Familiar with the patient

Outside the operating room.

"It's amazing~"

"Yeah, I've never seen anyone who can perform surgery so well!"

Qin Feng and Han Xiaoxiao walked in front, and the two residents behind them couldn't help talking in low voices.

Hearing this, the corners of his mouth could not help but rise slightly.

Although he heard such praise, it was not that exaggerated.

Because minimally invasive surgery is more of a mechanical operation, it requires the surgeon to be amazing enough.

The risk itself is much smaller than that of open surgery!

Of course, minimally invasive surgery is a great boon for patients, with small wounds, less pain, and faster recovery.

But at the same time, it's more expensive...

"No wonder you came to be our deputy director. Based on the operation just now, the brain surgery doctors may have to bow their heads and walk around after seeing it."

Han Xiaoxiao said with a smile in his eyes,

"I have also been in the emergency department for five or six years. Anyway, except for the two directors, anyone who has been on the operating table is not as good as you.

Director Qin is amazing! "

"Hehehe~ so-so."

Qin Feng nodded slightly and smiled lightly.

Really average!

…

The next day, on Monday morning, the department was handed over.

In the conference room, behind the front table, there were three figures sitting.

In the middle is Dong Hao, the director of the emergency department, Shi Yuanping, the deputy director of administration, and Qin Feng, the deputy director of the office.

The first row and second row of chairs below are the attending physicians, and the back is the chief resident, resident doctor, and nurses.

Nearly half of the doctors and nurses here have never seen Qin Feng himself, and they all look surprised.

After all, Qin Feng only confirmed his appointment yesterday, but in fact, today is his official first day of employment.

In addition, he left early, and the doctors and nurses on shift didn't even see him.

"Okay, it's all here."

Dong Hao scanned the audience and said loudly,

"I have two things to say today.

First, I believe everyone should know it, and Qin Feng is no stranger to it, right?

If you haven't seen him, you should have heard of his name. Through the decision of the hospital council, he was appointed as the deputy director of the emergency department office, and he officially entered the job today.

Everyone welcomes him! "

There was a burst of applause, especially those who had met yesterday, and a large number of female nurses, it was even more enthusiastic.

A place like the emergency department has almost nothing to do with handsome doctors.

Now that such a handsome and good-looking deputy director came suddenly, the women were naturally happy.

They look good every day!

"The second thing is the focus of the emergency department's work. The district requires us to work with the community to explore a new model of "medical social worker + full disease management"..."

About two minutes later, Dong Hao finished speaking, and everyone recorded it.

"This matter is led by Director Shi and assisted by Director Qin, try to find out some experience first.

Alright, let's start the shift. "

"I'll come first."

Sitting first, Zhang Qingquan got up and said,

"There are still 17 patients in the observation room, including 3 beds and 7 beds..."

"The high fever of the 1-bed and 5-bed patients in my ward has not subsided, so pay attention today..."

…

After a shift, Qin Feng sat there without speaking, listening carefully to their narration.

Through these doctors' descriptions and follow-up of the patient's status, he can basically grasp some patients who need special attention.

As for the others, after the operation yesterday afternoon, he had read all the cases.

All patient records and medications in the office can be retrieved from his computer, and they are updated in real time.

So even sitting in the office, Qin Feng can fully grasp the current emergency patients' conditions, treatment progress and bed flow.

He is familiar with the road, he just picked up your previous job.

"Okay, everyone, let's get to work."

After the head nurse handed over, the situation was probably over, Dong Hao got up and said,

"Check the room first, let's go."

Qin Feng also stood up and walked beside him, followed by more than a dozen attending doctors and residents, as well as people led by the head nurse.

Dressed in white, majestic and full of momentum!

And Qin Feng's youthful and handsome appearance, which was so irresistible, instantly raised the quality of the team.

The nurses who passed by couldn't help but take a second look, and couldn't help being surprised.

Today's team feels much more energetic than before, and it's still our coach Qin!

"How are you feeling today, sir?"

"Director Dong, it's very good, very good."

"Just feel comfortable, you must get out of bed and take a walk every day, you know?"

"Tell me."

"Patient Wei Dongqiang, 67 years old this year..."

…

10 o'clock in the morning,

Qin Feng has already touched the emergency department as a whole, basically it can be said that it is almost the same, at least there is no problem in carrying out the work.

"Huh~"

He stretched himself, got up and walked out.

The outpatient clinic has been receiving patients for a while, just to see the situation.

As soon as he walked to the first consulting room, he found that it was Zhang Qingquan sitting there, and sitting behind him was a resident doctor he taught.

Zhang Qingquan raised his head when he saw the figure at the door, and found that it was Qin Feng who came, he just glanced at it lightly and then looked away.

At this time, there are still patients in the consulting room.

Qin Feng paused and walked in.

"Doctor, please help my daughter. She has a severe stomachache and vomited twice before."

Sitting opposite Zhang Qingquan was a girl about 14 or 15 years old, still wearing a school uniform.

She was clutching her stomach, her face turned white from the pain, and she was sweating profusely.

The couple next to her should be the girl's parents, and they also looked anxious and concerned.

"Okay, don't worry."

Looking at the situation of the girl, Zhang Qingquan asked calmly,

"How long has it hurt, can you remember?"

