This doctor has a system

Chapter 342 413. Aunt, I can’t tell you are quite violent.

Even Academician Wang next door envies the teacher's luck.

"By the way, how is your senior brother's project?"

"It's not bad." Xiong Huaxin replied, "He is still testing targeted genes recently, but there are many difficulties in this area. He can't find anything for reference, and the progress is always stuck."

"If there is something for reference, it's his turn to make it." Academician Bao said, "If you want to get ahead, you have to make something new. Things are different now. If you don't have something that you can use, it's useless for anyone to speak for you. of."

In the past, there was a lack of information channels, but now everyone may know something at the time, and everyone's eyes are on it.

Academician Bao has high expectations for Xiong Huaxin's senior brother. In his eyes, the latter is his academic heir, and the students and former officials behind him will all rely on him to take care of him in the future.

But the latter is obviously not able to shoulder this responsibility at present. He can take out a lot of things in his hands, but the portions are still a bit uninteresting.

Academician Bao is not a pedantic person. In recent projects, he has given up his contribution to his disciples.

But what can I say? Everyone’s eyes are sharp, and this is not a long-term solution. What will he do after he retires? It's not something people just talk about when they leave. He has seen this happen too many times over the years.

"The thing I regret most now is that I usually neglected to teach you." Academician Bao sighed, "Actually, Senior Brother Qian Wu is the most talented among the students I have taught. It's a pity."

"I am jealous of the talent." Xiong Huaxin comforted the teacher.

The fifth senior brother is the best among Academician Bao's students. He was the top scorer in the college entrance examination in Jiangsu Province that year and came from a medical family.

When I was in college, I was ranked first in every subject in my grade. I started following Academician Bao when I was a graduate student. He performed extremely well in scientific research and clinical practice. After graduation, he naturally stayed at Union Medical College.

Academician Bao has always trained him as his successor and devoted a lot of effort to him. However, something unexpected happened and the latter had a car accident seven years ago.

This incident was a huge blow to Academician Bao, and it took the old man two years to recover.

"Teacher, actually I have been having an idea recently." Xiong Huaxin said suddenly.

"Say." Academician Bao glanced at him.

"What do you think of Gao Feng?"

"Very good." Academician Bao replied, and then he was stunned for a moment, "Huaxin, what do you mean?"

"I think it would be better to place all my hopes on my senior brother." Xiong Huaxin did not continue what he said next.

He originally thought the teacher would say something, but Academician Bao remained silent.

"It depends on the situation. In fact, what you said seems to make sense."
-

"Aren't you here to cause trouble?" A doctor-patient conflict was breaking out in the Traditional Chinese Medicine Clinic.

"If you're not good enough, just tell me. I'm here to see a doctor!" The patient was also very angry.

Gao Feng was chatting with an aunt at the general clinic when he suddenly heard an argument.

He and the aunt looked at each other, and they stood up at the same time with a tacit understanding. Li Youliang had already ran out at this time.

You can see the disease at any time, but the excitement may only last a moment, so you must seize the time to go and watch.

"What's going on?" Li Youliang took the nurse sister's hand and asked, "Director Ai has a good temper. I've never seen him get angry."

"I don't know, I'll ask." The nurse sister was also wondering. Less than ten minutes after the patient entered the consulting room, the two people suddenly started arguing.

"Let's calm down first." She stepped forward to persuade him.

"Comrade, please sit down and rest for a while." Another triage nurse said to the patient.

After asking around, everyone finally figured out the truth of the matter. This matter is really hard to explain.

The patient had caught influenza a few days ago and was burned to the point of death at home. He has managed to survive it in the past few years, but he still has some sequelae.

I break out in sweat whenever I move, even when I sleep at night.

"You are weak." A familiar neighbor said to the patient, "You can drink some Chinese medicine to treat it."

The patient was actually not very fond of Chinese medicine, but several people told him so. He thought about it and came to the Chinese medicine department today to register.

Director Ai first looked at the tongue coating, and then began to feel the latter's pulse.

As soon as he put his hand on it, his expression changed and he couldn't feel his pulse.

Damn it, this is a death vein! Director Ai broke into a cold sweat in an instant.

"Are you okay?" he asked tremblingly.

"It's not very good." The patient's answer made Director Ai even more frightened, "I feel very weak and I keep sweating."

