Chapter 1180： Do you know where you went wrong?

Los Angeles.

San Jose St Bonaventure Hospital.

Office of the Director of Surgery.

"Adam, did you see it?"

Dr. Glassman pointed to the TV screen and said excitedly: "This is Sean, this is what he can do.

Apart from you, who else has this kind of thinking beyond ordinary people and can use the crude conditions to be a one-way valve to save people on the spot? "

"Good idea."

Adam looked at the picture, Qing Jun young man Sean Murphy disinfected with spirits, made a one-way valve with a wine bottle and tube to release the gas flowing out of the patient's body and prevent air from entering the patient's body, nodding slightly.

"……"

Dr. Glassman's emotions stagnated.

Yes.

In front of Adam, no matter how outstanding the performance is, it seems to be normal.

"Let’s go to the emergency room and wait for the ambulance to come."

Adam stood up and smiled.

"good."

Dr. Glassman is also eager to see his adopted son and introduce a famous teacher for his adopted son.

The door of the emergency department.

"Dean, you are here."

Villette walked over with a smile.

"Doctor Eve Garden."

Dr. Glassman looked at Adam’s latest apprentice, looked at the confident aura of the other person, and sighed.

"You followed Adam from the east coast to the west coast. It was a wise choice."

"As long as you follow Dr. Duncan, it's the same everywhere you go."

Villette smiled and said, "How is the medical center?"

"Ugh."

Dr. Glassman sighed again: "Not so good..."

Adam also looked over.

Although he knows what has happened to the medical center recently, he also wants to hear from the perspective of the former dean, what happened to the medical center.

"The board of directors will only shirk its responsibilities and is not willing to invest too much."

Dr. Grisman said: "Now, headed by Dr. Sheppert, the group of doctors who have received huge compensation from the hospital, and Dr. Carter have invested 200 million US dollars.

I found the Avery Foundation again and got an investment of US$180 million. Together, the three parties invested US$380 million to buy the medical center and form a doctor’s board of directors. "

"Avery Foundation?"

Violet frowned and glanced at Adam.

"Good."

Adam understood what she meant, and smiled: "It would be great if Meredith and the others could keep the medical center home. If the Avery Foundation is willing to take over, that would be even better."

"Ha ha."

Villette thought for a while, couldn't help but smile.

Because of Adam’s attitude, she has a negative or even hostile view of the Avery Foundation.

But she understands Adam’s mind better.

There are Meredith and the others in the hospital.

The Avery Foundation is still too naive to spend a lot of money to enter at this time, and I will definitely regret it in the future.

"It's a pity Carter."

Adam shook his head.

"It doesn't matter, Carter is a big dog."

Villette joked: "He doesn't care whether he loses or loses."

"Too."

Adam nodded.

"Are you so optimistic about the new medical center?"

Doctor Glassman was speechless.

"Dean, are you really optimistic?"

Adam smiled and said: "Crimination and meritocracy are only a matter of thought. It's just a matter of touching your mouth with your mouth."

"……"

Doctor Glassman was speechless.

He felt that Adam was connoting that he was taking care of his adopted son Sean Murphy.

"Dean, you are here too."

At this time, the little man Neil Melendez also came over.

"Doctor Melendez."

Doctor Glassman looked at the small man who was not tall and had a very strong momentum, and his expression became more complicated.

Why he has cultivated for so many years, there is no such a direct line, and Adam is so young, he only grabbed one of his men.

If he has, he won't have to bother others so much.

Although Adam is the best teacher, he really does not have enough confidence to persuade Adam to accept Sean.

looks like a good beginning now, but it is only the beginning.

There is still a long way to go in the future.

With the temperament of Sean and Adam he knew, he really didn't have any confidence that Adam would look at his face and give Sean unlimited opportunities.

And if he has a straight line like a little guy, he will definitely entrust Sean to such a straight line. Not only is it easy to talk, but in the future, he can continue to influence and help Sean and his mentor have a good relationship.

It's a pity that he really doesn't have enough good parents.

"I heard that a genius is coming to our surgery for an internship."

