Doctor of Healing

Lu Gang glanced at the test sheet, and subconsciously raised his hand to gather the lock of hair to the top of his head, pretending that he had thick hair.

"Have you studied all the documents issued by the medical office?" Lu Gang asked an irrelevant question.

"What?" The director of respiratory medicine was startled.

"Some time ago, a patient came to complain that the hospital gave him fake medicine." Lu Gang was not in a hurry, looked at the patient's monitor, and began to "gossip".

"..." The director of the Department of Respiratory Medicine didn't know why Lu Gang was talking about this at the critical moment of rescue.

But everyone knew about Lu Gang's diagnostic skills and bad temper, and the director of the respiratory department didn't want to make trouble.

"The patient who complained had to look back every day after defecating, and he didn't know why. Oral Baixintong, let me ask you, what will be in the stool?"

"Bai Xintong's hydrogel shell." The director of the Department of Respiratory Medicine replied.

"I explained it for a long time, but the patient just ignored it. So I drafted it, Director Bai read it and distributed it to each department, mainly in the department of circulatory medicine. In the future, you must explain the pharmacology to the patient and the patient's family when you open Xintong. effect."

"Uh……"

"This patient's oral antihypertensive drug is also Baixintong." Lu Gang said.

The director of the Department of Respiratory Medicine seemed to have remembered something, but he denied the answer in a flash.

"Old Lu, you mean that the patient accidentally inhaled Baixintong into the airway when taking Baixintong orally, and then the shell got stuck?"

"Yes!" Lu Gang's eyes and baldness exuded a slight luster at the same time.

"Impossible!" said the director of the Department of Respiratory Medicine, "If it was Bai Xintong, it wouldn't be so dead..."

"It doesn't matter what you and I said, prepare the bronchoscope and take a look." Lu Gang waved his hand and said without doubt.

"Then..." The director of respiratory medicine hesitated slightly.

"I'll contact Director Bai." Lu Gang reassured the director of the Department of Respiratory Medicine.

Although the director of the Department of Respiratory Medicine didn't believe it, the "experts" in the hospital put forward their opinions, and he had no better way, so he had to try it out.

She went to work, Lu Gang called Director Bai and then took Ji Xiang to a secluded place.

"Doctor Xiaoji, I don't think so, but now there is no other explanation except that Bai Xintong's shell blocks the patient's airway. What do you think of this matter?"

Lu Gang didn't care about his face, and asked very straightforwardly.

"One pill is not enough, what about two pills?" Ji Xiang said.

"!!!"

"The pressure of the ventilator is relatively high. The more you blow it, the more it will cause the affected side to be blocked and more dead. If there is only one shell, it will not be so bad. If two shells appear together with the shell, it will probably lead to the current situation. .”

"But the probability of accidental inhalation of two pills at the same time is too low."

"Not at the same time." Ji Xiang interrupted Lu Gang, "I guess it's probably caused by two different aspirations."

Lu Gang remained silent. Even so, the probability of such a thing happening is really not high.

"The patient has a history of cerebral infarction and has a certain degree of swallowing dysfunction. Moreover, he has been bedridden for a long time. If he is not properly nursed, aspiration is prone to occur.

He may have other drugs at the same time - such as Diovan, Rhodes, etc., strayed into the airway, but because all of them can be dissolved, only the shell of Baixintong was found in the airway. "

"Although the possibility of two Baixin shells blocking the airway is not high, we still need to take a look."

"Watching the film, I also feel that there is a problem." Lu Gang pondered.

"Try it." Ji Xiang smiled and encouraged Lu Gang.

Lu Gang was stunned, it seemed to be reversed, he should be the one who encouraged Ji Xiang, a clinical rookie, how could he encourage himself!

However, I have been in the medical team for a while, and Lu Gang is more or less used to Ji Xiang's way of talking.

Habit is a terrible behavior, which subtly makes everything that is irrational become logical.

"Then I'll try it." Lu Gang said.

The two went back and waited for a while. The director of the Department of Respiratory Medicine came back with a signature sheet and began to prepare bronchoscopy equipment.

Because the patient is inconvenient to move and there are many machines hanging on, she directly pushes the simple bronchoscope in.

First, the patient is given local anesthesia with tetracaine, and then the director of the Department of Respiratory Medicine passes the bronchoscope through the patient's nasal cavity to the pharynx, passes through the glottis, and sends it down a little bit into the main airway.

The patient had a lot of sputum, and he sucked the sputum while walking.

"Director Tang, how did you explain to the patient's family?" Lu Gang didn't do anything, his hands-on ability was almost zero, and he was only proficient in theory and diagnosis.

