Auto chess in the operating room

Chapter 129 Tanglou demonstrates two surgeries live
After being forced to leave for a day, Tang Lou finally returned to the No. [-] Hospital of Hecheng City.

It was just that when I passed the department of the infectious disease department, I saw an uncle in his 50s outside the waiting area of ​​the outpatient clinic, holding a medical record card in his hand, and hesitated there.

The uncle was still wearing a security suit, and with his head down, he took out his wallet and counted the money. There were about a dozen brand-new RMB in the wallet, which he tied together and put aside without moving.

In the other compartment of the wallet, there were only a few crumpled banknotes, colorful, fifty, twenty, the uncle counted for a while, and did the math.

After licking her dry lips, she put the wallet away and put it in her pocket.

He unfolded the medical record card again, touched his forehead, sighed, rolled up the medical record card and stuffed it into his trouser pocket.

As a doctor, Tanglou naturally knows that the patient has been treated and should have paid for the medicine according to the doctor's prescription, but now he seems to be ready to leave directly.

Out of curiosity, Tanglou directly used the diagnostic technique:
[Patient: Fu Guosheng, male, 52 years old

Symptoms: There was no obvious induced fever half a month ago, the highest was 39.8, accompanied by chills, chills, fever mostly occurred at noon, coughing, coughing up white mucus sputum, bloodshot, not much, a little feeling of exertion, eating can be taken , no rash, bleeding, ecchymosis.The patient suffered from edema of the lower limbs, pain in the joints of the limbs, and occasional numbness in both feet.

Diagnosis: staphylococcal sepsis, choose cefazolin, cephalexin, cefuroxime, etc., combined with amikacin hanging acupuncture treatment.Otherwise, it will cause septic shock, liver abscess, jaundice, heart failure, acute renal failure, and will be life-threatening. 】

Tang Lou's complexion suddenly became serious, and he followed Fu Guosheng. It would be fine if he received the treatment according to the doctor's advice, but if he really chose to leave, he must be stopped.

Sure enough, Fu Guosheng did not choose to pay the fee, but walked directly outside the hospital.

"Wait a moment!"

Tanglou directly called out to Fu Guosheng.

Fu Guosheng turned his head and saw Tang Lou in a white coat, his eyes dodged for a moment, and he grabbed the medical record card in his trousers pocket with one hand.

"Why didn't you follow the doctor's orders to receive treatment!"

Since the patient's life safety was at stake, Tang Lou chose to go straight to the point.

Fu Guosheng bit his lip, a little guilty: "Doctor, I saw it at the community hospital before, and the community doctor prescribed me antipyretic medicine, and I was fine after taking the medicine. The high fever came back after I stopped for a few days. He asked me to come to a big hospital for an examination, no, the medicines prescribed are similar, they are all anti-inflammatory and fever-reducing medicines. I will not buy them in the hospital, I will go to the community pharmacy and prepare some anti-fever medicines myself."

"Medical record card, prescription!"

Tang Lou didn't listen to his defense and said seriously.

In the hospital, with the aura of a white coat, although Tang Lou was still very young, Fu Guosheng obediently took the medical record card and prescription from his trouser pocket and handed it to Tang Lou.

Tang Lou looked around, and sure enough, the infection doctor's diagnosis was also sepsis, which needed to be treated with hanging needles.

"Fu Guosheng, I can seriously tell you that what you have is staphylococcal sepsis. If you don't hang the needles and take medicine in time to control the infection today, you will have septic shock tomorrow. It will not be so simple then. That's going to be sent directly to the emergency room."

Tang Lou stared into Fu Guosheng's eyes, Fu Guosheng flashed a trace of fear, but he quickly became strong again, pretending to be relaxed, and he was not frightened by Tang Lou:

"Doctor, I've had a high fever for almost half a month. I just need to take some antipyretics. It's okay. I'll go get some pressure myself. After No. 16, if it still doesn't work, I'll come back for another injection."

Fu Guosheng insisted not to stay and accept hanging needles.

Tang Lou thought of the picture of him counting the money before, and after NO.16 was in treatment. Generally speaking, many companies pay wages in the middle of the month, so he blurted out directly: "Are you short of money?"

Fu Guosheng paused slightly, covered the pocket of his wallet, looked a little embarrassed, and turned to run away.

Tang Lou himself is an intern and has no salary, but he has performed a lot of surgeries, although they are all in the name of Qingping or Ma En, not enough to share the surgical expenses with him.

After one or two months, I also saved some, and took out 800 yuan directly from my wallet.

"Here is 800 yuan, which is enough for you to get injections and take medicine. You take it, and hurry to pay for the treatment."

Tang Lou looked at Fu Guosheng seriously, and added seriously: "If you don't get treatment, you will die! If you don't have enough money in the future, you can borrow from me again. I'm in the general surgery department, Tang Lou."

Tang Lou showed him the sign on his chest.

