Tang Xiu painted light makeup, smart and capable.
She received an important task-to interview the old director of the emergency department of Haicheng First Hospital. First collect all the information about Dr. Zheng in the home area, and then go to Didu to stay outside the 912 hospital a few months in advance, waiting for the news of the Nobel Prize in October.
It was more than 4 months ahead of schedule, but Tang Xiu didn't think it would be a big deal. For the Nobel Prize, it cannot be overemphasized.
In Tang Xiu's view, this is a long-term mainline task. If you do well, you will definitely be the candidate for the next editor-in-chief of Haicheng Metropolis Daily.
In order to compete for this place, Tang Xiu put a lot of effort.
In the end, the interview with Dr. Zheng had played a decisive role. She had experience in contacting Dr. Zheng and did related topics.
With the support of the editor-in-chief, Tang Xiu got this year's largest project of Haicheng Metropolis Daily.
Be sure to do it! Tang Xiu cheered himself.
Although she also knew that this matter would definitely not have a result this year. Before and after receiving the assignment, Tang Xiu searched a lot of information, and finally she came to the conclusion that it would take at least 10 years for Dr. Zheng to get the Nobel Prize.
But who cares?
It's the best to get it. If you can't get it, just a Nobel Nomination will be enough to shock Haicheng. After all, this is the first time Haicheng is so close to the Nobel Prize.
She carefully planned and grinded Director Lao Pan for several days before asking a lot of related things like squeezing toothpaste.
But what surprised Tang Xiu even more was that in the mouths of several hospitalized general supporters who came to support in 912, she got more information related to Dr. Zheng Renzheng.
On the weekend, Dr. Zheng came back once and missed, which made Tang Xiu regretful.
When interviewing President Wang and several other doctors who came to support him, their tone made Tang Xiu realize that what President Zheng had done in Emperor Capital was far beyond his imagination.
So she advanced the plan, applied for it, and without taking the process, she took her own staff directly to the capital.
She is about to collide with the major newspapers and TV stations in the capital. Tang Xiu has no confidence. She can only rely on the friendship that she has dealt with before.
But thinking of this, Tang Xiu scolded Wei Feng N + 1 times in his heart.
However, these are indifferent emotions. Tang Xiu came to the Emperor Capital at the fastest speed, preparing to stay for a long time.
...
...
At this time, Zheng Ren stood in the doctor's office of the Department of Thoracic Surgery and looked at the film in front of him.
The big red stethoscope on Fang Lin's shoulders was so outrageous and so eye-catching.
The consultation was a difficult patient.
Male, 72 years old, with poor nutritional status; complaining of repeated cough, sputum, and wheezing for 30 years; pulmonary function tests suggest severe obstructive ventilatory dysfunction, which has been treated with inhalants for many years.
Sudden chest tightness and chest pain accompanied by dyspnea occurred after a week of activity.
A CT scan of the lungs was performed at the local hospital. The left pneumothorax and left lower lobe were scattered with inflammation.
Symptoms improved after the left chest closed drainage was performed in the emergency department, and continued negative pressure suction drainage.
Because the patient's physical condition is relatively poor, the local hospital did not consider the possibility of surgery at all.
The patient took a few steps to breathe, and he could not climb on all floors. This is a relative contraindication for chest surgery.
If it is not possible, the ventilator may not be able to be disconnected after surgery. At that time, the patient suffered a crime. The expenses in the house were huge, and the doctor also had headaches every day.
When I was in the surgery, I was barely alive, but I had to go into the ICU and hang myself by the machine. Such a thing is unwilling to be encountered by any doctor.
Surgery was ruled out, and local doctors decided to lower the chest cavity and then observe the treatment.
However, in the state of drainage, the lungs have completely expanded, but a large amount of gas is still drawn out. This means that the breach on the lung surface is very large, and it is difficult to grow according to the patient's own state.
After a local hospital consultation, the local hospital once again ruled out the possibility of surgery and gave 50% glucose and 50ml of thoracic cavity for pleural fixation.
But afterwards, the patient continued to experience chest tightness and shortness of breath.
A review of the chest radiograph showed that the pneumothorax was repeated and that the chest cavity was separated. The chest drainage tube was adjusted and reset several times.
Most often, a local doctor drains three drainage tubes on the patient's left chest wall at the same time. However, everything was egg-free, and the closed chest drainage bottle continued to bubbling, and the pneumothorax could not heal.
