This doctor has a system

Chapter 238 226. Isn’t it enough just to have legs?

"He really deserves to die!"

"Wai Ri, he's half as good as me! I'll kill him severely tomorrow!"

"Seriously agree!"

"There's nothing I can do about it. This guy is very capable and lucky. He's solved a lot of problems. I remember he participated in all the five most critical points."

"Yes, he redesigned some of the experimental procedures in the middle."

Yue Penghui walked up excitedly, "Family members, can anyone get me a sack?"

He also didn't expect that he would still have a sack to hold money.

It's a pity that no one around him is interested in him. Everyone is wishing that he couldn't take it. Their hatred of the rich is at its most vivid at this moment.

"Brother Yue, can you order it separately for each family member?" someone asked.

"If you raise money, you are not my family." Yue Penghui.

Gong Fanshun was greatly shocked at this moment. He also made a lot of money when he opened a company with Lu Yingtao a few years ago, but he was the boss at that time, and he had never seen such a wealthy person when he was an employee. company.

"Everyone must work hard in the future and not let down the company's expectations." Zhao Xingye came to the stage to make a summary. Seeing so many years taken away, Manager Zhao's heart was bleeding.

Fengxin Technology’s money distribution caused a huge shock in the industry.

"This is completely malicious competition." The CEO of an unknown medical company expressed his opinion, "Sooner or later this company will become corrupt."

"Don't be fooled, I have a cousin in it. This is a gimmick by their company." Someone posted.

"Is it true what you said upstairs?"

"Of course it's true. You lied to me so that I could never find a husband in my life." A certain burly man replied quickly in front of the computer. At the same time, he opened his email and checked it.

"The HR of Fengxin Technology is not very good. Why haven't I received a reply to the resume I submitted yesterday?"

"More than 1000 million yuan is just gone." Zhao Xingye complained to Li Youliang, "As the company's top management, controlling costs is our responsibility. We can't be so lavish in the future."

"Yes, you are right." Li Youliang handed him a small bag.

"What?" Zhao Xingye took it easily and it was quite heavy.

"Your share."

Zhao Xingye's wife opened the door and came in with her children, and found her husband sitting on the sofa smoking.

"How come you don't have any discernment?" The wife was very dissatisfied. "I've been twisting the key outside for a long time. Why don't you come over and open the door?"

"I told you that the lock is rusty. I asked someone to repair it. It's like having no ears."

"Why are you sitting there in a daze? You come back so early and you don't know how to pick up the kids?"

"I'm really convinced by you. I should be the only one to do the work at home, right?"

"I'm talking about you." Before she could finish her words, Zhao Xingye threw a bag over.

The wife picked it up subconsciously and almost sat down on the ground, "Zhao, what did you throw? It's so heavy!"

She opened the bag angrily, revealing stacks of hundred-dollar bills, and her anger disappeared in an instant.

"Husband, where did the money come from?"

"What do you think? It must have been issued by the company." Zhao Xingye blew out a puff of smoke.

The wife couldn't help but cough. She didn't like the smell. Zhao Xingye usually stood on the balcony and inhaled.

"Why does your company give out money?" she asked, "It's not a holiday or a new year."

"The company's previous clinical trial of a generic drug has passed. This is a reward from the boss."

"I said I didn't want it, so I had to give it away." Zhao Xingye said.

Fool, my wife said in her mind.
-
Tonight is Gao Feng's second-line shift. He is lying in the second-line duty room as if in a daze, and his consciousness has reached the system space.

The progress of the third-generation ERFR inhibitor code-named "X" has reached the final 1/5 stage. If the progress goes smoothly, it will be almost completed in another half month.

Recalling everything he experienced in the system space, he couldn't help but shed sad tears. It was not easy.

I don't understand why there are so many temperature control adjustments in the experimental steps. Not only does the experiment fail, but it explodes beyond recognition every time.

As a result, when he hears a strange sound now, his first reaction is to turn around and run away.

"Doctor Gao, orthopedic emergency consultation." A nurse ran over and said, "There is a patient with severe hemoptysis."

Hemoptysis?The high wind drew attention, and hemoptysis at night was not a good thing.

It is well known that a patient who coughs up blood at night is not a good patient.

Now this bad patient is vomiting blood bit by bit, and the anxious-looking family members are holding a basin aside to continue. The scene does not look very optimistic.

