This doctor has a system
Chapter 27 Chapter 27
Chapter 27 27. Reload
"Who is the doctor in charge? Quickly introduce the patient's condition." The staff accompanying Academician Bao asked.
Sweat broke out on the head of the doctor in charge, "Leaders, this patient is a patient with advanced lung cancer. This time, he just finished chemotherapy, and he used pemetrexed disodium plus cisplatin. The patient's heart function is not good, with chronic heart failure."
"The patient has been feeling unwell since 6 o'clock in the morning. He has used diuretics and hormones, but the effect is not good, and he will have severe breathing difficulties."
"The blood pressure has also dropped, and I no longer dare to use diuretics!"
The family members next to him frantically showed the film to Academician Bao, "There is pericardial effusion!"
Academician Bao immediately picked up the stethoscope, "It should be pericardial tamponade, let's perform pericardial puncture and drainage on the patient!"
The two immediately ran to prepare things, and the doctor in charge called the color Doppler ultrasound room: "There is a patient with pericardial tamponade in the Respiratory Department on the 6th floor, and needs an emergency bedside color Doppler Doppler ultrasound, come quickly." "What, wait 20 minutes, you guys How about serious illness? Okay, hurry up!"
The doctor in charge put down the phone and reported to Academician Bao, "The emergency color ultrasound is in the intensive care unit to put the patient in a tube, and we have to wait for a while."
"Then wait for a while!"
Five or six minutes later, the patient's dyspnea became more severe, and his blood pressure dropped to 6/80mmHg.
"Don't wait, just wear it," Academician Bao ordered.
The doctor in charge, Zhao Zhenmeng, is a typical Peking Union Medical College doctor. He studied at Peking University for his undergraduate, master's, and doctoral degrees.He thinks he is quite good, and he did pericardial puncture several times when he was in school, but it was all done under the guidance of color ultrasound.
After graduating, he officially became a respiratory physician. Since then, he has never had a pericardiocentesis again. He always opened a list for patients to go to the color ultrasound room, or directly let the color ultrasound room be the bedside.
This suddenly made him blind, and Zhao Zhen was very anxious.
I don't dare!
"What are you doing in a daze?" Academician Bao was a little dissatisfied. There are so many people here today, are you going to die? ! !
Zhao Zhen's heart was ruthless, and he went all out. "Academician Bao, I'm not good at pericardiocentesis. I'm afraid I can't do it without a color Doppler ultrasound."
Zhao Zhen didn't want to be brave, he was a down-to-earth person, if he didn't know it, he wouldn't, it was nothing to be ashamed of, as long as there were no problems.
Academician Bao's face was a bit ugly, and the people around him didn't say anything.
"Forget it, I'll do it myself." Academician Bao was so helpless, he was already an academician and still doing this job.
"Look back and see how I deal with you!" Academician Bao was furious.
The system's voice sounded: "Mission: Manifestation 2, use a perfect pericardial puncture to deepen Academician Bao's impression of you. You can get 5 skill points for completing the mission."
Here it is again, Gao Feng first spent 3 skill points to upgrade the pericardial puncture to advanced level, and then entered the permanent space.
I wear, wear, wear, wear, wear, wear, wear
Finally, the simulated patient in the space turned into a white light and disappeared.
"Academician Bao, let me come!" Gao Feng stood up.
"Do you usually do a lot?" Academician Bao became interested in this young man.
"It's pretty proficient." Gao Feng said.
The heart was percussed quickly, and Gao Feng chose the fifth intercostal space on the left side, 1-2 cm medial to the heart dullness.
The next step was disinfection and draping. Everyone's eyes widened during the puncture. Gao Feng used a little force to insert the needle smoothly. When he was withdrawn, a light red liquid flowed out. The skin was expanded and the tube was inserted in one go.
"I'll do the rest." The nurse next to him undertook the work of connecting the drainage bag and the fixed drainage tube.
"Let's put 100ml to see." Academician Bao told Zhao Zhen.
The morning visit ended in an anticlimactic manner. Everyone could see that Academician Bao was a little unhappy, so he left tacitly.
The way Director Shen looked at Gao Feng changed, wow!Treasure boy.
"You said, will there be any problems with the project?" Director Cui of Tongji Hospital felt a little uneasy.
The people in the same company didn't think so much, and opened their mouths one after another: "No, we have the strongest comprehensive strength, and besides, we have not all had substantive contacts before!"
"I hope so!" Director Cui thought to himself.
I didn't see Director Shen during lunch, Director Zhao told Gao Feng: "Let's eat, Director Shen is going to sort out the materials."
Gao Feng's performance this morning gave Director Shen hope. The initiator of this project was Academician Bao, and he was the one who made the final decision.Director Shen wants to read the material again at noon, in case there is hope!
At 3 o'clock, everyone came to a medium conference room on time, and Academician Bao cheerfully greeted everyone to sit down.
