The weather on Monday was nice, and in the summer it dawned early, and by six o'clock it was already bright.

When passing by the overpass, the old man who sells sweet potatoes is already pushing a cart to sell breakfast, which is also roasted sweet potatoes, and there are many people who come and go to buy them.

After crossing the overpass is a small square at the entrance of the emergency department, the neon cross of the emergency department is quite conspicuous, an ambulance stopped at the door, and a patient was lifted out from behind, it seems that it is not a traumatic injury, the emergency doctor has been doing cardiac compressions, the stretcher becomes a flat car and pushes to the emergency hall, the doctor in the emergency car jumps on the flat car, kneels on the flat car in a riding posture and presses, it is estimated that it is an acute heart attack, and now the heartbeat has stopped.

The flat car was followed by a crying family member, a woman, wearing pajamas and slippers, and holding an overcoat in her hand.

As soon as the emergency vehicle left, another ambulance stopped at the emergency door, and the tailgate of the ambulance was lifted, and a stretcher was sent out inside, and on it were bloody patients.

"Straight to the operating room!"

The doctor picking up the car from the emergency department roared loudly, followed by the gurgling of flat wheels.

Bypassing the emergency department, Yang Ping went straight to the Institute of Surgery, and met many colleagues carrying breakfast on the way, as well as those who had not woken up from sleeping on the open-air benches.

This week has been full and tense, in the system space, the three major experiments are carried out at the same time, Yang Ping calculated the consumption of points, and it can be supported for a period of time, but if there is no new income, just eat the old book, the points will soon be consumed, with the existing points, it is currently unable to support the fourth experiment, fortunately, Yang Ping currently has no intention of starting the fourth experiment.

It seems that even the system is not omnipotent and infinite, it is subject to the limitation of points.

And a large number of points must be obtained in reality, scientific research needs too many points, relying on the accumulation of surgery is just a drop in the bucket, scientific research can only rely on scientific research results to accumulate.

Yang Ping is now working hard to learn mathematics, and Yang Ping has found that the biggest resource of the system is actually time, as long as he works hard, there is almost nothing that he can't learn.

The purpose of studying mathematics is to study the method of optimization, and he wants to establish a complete set of theories for the optimization of scientific research routes.

After handing over the shift, President Chen of the Municipal People's Hospital came to discuss things with Yang Ping, since he took over the Municipal People's Hospital, the Municipal People's Hospital slowly recovered, the former president almost hollowed out the Municipal People's Hospital, and was burdened with huge debts, and the loss of talents was also serious.

In terms of improving the business level of the hospital, President Chen hoped to ask Yang Ping for help, and the Municipal People's Hospital and Sanbo Hospital formed a helping relationship, so that Yang Ping could lead the team to help improve the medical level of the doctors of the Municipal People's Hospital.

Although Yang Ping had been injured in the Municipal People's Hospital, the matter had already been turned over, and Wu Siwen was still stepping on the sewing machine.

When he first came to the provincial capital of Nandu, his first work unit was the Municipal People's Hospital, and Yang Ping still had feelings for it.

For a long time, President Chen was concentrating on sorting out the internal relations of the hospital, and then recruiting some new people, some old employees who had left the Municipal People's Hospital, President Chen was also running around, visiting them one by one, and he opened the door to welcome colleagues who were interested in returning to the Municipal People's Hospital.

The cooperation with Sanbo Hospital and Yang Ping, in fact, President Chen proposed it very early, but it was sporadic and unsystematic cooperation before, and the hospital did not have mature conditions at that time.

Lao Chen also helped Yang Ping, Yang Ping knew in his heart that Wu Siwen kicked Yang Ping away, not just wanted to kick Yang Ping away, he also wanted to use the topic to play, give Yang Ping a punishment, and then apply for suspension of Yang Ping's medical qualifications, at that time Dean Chen was the director of the medical department, Dean Chen resolutely opposed this treatment of Yang Ping, and even quarreled with the hospital leaders over this matter, and finally Yang Ping kept his doctor's qualification certificate, and the nature was only dismissal, not expulsion.

For the cooperation with the Municipal People's Hospital, Yang Ping is also very attentive, at the beginning of the cooperation was not in full swing, Yang Ping has provided them with technical support, often take time to go to surgery.

From the mouth of President Chen, I learned that Director Zhuo Defeng of the Department of Orthopedics had returned to the Municipal People's Hospital, and Director Zhuo graduated from the Imperial Capital Medical University and came to the Municipal People's Hospital.

Now President Chen visited Director Zhuo, apologized in the name of the hospital in person, and invited Director Zhuo to return to the Municipal People's Hospital on the condition of the director of orthopedics and vice president.

