Until the college entrance examination, Chen Xia followed his parents' wishes to apply for medical school, while Zhang Xinshu went to a clothing university in the north. I remember that when the school started, the little girl hugged him and cried loudly, swearing that he would not marry.

The two of them communicated frequently in the first year after they separated, and the letters were particularly touching. Then, starting from their sophomore year, Zhang Xinshu's letters were getting fewer and fewer.

Until one day she told herself in a letter that she had found a boyfriend at school who would not marry him and asked Chen Xia, the old classmate, to bless her.

At that time, Chen Xia felt like he was a dog. When the two of them were happy, you call me "Xiao Xiaxia" and immediately call me "old classmate" when they found a new love?

This was also the first time he had a "lost love" in his life, and it could also be said that he was the only time he had a love break. He hid in bed alone and cried for many times.

It was also from this love breakup that the innocent little virgin slowly turned into Mr. Chen in the bar.

Chen Xia looked at a table tennis table where the two often played when they were young, and said to herself: "She has not been born in this life, so the two of them will not have any cause and effect again, right?"

Inside the Office of Department 2 of Jiangzhou People's Hospital.

Chen Zhenwu was frowning at this time and listened to the director's lesson.

"Xiao Chen, please reflect on what went wrong with your treatment plan. The patient's uncle is a regional leader. Now that the family members are resolute tolerate this, the consequences will be very serious."

"Director, you also know that this disease has a high chance of causing systemic septic shock. This is not necessarily a postoperative infection caused by improper surgery."

"You told me that it was useless. Do you see if the patient's family listened? Now they insist that it was your surgery problem. Seeing that the patient was about to die, what do you think you should do?"

"What should I do? Humph, cold salmon, don't take on this porcelain job without a diamond," said Xia Hansheng, another resident in the Second Department of Surgery.

If Chen Xia was present, he would be able to recognize him immediately. Dr. Xia Hansheng and Xia could be said to be his father's lifelong competitor.

The two were classmates in the same class when they were in technical secondary school, so they didn't deal with them when they were in school.

After graduation, I went from being a hospitalist to being a team leader, to being a department director when I was a middle-aged person, to being a director when I was aging, to becoming older and becoming a dean.

The two fought for half their lives. Chen Zhenwu fought for the first few times, and Xia Hansheng fought for the last time. He received the lunch box before Chen Zhenwu, and went to see King Yan early one year after retirement.

At this time, Chen Zhenwu heard his colleague's ridicule and was about to have an attack, "Xia Han gave birth to you..."

The director quickly interrupted: "Okay, okay, when is it going to happen, you are still quarreling now. The most important thing is how to try to save it. If you save a great achievement, our department will suffer with it."

At this time, the office door was suddenly pushed open, and a young man's head came in, "Brother, I'm here."

The director frowned, "Who are you looking for?"

Chen Zhenwu quickly stood up and led Chen Xia in.

"Xiaoxia, you are here, it's great. Let me introduce you to you. This is Director Hu of our Second Department of Surgery. The director is my younger brother, the head of the General Affairs Section of the Fourth Academy of Yuezhou."

Director Hu was shocked when he heard this. The Fourth Hospital of Yuezhou is one level higher than Jiangzhou People's Hospital. He is so young that he is the department chief, and his level is even higher than his department director.

He then stretched out his hand with a skeptical look and said with a smile: "Section Chief Chen is really young and has a lot of things to do. I am quite familiar with your surgeon Director Qiu Fangjue and Qiu."

The health system is so small that people will inevitably meet each other in meetings. It is also a common method in society to bring closer relationships through people they know each other.

Of course, Chen Xia knew the old director of the Second Department of Surgery in front of him, and he knew him in his previous life. But now he can only pretend not to know him and shake hands with a smile:

"Director Hu, you said Lao Qiu, he is so proud now that he just got a grandson, and he is so happy every day."

The two were still playing sticks with each other in business. Xia Hansheng next to him was unhappy and started to be sarcastic again:

"Some people have no intention to go to work, no level of surgery, no need to say about having relationships, there are brothers everywhere."

Chen Xia turned his head and saw the young version of Xia Hansheng, and he couldn't help but feel a little funny. This old man fought for a long time in his previous life, but he finally went to the crematorium first. He didn't expect that he would be so vicious at such a young age.

Xia Hansheng has very white skin and looks handsome. If he were born in his previous life, he would be a very popular young man. To put it bluntly, he would be a bit sissy.

So Chen Xia pretended not to know each other and asked politely: "This girl is..."

"Your mother is so big that even men and women can't tell the difference!!"

Sure enough, Xia Hansheng was shocked when he heard this. His current aesthetic view is not something that later generations. Everyone likes male stars like Zhu Shimao with thick eyebrows and big eyes. They have a very negative view of sissy.

Even the dignified Emperor professional teacher Tang Qiangqiang was ridiculed by the media as a "cream young student" at this time.

So when Xia heard Chen Xia mocking him as a girl, Xia Hansheng was so angry that he wanted to throw out an aunt's scarf on his face, turned around and slammed the door and went out.

Chen Zhenwu turned his head and held back his laughter. Director Hu was so old that he rushed out to explain some matters about the department.

When there was no one in the office, Chen Xia asked, "Brother, what's going on? Tell me in detail."

Chen Zhenwu took out a hospitalization record, "This is the thing. The patient was 37 years old and had repeated pain in the upper right abdomen for 10 years. He was accompanied by cold and heat jaundice, and was unconscious for 3 days.

Physical examination when admitted to the hospital: body temperature was 39.3℃, heart rate was 128 beats/min, breathing 30 beats/min, blood pressure was 75/40mHg, skin and sclera were obviously yellow, all abdominal muscles were tense, tenderness was obvious, refusal to press, Murphy's sign (+), intestinal rumbling sound was weakened, about 1 beat/min.

After admission, routine blood test: leukocyte count 20.27*10^9/L, biochemistry: ALT 61Iu/L, TBIL101.62ummol/L, DBIL64.52ummol/L, IDlBL37.10ummol/L, blood potassium 3.33mmol/L, glucose 6.22mmol/L, creatinine 189ummol/L, uric acid 587umol/L.

Ultrasound shows cholecystitis, gallbladder effusion, multiple gallbladder stones, and cholestasis in the gallbladder cavity."

Chen Xia watched and listened. As a hepatobiliary doctor in his previous life, he immediately made a judgment. "The typical five-unit Reynold syndrome, the diagnosis of acute obstructive suppurative cholangitis is correct, what happened later?"

Chen Zhenwu said in annoyance: "At that time, I advocated surgery, and Xia Hansheng advocated conservative anti-inflammatory treatment. You also know this disease. If you do not perform surgery, you will not drain the flow, and take conservative treatment, and treat the symptoms but not the root cause. Later, I had surgery, with common bile duct incision, remove gallstones and perform gallbladder stomatology drainage."

Chen Xia nodded: "This treatment plan is correct. The patient is young and has good tolerance. He usually has no underlying diseases. Since it is diagnosed, the obstruction of the bile tract should be cleared as soon as possible, and the blockage should be relieved, and the suppurated bile should be excreted as much as possible to keep the bile tract unobstructed again. The treatment should be mainly surgery."
Chapter completed!