When Wu Ye hummed:

...

Alone at the top, the cold wind keeps blowing

...

How lonely it is to be invincible

How invincible is so empty

...

When I entered the operating room in the tenement building, I was stunned.

I was speechless for a long time.

There were no other patients in the operating room, and there was no tenement building at all.

Only Lin Dong and Yuan Aldehyde were left to clean up the final mess in Tanglou.

"Xiao Yuan, I'll leave the rest to you. I'll leave first."

"Okay, Dr. Lin."

Naturally, Yuan Aldehyde would be very willing to wipe Dr. Tang's butt.

Lin Dong saw Wu Ye standing not far away with a dull look on his face, sighed, walked over, and said softly: "Let's go, everyone has changed clothes and is sitting in the office."

"So, he also used laparoscopic surgery?"

Wu Ye said tremblingly, still a little unbelievable.

"No, conventional tension-free hernia repair."

"How is that possible!"

Wu Ye's mentality completely collapsed now.

...

...

[Ding, mission: Complete the first tension-free inguinal hernia repair in 90 minutes, completed. 5 gold coins will be awarded, and the card library will be refreshed]

Of course, Tanglou had already packed up and returned to the office. Ye Kai was already typing up the medical records of this surgery for him.

More than ten minutes later, Lin Dong also returned to the office. After him, Wu Ye also walked into the office dejectedly and returned to his seat.

Regarding the two hernia repair surgeries that were performed at the same time this morning, there were naturally a few insiders who looked at Wu Ye's condition and made some guesses. They all looked at the direction of the tenement building with great interest.

"It's amazing."

However, on the surface, naturally no one would reveal it. The person involved, Tang Lou, didn't seem to care at all, and everyone naturally didn't want to be troublesome.

Soon they were all involved in busy work.

...

In the afternoon, Fang Qing, the physician in charge of internal medicine, walked into the general surgery office carrying his wolfberry cup.

"Doctor Fang, what are you doing?"

Fang Qing held a medical record in his hand, his brows furrowed, and his already dark face became even more shiny.

"I'm looking for Qing Ping and Yan Ruoyun."

Dr. Fang got straight to the point. The general surgery office is very large, with various medical teams spread out everywhere. I could hear Fang’s clear and resonant voice.

Qingping happened to be in the office and stood up: "What's going on, I'm so anxious."

Yan Ruoyun from the other corner also walked over with some confusion.

"Let's go to the conference table to talk. Ma En, go help me take over the projection."

Because patients' diseases are often very comprehensive and involve multiple diseases, various departments often need consultation and collaborative problem solving.

Hearing what Fang Qing said, Ma En quickly stepped forward to take the information and ran to the conference table in the middle of the general surgery department.

Fang Qing drank several sips of tea in succession, feeling very worried. In the past few days, he had lost a few hairs due to worry.

Soon Ma En was ready to project.

"Doctor Qing, Dr. Yan, we have had several consultations with this patient in our department, but we have never been able to find the reason for the patient's unusually high fever and slow response."

"So, I came to you to see if it might be caused by some diseases in the surgical department. If you still can't find it, you can only see it again in other joint departments. If it doesn't work, you can only send it to a higher-level hospital."

However, Fang Qing didn't hold out much hope, after all, the patient's symptoms were all within the scope of internal medicine.

Qingping and Yan Ruoyun both nodded solemnly. For doctors, it is too common for doctors to fail to diagnose patients.

There are many people who die because they cannot find the cause and delay treatment.

After all, the human body is too complex, and there are so many possible causes of disease that it is really difficult to find out in a short time.

Fang Qing took another sip of tea, then swiped the computer to introduce the patient's information from the beginning:

Patient male: 68 years old

Brief medical history: The main complaint is "found that blood sugar has been elevated for more than one month."

The patient self-monitored his blood sugar 1 month ago and found that his blood sugar was elevated, above 8mmol/L on an empty stomach, and was not tested after meals. The treatment is unknown.

He came to our hospital 2 days ago due to upper abdominal discomfort. The fasting blood sugar test was 9.0+mmol/L and the glycated serum albumin was 20.0+%. He took metformin and glipizide tablets to control it. The self-tested blood sugar was still high, 13-14mmol after meals.

/L.