Seeing off Dean Chen, Yang Ping came to the operating room, and the operations in the two operating rooms started at the same time, which was very lively.

Now the Institute of Surgery has enough manpower, and the doctors are new Xia Shu, Dr. Wen and Dr. Jin, and they are gradually getting into the state.

There are now two anesthesiologists, and the newcomer, Dr. Wei, does not smile, works seriously, and never participates in small talk, like a diligent scalper.

The number of nurses has also increased, all of whom are the elites of the central operating room of Sanbo Hospital, Xiao Su is on leave, and Zhou Can is acting as the head nurse of the operating room of the Institute of Surgery, and the work is arranged in an orderly manner.

Yang Ping said hello to Song Zimo and Xu Zhiliang, and told them that he would rest in the lounge for a while, and come over to call someone if he had something.

There was no one in the lounge at this time, Yang Ping found a place to sit down, and then entered the system space, the second batch of modified K factors failed again, Yang Ping continued to modify, started the third batch of K factor modifications, and let the experiment continue.

After adjusting the experiment of the system space, Yang Ping came out of the system and drank a glass of water.

Director Fang of the Department of General Surgery called and said that there was a patient on the operating table who had now opened his abdominal cavity, and after exploration, his intestines were covered with "pearls".

How did he come across all these strange cases, with pearls on his intestines?

Yang Ping decided to go over and have a look, so he went back to the operating room to inform Song Zimo and Xu Zhiliang of his whereabouts, and then he didn't take off his hand clothes, put on a white coat outside, and walked to the surgical building.

In fact, it is not that Director Fang is lucky, but since he was the chief surgeon of abdominal cluster organ transplantation, he has preached this case everywhere, and the name of the first case in Asia is still very large, which makes many hospitals in the province send him when they encounter cases that cannot be handled, and he does not refuse to come, so all cases are concentrated here.

However, this kind of thinking really works wonders, what others can't do and dare not do, all of them are sent to Sanbo Hospital, so Director Fang quickly gathered his own fame.

On the way to the central operating room, Yang Ping met Sisi, she trotted all the way to the surgical institute with a few folded white coats with both hands, Yang Ping stopped her and asked what was going on, she said that she was helping her mother work, her mother was too busy, she helped to go to the logistics to get a few sets of new white coats.

When I came to the door of the operating room, there were two groups of family members crying, crying fiercely, and the security guards were maintaining order.

Yang Ping forgot to bring the access card, rang the doorbell, and waited for the nurse inside to open the door.

One is that the daughter is undergoing surgery in the operating room, and the surgeon has just stood at the door to inform the family that the patient's frozen section has just come out, and it is triple negative breast cancer, and the patient is quite young, has just graduated and joined the work, and is unmarried.

Another patient may be the bloody trauma patient Yang Ping saw in the morning, who was injured in a car accident and is said to have not been resuscitated and has been pronounced dead.

The door opened, Yang Ping entered the operating room, came to the central operating room, and inevitably ran into the head nurse and Xiao Su's colleagues, everyone opened their mouths when Xiao Su was due to give birth, color ultrasound assessment of the baby's pounds and taels, Yang Ping had to answer one by one, Nurse Jiang complained that Yang Ping abducted Xiao Su, the best nurse under him, and made her vitality very injured now.

Nurse Jiang is knife mouth tofu heart, not long ago, the surgical institute asked her for someone, she gave a list, Yang Ping saw that it was all the elites under him, this is a proper cut of meat.

There is no way, the Institute of Surgery is the elite department of Sanbo Hospital, if it were not for the locomotive of the Institute of Surgery, how could Sanbo Hospital develop so fast, the head nurse Jiang has a view of the overall situation, so Yang Ping is a person, and the head nurse is holding her chest and biting the back molars to make a list, and she should still give it.

"My girls take it easy, don't make them too tired." Head Nurse Jiang explained.

Yang Ping promised: "Don't worry, you must be a baby." ”

"That's not good, you should scold, you can't get used to it." The head nurse is quick to talk.

Yang Ping joked: "The people who came out of the head nurse's subordinates, how can they be scolded." ”

There are many operating rooms, all of which are lit up "during surgery", Yang Ping found Director Fang's operating room, and the intestines are full of pearls, what's going on, drinking bubble tea is not digested and left in the intestines?

Director Fang was fighting the stage, this patient was an emergency operation, and he was admitted to the hospital for emergency laparotomy due to intestinal obstruction, because the patient was in a state of shock, other doctors did not dare to operate, and Director Fang personally came to the stage.

After the abdominal cavity was opened, the surface of the intestine and the surface of the mesentery were covered with numerous miliary nodules, which looked like fine pearls because of the bright reflection of the texture and mucus on the surface.

