After being forced to take a day off, Tanglou finally returned to Hecheng No. 1 Hospital.

Just when I was passing by the Department of Infectious Diseases, I saw an uncle in his 50s outside the waiting area of ​​the outpatient clinic, holding a medical record card in his hand and hesitating there.

The uncle was still wearing a security guard's clothes. With his head lowered, he took out his wallet and counted the money. There were about a dozen brand-new RMB in the wallet, which he tied together and put aside without moving.

What was left in the other compartment of the wallet were a few crumpled banknotes, colorful, some fifty, some twenty. The uncle counted them for a while and counted them.

Licking his dry lips, he put the wallet away and put it in his pocket.

He unfolded the medical record card again, touched his forehead, sighed, rolled up the medical record card and stuffed it into his pants pocket.

As a doctor, Tanglou naturally knows that the patient has been treated and should have paid for the medicine according to the doctor's prescription, but now he seems to be ready to leave directly.

Out of curiosity, Tanglou directly used the diagnostic technique:

[Patient: Fu Guosheng, male, 52 years old

Symptoms: Half a month ago, there was no obvious precipitating fever, with the highest temperature reaching 39.8, accompanied by chills and chills. The fever mostly occurred at noon. Cough, white mucus sputum with blood streaks, small amount, slight feeling of exertion, and poor appetite after eating.

, there was no rash, bleeding, or ecchymosis. The patient had edema in his lower limbs, joint pain in his limbs, and occasional numbness in his feet.

Diagnosis: Staphylococcal sepsis, use cefazolin, cephalexin, cefuroxime, etc., combined with amikacin hanging needle for treatment. Otherwise, septic shock, liver abscess, jaundice, heart failure, acute renal failure will occur.

Life is in danger.]

Tanglou's expression suddenly became serious, and he followed Fu Guosheng. It would be fine if he received treatment according to the doctor's orders, but if he really chose to leave, he would be stopped.

Sure enough, Fu Guosheng did not choose to pay the fee, but walked directly outside the hospital.

"Wait a moment!"

Tanglou directly called out to Fu Guosheng.

Fu Guosheng turned around and saw Tanglou in a white coat. His eyes averted for a moment and he grabbed the medical record card in his pants pocket with one hand.

"Why didn't you follow the doctor's orders and receive treatment?"

Since the patient's life safety was at stake, Tanglou chose to go straight to the matter.

Fu Guosheng bit his lip, feeling a little guilty: "Doctor, I saw you at the community hospital before. The community doctor prescribed antipyretic medicine for me, and I was fine after taking the medicine. I stopped having a high fever in the past few days.

He asked me to come to a big hospital for a check-up. No, in fact, the medicines prescribed are similar, they are all anti-inflammatory and anti-pyretic medicines. I didn’t buy them at the hospital. I just went to the community pharmacy to prepare some anti-pyretics myself."

"Medical record card, prescription!"

Tanglou didn't listen to his excuse and said seriously.

In the hospital, with the added aura of the white coat, although Tang Lou was still very young, Fu Guosheng still obediently took the medical record card and prescriptions from his trouser pocket and handed them to him.

After digging around in Tanglou, it turned out that the infectious disease doctor also diagnosed sepsis and needed to be treated with acupuncture.

"Fu Guosheng, I can tell you seriously that you have staphylococcal septicemia. If you don't get the injection in time today and take medicine to control the infection, you will suffer from septic shock tomorrow. It won't be that simple then.

He will be sent directly to the emergency room."

Tang Lou stared into Fu Guosheng's eyes. Fu Guosheng had a flash of fear, but soon turned into a strong man, pretending to be relaxed and not intimidated by Tang Lou:

"Doctor, I've had a high fever for almost half a month. I can just take some antipyretics and get better. It's okay. I'll take some and apply some pressure myself. After the 16th, if it still doesn't work, I'll put in the needle again."

Fu Guosheng insisted not to stay and receive the needle.

Tang Lou thought of the previous scene of him counting money and being treated after the 16th. Generally speaking, many companies pay wages in the middle of the month, so he blurted out: "Don't you have enough money?"

Fu Guosheng paused slightly, covered his wallet pocket, looked a little embarrassed, and turned around to run away.

Tanglou himself was an intern and was unpaid, but he performed a lot of surgeries. Although they were all in the name of Qingping or Ma En, they both shared the surgery expenses with him.

After a month or two, I saved some money and took out 800 yuan directly from my wallet.

"Here is 800 yuan, which is enough for you to get an injection and take medicine. Take it and go pay for treatment quickly."

Tanglou looked at Fu Guosheng seriously and added seriously: "If you don't get treatment, you will die! If you don't have enough money in the future, you can come to me to borrow money. I'm in the general surgery department, Tanglou."

Tanglou showed him the sign on his chest.

At this time, Tanglou's phone rang. Naturally, it was Dr. Qing. The inspection team from the provincial capital was coming soon, and he was asked to go to the office to prepare.

