Chapter 291: He's a Patient Now
"This-"
The smile on his face froze instantly, and Pliny's brown eyes fixed on Zheng Jianguo's face, and when the latter began to wonder if this thing was stupid, he saw that the newly pierced hospitalist patted his shiny head and said: "Zheng, no wonder you can find Helicobacter and that atomic-level graphite layer, let's go, let's go to the director's office-"
"What are you going to do there?"
A shy smile flashed on Zheng Jianguo's face that he hadn't seen for a long time, although he had been reported by the media many times with a title of keen observation, but it was the first time that a real person complimented himself in front of him, and sure enough, Pliny raised his hand and wanted to pat him on the shoulder, as if he had thought of something, he patted his arm with a happy expression: "You have to tell the director about this first, and we will soon know if your idea is accurate——"
"There's bacteria in the hair follicles—"
Zheng Jianguo wanted to say it with such a thought in his mind, but he remembered that he had entered the operating room for the first time since coming to the United States, and he was still in a good mood thanks to this new hospitalist, so Pliny asked himself to go with him to talk to Nathan about it, and there was also a taste of wanting to prove that Pliny's own decision was correct, so he tentatively said: "I feel that you can just say it-"
"It's different, you're not in front of two different concepts. ”
A meaningful smile flashed on Pliny's honest face, and he nodded after falling into Zheng Jianguo's eyes, knowing that the previous honest setting of this thing was actually pretended: "Pretend to be a pig and eat a tiger?"
But to think that with the help of leaving his parents' family, he completed medical school with the struggle of one person, not to mention, and entered Massachusetts General Hospital as a resident doctor, which is almost impossible to do in terms of mind.
This thought flashed through his mind, and Zheng Jianguo showed a bright smile: "I feel that this can also do a small study, find some animals to do some dissection tests, and then do some bacterial screening on the blade, I don't know if I can apply for it." ”
"I have a feeling you can suggest it to Director Nathan in person. ”
Pliny nodded slowly again, seeing that he didn't refuse and took Zheng Jianguo straight to the open director's office, but he didn't expect it to be empty, but just when the two of them were thinking about leaving, Nathan Beckson and Oliver Agas walked in, and after seeing the two, they said, "What, what's the matter with me?"
As soon as Priny Balabala told Zheng Jianguo what he thought, Nathan Beckson and Oliver Agas glanced at each other, and the latter's azure eyes swept over his cheeks, and a kind smile appeared on his face: " We have very few opportunities to come into contact with research in the emergency room, since this matter was discovered by Prini and you led Zheng to discover, then you two should make a statistic, but you don't have to spend money on animal dissection tests, and in the future, let all the people who do the surgery separate the scalpel for cutting the skin from the dermis, and then take the skin to the laboratory for them to do a bacterial screening——"
"Yes, Dr. Oliver. ”
Pliny glanced at Zheng Jianguo and then opened his mouth, and saw him nod and say goodbye to Nathan, but after leaving the director's office, he showed a wry smile: "I forgot about the funding-"
"Test animals aren't cheap—"
Remembering that the project was opened again yesterday, Zheng Jianguo subconsciously took it up, and saw a somewhat familiar figure standing in front of the service desk, followed by Yulan Bochard and the young policeman.
At this time, I saw Carter in the service desk pointing at him, and the eyes of the two policemen and Barry Bowton turned around, and Zheng Jianguo quickly accelerated a few steps to the front of the three, Jacqueline also came out of the elevator with a bag on her back, and said after seeing him: "Zheng, my brother is here-"
"Why did you help Jacqueline? What are your intentions? As far as I know, you're the one who has a girlfriend—"
Glancing at Jacqueline's somewhat pale cheeks, Barry stared at Zheng Jianguo's face and asked quickly, after the latter glanced at several people next to him, including Pliny, he also spoke: "I agreed to help at her request, and I just wanted you to come over to confirm whether the facts are as I thought, if you don't mind, we can find a separate place to talk, after all, this involves the privacy of the two of you——"
"Let's disperse. ”
Priny frowned and said to Carter and Margnyon, Barry looked at the two policemen staring at him behind him, and had to nod and say, "Where are we going?"
