There are also many emergencies in urology, such as acute urinary retention, and such symptoms must go to the emergency department, so now the urology department must notify the emergency department if the patient is temporarily sent to the general ward.

In the treatment of some patients involves the equipment that only urology has, these instruments are not available in the general area, and many young doctors in the general surgery will not use it, and they can not deal with some symptoms, once the emergency department takes such patients in the night shift, if you want to treat these patients, you have to take the urology hand, so you have to tell the urology department that you can temporarily receive the patient from the general department, but once there are patients who cannot be handled by the general surgery, you must come up to deal with it.

The reason why Su Hongwen agreed to the request of urology so happily, the first is that everyone is a hospital, in this case, can you help or help, the second urology is separated from the general surgery, seven or eight years ago, the two departments were still one, and now many old doctors in the general surgery will also treat urology patients, and the old doctors in the urology department can also treat the general surgery, and the two departments have this origin Su Hongwen naturally has to help with this.

When the nurse heard Su Hongwen's words, she hurriedly went out to make a call, and Su Hongwen stood up and said, "Ward round." After saying that, he walked out of the Lu first, and the other doctors followed him in a hula.

The doctor has to make rounds, and the nurses have to do rounds, but because there are too many doctors and nurses plus a piece, it is impossible to check together, and if it is really checked together, the ward will not be able to accommodate so many people, so that the doctor and the nurse can only check separately, of course, Su Hongwen, the director, must follow the head nurse and the nurse on the night shift yesterday, so that Su Hongwen can ask some nurses who only knew about the situation last night.

When Su Hongwen came out, the nurses stood in two rows at both ends of the corridor. Only after Su Hongwen, the director, walked over, they could start their own ward rounds, which was a kind of respect for the director.

Su Hongwen walked in the front, followed by some doctors, this formation is also exquisite, the hospital is the place where the seniority is the most important, the director is followed by the oldest doctor, and then queue up by seniority, and the most behind is the intern.

In the past, Lu Baoliang led the team to round the room, and it didn't seem to be anything weird, but today Su Hongwen led the team to make the rounds, but it was a little weird, because Su Hongwen was too young. He was in his twenties. Behind him were a few old doctors in their forties and fifties, and whoever saw them would feel strange.

According to the perception of ordinary people, the person who walks in front must be at least a doctor in his forties and fifties, and a young doctor like Su Hongwen should be at the back of the line, but now it is reversed. However, the patients and family members who knew Su Hongwen did not feel anything strange. After media publicity, many people know Su Hongwen, a young but superb doctor.

The three words of Su Hongwen already have a very important position in the hearts of the people. Because he did a very miraculous thing last time, that is, to bring people back to life, and this incident alone made Su Hongwen known to the people as a god. Some superstitious people also say that Su Hongwen is a big Luo Jinxian descending to earth, which shows that Su Hongwen was finally accepted by the people, not because he was questioned by patients and family members because of his youth, now many patients are coming to him, and when they come to the hospital, they will let Su Hongwen take care of it.

These people not only didn't feel strange when they saw Su Hongwen leading the team to make rounds, but they felt that it was natural that a doctor with such superb medical skills as Su Hongwen should be at the forefront.

However, some patients and family members who don't know Su Hongwen can't help but talk about it, those patients and their families who know Su Hongwen's deeds immediately go over to answer their questions, and it doesn't take much time for these people to know the magic of Su Hongwen, many people regret that they didn't let Su Hongwen take care of anything, but it's not too late to regret it, even if he can't let him take care of it, but this operation has to be done by him, he can bring people back to life, and it's not easy to do an operation, and he is not afraid of any risks, he can really save himself.

These patients had such an idea, so they immediately thought about asking their families to go to Su Hongwen, whether it was stuffing red envelopes or inviting him to dinner, in short, the operation had to be done by him.

Su Hongwen didn't know that Lu Dao led a team to make many patients want to find him for surgery on the first day of his ward rounds today, if he knew Lu Dao, he would probably smile bitterly, it is naturally a good thing to be so trusted by patients, but he is not Nezha who does not have three heads and six arms, so he can do so many surgeries.

Su Hongwen directly led people to the ward at the end of the left side of the corridor, this is the No. 1 ward, and the nurses went to the right side of the ward first except for the head nurse and a few nurses on duty yesterday.

Su Hongwen pushed open the door and walked in, and the man in his fifties who was lying on the bed without waiting for him to speak just arrived at the No. 1 bed said, "Director Su, you have bothered to do this operation." ”

Su Hongwen didn't answer the patient's question first, but first looked down at the bed card, on which the patient's name, age and disease were written.

