Chapter 337: Acute intestinal obstruction
"You?" Liu Jindong didn't expect Lu Baoliang to dare to completely tear his face with himself, and he was so angry that he couldn't say anything for a while, he had the heart to say something, but how to refute Lu Baoliang's words? In any case, Lu Baoliang is the general director appointed by the hospital, and Liu Jindong is just a deputy director, since he is the deputy director, what right does he have to stay in the director's office? What right does he have to prevent Lu Baoliang from giving the chef in the director's office to Su Hongwen?
Lu Baoliang snorted coldly and said, "Xiao Su will go to the office with me." After finishing speaking, he said to Liu Jindong: "Deputy Director Liu, hurry up and take your things away, don't occupy the director's room." After saying this, Lu Baoliang walked away, and he didn't bother to look at Liu Jindong.
Su Hongwen didn't pay attention to Liu Jindong and followed Lu Baoliang directly to the office, and when he closed the door, Su Hongwen smiled bitterly and said, "Director Lu has troubled you." ”
Lu Baoliang sat on a chair, lit a cigarette, took a puff and spit out the smoke and said: "It's nothing that is not involved, we are people from a hospital, so I naturally can't let people bully you." Speaking of this, Lu Baoliang smiled bitterly: "From today's incident, you should be able to see that I am not having a good time here, right?" Now I am the director there, and he Liu Jindong is the director, so no one listens to me, this director is really boring in front of me, it is better to take you to take care of the patients so that there is something to do, otherwise it will be boring to sit in the office all day. ”
Su Hongwen exhaled and said, "But you took me to take care of the patients, how do the people in the hospital think of you?" ”
Lu Baoliang waved his hand and said, "What do they think of me?" No one in the hospital knew that I had been elevated, and I had no rights at all. Since everyone knows that I can't take care of the patients, anyway, everyone already knows it, so it doesn't matter. ”
As soon as Lu Baoliang said this, there was a knock on the door, Lu Baoliang shouted and Yu Yong walked in, this guy and Liu Jindong are the same person, but Yu Yong is a person who is very good at talking and doing things, and now Lu Baoliang is completely torn his face with Liu Jindong, but he, a student of Liu Jindong, will not show a trace of contempt or hostility to Lu Baoliang, he is smiling at everyone, even if he looks at the other party's unpleasant face, he is still smiling. It looks harmless to humans and animals. Such a person can climb higher.
Yu Yong came in and said with a smile: "Director Lu, I'll help Director Liu pack up my things, and you can go and see a patient in bed 48 just now." ”
Lu Baoliang knew that Yu Yong and Liu Jindong were wearing a pair of pants, but they were smiling and didn't say anything unpleasant. He's sneering when he sees that the other party can't come up after trying hard, right? Lu Baoliang still has this demeanor. So Lu Bao nodded brightly, and the cigarette went out. Su Hongwen also followed out, and he smiled at Su Hongwen when he passed by Yu Yong.
If it weren't for what happened just now, Su Hongwen would definitely have a good first impression of Yu Yong, but what happened just now happened. Su Hongwen naturally had to beware of Yu Yong, he was not a fool, but when people smiled at him, he couldn't just leave with a straight face, so Su Hongwen also smiled at Yu Yong before going out.
The smile on Yu Yong's face turned into a sneer when he saw them leave, and he muttered in a low voice, "That patient is enough for you." ”
Lu Baoliang first went to the nurse's station to ask the nurse for the medical records, and when he took the medical records, he saw that Lu Baoliang had a wry smile on his face, and the patient Yu Yong assigned to him was a patient with acute intestinal obstruction, which is very common in the general public, but it is also the patient that other doctors are most unwilling to manage.
Generally, patients with acute intestinal obstruction are relatively old, and patients under the age of 50 who have this disease are very rare, because the main cause of intestinal obstruction is generally the weakening of intestinal peristalsis, fecal stones stuck in the intestinal tract to cause obstruction, and intestinal obstruction caused by tumors is more common, as for other causes of intestinal obstruction are relatively rare.
Older people have this disease, the books say that the enema effect is quite good, but in reality it is not the case, intestinal obstruction unless it is an acute attack, the acute meaning here is that within a few hours, this emergency will cause severe abdominal pain, vomiting, such obvious symptoms patients and their families will naturally pay attention to it, and will soon come to the hospital, such patients use enema therapy is indeed quite effective.
However, a large number of patients with acute intestinal obstruction do not have symptoms at the beginning, they do not have bowel movements and gas one to two days ago, and there is no other discomfort in the body, and they do not have abdominal pain, vomiting and other symptoms until the second or third day, and then they come to the hospital.
Delaying these times can make intestinal obstruction become serious, first of all, edema must appear, and there is the weakening or even disappearance of intestinal blood circulation in the obstruction site.
Surgery for acute intestinal obstruction is not difficult, as long as the intestinal tube is not removed, it can be said that it is better than appendicitis, but the patients who have such surgery are all older people, what does it mean to be old? It means that the physical condition is poor, and there are various underlying diseases, and the risk of surgery for such patients is considerable.