"Let's make a long story short, this time we are mainly discussing the location of the Central China Regional Medical Center." Academician Bao paused, "Everyone tell us what you think."
Director Cui from Tongji Hospital was the first to speak. He explained his advantages from six aspects: research base, academic organization, academic echelon, academic research, academic direction, and academic achievements.
I have to say that Director Cui is really capable, and Academician Bao couldn't help but nod.
Director Shen's throat was a little dry, "It's over, it's useless to read the materials at noon, this old Cui seems to be bound to win."
Director Zhang of HN Provincial People's Hospital also said a few words, he didn't have any hope when he came this time, he just came here to brush his face in front of Academician Bao.
Soon it was Director Shen's turn to speak, and the old lady quickly adjusted her mood, "Our hospital's current discipline construction is not perfect, and the gap with Tongji Hospital is still quite large."
"Oh, this is admitting defeat." Director Cui felt relieved a lot.
"Our HN province's economy is underdeveloped, and the investment in medical and health care is relatively small, so we can't retain outstanding talents. The provincial capital ZZ is also incomparable with WH city. After all, WH city is known as the thoroughfare of nine provinces."
"I know that there is little hope for this visit, but I still want to ask Academician Bao to consider us. HN Province needs such a national-level regional diagnosis and treatment center for respiratory diseases."
"This project is at best an icing on the cake for Tongji, but it is a timely help for us."
Director Cui is furious, what nonsense are you talking about, everyone is fighting for strength here, you are playing the emotional card here!
"Director Shen, you can't say that. It still depends on your strength. After all, it is a national project, so it must be comprehensively evaluated." Director Cui couldn't help but said.
"I know, I'm just complaining." Director Shen accepted it as soon as he saw it, and Director Cui felt that he had punched the cotton.
Academician Bao was silent for a while before he said: "HN province is indeed not easy. I went there several times when I was young. It is a large agricultural province with many people and few good schools."
"But you are quite an excellent student." Academician Bao looked at Gao Feng, "It seems that you have worked hard to cultivate talents."
The meeting was adjourned, and the results were announced tomorrow.
"Do you think there is hope?" Director Shen asked Director Zhao.
"Don't think about it. There is little hope in the first place. You didn't see the First Affiliated Academy and didn't get involved. It's our luck if you succeed, and it's normal if you don't succeed."
Director Zhao asked Li Youliang to book tomorrow's ticket in advance.
"Book a business seat for Gao Feng as well." Director Shen instructed.
Li Youliang.
(End of this chapter)
"Who is the doctor in charge? Quickly introduce the patient's condition." The staff accompanying Academician Bao asked.
Sweat broke out on the head of the doctor in charge, "Leaders, this patient is a patient with advanced lung cancer. This time, he just finished chemotherapy, and he used pemetrexed disodium plus cisplatin. The patient's heart function is not good, with chronic heart failure."
"The patient has been feeling unwell since 6 o'clock in the morning. He has used diuretics and hormones, but the effect is not good, and he will have severe breathing difficulties."
"The blood pressure has also dropped, and I no longer dare to use diuretics!"
The family members next to him frantically showed the film to Academician Bao, "There is pericardial effusion!"
Academician Bao immediately picked up the stethoscope, "It should be pericardial tamponade, let's perform pericardial puncture and drainage on the patient!"
The two immediately ran to prepare things, and the doctor in charge called the color Doppler ultrasound room: "There is a patient with pericardial tamponade in the Respiratory Department on the 6th floor, and needs an emergency bedside color Doppler Doppler ultrasound, come quickly." "What, wait 20 minutes, you guys How about serious illness? Okay, hurry up!"
The doctor in charge put down the phone and reported to Academician Bao, "The emergency color ultrasound is in the intensive care unit to put the patient in a tube, and we have to wait for a while."
"Then wait for a while!"
Five or six minutes later, the patient's dyspnea became more severe, and his blood pressure dropped to 6/80mmHg.
"Don't wait, just wear it," Academician Bao ordered.
The doctor in charge, Zhao Zhenmeng, is a typical Peking Union Medical College doctor. He studied at Peking University for his undergraduate, master's, and doctoral degrees.He thinks he is quite good, and he did pericardial puncture several times when he was in school, but it was all done under the guidance of color ultrasound.
After graduating, he officially became a respiratory physician. Since then, he has never had a pericardiocentesis again. He always opened a list for patients to go to the color ultrasound room, or directly let the color ultrasound room be the bedside.
This suddenly made him blind, and Zhao Zhen was very anxious.
I don't dare!
"What are you doing in a daze?" Academician Bao was a little dissatisfied. There are so many people here today, are you going to die? ! !
Zhao Zhen's heart was ruthless, and he went all out. "Academician Bao, I'm not good at pericardiocentesis. I'm afraid I can't do it without a color Doppler ultrasound."
