Chapter 8 Malignant development of lymphoma
In front of the emergency department.
Zhou Yisheng and the others were distracted, their minds were blank, and they had completely lost the ambition they had when they first arrived in front of the Central Courtyard building a few hours earlier. It's a feeling of powerlessness, life is on the verge of life, and there's nothing you can do about it.
A doctor after graduating from medical school?
No!
At this moment, they knew that they were still far away!
Wang Fei's hands trembled a little, and when he saw such a situation for the first time, he was inevitably frightened.
But when he looked at Zhou Sheng, he saw that his expression was calm, but his eyes wandered, as if he was thinking about something.
"You, aren't you afraid?"
Zhou Zhou came back to his senses and looked at Wang Fei: "There's nothing to be afraid of." ”
He understood Wang Fei's thoughts......
If Fang is the only one of them to deal with this situation, they will definitely be blinded, and the situation of the male patient obviously needs to be treated against time, with the ability of several of them, people will definitely not be able to save it, and they will not receive timely and effective treatment.
It's a frustration.
Medical students are inevitably blind and arrogant, feeling that their five years of hard work are not in vain.
Only when you enter the hospital will you gradually recognize the facts.
Zhou Zhou said: "We are just interns, we don't need to think so much, what ability do we have to do anything, Director Jiang and Dr. Qian also came from our state, step by step, the most important thing is to correct the mentality." ”
This kind of enlightenment does not have much effect.
Every year, 600,000 medical students graduate and are really in tune with their majors, so how many people take this as their profession?
Doctors, who bear the burden of other people's lives, may be the weight of this sense of responsibility, which may be what people call "the unbearable weight of life".
Monday can see clearly, it is the edification of the family.
Grandpa is a skilled doctor, and there are countless people who come to see him, but there are also patients who he can't do anything about. Long-term conditioning and treatment, one month, two months, everyone knows each other.
But one day, the patient who often came to the clinic suddenly disappeared......
That is the real disappearance from this world.
Chen Tongwei took a deep breath: "Let's go, go outside and smoke a cigarette?"
Zhou Zhou shook his head: "No." ”
"Let's go, scatter one for me. "Wang Fei went.
But he is obviously not a smoker, and Wang Fei does not have the smoky tar smell of old smokers.
Medical students, including doctors, are more aware of the dangers of smoking than the average person.
But why do doctors smoke?
Because of the pressure!
The two left, and on Monday one went to the emergency department.
After a while, six or seven people rushed into the emergency hall, and a lady in her fifties and sixties shouted, "My son, where is my son?"
Speaking in the Chinese dialect of Qin, the roar was hoarse and eye-catching.
The nurse immediately came up to inquire about the situation, only to learn that it was the family of the emergency patient who had just been sent.
The three patients were a family of three, who had just finished eating with relatives at their parents' house, and had drunk a lot of alcohol at the dinner, and drove home unhindered, just because their son's house was not far from his parents' house, thinking that nothing would happen......
In the end, something went wrong!!
The nurse led a few people to the operating room to sign, and the crying continued to come from the depths of the corridor, making countless people sigh.
During the Chinese New Year, when this kind of thing happens, no one feels good.
Some people also said: "Don't drink while driving, don't drive when you drink, there has been so much drunk driving publicity in the past two years, and the inspection is strict, there are always people who are in danger, hehehe...... Saying that he should have seemed to me to be cold-blooded, but if this car accident caused other people's families to suffer unjustified disasters, whose result is it?"
Zhou Yi frowned when he heard it, this kind of proposition discussion can't talk about a result at all.
The man was cold, but it was true.
Drunk driving is not only irresponsible for yourself and your family, but also irresponsible for others.
Can you think of ......
Even if the male patient is out of danger and the treatment is over, he will have to go to the detention center to report.
The soundness of the law is the foundation of social stability.
The red light in the operating room was on for a long time, but there was no result, and the only good news when the end of work was that the mother and daughter were not seriously injured, the coma was caused by a concussion, and the liver was slightly bleeding.
The three of them left work on time at seven o'clock.
Jiang Jiancheng has not left the operating room, and the three of them can only go to the attending department to report on Monday.
The night shift attendant is named Tang Aiyun, and he didn't let the three of them idle: "The night shift emergency department is the busiest, the three of you are with a resident doctor, don't get started first, see three days to get acquainted with it, and then help do some chores." ”
In addition to the attending staff, there are three resident doctors.
On Monday, the three of them were settled in the hospital.
Emergency at night, cold and fever, bumps and bruises, minor illnesses constantly, no major illnesses.
The resident doctor who followed Zhou Yi was named Jing Dong, who was not very old, graduated three years ago, and only obtained his doctor's license last year.
Nine o'clock in the evening.