The little man smiled and said, "I came here to take a look, Dr. Duncan. Will this be our apprentice or our junior?"

"we'll see."

Adam smiled non-committal: "Come here."

An ambulance drove up quickly while talking.

"Director, an eight-year-old healthy boy was stabbed by a broken glass sign, with multiple lacerations..."

The first responder came down to see such a group of people, but he was still in a daze, but he quickly explained to Adam.

"Ultrasound."

Qingjun young man Sean Murphy who followed him looked outside and whispered a reminder.

"Sean."

Dr. Glassman quickly introduced: "This is Dr. Adam Duncan."

"I know."

Shaun glanced at him, then looked away immediately.

This is a symptom of autistic patients who are unwilling to look at others.

"Why do you want to do ultrasound?"

Adam asked as he took over the inspection.

"Uh, ok, uh, he, uh, I..."

Sean stammered, just unable to say the whole thing.

"Sean, Dr. Duncan wants to know the reason for ultrasound."

Dr. Glassman knew about his adopted son, so he quickly changed his words, and then explained to Adam embarrassingly: "Sean doesn't like being asked questions..."

"I noticed a slight decrease in the intensity of the electrocardiogram..."

Sean can finally speak normally.

"Heart rate has not changed."

Villette was surprised.

"The amplitude has dropped."

The little man flipped through the records and reminded.

"What are the possibilities?"

Adam asked while pushing the patient to the operating room.

"Pericardial effusion."

The little man said immediately: "The reduction in cardiac output will reduce the perfusion of other organs, causing them to fail to work properly."

"yes."

Shaun nodded.

"Doctor Murphy, you come with me."

Adam glanced at him.

"ok."

Sean held his hands horizontally in front of him, his eyes were erratic and not surprised.

Operating room.

"Ultrasound is fine."

After Violet did it for the patient, he raised his voice.

"no no."

Sean panicked immediately. This was different from what he expected. The autism attacked, and the whole person walked around uneasy. There were countless relevant medical knowledge in his mind, but all showed that it was a pericardial effusion problem.

"Doctor Murphy, calm down."

Adam was in the operating room. He frowned and glanced at the disinfection room outside, rubbing his hands and walking around, and he reminded him: "You should go and see the ultrasound results yourself... Show him the ultrasound results."

Whether it's Violet, the little man, or the other medical staff, they all looked sideways at Sean.

Such a person, being a surgeon, isn’t it funny?

"Repeat it again."

Shaun walked over dumbly, watched the ultrasound examination, and then signaled to play it again.

Villette also wanted to see if this one would work, so he could read it directly without any second words.

"do it again."

Sean kept talking.

over and over again, when it was the third time, Sean finally smiled and pointed to the ultrasound display: "Here!"

"I look normal."

A resident doctor has been staring at the ultrasound display with a blank face.

"This is not normal."

Xiao En smiled and said, "There is a hollow deformity in the right atrium."

"No, no."

The hospital doctor stared at the screen, but still didn't notice anything.

"Some, some, very slight."

Sean smiled happily.

"Even if there is, there should be no pericardial effusion."

While performing the operation, Adam raised his voice and asked, "Doctor Murphy, what else have we missed?"

The little man couldn't help but glance at Adam.

Adam smiled at him.

The little man immediately understood, and silently started to help.

"Uh, uh..."

Sean suddenly got stuck, muttering something flustered again, his eyes wandering around erraticly.

"Comeon, Sean, think about it!"

Dr. Glassman who followed him already knew what had happened.

But he can only watch his adopted son worryingly and expectingly by the side.

I hope that the adopted son can leave a good enough impression on Adam in Adam’s first round of interviews.

Time passed as Sean kept walking back and forth.

The entire operating room was turned aside, only the various professional terms that Sean whispered to analyze the possibility of this situation.

But he never got the final answer, as if he was stuck, just walking around there.

Violet looked at the poor little stuck, and wanted to remind him, but in the end he didn't say anything, silently returned to the operating table and followed Adam for the operation.

"Oh, Sean, don't think about it."

Dr. Glassman finally couldn't help but say: "If you can't figure it out, you can ask Dr. Duncan.

