This doctor has a system

Chapter 247 236. I am already level 200!

"No, isn't your span a bit too big?" Wang Liang asked.

"Is it big? Aren't they all selling houses?" the sales consultant asked, "Even the sales techniques are similar."

seems to be
"Has there been any change in income? Is it higher or lower?" girlfriend Liu Fang was very curious.

"It's a bit low. It's harder to earn money from a living person than from a dead person." The sales consultant sighed, "And living people have a lot of things to do, so they often come to the sales department to defend their rights."

"This is an off-plan house and you haven't handed over the house yet. What rights are they here to defend?" Wang Liang asked warily, "Isn't it because the documents are incomplete?"

"No way, we have all five certificates." The sales consultant was anxious.

"Some time ago, the sales department launched a price reduction promotion, and the owners who bought it before were not happy and did not allow us to reduce the price, saying that this was harming their rights and interests."

"I complained about the high housing prices and low rights protection. Anyway, it is difficult to maintain." The sales consultant said, "My previous owners were very satisfied with my service."

You're talking nonsense, they've already done it, how can they still be dissatisfied with you?

"If that doesn't work, let's take another look. I feel like they have a bit of a dark atmosphere here." Liu Fang whispered.

"Sister, we have the central air conditioning on here. You are wearing a little too little!" the sales consultant said with a dark look on his face.

"It's not decided yet. I'm going to take time to take a look next week." Wang Liang said to Yue Penghui after he came back.

"Then you didn't waste the whole day in vain." Yue Penghui replied while playing the game.

"How can you call it a waste of time? That's how it is when buying a house. You have to shop around." Wang Liang said after taking a sip of water.

"Pull him down, it's a waste of time." Yue Penghui didn't even raise his head, "I'm Kundu at level 200!"

"Such a dick?! Come on, let me play with you."
-
"What are you doing here?" Gao Feng saw Li Xun as soon as he came in the morning. "Director Shen, do you want to see me?"

"No, didn't you say you would write about natural science topics before? Director Shen meant that I would directly follow you from now on." Li Xun said, "I'm here to report today."

As Director Shen's favorite disciple, it is a foregone conclusion that Li Xun will stay in the hospital. This is a fact that everyone has accepted in their hearts.As long as the doctoral student of the department director wants to stay in the hospital, it is a sure thing. If anyone feels that he can't do it, then he is not worthy of staying in this department.

EQ is too low!

Director Shen had also mentioned before that Li Xun should come and serve as a subordinate doctor to Gao Feng. Gao Feng thought it would be after graduation, but he didn't expect that he would let him come now.

"Do you care about patients?" Gao Feng asked.

"No matter what, I haven't been in the clinic for long before, so my ability is this." Li Xun felt a little embarrassed.

Although he has a doctorate, clinical experience cannot be learned from books. Unless he has been a resident physician for several years, his level of medical treatment will not be much higher no matter how highly educated he is.

House slaves with two surnames!Dong Qianqian thought to herself, and another one came over to hug her thigh.

While several people were talking, Director Shen came over. The old lady seemed to be in a good mood.

"Gao Feng, I'll leave Li Xun to you. You can handle him more." Director Shen said, "Although he is a bit dull, he is still quite smart."

Such people are very suitable for clinical practice.

"He hasn't graduated yet, so the bonus won't leave the department." Director Shen specifically explained that it was just a small amount of money anyway, and there was no need to let others gossip at this critical moment.

Moreover, she has several projects under her name. No one can find anything wrong with her spending even a little bit.

Dong Qianqian felt much better now. They paid bonuses based on the group's income. If there was one more person for no reason, the bonus would definitely drop a lot. Since Li Xun was working at his own expense, she felt she could accept it.

"Welcome new colleagues!" Dong Qianqian took the lead in applauding.

Li Xun was a little excited in his heart. He was finally going to embrace Gao Feng's thigh. From today on, he would hold the throat of fate, he would seize the tail of opportunity, and he would open his arms.
"Where do you live now?" Gao Feng asked.

"It's right next to the hospital. I've rented a house." Li Xun responded quickly.

"Okay, tell me if you have anything to do." Gao Feng said.

Li Xun nodded vigorously.

Where did he think of it just now? Yes, he wants to spread the wings of his dreams, he wants to reach the pinnacle of life, and he wants to get married.
"Sister Sissi, I found that you like drinking water very much."

"Yes, drinking more water is good for your health." Dong Qianxi responded with a smile.

It was getting cold. In order to let herself drink more hot water, Dong Qianqian spent a lot of money to buy a high-quality thermos cup. After a whole morning, she scalded her mouth 8 times without getting a sip of water.