At this time, there is no need for Su Hongwen to speak, Gao Shengli, who admitted the patient to the hospital on the night shift last night, walked out and said: "Director Su, this is the patient with acute cholecystitis who was admitted yesterday, he wants to do laparoscopy, he doesn't want to open his abdomen, so he will be treated conservatively first, the pain was very bad yesterday, but after using the medicine, he has improved a lot, but you can take a look at his film later, I feel that his symptoms are not suitable for laparoscopy." ”

Doctors with a little vision will do this with Gao Shengli, and they can't wait for the director to ask what the patient is doing, right?

Su Hongwen walked over to check on the patient and said to the nurse, "How much is his entry and exit today?" ”

The so-called inflow and outflow is how much fluid the patient has infused since the hospitalization, how much urine he has discharged, and then he has to be counted in sweating, this work is recorded by the nurse, and the nurse has already said it when the shift is handed over in the morning, but 80% of the patients outside the general are involved in the problem of inflow and out, Su Hongwen can't remember how much inflow and output each patient has even if his memory is good, so he can only ask during the ward round.

The reason why Su Hongwen asked the patient about the amount of intake and output is because the patient can't eat or drink water since the beginning of the hospitalization, which involves the problem of rehydration, the so-called rehydration is to replenish the water, energy and potassium, sodium and chloride that the human body needs every day, and the amount of rehydration can not be more or less, less can not meet the needs of the human body, there are symptoms such as low potassium and low sodium, and more symptoms such as high potassium and high sodium will appear.

Gao Shengli is a doctor with relatively low seniority, Su Hongwen has less contact with him, and he doesn't know enough about his skills, and Su Hongwen is the acting director on the first day, so he naturally has to be careful to understand the patient's inflow and output, in case Gao Shengli rehydrates the patient too much or too little.

The nurse took out the medical record in her hand and looked at it and directly said the patient's in-and-out amount, Su Hongwen felt okay after hearing it and nodded, and then said to the patient: "The operation is not in a hurry in advance, I will see the film in a while." ”

Acute cholecystitis is impossible to operate laparoscopically during the attack, because the gallbladder has an inflammatory reaction and the liver adhesion is very strong, in this case it is quite difficult to use laparoscope to free the gallbladder, so if the patient with acute cholecystitis wants to cut off the gallbladder without laparoscopy, he must first be treated conservatively, and after the inflammation is eliminated, the gallbladder and the liver are not so adhesion in the operation, but if the adhesion is still very strong, it can only be opened.

The patient nodded, and the family was very anxious to take out the CT film and hand it to Su Hongwen, Su Hongwen held the film and looked at it and said: "Now the gallbladder and the liver are relatively tightly adhered to the liver, which is not suitable for laparoscopic surgery. ”

Gao Shengli is indeed relatively young, and he has been in the hospital for less than five years, but his skills are still good, and he already has some experience, according to these experiences, Gao Shengli watched the film at night and thought that this patient was not suitable for laparoscopic surgery even if the inflammation subsided, because his gallbladder was smaller than that of ordinary people, and it was quite tightly adhered to the liver, even if the inflammation subsided, it is estimated that the adhesions will not be relieved much, so such a patient should open his abdomen, and there is no need to waste time and money in conservative treatment.

But now Su Hongwen is saying that he wants conservative treatment and so on, which makes Gao Shengli a little unconvinced, you Su Hongwen is indeed good at surgery, which I admire, but your skills are so good that I can't see that even if the patient is treated conservatively for a while, the adhesion between his gallbladder and liver will not be relieved much? It seems that this Su Hongwen is nothing more than that, and his experience is not as good as his own.

Gao Shengli was not convinced, but he was more honest, so he endured this fire and didn't say anything, if it was replaced by someone else, he would have to stand up to Su Hongwen on the spot, so that he couldn't get off the stage. There is no way that Su Hongwen is still too young, and now he can't convince the public, if he wants everyone to convince him, Su Hongwen will need a while.

After checking the room, Su Hongwen saw that there were no special patients that he needed to deal with, so he went to the director's office, he is now the acting director, so naturally he can't work with other doctors, this is also one thing that Lu Baoliang repeatedly told him before leaving, Lu Baoliang asked Su Hongwen to work in the director's office to cultivate his prestige and take over his shift in the future.

Su Hongwen gave all the doctor's orders of the patient at hand, and was about to go to the operation when there was a knock on the door, Su Hongwen shouted and opened the door, and the head nurse Bao Junli came in with a nurse in her twenties who was a little fat.

Bao Junli brought the nurse to Su Hongwen and said with a smile: "Director Su, this is Xu Yajun, who is newly assigned to our department. ”

Xu Yajun was a little arrogant on his face, but he still said politely to Su Hongwen: "Director Su is good." (To be continued......)