Chapter Seventy-Three: Advanced Skills
"Doctor Tong is still you amazing, my old man sighs to himself!" After handing over work in the morning, Xuan Hongcai suddenly came up with such a sentence in a weird way. Pen & Fun & Pavilion www.biquge.info "I don't know what ...... you refer to", Tong Keji stopped Xie Jingyuan, who wanted to "join the war", tepid, neither humble nor arrogant, and said while opening the medical record folder to look at the medical record. "Whatever, your brother is better than me! On the family, your child laughs, my child has not yet 'made soap'; on the origin, you are a monk from Beijing, naturally you can recite scriptures better than me, a local monk; on the background, you used to have a mother-in-law who was the dean, and now, you are about to have a father-in-law who will be the deputy director, and now you are the person in charge of the 'Pediatric Surgery Laparoscopy Center', and it is not a matter of time before you become the director of the pediatric department...... Alas, people should be damned than people, and goods should be thrown away! "It depends on how it compares! When it comes to understanding business and reputation among pediatric colleagues, you are much better than me...... Hearing the ridicule of Xuan Hongcai, Tong Keji was not angry, he sincerely felt that he was inferior to Xuan Hongcai in the operation of the department and the handling of colleague relations. "Close contact with the masses! Is there any bullshit? I'm making a mistake of course! What time is it now? It should be a close link with the leadership and a theoretical link ......".
Just when Xuan Hongcai was playing and complaining, the door of the doctor's office was suddenly pushed open, and Liu Yanmei broke in in a panic and said, "Doctor Xu, Doctor Tong, no, the 18th bed is suddenly in shock!" β
"Sweet ...... Sweet ......", when Tong Keji, Xuan Hongcai, Xie Jingyuan and Fang Jian followed Liu Yanmei to the ward, Duan Xiangqiu and Gan Weidong were screaming and screaming at the bedside, in pain.
ββIt turned out that the child Tian Tian who was admitted to the hospital last night was Duan Xiangqiu and Gan Weidong's daughter Tian Tian! Tong Keji learned from the shift in the morning and the medical record just now that Tian Tian was admitted to the hospital by Xuan Hongcai last night, because of his special relationship with Gan Weidong, he also chose an auspicious bed number for Gan Tian - "18 beds"! The 8-bed, 18-bed, 28-bed and 38-bed are four suites, which belong to the VIP ward of the pediatric department, which not only has a TV, refrigerator, microwave, but also a sofa, coffee table and water dispenser in the "reception room". Parents of children who can live in such a ward are either rich or expensive, and the "reception room" is obviously used by parents as guests, and children like Du Doudou cannot afford to live in it anyway, let alone have any guests here. However, Tong Kezhi believes that the most important thing for a hospital or a department is not to engage in these VIPs, but to work more on improving the level of medical care and overall services.
"This is not a symptom of appendicitis!" Tong Keji only glanced at her sweet pale face, touched her forehead and swollen abdomen and came to such a conclusion, then turned to Duan Xiangqiu and said, "What was the situation before the child was admitted to the hospital?" Duan Xiangqiu stopped her tears and said with a sob: "After dinner yesterday, I took her to the garden of the community to play, and when she got home, she complained that her stomach hurt, and then she came to the hospital!" "Be detailed! How and what to do in the garden? "Play...... Oh, it's cycling! "Did you bump or bump or something?" Think about ......". "It's like...... Yes, I fell on the edge of a well......". "How did you fall?" "Little bike rolls over...... Tian Tian fell to the ground! "In which direction?" Is it the inside or outside of the bike? "Yes...... Outside! β
"You're fucking endless!" Gan Weidong was impatient: "The children are almost out of breath, you fucking still talk like a monk!" Tong Keji ignored Gan Weidong, turned Tiantian's body and carefully searched for something in his belly, and finally, found an inconspicuous bruise in the flank area: "If my judgment is correct, this place should be knocked on the handlebar!" From this, I preliminarily judged that the patient had internal injuries in the abdomen, and judging from the location and physical signs, it was likely to be...... Spleen rupture! β
"Probably, probably, it's good to say this!" Gan Weidong continued to roar: "I'll tell you surnamed Tong, if Tiantian has three longs and two shorts, I can't fucking spare you!" β
"Gan Weidong! You don't have to fool around here! Duan Xiangqiu shouted. And you! What the fuck do you think kid?! Gan Weidong is completely confused, and even the "brine" doesn't work for him! "You still have the face to shout here!" Duan Xiangqiu glanced at Liu Yanmei: "I left my wife and children to be happy with Xiao San'er outside, the child has an accident and runs here to pretend to be a loving father to ......, you get out of me, there is no shortage of you here for our mother and son!" β
Tong Keji closed his eyes slightly to sort out his thoughts with a sense of concentrecy, and then calmly said to Liu Yanmei: "Nurse Liu, I'll do it!" "Aren't there any other nurses here?" Duan Xiangqiu's tone was obviously distrustful of Liu Yanmei, or she knew the relationship between Liu Yanmei and Gan Weidong and was suspicious. "Please believe me, and trust Nurse Liu!" Tong Keji turned to Liu Yanmei: "Give oxygen immediately, establish intravenous access in the elbow to replenish blood volume!" Give the same type of whole blood...... 200CCοΌ 0.9% sodium chloride, low molecular weight dextran, pay attention to observe blood pressure! Also, insert a urinary catheter and observe the amount and color of urine! Tong Keji glanced at Duan Xiangqiu and Gan Weidong, and then said solemnly to Liu Yanmei: "When inserting a urinary catheter, you must pay attention to it, the patient is still a little girl, and we must be responsible for her future!" After speaking, he turned to Xu Hongcai: "Doctor Xu, please get off work later!" I need your help! "Good, good!" Gan Tian's condition was originally caused by Xuan Hongcai's misdiagnosis, and now Tong Keji took the initiative to wipe the feces off his buttocks for him, and said that he needed his assistance, which was enough to give him face, of course he couldn't ask for it.
"Dr. Tong, a ruptured spleen...... Is it serious? Will it be life-threatening? Duan Xiangqiu looked at Tong Keji with extremely trusting eyes, she hoped to get a negative answer from Tong Keji, but she was afraid that his answer would be yes, so that look was apprehensive and panicked, like a frightened fawn, once Tong Keji's answer was not what she hoped for, she was likely to fall into despair immediately. Analyze the situation from the whole picture...... It should belong to grade I or grade II spleen rupture, and there should be no life-threatening ......", seeing that Duan Xiangqiu's eyes were still flickering with hesitation and apprehension, Tong Keji added another sentence: "Tiantian will definitely be fine, please believe me!" β
Hearing Tong Keji's last words, Duan Xiangqiu cried out loud. These are tears of gratitude, tears of relief.
"Xiao Xie, Xiao Fang, prepare for laparoscopic exploration and spleen-sparing surgery immediately! Conventional carbon dioxide persistent pneumoperitoneum, pressure ...... 12~14mmHg, bio-glue, electrocoagulation to stop bleeding, plus hemostatic sponge ......". Tong Keji didn't care about enlightening and comforting Duan Xiangqiu, and immediately devoted himself to the rescue work......