Chen Qi didn't hear anyone talking about him behind his back, he turned around and went to his "master" Zhu Huoyan's office with a big bag.

One of the characteristics of the hospital during the Chinese New Year is that the number of inpatients and outpatients will be greatly reduced.

There are patients who have the idea of asking for an auspicious idea, it is too bad to go to the hospital for the New Year, and even the inpatients who are not particularly sick will choose to be discharged from the hospital and go home for the New Year, and then come to the hospital after the New Year.

Another reason is that there is family leave this year, and many doctors from other places do not have time to return to their hometowns for a year, so they will take advantage of the Chinese New Year to take leave to go back to their hometowns for the New Year.

In addition, local staff also need to take turns off, so there will be a shortage of staff in the hospital, and doctors will not want to admit too many patients.

Chen Qi thought that the surgery in the People's Hospital should be empty, but when he appeared in the surgical inpatient department, he found that it was extremely busy.

After the Chinese New Year, there are two kinds of patients in surgery, one is injured by firecrackers, both old and young, many of them are children.

There is also a digestive system disease caused by eating and drinking, this year is reluctant to eat and wear, good things are saved until the New Year, large pieces of meat, large bowls of wine, well, liver, pancreas, gallbladder, stomach surgical emergencies suddenly increased.

With a sudden increase in the number of patients on the one hand, and a large decrease in the number of doctors working on the other, it is no wonder that the surgeon is not busy.

Director Zhu knew that every Chinese New Year was a moth, so he deliberately stayed in the center of the surgery to command.

When he saw Chen Qi entering the door with a big bag and a small bag, he just nodded with his finger and motioned for him to sit down, but he kept holding the microphone and shaking people.

"What? Lao Kong is not at home? I don't know where I went? Okay, I'll find someone else. ”

Zhu Huoyan put down the phone, thought for a while, and began to shake people again: "Hey, help me pick up Dr. Wei Songning from the staff community of the People's Hospital." ”

After a few minutes, the phone was connected, and Director Zhu hurriedly asked:

"Hey, is it Lao Wei? Oh, Lao Wei was drunk last night and still lying down? Yes, surgery is needed, forget it when you are drunk, how to take a scalpel with trembling hands, goodbye. ”

Chen Qi watched with relish as Mr. Zhu made a phone call, and in 1983 there was no program-controlled telephone in the central part of Vietnam.

To make a call, you need to shake the handle a few times, connect to the telephone station, report where you want to call, unit or name, and then manually help you connect or forward again, which is very troublesome.

For example, Chen Qi usually calls Director Zhu in his own unit, first shakes the phone, receives the Huangtan District station, and then helps you transfer to the Huiji County telephone switchboard, then the Vietnam-Central District telephone switchboard, and finally connects you to the People's Hospital.

As for if you want to hit other cities and provinces, it is simply invincible trouble, so it is better to take a telegram quickly.

If the telecom fraudsters of the future generations shake down, their hands will be broken one day.

Zhu Huoyan made a round of phone calls and didn't get a few doctors to come to work, and he was a little depressed, so he grabbed a bottle of medicine next to him and poured out a few pills and ate them, while looking at Chen Qi and joking,

"Yo, isn't this Vice President Chen, who came to our hospital to guide the work, welcome, and take so many things."

Chen Qi sat on the chair: "When will I become the vice president of the People's Hospital, Mr. Zhu, these are all local specialties in the mountains, you can try it, it's not a bribe." ”

", what's wrong with eating your souvenirs? Who dares to say, right for you......"

Before Zhu Huoyan finished speaking, the office door was pushed open, "Director, there are emergency patients!" ”

Pushing the door in was the head nurse of the surgery, and there was a shortage of not only doctors in the hospital during the Chinese New Year, but also nurses.

Since the head of the department is at work, of course, the head nurse can't lag behind, and one person has to take on the work of two people.

As soon as Director Zhu heard that it was an emergency, he immediately became serious: "What's the situation?" ”

The head nurse hurriedly said:

"This patient is a bit special, a 59-year-old man, who has just been transferred from the Shangyu County Hospital, and the diagnosis is that chronic cholecystitis has worsened for a week."

"Chronic cholecystitis? This is elective surgery, is it necessary to turn it around for the New Year? This is also fooling around in the county hospital, and this disease can't be solved by itself? If you want to rest for the New Year, we don't need to rest? ”

Director Zhu was dissatisfied when he heard that it was a chronic disease, what kind of emergency is this disease? Do you want a special car to send it up?

After speaking, one hand touched the upper abdomen, and his expression was a little painful.

Chen Qi just wanted to ask, but the head nurse spoke first:

"What, my stomach still hurts? You have to insist on it, this patient is more special, he is the deputy county magistrate of Shangyu County, you want to be hospitalized for the New Year, it is estimated that the condition must be very serious, and the other one is also distrustful of Shangyu County Hospital, and the phone calls have reached our hospital. ”

When Zhu Huoyan heard that it made sense, although he was full of displeasure, he still had to be diagnosed and treated, he glanced at Chen Qi and suddenly asked:

"Is there anything going on behind you, kid?"

Chen Qi nodded: "I'll go to Director Hong of the Imaging Department and Director Xie of the Laboratory Department in a while." ”

"I didn't learn anything else at a young age, but I learned to be a sycophant first? Come with me to receive a patient, in case you need to have an operation, you can do me a favor, and now our surgical staff are even on duty. ”

"The First Evolution"

Chen Qi nodded, knowing that this was Comrade Lao Zhu who wanted to promote him, for fear that he would be accustomed to minor surgeries at the grassroots level and forget about the third and fourth level surgeries.

