Chinese medicine: When you do things to the extreme

Chapter 254: Pretending to be awesome (Subscribe)
"There is no problem with this diagnosis, Brother Lan!~" After carefully examining the chest X-ray, Zhou Yanqing handed the film back to Lan Zhuozhi with a smile on his face.

"Yanqing, did you get lucky just now?"

"I've seen more than a dozen films, and none of them are special?" Lan Zhuozhi ordered coffee and was mixing them.

"Maybe!~"

"You need good luck to discover special circumstances." Zhou Yanqing said with a smile.

Lan Zhuozhi sighed and said, "Then you have to transfer the money to me for the coffee I ordered."

"I'd like to treat you..." Lan Zhuozhi said regretfully.

There are already three patients "occupying beds" in the trauma center, all with minor injuries, but there are no beds in the observation ward, so they are temporarily staying there.

The beds in the trauma center were originally beds in the observation ward. If they are occupied, there will be fewer beds on the other side.

After these people finished their temporary work in the operating room, they watched everyone gathered together drinking coffee. One of the brothers couldn't help but say with some envy: "Doctor, is your working environment so comfortable?"

"With no work to do, it's just idle chat. It seems a little different from the emergency department you see on TV shows." The eldest brother was in his forties, and at this moment, he had his hands behind his head.

He fell off an electric bike and a sharp object pierced the front of his thigh. Fortunately, his femoral artery was not damaged.

However, the steel wire had directly scratched the skin and penetrated the surface of the femur, causing full-thickness exposure. Although the wound was cleaned and sutured, the patient could not go home directly and had to be hospitalized for observation.

Before, he was still screaming in pain, but with the effect of analgesics, the pain was now "soothed"!

It was just an orthopedic patient. Zhou Yanqing said as he inserted the coffee tube: "The TV series specially selected some urgent diseases to tighten the rhythm of the story in a concentrated way."

"In reality, the tasks assigned by 120 are different, so they may not be as exciting as in the TV series."

"But we all like this leisurely state now. Don't you think it's bad?"

"Do we have to run ourselves to death before you can watch a few more patients leave?" Zhou Yanqing threw the question back.

The middle-aged man was stunned when he heard this and quickly shook his head.

Ordinary people cannot remain calm when facing death, even the death of others, and may even be extremely scared.

"No, no, this is good, very good..."

When the patient shook his head, Gong Zhenyu, who had been called over from the surgery department, came back and said, "Brother Qi, Brother Xiao from the surgery department wants you to look at a film."

"The number is 210XXXXXX!"

Hearing this, another younger guy rolled his eyes, raised his head slightly, and said in amazement: "You guys watch movies so openly here, and they even come with serial numbers?"

Obviously he understood it wrongly.

It was reported online that a doctor was reading electrocardiograms and was reported to be looking at stock curves. Now Gong Zhenyu said that it is not unacceptable for the patient's consultation number to be understood as a "film number".

A group of people laughed after hearing this.

Gong Zhenyu tilted his head and said, "Brother, stop pretending. It's good for your health."

There are so many jokes about surgeons.

"No, my tone just now was fine. What does this have to do with showing off?" the guy asked back.

However, after seeing everyone open their computers and type, I realized that I had misunderstood the meaning.

However, after pondering it carefully for a few times, the young man suddenly opened his eyes and said, "Oh my god!~"

"You guys!" He pointed at Gong Zhenyu with his right hand.

Gong Zhenyu smiled widely and stroked his chin: "Yes, that's what you understood."

"Me?" The patient's face was uncertain, but he seemed unable to find a point to refute.

He couldn't report Gong Zhenyu for being pretentious, right? Then he would explain in detail to his leader the deeper meaning of pretentiousness!

"No problem!" Zheng Qi turned on the CT scan, took a quick look, and said, "Write an opinion. The intracranial CT scan showed no bleeding. It could be temporary dizziness caused by concussion."

"Pay attention to the patient's pupils and facial expressions, follow up at any time, and recheck CT scans!"

Gong Zhenyu responded and left.

After Zheng Qi finished speaking, he asked another patient, "Do you feel better now?"

"You have a simple subcutaneous hematoma on your scalp. Just pack it up. It's not a big problem and you can go back." Zheng Qi asked the 'pretentious young man'.

"Doctor, please don't chase me away. I'm scared."

"This place has been ripped open. This is the head!"

"People say that your Xiangya Hospital is aloof. We should also improve our service attitude. There are beds here anyway!" He took a look around.

"There's more."

Ordinary people really don’t experience many emergency traumas, so if their fingers are cut, they will be worried.

