Gou is practicing medicine in the clinic

Chapter 281 Falling behind step by step, Dr. Xu’s illness

Surgeons, especially operating room doctors, generally have outstanding surgical abilities but a little weak diagnostic ability.

Director Yan is a good hand in the operating room of general surgery.

Incision, suturing, knotting, hemostasis, anastomosis, debridement... He is proficient in almost everything, and his level is not low.

However, this year's skill competition was so speechless.

It is obviously a surgical competition, and it does not allow people to directly compare their surgical skills. Instead, it requires a correct diagnosis and ranking first before they can be qualified for surgery.

Ranking second or third will also have a chance to qualify for surgery.

The premise is that No. 1 voluntarily gives up the qualification for this round of surgery, and then voluntarily participates in the next question.

Unless you happen to encounter a surgical case that you are not good at, no one should be willing to give up.

"The correct diagnostic answer to the second question is duodenal trauma. This kind of case is very rare and is usually accompanied by damage to surrounding organs such as the pancreas and liver. The diagnosis is quite difficult. You can see that many contestants answered Wrong. The mortality rate of this disease is as high as over 30%. If diagnosis is delayed for more than 24 hours, the risk of death is as high as over 50%.

The jury chose this question as the second question because it wanted to make everyone aware of the dangers and concealment of this case.

If there is no major rupture in the duodenum, or if there is no rupture, abdominal puncture may not detect it.

Upper gastrointestinal tract angiography is a better diagnostic method.

If necessary, surgical exploration can even be performed to reduce mortality. "

The host may have seen that many people answered incorrectly in the statistical results in the background.

Only then did some explanations take place.

The duodenum is a special part, and the thoracoabdominal cavity protects it very well, so injuries rarely occur.

But there are always exceptions to everything.

The patient injured in the car accident had obvious trauma to his lower back and abdomen. He may have suffered an impact such as the steering wheel, which eventually caused duodenal damage.

"Oh my! I was really pissed off. I just explained that I had done a abdominal puncture and no organ rupture was found. Who would have thought that this patient's duodenum was damaged."

Director Yan patted his forehead hard.

I regret it so much at this moment.

Many doctors have this habit of treating things as an afterthought.

Before the diagnosis result came out, I was running around like a headless fly.As soon as the results came out, he immediately transformed into Zhuge Liang.

……

For the third question, Director Yan finally showed off his power and answered correctly.

This is the result of Director Bi really being displeased and secretly helping.

But at this time, he was already two points behind No. 1. In addition, there was a point loss in his answer, which also caused his ranking to directly reach fourth.

Even so, Director Yan felt elated and overjoyed.

Just now he suffered two consecutive somersaults, which even made him doubt his life.

There was no suspense about the third question, and the chance of surgery was simply not his turn.

I can only solve the fourth question.

As a result, there was a missed diagnosis in the fourth question, ranking 21st.

This time it was completely out of the question.

Because if he takes the fifth question again, he will get a full four points less than No. 1. How can he compare?
One step behind and one step behind has become the truest portrayal of Director Yan.

Until the end of the digestive surgery competition, he had no chance to qualify for surgery.

After the game, Vice President Jin left with a gloomy face.

The general surgery department, which had high hopes, failed in the first battle and could not even enter the operating room. How could he not be angry?
It’s hard to explain when you go back!

"All the medical staff from the general surgery department came to my room 312 for a meeting after returning to the hotel. There were seven people from our general surgery department. The digestive surgery department covers many fields such as anorectal surgery, pancreatic surgery, hepatobiliary surgery, and gastrointestinal surgery. . A whole three people participated in the skill competition of digestive surgery, but they messed up. We have two more opportunities tomorrow, one for urology and one for nail and breast surgery. We hope we won’t mess up again this time."

Director Bi's face looked extremely ugly.

As the leader of the general surgery department, his performance was so poor that he could not hold his head high as a human being.

It can be seen that Dean Jin is suppressing his anger now.

I was worried that scolding them would affect subsequent games, so I didn't say harsh words.

If the next two general surgery games were still messed up, Dean Jin would probably scold the seven of them.

As the saying goes, it takes a thousand days to raise an army, but it takes only a moment.

The Second Hospital has concentrated its best resources on the General Surgery Department, and including this competition, the General Department has the largest number of contestants.

A total of seven people came.

But when the competition turned out like this, it would be strange that the hospital's top management didn't get angry.

You know, if the results of the competition are very poor, the General Surgery Department of the Second Hospital will be greatly negatively affected.Patients seeking treatment are likely to go to those hospitals that are ranked highly.

Today's patients are very smart and well-informed.

Without seeing enough patients, general surgery will quickly shrink.Various vicious cycles will ensue.

If no patients can be admitted, the department's revenue will drop significantly, and the wages of medical staff will also drop accordingly.

Those doctors with good skills are likely to choose to change jobs at this time.

After all, everyone has a family to support, and it is impossible to stay in a department with poor income.

What's more, it's not difficult for qualified doctors and nurses to find jobs.

