This doctor has a system

Chapter 518 581. Patients who like to suffer

"Brother Liang, have you considered my feelings when you said this?"

"I just want to hit you hard." Wang Liang said, "All those who lick your boots deserve to die."

"Who is the bootlicker??? Don't tarnish someone's innocence out of thin air." Huang Lian was anxious.

"Wang Zhuo told us that you cried and begged her to get back together," Wang Liang said. "She also said that she already had a new boyfriend, and you gave her money every month."

"Aren't you a dog licker?"

"Yeah, Xiao Huang, we dare not be a bootlicker. A bootlicker will end up with nothing." said a colleague next to him.

"Don't listen to Wang Zhuo's nonsense." Huang Lian'an's face flushed, and the veins on his forehead popped out. He argued, "How can you say that a relationship is just licking?"

"After all, I loved her. Giving her a little money is also a way of caring. I treat her as an ordinary friend."

"Forget it. When this busy period is over, I'll ask your sister-in-law to introduce you to a few." Wang Liang said, "You just haven't seen much of the world."

He had also seen Huang Lian'an's girlfriend. She was only about 6-7 points in appearance, had a bad temper, and looked like a spoiled child.

After asking, I learned that the other party's family situation was very ordinary, her academic qualifications were not as high as Huang Lian'an, and her income was far lower. I couldn't understand where her confidence came from.

Could it be?

"Li'an, you're not bad at that, are you?!"

"Oh, no wonder." Someone looked at Huang Lian sympathetically and said, "I noticed that this kid goes to the toilet frequently!"

Real hammer!
"Li'an, drink some wolfberry puree!" another person advised, "You have to take care of it!"

"Nonsense!" Huang Lian was anxious, "I know whether I can do it or not. There is no problem in this regard!"

"That's what you said." Wang Liang said, "Your sister-in-law and I don't dare to push a girl into the pit."

Huang Li-an

"What are you talking about?" Xiong Huaxin walked over with a smile.

"Huang Li'an broke up, and we are comforting him."

"That's the other party's loss. Xiao Huang is quite handsome." Xiong Huaxin said with a smile.

"How is it? Have you made any progress during this period?"

Of course there was progress, and Wang Liang immediately gave a general report.

"Does that mean we have already reached the stage of transcription sequence?" Xiong Huaxin was a little shocked. "Yes!"

He had just asked several groups, and most of them had completed less than half of their work, but Wang Liang's group was almost done.

"Dr. Gong is really good at leading people," Xiong Huaxin said with emotion.

Wang Liang was so drunk, damn, isn't this something I have? Why is it related to Dr. Gong again?

It's so comfortable to be a leader. All the achievements of the subordinates are credited to them, Wang Liang thought indignantly.

Xiong Huaxin left the laboratory with satisfaction. The overall progress exceeded his expectations. At this rate, a new stage could be started next month.

Compared with his senior brothers, although his abilities were a little worse, he was lucky, he thought complacently.

It feels so good to follow the big guy and dig for food!

Eat very well.

The boss is currently treating a patient, a 55-year-old lady.

"How come there are two students here?" The old lady shouted as she entered the room, "Nurse! Where is the doctor inside?"

Gao Feng, Li Youliang.

"This is our Director Gao." Li Youliang said.

"Oh, you're still a kid, can you treat illness?" The aunt's eyes were full of distrust.

"Sister, if it doesn't work, you should change your number." Li Youliang said.

"That's impossible! There are so many people outside." The aunt sat down and stretched her arms forward.

"What are you doing?" Gao Feng didn't understand what she wanted to do.

"Take the pulse." The aunt said as a matter of course, "Otherwise how can I prescribe medicine?"

"We have Western medicine here. The Chinese medicine department is on the 5th floor." Li Youliang said, "There are not many people there. Please go quickly."

"What's going on? How can you be a doctor if you can't even take a patient's pulse?" The old lady was very unhappy and walked out of the clinic mumbling.

Gao Feng was very calm. He was used to meeting such patients every once in a while.

The second patient was a middle-aged man who was accompanied by his wife and son.

"Where does it hurt?"

"I feel uncomfortable all over." The middle-aged man said with a bitter face, so he made an appointment with a general practitioner.

"We need a comprehensive physical examination," said the patient's son.

"No, give him some fluid." The patient's wife also said.

Gao Feng just felt powerless. "I can't say I feel uncomfortable everywhere. There has to be a focus, right?"

