"Doctor Huang, the thoracic trauma patient who was transferred from the third hospital of the city just now, the bilateral chest tubes are unblocked, but the blood oxygen saturation of the ventilator-assisted breathing is only 60%~80%, I rechecked the chest X-ray, both lungs are re-expanded, and there is no serious trauma surnamed wet lung, give dexamethasone, and the blood oxygen has not improved." Chen Weiche encountered a little problem, so he came to ask the teacher Huang Zihao for advice.

This patient was just transferred in the morning, when he was transferred in, bilateral thoracostomy drainage and tracheostomy had been placed, and the situation was still stable.

Huang Zihao, who is Chinese New Year's Eve eight years old today, is a new attending doctor, and the hospital arranged for him to be Chen Weiche's teacher.

After carefully checking the data and the patient's situation, Huang Zihao smiled and said to Chen Weiche: "Do you try to change to a thick endotracheal intubation?" ”

"Ah~!" As soon as Dr. Huang said this, Chen Weiche immediately understood, and immediately replaced a slightly thicker trachea insertion, at this time, an amazing scene happened, only to see that the patient's blood oxygen saturation soared to 98% at once!

Chen Weiche shook his head and smiled bitterly, it is really a wise man's thousand worries must be wrong, it seems that he is still inexperienced in Western medicine, no wonder he can't diagnose it with traditional Chinese medicine techniques, it turns out that the previous doctor was negligent, so that the patient's airway pressure is too high.

Huang Zihao said: "I have encountered similar cases in another hospital before, when it was a mechanically ventilated patient, the ventilator airway pressure has been high, the patient's SPO2 is about 90%, I have not figured out what is going on, and then by a senior old doctor, I know that it is the patient's short neck, tracheal intubation into the bronchi, pull out a little bit and it will be immediately fine!" Therefore, sometimes these inadvertent small aspects will have a greater impact and cause greater harm to the patient, and the details determine success or failure, so we must pay special attention. ”

Chen Weiche was very impressed, and immediately asked: "Then how can this situation be accurately judged?" ”

Huang Zihao said: "It's hard to say, it's generally based on experience." For reference, one is to routinely listen to whether the bilateral breath sounds are symmetrical, and the other is to routinely take a bedside chest x-ray to see if the position of the intubation is appropriate, usually about 3cm away from the carina, and the diameter of the endotracheal intubation should be estimated according to the patient's weight. ”

Chen Weiche said that he was taught, and after some thanks, he went to work on his own work.

Huang Zihao looked at Chen Weiche's back, and said in his heart that this is a good seedling, and he is not as arrogant as rumored, squeezing out his teacher. Before, when he came in, the director arranged for him to be Chen Weiche's teacher, and at that time, Liu Hongnan asked his friend to blow the wind in front of him, saying that Chen Weiche was a person with a high level of traditional Chinese medicine, and he didn't take the teacher in his eyes, which was very difficult to teach.

Huang Zihao was still skeptical, but after so many days of getting along, he knew that Chen Weiche was not only hardworking, but also very studious, and his impression of him changed greatly. Chen Weiche uses miraculous acupuncture technology to save pregnancy. He had heard about the lives of women and children.

"Doctor Huang, that old woman's body temperature is still 38.5 degrees!" Mei Lingling came to Huang Zihao to report on the inspection just now.

Huang Zihao couldn't help frowning slightly, and groaned, this patient is an old lady in her seventies, who was admitted to the hospital after five days of fever, and has been in the temporary ward of the emergency department for many days. He's in trouble!

"You didn't check it wrong, did you?" Huang Zihao asked.

Mei Lingling said unconvinced: "Of course not." I'm also a qualified nurse, so how could I make a mistake even something as simple as checking my temperature? ”

Chen Weiche passed by and heard it, his heart moved, but he didn't want to say anything nonsense, walked a few steps, saw Xiaosha, and hurriedly beckoned: "Xiaosha, come here!" ”

Sha Yujuan was immediately overjoyed, and trotted over with a cute expression: "Brother Wei Che, what do you call someone?" ”

Chen Weiche leaned next to her and whispered a few words, Sha Yujuan immediately said that she understood, nodded her head like a chicken pecking rice, and after about half an hour, she took a thermometer and walked over to the old lady before.

"Grandma, can I take your temperature?" Sha Yujuan walked over, smiled with affinity, and said politely.

"Huh? I've just tested it! The old grandmother was a little flustered, but she immediately calmed down and made excuses, "No need, no need, little girl, I see that you are also very busy, why don't you go and get busy!" Don't worry about me old woman! ”

When Chen Weiche saw it, the inference in his heart became more certain.

Sha Yujuan said with a smile: "It's okay, taking your body temperature is a matter of a minute or two, and it won't delay much!" Immediately, he was very enthusiastic to help the old lady, pestering her, coquettish, coaxing, and making the old lady giggle.

The old lady couldn't refuse, so she had to leave it to her. Sha Yujuan helped her measure her temperature, and after a while, she took out the thermometer and looked at it, 37.5! It couldn't be more normal! He looked at Chen Weiche suspiciously.

Chen Weiche walked over and said with a smile: "Grandma Liu, your body has recovered, why don't I inform the uncle and let him take you home!" ”

Grandma Liu immediately quit and shouted: "I won't go back, I'm not well yet, I have a high fever every day!" ”

Chen Weiche said: "But Xiaosha helped you take your temperature just now, it's normal!" ”

Grandma Liu said: "She can't measure accurately, the little nurse surnamed Mei does it well!" ”

"Not necessarily, right?" Chen Weiche smiled and said, "How did I see someone secretly drinking hot water before?" ”

"Ahh The old lady slapped her forehead, and her face immediately changed, which was quite embarrassing!

