When doctors have a simulated operating room

The other colleagues in the emergency department were not surprised to see Zhang Yi come to report.

Zhang Yi has always been excellent, and it seems not surprising that he stays in the hospital.

"Zhang Yi, we will be colleagues in the future!" Chen Fang came over and put his arm around Zhang Yi's shoulders and teased.

Zhang Yi smiled modestly, showing a row of neat teeth: "Thanks to Mr. Chen's teaching."

Chen Fang nodded with satisfaction, this kid is quite good at talking.

It was time for the morning handover in a short while.

But He Ming did not appear in the office for a long time, but Deputy Director Li Yan presided over the morning meeting.

"Director He has something to do, let's start the handover first."

Everyone nodded in confusion without thinking much.

After the handover, Li Yan made a brief introduction to Zhang Yi. After all, he is no longer an intern but a resident doctor.

Although he is at the bottom of the hospital, he is a little better than the interns who run errands...

"Considering that Zhang Yi has not yet passed the exam, you should follow Chen Fang. I hope you can pass it all in one year."

Director Li smiled and patted Zhang Yi on the back.

In the hospital, if the resident doctors who stay in the hospital do not have a certificate, they need to work with a certified doctor to facilitate the signature of the medical order.

The resident training time is one year, and after one year, you will pass the medical qualification certificate. If you pass the exam, you can start to get performance bonuses.

If you fail the exam... you will only have a basic salary of 1,800 yuan, and you will also face the risk of being fired.

"Thank you Director Li, I will work hard."

Soon, the emergency handover was over, and Zhang Yi followed Chen Fang to start ward rounds.

As soon as they reached the door of the emergency room, they saw the nurses at the nurse station rushing over: "Doctor Chen! The emergency center has brought a patient with congenital heart disease. Go and have a look!"

It was impossible to make rounds now, so Chen Fang took Zhang Yi to the door of the emergency room.

The ambulance just stopped.

"Hurry up and save my daughter! Doctor! Hurry up and save my daughter! She suddenly couldn't breathe! Her face turned so dark! Woohoo... Save her!"

As soon as the door of the ambulance opened, a young couple came down from the car pushing a flatbed with a little girl lying on it.

The parents cried and shouted.

Chen Fang quickly comforted the family members: "Don't cry first, explain the matter clearly first. When did your daughter start to have difficulty breathing?"

"Woohoo... I... I..." The family members cried and sobbed and couldn't hear what they were saying at all.

The emergency doctor beside him quickly added: "The call half an hour ago said that my daughter suddenly had difficulty breathing and cyanosis after playing in the park. It was initially suspected to be congenital heart disease. Oxygen has been given and an intravenous channel has been established."

"Okay, Zhang Yi, call the laboratory and tell them that we need to do an emergency check in the emergency room, cardiac X-ray, ECG, UCG, and ask them to arrange it as soon as possible."

"Okay, I'll go right away!" Zhang Yi nodded and turned to contact the laboratory immediately.

In fact, Zhang Yi already knew what the girl's disease was at this moment.

In her heart, the mitral valve connecting the left atrium to the left ventricle is often closed and sometimes open.

The blood flow in her body is almost blocked in the right atrium.

Fortunately, it was discovered early. If it was delayed, acute heart failure and acute pulmonary edema would occur.

By then, even if Tathagata came, it might not be saved.

For emergency patients, all the reports came out in less than ten minutes.

Cardiac X-ray results: upper lobe vascular dilatation, interlobular Kerley B lines; left and right atrium enlargement.

ECG results: mitral valve type P wave (left atrial enlargement); right ventricular hypertrophy; atrial fibrillation.

Echocardiogram UCG results: wall-like, EF slope decreased, A peak disappeared.

Combined with the diastolic murmur, Chen Fang immediately made a diagnosis:

"It is mitral stenosis, family members, have you examined the child before? Is this kind of breathing difficulty today the first time?"

"Woo woo... Is it a heart disease? No, I haven't examined it before... We don't know at all... Doctor! Please save my daughter! She is still so young... Please save her!"

Children are the soft spot that allows parents to have armor.

At this moment, the young parents seemed to feel that the sky was about to fall.

Watching Chen Fang's mouth open and close, they seemed to hear it and seemed not to hear it.

Facing such emotional family members, Chen Fang was a little impatient: "Please calm down.

Answer my question quietly! Has she ever had this situation before? "

"Woo... No, this is the first time."

"Your daughter needs surgery immediately. You should go and pay the fee first. Pay 100,000 yuan." Chen Fang said and turned to the office to prepare to give medical advice and contact the cardiac surgery department and the operating room.

The emergency department is busy, and many doctors will overlook many important things in their busy schedule.

"You...!" Just when the family members were about to break down, Zhang Yi hurriedly stepped forward to comfort the family members.

"Your daughter has congenital heart disease. In layman's terms, a very important valve in her heart is broken, causing blood to not circulate in her heart, and all the blood is blocked in her lungs, so she just had difficulty breathing."

"But don't be too anxious, because you sent her here in time. Now as long as you repair the valve in the heart and clear the blood, your daughter will be fine. ”

“The operation is to replace the broken valve with an artificial valve. Of course, there are risks in the operation, but as doctors, we will do our best to save the patient's life. Please believe us!”

“Can you understand my explanation?”

Zhang Yi's voice was neither too loud nor too soft, gentle and powerful, like a reassurance.

The two parents who were still sobbing just now gradually calmed down.

The girl's father nodded quickly: "So that's what you mean. Thank you, you are much more reliable than the doctor just now! We will go to pay the money now! But please make sure to cure my daughter. If you cure her, I will kowtow to you ten times!"

“No, no, you should pay the fee first. We are contacting the cardiac surgeon and the operating room for your daughter. If you don't understand, you can ask me again. "

[Ding! Gratitude points +20!]

As soon as Zhang Yi finished speaking, the system sounded.

Not far away, Deputy Director Li Yan happened to notice this scene.

For a moment, he appreciated Zhang Yi a little more.

It seems that Dean Qian's liking for Zhang Yi is not unreasonable.

After a while, the family paid the fee, and the doctor from the cardiac surgery department came over.

The doctor who came was the attending physician, named Jiao Yong, who had been working in cardiac surgery for nearly ten years.

He only looked at the girl twice and prepared to let the girl into the operating room.

The family had not had time to recognize the doctor's face before the doctor left.

Only the words "prepare for surgery" were left.

Watching the girl being pushed into the elevator, Li Yan suddenly appeared behind Zhang Yi.

"Zhang Yi, do you want to learn this operation?"