He is the teacher I want you to follow. If students don’t understand, they can consult the teacher. "

"Um?"

Sean was taken aback, and then he noticed that the operation on the operating table was proceeding smoothly. There was no alarm from various instruments when the patient was in crisis: "Do you know what the reason is?"

"Of course I know."

Adam looked up at him: "If I don't know, this time delay, the patient is already dead."

Xiao En looked away, rubbed his hands, and asked calmly: "Can you tell me the reason?"

"Doctor Eve Garden."

Adam retracted his gaze, continued the operation, and named second assistant Violet.

"Doctor Murphy, you forgot that this kid was smashed into a glass and cut into the jugular vein.

There is a possibility that the broken glass enters the blood, passes through the jugular vein, flows all the way to the brachiocephalic vein, and enters the superior vena cava. "

Violet had already known the cause and effect from Adam's operation, and at this time, he also explained it to Sean.

"Shards of glass pierced the superior vena cava, and blood would leak out from the back of the heart, limiting diastolic ventricular expansion and blood filling, and reducing the efficiency of the heart."

said here, she used tweezers to grab a piece of **** broken glass that Adam had taken out of the patient's body in the basin, and showed it to Sean.

"It is true that it is a pericardial effusion, but it is not caused by a concave deformity in the right atrium, but by broken glass."

"right."

Sean's mind followed Violet's description, verifying the whole process like a 3D dynamic picture, suddenly realized, nodded in affirmation.

"Did you diagnose this?"

"This was diagnosed by Dr. Duncan."

Violet looked at the surgery that was about to be completed, and reminded: "Dr. Duncan diagnosed this result at the beginning."

"superb."

Sean pursed his lips while looking at the empty place next to him.

"You are great too."

Villette smiled and said: "At least we didn't see such a subtle depression of the right atrium for the first time."

"thanks."

Sean accepts this compliment.

"It's really interesting."

Villette couldn't help but smile.

"What's interesting?"

The little man glanced at her.

"This little patient is also called Adam."

Villette looked at the patient and said.

"Which one of us has not received a patient named Adam every month?"

The little man vomited: "As Dr. Duncan said, this is a terrible way of naming."

"This is also fate."

Dr. Glassman answered, "Adam, what do you think of Sean?"

"Shaun, do you like science fiction?"

Adam did not answer, and asked while performing the operation.

"like."

Shaun nodded.

"Do you know the Da Vinci Robotic HD Surgery System?"

Adam asked again: "I think one day in the future, there will be a medical cabin like that in a science fiction movie.

Lie down inside, scan it, and immediately find out what disease people have.

There is even some genetic defect, and then the robotic hand directly treats it. "

"It is indeed possible."

Sean nodded again, and added an extra sentence for the first time: "This is cool."

"It's cool."

Adam smiled and said: "The question is, do you think it is important to operate the diagnosis and treatment system in this kind of medical cabin, or to replace the doctor's robotic hand?

Who is the one who really saves people? "

Shaun looked away again, rubbed his hands, and stopped talking.

He doesn't like being asked questions.

"Let's put it this way."

Adam saw this and changed his view: "I have a friend, um, a former friend.

You should have all heard of Dr. Greg House. I think he is a great doctor Dr. Greg House is indeed the most authoritative in the field of intractable diseases. expert. "

Shaun nodded.

"Although he is a great doctor, many people do not recognize him."

Adam pretended to say, "I think he is not worthy of his name.

Because although he was doing all the diagnoses, it was the surgeon who actually took care of the disease in the end.

So even if Dr. House did the most subtle deduction, he diagnosed intractable diseases that no other doctor could diagnose, and worked out a medical plan that would really save him for the patient who has been sentenced to death.

But the surgeon who performed the knife last is more worthy of the great title. "

"This is wrong."

Everyone understands what Adam is doing, so they don’t speak, just to see if Sean will answer.

As long as it is not a series of questioning, Sean is still willing to express his views when talking about these things in the industry.

"In this case, Dr. House's diagnosis is the one that really saves people."

"very good."

Adam nodded and smiled: "Now, do you know where you went wrong?"

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