If you go to another tertiary hospital, or even a tertiary hospital, your development will only be better.

A total of five people came from the orthopedic surgery department.

Dr. Xu fell ill, and Li Jingsheng planned to visit his mentor again.If there was a chance, he would also like to talk to Dr. Xu about accepting a disciple.

Li Jingsheng wanted to recruit a group of talented apprentices, and then really make the Second Hospital's bone-setting techniques bigger and stronger.

Or you can make this business bigger and stronger in your own clinic.

But in this way, it will form strong competition with the second hospital.In the face of huge interests, he did not dare to gamble.

Because Sunshine Clinic now does not rely on manual bone correction, it can still live well.

There is no need to force the Second Hospital to deal with him because of this matter.

Harmony is like a mirror.

After hurting harmony, it is like breaking a mirror.

A broken mirror can be reunited, but the cracks will always remain.

He is here today because the Second Hospital has given him a lot of help.And now that he is still a fledgling, there are still many places where he needs to rely on the protection of the Second Hospital.

If he hadn't been a doctor at the Second Hospital, how could Station Manager Qiao be so friendly to him?

They are not two or three-year-old children, and the friendship they had when they both worked at the First Hospital is of no use at all.

When I arrived at the emergency room of the Qiaobang Hospital, I found out after inquiring that Dr. Xu's condition had improved and he had been transferred to the general inpatient ward for treatment.

Transferred to cardiac surgery.

This is quite surprising.

There is no doubt about the quality of Qiao Bang Hospital.

Since the patient was transferred to cardiothoracic surgery, the cause must have been found.

Dr. Xu's usual symptom is a cough, which is somewhat similar to cold symptoms.

This time I was so angry that I vomited blood.

It should still be a respiratory disease, but why did it become a cardiothoracic surgical disease?
Could it be a heart attack?
There is such a possibility.

However, it is also possible that there is a disease in the lungs.

It will become clear when we learn more about it later.

After a lot of effort, I found the inpatient department of cardiothoracic surgery.

In fact, the cardiac and thoracic surgeries at Qiao Bang Hospital are separate.

But the inpatient department is on one floor.

It can be seen that the place is full of patients.Needless to say, there are at least dozens of patients living in the larger intensive care units.

And there's more than one ward.

Cardiothoracic surgery is the most prone to critically ill patients, and after surgery, they also need to be admitted to the intensive care unit for intensive monitoring.

When necessary, various instruments should be supported.

For example, the most common ventilators, intubation, etc.

Li Jingsheng entered the ward and saw Dr. Xu lying on the bed, and the ventilator had been removed.

It's just that his face is still a little pale.

After Vice President Jin left, he actually came here to visit Dr. Xu, which surprised Li Jingsheng.

Because Dr. Xu once refused to accept Vice President Jin's nephew as his apprentice, this was equivalent to offending President Jin.

There should be a gap between the two.

However, leaders have a certain ambition and structure, even if they are unhappy in their hearts.But this time Dean Jin led the team to participate in the competition. Some contestants fell ill during the competition. As a leader, he must come to visit and express condolences.

"Hey, Dean Jin is here too!"

Li Jingsheng quickly said hello.

"I came over to see Lao Xu. After all, I was still a little worried. I had already learned about the condition and thought it was a lung problem. The doctor here told me that there were problems with Lao Xu's heart and blood vessels, and they were more difficult."

Dean Jin can understand the condition so clearly because he really cares about Dr. Xu and is not just showing off.

"It is possible that surgery is needed at the moment. According to my opinion, Lao Xu should just settle down in Qiaobang and get treatment before thinking about work. Normally, it is extremely difficult to get a bed here. This time, I will take advantage of my skills." For the competition, top cardiothoracic surgery experts from both inside and outside the province are here. No matter how complicated your case is, I believe they can be solved for you."

There is some truth to that.

Qiao Bang Hospital is notoriously short of beds.

Beds in the cardiothoracic surgery department are even more difficult to find.

"Hasn't the specific cause of the disease not yet been found here? Let them check again and make a decision then."

Dr. Xu doesn't want to perform surgery.

The risks themselves are also very high, especially cardiothoracic surgery, which is particularly risky.

However, if you meet a skilled cardiac surgeon, the risk can definitely be greatly reduced.

"Well, that's fine. Let's take a look tomorrow. My personal suggestion is to treat your case as a test question, use the power of all experts to help with joint consultation, and work out a reliable treatment plan. If you are willing, I will wait. I will have dinner with the leaders of the jury and bring this matter up.”

Dean Jin strives to obtain the best medical resources for Dr. Xu.

"Teacher, this kind of opportunity is so rare. It's good that you agreed."

Li Jingsheng also hopes that Dr. Xu will agree.

Many cardiothoracic surgical diseases are prone to death if left untreated.

And there are serious consequences such as sudden death and stroke.

Li Jingsheng still thought about one day poaching Dr. Xu to the Sunshine Clinic for consultation.

(End of this chapter)