Zhao Zhen didn't want to be brave, he was a down-to-earth person, if he didn't know it, he wouldn't, it was nothing to be ashamed of, as long as there were no problems.
Academician Bao's face was a bit ugly, and the people around him didn't say anything.
"Forget it, I'll do it myself." Academician Bao was so helpless, he was already an academician and still doing this job.
"Look back and see how I deal with you!" Academician Bao was furious.
The system's voice sounded: "Mission: Manifestation 2, use a perfect pericardial puncture to deepen Academician Bao's impression of you. You can get 5 skill points for completing the mission."
Here it is again, Gao Feng first spent 3 skill points to upgrade the pericardial puncture to advanced level, and then entered the permanent space.
I wear, wear, wear, wear, wear, wear, wear
Finally, the simulated patient in the space turned into a white light and disappeared.
"Academician Bao, let me come!" Gao Feng stood up.
"Do you usually do a lot?" Academician Bao became interested in this young man.
"It's pretty proficient." Gao Feng said.
The heart was percussed quickly, and Gao Feng chose the fifth intercostal space on the left side, 1-2 cm medial to the heart dullness.
The next step was disinfection and draping. Everyone's eyes widened during the puncture. Gao Feng used a little force to insert the needle smoothly. When he was withdrawn, a light red liquid flowed out. The skin was expanded and the tube was inserted in one go.
"I'll do the rest." The nurse next to him undertook the work of connecting the drainage bag and the fixed drainage tube.
"Let's put 100ml to see." Academician Bao told Zhao Zhen.
The morning visit ended in an anticlimactic manner. Everyone could see that Academician Bao was a little unhappy, so he left tacitly.
The way Director Shen looked at Gao Feng changed, wow!Treasure boy.
"You said, will there be any problems with the project?" Director Cui of Tongji Hospital felt a little uneasy.
The people in the same company didn't think so much, and opened their mouths one after another: "No, we have the strongest comprehensive strength, and besides, we have not all had substantive contacts before!"
"I hope so!" Director Cui thought to himself.
I didn't see Director Shen during lunch, Director Zhao told Gao Feng: "Let's eat, Director Shen is going to sort out the materials."
Gao Feng's performance this morning gave Director Shen hope. The initiator of this project was Academician Bao, and he was the one who made the final decision.Director Shen wants to read the material again at noon, in case there is hope!
At 3 o'clock, everyone came to a medium conference room on time, and Academician Bao cheerfully greeted everyone to sit down.
"Let's make a long story short, this time we are mainly discussing the location of the Central China Regional Medical Center." Academician Bao paused, "Everyone tell us what you think."
Director Cui from Tongji Hospital was the first to speak. He explained his advantages from six aspects: research base, academic organization, academic echelon, academic research, academic direction, and academic achievements.
I have to say that Director Cui is really capable, and Academician Bao couldn't help but nod.
Director Shen's throat was a little dry, "It's over, it's useless to read the materials at noon, this old Cui seems to be bound to win."
Director Zhang of HN Provincial People's Hospital also said a few words, he didn't have any hope when he came this time, he just came here to brush his face in front of Academician Bao.
Soon it was Director Shen's turn to speak, and the old lady quickly adjusted her mood, "Our hospital's current discipline construction is not perfect, and the gap with Tongji Hospital is still quite large."
"Oh, this is admitting defeat." Director Cui felt relieved a lot.
"Our HN province's economy is underdeveloped, and the investment in medical and health care is relatively small, so we can't retain outstanding talents. The provincial capital ZZ is also incomparable with WH city. After all, WH city is known as the thoroughfare of nine provinces."
"I know that there is little hope for this visit, but I still want to ask Academician Bao to consider us. HN Province needs such a national-level regional diagnosis and treatment center for respiratory diseases."
"This project is at best an icing on the cake for Tongji, but it is a timely help for us."
Director Cui is furious, what nonsense are you talking about, everyone is fighting for strength here, you are playing the emotional card here!
"Director Shen, you can't say that. It still depends on your strength. After all, it is a national project, so it must be comprehensively evaluated." Director Cui couldn't help but said.
"I know, I'm just complaining." Director Shen accepted it as soon as he saw it, and Director Cui felt that he had punched the cotton.
Academician Bao was silent for a while before he said: "HN province is indeed not easy. I went there several times when I was young. It is a large agricultural province with many people and few good schools."
"But you are quite an excellent student." Academician Bao looked at Gao Feng, "It seems that you have worked hard to cultivate talents."
The meeting was adjourned, and the results were announced tomorrow.
"Do you think there is hope?" Director Shen asked Director Zhao.
"Don't think about it. There is little hope in the first place. You didn't see the First Affiliated Academy and didn't get involved. It's our luck if you succeed, and it's normal if you don't succeed."
Director Zhao asked Li Youliang to book tomorrow's ticket in advance.
"Book a business seat for Gao Feng as well." Director Shen instructed.
Li Youliang.
(End of this chapter)
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