This doctor has a system

Chapter 447 512. Is this the nurse you hired?

"Professor Gao, what are you planning to do to start this project?" Wu Bufan asked, "Do you need me to do some work in advance?"

"I haven't thought about this yet. The scale of this project is a bit large, and it affects the whole body." Gao Feng considered, "I need to make some plans in advance."

"I will be responsible for setting up the laboratory. I have special channels for purchasing some instruments." Wu Bufan said.

Gao Feng looked at him and said nothing.

"Oh, it's not what you think." Wu Bufan felt that he had misunderstood, "I didn't want to get anything out of this."

"Besides, if I really want to make money, there are many ways to do it. As for messing around here?"

What he said made sense, but Gao Feng felt that this matter could not be left to him alone.

Sometimes, good intentions lead to bad things, and whatever goes wrong is always bad.

"I'll let someone come with you." Gao Feng said after thinking for a moment.

The nurse spoke kindly and made various requests, and finally Wu Bufan slowly came to the bed.

He was very happy inside.

If what you really want is to have a name in projects and articles, that's acceptable.

"I understand, you rich people are all virtuous." Li Youliang said with a smile, "If you don't have enough to eat, you won't be thinking about it."

"I won't do it, this is so disgusting, how can I stand it!"

Klebsiella pneumoniae invasive liver abscess syndrome is defined as a liver abscess caused by Klebsiella pneumoniae complicated by extrahepatic metastatic infection, manifesting as meningitis, brain abscess, lung abscess, endophthalmitis, and/or necrotizing fascia inflammation.

"Yes, I have been working for 2 years." Wu Bufan replied casually, "At that time, my brain was kicked by a donkey."

"You don't know, my brother was really..." After many years, Wu Bufan still looked horrified when he mentioned this.

"What are you trying to do?" His sister asked, "To work overtime, to get sprayed all over you."

Just after he finished working on this patient, Director Ma from the department called and said that a relative in the orthopedics department had been feeling unwell for the past two days and asked him to come over and take a look.

However, he still feels that it is too early. The funds for the project have not been approved yet. If it is better to do it now, it will be a rainy day. If it is not good, it will be in vain. Then the project may have to be done again.

The most impressive time was when a patient was having an enema and his family members took a call and left.
Yes, just left.

"I'm having a meeting outside, so I'm going to trouble Professor Gao." Director Ma originally wanted to call someone else, but suddenly thought of Gao Feng.

The incidence of this disease is not high, and it is closely related to patients' poor blood sugar control.

Gao Feng took Li Youliang to the first orthopedic ward in Building 1, which was much brighter and more impressive than the respiratory ward.

Orthopedics is an amazing department. As the saying goes: once the electric drill goes off, gold is worth a million dollars. This saying is very appropriate when it comes to the Department of Orthopedics.

He had just completed his mental preparation when the patient lying on the bed couldn't hold it in any longer. He heard a pop and a stream of yellow liquid sprayed all over him.

Later, he discovered that it seemed to be his grandfather's fault, which made him feel disappointed and unwilling.

The right posterior lobe of the patient's liver showed a low-density shadow with uneven density; the length was about 3.8cm, and septal shadows were visible in the right posterior lobe.

Based on the history and laboratory findings, the patient was diagnosed with liver abscess, endophthalmitis, and brain abscess. More accurately, the diagnosis should be: Klebsiella pneumoniae invasive liver abscess syndrome.

The nurse couldn't do it alone, so she called Wu Bufan over.

He washed himself like crazy at home, but he still felt unclean. Later, his family advised him not to go to work anymore.

But this is not the main thing. Brain magnetic resonance shows slightly higher signal intensity in the left occipital lobe, left temporal lobe and parietal lobe.

As a prime department with the highest income in the hospital, Xiehe Orthopedic Surgeon is envied and hated by his colleagues.

"do not talk!"

He has others waiting on him at home, how can he bear this anger.

"At that time, the field of tumor was relatively hot, and I wrote a few papers." Wu Bufan smacked his lips, "At that time, I thought I had talent in this area."

I won’t mention writing medical records, getting medical insurance, holding meetings, business studies, fire drills, cardiopulmonary resuscitation, and regular assessments. The key point is that some patients and their families are always difficult to take care of.

"Damn it, you said exactly the same thing as my mother." Wu Bufan was stunned for a moment, and his mother also thought he was hypocritical and a fool who was lucky enough not to enjoy innocence.

