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21Novel > Doctor Started a Plug-in > Chapter 897

Chapter 897

    Chen Cang''s application made Lao Yu turn back again!


    Everyone stared at Chen Cang curiously.


    This makes Chen Cang, who is thin skinned and easy to be shy, feel a little embarrassed.


    Yu Yonggang glanced at Chen Cang and confirmed: "Xiao Chen, do you want to... Sign up?"


    Ma Hanhan was also speechless and said, "the hospital paid you to go, not to let you go out to play. I''ll remind you at the next meeting!"


    "That''s not what I just told you..."


    When Ma Hanhan said this, everyone looked at Chen Cang in tears and laughter.


    Chen Cang was even more embarrassed when Lao Ma said, "director Yu, I want to have a look."


    Yu Yonggang couldn''t help laughing: "OK, head nurse, give Xiao Chen a name."


    After that, Yu Yonggang looked at Chen Cang: "Xiao Chen, this... Don''t expect too much. After all, this thing is more complicated."


    Indeed, Yu Yonggang is also afraid to attack Chen Cang''s enthusiasm, but there are only a few people who can go to the hospital to spend money for you to attend meetings in the United States, and the hospital hopes to go out and get a position.


    Besides


    The head nurse was also a little embarrassed: "director Yu, is it a refresher?"


    Everyone was stunned, and then they reacted.


    Yes!


    Can this trainee count?


    Chen Cang is not an employee of the capital emergency center hospital.


    Yu Yonggang was also asked by this question. After being stunned for a moment, he suddenly felt that this complex problem should not be considered by himself. Please report it to the medical department!


    "Well, head nurse, you can talk about it in the newspaper. Don''t count it at that time. It''s right to sign up."


    After saying that, Lao Yu was ready to leave. Suddenly he remembered something and turned to look at Chen Cang: "do you really want to go?"


    Chen Cang nodded: "Hmm!"


    Lao Yu pondered for a moment and said to the head nurse, "just say that Chen Cang went to the sixth emergency department on behalf of us and learned the spirit of the meeting."


    The head nurse was obviously confused. It took a few seconds to react: "OK... OK!"


    Then Lao Yu nodded, got up and left.


    The people were left there in a daze.


    People look at Chen Cang differently.


    Director Yu really loves Chen Cang.


    This represents the six emergency departments to participate, and the weight is heavy. When the medical department approves, it doesn''t look at the monk''s face, but the Buddha''s face!


    You have to weigh six emergency departments before screening.


    Chen Cang was moved to tell the truth.


    Just like everyone said, can trainees participate?


    What''s more, I went to the specialist meeting of the digestive system to join the fun and compete with so many people. Lao Yu meant that we should send someone from the sixth emergency department. It''s up to us to see if we can give this face.


    After the meeting, everyone went busy, and old ma sat next to Chen Cang and couldn''t help asking, "Xiao Chen, what are you stimulated by?"


    "Why do you suddenly have to attend a meeting of the digestive system?"


    Chen Cang hesitated for a moment and said seriously, "I''m going to be an editor in chief. By the way, I''ll be the chairman of this committee. It''s more convenient for you to send papers at that time!"


    As soon as the old horse heard this, he immediately kicked Chen Cang: "go away. Did you get confused on the night shift last night? Go to have a rest and talk less in your sleep."


    Chen Cang smiled, "get it!"


    The old horse suddenly said, "well... If you really want to go, I''ll go through the back door. Lao Luo in the medical department is my brother-in-law. I''ll call you."


    Chen Cang smiled: "thank you, brother ma."


    ……


    ……


    When Chen Cang left the hospital, he had some feelings.


    Although I haven''t been in the hospital for a long time, I feel that these directors are really good to themselves. They don''t see themselves as trainees at all.


    However, because of this, Chen Cang thinks he should work harder. Can''t he really mix names?


    Recently, we have to seize the time to complete the transfer task of general surgery. At that time, with our legendary transfer certificate, we can also have some competitive capital.