It turned out that this smart old lady figured out the approximate time when Mei Lingling helped her take her temperature, every time before the other party came, she would secretly drink a lot of hot water, and sometimes deliberately hid a small hot water bottle in the armpit, Mei Lingling had a poor service attitude, was dirty and afraid of tiredness, and was reluctant to serve the elderly, basically perfunctory, so she was easily fooled by the old lady. The old lady was happy too.

Chen Weiche persuaded earnestly: "Grandma Liu, I know that you and Uncle Dong quarreled and made an awkward quarrel, but Uncle Dong really knew that he was wrong, and he was still nagging me just now, saying that he shouldn't scold you, you see, you should be generous and forgive the old man, right?" ”

Sha Yujuan also persuaded on the side: "Yes, Grandma Liu, you have been married for decades, isn't it normal to fight at the head of the bed and at the end of the bed?" Don't embarrass Uncle Dong! Moreover, the temporary ward of our emergency department is quite tight, and you will stay here for a long time, and we will not be able to do it! ”

Only then did she suddenly realize in her heart, and she admired Chen Weiche a little.

At this time, the old lady's wife showed her head at the door of the ward, Chen Weiche hurriedly helped the old man in, let him sit on the edge of the old lady's bed, the old lady snorted softly, don't go overboard.

Chen Weiche hurriedly greeted Sha Yujuan, as well as another staff member in the ward, signaling everyone to go out quickly, leaving space for this awkward old couple.

On the side of the bedside, Uncle Dong warmly touched his wife's hand, and said with a smile: "Look at you, you are all old husbands and wives, and you are still messing around, making juniors laugh at it, just now Dr. Xiao Chen came to me and asked me if I had quarreled with you, and said that you are pretending to be ......sick."

"Humph! I'm faking illness, so what? The old lady was very upset, withdrew her hand, and said, "Is this your attitude of admitting your mistakes?" ”

"Okay, okay, I was wrong, I really know that I was wrong, I promise not to scold you in the future, I won't beat you again, I will do all the housework, and I have the courage to kneel on the washboard if I make a mistake......" Uncle Dong made a series of promises, and finally made his wife burst into tears and laughed.

When the two helped each other out of the ward, there was already a large circle of people in the corridor, applauding.

Uncle Dong's old face turned red, and he said apologetically: "I've caused trouble to everyone these days!" We're going to get discharged right away! In addition, I would like to give special thanks to Dr. Chan Wai Che and Sha Yatou! If it weren't for you, my wife and I wouldn't know when we would have reconciled. ”

Everyone laughed kindly, applauded to celebrate them, the old couple was very embarrassed, hehe laughed, carried bags, supported each other, and left happily.

The attending physician, Huang Zihao, praised Chen Weiche and Sha Yujuan on the spot, and was not ashamed at all because Chen Weiche solved the case that he could not solve.

Then he said loudly: "This incident has touched me a lot, Xiao Chen does have something extraordinary, and he does a better job of communicating with patients than me!" It seems that if you want to become a qualified doctor, you can't just have medical skills, there are still many aspects to learn. Chen Weiche is not my student this time, but my teacher, I want to thank him well and learn from him! ”

Chen Weiche said embarrassedly: "Doctor Huang, you are too awarded, you are my teacher, I am your student, I need more guidance from you in the future!" ”

Huang Zihao said: "Everyone learns from each other! Xin said that Chen Weiche should not be treated as an ordinary student in the future.

It is because of this incident that the relationship between the two teachers and students became harmonious in the future, and they became teachers and friends, and they were rumored to be beautiful conversations in the hospital, but this is all later.

Immediately afterwards, Nurse Liu also praised Sha Yujuan and affirmed her work. Du Jingyi was envious, but she and Sha Yujuan were friends, girlfriends, and she was only happy for her in her heart.

Sha Yujuan secretly said to Du Jingyi: "Jingyi, have you found it, it seems that our good things are all related to Brother Wei Che!" ”

Du Jingyi glanced at Chen Weiche and whispered: "Yes, since we met him, we have often been praised, and we were rated as an excellent nurse a few days ago!" ”

The crowd dispersed, but the head nurse stopped Mei Lingling and criticized her: "How did you take your temperature?" For so many days, the test is all fake data! ”

"I ......"

"Don't explain to me, in the future, you will have a decent work attitude and learn more from Sha Yujuan and Du Jingyi!" Nurse Liu said very angrily. This time, Mei Lingling can be said to have lost face, and the professionals were fooled by the old lady, so that the attending physician could not find the cause. Although, the attending physician also has a responsibility, but you nurses have a greater responsibility! The doctor was also misled by you!

"I've always been very optimistic about you and Luo Shuangshuang, but you've disappointed me so much in recent events!" Nurse Liu felt a little hated for these two henchmen, and waved her sleeves and left. Mei Lingling was embarrassed, as the head nurse, her face was also very ugly.

Mei Lingling was aggrieved and hated Sha Yujuan to death in her heart.

Luo Shuangshuang came over to comfort her and said, "Don't be angry! Those two little goblins, aren't they just relying on Chen Weiche, and now they are becoming more and more arrogant! ”

Mei Lingling said: "If this continues, the two of them will step on our heads sooner or later!" ”

Luo Shuang's eyes rolled and said, "I have thought of a way to punish them fiercely!" ”

[Today's three watches are completed, and tomorrow's three shifts will continue. The data is not very ideal, please support it, collect + tickets, thank you! 】