The system takes me for surgery

The main general clinical manifestations are progressive cardiac insufficiency, arrhythmia and thromboembolism.The mechanism of thrombus formation is generally believed to be due to the incomplete compaction of the myocardium, there are deep recesses between the muscle trabeculae, and the blood flow in the heart cavity communicates with it, and the blood flow velocity in this place is extremely low, so it is easy to form thrombus here.However, embolism in the body and pulmonary circulation of our patient at the same time is extremely rare in clinical practice.

The patient was admitted to the hospital with pneumonia. Because pulmonary embolism and splenic infarction were found during the diagnosis and treatment process, echocardiography was performed to diagnose myocardial noncompaction.Embolism is the first manifestation of NVM in this patient, which reminds clinicians to consider the possibility of this disease in patients with unexplained heart failure, arrhythmia or embolism. "

The whole speaking process was smooth and smooth, and the wording was accurate, after he finished speaking.

Director Xie Tianmu, who had been watching coldly, suddenly raised his hand to applaud, and Li Zhengping on the other side slowly raised his hand and applauded, nodding in satisfaction.

Xie Tianmu said with a smile: "Xiao Zhong, you have performed very well recently."

Zhong Yubo smiled modestly and said, "Thank you, Director."

Li Zhengping said: "For this disease, it is very good to be able to express the whole diagnostic thinking in this way."

Other training doctors and interns quickly took out their mobile phones and took pictures of the mind maps he made.

In a large hospital, the presence of junior doctors is lower than that of junior doctors in small hospitals, because there are many patients and everyone is very busy. If your ability is not outstanding and your performance is average, you may not even have a chance to speak seriously. .

After the meeting ended, Zhong Yubo said to Liang Yi, "Thank you."

Liang Yi was a little dazed and said, "What's the matter?"

Zhong Yubo scratched his head and said: "I can't say that I have diagnosed this disease. I just suspect that there may be a problem with the heart. In fact, I am not sure. It was you who suggested an echocardiogram and found out. I shouldn't rush to your credit."

"Oh, this, team, we are a team, you are my tutor, I should help you with things."

"I'm really ashamed of this teacher, and today's mind map and statement are all polished by you, anyway, thank you." Zhong Yubo smiled naively,
Liang Yi smiled and said, "Yes, I have contributed to these two, and thanking them verbally is not enough. At least I need a bottle of Coke."

"Coke, easy to say, two bottles."

"Brother Zhong, be bold!"

Liang Yi was also very happy seeing Zhong Yubo being recognized. Zhong Yubo's talent is average, but he really worked hard. Given time, he should be a good doctor.

While Xie Tianmu was resting in the director's office, Gong Zhengnan came in to pour water.

Xie Tianmu was smoking a cigarette, flicking the ash, and said, "Recently, Yu Bo has performed very well."

Gong Zhengnan put a pinch of tea leaves into it, poured half a cup of boiling water, and the tea leaves rolled up. Before the tea leaves boiled, he couldn't wait, and said while drinking, "He recently got a strong general."

"How to say?"

"It's from the Affiliated Hospital of Haiping City, that doctor of training."

"You mean that Liang Yi, right?"

"Yes, according to Pearson, he is very theoretical."

"That's right, grassroots doctors still have a lot of good theoretical foundations, because the theory depends on themselves. In terms of surgical techniques, it may not be possible to rely solely on their own efforts."

"That's right. I've heard of doctors who are good at basic internal medicine, but I haven't heard of doctors who are good at basic surgery."

"It's just that the mule or the horse is brought out for a walk." Xie Tianmu said.

"Does the director want to pull him into surgery?"

"Look, there is a simple operation and then let him come up as an assistant."

In the evening, Liang Yi returned to his residence.

Suddenly received a text message: You have a package on Rihe Road Cellular Express Concentration.

Strange?I haven't shopped online recently, where can I get the express delivery?

Is it a scam text message?There is no link here either.

Go down and have a look.

According to the text message, I found the address, a young girl about 20 years old, sitting in front of the computer.

"Hello, is there a courier with the addressee Liang Yi written on it?" Liang Yi was a little unconfident when he said this. He was not sure if there was a courier, just asking blindly.

The little girl checked and found that there was indeed one, and said, "Your phone number ends in 13?"

"Yes, there is nothing wrong with being 13."

"Then I'll bring it to you, and you follow me."

The younger sister walked in front, and he followed.

After entering the warehouse, the little girl found the package according to the last number of the mobile phone.

"Is this package yours?" the little girl asked.

Liang Yi saw that it was a super large package, which was about the size of a human being.

What the hell?so big.

Liang Yi looked up and found that the courier girl was looking at him with strange eyes.

He looked down at himself, and suddenly felt something was wrong.

She doesn't think she bought a "girlfriend", does she?

He glanced at the courier girl again.

Yes, that's what she thought.

Liang Yi hurriedly said, "I don't know who sent this thing."

The courier girl was at a loss for words, the girlfriend you bought, you can still forget, who are you kidding.

She said: "Nowadays people buy so many things that it is easy to forget what to buy."

"Yes." Liang Yi wanted to go over and lift it, but found that it weighed at least 150 kilograms.

I can't drag it back by myself, who sent it.

The courier girl wanted to go over to help, but found that the two of them couldn't lift it.

She said: "I have never seen such a heavy one. Usually, it is about ten catties, and it is a few tens of catties. I have never seen a hundred catties like yours."

"Really?" Liang Yi laughed dumbly.

It seems that many people buy "girlfriend".

Yeah?

No, this is not my "girlfriend".

It's really dumb to eat coptis, it's hard to say.

the phone is ringing.

When I picked it up, it turned out to be Li Junhao, who turned on the speakerphone casually.

"Brother Yi, has the girlfriend I sent you arrived?"

As soon as this guy opened his mouth, he went straight to the highway. Liang Yi was caught off guard and immediately turned off the speakerphone, saying, "Why did you send me this thing?"

"You just went there for regular training recently, and there should be no surgery, so I specially sent you a one-to-one latest model, so that you can enjoy your hands." Li Junhao said.

Although the express delivery is quite unreliable, it is still very considerate to be able to send myself a final simulator.

In the past few days, Liang Yi has never been on the operating table except for debridement and sutures, and his hands are indeed itchy.

After answering the call, the courier girl smiled slightly, came up with a magic knife, and said, "Your brother is quite generous, this must not be cheap."

"Uh... it shouldn't be cheap." Liang Yi smiled awkwardly.

He couldn't move it, so he hired a strong man from a moving company to help him carry it back to his bachelor apartment.

When the strong man from the moving company was about to leave, he told Liang Yi, "Brother, take it easy, the plow won't break, but the body won't take it."