No way, let's go to the higher hospital. The biggest reliance of a local hospital is the superior hospital. Is it okay to admit when it can't be cured? Our level is poor and we can't cure it, so please go to the superior hospital.
So the patient received Fang Lin in emergency.
The inpatient is always in charge of emergency treatment, but it is just a pneumothorax. Although Fang Lin feels tricky, he is embarrassed to find a superior doctor.
If one year ago, I would have been looking for such a difficult patient. But now Fang Lin has a magic weapon, the ultimate spell-summoning boss Zheng.
Zheng Rentuo watched the film in front of his eyes, and kept a fixed posture for 30 minutes.
It's difficult ... Zheng Ren sighed while watching the movie.
The patient's basic conditions are too poor. It is very difficult to go to the operating table just for anesthesia. In the system operating room, 10 surgical trainings were performed. Although the surgery can be completed, the degree of completion is not high.
The highest one was only 59% and the lowest one was only 43%.
With such a low degree of surgical completion, it is better not to do it. Can't pull the tube after the operation, has it been alive by the ventilator? If that's the case, it would be better to keep the breast bottle inserted.
Zheng Ren ruled out surgery and was wondering what to do.
The patient's condition is really difficult to handle. Blood gas analysis after admission: PH: 7.47,: 51mmHg, PO274mmHg, actual bicarbonate: 37.1mmol / l, standard bicarbonate: 33.9mmol / l, alkali remaining: 13.4.
Chest CT showed that after left pneumothorax drainage, left pneumothorax, partly wrapped, left subcutaneous gas accumulation in the left chest wall, emphysema with pulmonary bullae, and two inflammatory lesions in the lungs.
These indicators give almost every doctor a headache.
Not only Zheng Ren, but Su Yun looked at the film a few times before, and the other side Lin Fang with old punches. While fighting, he said that he was weak, and how to take up such a heavy patient.
Such a heavy patient, it seems that Su Yun, the star of cardiothoracic surgery, is also very difficult to handle.
Similar to advanced dilated cardiomyopathy, the patient's chronic obstructive pulmonary disease is very serious. In a certain sense, the patient is old.
Lung transplantation is a good way, but the problem is still the old one, the cost is huge and there is no lung source.
Excluding the "unrealistic" way of transplantation, Zheng Ren continued to think about other treatments.
vertex
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Tang Xiu painted light makeup, smart and capable.
She received an important task-to interview the old director of the emergency department of Haicheng First Hospital. First collect all the information about Dr. Zheng in the home area, and then go to Didu to stay outside the 912 hospital a few months in advance, waiting for the news of the Nobel Prize in October.
It was more than 4 months ahead of schedule, but Tang Xiu didn't think it would be a big deal. For the Nobel Prize, it cannot be overemphasized.
In Tang Xiu's view, this is a long-term mainline task. If you do well, you will definitely be the candidate for the next editor-in-chief of Haicheng Metropolis Daily.
In order to compete for this place, Tang Xiu put a lot of effort.
In the end, the interview with Dr. Zheng had played a decisive role. She had experience in contacting Dr. Zheng and did related topics.
With the support of the editor-in-chief, Tang Xiu got this year's largest project of Haicheng Metropolis Daily.
Be sure to do it! Tang Xiu cheered himself.
Although she also knew that this matter would definitely not have a result this year. Before and after receiving the assignment, Tang Xiu searched a lot of information, and finally she came to the conclusion that it would take at least 10 years for Dr. Zheng to get the Nobel Prize.
But who cares?
It's the best to get it. If you can't get it, just a Nobel Nomination will be enough to shock Haicheng. After all, this is the first time Haicheng is so close to the Nobel Prize.
She carefully planned and grinded Director Lao Pan for several days before asking a lot of related things like squeezing toothpaste.
But what surprised Tang Xiu even more was that in the mouths of several hospitalized general supporters who came to support in 912, she got more information related to Dr. Zheng Renzheng.
On the weekend, Dr. Zheng came back once and missed, which made Tang Xiu regretful.
When interviewing President Wang and several other doctors who came to support him, their tone made Tang Xiu realize that what President Zheng had done in Emperor Capital was far beyond his imagination.
So she advanced the plan, applied for it, and without taking the process, she took her own staff directly to the capital.
She is about to collide with the major newspapers and TV stations in the capital. Tang Xiu has no confidence. She can only rely on the friendship that she has dealt with before.
But thinking of this, Tang Xiu scolded Wei Feng N + 1 times in his heart.
However, these are indifferent emotions. Tang Xiu came to the Emperor Capital at the fastest speed, preparing to stay for a long time.
