follow Gao Feng's suggestion.

At present, nearly 1/3 of the patients in the department are lung cancer patients. After seeing such scenes, Gao Feng has become a little numb, and he will feel empathy, but he will not say that he will feel uncomfortable for a long time.

When we found bed 53, we met Shi Peiyuan who was checking bed 55. "Doctor, I feel a little tight in my chest today, and my cough is getting worse."

The patient in bed 55 told Shi Peiyuan that he originally came to the provincial hospital for surgery because of a broken upper limb, but he started to have a fever again after the operation.

At the beginning, the orthopedic doctor thought it was the absorption heat after the operation, but the patient’s fever was getting higher and higher, and he also had obvious cough and sputum. Only after taking a chest CT scan did he know that it was a lung infection, so he turned to breathing Medical treatment.

"The inflammation on your lungs is relatively large, and it's normal to have a little chest tightness." Shi Peiyuan listened briefly with a stethoscope, "I'll ask the nurse to give you oxygen, and you should take a good rest." After speaking, he walked out out of the ward.

Gao Feng felt that something was wrong. Yesterday he saw this patient walking around in the ward, and he was in a good state of mind at that time.But he didn't think much about it, and half of the patients hadn't been checked yet.

"Life and death: Please take decisive measures to save Luo Linfeng's life. This task is an urgent task. After completing it, you can get 10 skill points." Gao Feng just sat in the office and was about to issue a doctor's order when he suddenly received a system task.

"Hurry up, Tianci, let's see which patient is named Luo Linfeng." Gao Feng stood up with a bang, "Quick!"

Zhang Tianci hastily brought up the general patient view, "It's bed 55, a patient of Teacher Shi Peiyuan."

As soon as he finished speaking, a nurse hurried into the doctor's office, "Doctor Shi, hurry to bed 55, the patient has lost consciousness right now!"

Shi Peiyuan was shocked and ran out quickly. "Let's go and have a look too." Gao Feng also rushed out with Zhang Tianci.

The nurse had already pushed the ambulance over, and another nurse went to get the ECG monitoring. The patient in bed 55 was lying motionless on the bed, and the pale face at the side should be his wife.

"Doctor, hurry up, save him!" The woman's voice trembled violently.

Shi Peiyuan panicked, "Hurry up, call the critically ill and ask them to come over for an emergency consultation." "Let the second line come here quickly!"

Gao Feng was really angry when he saw his flustered appearance, so he hurried up to check on the patient's condition, his breathing and heartbeat stopped.

He quickly started cardiopulmonary resuscitation, "epinephrine 1 mg static push." ​​The nurse in charge of the bed hurriedly followed the doctor's advice,

"Go get the endotracheal tube kit."

"Let the family members go out first."

While recovering, Gao Feng's brain was running wildly. He was thinking about why this patient suffered respiratory and cardiac arrest.

"It should be a pulmonary embolism!" The patient had recently undergone surgery due to a fracture, which is a high-risk factor for pulmonary embolism. He is not very old, so the possibility of heart problems should not be great.

"Doctor Shi, is there any problem with the patient's cardiac color Doppler ultrasound?" Gao Feng asked Shi Peiyuan, but there was no answer. He raised his head and found that Shi Peiyuan was not in the ward.

"What about others?" Gao Feng was speechless, "What did you do?"

The nurse shook her head, "I just went out and didn't come in again."

Zhang Tianci hurried out to look for it, and after 2 minutes, he came in with a strange expression, "Ms. Shi is over there in the corridor."

"What is he doing?" Gao Feng asked the nurse to push another epinephrine.

"In" Zhang Tianci was a little hesitant.

"Say!" Gao Feng was a little annoyed, "What is he doing?!"

"I'm reciting Buddhist scriptures, and I'm still twisting Buddhist beads in my hand." Zhang Tianci said in a low voice.

(End of this chapter)