Tanglou hung up the phone, put the money into Fu Guosheng's hand, led him to the payment window, and looked after him again: "Hurry up and pay for the treatment. I have something to do first. I must hurry up and get the needle."

Take medicine.”

Originally, Tang Lou wanted to wait until he received the transfusion before leaving, but time waited for no one, so Tang Lou quickly ran to the general surgery office.

Qingping, Ma En, and Tian Linsheng all arrived early, and even Wang Da, who had been assigned to the changing pharmacy, was called back again.

When Wang Daquan saw Tang Lou, he was a little afraid and hid aside. Now that even Ma En had become a helper of Tang Lou, he naturally did not dare to make any mistakes.

When Qingping saw Tanglou arriving, his smile spread: "Tanglou, come, the inspection team from the provincial capital will be arriving soon. Ma En and the others are responsible for setting up the venue. You and I will go to Director Cheng's office first. There are some things that Director Cheng needs to do."

Explain."

Watching Tang Lou and Qing Ping walk out of the office, leaving the three handymen behind, they were naturally envious.

...

Cheng Jian was in the office, holding the completed ERAT postoperative data, and was naturally very satisfied.

Among 61 patients, only 1 case was found to have an abscess around the appendix 3 days after surgery, which was classified as a complication (1.63%). The remaining 60 cases were successfully treated (98.3%). As for the recurrence of appendicitis, it will take one year to make a conclusion.

Overall, it is very satisfactory.

"I called you here just to wait for the provincial capital inspection team to arrive. In addition to reporting on the results of this week, I also want to discuss whether to perform an ERAT and a suspended gasless laparoscopic appendectomy directly on site.

"

Cheng Jian looked at the two of them. From the bottom of his heart, he naturally hoped that the two of them could perform the operation directly. However, after all, people from the province came to observe directly, which naturally put a lot of psychological pressure on the doctor. Therefore, he also wanted to consult Tanglou and

Qingping's opinion.

"Do it, of course you have to do it."

Qingping answered directly that this is an opportunity that the Municipal First Hospital has been preparing for so long.

Tanglou also nodded. For him, there is no such thing as nervousness. Moreover, his task has not been completed yet, and there is still a suspended gasless laparoscopic appendectomy that has not been completed.

"Then let's allocate the techniques. Qingping, you do the hanging posture, Tanglou ERAT."

Cheng Jian suggested that after all, Wen Dalong had previously questioned Tanglou's inability to complete ERAT. Although there was a video, it was definitely not as shocking as a live operation.

"I do hanging poses."

Tanglou doesn't care whether he has a dragon tattoo or a Mickey Mouse tattoo, completing the task is the key.

Cheng Jian frowned slightly, a little puzzled. Could it be that a smart person like Tang Lou didn't know the meaning of his arrangement?

Or does he think that the suspension method was proposed by him and it would be more suitable for him to complete it himself?

When Cheng Jian was frowning, Qing Ping said directly: "Actually, I suggest that both of them be made by Tanglou."

Of course, Qingping did not shirk responsibility, but gave Tanglou the opportunity to show his face.

Cheng Jian looked at Qingping and naturally understood his painstaking efforts. These two operations were stressful, but they were also a once-in-a-lifetime stage to be displayed in front of the top leaders in the medical circle of Jiangxia Province.

"Okay, then let's order the Tanglou to do it all."

Cheng Jian followed the trend, which was indeed the best decision, but it only sacrificed Qingping's interests.

However, Qingping has no regrets.

After discussing, the three of them walked to the large conference room at the same time, waiting for the arrival of the inspection team.

However, as he walked, Tanglou thought of Fu Guosheng and felt a little worried in his heart. He wondered if he had gone to get an injection and take medicine.

Almost reaching the door of the conference room, Tanglou finally stopped.

"What's wrong, Tanglou?"

Qingping saw Tanglou who was a little worried.

"I just met a patient in the infectious disease department who had sepsis, but he didn't have enough money, so he didn't choose treatment. Instead, he planned to go to the pharmacy to buy some antipyretics. I persuaded him to stop him, but in order to rush over for a meeting, I wasn't sure whether he had any

She didn't hang the needle as I told her...so I'm a little worried."

Tanglou said everything in detail.

"The inspection team will come in a while. If you are not worried, go and have a look. If sepsis is not treated in time, it will be life-threatening. We develop acute abdomen disciplines not just to benefit more patients. If for this meeting, we missed one

Isn’t life putting the cart before the horse?”

As a senior physician, Qingping naturally has strong professional ethics and good medical ethics.

"Look what I'm doing, why don't you go quickly!"

Cheng Jian also glared at him, saying they had similar odors!

"Wait."

Just as Tanglou was about to leave, he turned around and Cheng Jian took out another thousand yuan from his wallet: "Go back quickly, you will be the protagonist soon!"

"Okay."
Chapter completed!