bookmarkrole Chapter 166
Chapter 166
Chapter 166
Lin Feng didn’t want to pay attention to things on the Internet, because a lawyer would help him.
Lin Feng is preparing to report to Wu Zhengye, Director of Hepatobiliary Surgery,
“Hey, it’s lunch…”
“Forget it, let’s have lunch first…”
Then turned around and went to eat in the dining hall.
Wu Zhengye: “……………………”
Lift the table (╯‵□)╯︵┻━┻!
After lunch at noon, Lin Feng will give lectures to interns and doctors in the afternoon.
…
Attend class.
Teacher: Lin Feng
Students: interns and doctors in the hospital (more than 300 people in total)
Venue: Guipei Base (Meeting Room No. 10, City First Hospital)
In addition to ordinary regular trainees, more than a dozen attending physicians who were not at work also came to attend the class.
This is Lin Feng’s eleventh class.
(Points are awarded for classes, and points are required for promotion in the medical system)
As Lin Feng attends classes again and again, many people find that Lin Feng’s lectures are easier to listen to, easier to understand, and more rewarding. Therefore, after Lin Feng lectures, there will be attending physicians, and there are even some chief physicians.
This time, it was the first time that Lin Feng taught a new batch of interns.
Look around,
Without exception, his face was filled with a bit of astringent aura.
Adorable new breath~~~
Lin Feng lamented that time is not worth money. After a blink of an eye, Lin Feng has been in the First City Hospital for almost two years. Back then, he was the same as them.
“Today 917, let’s talk about shock…”
“Shock is a more dangerous clinical syndrome that is prone to appear in many operations and emergency situations. (It is not a disease).”
“The concept of shock: It is a systemic pathological process in which the effective circulating blood volume decreases due to various reasons and the tissue microcirculation perfusion is seriously insufficient, which leads to cell damage and serious disorders of the function and metabolism of various important organs.”
“Classification by cause: blood loss, trauma, burns, infection, sepsis, endotoxin, heart, allergies, neurogenic… (suffix all plus “sexual shock”)…”
After talking for more than ten minutes…
Start to enter the core:
“Shock, the natural method of treatment is-“rehydration”! ”
“The principle is: salt first, sugar, crystal first, glue…”
“First, the supplement of physiological saline…that is, the formula for supplementing sodium. The specific formula is: (140-serum sodium) x body weight x 60%…”
“but!”
“Students should remember that the formula for female rehydration is the last one to be replaced by 50%!”
Lin Feng is preparing to continue speaking…
“why?”
Suddenly another female intern suddenly raised her hand and looked at Lin Feng with a little anger.
Lin Feng was stunned for a moment: “???”
Female intern: “Why? There are fewer girls?”
Lin Feng smiled and said, “That’s because women’s muscles have a lot of water…”
Female intern: “No, I’m asking, why do you stipulate that women have less sodium supplementation than men!”
This female intern was full of doubts in her voice!
And with anger!
Staring at Lin Feng like an angry bull!
Lin Feng: “???”
What’s the meaning?
Lin Feng suddenly didn’t understand the meaning of the female intern.
The students were also at a loss.
They didn’t understand either.
At this time, the female interns continued to say angrily: “We women, why should you discriminate? Why should you be 10% less? Why are men not equal?”
Puff~~~
Then the whole audience spurted out a mouthful of old blood!
Everyone understands now!
f*ck!
This is the master of female boxing.
Lin Feng was also stunned!
What a brain!
Is this sexism when I am riding a horse?
Can this also rise to female boxing?
Wouldn’t it be legal to kill someone after seeing a doctor?
“What’s your name?” Lin Feng’s face quickly went cold.
“My name is Zhang Mengzhen…”
“good……”
Picked up the phone and made a call to the Medical Education Office and told the Medical Education Office what happened here.
Within 10 minutes…
Director Zhang of the Medical Education Department rushed to the classroom, his face black.
“Zhang Mengzhen, come out for me!”
Zhang Mengzhen also went out with a face of “unconvinced”.
“From now on, you won’t use it in the City No. 1 Hospital. I have already called your school…”
“I’m not convinced, I haven’t finished my internship!”