"Pliny, I'll take them back as soon as I go, and you'd better talk about it with the other doctors now. ”
Zheng Jianguo smiled and nodded at Plini, then turned his head to look at the worried brother and sister, and then smiled: "You are here, let's go to the laboratory of the digestive center and say, it just so happens that I still have documents for you to sign." ”
"Still need to sign papers?"
Jacqueline picked it up with her satchel on her back, and Barry looked at the girl and knew that there was no way to undo it: "Shall we get a lawyer over?"
"The document is only proof of your own consent, not that I have illegally obtained your biological information, and will not use it for profit-"
Shrugged his shoulders, Zheng Jianguo's previous good mood was a little heavy, fortunately, he had seen a lot of life and death, and after quickly cleaning up his mood, he took the silent two to the laboratory of the digestive center, Bertha, who had already gone through the transfer procedures, was holding this purchase list and touching it with the help of Catherine, and when he found that he brought his brother and sister over, he hurriedly threw Catherine down and said, "It's here so soon?"
"Catherine helped, I had to go back to the emergency room after I brought them over. ”
Zheng Jianguo beckoned Catherine, who was full of coldness, to the side, only to find that Barry was still staring at her dumbfounded, and he knew why this sister's face was cold again, according to Esther, Catherine's most annoying thing was that there were men staring at her dumbfounded, as if she had never seen a woman: "Barry, it's rude for you to stare at people like this." ”
"Oh, I-"
Subconsciously opened his mouth and said, Barry was a little embarrassed after he woke up, but Zheng Jianguo knew that he still used this, so he opened his mouth to alleviate his embarrassing situation: "Of course, in our country, there is a saying called My Fair Lady and Gentleman, which means that gentlemen also like beautiful ladies, in fact, this is in my opinion is human nature, everyone likes beautiful people and things, but the way he likes it is subtle and unrestrained and enthusiastic, you were too enthusiastic before - this is not good." ”
"Well, it's the first time I've seen someone say that judging people by their looks is so straightforward. ”
Catherine subconsciously glanced at Zheng Jianguo and said, but she didn't expect the latter to quickly open her mouth and answer: "For strangers, judging people by their appearance is the only way to communicate before they get to know each other, because everyone doesn't know each other, that is, they understand, Catherine, are you willing to get to know strangers?"
"I only want to get to know the patients. ”
Glancing at Zheng Jianguo coldly, the door of Catherine's office was pushed open before she could finish speaking, and Esther appeared and came straight to him with a folder, and after putting it down, he said: "A hundred test data from my side have come out, these are the expenditure details and results, you can confirm it." ”
"Well done—"
After taking the folder and opening it, Zheng Jianguo scanned the data inside, Esther is responsible for using the Helicobacter detected by the patient's biopsy, which belongs to the use of ready-made analysis and research, and Catherine is after obtaining a certain biopsy of Helicobacterium, according to the designed culture method after the analysis and research, it is also natural to be able to get the results in advance: "I will give you three days off tomorrow, paid-"
"Then I'll thank you for them. ”
With a sweet smile on his youthful cheeks, Esther looked at Barry and Jacqueline next to him, just seeing that Zheng Jianguo didn't mean to introduce, he left the office after taking the documents he signed, and Zheng Jianguo, who was left, put the documents found by Catherine in front of his brother and sister, and said, "Take a look at this." ”
"Since it's an agreement that guarantees not to be used for profit, I don't have a problem with that. ”
Barry picked up the document and looked at it, and found that although there were a lot of words on it, they could all say the same terms, so he picked up the pen, Zheng Jianguo nodded and stood up and said, "Then leave the rest to Dr. Bertha, I'm still in class now, I have to go back to the laboratory." ”
"Just leave it to me, you can go back. ”
Bertha, who had been silent, smiled, and Zheng Jianguo got up and left the office, not wanting him to leave before he reached the elevator door, Esther had already chased him out: "Doctor Zheng, can you help me see a case?"
"I'm not the attending doctor. ”
The probe pressed the button of the elevator, Zheng Jianguo turned his head to look at the smiling Esther, and then said, "Tell me about the symptoms-"
"A 52-year-old man, after eating three days ago, had vague pain in the upper abdomen, accompanied by continuous fullness without nausea and retching, HB was 96G/L, hemolysis was 20%, and some doctors in the community said it was gastritis.
