In the end, Director Liang didn't have a clue, he didn't even need to leave any video data, as long as he recalled this medical record, all the information would immediately appear in his mind.

Simple, clear, and clear, he couldn't give a diagnosis of tuberculous pleural effusion, and Mr. Wu stood aside and watched for a while, and he could determine this.

That's the gap.

Alas...... Director Liang sighed softly after sending the patient to the Department of Respiratory Medicine. I don't know if it's because of a misdiagnosis, or because the hope of going to Yaiko Hospital has become slim.

The mobile phone rang, and Director Liang connected absentmindedly.

"Hey. ”

"Director, the old patient is back. ”

Director Liang smiled helplessly, he didn't need to say his name, he only mentioned the old patient 3 words, and he knew who the junior doctor was talking about.

It was a 53-year-old man who had been drinking heavily for a long time, which caused acute pancreatitis to turn into chronic pancreatitis. He was treated with endoscopic retrograde cholangiopancreatography (ERCP) + pancreatic duct stenting for 3 times.

No matter how he is treated, no matter how hard he tries to persuade him every time he is hospitalized, the patient always takes it seriously.

As soon as he was discharged from the hospital, he would continue to drink heavily. There was even a morning round during the ward, Director Liang smelled a lot of alcohol on the patient's body.

After the accounts of the family members of the patients in the same ward, he slipped out of the ward in the middle of the night and came back like this.

At that time, Director Liang was angry.

During hospitalization, patients are treated to primary care after surgery and are changed to secondary care three days after surgery.

According to the rules, the content of secondary care includes: 1. Those whose acute symptoms disappear in the serious stage and whose condition is stable after major surgery, but who cannot take care of themselves, 2. Patients who are old and frail or with chronic diseases, 3. Patients who are weak or have chronic diseases, and 3. Patients who have ordinary surgery or mild eclampsia.

The requirements of nursing are: 1. Pay attention to the observation of the condition, observe the reaction and effect of special treatment or special medication, and inspect every 2 hours. 2. According to the condition, you can do light activities in bed or indoors. 3. Assist patients in morning and evening care. 4. Do a good job of health education and discharge guidance for different diseases.

Nothing allows a patient to leave the hospital without permission.

But the fuck of the medical rules and regulations is here - the patient has to go out to buy some daily necessities, and the nurse on duty can't allow it.

All rules and regulations are just the hospital's own words.

After the operation, the patient's condition has stabilized, and he was hospitalized to observe the changes in his condition every day and recover as soon as possible with medication. At this time, patients are bored every day, and strolling in the hospital has become a pastime.

If the patient is not allowed to leave the ward, it is a physical detention, which is an illegal act, and if the patient complains, it is a nuisance.

If something happens, the consequences will be more troublesome, and the hospital, doctors, and nurses will all have to pay the price.

The difference is just in the size of the cost.

Domestic things are like this, nothing happens, hello, hello, hello, everyone. If something happens, it's a bunch of trouble.

A few years ago, a patient in other hospitals in the province had to undergo thyroid adenoma resection, and he went to a small restaurant opposite the hospital to eat fried noodles the night before the operation. When I was passing by, I was hit by a speeding car.

Director Liang didn't know how this kind of fucking thing would be solved in the end, but what he could be sure of was that there must be countless troubles.

So after smelling the smell of alcohol on the patient's body, Director Liang was furious, and did an alcohol concentration test on the spot, and when the results of the emergency investigation came back to prove his guess, he immediately discharged the patient.

This is what a big director must do, to clear mines and take the blame. When it makes sense, seize the time to eliminate trouble.

The patient also knew that he was scared and begged for mercy in every possible way, and finally Director Liang let him go, and he was hospitalized for 5 days and was successfully discharged.

In the language of the Northeast, this kind of person is called Jiumengzi, that is, there is alcohol dependence, and it is inseparable from the stimulation of alcohol.

So after that, the doctors and nurses in the ward used to describe him as an old patient.

This is again drinking too much, I don't know how much I drank, and I don't know if it induces acute pancreatitis or chronic pancreatitis attacks.

Director Liang sighed, feeling a little irritable, wouldn't he drink less and cause less trouble?!

Although I was helpless, I still had to go back to see the patient.

Originally, I was going to have a cheeky look at Mr. Wu's, and under the pretext of asking for a diagnosis, I asked myself "by the way" if I could go to the new hospital in Yajingzi.

Others are not optimistic about the newly established hospital, but Director Liang and others gradually have different views.

One general is incompetent and exhausts thousands of troops.

Why was the gastroenterology department with me able to beat down the gastroenterology department of the old director next door? It was not because I was studious and motivated, and I mastered the ERCP technology for the first time, and since then I have opened up the situation.

And the old director is still immersed in the cycle of connections, people looking for him to see a doctor, and doctors admitting patients.

It's not about slandering the old director, but about telling the truth.

Replaced by the new hospital on the side of Bajingzi, as long as Mr. Wu does not leave, this hospital will definitely be able to soar.

Even if he leaves, at least Mr. Wu will have to work for a few years. Otherwise, dig everyone up, and the next year he will turn around and leave...... I didn't do that.

Mr. Wu has a good reputation in China, and Director Liang also wants to improve his skills through this time. Even if he resigns and goes to the south in the future, with the two gold-lettered signboards of Concord and Cambridge, his worth is different.

It's just that...... It's a pity.

Director Liang sighed.

There was some hatred in my heart, but I still had to see the patient. As for Mr. Wu, it's a big deal to go to his house to find him after work at night.

Back in the endoscopy room, the inpatient has already completed the examination of the patient.

CT with contrast: pancreatic duct stent implantation, pancreatic duct significantly dilated than before, circumferential ultrasound gastroscopy: pancreatic echo thickening, pancreatic duct dilation, no stent seen, considered chronic pancreatitis.

Director Liang was in the ERCP room, standing beside the patient, looking at the image, and always felt that something was wrong.

Is it the influence that Mr. Wu has brought to himself? Director Liang can't tell whether it is or not.

The misdiagnosis of a patient with tenderness in the gallbladder area may have inadvertently formed a dark cloud that shrouded his mind. Now that I am still affected, no matter what judgment I make, I subconsciously think about more possibilities.

Director Liang shook his head and tried his best to get rid of his misdiagnosed thoughts.

But looking at the video, there is still something wrong.

Where it is, Director Liang can't say. He looked at the image of the ultrasound gastroscopy in confusion and fell into deep thought.

"SpyGlassDS, take a look. A voice floated from behind Director Liang.

"The equipment has just come in, and I'm not proficient in it. Director Liang said subconsciously, but as soon as he finished speaking, he was stunned.

Is that......

Teacher Wu's voice......

When did he come?