This doctor has a system

Chapter 411 476. I thought I was the future successor of our motherland.

"Brother, are you busy?" Gao Zhenzhen called.

"Busy." Gao Fengyan said concisely and concisely, "I'm fine."

"I have business with you." Gao Zhenzhen said hurriedly, "A classmate of mine is sick and I want to see you."

The patient was Gao Zhenzhen's college classmate, a young and beautiful girl. Gao Feng soon met the real owner.

"I feel like I'm sick." The girl said nervously, "There must be something wrong with my throat."

"Speak slowly." Gao Feng motioned for her to sit down.

The patient's symptoms are relatively rare. She used to sing out of tune, which is what we often call tone-deaf.

He is also a Maiba, so he was often disliked by his classmates when he was in KTV.

But this situation has changed recently. One time when she went to KTV with her classmates, she unexpectedly discovered that her singing voice had changed. It was much more beautiful than before, and she could even vibrato.

"Doctor, is the change in my voice due to thyroid nodules?" the patient asked before leaving.

"You know general medicine, right? It can treat all kinds of diseases."

It took a long time of treatment, but in the end my voice didn't completely change.

Level 4 indicates that it is impossible to distinguish whether it is malignant or benign. The overall degree of malignancy ranges from 4 to 4%. Among them, level 4 is divided into three levels: 4a, b, and c. The degree of malignancy also increases accordingly. Treatment methods It is generally recommended to use active puncture or surgical treatment;
The patient was very timid and suddenly learned that he had a possibly malignant nodule on his neck. He was so frightened that he urinated and cried.

Director Hu's skills are unparalleled. While completely removing the thyroid tumor, he also safely protected the nerves.

"You are lucky, it was discovered in time." Gao Feng said to the patient, "You will have no problem after the incision."

There is nothing to say now, surgery is the only treatment method at present.

When the voice changes, the first thing to consider is whether there is something wrong with the throat. He did a palpation, but found nothing.

The patient's pathology results came out 3 days later. The BRAF gene was mutated, and he was considered to have a malignant tumor.

"Go to my brother." Gao Zhenzhen said, "He is the director of the general practice."

If there is a problem with this organ, it can also lead to changes in vocalization.

"I feel something is wrong." The patient looked worried, "My grandma died of throat cancer, and I dreamed the night before that I also had throat cancer."

When Gao Feng was in graduate school, there was a girl who was studying music and her singing was as beautiful as a lark. Later, I don’t know when her voice became hoarse and thick. After a search, I found out that she had laryngeal tuberculosis.

At that time, she sang a confession song and became a blockbuster.

"Is it possible to merge with some small companies that are not doing well?" Yue Penghui suggested. "There are many inspection companies of all sizes, and the competition is quite fierce."

Her voice has returned to its tone-deaf state, which is a little regrettable.
-
"Mr. Hu, let's talk to Manager Zhao and get some more people over," Yue Penghui reported, "There is still a shortage of people, especially in the inspection area."

"I think so at present." Gao Feng thought for a moment and said, "The nodule should be on the nerve that controls the vocal cords."

"The patient's voice has changed recently. I suspect that the nodule is growing on the recurrent laryngeal nerve or unrecurrent laryngeal nerve." Gao Feng communicated with Director Hu from the General Surgery Department, "You should be careful when cutting."

The patient went immediately, and the results came out 2 hours later. It was said that he had mild strep throat and no other problems.

甲状腺结节一般可被分为1-5级，1-3级通常不用过于担心，但到了4级就要引起重视了。

Otherwise, if something goes wrong, it will be difficult to explain to Director Gao.

As soon as the instruments were configured, he immediately felt that there was still a shortage of people. Many instruments were empty, which was a serious waste of material resources.

"Now is not the time to recruit. There are only two or three kittens here."

If it were delayed for a few years, there might be more transfers.

Many patients come to the hospital for treatment because of changes in pronunciation.

Gao Feng comforted her, then contacted the general surgery clinic and asked the patient to have a puncture.

The next step is to wait for pathology, which usually takes 3-5 days.

The operation went very smoothly, and Gao Zhenzhen's classmate was discharged from the hospital in just three days.

Of course there was a problem. The color ultrasound results showed that there was a grade 4a nodule on her thyroid gland.

"You have to be careful," Director Hu said, but even if Gao Feng didn't mention it, he still had to perform the operation himself.