I have seen no enlargement of superficial lymph nodes, no yellow conjunctival nail beds in the skin, no abnormalities in the heart and lungs, no gastrointestinal pattern and peristaltic waves in the flat abdomen, soft abdomen without reaching the mass, deep tenderness in the subxiphoid region, normal bowel sounds, and no abnormalities in the digital rectal examination. ”
Esther stared at Zheng Jianguo's expression with concern on his face, and then the latter blinked when the elevator came up, his brows furrowed, and he looked left and right to see that there were no outsiders, and then he spoke: "If there are no other symptoms, my suggestion is to do a barium swallow imaging examination, although this is uncomfortable, it is relatively cheap, of course, it is best to take a CT scan to find the problem——"
"Do you have any other ideas?"
Esther asked cautiously, Zheng Jianguo nodded and said: "The symptoms you said are the appearance of gastritis, but we all know that there are other symptoms with this appearance, if you don't use the elimination method to rule it out, no one knows what the exact symptoms are." ”
"Well, thank you then. ”
Esther nodded and pressed the elevator, Zheng Jianguo glanced at her vague appearance, thought about it and then said: "The reason why we want to emphasize the results of the instrument inspection is to avoid unnecessary trouble, which you should know." ”
"I knew I could avoid being targeted by insurance companies. ”
Esther nodded and said with a smile, Zheng Jianguo also knew that the other party didn't listen, the reason why doctors are becoming more and more accustomed to using the test results of instruments to speak, on the surface, it seems that they are using scientific methods to treat, but in fact, they are reducing the probability of their mistakes.
According to the symptoms mentioned by Esther, Zheng Jianguo can give two completely different diagnoses from gastritis to stomach cancer, but considering that he is now a resident doctor who has no right to practice medicine, and the patient who can't even come to the emergency room, the answer he can give can only be to ask the other party to do a contrast examination.
If the test results are fine, the patient will definitely have a high probability of thinking that the money has been spent in vain, and if there is a problem, Zheng Jianguo's goal has been achieved.
Of course, this practice is also foul according to the requirements of the insurance company.
After all, Zheng Jianguo is now diagnosing people in the name of a resident doctor.
Fortunately, Esther only said the symptoms, and if someone is more serious, they can be transferred to the case communication.
"Whoa, whoa, whoa—"
The shrill sirens sounded from far and near, and before Zheng Jianguo could return to the emergency room, he saw Bernard pushing an ambulance bed out, and then saw him and said, "It's just right, you came at the right time-"
"Patient is a 38-year-old Caucasian male who fell into a coma while riding on the road, his pupils dilated and his breathing was weak—"
Before Zheng Jianguo reached the bedside, a first responder jumped out of the ambulance and said to Pliny on the other side, and when the latter finished signing, Zheng Jianguo also came to the side, but when his eyes fell on the patient's arm, he was startled by the dense needle holes on the person's arm: "Is this a drug addict?"
"He's a patient now—"
Plini's voice came from afar, Zheng Jianguo honestly closed his mouth, went to Bernard, who was full of sympathy, pushed the emergency bed into the emergency room, and heard Carter hold a phone and yell: "There is a gunshot wound patient on the way to arrive, it will be there in about 10 minutes——"
"Alfonso takes Zheng to pick up people, let's go to the operating room-"
Pliny said to the side, Alfonso Zorn couldn't help but look at Zheng Jianguo, the two knew each other, but they didn't even say a few words, but at this time, Xinzha's hospitalization always spoke, and he nodded and said, "Okay, Zheng, let's get ready to go." ”
"Okay. ”
Turned around and went to the corridor at the entrance of the emergency room to find the emergency bed, Zheng Jianguo pushed it to the shadow of the eaves at the door and waited, and sure enough, within a few minutes, he heard the siren of the ambulance in the distance, so Alfonso, who was sweating on his forehead, looked at him and stopped with the car, and pushed the car to the back door of the ambulance, and did not want to push the car door open before the first responder said: "Gunshot wound patient, aged about 20 years old, white male is thin, his pupils dilated when his heart stopped beating 7 minutes ago in the car, and he did not recover after 5 minutes of first aid- Which of you signed it?"