Finally, director Liang didn''t have a clue. He didn''t even have to leave any image data. As long as he recalled the medical record, all the data would immediately appear in his mind.


    It''s simple, clear and clear. I can''t give a diagnosis of tuberculous pleural effusion. Mr. Wu can determine this by standing aside and watching for a while.


    This is the gap.


    Alas... Director Liang sent the patient to the respiratory department and sighed gently. I don''t know whether it''s because of misdiagnosis or because the hope of going to bajingzi hospital has become slim.


    When the mobile phone rings, director Liang connects absently.


    "Hello."


    "Director, the old patient is back."


    Director Liang had no choice but to smile bitterly. He didn''t have to say his name. He only mentioned the old patient in three words. He knew who the lower level doctor was talking about.


    It was a 53 year old man who drank a lot of alcohol for a long time, resulting in acute pancreatitis turning into chronic pancreatitis. He received endoscopic retrograde cholangiopancreatography (ERCP) and pancreatic duct stent implantation for 3 times.


    No matter how he was treated, no matter how hard he tried to persuade him every time he was hospitalized, the patient always didn''t take it seriously.


    As long as he leaves the hospital, he will continue to drink. There was even an early morning ward round when director Liang smelled a lot of alcohol on the patient.


    After the narration of the patient''s family in the same ward, he slipped out of the ward in the middle of the night and came back like this.


    Director Liang was angry at that time.


    During hospitalization, the patients were given primary care after operation and changed to secondary care three days after operation.


    According to the rules, the contents of secondary care include: 1. The acute symptoms disappear in the severe stage, and the patient''s condition is stable after major surgery, but he can''t take care of himself; 2. Elderly, frail or chronic patients; 3. After ordinary surgery or mild eclampsia.


    The requirements of nursing are: 1. Pay attention to observe the condition, observe the reaction and effect after special treatment or special medication, and patrol every 2h. 2. According to the condition, you can exercise slightly in bed or indoors. 3. Assist patients in morning and evening nursing. 4. Carry out health education and discharge guidance for different diseases.


    There is nothing that allows patients to leave the hospital without permission.


    But the fuck of medical rules and regulations is here - the patient has to go out to buy some daily necessities, and the nurse on duty can''t help it.


    All the rules and regulations are just the words of the hospital.


    The patient''s condition has been stable after operation. The purpose of hospitalization is to observe the changes of the condition every day and recover as soon as possible with drugs. At this time, patients are bored every day, and walking in the hospital has become a way of recreation.


    If the patient is not allowed to leave the ward, it is personal detention, which is an illegal act. As long as the patient complains, it is trouble.


    It is allowed to leave. Once something happens, the consequences will be more troublesome, and hospitals, doctors and nurses will pay a price for it.


    The difference lies in the size of the cost.


    Domestic affairs are like this, no accident, Hello, Hello, everyone. An accident is a pile of trouble.


    A few years ago, a patient in other hospitals in the province had to undergo thyroidectomy. He went to the small restaurant opposite the hospital to eat fried noodles the night before operation. When I was passing by, I was hit by a speeding car.


    Director Liang doesn''t know how to solve this shit in the end, but what he can be sure of is that there must be countless troubles.


    Therefore, after smelling the smell of alcohol on the patient, director Liang was furious and did an alcohol concentration test on the spot. When the urgent investigation results came back to prove the speculation, he immediately wanted to drive the patient out of the hospital.


    This is what a senior director must do, demining and carrying the pot. Take advantage of reasonable time to eliminate trouble.


    The patient also knew that he was afraid and begged for mercy in every way. Finally, director Liang let him go and was hospitalized for treatment. After 5 days, he was discharged smoothly.


    In the words of the northeast, such people are called wine masks, that is, they are alcohol dependent and can''t live without alcohol stimulation.


    So after that, the doctors and nurses in the ward described him as an old patient.


    This is drinking too much again. I don''t know how much I drink, and I don''t know whether it induces acute pancreatitis or chronic pancreatitis.


    Director Liang sighed. He was a little upset. Wouldn''t he drink less and make less trouble?!


    Although I was helpless, I still had to go back to see the patient.


    I had planned to brazenly go to Mr. Wu and ask myself if I could go to the new hospital in bajingzi under the banner of asking for diagnosis.


    Others are not optimistic about the newly established hospital, but director Liang''s views are gradually different from those of others.


    A general is incompetent and tired to death.


    Why can the gastroenterology department of the old director next door get down? It was not because he was eager to learn and make progress that he mastered ERCP technology for the first time, which opened up the situation from then on.


    The old director is also immersed in the cycle of contacts, people looking for him to see a doctor and doctors receiving patients.


    It''s not the old director of abdominal Fei, but to tell the truth.


    Replace it with a new hospital on the other side of bajingzi. As long as Mr. Wu doesn''t go, the hospital will certainly prosper.


    Even if you go, at least Mr. Wu will work for a few years. Otherwise, he would dig everyone up. The next year, he turned around and left... There was no such thing.


    Mr. Wu has a good reputation in China. Director Liang also wants to improve his skills during this period. Even if he resigns and goes to the South and hangs two gold lettered signboards of Concorde and Cambridge, his worth is different.


    It''s just... It''s a pity.


    Director Liang sighed.


    I hate it, but I still have to see the patient. As for Mr. Wu, the big deal is to go to his house to find him after work in the evening.


    Back to the endoscopy room, the inpatient general manager has completed the examination for the patient.


    Enhanced CT: pancreatic duct stent was placed, and the pancreatic duct was significantly dilated compared with the previous one; Ring scan ultrasonic Gastroscope: Pancreatic echo is thickened, pancreatic duct is dilated, no stent is found, so it is considered as chronic pancreatitis.


    Director Liang is in the ERCP room, standing beside the patient and looking at the image, he always thinks something is wrong.


    Is it Mr. Wu''s influence? Director Liang doesn''t know whether it is or not.


    Just now, a patient with tenderness in the gallbladder area may have inadvertently formed a dark cloud over his heart. Now he is still affected. No matter what judgment he makes, he subconsciously thinks about more possibilities.


    Director Liang shook his head and threw out his idea of misdiagnosis.


    But from the image, there is still something wrong.


    Director Liang couldn''t tell where it was. He looked at the image of ultrasonic gastroscope in doubt and fell into meditation.


    "Spyglassds, make a look." a voice floated from behind director Liang.


    "The equipment has just entered, and I''m not proficient in it." director Liang said subconsciously, but he was stunned as soon as he finished.


    That''s


    Teacher Wu''s voice


    When did he come?