"Professor!"

Director Fang is now also following the doctors of the Institute of Surgery to omit Yang in front of the professor, in the Institute of Surgery, only Yang Ping can be called a professor, and others are at most called Dr. XX, Doctor XX, and the like.

To a certain extent, whether to call Yang Ping a professor or Professor Yang can determine whether this person is from the Institute of Surgery.

"The frozen pathological specimens during the operation have been sent down, and the results have not been reported yet, and we are waiting."

Director Fang introduced the current progress of the operation to his teacher, and his tone was extremely humble, and he even spoke a beat slower.

Yang Ping approached the operating table slightly, and looked at the operating table with the advantage of height, Director Fang hurriedly took an S hook to open the operating area, and held out the intestinal tube covered with miliary flash nodules with the other hand, the mesentery and intestinal surface are full of this kind of nodules, under the light of the operating room, there is really a sense of "pearl".

Miliary, this form has typical characteristics, and generally this form is associated with tuberculosis, and a preliminary judgment flashed through Yang Ping's mind.

"Tour, turn on the camera, why not be flexible, but also remind."

Director Fang was rough and impatient.

The itinerant nurse knew Director Fang's temper and was used to it, so she didn't say anything, and immediately went to turn on the camera silently.

There are cameras on the shadowless lights in all operating rooms of Sanbo Hospital, and high-definition electronic screens are installed on the walls of the operating rooms, so that you can use the cameras to see the situation in the operating area at any time, which is sometimes clearer than direct viewing with the naked eye.

"Move neatly, grind, catch insects."

Director Fang urged anxiously.

I don't know if the plug is loose or which wire is not connected, there is no response on the screen when the switch is turned on, the itinerant nurse is checking the connection route and various interfaces, Director Fang saw that there was no image on the screen for a long time, he was very dissatisfied, and shouted:

"What's the matter, if the equipment is not overhauled, who is responsible? What if this is a rescue device? ”

The itinerant nurse scolded one after another, lowered her head and worked, and did not forget to half-jokingly comfort Director Fang: "The director ate wolfberries for breakfast today, is it so angry?" ”

Listening to the itinerant nurse's joke, Director Fang's impatience eased a little: "I haven't eaten breakfast yet, hurry up and get it right, the professor still has something to do." ”

It took several minutes to finally find the reason, it was the video cable plug behind the host of the video system plugged into the wrong jack, this fool-type one-to-one paired jack, plugged in the wrong jack must not be plugged in, and it was forcibly plugged in if it couldn't be plugged in, and the plug was almost broken.

The itinerant nurse replugged in and said to a few young doctors, "Tell me honestly, who did a good job last night, and I couldn't even find the hole, so I plugged it indiscriminately." ”

These young doctors have been following the emergency surgery last night, and several emergency surgeries until now.

"Okay, don't blame them, they're just not familiar with anatomy." When the assistant deputy chief physician said.

Under the video, the part is zoomed in and zoomed in, and the millet-like "pearls" are shining with water, and Yang Ping can probably determine that this thing is tuberculosis.

"Maybe it's tuberculosis, and the pathological results haven't been reported yet?" Yang Ping said his conclusion, with a possibility in front of him, medicine is calm, rational and objective, and cannot be opened to words.

A graduate student sent Yang Ping a medical record folder, and Yang Ping flipped through the patient's medical records.

He was admitted to the hospital for 5 days due to abdominal pain and abdominal distension with anal gas, and on physical examination, he was in a state of drowsiness, abdominal distention, abdominal muscle tension, marked tenderness and rebound tenderness, and absent bowel sounds. INVESTIGATIONS: CT scan of the abdomen showed abdominal pelvic effusion and complete obstruction of the small intestine. Blood procalcitonin was drawn 62.32ug/l.

Diagnosis of admission: 1. Small bowel obstruction 2. Peritonitis 3. Sepsis, there was an indication for emergency surgery, so Director Fang performed emergency surgery on the patient.

There is a history of tuberculosis in the past, which has been cured after standardized antituberculosis treatment, and the approximate history is like this.

Judging from the appearance of these miliary nodules, tuberculous peritonitis is very likely, and tuberculosis has actually been on the rise in recent years, especially the emergence of some drug-resistant tuberculosis bacteria, so that they have signs of a comeback.

"Who is looking at the frozen sections, how to grind, there has been no result for so long."

Director Fang has an impatient temperament, and the word "grinding" is his high-frequency word.

"Director, I just sent it down, and I guess I only received it now." A doctor replied.

"So slow? I went back and forth to the imperial capital! ”

Director Fang scolded.

The first is the latest.