"This is a brain abscess!" Gao Feng was also surprised. This was the first time he saw it in real life.

Wu Bufan felt a pain in his balls when he recalled the past two years. At first, he thought that doing clinical work was just to help people see patients. Who knew there were so many things.

The examination has been done, but the report has not been released yet. Doctor Xu took a look and was not sure.

"Professor Gao, there is really a problem." His tone was a little excited, "If you are not busy, come and take another look."

"There is indeed an abscess in his liver."

"Brother Angkor, I heard that you have done clinical work before?" Li Youliang asked.

But who makes Wu Bufan like to mess around? Gao Feng doesn't have any opinions about this person so far. He has a very upright attitude every time he sees him.

"I still want to create something." He said to Li Youliang, "It has become an obsession."

"Brother Fan! Just show your kindness and help me!" The nurse was also helpless. She couldn't let the patient pull up on the bed.

The next day Gao Feng came to the ophthalmology ward again. The patient's examination had been completed, and Dr. Xu, who was in charge of the bed, called him specifically.

In fact, people with poor blood sugar control are more susceptible to microorganisms such as bacteria and viruses, which requires attention.

Later, Wu Bufan became a medical researcher.

When I arrived at the door of the doctor's office, I was about to go in when I heard a quarrel coming from inside.

"Look! Look! The villain has jumped out!"

"Wu Tianhe is one!" "Qiao Kaiqing is one too!"

"What the hell, I'm charging in the front, and I won't say that you guys are sitting back and enjoying the results, and you're holding me back!" An angry voice came out.

"Don't mess around, we are just discussing the matter!" someone retorted.

"I'm going to discuss the matter with you! You're holding my bowl, but you also want to smash my pot!"

"How dare you talk to me like this!"

"We are also doing this for the broad masses of the people!" someone said.

"Is it your turn, Wu Tianhe, to speak to you, the people? Is your brain clogged with too much money?!"

"Didn't the development of orthopedics over the years rest on my shoulders, Shi Gaolang? What did you losers do?!"

"Come on, stir it up! If you mess up the whole department, you will be satisfied. Then all I have to do is risk my life with you!" After the angry voice finished speaking, the office door was kicked open with a bang.

A man in his 50s walked out angrily, followed by two young people with immature faces, who looked like the students the former was leading. Gao Feng and Li Youliang looked at each other.

"How about we come back tomorrow?" Li Youliang suggested, "They seem to have just finished their quarrel."

It’s not like I didn’t see Gao Feng.

Just as he was about to leave, someone else came out.

"Are you Professor Gao?" the middle-aged man asked, "Hello, I am Wu Tianhe from the Department of Orthopedics."

"Hello, Professor Wu." Gao Feng shook hands with him, "Have you seen me before?"

"Yes, I have a good relationship with Lao Ma." Wu Tianhe explained with a smile, "He just told me that you were coming."

"Xiaoye, Professor Gao is here." He shouted into the office, and then showed an apologetic expression to Gao Feng, "I still have something to do, so I won't accompany you there."

"You're busy." Gao Feng said with a smile, and the latter was obviously suppressing his anxiety to communicate with him.

Ye Xianyong from the Department of Orthopedics welcomed Gao Feng in. There were many people in the office, but everyone was afraid to breathe, and the scene was very quiet for a while.

"Stop hanging around here! Just do what you have to do!" someone said.

"This is Director Qiao of our Department of Orthopedics." Ye Xianyong introduced Gao Feng in a low voice.

Qiao Kaiqing was obviously stunned when he saw Gao Feng was so young.

"Are you Professor Gao?" he hesitated.

"Hello, Professor Qiao." Gao Feng greeted him.

"Hello, Professor Gao." Director Qiao said, "Welcome to guide our work."

"I won't be here with you if I have something else to do. If anything happens, Xiaoye must contact me." After he said that, he hurried away with the two of them.

"Brother, did your department have a war just now?" Li Youliang said with a smile.

"Absolutely." Ye Xianyong replied.

Gao Feng gave Li Youliang a look and told him not to ask random questions. This was an internal matter within the department and it was not good for others to know too much.

The patient to be consulted is a 36-year-old middle-aged man who was admitted to the hospital for right lower limb orthopedics. The patient saw a beautiful woman on the side of the road 4 days ago. He couldn't help but take a second look, and then he was hit by an electric car.

