Chapter 49 Ward rounds

Although Yi Sheng and Yi Cunxi were tight-lipped, Yu Danna still found clues from the clothes hanging on the balcony.

Blood stains are difficult to clean, and although Yi Sheng put his clothes in the washing machine and rolled them all night last night, there are still faint traces.

"Tell me, where did you two go last night?"

Yu Danna sat cross-legged on the futon, looking at Yi Cunxi who was kneeling in front of her, twisting the tea lid and gently fiddling with the tea bowl, where her eyes swept, there was no grass.

"That daughter-in-law, don't be angry, scientists say that anger can easily affect life expectancy. ”

"Huh?"

Yi Cunxi, who was kneeling on the ground and his legs were numb, wanted to take the opportunity to stand up, but was frightened by Yu Danna's crawling voice and didn't dare to move.

"What about Yi Sheng?" asked Yu Danna with a sip.

"I drove back before dawn. Yi Cunxi told truthfully.

"Then you should kneel first," Yu Danna put the tea bowl in her hand on the sea of tea, stood up and said: "I will go to the Wuzhi Temple today to find Master Puzhi to open the light, and come back before dinner, if I go home and see you not kneeling here, hum." ”

Yu Danna took out the wooden box containing the jade pendant from the cabinet, and the coat on the bed went out, and at the moment the door closed, Yi Cunxi struggled to stand up, rubbed his kneeling knees, and secretly scolded Yi Sheng for not being interesting enough to let himself suffer alone here.

However, Yi Sheng didn't know anything about what happened to Yi Cunxi, and now he had just changed into a white coat and was about to enter the department to take over, Li Shangai walked in and said, "Yi Sheng, where did you go yesterday afternoon?"

"In the afternoon, I had something at home and went home. Yi Sheng sorted out his badge and said.

"Well, I discussed with Wu Aimin in the emergency department yesterday, and the operating room of the emergency department will reserve a room for you in the future, and if you encounter a patient with epidural hematoma in the future, the emergency department will call Shenwai, and you can go to the chief surgeon at that time. Li Shangai picked up the white coat and said: "As for other surgical procedures, if you want to do it, you can find a senior teacher in the department to follow you for the last operation, and if they let you continue, you can carry out a new operation." ”

"Okay teacher, thank you, teacher. Yi Sheng was overjoyed.

Li Shangai's words mean that Yi Sheng can get rid of the restrictions of interns and carry out the operation independently.

Although Yi Sheng can also perform surgery now, Yi Sheng is still staying in the neurosurgery department as an intern, and if he wants to perform surgery, he needs to report to Li Shangai or Meng Xianyang that he has been approved before he can perform surgery.

In this way, Yi Sheng can try to perform subdural hematoma, and after the main task of subdural hematoma is completed, he can perform skull repair surgery, and then .....

Moreover, Yi Sheng's credit accumulation will be greatly accelerated, and the distance to exchange for MRI imaging technology can be further improved.

"By the way, Director Meng took leave to go back last night, and I will be in charge of his patients for the time being, Liang Susu has been doing well recently, you go and give him a physical examination of the nervous system to see how well she recovers after a brain stem hemorrhage. ”

"Director Meng has taken a leave of absence?" Yi Sheng said in a daze.

"Well, Meng Xianyang has a daughter named Meng Yiran, who suffered from chronic myeloid leukemia a few years ago and has been receiving treatment abroad. Last night, a call from a foreign hospital said that Meng Yiran's condition had deteriorated, so Meng Xianyang asked for leave and flew directly abroad. Li Shangai said casually.

After finishing the shift, Yi Sheng directly took Hao Zhe to Liang Susu's ward.

"Xiao Yi, you're here!"

Pan Yun saw Yi Sheng come in, and quickly stood up, although his head was still white, but the smile on his face was very bright.

Li Shangai told Pan Yun that the key steps of the operation were completed by Yi Sheng after the operation, that is to say, it was actually Yi Sheng who saved Liang Susu's life, and in front of his daughter's life-saving benefactor, Pan Yun asked very enthusiastically: "Xiao Yi, do you want to eat fruit?"

"Aunt Pan, don't be busy, I'm mainly going to see Su Su's recovery today, give her a comprehensive physical examination, and see how she recovers. ”

Although Li Shangai asked Yi Sheng to give Liang Susu a neurological examination, Yi Sheng still wanted to have a more comprehensive physical examination, after all, a simple nervous system physical examination may ignore other symptoms of Liang Susu's body, and some symptoms will not be obvious in a short period of time, so this is why doctors will conduct ward rounds on hospitalized patients every day.

Physical examination and auxiliary examination are called one of the two major examination methods of medical diagnosis, physical examination is the premise of auxiliary examination, and patients will generally have a physical examination first when they go to the hospital, and then choose to undergo other examinations.

Of course, this does not exclude some private hospitals that charge indiscriminately.

If the physical examination technique is used to find signs of disease or other abnormalities in the patient, then more detailed auxiliary examinations can be carried out, which can also make the doctor more comfortable when facing patients or their families who are concerned about the "price".

"Doctor Yi, you're here. Liang Susu said with a sweet smile as he lay on the bed.

Seeing that Liang Susu was recovering well, Yi Sheng was also full of a sense of accomplishment in his heart, he gently touched Liang Susu's head and said gently, "How are you feeling lately?"