There was no obvious polyuria, dry mouth, blurred vision, or numbness of the hands and feet.

In the past two days, I had poor food and appetite, and felt that my upper abdomen was a little stretched, and my back was swollen. After applying Voltaren locally, my symptoms were slightly relieved.

The initial diagnosis was "type 2 diabetes" and he was admitted to the endocrinology department.

...

After reading this information, Qingping and Yan Ruoyun naturally had no clue. It was basically a symptom of diabetes.

Fang Qing continued to slide the computer and began to introduce the patient's past history:

The patient died of acute myocardial infarction 5 months ago in the Second Hospital of the City and underwent three-vessel coronary artery bypass surgery. After the operation, she took a long-term oral administration of aspirin, clopidogrel (Taijia), rosuvastatin calcium, and betalocpine tablets (

12.5mg bid).

An echocardiogram 2 days ago showed left heart enlargement, left ventricular wall segmental motion abnormalities, and ejection fraction 33%;

Electrocardiogram: sinus tachycardia, heart rate 101 beats/min, II, III, avF lead pathological Q wave, ST-T abnormality, V4-V6 lead ST-T abnormality;

Anteroposterior chest radiograph: thickening of bilateral lung textures, disappearance of left costophrenic angle, and left pleural reaction;

Routine blood count: white blood cells 15,000. Denied any history of hypertension, hyperlipidemia, or cerebrovascular disease. Denied any history of smoking or drinking. No history of drug allergies. No family history.

...

After reading this, Qing Ping and Yan Ruoyun looked unhappy, and the patient's physical condition could be said to be very poor.

Yan Ruoyun asked: "Where is the latest physical examination?"

Fang Qing paused and scrolled to the next page of information:

The patient was conscious, unresponsive, and had a relatively indifferent expression. His body temperature was 38.5°C, his breathing was 20 times/min, his blood pressure was 120/80mmHg, and his heart rate was 102 beats/min.

There are no yellow stains or bleeding points in the skin and mucous membranes of the whole body. An old surgical scar of about 18cm can be seen in the midline of the chest. A circular keyhole-like old surgical scar can be seen on both sides of the midline on the xiphoid process. There is no redness in the local skin.

, ulceration, hematoma, no fluctuation.

...

Fang Qing turned to the patient's auxiliary examination again:

Admission electrocardiogram: sinus tachycardia, heart rate 103 beats/min, II, III, avF leads pathological Q waves, ST-T abnormalities, V4-V6 leads ST-T abnormalities.

Urgent blood test: white blood cells 19,000, neutral rate percentage 90.4%, CRP 155. Coagulation: fibrinogen 753. Biochemistry: normal liver function, normal creatinine, urea nitrogen 7.2. TNI, MYO negative. BNP 1096. Urine routine

: Urine sugar 3+, ketone body 1+. Rapid blood sugar 17.6mmol/L.

...

Fang Qing also listed a lot with some depression: "We can only diagnose type 2 diabetes now?, diabetic ketosis??, coronary atherosclerotic heart disease?, old myocardial infarction, coronary artery bypass surgery?

, sinus tachycardia, large left heart border, cardiac function class II (NYHA classification).”

"However, these are still not enough to cause the patient's abnormally high body temperature and unresponsiveness."

Qingping and Yan Ruoyun also noticed numbness in the scalp. This patient was really sick all over his body. It is really difficult to find the cause of this systemic syndrome!

Yan Ruoyun flipped through the data again and analyzed: "The patient has too many diseases and too many interference items. The patient has had a previous myocardial infarction surgery... The increase in blood sugar cannot be said to be typical diabetes. He did not eat too much.

Polyuria, polydipsia, and loss of appetite.”

"The increase in white blood cells indicates inflammation. There must be a lesion somewhere that causes inflammation."

Qingping nodded and added: "I agree with Dr. Yan. There must be a lesion somewhere that causes inflammation and causes high temperature. The heart wound may be inflamed. A little yellow phlegm may be caused by lung inflammation. Loss of appetite, under the xiphoid process

Tenderness may also be an indication of inflammation of the digestive tract.”

After hearing this, Fang Qing also agreed, but the scope was still too broad and there were too many possibilities. If it was not possible, he could only check them one by one.
Chapter completed!