My scalp was broken and a hematoma formed. It would be strange if I wasn't scared! ~
However, at this time, Zhou Yanqing was free and turned on the computer. He saw the patient's chest CT and looked at it for a few seconds.

Zhou Yanqing suddenly stood up and chased out of the trauma center clinic!
"Brother Yu, what's the condition of the patient in the surgical clinic?" Zhou Yanqing asked.

"The electric bike hit a private car, and the patient's head hit the front bumper. There were no skin injuries, so he was not sent to us. Currently, the patient complains of dizziness and chest discomfort."

"Brother Tan from the thoracic surgery department has already checked it out. He said there's nothing wrong with the chest and there's no hemothorax!" said Gong Zhenyu.

"You can come and observe if you want."

Zhou Yanqing heard this and whispered, "Doctor Gong, don't let this patient go yet. I'll go call Brother Lan."

"What's wrong?" Gong Zhenyu asked.

Lan Zhuozhi is a cardiac surgeon, or more precisely, a cardiac and vascular surgeon. Together with Professor Yang Lingchong of the vascular surgeon, he forms the most solid emergency rescue shield for the trauma center.

"In the precursor stage of aortic dissection, there is already a break, but no tear," said Zhou Yanqing.

"Ah?" Gong Zhenyu jumped slightly on the spot.

"Can aortic dissection be caused by a car crash?"

Zhou Yanqing didn't explain. He had to go back and find Lan Zhuozhi.

Lan Zhuozhi was still jokingly arguing with the "pretentious young man", but the young man refused to admit defeat and was racing with Lan Zhuozhi.

"Is it true? Don't lie to me. I don't have much education." Lan Zhuozhi's ears pricked up when he heard this.

"Brother Lan, if it's fake, I lose, and I have to buy you coffee!~"

"How about we go and take a look together?" Zhou Yanqing suggested.

Of course Lan Zhuozhi has to go and see it!
Just now when Gong Zhenyu reported his medical number, Lan Zhuozhi had nothing to do, so he just glanced at it casually and didn't see anything wrong.

The plain scan range of the chest CT scan includes the heart and large blood vessels.

However, aortic dissection is generally not related to emergency cases, and general emergency doctors will not consider aortic dissection.

There is a very low possibility that the patient may lower his guard because he has been traumatized! ~
Yang Lingchong decisively opened the CT scan carefully again. Zhou Yanqing quickly swiped it and then pointed in a direction.

"right here!"

"If I'm not mistaken, the lining of the blood vessel should be ruptured. At a certain moment, if blood flows in, it will be aortic dissection." "Now is the precursor stage."

"Maybe trauma is the trigger!" Zhou Yanqing explained in detail.

"It seems like there is some feeling, but it is not a sign of advanced aortic dissection. It is not typical."

"I'll go over and listen to the stethoscope!" Lan Zhuozhi didn't dare to be careless.

The main reason was that he had been amazed by Zhou Yanqing's film-reading skills before, so he dared not disbelieve what Zhou Yanqing said at this moment.

While walking out with Zhou Yanqing, Lan Zhuozhi sent a message: "Master, here is the CT scan with the consultation number. Are you free to take a look now?"

"I suspect there is aortic dissection, in the early stages, but it's not obvious."

Lan Zhuozhi is the attending physician of cardiac surgery. When his own abilities are insufficient, he can quickly recruit people.

The most direct way is to find his own master.

After sending the message, he went straight to the patient's bedside and saw that the patient's current expression seemed fine!

However, Lan Zhuozhi just inserted the stethoscope towards the aorta and found something different.

This is not the normal pulsating sound of the aorta. There is also a murmur, which may be the noise of blood hitting the vascular endothelium.

Aortic dissection, precursor stage!

"Does it hurt?" Lan Zhuozhi asked the patient.

The patient nodded. "A little, but I feel okay."

Upon hearing this, Lan Zhuozhi immediately said to the nursing department: "This patient, immediately put him on ECG monitoring, continuously monitor blood pressure, and quickly prepare for surgery! ~"

"Doctor, what's wrong with me?" Although the patient had previously said that he felt dizzy and had chest tightness, he hoped that the doctor would take a closer look, not hoping that there was really a problem.

Lan Zhuozhi's sudden shout made his face change drastically, and he even broke out in a sweat!
"Have you called the family yet?"

"Call quickly, they can do it as quickly as possible!~"

"I'll print out the informed consent form for the surgery first. You sign it immediately. Then you can pay some money based on your situation. Five thousand first. If it's not enough, you can pay as much as you have."

"Don't argue with the person who caused the accident. Your life is more important than money. Don't delay!"

"If we delay a little longer, he might need emergency treatment," said Lan Zhuozhi.