    Otherwise, just relying on their current strength, a perfect diagnosis is not enough to compete with other top leaders PK.


    Back home, Chen Cang took a bath and fell asleep.


    Generally, Qin Yue doesn''t go home at noon. He is busy eating in the hospital canteen. He returns to the office to have a rest and continue his work.


    However, Chen Cang was on the night shift last night, and Qin Yue came back early and bought food in the canteen.


    Chen Cang opened his eyes and smiled happily when he saw Qin Yue cooking for himself.


    It''s really good that someone cares.


    "Get up and have some rice." Qin Yue poured a cup of hot water and brought it.


    Chen Cang nodded: "thank you, wife."


    Qin Yuebai glanced: "meat hemp, eat quickly. It''s cold again soon!"


    Chen Cang smiled, got up, washed his face and sat down.


    And Qin Yue took a medical record and recited it there.


    Listening, Chen Cang looked blankly: "what are you doing with your medical records?"


    Qin Yue blushed: "I just received a patient yesterday. It''s a difficult and miscellaneous disease. I received it."


    "My elder martial sister is also confused. She doesn''t know how to deal with it. She is going to discuss difficult cases in Cori this afternoon!"


    "I can''t be ignorant of the medical record. I can recite it now and discuss it in the afternoon."


    As soon as Chen Cang heard this, he immediately smiled. Bala ate a few mouthfuls of rice and couldn''t help listening.


    After listening back and forth several times, Chen Cang immediately smiled:


    "Is it difficult? Isn''t this a perforation of gastroduodenal ulcer complicated with tuberculous peritonitis? Oh, there should also be septic toxic shock;"


    Qin Yue was stunned after hearing Chen Cang''s words.


    "Are you talking nonsense?"


    Chen Cang cried and laughed: "I''m serious!"


    "Oh, by the way, the patient should have a history of chronic atrophic gastritis."


    Speaking of this, Chen Cang put down his chopsticks, looked at Qin Yue and said:


    "Let me give you an analysis. You see, the patient has fever one day after abdominal pain. It is relaxation fever. The temperature is as high as 40C. There is no obvious improvement after giving" penicillin and dexamethasone "in the local hospital.


    On the 4th day, he came to our hospital for treatment. B-ultrasound showed "peritoneal effusion, greater omentum thickening, cholestasis in the gallbladder", and malodorous purulent fluid was punctured under the right liver.


    At this time, we should consider the rise of body temperature and the symptoms of peritonitis. Later, the B-ultrasound examination almost supports the diagnosis of peritonitis... The peritonitis at this time should be considered as acute tuberculous peritonitis.


    The use of penicillin and dexamethasone, the body temperature does not drop, more support these two diagnoses. "


    "Then, think about why this happens to the patient."


    "Increased pulse is a compensatory increase caused by elevated body temperature.


    For the feeling of kneading the abdominal wall, consider the possibility of tuberculous peritonitis. Low hemoglobin, consider mild anemia... Consider whether it is the blood loss caused by chronic atrophic gastritis or the blood loss caused by the perforation of the front wall of the duodenal bulb mentioned later! "


    "So, the whole diagnosis is actually very simple!"


    Listening to Chen Cang''s words, Qin Yue is stupid!


    It seems that Chen Cang explained it clearly. Is it really such a truth?


    Thinking of this, Qin Yue looked at Chen Cang in amazement: "husband... Have you seen this patient?"


    Chen Cang smiled bitterly: "no, you''ve had three more medical records just now. When I think about it, it should be what''s going on!"


    Qin Yue immediately jumped with excitement. The doctor got up and left: "I''ll go to the hospital and wash the dishes yourself!"


    ……


    ……


    PS: Thank you for the 10000 reward from "jacky9527" and "blooming balsam pear". Thank you.


    Also thank QQ for reading the 10000 reward of "Lin"!
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