"I told him, but it takes time." Hu Jiaran said while looking at the experimental records. This move has made the territory many times bigger.

Will the patient have a thyroid problem?

The nerves that innervate the vocal cords are mainly the recurrent laryngeal nerve and the unrecurrent laryngeal nerve. Once the above nerves are damaged, it can cause hoarseness, dyspnea, suffocation, and death. The damage to the nerves is usually irreversible.

"Isn't this a good thing?" Li Youliang on the side wondered, "Why did you come to the hospital?"

Gao Feng thought for a while and felt that he should check his thyroid again.

The patient said that his voice had become beautiful and beautiful, which he had never heard before.

"You can go to the otolaryngology department for a laryngoscope to check." He suggested.

The thyroid gland is located in the front of the neck and is H-shaped, divided into left and right lobes and an isthmus. The lateral lobes of the thyroid are located on both sides of the tracheal neck segment of the larynx, and the isthmus is located in front of the 2-4 tracheal cartilage.

The patient herself was a bit timid, and she was even more frightened when she woke up. She told Gao Zhenzhen about this and expressed that she wanted to go to the hospital for a physical check-up.

During the operation, it was discovered that the nodule was indeed growing on the unrecurrent laryngeal nerve, which is relatively rare.

But the good thing is that most patients with thyroid cancer can survive for a long time. Papillary thyroid cancer and follicular thyroid cancer have mild biological behaviors and a better prognosis.

Many small companies are a little overwhelmed, but because the boat is small and easy to turn around, they can still hold on for a while.

However, many small bosses are already preparing to withdraw from this track.

"This is an idea." Hu Jiaran's eyes lit up.

Yue Penghui quickly thought of his old employer. Together with Wang Liang, he invited one of his old colleagues with whom he had a good relationship to come out for dinner.

"Liang, what's the point of going to school?" my old colleague started to sigh after drinking some beer.

"After I finished college, I'm still at the bottom of society. What's the point of studying?"

"Only after reading do you know that you are at the bottom of society." Wang Liang took a bite of a skewer of mutton. "If you don't study, you would think that you are the future successor of the motherland."

"You kid!" the old colleague couldn't help but laugh.

"Brother Zhang, how are you doing in the company now?" Yue Penghui poured him a glass of beer, "Is it still the same as before?"

"Absolutely." Brother Zhang said, "After you left, Xiao Zhou and the others also left, and many new people came to the company." "But they don't last long, it's like just watching things happen."

Brother Zhang is an old man in the company and is highly regarded by his boss. He is responsible for arranging the training and work of new employees.

"The company's performance has not been good in the past few years, and I feel that the boss doesn't want to do it anymore." He couldn't help but sigh, "I also have to find a way out for myself."

This is how work is. In China, except for some specific industries, many people have to actively or passively change jobs several times in their lives, and it is rare for them to stay the same.

"Is the person named Wei still there?" Wang Liang asked, he had always been worried about Manager Wei.

"I left early and went to the south." Brother Zhang said, "Except for me and Xiao Liu, you don't know anyone else."

Wang Liang suddenly had a feeling that things were different and people were different. How long had it been before, it turned out that all the familiar people had gone their separate ways.

"How is the quality of employees now?" Yue Penghui asked, "Is everything okay?"

"They are all good. Some of them are quite spiritual." Brother Zhang smiled and said, "You don't even know who trained them."

Yue Penghui and Wang Liangxin couldn't say enough about Brother Zhang's ability. When they first graduated, it was the other party who took them out step by step.

"Our company is planning to merge 2-3 small inspection companies." Yue Penghui said about this, "Brother Zhang, go back and ask your boss if you have any ideas for packaging and selling them."

He is relatively familiar with the situation of his old employer. Many instruments are of mainstream configuration, and the personnel and equipment can be used immediately, which saves worry and effort.

"Ah?" Brother Zhang was stunned for a moment, "What does your company do?"

"Didn't I tell you before?" Wang Liang said, "Fengxin Technology is very famous in our province."

He called Brother Zhang before and said that he wanted to bring him over, but the latter was obviously not very interested at the time.

"Oh, I forgot about this." Brother Zhang smiled, "It's not that I can't help it, I don't want to change units."

Changing to a new unit means reintegrating into the new environment, and the personnel relationships established before will no longer exist.

You don’t know what kind of animals your new boss and colleagues are, and whether you can get along with them.