The mortality rate of aortic dissection is very high, but if it is discovered in time and treated in the precursor stage, the mortality rate is very low.

If the symptoms really reach the stage where they are particularly obvious.

That means it's a 50-50 chance of life and death.

Fortunately, the patient had undergone a CT scan before the operation, so the diagnosis could basically be confirmed.

At the same time, Lan Zhuozhi also received feedback on his phone: "Zhuozhi, you are great. Now CT scans can detect this kind of early stage."

"Very good, very good. Push it over here and do some preventive intervention. It will be done quickly!~" The words of Lan Zhuozhi's teacher, Professor Tong Dongming, gave Lan Zhuozhi confidence.

At the same time, Zhou Yanqing's mission was also completed.

"Brother Lan, I'll go back first." Zhou Yanqing said.

For this patient, his task is to assist in diagnosis, not in treatment.

If the cardiac surgery department of Xiangya Hospital can't even solve aortic dissection, then this joke would be too funny.

All prefecture-level city hospitals can handle the case, but the mortality rate may be relatively high.

"Three cups of coffee!" Lan Zhuozhi turned around and replied without any unnecessary nonsense.

"Over here, ECG monitoring, blood oxygen saturation, emergency blood draw, it would be best if you can get him to the emergency operating room in three minutes. Aortic dissection, type A precursor stage!" Lan Zhuozhi saw that no one else responded, so he directly gave the diagnosis.

The words "aortic dissection" seemed to be a magic formula that immediately stopped the nurses in their tracks.

Maybe they were doing unimportant tasks. After hearing this, they immediately put down the trays in their hands and ran over quickly.

"Are you sure?" He looked at Lan Zhuozhi and asked quickly.

"I'm a cardiac surgeon. Do you think I'm not sure?"

"Hurry up, go through the aortic dissection green channel and call the chief on duty. We must have an emergency operating room in five minutes!" Lan Zhuozhi's tone left no room for doubt or refusal!
The emergency department of the hospital has set up a green channel for aortic dissection!
In principle, there should not be a situation where there are no patients, no examination rooms, and no operating rooms.

If there is, someone must have occupied this part of the green channel resources!

Find a way to let it out! ~
Whoever claims the occupation will be responsible for coming up with the alternative plan, which must be used immediately!
……

Zhou Yanqing smiled knowingly and left, then came to the medical area of ​​the trauma center again and appeared at the door!

"Yanqing, where is Brother Lan?" Huang Ouming from the cardiac surgery department asked when he saw that only Zhou Yanqing was there, a little confused.

"Brother Lan is doing your work, Brother Ming." Zhou Yanqing said. Zhou Yanqing sat down directly, crossed his legs, and savored the mellow aroma of coffee.

Huang Ouming was the chief resident assigned to the trauma center by the Department of Cardiac Surgery. When he heard this, his face changed drastically.

"Is what you just said true?" Huang Ouming immediately stood up and ran out without waiting for Zhou Yanqing to answer.

If Zhou Yanqing's diagnosis is true, then Lan Zhuozhi is really cleaning up the mess for him.

"It should be. Brother Lan has already called Professor Tong..." Zhou Yanqing originally planned to ask Huang Ouming who Professor Tong was, but he could only ask Huang Yaqin.

"Sister Qin, who is Professor Tong?"

"Professor Tong is Professor Tong, the professor of cardiac surgery! The director of cardiac surgery is Professor Zhang." Huang Yaqin didn't know much either.

"Oh..." Zhou Yanqing nodded.

Huang Yaqin put down her phone and looked up, "Is it true? This patient has aortic dissection?"

Huang Yaqin's words attracted everyone's attention again.

This isn't the first time.

This is the second time that Zhou Yanqing has discovered a diagnosis that others cannot. From the perspective of diagnosis, he has launched a dimensionality reduction attack on the specialists.

Zhou Yanqing touched his nose and said with a smile: "Sister Qin, the bet of buying coffee is just a joke."

Huang Yaqin received an affirmative answer, although it was not proved directly, the meaning was very clear.

"Yanqing, are you really that good?"

"How is this done?"

The retroperitoneal hematoma in the vascular surgery department was located by Zhou Yanqing on X-ray.

Now the aortic dissection has been taken advantage of again by Zhou Yanqing?

Is this really a bargain?
Xiang Miao from the Vascular Surgery Department came closer, and asked with his hands behind his back, a little embarrassed: "Doctor Zhou, can I ask you something? What is the specific process of reading the film?"

Xiang Miao is a vascular surgeon. The large blood vessels in vascular surgery and cardiac surgery are independent, but their diagnosis is the same.

There's a pretentious person in the trauma center, and now there's another really awesome person...

(End of this chapter)