...
...
At this time, Zheng Ren stood in the doctor's office of the Department of Thoracic Surgery and looked at the film in front of him.
The big red stethoscope on Fang Lin's shoulders was so outrageous and so eye-catching.
The consultation was a difficult patient.
Male, 72 years old, with poor nutritional status; complaining of repeated cough, sputum, and wheezing for 30 years; pulmonary function tests suggest severe obstructive ventilatory dysfunction, which has been treated with inhalants for many years.
Sudden chest tightness and chest pain accompanied by dyspnea occurred after a week of activity.
A CT scan of the lungs was performed at the local hospital. The left pneumothorax and left lower lobe were scattered with inflammation.
Symptoms improved after the left chest closed drainage was performed in the emergency department, and continued negative pressure suction drainage.
Because the patient's physical condition is relatively poor, the local hospital did not consider the possibility of surgery at all.
The patient took a few steps to breathe, and he could not climb on all floors. This is a relative contraindication for chest surgery.
If it is not possible, the ventilator may not be able to be disconnected after surgery. At that time, the patient suffered a crime. The expenses in the house were huge, and the doctor also had headaches every day.
When I was in the surgery, I was barely alive, but I had to go into the ICU and hang myself by the machine. Such a thing is unwilling to be encountered by any doctor.
Surgery was ruled out, and local doctors decided to lower the chest cavity and then observe the treatment.
However, in the state of drainage, the lungs have completely expanded, but a large amount of gas is still drawn out. This means that the breach on the lung surface is very large, and it is difficult to grow according to the patient's own state.
After a local hospital consultation, the local hospital once again ruled out the possibility of surgery and gave 50% glucose and 50ml of thoracic cavity for pleural fixation.
But afterwards, the patient continued to experience chest tightness and shortness of breath.
A review of the chest radiograph showed that the pneumothorax was repeated and that the chest cavity was separated. The chest drainage tube was adjusted and reset several times.
Most often, a local doctor drains three drainage tubes on the patient's left chest wall at the same time. However, everything was egg-free, and the closed chest drainage bottle continued to bubbling, and the pneumothorax could not heal.
No way, let's go to the higher hospital. The biggest reliance of a local hospital is the superior hospital. Is it okay to admit when it can't be cured? Our level is poor and we can't cure it, so please go to the superior hospital.
So the patient received Fang Lin in emergency.
The inpatient is always in charge of emergency treatment, but it is just a pneumothorax. Although Fang Lin feels tricky, he is embarrassed to find a superior doctor.
If one year ago, I would have been looking for such a difficult patient. But now Fang Lin has a magic weapon, the ultimate spell-summoning boss Zheng.
Zheng Rentuo watched the film in front of his eyes, and kept a fixed posture for 30 minutes.
It's difficult ... Zheng Ren sighed while watching the movie.
The patient's basic conditions are too poor, and going to the operating table ~ www.novelhall.com ~ is annoying just because of anesthesia. In the system operating room, 10 surgical trainings were performed. Although the surgery can be completed, the degree of completion is not high.
The highest one was only 59% and the lowest one was only 43%.
With such a low degree of surgical completion, it is better not to do it. Can't pull the tube after the operation, has it been alive by the ventilator? If that's the case, it would be better to keep the breast bottle inserted.
Zheng Ren ruled out surgery and was wondering what to do.
The patient's condition is really difficult to handle. Blood gas analysis after admission: PH: 7.47,: 51mmHg, PO274mmHg, actual bicarbonate: 37.1mmol / l, standard bicarbonate: 33.9mmol / l, alkali remaining: 13.4.
Chest CT showed that after left pneumothorax drainage, left pneumothorax, partly wrapped, left subcutaneous gas accumulation in the left chest wall, emphysema with pulmonary bullae, and two inflammatory lesions in the lungs.
These indicators give almost every doctor a headache.
Not only Zheng Ren, but Su Yun looked at the film a few times before, and the other side Lin Fang with old punches. While fighting, he said that he was weak, and how to take up such a heavy patient.
Such a heavy patient, it seems that Su Yun, the star of cardiothoracic surgery, is also very difficult to handle.
Similar to advanced dilated cardiomyopathy, the patient's chronic obstructive pulmonary disease is very serious. In a certain sense, the patient is old.
Lung transplantation is a good way, but the problem is still the old one, the cost is huge and there is no lung source.
Excluding the "unrealistic" way of transplantation, Zheng Ren continued to think about other treatments.
vertex
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