This is also the reason why many people know that they may have better development if they jump out, but they are still unwilling to make changes.

After listening to Wang Liang's introduction, Brother Zhang's eyes gradually brightened up, and he immediately said that he would go back and report to his boss.

Fengxin Technology was in need, and the bosses of these small inspection companies were also eager to get out, and the two sides hit it off.

Zhao Xingye quickly figured out the matter, and two small inspection companies were packaged and bought at a reasonable price.

“Keep the sign, as you may need to continue doing business in the future,” Hu Jiaran instructed. Their boss is a clinical doctor and likes to give NGS and other things as gifts, so keeping it might come in handy.

His consideration was quite thorough, and Gao Feng affirmed.
-
This morning, Gao Feng was doing his rounds when he suddenly received a call from a doctor who had previously been training in the bronchoscopy room.

"Teacher Gao, I am Ma Yonghui from Xihua County."

Gao Feng immediately remembered the other person. He was a male doctor with a relatively outgoing personality. He was cheerful all day long and was very popular.

"I have two patients here that I want to transfer to you." Ma Yonghui said, "Do you have a bed over there?"

"There is a bed," Gao Feng said. "What's the condition of the patient? Is it serious?"

It is common for lower-level hospitals to transfer patients to higher-level hospitals, but it is still rare to transfer two patients at a time.

"One was inserted into the lungs when the stomach tube was inserted." Ma Yonghui said, "A lot of nutrient solution was also injected into it."

"The other one has a tumor. The trachea is blocked, and the stent cannot be removed."

Ma Yonghui was very depressed. He admitted two complicated patients during one shift and couldn't move out.

Let’s talk about the first patient first. It is entirely the responsibility of the family.

The patient suffered from the sequelae of cerebral infarction, choked and coughed when eating, and had always had an indwelling gastric tube.

The stomach tube fell off the day before yesterday and was probably pulled out unconsciously by the patient. Logically speaking, you should go to the hospital and try again at this time, but the family members are more thoughtful.

He found it troublesome to go to the hospital, and he thought it was easy to put in a gastric tube and there was no need to go up a pole to send money to the hospital.

So I watched the operation video online and purchased a gastric tube myself, deciding to do it myself and have enough food and clothing.

"The process went very smoothly." The family members said to Ma Yonghui when they went to the hospital, "It just didn't look right when I was injecting the nutrient solution."

The patient struggled desperately and his face turned red.

The nurse took a look and found that the gastric tube was not in the stomach, but in the trachea.

Ma Yonghui was speechless. Is this a smooth process?

Not to mention the patient's struggle, his head hurts just thinking about it.

"The main thing about your father is that he can't move." Ma Yonghui said to his family members. "If he can move, he will definitely slap you with a big mouth."

This is pure chaos.

Originally, it would be no big deal to switch to a gastric tube, but now I am having more fun. The CT scan shows that the right lung is filled to the brim with nutrient solution.

The patient suffered from aspiration pneumonia, respiratory failure, and a bad heart condition, all of which suddenly broke out.

Seeing what the patient wanted, Ma Yonghui was a little anxious. He communicated with the patient's family members, and after discussion, everyone decided to try to rescue him again, so he contacted Gao Feng.

Another patient had squamous cell carcinoma of the lung. The right main bronchus was previously covered by a mass. He was cleaned up at the local central hospital and a stent was placed.

Half a year after returning home, the patient's symptoms of chest tightness worsened significantly. When he went to the county hospital, he found that the tumor had grown again.

Ma Yonghui said he had contacted the doctor at the Central Hospital. When the doctor saw what he saw in the mirror, his head shook like a rattle.

"It can't be done. It can't be done."

"Let him go to a higher-level hospital, we can't."

It wasn't that the doctors at the central hospital were unwilling to accept it, but it was really beyond their capabilities. The stent that had been placed before was densely surrounded by tumors.

In this case, the upper tissue must be cleaned first, but the tumor has a rich blood supply, and cleaning means bleeding.

The risk was too great, so they just gave up.

Gao Feng contacted the emergency department, and soon two ambulances roared off.

Noon. Two patients were pulled back.

The patients with lung cancer are generally in good condition, but the patients whose gastric tubes were placed in a wrong position and nutrient solution was poured into the lungs are in much worse condition. They are obviously in a state of respiratory distress, with a very fast respiratory rate of 40 times/min and a heart rate of 130. times/minute.

(End of this chapter)