Chen Qi didn't hear anyone talking about him behind his back. He turned around and carried the big bag to the office of his "master" Zhu Huoyan.

There is a characteristic in hospitals during the Chinese New Year, that is, the number of inpatients and outpatients will decrease significantly.

There is an auspicious idea among patients. It is unlucky to go to the hospital during the Chinese New Year. Even inpatients who are not particularly ill will choose to be discharged from the hospital and go home to celebrate the New Year. At worst, they will come back to the hospital after the Chinese New Year.

Another reason is that there is family leave these days. Many doctors from other places do not have time to go back to their hometowns throughout the year, so they will take advantage of the Chinese New Year to take leave and go back to their hometowns to celebrate the New Year.

In addition, local employees also need to take turns, so the hospital will be short of manpower, and doctors do not want to treat too many patients.

Chen Qi thought that the Department of Surgery in the People's Hospital would be empty, but when he showed up at the surgical inpatient department, he found that it was extremely busy.

It's the Chinese New Year, and there are two types of patients who receive the most surgical treatment. One is injured by firecrackers. There are people of all ages, many of whom are children.

Another type of digestive system disease is caused by eating and drinking too much. After this year, I can’t bear to eat or wear clothes. I have saved all the good things until the Chinese New Year. I eat big chunks of meat and drink big bowls of wine. It’s good for the liver, pancreas, gallbladder, and stomach.

There has been a sudden increase in surgical emergencies.

On the one hand, there is a sudden increase in patients, and on the other hand, the number of doctors working is greatly reduced. It is strange that the surgical department is not busy.

Director Zhu knew that every Chinese New Year was full of troubles, so he stayed in the Department of Surgery to take charge.

When he saw Chen Qi coming in carrying large and small bags, he just pointed with his finger and motioned for him to sit down, but he kept holding the microphone and shaking people.

"What? Lao Kong is not at home? I don't know where he went? Okay, I'll find someone else."

Zhu Huoyan put down the phone, thought for a moment, and started to call again: "Hey, help me pick up Dr. Wei Songning from the staff community of the People's Hospital."

After a few minutes, the call was connected, and Director Zhu asked hurriedly:

"Hey, is this Old Wei? Oh, Old Wei was still lying down drunk last night? Yes, he needs surgery. Just forget it if you are drunk. How can you hold the scalpel when your hands are shaking? Goodbye."

Chen Qi watched Teacher Zhu making a phone call with great interest. In 1983, there were no program-controlled telephones in the Central Vietnam area.

To make a call, you need to shake the handle several times to connect to the phone station, state where you want to call, your unit or name, and then manually connect you or forward it again, which is very troublesome.

For example, when Chen Qi calls Director Zhu in his own workplace, he must first shake the phone and call the Huangtan District telephone station, then transfer you to the Huiji County telephone switchboard, then the Yuezhong District telephone switchboard, and finally

I’ll connect you to the People’s Hospital.

As for if you want to make calls to other cities or provinces, that would be a huge hassle, so you might as well just send a telegram.

If future generations of telecommunications fraudsters were to shake off the phone one day, their hands would be broken.

Zhu Huoyan made a lot of phone calls but couldn't get a few doctors to come to work. He was a little depressed, so he grabbed a bottle of medicine next to him, poured out a few pills and ate them. He looked at Chen Qi and joked,

"Hey, isn't this Vice President Chen? You're here to guide our work. You're welcome, and you've got so many things."

Chen Qi sat down on the chair: "Whenever I become the vice president of the People's Hospital, Teacher Zhu, these are all local specialties in the mountains. It's not considered a bribe for you to try them."

"Go away, what's wrong with eating some souvenirs? Who dares to say, it's you..."

Before Zhu Huoyan finished speaking, the office door was pushed open, "Director, there are emergency patients!"

The person who opened the door and walked in was the head nurse of the Department of Surgery. Not only were doctors in short supply during the Chinese New Year in the hospital, nurses were also in short supply.

Since the head nurse of the department is at work, of course the head nurse cannot fall behind. One person has to do the work of two people.

When Director Zhu heard that it was an emergency, he immediately became serious: "What's going on?"

The head nurse quickly said:

"This patient is a bit special. He is a 59-year-old male. He was just transferred by car from Shangyu County Hospital. He was diagnosed with chronic cholecystitis that has worsened for a week."

"Chronic cholecystitis? This is an elective surgery. Is it necessary to transfer it during the Chinese New Year? It's nonsense to go to the county hospital. You can't cure the disease on your own? If you want to rest during the Chinese New Year, we don't need to rest?"
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Director Zhu was dissatisfied when he heard that it was a chronic disease. What kind of emergency is this kind of disease? Does it need to be brought here by special car?

After saying that, he touched his upper abdomen with one hand, his expression a little painful.

Chen Qigang was about to ask, but the head nurse spoke first:

"Why, your stomach still hurts? You have to persist. This patient is quite special. He is the deputy county magistrate of Shangyu County. If you want to be hospitalized during the Chinese New Year, I guess his condition must be very serious. The other patient is also the same as Shangyu County.

You don’t trust Yuxian Hospital anymore, the phone calls are all coming to our hospital.”

When Zhu Huoyan heard that it made sense, even though he was unhappy, he still needed diagnosis and treatment. He glanced at Chen Qi and suddenly asked:

"Is there something going on behind you?"

Chen Qi nodded: "I will go to Director Hong of the Imaging Department and Director Xie of the Laboratory Department later."

"You haven't learned anything else at a young age, so you have to learn to be a flatterer first? Come with me to receive a patient. If you need an operation, please help me. Now even the on-duty staff in our surgery department are doing the operation."