"I can't eat, sometimes I feel nauseous, I feel weak all over, my stools are dry, I can't rest well, I can't sleep at night, and sometimes I feel anxious."

"Doctor, please give my father a comprehensive examination and do a full-body MRI." The patient's son was very positive about the examination.

"Just give him some fluid. Examination doesn't cure the disease," said the patient's wife.

"You two should go to the side and take a rest first." Li Youliang said quickly, "The patient can talk to him himself."

This family is really
Gao Feng asked the patient to lie down and performed a thorough physical examination on him. The patient's skin and mucous membranes were a little yellow all over his body. His heart rate was not fast at the moment, but the rhythm was irregular. There were no other valuable findings.

"I also feel like I'm yellower than usual," the patient said. "My urine is also yellow and smells fishy."

"Doctor, why not give it to my dad."

"Check it thoroughly." Gao Feng said.

"Yep!"

"It's better to give him some more fluids." Gao Feng.

"The doctors in big hospitals are so good!" the patient's wife praised. "You are so young and you are working in the outpatient clinic. You must have a doctorate, right?"

"Yes." Gao Feng replied.

As we all know, a PhD candidate is also a PhD.

"Do you have a history of hepatitis?" Gao Feng asked the patient.

"No." Patient

"drink wine?"

"I used to drink, but now I have stopped." Patient

"How long have you been quitting?"

The patient held up four fingers.

"four years ago?"

"No." "Four days???"

"Four hours." The patient whispered, "I drank all night yesterday."

"But I have decided to stop drinking in the future."

"It would be strange if he could quit," the patient's wife whispered, "even a dog can stop eating shit."

"Your condition is probably closely related to drinking," Gao Feng said. "My suggestion is that you go to the hospital for a checkup."

"Do I need to be hospitalized again?" The patient had an ominous premonition. "Is it serious?"

"It's hard to say until the test results come out." Gao Feng said. Li Youliang beside him had already issued a hospitalization certificate. "Go and get it done quickly. If you haven't eaten, you can still make it in time for the blood draw."

The third patient was an old patient from the general practice, who came to get a prescription for medicine.

Although he is said to be an old patient, he is actually only 42 years old. He had been treated in the cardiology department for angina pectoris many times before, and later was transferred to the general practice department by chance.

He felt that the environment of the general practice was good and the nurses and doctors spoke nicely, so he decided to come here every time.

"Your blood pressure is well controlled." Gao Feng said, "You still need to take your medicine on time."

"Director Gao, my face always turns red after taking this nifedipine sustained-release tablet. Is this okay?" the patient asked.

"This is an adverse reaction to the drug. If there are no other symptoms, don't worry too much."

The fourth patient was rather special. She was a woman in her 50s who was pushed in by her children in a wheelchair with an oxygen cylinder hanging on it.

The patient coughed so badly that he couldn't even speak clearly.

Gao Feng learned some information from his children. The patient fell into a coma after suffering from heatstroke. His condition was very bad at the time and he was intubated directly after arriving at the hospital.

After staying in the intensive care unit for 3 days, the tracheal tube was successfully removed, and he was discharged from the hospital after a short stay in the general ward.

The family members were very happy at the time, but they didn't know that this was just the beginning of the aunt's tragic fate.

The patient, Zhang Meiniu, female, 55 years old, occupation: farmer, native place: Suiping County, Mazhudian, Hunan Province.

Zhang Meiniu was born in the 60s and, like many people of the older generation, suffered a lot in her childhood.

She was exactly 75 years old when the flood occurred in 15. The whole family was still sleeping when the peak of the flood passed, and was completely unprepared.

In fact, when a 5-meter-high and 10-kilometer-long flood comes, no preparation is of any use.

The roaring flood unscrupulously displayed its power to the world. The situation in Suiping County, which was the first to be hit, could simply be described as horrific.

After so many years, Suiping is still the county with the least population in the city.

The towns and villages near the first few reservoirs that burst were completely wiped out. Only five people survived in Zhang Meiniu's village, and she was one of them.

Some elderly people suffered too much when they were young, and later became addicted to suffering.

Although she has a washing machine at home, Zhang Meiniu insists on washing clothes by hand, under the pretext of saving electricity.

After washing, I would complain: Day after day, do you know how tired I am?

Even though there is no shortage of food at home, he still puts the leftover food in the refrigerator.