Patient Zhou Kang, male, 47 years old, had a small act of willfulness 10 days ago.

The road in front of his home was being renovated by the municipal government, and a deep ditch about 1.5 meters wide was dug. When he went to work, he had to detour 250 meters.

250 meters, which is too scary for a lazy middle-aged man. He was hesitating whether to ride an electric bike today, when a young man crossed over in front of him.

It seems to be very simple, only 1.5 meters, but it doesn't even have legs.

Zhou Kang felt that he could do it, so he stepped back 2 meters and then started to run. His speed was very fast. Of course, he would fall into the ditch even faster.

His left leg was broken by the numbness. Zhou Kang was crying in pain under the ditch. Fortunately, two passers-by happened to be passing by.

"No, did he jump in on purpose?" One person was a little confused.

"Probably not. I think he just has short legs and couldn't cross over." Another person said, holding his chin.

"He looks quite tall."

"He is tall, but his legs are short. If you look carefully, his upper body is longer."

The two chatted speculatively for more than 10 minutes, "Why hasn't the ambulance come yet?"

"I don't know. Logically speaking, this place is very close to the Provincial People's Hospital." Another person also felt a little strange.

After 30 seconds of silence, someone suddenly asked, "Did you just call 120?"

"No, I thought you hit me."

Zhou Kang howled louder at the bottom of the ditch.

Zhou Kang had an orthopedic surgery and is currently recovering well.But this afternoon I don’t know what happened, but he started to cough up blood. At first, there was just a little blood in the saliva, but by the evening it turned into mouthfuls of blood.

The doctor on duty at the orthopedics department was very nervous. During the operation, the blood was much more than this, and he was not afraid at all. But now the patient was spraying out bit by bit, which made him very embarrassed.

"The patient has a history of bronchiectasis." The doctor on duty picked up the chest CT and asked Gao Feng to look at it. "Could this be the cause?" Hemoptysis due to bronchiectasis is very common.

It doesn’t quite look like it. The high wind feels a bit strange. Although the patient has bronchiectasis, the chest CT this time showed that there was no surrounding infection.

Hemoptysis in patients with bronchiectasis usually occurs when combined with infection.This patient has not caught colds or colds in the past few days, but the sudden onset of hemoptysis is quite strange.

Gao Feng carefully auscultated the patient's lungs and found that the breath sounds in both lungs were slightly thick, and no obvious wet and dry rales were heard.

"Why should patients use rivaroxaban?" Gao Feng asked his own question.

Rivaroxaban is generally used to prevent the formation of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients following hip and knee replacement surgery.The common adverse reaction is bleeding.

"He has venous thrombosis in his lower limbs. This is used to prevent pulmonary embolism." The doctor on duty explained.

"Teacher, do you think this patient may have pulmonary embolism?"

You should know that pulmonary embolism can also cause hemoptysis, especially if the patient has undergone fracture surgery and is a high-risk group for pulmonary embolism.

"Unlike, there is nothing abnormal in his electrocardiogram, his finger pulse oxygen saturation is also normal, and the patient has no symptoms of chest tightness or chest pain, which is not consistent with the clinical manifestations of pulmonary embolism." Gao Feng said.

That's strange. Where does the unprovoked hemoptysis come from?
"Have you ever had hemoptysis due to bronchiectasis before?" Gao Feng asked.

"It happened twice." Zhou Kang replied while vomiting blood.

"Does it feel the same as this time?"

"What?" Zhou Kang was stunned for a moment, "It's different." He replied.

Gao Feng's eyes lit up, "What's different?"

"Those two times, no one was around to hold a basin for me, so I vomited directly on the ground."

Damn, that's not what I asked. Gao Feng was speechless. He suspected that the patient not only broke his leg, but also had hidden injuries on his brain.

"I'm asking you what's wrong with your hemoptysis? Do you feel like the blood is coming out of the airway or the esophagus?"

Isn't it gastrointestinal bleeding?Gao Feng was suspicious.

"No." Zhou Kang felt it, "I think the blood came out of the mouth."

The doctor on duty shook his head. Are you talking nonsense? Of course the blood came out of the mouth. Could it be that it came out of the skull?
Gao Feng was thoughtful after listening to his words, "Did your saliva have bloodshot eyes this morning?"

"correct."