In the afternoon, a patient was transferred from the hospital below. Dong Qianqian went to a quality control meeting, and Gao Feng took Li Xun to receive the patient.

The medical record stated that the patient was referred because of severe cough, and the symptoms had not improved for more than six months.As soon as Gao Feng saw the contents of the referral report, he immediately became more energetic.

Needless to say, such a chief complaint, sustained for such a long time, must be a complex case that requires some thinking.

He is going to take Li Xun to a big fight today!
But when he saw the patient, Gao Feng's list of differential diagnoses that could cause persistent coughs was reduced by more than half.Needless to say, serious illnesses such as tuberculosis, infections, lung cancer, emphysema, etc. are very unlikely.

The patient is a middle-aged lady, with pale skin with a hint of pink, and light yellow hair styled into a half shawl. She not only looks healthy, but also has the unique charm of a mature woman. She is also very beautiful, and is completely connected to the image of the "patient" Can't get up.

As soon as the two of them entered, the female patient sitting on the bed and the male companion on the chair beside them both stood up.Before Gao Feng could introduce himself, the female patient had already held his hand.

"Hello, doctor! I am Zhou Ziqi, and this is my brother. Are you the doctor who is treating me? He looks so young."

It could be seen that the patient was quite talkative, so Gao Feng responded briefly.

"What's wrong with you?" Li Xun asked.

"I'm fine, thank you doctor. How should I put it? I just keep coughing and it's very bad. When I cough, I feel like I can't stand it. The coughing makes me almost out of breath and I faint. I have to hold on to the wall quickly, and I have to hold on to the wall. Hold your chest. Yes, you see, that's it. My chest hurts like it's about to tear apart. I know you're going to ask, I can't tell you when. I cough during the day and at night..."Before he could finish a long string of words, Zhou Ziqi really started coughing.Her brother was already prepared. He jumped up and helped his sister.

Why do you talk so fast? What does this person do?Li Xun was a little curious.

"Don't worry, speak slowly. Can talking loudly trigger it?" Gao Feng asked.

It took Zhou Ziqi several minutes to regain her composure, but she still spoke quickly and urgently.

"That's right, doctor, I'm a tour guide. If you want people to listen to you, you have to shout loudly. But I haven't gone out with a group for more than three months, and now I cough like hell whenever I talk. If you do this again If it goes down, I should be unemployed.”

Listening to the patient's complaints, Gao Feng couldn't help but smile and thought to himself, "How about a few words? Gao Feng took out a chest CT from the large pile of examinations brought by Zhou Ziqi and hung it on the radiograph light box. Try to guide the other party to focus on her current medical history and past history. The lesions shown on the CT film are quite serious. Half of the right lower lung looks like a honeycomb with severe fibrosis, while the other parts of the lungs are completely normal.

Zhou Ziqi had no other past medical history. The only condition was that she had a congenital web membrane in her esophagus that caused esophageal stenosis.The gastrointestinal specialist had used an endoscope to perform esophageal dilation on her twice, but this usually did not cause severe coughing.

"You still smoke when you cough like this?" After asking her about her living habits, Li Xun couldn't help but ask.

Zhou Ziqi's cough is a typical symptom of airway irritation. In this case, the tracheal mucosa is in an inflamed state. A very slight irritation, such as talking loudly or bringing a little more cold air into the airway, is enough to cause a cough. The most typical example is whooping cough. , the situation is similar during an asthma attack.

As if someone had exposed her shortcomings, Zhou Ziqi immediately became a little embarrassed, "It's hereditary. My dad is a heavy smoker and he passed it on to me."

It was the first time Gao Feng heard that smoking was hereditary. Women were indeed unreasonable and could blame everything on others.

"And I haven't smoked in a long time."

"Have you quit?" Li Xun asked, "That's okay."

"I'm coughing so much that I can't even cough."

Gao Feng, Li Xun.

Gao Feng pointed out the lesion on the CT scan to the patient and told him that such a localized lesion with very clear location and boundaries must undergo bronchoscopy.

In fact, the biggest concern in this situation is tumor compression.But Zhou Ziqi was generally in good condition, and even if there was a tumor, it should not be malignant. However, Gao Feng did not mention the speculation of a tumor, because there was no real evidence and he did not want to cause this beautiful young woman to worry that might be completely unnecessary.

But always give a good reason why you need a bronchoscopy.Bronchoscopy obviously carries risks. As an operation that must be performed under sedation and anesthesia, the risks and reasons must be explained before the patient can be asked to sign an informed consent form.

