406 The Meaning of Communication

"Teacher Xiao Zhou. ”

"Hello Teacher Xiao Zhou!"

The honorific title from the heart made Zhou Shengsheng a little red-faced, and He Deputy Gao pointed to the table that had already been cleaned up on the side and said, "We have limited space here, you two have a desk." ”

"Let's get to know each other first, and when the director arrives, let's go to the ward, yesterday's patient was transferred to the ICU, and the situation is not very optimistic. ”

At the mention of patients, the mood in the audience became a little solemn.

Yesterday's accident has been reported, the reporter followed last night to interview, it is estimated that tonight's provincial news will be broadcast, on the one hand, to emphasize the seriousness of the traffic problem, on the other hand, it is also an affirmation of the work of Zhou County Hospital to rescue patients.

However, whether the patient can survive or not is a matter for another time.

Yesterday's situation was already a first-degree disability, and not dying on the spot was a fateful result.

"Okay, I see, I'll take a look at the inspection report first. ”

The attending officer on the side hurriedly sent it up, "Teacher Xiao Zhou, you watch, I'll make tea...... Or coffee?"

"Ah, let's coffee, thank you. ”

Passing by Bai Mingming's side, of course, he couldn't ignore it, "Where's Dr. Xiaobai?"

Bai Mingming is not annoyed at all, he knows what level he is, and the main person in charge of the family helps pour water, so he will steal the fun.

"I'll have tea, what, I'll go with you, and I'll recognize the place. Bai Mingming also knows how to do it, and he is not nervous, just such a sentence has attracted the favor of many people.

Eight past five o'clock.

Director Che arrived, followed by Liang Yuan, Director Gao and other leaders, greeted each other, and everyone rushed to the ICU.

Outside the ward, the patient could be seen through the window, and he was not awake.

The accident resulted in massive blood loss, and the physical stress response naturally caused the coma, and the uncertainty of when the person woke up was so uncertain that the family was kept isolated and only known through the communication of doctors and nurses.

"Judging from the examination data, the situation is not very good, the inflammation is too high, there is inflammation and swelling in the abdominal cavity and lateral kidney incisions, and the blood and urine are severe. "The ICU doctor gave feedback.

Director Che took the report and frowned, "The infection problem is a bit serious." ”

The sterile operating room only reduces the occurrence of postoperative infection, but does not completely eliminate it, not to mention such a major operation, even if the appendix is removed, the patient's low immunity will lead to infection.

"Do you dare to increase the anti-inflammatory dose?" asked Dean Liang.

"I don't dare to ......," Director Che glanced at Zhou Sheng, who had not spoken.

I don't mean anything else, just remind Dean Liang, who is not very capable of business, that the unilateral kidney is removed, the external drainage tube is still urinating blood, and the antibiotics are continued to be applied in large doses, isn't that a trouble?

Dean Liang understood, and was not embarrassed, turned his head and looked at Zhou Shengsheng with a smile: "What suggestions does Xiao Zhou have?"

Monday had already thrown out the A-level detection scan.

Hazard Assessment Grade: A-

It's only half a level better than the intraoperative situation.

The treatment given by the system is only conservative treatment.

Surgery is not a panacea, and it is common for patients to die after surgery due to the severity of the injury, in other words...... The system is not a panacea, and even if the surgery can be completed efficiently, it does not mean that the cure rate is 100%.

"Let's treat conservatively, the current situation can only be carried by the patient, and the other ......"

"Reduce the amount of a single dose, administer the drug multiple times, observe the wound every six hours, and if the inflammation develops, it is best to treat it as soon as possible. ”

"Huh. Director Gao and Director Che glanced at each other, "This is a good way." ”

It's not that they don't understand, but there are few cases of kidney extraction, unilateral kidney removal, kidney function is reduced, various immune system changes, and it is not advisable to increase the dose, but long-term multiple medication is a good way.

This is not only a treatment plan in Western medicine, but also in Chinese medicine.