"It's good, but it's not very flexible. Liang Susu slowly raised his left hand and said, "Doctor Yi, look, my left hand can't hold a fist." ”

"It's okay, wait until I go back and tell Professor Li, and then let Su Su go to the rehabilitation room of the rehabilitation department to exercise, and she can recover faster." ”

Although Liang Susu's surgery was successful, the sequelae of brainstem hemorrhage still existed, and this kind of thing was inevitable.

With Hao Zhe's help, Yi Sheng began to conduct a physical examination of Liang Susu, because Liang Susu lived in a separate ward, so Yi Sheng just closed the curtain at the door.

"Can you sit up by yourself?" Yi Sheng stood on Liang Susu's right side, observing Liang Susu.

"I can sit up. ”

"Don't force yourself," Yi Sheng helped Liang Susu when Liang Susu was about to lose his nerve and said softly: "You have just removed the stitches now, and your body is still very weak, and forcing yourself too much is not conducive to the recovery of your body, you know?"

Liang Susu nodded obediently and cooperated with Yi Sheng for a physical examination.

Yi Sheng squeezed out some hand sanitizer and simply disinfected it, and then started a comprehensive physical examination from the top of Liang Susu's head.

A physical examination is complex and time-consuming, and consists of four parts: a physical examination of the head, chest, abdomen, and nervous system. Examination of the extremities is included in the physical examination of the nervous system.

The heating in the ward was turned on very well, and Yi Sheng was already sweating densely on his head when he completed the first three steps.

"There are no problems in other parts, Aunt Pan has really worked hard for you. Yi Sheng said with a smile.

Although Liang Susu was bedridden for a long time, he did not develop bedsores because of this.

Next, Yi Sheng gestured to Hao Zhe, and Hao Zhe took out a nervous system physical examination table from the medical record book, and said the examination items according to the options above.

"The patient is conscious and free of delirium. Yi Sheng put his hand thirty centimeters in front of Liang Susu's eyes, and asked Liang Susu to put his hand between his eyes, and his hand moved slowly, observing Liang Susu's oculomotor reaction.

"Not bad. Yi Sheng nodded and continued with other checks.

Ten minutes later, Yi Sheng completed the relevant nervous system physical examination, and Hao Zhe also sorted out the checklist and said: "The patient's vital signs are stable, he is conscious, and there is no delirium. The bilateral pupils are equally large and circular, with a diameter of 3.5 mm, and are sensitive to light reflexes and have sufficient eye movements. Facial sensation is normal, no facial paralysis. The left muscle strength is grade II.+, the right limb muscle strength is grade V, there is no abnormality in the depth and shallowness, and the left finger-nose test and rotation test are not stable. The abdominal wall reflexes are normal, the knee jerk reflex, the Achilles tendon reflex is normal, and the Pap sign is negative. ”

Except for the sequelae of brainstem hemorrhage, Liang Susu did not show other symptoms of nerve damage, that is, the nerve separation performed by Yi Sheng during the operation did not damage any nerve on Liang Susu's brain stem.

"Dr. Yi, the emergency department called and said that a patient with an epidural hematoma had come and asked you to go down. The little nurse knocked on the door and said outside.

"Got it, I'll be over in a moment. ”

"Aunt Pan, Su Su's nervous system has no other nerve damage except for the sequelae of brain stem hemorrhage," Yi Sheng nodded at Ms. Pan Yun and said, "I will go back and ask the teacher in the department to design a suitable rehabilitation method according to Su Su's current situation, I believe that after rehabilitation, Su Su will be discharged from the hospital soon." ”

"Thank you, Xiao Yi. The smile on Pan Yun's face was even worse, and nothing could make her happier than her daughter's physical condition now.

After leaving the ward, Yi Sheng handed over the neurological examination form to Li Shangai, and then went to the emergency department with Hao Zhe.

"Now that the operation is underway, do you have to eat a boxed lunch at noon?" Hao Zhe sighed and said, "If only Su Jin was in the operating room, I would be able to eat a good meal at noon." ”

"Don't talk nonsense, you'll order a meal after pulling the hook in a while, I'll treat you. Yi Sheng said as he walked: "At noon yesterday, Director Wu gave me a bonus of 3,000 yuan, which is enough for the two of us to eat several big meals. ”

"Damn, why do you have a bonus? I do a lot of work in the emergency department!" Hao Zhe exclaimed, then looked at the medical workers and patients around him, leaned next to Yi Sheng and whispered: "To be honest, did you get this money by selling your hue?"

"I was in the emergency department for a while before you came, just in time for the house collapse, because the rescue was timely, and all the doctors in the emergency department had bonuses. Yi Sheng explained.

"Why can't I meet such a good thing?"

"Because you're ugly!"

Yi Sheng left Hao Zhe with a handsome back and strode towards the emergency department.

A nurse from the department happened to be passing by and hid her face and snickered when she heard this.

Hao Zhe looked at the nurse helplessly and asked, "Am I ugly?"

"Ahem," the little nurse calmed her facial expression, straightened her nurse's uniform and said, "The weather is so nice today!"

Hao Zhe looked out the window at the north wind blowing and the clouds in front of him, full of black lines.