So the doctor is happy to take care of such a patient? Once it comes to the point where surgery is necessary, the risk of surgery is quite high, what if the patient dies on the operating table and the family members make a fuss? It is not good to hear, others say that so-and-so has done a small intestinal obstruction operation to give people to death, this medical skill is really poor, others do not care whether the failure of the operation is because the patient is old, there are too many underlying diseases, and finally lead to the failure of the operation, what they value is the result - a simple intestinal obstruction operation failed, and then according to this result, you are not good at medical skills.
Most people in this world only look at the results, not the process, especially the doctor's profession, you are powerful if the operation is successful, and you are incompetent if the operation fails, no one cares if the operation fails or not, as long as you fail the operation, your medical skills are not good, and it is more and more powerful.
Yu Yong gave Lu Baoliang and Su Hongwen such a patient, obviously making it difficult for them, take care of it, curing the patient is what you should do, and if the patient dies, your medical skills are not good.
Su Hongwen saw Lu Baoliang smiling bitterly, and couldn't help but say, "What's wrong with Director Lu?" ”
Lu Baoliang handed the medical record to Su Hongwen and said: "Look at it yourself, don't say anything extraordinary, you don't know anything at all, if you read the medical record and don't know the reason for my wry smile, you kid hurry up and go back to the obstetrics department for me." ”
Su Hongwen took the medical record and looked at it: "Director Lu's patient is indeed 78 years old, but this disease does not necessarily require surgery, conservative treatment can be taken first, it is really not possible to perform surgery, I also know that the risk of surgery is high, but the risk of surgery is also great, so don't smile bitterly." ”
Lu Baoliang said: "It seems that you kid will still order, since you know that the operation is risky, if it fails, what does it mean to us?" ”
Su Hongwen also had a wry smile on his face at this time, and sighed: "Of course I know the Tao, there will definitely be all kinds of rumors outside that the two of us are not good at medicine, but the profession of doctors is challenging all kinds of risks, to put it bluntly, we are fighting with death, and there is no way to avoid the battle, what we can do is to do our best, if we think too much, we will end up, if the doctors in the whole world are afraid of taking responsibility and dare not do surgery, then what is the use of us doctors?" ”
Lu Baoliang frowned and thought for a while when he heard this, and then smiled bitterly: "Yes, that's right, we are doctors, if we are afraid when we see the risks of surgery, then what do we doctors do?" If you're afraid of taking responsibility and risk, then don't be a doctor, I'm really old, I've been engaged in medical treatment all my life, and in the end I can't see it thoroughly as young as you, go, go and see patients. ”
When the two of them arrived at the ward, there was a skinny old man lying on the bed, the old man was moaning with a painful expression on his face at this time, and there was a man and a woman next to the bed, and the age should be the children of the old man.
Seeing that the doctor was coming, Fu Yuejin hurriedly said: "Doctor, hurry up and give my dad some medicine, you see he hurts." ”
Lu Bao nodded and turned his head to Su Hongwen and said, "You show the patient, and then talk about how to treat it." "Lu Baoliang is taking Su Hongwen, if he can't even see an intestinal obstruction, then he should really go back to obstetrics.
Fu Yuejin was displeased when he heard this: "Doctor, my dad is in pain like this, what else do you let the interns see?" Hurry up. ”
Lu Baoliang said: "He is not an intern, this kid is the youngest attending physician in our department, don't underestimate him, he is a doctor who even Anhe Hospital wants, but this kid's head can't get into the water, so we came here." Lu Baoliang said this to dispel the suspicion of the patient's family, otherwise Su Hongwen's work outside the general public will not be easy to do in the future, who made him too young, and the patient and his family do not trust such a young doctor.
Fu Yuejin was puzzled: "Really? ”
Lu Baoliang said: "I can still lie to you." Speaking of this, he turned his head to Su Hongwen and said, "Xiao Su, hurry up." ”
Su Hongwen nodded and skillfully examined the patient, Fu Yuejin is a layman, but seeing Su Hongwen's skillful physical examination, he still believed Lu Baoliang's words just now, when he brought his father to the hospital, he went to the emergency department first, and the forty-five-year-old doctor in the emergency department also examined his father in this way, but his movements were not as skilled as the young doctor in front of him, from this it can be seen that this young doctor may really be the doctor that Anhe Hospital wants, otherwise he is so skilled in physical examination.
As soon as the so-called connoisseur makes a move, he knows if there is one, Lu Baoliang has been engaged in general surgery all his life, and he is too familiar with all kinds of physical examinations in general surgery, as soon as he saw that Su Hongwen could do this most basic physical examination so proficiently, he knew that this kid was not simple, and he was a veteran of general surgery at first glance, but this is not right, hasn't he been in obstetrics? How can you be so proficient in the physical examination of the general public? (To be continued......)