"Okay, listen to Mr. Zhu."

After a while, the minibus on the county hospital drove into the people's hospital and drove directly to the door of the surgery, and after the patient lay on the bed, Zhu Huoyan and Chen Qi appeared.

The Department of Surgery of Shangyu County Hospital also sent a little doctor over, and when he saw Zhu Huoyan, he nodded hurriedly: "How is Director Zhu?" ”

Director Zhu nodded, didn't say anything, and looked at the patient.

This is a middle-aged and elderly patient in his 60s, lying on the bed with a painful face, he is very haggard, but there is no obvious yellowness on his face.

"What's the patient's condition?"

The deputy county magistrate of a county below, the people's hospital still attaches great importance to it, of course, you say how much attention you should pay to, it may not be, unless the district commissioner comes, then the treatment will be grand.

The little doctor at the county hospital hurriedly reported the case:

"Director Zhu, yes, the patient is a 59-year-old male, 8 months ago, because of chronic cholecystitis, obstructive jaundice, we did biliary and intestinal drainage in Shangyu County Hospital, postoperative jaundice subsided, but still felt epigastric discomfort, sometimes accompanied by chills and fever......"

The little doctor reported for a long time, and Director Zhu and Chen Qi listened very carefully, and after some introduction, they didn't hear any useful value.

In particular, it is mentioned that patients often have fever, and the first impression is that it is an inflammation, which should be related to previous surgery.

So Zhu Huoyan motioned for Chen Qi to do a physical examination, and asked:

"Did the patient have previous gallstone disease, chronic pancreatitis, diabetes?"

The family quickly denied: "Director Zhu, there should be no such diseases in our family, what do you think is the main problem?" ”

At this time, Chen Qi happened to percussion of the heart socket in the right liver area, and after a few taps of his fingers, the patient snorted lightly: "Doctor, it hurts a little here." ”

Chen Qi hurriedly reported:

"Mr. Zhu, the patient's abdomen is soft, the liver and spleen are not palpated, there is mild tenderness in the lower right side of the xiphoid process, the right liver dullness is not large, there is percussion pain, there is no gastric vibrating sound, and there is no mobile dullness in the whole abdomen."

It seems that the problem is with the liver, but it doesn't look like a liver problem.

Director Zhu carefully checked some auxiliary examinations, in fact, some blood test sheets and B-ultrasound, but this B-ultrasound is still black and white, and the clarity is not enough. In addition, the level of staff doing the inspection is limited, and there are no specific tips on it.

There is no CT, no MR, not even the most common color ultrasound machine in later generations, and the accuracy of diagnosis depends on the level of the doctor.

It's not even as good as Chen Qi to see a doctor in Huangtan, but his portable color ultrasound machine and bedside CT machine are much more advanced and clear than this era.

Director Zhu pondered for a moment, glanced at Chen Qi next to him and asked:

"The patient had biliary-intestinal anastomosis surgery 8 months ago, and the reflux of intestinal contents after surgery was easy to enter the biliary system, and now the patient has chills and fever, right upper quadrant pain, jaundice before, and now there are symptoms of liver damage on physical examination, which disease do you think all this is in line with?"

Chen Qi didn't think about it, and blurted out: "It's more like reflux cholangitis." ”

Director Zhu nodded appreciatively: "It is consistent with my diagnosis, since the patient's pain is unbearable, it is estimated that it was caused by the unsuccessful operation last time." ”

The little doctor in Shangyu County shrunk his neck, he didn't dare to say anything in front of the director of the hospital in this area, and he didn't dare to refute it.

When the family heard this, they were anxious:

"Director Zhu, what should I do next? Now my family can't even carry out normal work, and the 700,000 people in Shangyu County are looking forward to him going back to work. ”

Chen Qi slandered: Represent the people of the county at every turn?

Director Zhu probably heard too much of this kind of "nonsense", and said without caring at all:

"The next best is to do a second operation, repair and reconstruct the bile duct, although the previous operation, the common bile duct duodenal anastomosis can relieve the obstruction of the bile duct, but the gastrointestinal contents, pancreatic juice, bacteria also directly enter, the interference with the biliary environment is very serious."

The family didn't know what to do for a while, and looked at the deputy county magistrate Ying on the hospital bed.

Ying Zhizhong nodded: "Then it's troublesome Director Zhu, please give me surgery as soon as possible, and take advantage of the Chinese New Year to rest for a few days, otherwise there will be no time when you get busy later." ”

Chen Qi blushed a little when he heard this, the cadres of the people were really pretending to be the people, and he was still slandering him just now.

Director Zhu checked the medical records again:

"Okay, since it's just a biliary problem, then wait a few days to make preoperative preparations, and you can have a second operation."

The little doctor in Shangyu County hurriedly said: "Director Zhu, Deputy County Magistrate Ying originally wanted to do surgery in our hospital, and the preoperative preparations have been made. ”

"Today?"

Director Zhu was a little hesitant, because there were not enough doctors who could operate today, but the patient in front of him was a deputy county-level cadre, and he still had to be treated.

"It's okay to operate today, in this way, you will immediately send the patient to the operating room, and I will personally come to the main operation, let Shen Zhemin from the first department of surgery do the first help, and Chen Qi you will do the second help."

Director Zhu thought it was just a minor operation, but he opened his stomach, and what was waiting for him was a big shock.