"Yes~ It's been a day or two. It hurts a little on Saturday, but it's not that bad."

The voices of the girls were a little weak and trembling.

"Is your period over?"

Zhang Qingquan continued to ask.

"A week ago~"

"When did you throw up in the morning?"

"Before a class~"

The girl clutched her belly, the painful muscles on her face trembling.

The girl's menstrual period is normal, and it does not seem to be menstrual dysmenorrhea, ectopic pregnancy and other problems.

"Is there anything else besides the pain?"

Zhang Qingquan asked.

"Doctor, she really has a bloated stomach these past two days, and she can't eat anything. She feels sick when she drinks water, and she feels sick when she eats."

The mother next to him said quickly.

"Did you eat anything else?"

"No, no, I've been at home these two days, and I eat the same as usual!"

"Is the exhaust normal?"

…

"The doctor asked you something, tell me."

The mother looked at the girl and urged.

"No...no~"

The girl was a little embarrassed, shook her head and spoke softly.

"What about defecation? Is it normal?"

"No...no, my stomach hurts and I haven't eaten anything in the past two days, so there's no big...big thing."

"You lie on the bed, and I'll check you up."

Zhang Qingquan pointed to the hospital bed next to him.

The girl was helped to the bedside by her mother, and she lay down with difficulty.

"Does it hurt here?"

"It hurts~"

"What about here?"

"It hurts too~"

"What about this?"

"Hiss~"

When Zhang Qingquan saw the lower part of the abdomen, the little girl couldn't help trembling, and cold sweat fell off her forehead instantly.

There is no plate-shaped abdomen, and it is not a problem of the appendix. Peritonitis can also be basically ruled out. There is no major pain in the liver, gallbladder and stomach, which should be joint.

But the belly is obviously bloated, it should be gas.

Listened for bowel sounds, no.

"Come and listen."

Zhang Qingquan said to the resident doctor next to him.

The young doctor put on a stethoscope and listened, his expression changed a little.

"What did you find?"

"No bowel sounds."

Zhang Qingquan nodded upon hearing this.

When Qin Feng on the side heard this, a strange color flashed in his eyes.

Judging from Zhang Qingquan's pressing degree and feedback just now, the judgment obtained is basically the same.

But there is no bowel sound, this finding is very important, because the stomach of a normal person will have bowel sounds about 3-5 times per minute.

This is also a normal feedback of bowel activity, indicating that the bowel is digesting and moving.

But if the bowel sounds go away and you add a distended belly, the problem is obvious.

The problem of abdominal pain can basically be determined to be an intestinal problem.

And this phenomenon usually occurs in a disease.

This is intestinal obstruction!

Intestinal obstruction: Obstruction of the passage of the contents of the intestinal lumen due to various causes.

The main clinical manifestations are four major symptoms: pain, vomiting, swelling, and closure. It is a common emergency in clinical practice, and the condition is complex and changeable.

The etiology of intestinal root obstruction mainly includes three aspects, mechanical intestinal obstruction, dynamic intestinal obstruction and ischemic intestinal obstruction.

Mechanical intestinal obstruction refers to non-intestinal lesions such as adhesive bands, volvulus, extraintestinal tumor compression, internal and external hernias, or intra-abdominal abscesses.

There are also some including intussusception, Crohn's disease, colon adenocarcinoma, etc., which will cause mechanical intestinal obstruction.

Dynamic intestinal infarction is the disorder of intestinal motility, which prevents the normal operation of intestinal contents, and there is no organic change in the intestinal wall itself.

This kind of situation mostly occurs after abdominal surgery, because nerves, body fluids, etc. stimulate the muscles of the intestinal wall, thereby losing the ability to peristalsis and causing obstruction.

This is why after all laparotomy, doctors will pay attention to whether the patient exhausts normally.

Called paralytic ileus.

And the last ischemic intestinal obstruction, which is directly caused by mesenteric vascular disease.

In Qin Feng's view, the little girl in front of him is most likely to have paralytic ileus.

The contents of a certain section of the intestine cannot pass through, and the contents continue to accumulate and increase, and at the same time, gas is continuously produced, and this section of the intestine will expand more and more.

The patient will have obvious symptoms of intestinal obstruction!

In particular, the girl said that she had not exhausted or defecated in the past two days, and the possibility is greatly increased.

"Go for a CT first."

Zhang Qingquan gave the girl a checklist.

As long as the CT is out, the result will be clear.

"Okay, thank you doctor."

The girl's mother finished the checklist, thanked her repeatedly, and her father helped the girl out.

"Director Qin, what advice do you have?"

Zhang Qingquan raised his head and looked at Qin Feng.

"It's nothing, just come and have a look, you are busy first."

Qin Feng smiled, turned and left after speaking.

In the second consultation room, Han Xiaoxiao was receiving treatment, and there was no problem after a brief inspection.

For these veteran doctors in the emergency department, the basic diagnosis is sure.

Then he walked around the emergency room, looked at the daily emergency and first aid, and chatted with the head nurse for a while.

It has to be said that for a tertiary hospital of this level, both in terms of process specification and medical care level, it is quite high.

Coupled with Qin Feng's medical skills, it can be done in minutes.

It even made him feel a little relaxed~

'The emergency department of a big hospital is just fine! '

Qin Feng couldn't help sighing in his heart.