Since 1981 Health School Chapter 231

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

   During the Chinese New Year, there is a characteristic in the hospital, that is, the number of inpatients and outpatients will decrease significantly.

  There are patients who want to seek auspiciousness. It is too unlucky to go to the hospital after the New Year. Even inpatients who are not particularly ill will choose to be discharged from the hospital and go home to celebrate the New Year. At worst, they will come back to the hospital after the New Year.

   Another reason is that there is family leave this year. Many doctors from other places have no time to go back to their hometowns for a year, so they will take time off to go back to their hometowns during the Chinese New Year.

  In addition, local employees also need to take turns, so there will be a shortage of manpower in the hospital, and doctors don't want to treat too many patients.

  Chen Qi thought that the Department of Surgery in the People's Hospital should be empty, but when he showed up at the Department of Surgery, he found it extremely busy.

   It's Chinese New Year. There are two kinds of patients most in surgery. One is firecracker injuries. There are people of all ages, and many of them are children.

There is also a digestive system disease caused by overeating. This year, I am reluctant to eat and wear. I have saved up good things until the New Year. I eat meat in large pieces and drink in large bowls. Well, the liver, pancreas, gallbladder, and stomach. Surgical emergencies suddenly increased.

  On the one hand, there is a sudden increase in patients, and on the other hand, the number of doctors who go to work has decreased significantly. It is no wonder that the surgery department is not busy.

   Director Zhu knew that every Chinese New Year would be a moth, so he stayed in the surgical center to direct.

  When he saw Chen Qi coming in with big bags and small bags, he just pointed with his finger to signal 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 he went? All right, I'll find someone else."

  Zhu Huoyan put down the phone, thought for a while, and started shaking people again: "Hi, help me pick up Dr. Wei Songning from the staff quarter of the People's Hospital."

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

   "Hello, is that Old Wei? Oh, Old Wei was lying down drunk last night? Yes, surgery is needed, forget about being drunk, how can you hold a scalpel with shaking hands, goodbye."

  Chen Qi watched Teacher Zhu make phone calls with relish. In 1983, there were no program-controlled telephones in Vietnam.

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

For example, when Chen Qi usually calls Director Zhu in his own unit, he first needs to shake the phone, get connected to the Huangtan District telephone station, and then transfer you to the Huiji County telephone switchboard, then the Yuezhong District telephone switchboard station, and finally Connect you to the People's Hospital.

  As for you wanting to call other cities or provinces, it is simply invincible trouble, why not just send a telegram.

  If the telecom fraudsters of later generations were to shake off the phone one day, their hands would be cut off.

  Zhu Huoyan made a round of phone calls but did not get a few doctors to come to work. He was a little depressed, so he grabbed a bottle of medicine next to him, poured out a few pills, and looked at Chen Qi jokingly,

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

  Chen Qi sat down on the chair: "As soon as I become the vice president of the People's Hospital, it will be fine, Mr. Zhu, these are local specialties in the mountains. If you try something new, it's not considered a bribe."

   "Go away, what's wrong with eating some of your local products? Who dares to say, by the way..."

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

  The head nurse of the surgery opened the door and entered. Not only were doctors in short supply during the Chinese New Year, but nurses were also in short supply.

  Since she is working as the head of the department, of course the head nurse can't lag behind. One person has to do the work of two people.

  When Director Zhu heard that it was an emergency, he immediately became serious: "What's going on?"

  The head nurse hurriedly said:

   "This patient is a bit special. He is a 59-year-old male. He has just been transferred from Shangyu County Hospital. The diagnosis is that chronic cholecystitis has worsened for a week."

   "Chronic cholecystitis? This is an elective operation. Is it necessary to transfer it to the New Year's Eve? It's a nonsense to go to the county hospital. I can't handle this disease myself? I want to rest during the New Year, so 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 kind of disease? Do you still need a special car to send it up?

   After finishing speaking, he touched his upper abdomen with one hand, with a painful expression on his face.

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

"Why, the stomach is still hurting? You have to persevere. This patient is quite special. It is the deputy county magistrate of Shangyu County. If you want to be hospitalized during Chinese New Year, it must be very serious. The other one is also for Shangyu. You don't trust Yu County Hospital, the phone calls to our hospital.”

  Zhu Huoyan heard that it made sense. Although he was full of displeasure, he still needed to be diagnosed and treated. He glanced at Chen Qi and asked suddenly:

   "Is there something going on behind your boy?"

  Chen Qi nodded: "I will go to Director Hong of the Imaging Department and Director Xie of the Laboratory Department later."

   "I didn't learn anything else at such a young age, so I learned to be a sycophant first? Go with me to receive a patient. If you need an operation, please do me a favor. Now even the staff on duty in our surgery department have gone to the operation."

