Sleepless Doctor

In the end, Director Liang didn't have any clues. He didn't even need to leave any image data. As long as he recalled this medical record, all the data would immediately appear in his mind.

　　Simple, clear, and clear, I couldn't give a diagnosis of tuberculous pleural effusion, but Mr. Wu stood aside and looked at it for a while to confirm this.

　　 This is the gap.

　　 alas... Director Liang sighed slightly after sending the patient to the Department of Respiratory Medicine. I don't know if it was because of the misdiagnosis, or because the hope of going to Bajingzi Hospital became slim.

　　 The cell phone rang, and Director Liang answered absently.

"Hey."

　　 "Director, that old patient is back again."

　　 Director Liang smiled helplessly. He didn't need to say the name. He only mentioned three words for the old patient, and he knew who the lower-level doctor was talking about.

　　 It was a 53-year-old male patient who had long-term heavy drinking, which caused acute pancreatitis to turn into chronic pancreatitis. Received endoscopic retrograde cholangiopancreatography (ERCP) + pancreatic duct stent placement for 3 times.

　　 No matter how he was treated, no matter how painstakingly persuaded him every time he was hospitalized, the patient would never take him seriously.

　　 As long as he is discharged from the hospital, he will continue to drink heavily. Even during an early morning round, Director Liang smelled a lot of alcohol on the patient's body.

　　 After the family member of the patient in the same ward, he slipped out of the ward in the middle of the night, and that was the case when he came back.

　　 Director Liang was angry at the time.

　　Patients during the hospital stay receive primary care after surgery, and change to secondary care three days after surgery.

According to the rules, the content of secondary care includes: 1. The acute symptoms disappeared in the severe stage, and the condition is stable after major surgery, but the life is not able to take care of themselves; 2. The elderly, frail or chronically ill patients; 3. After ordinary surgery or mild Eclampsia etc.

　　The requirements of nursing are: 1. Pay attention to the condition of the disease, observe the reaction and effect after special treatment or special medication, and make a round every 2h. 2. According to the condition, light activities can be carried out in bed or indoors. 3. Assist patients in the morning and evening care. 4. Do a good job of hygiene education and discharge guidance for different diseases.

　　 There is nothing that allows patients to leave the hospital without authorization.

　　 But the medical rules and regulations are **** fucking here-patients have to go out to buy some daily necessities, and the nurse on duty cannot allow it.

　　All the rules and regulations are just the hospital's self-talk.

　　 After the operation, the patient's condition has been stable, and the hospitalization is to observe the changes of the condition every day and to recover as soon as possible with drugs. At this time, patients are bored every day, and strolling in the hospital has become a way of pastime.

　　 If the patient is not allowed to leave the ward, it is personal detention, which is an illegal act. As long as the patient complains, it is troublesome.

　　 is allowed to leave. Once an accident occurs, the consequences will be even more troublesome, and hospitals, doctors, and nurses will all pay for it.

　　The difference lies in the size of the price.

　　Domestic things are like this, nothing happens, hello, me, hello, everyone. An accident is a lot of trouble.

　　 A few years ago, a patient in other hospitals in the province had to undergo thyroid adenoma resection. The night before the operation, he went to the small restaurant opposite the hospital to eat fried noodles. By coincidence, while crossing the road, he was hit by a speeding car.

　　 Director Liang doesn't know how to solve this kind of **** thing in the end, but what he can be sure of is that there must be countless troubles.

　　 So after smelling the smell of alcohol on the patient's body, Director Liang was furious, and took an alcohol concentration test on the spot. After the urgent investigation results came back to prove the guess, he immediately sent the patient out of the hospital.

　　 This is what a chief director must do, demining and backing up. Take the time to get rid of the trouble when it is reasonable.

　　 The patient also knew that he was afraid, and he begged for mercy in every possible way. Finally, Director Liang let him go, and was discharged smoothly after being hospitalized for another 5 days.

　　 In the Northeast dialect, this kind of person is called Jiumengzi, which means that they are dependent on alcohol and cannot be stimulated by alcohol at all.

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

　　 This is because I drank too much, I don’t know how much I drank, and I don’t know if it caused acute pancreatitis or chronic pancreatitis.

　　 Director Liang sighed, feeling a little irritable, so he won’t drink less and cause less trouble? !

　　 Although helpless in every possible way, he still wants to go back to see the patient.

　　 originally planned to go to Teacher Wu with a cheeky look, and under the banner of asking for diagnosis, "by the way" asked if I could go to the new hospital on the side of Bajingzi.

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

　　 I will be incompetent and exhausted.

　　 Why can the gastroenterology department that I brought with me knock down the gastroenterology department of the old director next door? It was not because I was studious and motivated that I mastered the ERCP technology for the first time and opened up the situation since then.

　　 And the old director is still immersed in the cycle of contacts, people seeking him for medical treatment, and doctors collecting patients.

　　 is not to slander the old director, but to tell the truth.

　　 Replaced with the new hospital on the other side of Bajingzi. As long as Teacher Wu doesn't leave, this hospital will surely rise to the top.

　　 Even if he leaves, at least Mr. Wu will have to work for a few years. Otherwise, he dug everyone over, and the next year he turned around and left... he didn't do anything like that.

　　 Teacher Wu has a good reputation in China, and Director Liang also wants to improve his skills during this time. Even if he quit his job and went to the South in the future, with the two golden signs of Concord and Cambridge, his worth is not the same.

　　 Just...it's a pity.

　　 Director Liang sighed ~www.readwn.com~ I was a little bit angry, but I still had to see the patient. As for Mr. Wu, he will go to his house after get off work at night to find him.

　　 Back to the endoscopy room, the hospital has already completed the examination for the patient.

　　 Enhanced CT: Pancreatic duct stent placement state, the pancreatic duct is significantly expanded than before; circular scan ultrasound gastroscopy: pancreatic echo is thickened, the pancreatic duct is dilated, no stent is seen, it is considered as chronic pancreatitis.

　　 Director Liang is in the ERCP room, standing next to the patient and looking at the video, always feeling something is wrong.

Is 　　 the influence that Mr. Wu brought to me? Director Liang couldn't tell whether it was or not.

　　 The misdiagnosis of a patient with tenderness in the gallbladder area just now may have formed a cloud inadvertently, covering his heart. Now that I am still affected, no matter what judgment I have made, I subconsciously think about more possibilities.

　　 Director Liang shook his head, and forced out the thought of his misdiagnosis.

　　 But in the video, there is still something wrong.

　　 Where is it, but Director Liang couldn't tell. He looked at the image of the ultrasound gastroscope in confusion, and fell into deep thought.

　　 "Let’s take a look." A voice floated from behind Director Liang.

　　 "The equipment has just entered, and I am not proficient in doing it." Director Liang said subconsciously, but just after the words, he was taken aback.

That is……

　　 Teacher Wu’s voice...

　　 When did he come?