If you can't resist the fierce medicine, then reduce the dose and increase it.

Zhou Yi was born in traditional Chinese medicine, and a lot of traditional Chinese medicine ideas were added to his inertial thinking, which is certainly not a bad thing, and from the current situation, it can be regarded as giving constructive advice.

"Continue to observe, if the problem of blood in the urine is not resolved within 24 hours, it may be necessary to have another operation. He continued.

When everyone heard this, they understood.

On the one hand, hematuria will inevitably occur after renal extraction, but if there is no trend of subsidence, the residual renal bed tissue at the renal extraction site is bound to have a greater possibility of inflammation, and a second operation will be performed to remove the inflammatory part.

Scraping meat from rotten flesh makes your scalp tingle just thinking about it.

Suffer.

The discussion plan was unanimously adopted.

People can't be here all the time, the ICU is guarded by doctors on 24-hour shifts, and they don't have to worry too much.

Leaving the ICU, a group of leaders coped with the families.

Director Gao led Zhou Sheng to Wai 1, "Xiao Zhou, although you are outside 2, you can also participate in our Wai 1 operation." In addition to the kidneys, what other procedures are you good at?"

The Lancet publisher, there is no need to consider the technology, yesterday's kidney harvest was enough to impress everyone.

They are not the same as Jiang Jiancheng.

Of course, Director Jiang also recognized Zhou Yisheng, otherwise he would not have let him operate on it, but Director Jiang didn't know what the Lancet had published, and he didn't know that Xiao Zhou could do kidney extraction, so the information gap was large, and the treatment was also large.

For a while, Monday was also thinking about it......

Are you too low-key?

If you put on a little gesture, the treatment in the central courtyard can also be mentioned?

Of course, now is not the time to think about this.

Yesterday there was a kidney pick, which was cool.

But that's just the beginning.

Director Gao obviously meant to send the operation, and he had a fever in his eyes: "The general gastrointestinal surgery can be done, but the hepatobiliary and blood vessels are slightly weaker." ”

Gee.

Director Gao couldn't help but smack his tongue when he heard it, Xiao Zhou said modestly, but in his ears, he was proficient in the stomach and intestines, and he could do it if the hepatobiliary blood vessels were slightly weak, plus a kidney operation, this kid simply ate the general exotic?

Of course, there are too many directions in general surgery, that is, it is not specialized, otherwise it will not extend to separate hepatobiliary, urological and anorectal departments.

However, Zhou Sheng's attainments in the kidneys are enough to stand alone outside the kidneys, which is why they hugged Zhou Sheng.

Director Gao received the order, and it was also regarded as an outpost, reminding Zhou Sheng: "What does Dean Liang mean, I still hope that you can do kidney surgery, but now there are no patients in our hospital, but you can rest assured, we have already dragged people to find patients, and there will be news in three days at most." ”

"Can you still ...... Find a patient yourself?"

The treatment is so good?

In order to operate on me, this is also ...... I'm too much trouble for you.

Seeing Zhou Sheng's flattered appearance, Director Gao naturally understood, and then smiled bitterly in his heart.

Looking for a patient is to steal a teacher from you.

Director Gao definitely can't make his words clear, he also needs an old face.

Just said haha, and brushed it aside: "You can find it, there were confirmed patients before, but our hospital doesn't do kidney surgery very well, and it just so happens that you are here, and the problem is solved." ”

"Before that, you take a look outside 1 and 2 outside, and tell us what you think is appropriate, and let's discuss it. ”

Dean Liang didn't lie.

It's really a surgery to choose from on Monday.

While Zhou Zhou was excited, he didn't forget Bai Mingming: "By the way, Director Gao, I have a good cooperation with Dr. Bai, and when the time comes, I'll still work with him." ”

Director Gao had already expected it, and he understood what he should have said yesterday: "Okay, but Teacher Xiao Zhou, you are helping out, bringing a hospitalized person to the stage as a second assistant, so that they can learn more from you, isn't this the meaning of communication." ”

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