In the afternoon, Zeng Xian was arranged to go to the outpatient clinic, Du Di followed, and the other two stayed in the ward.

I saw more than 20 in one afternoon, and 3 were admitted to the hospital. One at 39 weeks' gestation, with a small amount of bleeding and an indication for labor; One is 38 weeks pregnant, twins, admitted to the hospital for monitoring, ready to give birth at any time; An ectopic pregnancy that requires surgery to terminate the pregnancy.

Zeng Xian's professional knowledge and rich clinical experience during the consultation process surprised Du Di, and he was able to see it at a glance even when the patient had something to hide.

Although Huang Yunling said before that Zeng Xian has rich clinical experience, but his age is here, so young, where can he have rich clinical experience?

Zeng Xian got off work on time, and said to Du Di before leaving:

"I've been with you for a day, and I haven't seen you smile. Girls still have to smile more, so that they will be more attractive. The doctor smiles more and is more relatable, you know? ”

Zeng Xian took out his mobile phone and came to the hotel that Tian Yunshan booked for him according to the navigation, and the conditions were simply not flattering.

Is the head of the department in the hospital short of money?

Zeng Xian immediately vacated the room here and opened one in the five-star hotel closest to the hospital.

He's not here to be transformed.

Early the next morning, Zeng Xian came to the hospital in good spirits, and met Du Di and Wu Congrui who were running to work at the door.

"Dr. Zeng, morning!"

"Two beautiful doctors!"

Wu Congrui said with a smile,

"I like it!"

Zeng Xian changed his clothes and went to Tian Yunshan, he had to return the money for the hotel check-out.

"And where do you live now?"

"The five-star hotel next door, stay first. The house will definitely have to be found again, but you don't have to worry about it, I'll take care of it myself. ”

After a few words, Du Di's call came in.

A pregnant woman has not given birth after a night, and the first-line doctor on duty, Ye Ying, made a mistake in judgment and did not call the second and third lines in time, and now the adults and children are in danger and need to be urgently cesarean section.

The person is already in the operating room, all the preparations have been completed, and they are waiting for Zeng Xian to be in place.

This is the first operation he has come here, and he hasn't held a scalpel for a long time, and Zeng Xian has an indescribable feeling of being absent for a long time.

Change clothes, wash hands and disinfect your hands, and go to the operating room.

"Dr. Zeng!"

Du Di, Wu Congrui, Su Ye, and Feng Yuanhang are all there.

Zeng Xian nodded,

"On anesthesia!"

······

Zeng Xian's hand rose and fell, and the knife edge was controlled in the smallest range, from the skin to the abdomen to the uterus, and the speed was so fast that everyone was stunned.

"Suck the amniotic fluid!"

Zeng Xian reminded him loudly, and Du Di reacted.

The child was removed after 3 minutes.

"Quick, the fetus is breathing weakly on its own, Director Feng, it's up to you!"

This kind of surgery is not very difficult, and the main thing is to see how the child's vital signs are after birth.

After the child is removed, it is time to clear the placenta, stop the bleeding, and suture.

After Zeng Xian took out the placenta, he said to Du Di, who had been staring at him:

"Can you show me your suturing technique?"

In the play, Du Di's stitching technique is very powerful, and Zeng Xian wants to see how it is.

"Good!"

Du Di was still a little nervous, and as a resident, she had not yet done surgery of this level.

"Don't be nervous, I'm here!"

Zeng Xian gave her enough security.

"Dr. Zeng, the child's breathing is stable!"

Feng Yuanhang breathed a sigh of relief.

Wu Congrui walked over to see the child,

"Baby, you're awesome!"

She is a person who likes children very much, and she has been actively preparing for pregnancy.

曾仙 says:

"Director Feng, hard work!"

From suturing the uterus to the muscles to the fascia to the fatty skin, it usually takes at least half an hour, but Du Di controlled it in 25 minutes, which is quite good.

Wu Congrui sighed,

"Du Di, you are too powerful! I'm so far worse than you. ”

Zeng Xian also said:

"No wonder everyone says you're the best resident, it's really good!"

The wound is tightly closed, and the postoperative care is good, and there is basically no scar.

Du Di's technology is indeed powerful!

"Dr. Zeng, you're very good!"

Although she was wearing a mask, Zeng Xian could also see it, and Du Di smiled!

And when he laughs, his eyebrows and eyes are crooked, which is very good-looking.

When I returned to the department from the operating room, I happened to meet Huang Yunling and Wang Ying.

"Du Di, it's just in time, Li Junxiao's promotion notice has come down, and everyone is celebrating him in the office at this time."

Before I reached the door, I heard applause inside.

