Chapter 164: Don't Trouble Your Children
The teaching base has been upgraded, and the happiest thing is that several lecturers in the base are the most happy.
It is equivalent to their status and status, and they have also risen with the tide.
Zhou Dongfeng, Yao Na, and Yang Jie have made an appointment to go to dinner tonight to celebrate.
Of course, Honorary Lecturer Zhang Gu, the person who has made the greatest contributions, must be present.
And everyone has quietly discussed, and when the time comes, they will take turns to give Zhang Gu wine.
At the same time, with the news release of the upgrade of the base.
Some colleagues from other hospitals who have a good relationship have sent congratulatory messages.
From Song Xiaowen, the dean of the Third Academy, to Xiang Jianhua, Zhang Gu, and even Yang Jie and Feng Xuebin, everyone received a lot of congratulatory calls.
There are also many people who secretly envy and envy. There are also some people who are anxious about the rapid development of the three hospitals.
……
While Zhang Gu was pondering his own tasks, he also took the time to come to his small team to see how it was doing.
When I came, I found that Shen Wenting looked worried.
Zhang Gu smiled curiously: "What's wrong with you?
Shen Wenting has always been giggling and cheerful, what's wrong?
Shen Wenting frowned slightly and said, "Brother Zhang, this patient, the situation is a bit complicated, I can't take it down, you have to check it." ”
"I'll see. ”
Zhang Gu is a little curious, Shen Wenting's fundoplication level has been gradually improving recently, and some slightly tricky problems can be solved independently.
What's so special about this patient?
Zhang Gu picked up the medical record.
He understood at a glance that it turned out to be an elderly patient with poor tolerance and many concomitant diseases.
Just listing those diseases can be a headache.
What is associated with esophagitis, hiatal hernia, poor lower motor function, damage to the esophageal mucosa caused by taking anti-inflammatory drugs for long-term chronic diseases......
These concomitant diseases are all concentrated in an elderly person with a weak constitution.
It's no wonder that Shen Wenting didn't dare to start, this can already be regarded as a difficult and critical patient, and she didn't dare to go under the knife easily, only by adjusting the comprehensive condition of the body can she meet the indications for surgery.
After Zhang Gu checked and pondered the medical records for a while, he said, "Let's go, go see the patient." ”
The two came to the inpatient ward.
As soon as I arrived at the door of the ward, I heard the voices of the old couple inside.
The old man is a sick man, and the old grandmother is bringing him water and taking care of him.
I heard the old man say: "Otherwise, I should not be cured of this disease, anyway, I am at this age, even if I am cured, I am also a drag to us, so don't add a burden to my children." ”
Grandmother: "Don't talk nonsense, you are still in good health, the doctors have said that you can still be cured of this disease." ”
The old man said cheerfully: "You don't have to comfort me, why did the doctor say this? Although the little girl doctor tried his best to hide it, I could see that she was a little embarrassed when she saw my illness. Besides, I've lived enough, and it costs a lot of money for an operation, and our family's conditions are already poor, so we have to borrow money to see a doctor, so don't spend all this unjust money again. ”
Zhang Gu and Shen Wenting were outside the door, and after listening to a few words silently, they pushed the door and entered.
As soon as the two of them came in, the old man and the old grandmother hurriedly shut up and didn't talk about what had just happened.
Zhang Gu smiled: "How is the condition, is there anything uncomfortable in your body?"
The old man said: "I'm sorry for your trouble, I don't have anything uncomfortable about this disease......
The old grandmother next to him glared at him, and hurriedly said truthfully: "He rejects acid and heartburn, and every day after dinner, he always says that the burn is uncomfortable." ”
"And he coughs so badly that he coughs when he falls asleep at night, and he can choke himself. ”
Zhang Gu nodded slightly, these symptoms show that the old man not only has food regurgitation, but also the esophageal mucosa has been damaged.
Coupled with various concomitant problems, it shows that the old man's condition has not just appeared, but has been hard next to each other, and it has dragged on to the point of unbearable, so he came to the hospital.
I came out of the ward and went to the aisle not far away.
Shen Wenting said in a low voice: "Those three people are the children of the patient just now. ”
Zhang Gu followed the sound and looked.
I vaguely heard a few people discussing how to borrow money and make up money.
It can be heard that the three children are willing to pay for the old man's treatment.
Zhang Gu thought about it for a while, and called his colleagues in the medical insurance department and the general office, asking them to see if the company was eligible for poverty reduction and exemption of medical fees.
Zhang Gu's phone was still very effective, and soon someone in charge of relevant colleagues came to the ward to understand the situation.
……
Zhang Gu returned to the doctor's office and gathered the small team together.
"Shen Wenting, you are the chief surgeon of this fundoplication, tell you your thoughts, and if there is anything inappropriate, I will correct it. ”
Shen Wenting hurriedly stood up and said in her heart, it seems that Brother Zhang is trying to cultivate me.
This kind of complex and critically ill patient is very difficult to treat.
But it also means a valuable opportunity to deal with critical illness records and the accumulation of learning experience.
Simple repetitive surgery alone will not make progress.
Shen Wenting held a learning attitude and began to explain her treatment ideas.
Huo Fang, Xiao Mao, and Li Yunlai were all listening below.
From time to time, Zhang Gu spoke up to help Shen Wenting take into account the details that she had overlooked.
Every time Zhang Gu mentioned some details, Shen Wenting had a feeling of sudden realization.
No wonder I think this patient is difficult and I don't know where to start.
It turns out that so many points have been missed!
This meeting is not so much a discussion on the surgical rehearsal plan, but more about Zhang Gu teaching and raising everyone.
Not only Shen Wenting has gained a lot, but the three people next to her, Xiao Mao, Huo Fang, and Li Yunlai, have also benefited a lot and learned a lot of things.
Xiao Mao listened to Zhang Gu's analysis, and dissected all the details of this case very clearly.
He secretly said in his heart: "Maybe in Mr. Zhang's eyes, there are no critical and difficult medical records at all, only simple and slightly troublesome." ”
The more Shen Wenting listened, the brighter her eyes became.
You can learn a lot from Brother Zhang!
Huo Fang and Li Yunlai were also secretly comparing Zhang Gu and their previous team leaders.
Especially Li Yunlai, who has just arrived, has the deepest feelings: "Zhang Gu's lecture method is not complicated and awkward at all, and everything he talks about is very straightforward, but it can directly hit the point. ”
A teaching meeting was opened.
Shen Wenting also regained her confidence in this operation.
In the end, Zhang Gu instructed: "Shen Wenting, you and Huo Fang, finally, according to the ideas I added, re-deduce the surgical process." ”
"Li Yunlai, you do an esophageal manometry and acid test for the patient, and if you meet the indications for surgery, you will arrange surgery tomorrow afternoon. ”
Everyone received the task and hurried to get busy.
The next day, at the same time as the test results came out.
Zhang Gu also took Shen Wenting to the ward again. Check on the patient one last time before surgery.
As soon as I approached the ward, I heard laughter coming from inside.