"what about others?"

"The rest is gone."

Director Ai fell silent, and his brain began to work rapidly. Did I encounter a ghost? !

"Comrade, why don't you have a pulse?" he asked.

"Ah?" The patient was also startled, "Do I have no pulse? I don't know?"

Director Ai changed his hand and touched it again, but there was still nothing. When he was wondering, he saw the small bag on the patient's chest.

"What is this?"

"Oh, this is the battery for the artificial heart." The patient replied.

"Did you get an artificial heart?" Director Ai broke his defense, "What are you doing? What kind of pulse does the artificial heart ask me to take?"

"I didn't know that the artificial heart had no pulse." The patient also felt aggrieved, "No one told me about this before."

After the misunderstanding was resolved, everyone dispersed.

"Hey, it's boring. I thought we were going to fight." Auntie said to Gao Feng regretfully, "People nowadays are bloodless."

"If there's anything you want, you should have a fight first. What's the fuss about?"

Gao Feng, Li Youliang.

"Auntie, I can't tell you are quite violent." Li Youliang smiled.

"That's right, I have practiced boxing before." The aunt said proudly, "I am very fierce."

"Auntie, you need to get your blood checked," Gao Feng said, "to see if your blood lipid level is high."

"Ah? We still need to draw blood?" The aunt was so frightened that her face turned pale. "Can you not draw blood? I'm dizzy."

Some people pull as much as they want every day, but if you really get to know her, you will know that her mouth is the hardest part of her body.

"Gao Feng, I have an acquaintance who needs to be hospitalized." Director Wang of the Medical Education Department called him. "It seems that he has just been operated on for some kind of tumor. He has a fever these days." This is the first time that Director Wang has been hospitalized for an acquaintance. I contacted Gao Feng about the matter, and the latter paid enough attention to it.

The patient, Wang Yunsheng, is a distant relative of Director Wang. He was diagnosed with pancreatic cancer three months ago at a top domestic hospital and has already undergone surgery and chemotherapy.

Five days ago, the patient developed a fever after catching a cold at night. At first, he only had a mild cough. As time went by, his condition progressed. Now he coughs much more frequently and also coughs up some yellow phlegm.

Gao Feng picked up the stethoscope and listened and found that some fine moist rales could be heard in the patient's right lung.

"It's most likely a lung infection." He said to the patient, "Let's take a X-ray and take a look."

The patient had a slight fever and was not very energetic at the moment, but he still cheered up and went for a chest CT.

The results came out quickly. Both lungs were slightly inflamed, and the right lung was a bit more infected.

"From the imaging point of view, you have a typical bacterial pneumonia." Gao Feng explained to the patient and his family, "You need to take antibiotics regularly for a few days, and then check again."

"Okay." The patient and family members responded.

It can be seen that this family has great trust in the doctor and their compliance is very high. The doctors like to take care of such patients. In the doctor-patient relationship, trust cannot be replaced by anything else.

Wang Yunsheng's condition improved quickly after taking antibiotics. First, his body temperature was under control and his cough gradually eased.

"Director Gao, our old man Wang is about to undergo his second round of chemotherapy for pancreatic cancer." Wang Yunsheng's wife found Gao Feng that day, "Director Liu over there is urging him to go in the next few days."

"The situation here is actually about the same." Gao Feng said, "I should be able to be discharged from the hospital the day after tomorrow. It won't delay things."

"That's not what I meant." Wang Yunsheng's wife said, "Our Mr. Wang doesn't want to go there anymore. Can he continue the chemotherapy here?"

It turns out that Wang Yunsheng has noticed that his health has been deteriorating since his surgery. He recently had the idea of ​​​​returning to his roots and did not want to go outside the province again after returning home this time.

"There's no problem here." Gao Feng said casually. There are only a few chemotherapy drugs for tumors. General chemotherapy can actually be given in county hospitals.

"Okay, let's do it here." The family members were very happy.

"Bring over your previous medical records and let me take a look at them again." Gao Feng called to her, "We need to combine the previous plans."

Under normal circumstances, as long as the patient has no major adverse reactions, the chemotherapy regimen for the first three cycles will not be changed.

The patient's wife quickly brought over a thick medical record.

Gao Feng was about to look through it when Bu Zhengyang suddenly walked in and said that a patient was a little serious and wanted him to go over and take a look.