Zhang Mengzhen shouted angrily…
“Not convinced? Then you go to the school… Our first hospital in this city can’t tolerate your big Buddha…”
“Huh, is the City First Hospital great? I’ll go to other hospitals!”
“Haha~~~”
Director Zhang of the Medical Education Department looked at Zhang Mengzhen with a sneer.
With your mind, it is estimated that no hospital would dare to ask for you. It would be nice to graduate!
…
It was just an episode just now,
Lin Feng continued to attend class,
Finally, I talked about a summary of my own experience:
Regarding the various states of shock (aicc), how to correctly rehydrate?
·Under normal circumstances, both cvp (central venous pressure) and bp (blood pressure) are both low. At this time, fluids should be replenished quickly.
·If cvp is low and bp is normal, at this time, slow down proper rehydration.
·If the cvp is high and the bp is low, the rehydration may be overdone. Diuretics should be used to quickly output the fluid. It is also possible that the heart function is insufficiency, and a cardiotonic is needed.
· If the cvp is high and the bp is normal, it means that the blood vessels are constricted, and vasodilators should be used.
Explain the profound things in a simple way!
penetrating!
The students are attentive, experience +10+10+10+10+10…
…
Time seems to pass very fast,
In a flash, 2 hours passed,
The course is over!
The audience is smashing~~~~
There was a round of applause.
“Doctor Lin is amazing!”
“I don’t know why, Dr. Lin’s class is so easy to listen to!”
“I feel that I have mastered the various points of shock all at once.”
“Me too!”
Lin Feng bid farewell to many students and then returned to the hepatobiliary department.
…
the next day,
Lin Feng continues to work.
Just arrived at the hepatobiliary department, a young nurse stopped him.
“Doctor Lin…” (secretly looking at Lin Feng’s handsome face, full of joy)
“What’s the matter?” Lin Feng asked a question mark in his head.
Little nurse: “Dr. Lin, I’m Li Lizhen from the Department of Urology… It’s like this. Originally, Director Shen Qingyan had a unilateral nephrectomy today. Due to physical reasons, he could not perform the operation. The director would like to ask you to help with this operation. ……is it okay?”
Wu Zhengye, the director of the Hepatobiliary Department just now: “…”
Lin Feng: “………………”
Lin Feng was a bit speechless. He came to him for all major and minor matters. He didn’t believe that a hospital in this city couldn’t find a second chief physician who could perform unilateral nephrectomy.
Lin Feng: “Are there no other doctors?”
The little nurse explained: “That’s it. This operation is actually a demonstration and learning operation for interns and doctors Gui Pei. They also negotiated the conditions with the patients and signed an agreement… The director said Other doctors are not yet competent, so I can only find you.”
The little nurse stuck out her tongue and said that she was also following orders. Lin Feng couldn’t blame herself.
Lin Feng: “…well, are you ready for surgery?”
Little nurse: “Everything is ready.”
Lin Feng spread his hand to Director Wu Zhengye, meaning: Director, it’s not that I don’t want to stay in the hepatobiliary department, it’s because I am too busy…
Wu Zhengye waved helplessly: “Go…”
Lin Feng nodded: “Thank you Director!”
…
After spending more than half an hour, Lin Feng read all the patient’s information…
The basic situation of the patient is as follows:
·The patient is male, 47 years old.
·183cm, 220kg,
·Acquired obesity.
· One week ago, there was no obvious cause of right back pain for 10 days, and he was admitted to the outpatient clinic with “right kidney space-occupying lesions.” During the course of the illness, his spirit, physical strength, appetite, and sleep were normal, and there was no significant change in body weight.
· Accompanied by gross hematuria.
CT examination of the urinary system showed: right kidney tumor
·Surgery plan: After evaluation, kidney-sparing surgery cannot be used, and radical resection (total right kidney resection) is required.
·Surgery evaluation: Laparoscopic surgery cannot be used, and open (open) surgery is required.
Lin Feng was surprised!
More than 400 catties!
Only 170cm!
This is already super horrible fat, right?
This patient is really special!
…….