This doctor has a system

Chapter 39 39. Esophageal Rupture
Finish off work smoothly in the afternoon.

Gao Feng sent a message to Li Xinyao, and was a little disappointed when he learned that Li Xinyao was on the night shift today.

At this time, Li Wenbin called: "Gao Feng, are you free tonight? Let's go out to eat! Have some drinks!"

Four people gathered at the entrance of the hospital. "Today, let's eat Geji braised cakes," Li Wenbin said, "I just called and asked, and I reserved a spot."

Geji stewed cakes took root in ZZ City in 1926. After three generations of inheritance, it is now a well-known restaurant in ZZ City. In 2009, it was included in the list of intangible cultural heritage protection in HN Province.

Geji stewed cakes are made of cakes, special jar meat and vegetables, added with high soup (pork soup, chicken soup, duck bone soup), and fresh vegetables from all seasons.

The stewed cakes are delicious and the price is not too expensive. Other dishes in the store are also worth recommending.The only downside is that no matter when you go, there are so many people.

Gao Feng took a sip, the meat in the pot was mellow, fat but not greasy, and the cake was soft and palatable.

"You can bring my daughter-in-law here to eat at that time." Gao Feng thought to himself.

"Come on, drink up!"

Gao Feng was fine, but the other three were dizzy when they returned to the dormitory.

Lying on the bed with nothing to do, Gao Feng carefully summed up his current situation.

Physique 20
Spirit 20
63 skill points.The physical and mental high winds are not going to be added for the time being.

There are a total of 5 advanced skills.

Advanced sewing skills

CPR Skills Advanced

Bronchoscopy Advanced

Advanced imaging skills

Thoracentesis Advanced

The diagnosis and treatment of respiratory diseases in internal medicine are almost all introduced.

The interview results have been announced, but I don't know when the hospital will notify me to go to work.If the next step is not to transfer departments, Gao Feng plans to continue to cultivate respiratory diseases.

The skill points should be reserved first, so as to open other branches of disciplines, such as pharmacy.

Gao Feng thought of the 14-year-old girl with lung cancer, and the male patient surnamed Cui.

It would be great if we could develop a drug that can greatly prolong the survival period of lung cancer patients, Gao Feng thought.
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Emergency Medicine Ward 8:17

As soon as the shift was over, there was a cry for help in the hall.

A middle-aged man in his 30s was dragged in by a pair of men and women. The middle-aged man was pale and pressed his upper abdomen tightly with both hands.

"Come quickly! Doctor, quickly see what's wrong with my brother?" The voices of the women beside her were crying.

"Go and have a look!" Director Qi from the emergency department hurried over with everyone.

"what happened?"

"When I got up in the morning, my brother vomited twice, and then he started complaining about stomach pain." The woman tried to calm herself down, "He went out to drink yesterday."

"What did you spit out? Is there anything bloody?" Director Qi asked while examining the patient.

The woman quickly took out her mobile phone, "I took pictures!"

It seems to be some stomach contents, Gao Feng saw from the side.

"The upper abdominal muscles are tense, but there is no rebound pain." Director Qi shouted to the crowd, "Xiao Guo, give the patient a CT scan of the chest and abdomen, and do an ECG when he comes back."

Xiao Guo's name is Guo Yuxin, with a doctoral degree, and he has been working in the emergency department for 3 years.

After Guo Yuxin made the list, he glanced at the crowd, "Ma Liang, take the patient for an examination. Hurry up!" His tone was a bit aggressive.

Ma Liang hurriedly called Gao Feng and three people to carry the patient onto the flat car. When they arrived at the Imaging Department, everyone transferred the patient to the CT machine together, and then stood outside the door and waited.

"Mr. Ma, did that doctor Guo have any trouble with you just now?" Hu Jiaran couldn't help asking.Gao Feng was also a little curious.

"No." Ma Liang glanced around, "He treats everyone like that." "He thinks he has a high degree of education, so he is more arrogant in the department."

After a pause, Ma Liang said again: "It seems to be Dean Guo's nephew, so everyone let him go."

It turned out to be the case.

Soon the CT scan was over, "How is it? Help us take a look!" Ma Liang caught a doctor who read the film.

"No big problem." The other party flipped through the pages, "I'll give you a detailed report later."

The patient tossed and turned in pain, Ma Liang hurriedly took Gao Feng and the others to push the patient back to the emergency department.

"Teacher, why don't you give the patient some painkillers?" Hao Mengpei said to Ma Liang when he saw the patient in such pain.

"What kind of painkiller to use, the reason has not been found out yet, what should I do if the painkiller is used to cover up the illness." The voice of blame rang out, and Dr. Guo came over dissatisfied.

"Stop talking as a student, Ma Liang, take your student and take an electrocardiogram for the patient!"

Now Ma Liang couldn't hold back, but he quickly took an electrocardiogram for the patient, and no obvious abnormalities were found.

Director Qi called up the patient's CT on the computer, "The pancreas is fine, the gallbladder is fine, and there is no free gas, which is not in line with gastric perforation. It's strange."

"Call the Department of General Surgery and Gastroenterology for an urgent consultation." Director Qi explained.

Soon, a fat general surgeon and a tall gastroenterologist arrived.

"Here, I don't seem to see any problem." The two muttered together.

"No laparotomy." The general surgeon gave advice.

"Please help this patient get a correct diagnosis. After completing the task, you can get 6 skill points." The system's voice sounded.

Thanks to his high-level image reading skills, Gao Feng felt something was wrong, as if there was an irregular soft tissue shadow around the esophagus, artifact?

Could it be a ruptured esophagus?Gao Feng thought of it suddenly, but no gas was found outside the esophagus cavity.

"The system, I think it's a ruptured esophagus." Gao Feng replied.

"Congratulations to Dr. Gao for getting 6 skill points."

"Director Qi, could it be a ruptured esophagus?" Gao Feng stood forward, "I saw a small section of irregular soft tissue around the esophagus on CT."

"Ma Liang, what are you doing? Take care of your students and don't talk nonsense." Dr. Guo was furious, turned his head and said, "What's your name? You're so unruly!"

Director Qi frowned, this little Guo was always like this, always talking about rules and regulations, old Guo didn't do that either, and I don't know who taught him.

"Are you talking about this part?" Director Qi asked Gao Feng to come over.

"Yes, Director. There is a high probability that the esophagus ruptured." Gao Feng ignored Dr. Guo.

Guo Yuxin felt like he was going to explode, who is this, ignoring me?When have I ever been wronged?
But he still has a bit of brains, knowing that this is not the right time to attack.

"Just wait, if the result is not a ruptured esophagus, see how I will "take care of you"!" Guo Yuxin thought viciously in his heart, "And this Ma Liang, I will be kicked out of the emergency department sooner or later!"

The general surgeon took the patient away.

Hu Jiaran hurried over to find Gao Feng: "The guy named Guo just now looked like he wanted to swallow you alive. Will he make things difficult for you in the future?" He was a little worried.

Ma Liang came over, "Don't worry, you are my students. He has nothing to do with it."

Ma Liang was also furious in his heart, "MD, I gave you shame before!"

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(End of this chapter)