Pushing the door in, Wu Congrui deliberately squeezed Du Di to Li Junxiao's side.

"Congratulations, Junxiao!"

"Congratulations, Dr. Lee!"

Looking at the big cake on the table, Wang Ying said:

"Is this Doctor Ye Zhang Luo?"

The doctor Ye he was talking about was Ye Ying, who was on duty last night.

[The host successfully unlocked 1 character in the play, and the reward was 10,000, which has been issued to the bank card with the tail number 9669]

"Doctor Ye, you see that you are really enthusiastic, your girlfriend Du Di is busy wiping your buttocks, and you are busy celebrating the promotion of your boyfriend, you are really a good colleague who is united and friendly!"

This irony is straightforward enough, Wang Ying is worthy of being a veteran of Shengji, but he has confidence and is not afraid of offending people at all.

It's just that I was promoted to the main treatment, and I made such a big battle to celebrate during working hours, and I was sure that it met the regulations of the hospital?

Zeng Xian still has an ectopic pregnancy operation waiting to be done, and said to Huang Yunling:

"Director Huang, I still have an operation to do, you can eat!"

Du Di Dao:

"Doctor Zeng, I'll go too!"

"No need, you can continue to stay here to celebrate Dr. Li, Xiao Fang Datong, you come with me!"

The two reluctantly agreed.

Zeng Xian walked to the door and happened to meet another attending doctor, Lin Wei.

[The host has successfully unlocked 1 supporting character in the play, and the reward is 100,000, which has been issued to the bank card with the tail number 9669]

"You're Dr. Zeng?"

"Hello Dr. Lin, my name is Zeng Xian!"

"Hello! I've heard of you for a long time, but I've spent most of my time either in the operating room or in the outpatient clinic, and I haven't seen you until now.

When we have time, let's sit down and have a drink, there is a restaurant on Liuye Island near here, which was opened by a former doctor in Shengji.

Many of Shengji's colleagues like to go there to relax in their spare time. ”

"Okay, feel free to ask me out!"

Lin Wei's personality is very good, and he has an eclectic free and easy.

Before lunch, Zeng Xian operated on an ectopic pregnancy patient who was admitted to the hospital yesterday.

In the afternoon, Zeng Xian continued to sit in the outpatient clinic, and Du Di followed.

Zeng Xian asked her,

"Who brought you to the clinic before?"

"Sometimes I follow Dr. Lin, sometimes I follow Dr. Li, not necessarily."

"Why don't you choose an attending or director to study with, so that there will be an advantage in many clinical cases."

"The hospital didn't arrange it for me, how could I take the initiative to speak?"

"Your professional knowledge is so solid, and your skills are also very good, why doesn't Director Tian arrange it for you?"

"I don't know, maybe it's because it's more difficult for me to bring, after all, I have a big problem communicating with the patient's family."

"So if you know what your problem is, why don't you find a way to overcome it?"

Speaking of which, Du Di stopped talking.

It's not that she doesn't want to solve this problem, but this is due to her personality from childhood to adulthood, and it can't be changed by saying it.

[Side Quest: Improve Dudi's attitude towards communication with patients' families]

The first woman in her 50s came to the official consultation, saying that she had not had a period for 3 months, and after diagnosis, it was menopause.

The second was a follow-up visit for the miscarriage, with a slight inflammation, and Zeng Xian prescribed her some medicine.

······

[The host successfully unlocked 1 character in the play, and the reward was 10,000, which has been issued to the bank card with the tail number 9669]

"Name?"

"Li Qiao'er."

"What's the situation?"

"Li Qiao'er."

"What's the situation?"

"I'm pregnant, I don't want this child, I want to have an abortion."

In fact, this patient Zeng Xian didn't need to ask to know what the situation was, she was pregnant before she was twenty years old, and she was persecuted.

[Side Quest: Bring the Persecutor of Li Qiao'er to Justice]

Du Di gave her some basic gynecological examinations, and after a few words, she was asked to take the test sheet and go for other examinations.

"Another girl who was cheated on by her boyfriend, and in the end, it was the woman who suffered."

"Don't be so arbitrary, this girl's situation is not that simple."

"What do you mean?"

Zeng Xian didn't answer her question, and when Li Qiao'er came back again with the inspection report, Zeng Xian handed over the B-ultrasound order to Du Di,

"You diagnose it."

Du Di took a look at it and said to Li Qiao'er:

"You have an ectopic pregnancy, the embryo is not in the uterus, it may have landed in the tube, which is very dangerous. You need to be hospitalized immediately to prepare for surgery, do you have a family member with you, and you need him to sign a consent form for surgery. ”

Li Qiaoer was a little entangled,

"Is it so serious? Doctor, does surgery cost more than abortion? ”

Du Di glanced at her information and said:

"Your health insurance is not here, and you need to spend a little more."