So Lu Gang looked at the screen of the bronchoscope and chatted with the director of respiratory medicine.

"I didn't dare to say that there was a foreign body in the patient's airway. If there was no foreign body, it would be difficult to explain. I just said that the bronchoscope was used to suck out all the blocked sputum."

The sound of the sputum suction tube made Jixiang a little uncomfortable, as if the tube was stuck in his oropharynx, causing him to feel flustered and short of breath, his blood oxygen saturation dropped sharply, and he even had a vague altitude sickness.

"It has to be a veteran." Lu Gang pretended to be relaxed and smiled.

"It's not you, but you have to have the shell of Baixintong, and you need to do a bronchoscopy." The director of the Department of Respiratory Medicine complained, while paying attention to the patient's blood oxygen saturation while doing the bronchoscopy.

If the blood oxygen saturation drops suddenly, it may be necessary to stop the operation.

But the "accident" still happened - as the bronchoscope in the hands of the director of the Department of Respiratory Medicine went down, a shell of Bai Xintong was "wrapped" by respiratory secretions and appeared in the surgical field.

"!!!" The director of the Department of Respiratory Medicine was horrified, "Old Lu, there really is!"

"Let me see, let me see!" Lu Gang leaned over and took a look.

As expected, Lu Gang suddenly settled down, and his demeanor was full of a senior doctor.

"I'll just say it."

The director of the Department of Respiratory Medicine stopped nagging, and took out Bai Xintong's shell with an instrument, and then he let out a sigh of relief.

"Continue." Lu Gang said.

"It's been taken out, so what are you going to do?" The director of the Department of Respiratory Medicine was about to leave as soon as she was done. She watched the ECG monitoring, and the patient's blood oxygen saturation had risen.

The director of the Department of Respiratory Medicine is quite satisfied with this, at least the patient's crisis state has been resolved.

Chapter 383 Another one

"Keep watching." Lu Gang interrupted the director of the Department of Respiratory Medicine.

"Old Lu." The director of the Department of Respiratory Medicine did not continue, but made a mouth shape to communicate with Lu Gang silently.

Judging by the shape of the mouth, the director of the Department of Respiratory Medicine should mean to accept it as soon as it is good.

Because the bronchoscope has come to the end of the main airway, it is very risky to go further down. Once airway spasm occurs, a good and fruitful operation will become a rescue.

In addition, the director of the Department of Respiratory Medicine did not believe that the two shells of Baixintong would be in the patient's airway, so she still firmly suggested to accept it as soon as it was good.

"Teacher, can I take a look?" Ji Xiang asked in a low voice.

"Dr. Xiaoji, hasn't seen a bronchoscope?" the director of the Department of Respiratory Medicine said with a smile.

Because taking out Baixintong's shell, the patient's "root of the disease" was found, so she was in a good mood.

"I saw the teacher operate it during the internship, but I have never done it myself."

"Let's take a look. This patient's operation is more difficult, so you won't be allowed to try it." The director of the Department of Respiratory Medicine was measured, and she blocked Ji Xiang's escape route in advance.

"Thank you teacher." Ji Xiang took the bronchoscope, "Teacher, the patient still has a lot of sputum."

"Sucking." Chun Chun, Director of Respiratory Medicine, taught, "Similar patients with clogged sputum can cause severe pneumonia. The last fracture in life, you know."

"know."

"Most of them are caused by long-term bed rest, concurrent pneumonia and decreased immunity of patients. You have more orthopedics, neurology and surgery patients with similar patients."

"What should we do in this situation, teacher." Ji Xiang didn't move the bronchoscope in his hand, but operated the suction tube to clean the patient's sputum.

Seeing that Ji Xiang understood the rules, the director of the Department of Respiratory Medicine nodded secretly in her heart, and her affection for this young man increased greatly.

"First of all, it depends on whether the patient's family is careful or not." The director of the Department of Respiratory Medicine stared at Ji Xiang's hand. She was not careless, and worried about the big problem of Ji Xiang's fooling around. As long as the bronchoscope in Ji Xiang's hand goes down a little , she is about to take over.

"Taking good care of the patient's family members can prolong the patient's life for a long time and improve the quality of life. I have seen patients who have been bedridden for ten years. Under the careful care of the family members, there is no hypostatic pneumonia, no bed sores, and the face is rosy."

"But to be honest, it's quite difficult, and I've only seen one case. Most of the patients are... sloppy."

The director of the Department of Respiratory Medicine described it scribbled, which sounded inappropriate, but the doctors and nurses present felt that it was too vivid.