Zhou Ziqi seemed to see Gao Feng's embarrassment and agreed without hesitation without waiting for him to explain, showing her complete trust in the doctor.

Gao Feng suddenly liked her a little bit.

Who doesn’t like people who are beautiful and obedient?

Qi Nannan returned to the dormitory again, with only one roommate there.

"What about the rest?"

"Two of them went out to fall in love, one worked the night shift, and the other one went to the gym to take a shower." Roommate Hui reported that some people's fitness cards are actually shower cards.

"Why don't you find something to do? Do you like being alone?" Qi Nannan handed the other party a big grapefruit.

"Who likes to be alone? I just don't have money to go out and hang out!" The roommate used all his strength to squeeze the grapefruit peel.

"Didn't you just get paid?"

"I was given 2800, which is not enough for anything!" the roommate complained.

The salary is 2800, a little bitter gourd in the world.

"You can still fall in love even if you can't get money." Qi Nannan said, "Isn't there a boy chasing you some time ago?"

"What's wrong? The standards for choosing a mate are very high?"

"Actually, I didn't have any criteria for choosing a mate before, until I met this boy who was chasing me. At that time, I told myself that I couldn't get someone so ugly." The roommate gritted his teeth and finally peeled off the grapefruit peel.

Qi Nannan couldn't help laughing after hearing her words.

"Why are you laughing?" The roommate looked at her inexplicably, "No one is chasing you even though you are ugly, so you still have the nerve to smile?"

"Give me the grapefruit back, I'm leaving now!" Qi Nannan reached out to scratch her roommate on the upper bunk, but was kicked several times by her roommate.

"Why don't you sleep?" Li Xun stayed in the department writing the National Natural Standards until about 10 o'clock in the evening. When he was leaving, he found Zhou Ziqi walking in circles in the corridor.

"I can't sleep. I have always had the habit of insomnia." Zhou Ziqi said, "I went to see a psychiatrist before."

"What did the psychiatrist say?" Li Xun asked.

"He suggested I sleep on top of my eight-pack."

Li Xun
"Don't be nervous, Teacher Gao's bronchoscope is very good." He comforted the other party.

When Gao Feng came to the bronchoscopy room, Li Xun had already arrived with Zhou Ziqi. The boy smiled happily. It seemed that everyone liked to be close to beautiful things.

As the saying goes: Girls seduce people, young women seduce people, and Zhou Ziqi is obviously the latter.

Gao Feng felt that he had to remind Li Xun that it was not good to have a relationship with a patient that went beyond the doctor-patient relationship.

Li Xun seems to be very honest, but as the saying goes: Be honest, be honest!
"How should I cooperate with you later?" Zhou Ziqi asked.

"You don't have to cooperate with him, you just need to cooperate with me." Before Gao Feng could answer, the anesthesiologist Wu Xingfeng said first, "My arm will be a little painful when the anesthesia is administered later, please bear with it."

After explaining to the patient, Wu Xingfeng quickly injected the anesthetic into the infusion set, and Zhou Ziqi quickly fell asleep quietly.

On the monitor screen, the camera passes through the glottis and into the trachea.As expected, the diffuse congestion and edema of the tracheal mucosa must be a change caused by recurrent esophageal reflux aspirated into the lungs.The bronchoscope was advanced forward and passed through the isthmus where the main bronchus bifurcated. There was no abnormality at the opening of the right upper bronchus. Then, turning downward, there was the combined bronchi leading to the right middle and lower lungs.

"There's a mass in front of me!" Li Xun exclaimed.

It was a soft tissue-like oval mass that tightly connected to the opening of the right lower bronchus, forming a spherical valve, causing complete obstruction, and the right lower bronchus could not be seen at all.Unexpectedly, the situation was much more serious than Gao Feng expected. This was not seen on the chest CT.

Gao Feng signaled the nurse to take a biopsy. The tumor was located within the lumen, so it was relatively easy to take the biopsy.

"Open the forceps, move forward, clamp!" Following Gao Feng's command, the nurse's biopsy forceps went down and bit into the center of the tumor.

"Bite, okay, now recycle!"

Staring at the pliers on the video screen, what shocked everyone present was: the entire tumor was pulled out as the pliers moved backward!

Gao Feng hurriedly pushed the bronchoscope forward. After taking a large biopsy, large wounds often caused massive bleeding or even continued bleeding. If you are not careful, it can easily cause suffocation.

The first treatment plan at this time is to use a tracheal lens to block the bleeding bronchus to minimize bleeding.

(End of this chapter)