"Can I do without surgery?"

Du Di said coldly:

"Surgery is a must! If the fallopian tubes are punctured, it can be life-threatening. ”

"But they only gave me money for the abortion, and if I asked him again, he would scold me."

"Are you talking about your boyfriend? Where he is, I'll go tell him. ”

Li Qiaoer immediately refused,

"No, no, no! How long can I last if I don't have surgery? ”

"Didn't you say it, you have to be hospitalized immediately to prepare for surgery, and it will be dangerous to drag it out."

"But I didn't bring that much money."

Zeng Xian spoke:

"If you're worried about money, I can help you pay for it first. Little girl, you are still young, and your body is the most important thing, you know? ”

Li Qiaoer's nose was sour,

"Thank you, Dr. Zeng! Don't worry, when my body recovers, I will find a job and earn it in the future

The money will be returned to you! ”

Zeng Xian smiled,

"Well, I believe in you! Du Di, you took her to the hospital, how much did it cost to come to me to repay you. Tell her clearly about the precautions before the operation, and don't forget the tests to be done.

If there is no problem, I will arrange surgery for her early tomorrow morning. ”

Du Di nodded and left with Li Qiao'er.

Early the next morning, Huang Yunling took the people from the department to the inpatient department for rounds. Except for those in the delivery room in the operating room, the rest followed, and the battle was quite big.

After entering the ward, Du Di reported the case situation of the patient he said in charge of the bed.

"A 25-year-old bed, admitted to the hospital for 13 weeks of menstruation, nausea and vomiting for 6 weeks, aggravated for one week, 34 days of regular menstrual cenopause, and a urine HCG test to confirm pregnancy.

After 40 days of menstruation, he developed nausea with intermittent vomiting, and there were no symptoms such as abdominal distention, diarrhea, and fever at half a year of age. Pulse is elevated, and there are mild signs of dehydration on general examination, consistent with hyperemesis gravidarum. ”

Huang Yunling nodded:

"I remember you, yesterday I was admitted to the hospital, when the urine ketone body was 15 per 100 milliliters, and the urine specific gravity reached 1.02 Wu. How do you feel now? ”

Patient's mother-in-law said:

"Director, she's still vomiting a lot. I made her a lot of nutritious meals, but she couldn't eat a bite. What can I do? Every day, how can children absorb nutrients? ”

Wu Congrui secretly walked to Huang Yunling's side and whispered in her ear:

"This pregnant woman told me that she had thoughts of having a miscarriage. But her mother-in-law put so much pressure on her that she kept eating, but in this case there was no way to eat at all. ”

Huang Yunling nodded slightly and said to the patient's mother-in-law:

"I understand your concerns, but there is one situation I must explain to you.

This hyperemesis gravidarum is not the same as the nausea and vomiting we usually experience when we are pregnant, it is a disease.

This is not a psychological effect, nor is it a friendship, it needs to cooperate with the doctor's treatment.

The care and understanding of the family is also crucial for pregnant women. ”

The patient's mother-in-law hurriedly said:

"Yes, I especially understand, I have been taking good care of my daughter-in-law."

This mother-in-law is not false, her concern for her daughter-in-law is true, but there is a lack of communication between the two, and neither of them knows whether their methods are useful.

"You are a good mother-in-law, and your daughter-in-law is also a good daughter-in-law. What you don't know is that we have had hyperemesis gravidarum in our hospital very severely, and in the end I can't hold it anymore, and there are also people who choose to have a child after discussing it with their families.

Your daughter-in-law is already very persistent, she is so strong, you need to encourage her. ”

Someone understands their difficulties, and the patient's heart feels warm.

is worthy of being a person who can sit in the position of director, and his communication skills are indeed good.

"Thank you, Director Huang, I will definitely persevere."

Huang Yunling nodded,

"Don't worry, we'll help you."

Then asked Wu Congrui beside him,

"What's next, Wise, tell me."

When you make rounds like this, it's when your superiors check your subordinates on the results of your studies at any time.

"Temporary fasting, adequate intravenous nutrition, intravenous injection of 3,000 to 3,500 milliliters per day, potassium and calcium supplements, calorie supplementation, vitamin C, vitamin B6."

Wu Congrui didn't continue, Huang Yunling asked her;

"What else?"

Wu Congrui couldn't answer the question mark, and Du Di took the initiative to answer:

"Also, correct hypokalemia and hypocalcemia as soon as possible and correct the symptoms of dehydration."

From here, it can be seen that Du Di's professional knowledge base is much higher than Wu Congrui.