  Chen Qi nodded, knowing that it was Comrade Zhu who wanted to support him, fearing that he would be used to minor operations at the grassroots level and forget about third- and fourth-level operations.

   "Okay, listen to Teacher Zhu."

   After a while, the minibus from Yu County Hospital drove into the People's Hospital, and drove directly to the entrance of the surgery department. After the patient was lying on the hospital bed, Zhu Huoyan appeared with Chen Qi.

  The Department of Surgery of Shangyu County Hospital also sent a small doctor over. When he saw Zhu Huoyan, he nodded and bowed quickly: "How is Director Zhu?"

  Director Zhu nodded and looked at the patient without saying anything.

   This is a middle-aged and elderly patient in his 60s. He is lying on the bed with a face of pain. He is very haggard, but there is no obvious sallowness on his face.

   "What's the patient's condition?"

  A deputy county magistrate in a county below, the people's hospital still takes it very seriously. Of course, it doesn't matter how much you say, unless the district commissioner comes, then the treatment will be grand.

  The little doctor who went to the county hospital hurriedly reported the case:

"Director Zhu, it's like this. The patient is a 59-year-old male. Eight months ago, he underwent biliary and intestinal drainage in our county hospital because of chronic cholecystitis and obstructive jaundice. Malaise, sometimes accompanied by chills and fever..."

  The little doctor reported for a long time, Director Zhu and Chen Qi both listened carefully, 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 a kind of inflammation, which should be related to the previous operation.

  So Zhu Huoyan signaled Chen Qi to have a physical examination, and asked:

   "Has the patient previously had gallstone disease, chronic pancreatitis, diabetes?"

  The family members quickly denied it: "Director Zhu, none of our elders have these diseases. What do you think is the main problem?"

  At this time, Chen Qi just percussed the heart socket in the right liver area, tapped a few times with his fingers, and the patient hummed softly: "Doctor, it hurts a bit here."

  Chen Qi rushed to report:

   "Mr. Zhu, the patient's abdomen is soft, the liver and spleen are not palpable, there is mild tenderness at the lower right of the xiphoid process, the right liver dullness circle is not large, there is percussion pain, no stomach vibration sound, and no moving dullness in the whole abdomen."

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

  Director Zhu carefully checked some auxiliary examinations, which were actually some blood test sheets and B-ultrasound. The B-ultrasound is still black and white, and the clarity is not enough. Coupled with the limited level of staff doing the inspection, there are no specific reminders above.

   There is no CT, no MR, and even the most common color Doppler ultrasound machine in later generations. Whether the diagnosis is accurate depends entirely on the level of the doctor.

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

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

"The patient underwent cholangioenterostomy 8 months ago, and the reflux of intestinal contents could easily enter the biliary system after the operation. Now the patient has chills and fever, right upper quadrant pain, jaundice before, and now the physical examination shows symptoms of liver damage. Do you think all of these are in line? Which disease?"

  Chen Qi blurted out without thinking, "It's more like reflux cholangitis."

  Director Zhu nodded appreciatively: "It is consistent with my diagnosis. Since the patient is in unbearable pain, it is probably due to the unsuccessful operation last time."

  The little doctor in Shangyu County shrank his neck. He didn't dare to say anything or refute in front of the chief director of the regional hospital.

  The family members were anxious when they heard this:

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

  Chen Qi slandered: Does he always represent the people of the whole county?

   Director Zhu probably heard too much of this kind of "nonsense", so he said indifferently:

"Next, it is best to do a second operation to repair and reconstruct the bile duct. Although the previous operation, choledochoduodenal anastomosis can relieve the obstruction of the bile duct, the contents of the gastrointestinal tract, pancreatic juice, and bacteria have also directly entered the bile duct. Environmental interference is very serious."

  The family members didn't know what to do for a while, so they looked at Deputy County Mayor Ying who was on the hospital bed.

  Ying Zhizhong nodded: "Then please trouble Director Zhu, please operate on me as soon as possible, and take a few days off during the Chinese New Year, otherwise I won't have time when I get busy later."

  Chen Qi blushed a little when he heard that, the cadres really wanted to pretend 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 tract problem, wait a few days for the preoperative preparation before the second surgery can be performed."

  The little doctor in Shangyu County quickly said: "Director Zhu, Deputy County Mayor Ying originally wanted to have an operation in our hospital, and the pre-operation preparations are all done."

"today?"

  Director Zhu was a little hesitant, because there are really not enough doctors who can perform the surgery today, but the patient in front of him is a deputy county-level cadre anyway, and he still has the treatment he deserves.

   "Surgery is also possible today. In this way, you immediately send the patient to the operating room. I will personally perform the surgery. Shen Zhemin from the first surgery department will be the first assistant, and Chen Qi will be the second assistant."

  Director Zhu thought it was just a minor operation, but he cut open his stomach, and what awaited him was a big shock.

Chapter end