This is an 89-year-old patient with chronic heart failure. His heart condition is in a mess and his ejection fraction is only 27%. Logically speaking, he should have seen Marx last year.

But the family members disagreed, and at the same time they used their money-making abilities to make the old man live another year.

But how can I put it, at this age and with this physical condition, his life is as brittle as a porcelain doll, which may break with the slightest touch.

The patient accidentally had an upper respiratory tract infection a few days ago, which subsequently led to an aggravation of heart failure. The current situation is not optimistic.

"We still need to continue treatment." The patient's youngest daughter said to Bu Zhengyang, "I think I can survive another year if I work hard."

"My grandfather passed away in his nineties. Our family has longevity genes."

Bu Zhengyang was very helpless. He had already discussed it repeatedly with his family members. It was really difficult for the old man to survive in this situation for another year.

“The cost would be very high and the treatment would be very ineffective.”

"Money is not an issue." The patient's youngest daughter said, "Why don't you give him some special medicine." Then she turned around and paid another 20 yuan for hospitalization.

Bu Zhengyang really had no choice but to call Gao Feng over.

Gao Feng persuaded the family members and suggested that they accept the reality as soon as possible, but the latter refused to accept it and said they must try again.

There was no other way, so he finally contacted Director Lu who had a serious heart condition.

"Oh my god, it's him again." Director Lu was helpless, "This patient has stayed with us more than 20 times."

"His daughter doesn't know what she thinks. She just wants the old man to live."

In fact, at this point, living means continuing to suffer tremendous pain. This patient has lost his hearing and is almost blind.

During the onset of the disease, the old man was suffering from severe breathlessness. In daily life, he would lie in bed all day long, and he could not bear even light activities.

"The old man has written it several times by himself." Director Lu took out his mobile phone and showed Gao Feng. What was written on it was: I don't want to be treated anymore; I want to be discharged; let me die.

"There's nothing we can do about it." Gao Feng was also helpless, "Thank you for your hard work, Lao Lu."

When he returned to the office, he felt a little depressed and took a long rest before he felt better.

At this time, he saw Wang Yunsheng's last hospitalization medical record again.

After reading it carefully, Gao Feng felt a little strange.

Yes, it's just weird. It seems a bit inappropriate to describe a case like this, but Gao Feng really can't use other words to describe this medical record.

The department where the case was written was the Department of General Surgery, Department of Hepatobiliary and Pancreatic Surgery. The initial diagnosis was that pancreatic mass was still under investigation. The discharge diagnosis was written after surgery for pancreatic cancer.

The first doubt came when Gao Feng saw that the color ultrasound report of the liver, gallbladder, pancreas and spleen before the operation was a pancreatic cyst.

Enhanced CT of the upper abdomen also shows multiple cystic lesions with thin walls and clear borders. There is no obvious enhancement in the enhanced scan. This is the imaging manifestation of pancreatic cysts.

So the question is, will the doctor in charge generally allow the patient to undergo surgery after seeing these two reports?

The answer is no, because Wang Yunsheng himself did not have any symptoms. He had a routine color ultrasound examination during his physical examination.

The second doubt is the surgical records and pathology reports. The records show that Wang Yunsheng performed minimally invasive surgery via laparoscopy and the Da Vinci robot.

The Da Vinci machine is a high-end medical device that is expensive to build and requires very high technical difficulties. Currently, even provincial hospitals have not implemented it.

Such a high-end surgery also consumed expensive consumables, but the surgical record was written in a rather perfunctory manner. It only briefly described the discovery of a 3×5cm mass during the operation, and the specific operations of the operation were briefly mentioned.

At the end, it was mentioned that intraoperative rapid pathology showed ductal adenocarcinoma, but Gao Feng did not find this pathology report.

And there was a big problem with the final pathology report. The text description said it was ductal adenocarcinoma, but the picture above looked like it was acinar cell carcinoma.

Gao Feng carefully discovered that the serial number on the header of the pathology report was also wrong.

"The truth: Wang Yunsheng's condition is very complicated, but you seem to have discovered some clues. There are still many people who need your help. Please do something. You can get 100 skill points for completing the task, and 100 skill points will be deducted for failure. "The system's voice rang.

Gao Feng's hand shook and the medical records almost fell to the ground.

(End of this chapter)