This doctor has a system

Chapter 182 180.1 minutes is really a long time

Unlike Zhao Xingye's confused situation, everyone on Hu Jiaran's side is very relaxed, and even got off work early today.

When they came back from the skewers, everyone went to the playground to exercise for a while.

"I want to declare for all men, 1 minute is really a long time!" Wang Liang did a plank for a while, almost unable to stand up.

I don’t know if there is such a person around you, that is, whatever words come out of his mouth, he will become indecent. Sometimes he just repeats it, or simply laughs, then the sentence is dirty, Wang Liang is That kind of people.

Hu Jiaran looked at the bright moon in the night sky and asked, "Wang Liang, what is the next sentence of the bright moonlight in front of the window?"

"Be kinder to Mingyue?" Wang Liang asked.

The guy's answer really didn't disappoint me, Hu Jiaran was very satisfied.

Ding Changlin is a chief physician in the Respiratory Medicine Department of the Second Hospital of Shanghai City. His ancestors have been doctors for three generations, and he is a veritable family of doctors.Ding Changlin was influenced by his father since he was a child, and determined to become a famous doctor who saves the world and saves people.

He is an out-and-out genius who studied in the top universities in China for his undergraduate, master and doctoral degrees. After graduation, he has been working in the Department of Respiratory Medicine and has been well-known in the domestic respiratory field.

Some time ago, Director Ding encountered some minor setbacks. A patient with a narrow airway encountered trouble when placing a silicone stent. Although he tried a lot of methods and even called his instructor for help, he still failed. end.

He has been thinking about this for the past few days, and checked a lot of information when he went back, and now he has a new solution in his heart.Thinking of this, Ding Changlin called out the patient's contact information.

"I'm Doctor Ding, how is your father?"

"What, you went back to your hometown? Did you leave the bracket?" Ding Changlin was a little disappointed.

"Let it go?!" "Is there a report? Send me a copy?"

After hanging up the phone, Director Ding didn't quite believe it. He remembered that the level of medical treatment in Hannan was very average. Could it be that some big experts ran over to do it?

Soon the patient's family members sent him a graphic report of the bronchoscopy. Seeing the well-fitting stent, Ding Changlin was a little unbelievable. Now he is very curious about how the stent was put in.

"Old Li, take a look at this report." He also sent a copy to his colleagues.

"Isn't this your patient? How did you put the stent in?" Colleague Lao Li quickly replied: "His position is not easy to handle."

"I don't know either. The patient was treated in his hometown, the local Provincial People's Hospital." Ding Changlin replied, "Do you know the people over there?"

"It seems that there is a younger brother over there, let me ask tomorrow."

Director Pan is currently working on courseware. He has a meeting recently. He originally planned to talk about a relatively special infection case, but Gao Feng showed him something.

Pan Weiyun couldn't sit still, and after obtaining Gao Feng's consent, he sorted out the case. The topic was called: Application of perforation technology in airway Y-shaped silicone stent.

After finishing writing, he sent a copy to Gao Feng, "See if there is any improvement?"

There must be!Gao Feng felt that what he wrote was only superficial, so he picked up a pen and corrected it, "I added a little something for you." He sent it back to Director Pan.

Seeing that the original 8-page PPT was changed to 47 pages, Pan Weiyun felt a lot of pressure. Is this the little point you mentioned? ! !He couldn't wait to watch it.

The next morning, while Pan Weiyun was in the outpatient clinic, the seriously ill Director Sun came to him.

"Old Pan, I have a question for you." Director Sun is Lao Li's younger brother from the Department of Respiratory Medicine, Second Hospital of Shanghai. "You have a patient, the one with the stent." He took out the report and showed it to Director Pan.

"Is there a video of the operation?"

"What's the matter?" Pan Weiyun was a little strange, "You are a serious patient, why do you care about this?"

"My brother asked for it. The patient was hospitalized at their place before, and the stent was not put in at that time." Director Sun explained, "I want to learn."

"If you want to study, it's not impossible." Director Pan smiled, "Hey, old sun, I haven't had a drink for a long time. I heard that the price of Moutai at 53° has increased, so I can't afford it!"

Old Sun came out of the consultation room cursing.

"Both videos have been emailed to you." Director Sun called his elder brother, Lao Li, and said, "I was even knocked on! You don't know"

"Okay, I'll treat you to a drink another day." Old Li was not in the mood to hear how his younger brother was blackmailed, so he hung up the phone quickly.

"I know it's still the same as before, killing donkeys!" Director Sun curled his lips.

"Punch?" Ding Changlin watched Gao Feng's operation in the video, feeling very uneasy. He really hadn't thought about it before, but now it seemed that a new door had opened.

"This doctor is so young." Lao Li said, "Apart from the experience, young people's thinking is more flexible, and they are not easily bound by rules and regulations."

The two were quite shocked, "It seems that we should go out and communicate with others more." Ding Changlin thought to himself.
-
Qi Nannan took time to go back to the dormitory.

"We all thought you were dead." The roommates expressed their concern in time.