Sloppy, long-term bedridden patients can indeed be accurately described by this word.

"However, there are relatively few family members of this kind of patients." Ji Xiang said lightly, "Teacher, the phlegm is almost sucked, please take a look."

The director of the Department of Respiratory Medicine took over the bronchoscope, and when her eyes fell on the operation area, she was startled suddenly.

Another Baixintong shell appeared in the surgery area!

How is this going!

The director of the Department of Respiratory Medicine stared blankly at the Baixintong shell, a little at a loss.

"Director Tang, what are you doing?" When Lu Gang saw the director of the Department of Respiratory Medicine standing there in a daze, his heart moved, and he had a premonition that something was going to happen.

"Lu...Old Lu...really still has a shell of Bai Xintong..." the director of the Department of Respiratory Medicine stammered.

really!

Lu Gang was not happy, but glanced at Ji Xiang with the corner of his eyes.

But out of the corner of his eye, he didn't see Ji Xiang.

The director of the Department of Respiratory Medicine hesitated for a moment, and immediately began to operate, using pliers to clamp out the other shell of Baixintong.

She still couldn't believe it when the shell was clamped out and the director of the Department of Respiratory Medicine saw the shell being clamped out of the body.

It is very rare for Baixintong itself to enter the trachea and cause airway blockage. It is even rarer to have two Baixintong shells in one side of the airway.

"Doctor Xiaoji, how did you see it?"

"See what?" Ji Xiang asked back.

The director of the Department of Respiratory Medicine was speechless for a moment.

Is it just a coincidence?While sucking phlegm, Jixiang happened to find another Baixintong shell.

I can't, even though I had sputum obstructing my vision when I checked with a bronchoscope just now, I can't even see such a big shell.

However, Jixiang denied it categorically, and he was speechless for a while.

The director of the Department of Respiratory Medicine was stunned for a few seconds without thinking about what was going on. Seeing that the patient's blood oxygen saturation had risen again, he began to operate the bronchoscope to look back and suck out the sputum thoroughly, looking for any foreign objects left behind.

After a few minutes, the sputum was completely sucked out, and the patient's condition was obviously relieved.Although the blood oxygen saturation is less than 100%, it is because the patient has pneumonia.

After removing the foreign body, the patient will definitely get better little by little, and the director of the Department of Respiratory Medicine has confidence in this.

She picked up the shell of Baixintong with gauze, ready to explain to the patient's family.

The director of the Department of Respiratory Medicine glanced at Ji Xiang, smiled and said to Lu Gang, "Old Lu, go and talk to the patient's family."

"Patients in your department, let me say something." Lu Gang rejected Director Tang's kindness, waved his hand, stroked the strand of hair on the top of his head, turned and left.

"Don't forget to write the consultation!" The director of the Department of Respiratory Medicine reminded.

Lu Gang didn't speak, and only after he and Ji Xiang got out of the Department of Respiratory Medicine did he ask suspiciously, "Xiaoji, I didn't see you operate the bronchoscope, how did you find the other shell of Baixintong?"

"I don't know, I just sucked the phlegm." Ji Xiang replied calmly.

Do you want to tell Lu Gang that he tried more than 20 times in the operating room of the system before he could find Baixintong's shell with the smallest movements?joke.

So pretending to be confused is the best choice.

Lu Gang knew a little about Ji Xiang's temper, and seeing that he refused to speak, he didn't ask any more questions.

Hurry back to the department, Lu just remembered that Director Liu is still waiting for himself and Ji Xiang.

"Xiao Ji, don't worry if you failed the provincial self-administration examination today, you are still young, and there will be plenty of opportunities in the future." Lu Gang comforted.

He knew about the change in the evaluation criteria of the provincial self-administration department, and felt a little regretful, but he didn't think it was too important.

Youth is capital. In this respect, Jixiang's capital is very solid.

I'm not lucky this time, but in a year, at most two years, I'm sure I'll be admitted to the provincial self-administration department.

"Mr. Lu, you have passed the provincial self-examination, don't you know?" Ji Xiang replied.

Lu Gang was not happy, but his face tightened. He frowned and asked, "Director Bai forced you to pass it? If you don't reach the national red line, even if you pass the provincial self-administration department, there must be hidden dangers. Director Bai has been cautious all his life. How can you be so nonsense!"

"No, I have qualified for the review. Just this morning, "The Lancet" published a supplement with the article I submitted. According to the selection rules, Brother Zhao's hard work is enough, so."

Ji Xiang said, shrugging his shoulders, as if he was talking about what he had for lunch, his tone was flat.