I was hospitalized after eating it, and spent more than 2000 yuan in total.

"I'm eating leftovers just for you guys!"

The children don’t know why this is for them.

In the scorching summer heat, Zhang Meiniu could obviously lie on the sofa, enjoy the air conditioning, watch TV, listen to opera, and eat fruit, but she didn't want to. She insisted on going out to grow vegetables.

In a temperature of 38°C, she was watering the hyssop that she planted in the green belt just outside the community under the scorching sun.

Finally, she suffered from heat stroke.

After spending 2 yuan from her children, Zhang Meiniu, who was good at enduring hardships, returned home.

"Mom, please don't make trouble anymore." The son advised her, "You don't care about yourself, but I don't want to lose my mother."

However, this incident really taught Zhang Meiniu a lesson. After all, tracheal intubation is not a pleasant experience. As long as one is not mentally ill, there is no way he would want to have it happen again.

Zhang Meiniao shudders whenever she thinks of the scene in the intensive care unit.

After being well behaved for three months, she couldn't sit still anymore and started picking up waste to sell.

My son was speechless. Did I buy a large flat just for you to put your garbage?
The daughter-in-law was very angry, so the family simply moved out, out of sight, out of mind.

But soon, Zhang Meiniu noticed something abnormal in her body. She gradually felt that she was different from before and she would be out of breath after doing some work.

In the end, let alone going down to pick up trash, I felt uncomfortable even with the slightest movement.

Finally, I couldn't bear it anymore and called my son.

Zhang Meiniu's son was shocked when he saw his mother again. His mother used to look plump, but now she has become very thin and looks very haggard.

The doctor who received the patient was stunned when he saw the chest CT scan. What kind of willpower must this man have?

CT scan showed that the patient's airway was significantly narrowed. The average diameter of a normal adult's trachea is about 15-20 mm, while the narrowest part of Zhang Meiniu's trachea is only 5 mm.

"Your mother is not an ordinary person." The doctor who received the patient exclaimed.

"Doctor, is it serious?" Zhang Meiniu's son felt something was wrong.

"Yes, she has severe tracheal stenosis, which is probably related to the last tracheal intubation," the doctor explained.

It turns out that Zhang Meiniu has a scar-prone constitution, which is a special clinical constitution. People with this constitution will have keloids after skin injury, and the formation of keloids has no obvious relationship with the cause and severity of the skin injury.

Minor trauma, such as daily vaccinations and ear piercings, or even inconspicuous trauma, can cause keloids in people with scar-prone constitutions.

It is not a big deal if this type of keloid appears on the body surface. Apart from affecting the appearance, it is generally not a big deal.

But if this keloid appears in the wrong place, such as the trachea, it will be a big problem.

Generally speaking, patients with scarring constitutions like this should try to avoid intubation. But Zhang Meiniu's condition was very grim after she fell into a coma due to heat stroke. She had already developed respiratory failure when she was sent to the hospital.

If the tube is not intubated at this time, the whole village will be in trouble.

But there is a risk of airway stenosis after intubation. His son recalled that the doctor did tell him about this risk at the time.

I didn't expect it to really appear.

"Transfer to another hospital. We have to go to a big hospital." said the doctor. After communication, the ambulance sent Zhang Meiniu to the First Affiliated Hospital.

Doctors at the First Affiliated Hospital are naturally familiar with this disease. Every year they see many patients with airway stenosis caused by tracheal intubation or trauma.

Although the degree of the patient's airway stenosis could be seen from the chest CT scan, when the bronchoscope reached the narrowed area, everyone couldn't help but gasp.

The proliferating scar tissue almost filled Zhang Meiniu's trachea, leaving only a small hole with a diameter of about 5 mm.

"No wonder they say women hold up half the sky." Someone sighed, "This patient is so patient."

The surgeon first used a high-frequency electric knife to cut the scar tissue on all four sides, then switched to argon gas in the middle, and after great effort, he finally cleared a channel.

Finally, a ring-shaped covered stent was placed in Zhang Meiniu's trachea.

This was not the end, but the beginning of her miserable life.

Every once in a while, Zhang Meiniu would come to the hospital and try bronchial balloon dilatation, high-frequency electrosurgery, argon plasma coagulation, laser, freezing, and drug injection.

Now, Zhang Meiniu, who was addicted to hardship, couldn't stand it anymore.

(End of this chapter)