After two hours of work, Zhou Yi followed Jing Dong to deal with sixteen patients, three of whom needed basic sutures, and Zhou Yi was eager to try, but Jing Dong would definitely not let him get started: "You have only come for the first day, don't worry, the emergency department will be rotated after a month, and there will be opportunities in the future." ”
When interns first arrive, it's better to see more and do less, otherwise something goes wrong and will only cause trouble.
Twelve o'clock in the morning.
The operation, which lasted for more than six hours, was finally over.
The patient was admitted directly to the ICU ward, and was not out of danger, but the operation was relatively successful.
After Director Li was sent away, Jiang Jiancheng was responsible for briefing the family, and this chat lasted another twenty minutes, if it weren't for the fact that Tang Aiyun finally called Jiang Jiancheng away, he didn't know how long he would have been entangled.
"Director, hurry up and get off work, we'll leave it here. ”
Jiang Jiancheng said: "What about the intern?"
"It's arranged, let Xiaojing take them with them, there will be no mistakes. ”
"Hmm. Jiang Jiancheng nodded, "You have to worry more about interns, don't go wrong, if you see who is talented, just choose two fixed internships, don't rotate, lest you have to teach again, I'll go and say hello to the leader." ”
The emergency department is busy and urgently needs manpower.
If the interns rotate back and forth, they have to bring in new recruits every month, resulting in a waste of resources.
Small talk.
Jiang Jiancheng took his bag and got off work.
But before he walked through the infusion hall, more than a dozen people rushed in outside the door, led by four policemen.
The people who were controlled were covered in blood.
One asks about the situation.
Drunken fights and brawls, provoked a rush to the eye on the wine bottle piercing, fortunately it is not a fatal injury, but the skin and flesh need to be stitched.
Hehe, drunk again!
Jiang Jiancheng casually handed the bag to a nurse and immediately called someone: "Doctor Tang, Xiaojing...... Come over, ten stitches, I'll deal with the most serious situation, and the rest of you will be two for each person, and the intern will help you get started. ”
Attending Tang and the three resident doctors immediately arrived, Tang Aiyun smiled bitterly and said, "Director, you just had surgery, forget it, we can handle it." ”
Jiang Jiancheng shook his head: "Okay, I'll leave after stitching, it won't take long, and there will be a lot of bleeding, and it is easy to have problems if you delay for a long time." ”
There were too many people to settle in the disposal room, so they simply sutured on the spot in the infusion hall.
This is the case.
Not only the three interns on Monday, but even the old men in Tang Aiyun's several departments were also in awe when they looked at Jiang Jiancheng.
The little nurse's eyes lit up, and she was truly attracted by the charm of her personality.
There is not much that can be done on Monday, handing scissors, gauze, and pulling threads are all done by nurses. He will suture the foundation, he wants to contribute, his eyes fall on Jiang Jiancheng, and he wants to ask if he can help pull the thread.
But before he could open his mouth, he saw Jiang Jiancheng's figure swaying, and his footsteps moved back half a step imperceptibly, before he stood firm and shook his head, and he continued to focus on the things at hand.
No one else paid attention, only he saw this scene.
Zhou Yi's mind was diverted, but he was worried about Director Jiang's situation, fatigue caused by severe fatigue, and physical exhaustion were common, but from the perspective of traditional Chinese medicine, Director Jiang's face was not very good......
It is not caused by fatigue for one day or two, no matter in the theory of traditional Chinese and Western medicine, there is a saying that overwork becomes a disease, and long-term fatigue will reduce the resistance and chronic diseases are frequent.
For Jiang Jiancheng, Zhou Shengsheng has a sense of admiration.
A flash of inspiration came to mind......
Zhou Zhou suddenly said secretly in his heart: "System, how to use the C-level body scanning detection auxiliary function?"
In the field of view, the system window pops up.
A wave line similar to a QR code scan, sliding from top to bottom.
"Just scan. ”
Zhou turned his head and aimed the scanning frame at Jiang Jiancheng.
A simulated humanoid dynamic diagram immediately appeared, but in an instant, rows of physical information appeared on one side.
Just waited for all the data to come out, and the system even gave a detection conclusion-
"Human white blood cell count, thrombocytosis, and rapid erythrocyte sedimentation rate are measured, accompanied by neutrophil macrocytosis...... The presence of a large bean mass in the axillary area of the body confirms the diagnosis of lymphadenopathy. ”
"In addition, the lactate dehydrogenase has a large upward trend, and the probability of malignant development of lymphadenopathy is assessed as 85%!"
"Please proceed with surgical excision in time!"
"The probability of initial cure is 90%, and the actual situation is subject to the postoperative situation. ”
!!!
With an 85% probability of swollen lymph nodes developing malignantly, ordinary people may not understand what it represents.
But Monday understands ......
Lactate dehydrogenase is one of the important reference indicators for the development of malignant tumors.
If the lymphadenopathy continues to develop, it is a lymphoma -
That's what people often say, lymphoma!!