"It's not gum bleeding, right?" Gao Feng said, "Do you have any problems with your teeth?"

"I don't know. Anyway, when I brush my teeth every morning, the foam I spit out is red," Zhou Kang said.

"Open your mouth!" Gao Feng took a flashlight and shined it.

"Quick, call someone." Gao Feng signaled to the doctor on duty, "It's gum bleeding. Let the dental department bring someone here."

"Ah?" The doctor on duty at the orthopedics department looked surprised. Are the gums bleeding so violently?

"Oh, your bleeding is quite serious." The dentist frowned, "You can't do this at your place, you have to go to our place."

After he said this, the orthopedic surgeon had no choice but to push Zhou Kang over together.

"I'll transfer the patient to you directly."

"No!" The dentist simply refused, and you were thinking about it. "I'll finish it, and you can push it back."

"The patient had bleeding from the gums on the jaw between the [-]th and [-]th place on the upper right side. I gave him a thorough manual scaling and hydrogen peroxide rinse." The dentist said, "If your rivaroxaban doesn't work, stop it for two days."

"Hey, you're back?" The uncle in the next bed was very happy, "I just thought they pushed you away."

"It's just a minor operation." Zhou Kang said weakly. He felt very weak after vomiting so much blood. If he had known better, he would not have crossed the ditch.

It turns out that there is still a gap between myself and Liu Xiang.

Gao Feng also returned to the ward now. There are many patients who can't tell the difference between hemoptysis and oral bleeding. It is usually common in situations where the amount of bleeding is relatively large.

His butt was still hot from sitting, and someone called for consultation.

You won't be allowed to sleep tonight, right?Gao Feng had an unknown premonition in his heart, and he was a little scared.

"I started having chest tightness half an hour ago." The doctor on duty in the cardiology department broke out in a sweat. "The patient has chronic obstructive pulmonary disease. He caught a cold two days ago. I thought it was an acute exacerbation of COPD, so I pushed him. One dose of methylprednisolone, but the patient still complained of severe chest tightness.”

"Has the heart problem been ruled out?" Gao Feng asked. The patient seemed to be breathing heavily, sitting upright, breathing profusely, and sweating profusely.

"The stent was placed 6 days ago, and I just did an electrocardiogram. Compared with before, it's fine." The cardiologist said, "The old man usually wears a non-invasive ventilator. I put it on him just now, but it still doesn't work. The oxygen The saturation has dropped a bit."

The situation is quite serious. If it is an acute attack of COPD, it stands to reason that if hormones are introduced and a non-invasive ventilator is put on, the patient's symptoms should be significantly relieved.

But Gao Feng took a look and found that the patient's finger pulse oxygen saturation was only 88%. When a normal person does not inhale oxygen, it is usually 99-100%, which is obviously low.

"Pause the ventilator and let me listen." Gao Feng signaled.

He put the stethoscope on the patient's chest, and then his face turned ugly.

"Quick! Take this ventilator off."

"What's wrong?" The cardiologist was a little puzzled, but he quickly followed the instructions. The person who came for consultation was Gao Feng, and he knew this outstanding person.

"Pneumothorax on the left side, if I continue to blow it, the patient will be blown away."

"Huh?" the cardiologist and the patient said at the same time.

Stop coding, Gao Feng is speechless.

"First give the patient oxygen through the mask and get the thoracentesis bag!"

A trainee hurriedly ran to the warehouse, and a nurse quickly brought a mask.

"Are you coming? Or am I coming?" Gao Feng asked.

"Come on."

Gao Feng quickly disinfected the second intercostal space of the patient's left clavicle, used lidocaine infiltration anesthesia after draping, and then inserted the puncture needle.

"Hissing" the air in the chest surged out directly along the needle track, which indicated that the pressure in the patient's chest was very high, which was caused by the ventilator he had just worn.

Originally, even if a pneumothorax formed, the air pressure in the chest would not be so high. However, after wearing a non-invasive ventilator, it is equivalent to having something pumping air into it all the time. The result is that the pressure in the left chest cavity is getting higher and higher.

If the ventilator is worn any longer, the patient may simply fall off.

The cardiologist broke into a cold sweat. It was so exciting tonight.

As the drainage bottle was connected, bubbles quickly poured out along the drainage tube, and bubbles bubbled in the drainage bottle.

　Hehe

　　
　
(End of this chapter)