"Why do you have such perverted thoughts?" Little Fatty was very dissatisfied, "Can't I elope with others?"

"Who elopes will find a little fat man!" A roommate laughed.

"I think it's inappropriate to describe Nan Nan as a fat man!" said another roommate.

Qi Nannan felt much better all of a sudden, I knew I would be noticed if I lost 3 catties!She felt a little flattered.

"Fatty people are tall and overweight." The roommate continued, "Low and heavy people like Nannan may be called Xiaodunzi."

Dogecoin dormitory, never want to come back!Qi Nannan's mentality collapsed.

Everyone talked about it for a while, and from them, Qi Nannan learned another bad news, that is, the roommate who slept in her upper bunk found a boyfriend!
It was a bolt from the blue! "They won't be happy." Qi Nannan murmured.

"When will I get married?" A roommate was a little worried, "No one teases me."

"It's no good getting married." Someone said: "Think about it, do you need to wash clothes when someone else's wife?"

"need."

"Do you want to do housework, wash the dishes?"

"It seems that I also want to, but I can let my husband share it."

"Then why not just be the mistress? Just take a shower."

"I beg you, don't poison my pure heart anymore." Qi Nannan was speechless.

What Director Pan said at the meeting aroused the interest of many people, which gave him a sense of accomplishment.

"Old Pan, don't just talk about the beginning! Isn't this tantalizing?" A director who is familiar with him said, "I didn't even understand it, so hurry up and do something."

Director Pan is stupid, I've obviously finished talking!
"I said it at the beginning. This was made by Dr. Gao Feng of our hospital. I also know about it." Director Pan was a little bit overwhelmed by everyone's questions. "Next time, I will ask him to come over and share with you."

"Is that Gao Feng who is natural?" someone asked.

"Yes, you know that too?"

"Aren't you talking nonsense?" The man was speechless, "Who in our province breathed naturally in the past few years? Isn't it just this one seedling!"

After Director Pan went back, he found Gao Feng, "Everyone is very interested in this, and you should talk about it someday."

Gao Feng is currently undergoing a bronchoscopy. This is a patient with a foreign body in the airway.

Patient Lao Li, male, 61 years old, usually likes to eat grapes. His wife bought him 2 large bunches at the fruit shop. After washing them, Lao Li couldn't wait to taste them.

"Well, it's quite sweet, not bad!" Lao Li was very happy, maybe because he ate too fast, he felt a tickle in his throat, and subconsciously inhaled, a tragedy happened
"It's broken!" Lao Li almost choked to death, "It seems that a grape has been sucked into his lungs." He said to his wife in panic.

The wife was shocked, and hurriedly called to have her son rush back, "Why are you so ignorant, you can do this even if you eat a grape!" Worried, the wife couldn't help complaining.

"Let's go to the hospital quickly." On the way back, his son was terrified, and now he was relieved to see that Lao Li was still in good condition.

In the emergency department, a chest CT was performed, which showed a round high-density shadow at the orifice of the right lower lobe, which should be where the grapes stayed.

Since the inner diameter of the right bronchus is relatively thick, short and straight, it forms an angle of 25 degrees with the extension line of the trachea, while the left trachea is relatively thin and long, so foreign bodies in the trachea are generally found in the right bronchus.

"Doctor, what should I do? Do you need a thoracotomy to take it out?" Lao Li's son was a little worried. His father is not too young. If he had an operation, he would call his elder sister and second sister. of.

Otherwise, something went wrong, and his small shoulders couldn't bear it.

"There is no need to open the chest, bronchoscopy should be able to solve the problem." Ma Liang, the receiving doctor said, "Wait a minute, I will call the respiratory doctor to confirm."

"After the blood test results come out, let him come to the bronchoscope directly." Gao Feng said after learning about the patient's situation.

More than 2 hours later, Lao Li came to the bronchoscopy room accompanied by his family.

"Is there any underlying disease?" the anesthesiologist asked.

"No, I have always been in good health, and I have never been hospitalized since I was a child." Lao Li quickly replied.

"That's good." The anesthetist likes such patients the most, and the risk of anesthesia is small.

"Small test: A mischievous grape appeared in a place where it shouldn't appear. Please show your professional skills to the scum here. You can get 5 skill points for completing the task, and 20 skill points will be deducted if you fail." System release task.

Send sub-questions!Gao Feng felt no pressure in his heart.

After signing the relevant informed consent documents, Lao Li was simply turned over, and Gao Feng picked up the bronchoscope and inserted it.

Because it was a foreign body, the trainee doctors were very interested. Everyone stood on the 2nd floor inside and out, which made Gao Feng very motivated to show off his skills. He flew up with a bronchoscope.

"When passing the glottis, you must be quicker. The mirror should not stay in this place all the time, or the patient will feel uncomfortable in the throat after waking up, and there is a small probability of causing laryngeal edema."

"See, the mirror must be in the middle of the airway and touch the tube wall as little as possible."

"When adjusting the angle, just move your wrist. You don't need to stretch your head into the screen. No matter how hard you try, you won't be able to get in."

(End of this chapter)