Chen Qi nodded, knowing that Comrade Lao Zhu wanted to support him. He was afraid that he would get used to doing minor surgeries at the grassroots level and forget about third- and fourth-level surgeries.

"Okay, listen to Teacher Zhu."

After a while, the minibus that went to the County Hospital drove into the People's Hospital and drove directly to the door of the surgery. After the patient lay on the bed, Zhu Huoyan and Chen Qi appeared.

The Department of Surgery at Shangyu County Hospital also sent a young doctor over. When he saw Zhu Huoyan, he nodded and bowed: "How are you, Director Zhu?"

Director Zhu nodded, looked at the patient without saying anything.

This is a middle-aged and elderly patient in his 60s. He is lying on the bed with a painful look on his face. He is very haggard, but there is no obvious wax on his face.

"How is the patient?"

The People's Hospital still attaches great importance to the deputy county magistrate of the county below. Of course, it doesn't matter how much attention you say, unless the regional commissioner comes, then the treatment will be grand.

The junior doctor who went to the county hospital quickly reported the case:

"Director Zhu, it's like this. The patient is a 59-year-old man. He had a bile enteral drainage operation at our Yu County Hospital 8 months ago because of chronic cholecystitis and obstructive jaundice. After the operation, the jaundice subsided, but he still felt that his upper abdomen

Discomfort, sometimes accompanied by chills and fever..."

The young doctor reported for a long time. Director Zhu and Chen Qi both listened attentively. After the introduction, they found nothing useful.

In particular, it was mentioned that patients often experience fever, and the first impression is that of inflammation, which should be related to the previous surgery.

So Zhu Huoyan signaled Chen Qi to do a physical examination and asked:

"Has the patient had cholelithiasis, chronic pancreatitis, or diabetes before?"

The family members quickly denied: "Director Zhu, none of our elders have these diseases. What do you think the main problem is?"

At this time, Chen Qi happened to percuss the right liver area and the heart cavity. He tapped his fingers a few times, and the patient hummed softly: "Doctor, it hurts a little here."

Chen Qi quickly reports:

"Teacher Zhu, the patient's abdomen is soft, the liver and spleen are not palpable, there is slight tenderness on the lower right side of the xiphoid process, the right liver dullness is not large, there is percussion pain, there is no gastric vibrating sound, and there is no moving dullness in the entire abdomen."

It seems that the problem is with the liver, but it doesn’t look like a liver problem.

Director Zhu carefully checked some auxiliary examinations, which were actually some blood test sheets and B-ultrasounds. The B-ultrasounds were still black and white, and the clarity was not enough. In addition, the staff doing the examinations were of limited skill, and there was nothing specific on them.

Tips.

There is no CT, no MR, not even the most common color ultrasound machine in later generations. The accuracy of diagnosis depends entirely on the level of the doctor.

It's not even as good as Chen Qi seeing a doctor in Huang Tan. After all, his portable color ultrasound machine and bedside CT machine are much more advanced and clearer than this era.

Director Zhu thought for a moment, glanced at Chen Qi next to him and asked:

"The patient underwent bilioenteric anastomosis 8 months ago. After the operation, the intestinal contents refluxed easily into the biliary system. Now the patient has chills, fever, and right upper quadrant pain. He had jaundice before, and now he has symptoms of liver damage on physical examination. Do you think this is consistent with

Which disease?"

Chen Qi blurted out without thinking: "It looks more like reflux cholangitis."

Director Zhu nodded appreciatively: "It is consistent with my diagnosis. Since the patient is in unbearable pain, it is probably due to the failure of the last operation."

The junior doctor from Shangyu County shrank his neck. He did not dare to say anything or refute in front of the chief director of the regional hospital.

The family members became anxious upon hearing this:

"Director Zhu, what should we do next? Now my father Ying can't even carry out his normal work. The 700,000 people in Shangyu County are eagerly waiting for him to return to work."

Chen Qi slandered: Are you representing the people of the county at every turn?

Director Zhu probably heard too much of this kind of "nonsense" and said without caring at all:

"The next best thing is to do a second surgery to repair and reconstruct the bile duct. Although the previous surgery and choledochoduodenal anastomosis can relieve the obstruction of the bile duct, the gastrointestinal contents, pancreatic juice, and bacteria also directly enter, causing serious damage to the bile duct.

The environmental interference is very serious."

The family members didn’t know what to do for a moment and looked at Deputy County Magistrate Ying on the hospital bed.

Ying Zhizhong nodded: "Then I'll trouble you, Director Zhu. Please perform surgery on me as soon as possible. You can take a few days off during the New Year, otherwise you won't have time when you get busy later."

Chen Qi blushed a little after hearing this. His cadres are really obsessed with pretending to be the people. Just now he was slandering him.

Director Zhu checked the medical records again:

"Okay, since it's just a biliary tract problem, we can do the second surgery after a few days of preparation before surgery."

The junior doctor who went to Yu County quickly said: "Director Zhu, Deputy County Magistrate Ying originally wanted to have an operation in our hospital, and the pre-operative preparations have been made."

"Today?"

Director Zhu was a little hesitant because there were not enough doctors who could perform surgeries today, but the patient in front of him was a deputy county-level cadre after all, so he still had to receive the treatment he deserved.

"The surgery can be performed today. In this case, you will send the patient to the operating room immediately. I will perform the surgery myself, and let Shen Zhemin from the first surgery department be the first assistant. Chen Qi, you will be the second assistant."
Chapter completed!