"Can't you stop and look carefully?" Li Youliang asked, "It's very dangerous to walk when looking at beautiful women."

"I just stopped to watch." The middle-aged man was very depressed when he mentioned it. "I was taking pictures with my mobile phone, and the damn electric car hit me straight away!"

"Why? Are you blocking the road?"

"I'm standing on the curb, standing in my way!" the middle-aged man said, "I never thought there would be such a retarded person!"

He was very angry after being hit. The man riding the electric scooter was also a middle-aged uncle. The other man was very sorry and called 120 for help and paid for the hospitalization expenses.

"He said he was just looking at a beautiful woman and didn't pay attention."

"Is she that beautiful?" Li Youliang was very curious, "Didn't you just say you would take pictures? Let me see."

"Hey, I haven't been willing to delete it." The middle-aged man smiled a little obscenely, "Ling'er, please pass my phone over to me." He turned to the woman next to him and said.

"Is this the nurse you hired?" Li Youliang asked.

"That's about it, my wife." The man said casually.

Li Youliang

"Sister, you don't care about him?"

"I'm not in that mood." The eldest sister was very calm. "He just has an eye addiction, and he won't be able to do it if we really give him a chance."

"Others don't know about his abilities, so why don't I know about him?"

"If he can go out and take advantage, I'll be happy for him." The eldest sister seemed to be very angry.

However, the beauties photographed by the uncle are indeed very beautiful, with tall figures, convex front and back, and very delicate faces.

"Brother, your photography skills are good." Li Youliang praised.

"We are professionals." The eldest brother was very proud.

The doctor in charge of the bed had already introduced the patient's specific situation to Gao Feng.

The patient's condition was relatively simple, with a simple fracture of the right tibia and fibula. The patient was surgically fixed on the same day, and the process went smoothly.

However, in the past two days, the patient reported that he felt different from usual. He had occasional pain in the precordial area, felt uncomfortable in his head, and felt dizzy.

"He is a relative of Director Ma." Dr. Ye told Gao Feng, "The electrocardiogram showed no major problems, and a cranial magnetic resonance imaging was also performed. It was said that there were some lacunar infarctions."

Since it was relatively mild, the neurology department said no treatment was needed.

The patient's blood oxygen saturation was 99%, his heart rate was within the normal range, and his blood pressure was stable.

"Do you feel chest tightness?" Gao Feng asked.

"I can't tell." The latter thought for a moment, "Maybe a little. Sometimes I feel like I want to breathe a sigh of relief."

"That's not right. The V1-V3ST segment of this electrocardiogram has evolved compared to when we were admitted to hospital." Gao Feng frowned, "Has the D-2 polymer been checked?"

For patients with fractures in the short term, the probability of pulmonary embolism is still high.

"Checked, negative." Dr. Ye replied.

Since they had just undergone orthopedic surgery, they were still very vigilant about pulmonary embolism, so when the patient said he felt a little uncomfortable, they routinely had the D-2 polymer checked again, and the result was not elevated.

"We need to do a pulmonary artery CTA to consider pulmonary embolism." Gao Feng said. He just asked the patient carefully. He had symptoms of dry cough in the past two days. Although it was not obvious, it was too coincidental.

And although the patient's lower limbs were fractured and he could not move, he felt obvious shortness of breath when Gao Feng asked him to do some strenuous movements on the bed.

"But his D-polymer is not high." Doctor Ye said to Gao Feng while pushing the bed, "Isn't this quite sensitive?"

"It is indeed very sensitive, but it is not absolute." Gao Feng said to him, "There are many reports in domestic and foreign literature that although some patients suffer from pulmonary embolism and the symptoms are very typical, D-2mer does not rise."

However, orthopedic doctors definitely don't pay much attention to this. Just repairing the bones has consumed most of their energy, and the remaining energy is reserved for two drinks.

Several people carried the patient to the scanning bed together, and then all crowded into the small room inside.

"I won't say anything for jumping in line, but you can at least leave a place for me." The technician operating the CT looked helpless.

"Hurry up and fix it. We're just going to sit here for a while, and we won't move the stool away for you." Ye Xianyong probably knew the other person, "Quickly check if it's a pulmonary embolism?"

"Pulmonary embolism?" The technician was stunned for a moment. The patient's mental state didn't look like he was talking and laughing.

(End of this chapter)