At this time, Tang Lou's phone rang, and it was naturally Doctor Qing who called. The inspection team from the provincial capital was coming soon, so he was asked to go to the office to prepare.

Tang Lou hung up the phone, put the money into Fu Guosheng's hands, led him to the payment window, and took care of him again: "Hurry up and pay for the treatment. I have something to leave first. I must hurry to get an injection." Take medicine."

Originally, Tang Lou wanted to wait for him to receive the upper fluid before leaving, but time waited for no one, and Tang Lou rushed to the general surgery office in stride.

Qingping, Ma En, and Tian Linsheng all arrived early, and even Wang Da, who had been assigned to the changing pharmacy, was called back again.

When Wang Daquan saw Tang Lou, he became a little afraid, and obediently hid aside. Now that even Ma En has become Tang Lou's assistant, he naturally dare not make mistakes.

Qingping smiled when he saw Tanglou arriving: "Tanglou, come, the inspection team from the provincial capital will be arriving soon. Ma En and the others are responsible for setting up the venue. You and I will go to Director Cheng's office first. There are some things that Director Cheng needs to do." Explain."

Seeing Tang Lou and Qing Ping walk out of the office, leaving behind the three odd jobs, one is naturally envious.

Cheng Jian was in the office, holding the completed ERAT postoperative data, naturally very satisfied.

Of the 61 patients, only one had abscess formation around the appendix 1 days after operation, which was classified as a complication (3%), and the remaining 1.63 cases were successfully treated (60%). As for the recurrence of appendicitis, it will take one year to make a conclusion.

Overall, it's very satisfying.

"I'm calling you to come here. After the provincial capital inspection team arrives, in addition to reporting the results of the week, we will discuss whether to directly perform an ERAT and a suspended airless laparoscopic appendectomy on the spot. "

Cheng Jian looked at the two of them. From the bottom of his heart, he naturally hoped that the two of them could have the operation directly, but after all, people from the province came to observe directly, and naturally the psychological pressure on the doctor was not normal.Therefore, he also asked Tang Lou and Qingping for their opinions.

"Do it, of course."

Qingping replied directly that this is an opportunity that the Municipal First Hospital has been preparing for for so long.

Tang Lou also nodded. For him, there is no such thing as nervousness. Moreover, his task has not been completed, and there is still a suspended gasless laparoscopic appendectomy that has not been completed.

"Then let's assign the spells, Qingping, you do the hanging pose, Tang Lou ERAT."

Cheng Jian suggested that after all, Wen Dalong questioned Tang Lou's inability to complete the ERAT before. Although there is a video, it certainly does not have the shock of the on-site operation.

"I do suspension poses."

Tang Lou doesn't care about Wen Dalong or Mickey Mouse, completing the mission is the key.

Cheng Jian frowned slightly, a little confused. Could it be that a smart person like Tang Lou didn't know the meaning of his arrangement?

Or does he think that the suspension pose was proposed by him, and it is more suitable to complete it by himself?

When Cheng Jian was frowning, Qing Ping said directly: "Actually, I suggest that both of them be made by Tanglou."

Of course, Qingping did not shirk responsibility, but gave Tanglou the opportunity to show his face.

Cheng Jian looked at Qingping, and naturally understood his painstaking efforts. These two operations were stressful, but they were also a once-in-a-lifetime stage to be shown in front of the top leaders in Jiangxia's medical circle.

"Okay, then I'll fix all of them in tenement buildings."

It was indeed the best decision for Cheng Jian to push the boat along the way, but Qingping's interests were sacrificed.

However, Qingping did not regret it.

After the discussion, the three of them walked to the large meeting room at the same time, waiting for the arrival of the delegation.

However, as he walked, Tang Lou thought of Fu Guosheng, and he felt a little bit worried, wondering if he had taken the injection or not.

Almost at the door of the conference room, Tang Lou finally stopped.

"What's the matter, Tang Lou?"

Qingping sees Tang Lou who is preoccupied.

"I met a patient with sepsis in the infection department just now, but he didn't have enough money, so he didn't choose treatment. Instead, he planned to go to the pharmacy to buy some antipyretics. I didn't hang up the needle as I said, so I was a little worried."

Tang Lou said it in detail.

"The investigation team will come in a while. If you don't worry, go and have a look. If sepsis is not treated in time, it will be life-threatening. We launched the acute abdomen department to benefit more patients. If it is because of this meeting, I missed one. Isn't life putting the cart before the horse."

As a senior doctor, Qingping naturally has strong professional ethics and good medical ethics.

"Look at what I'm doing, hurry up!"

Cheng Jian also glared at him, saying they had similar odors!
"Wait."

Just as Tanglou was about to leave, he turned around and Cheng Jian took out another 1000 yuan from his wallet: "Go back quickly, you will be the protagonist in a while!"

"okay."

Tang Lou quickly ran to the infection department to check the patient's treatment records.

(End of this chapter)