"Doctor Huang, the patient with chest trauma who was transferred from the Third Hospital of the City, had a two-sided chest tube unblocked, but the ventilator-assisted respiratory oxygen saturation was only 60% to 80%. I checked the chest X-ray, and the re-extension of both lungs was good, and there was no serious traumatic wet lungs. When dexamethasone was given, the blood oxygen did not improve." Chen Weiche encountered some problems, so he came to ask the teacher Huang Zihao for advice.

The patient had just transferred in the morning. When he was transferred in, he had already placed a bilateral closed chest drainage and tracheotomy, and the situation was still stable. After Huang Zihao prescribed the diagnosis and treatment plan, Chen Weiche kept following up. Unexpectedly, he encountered this problem. He used traditional Chinese medicine to diagnose it, but he could not find the cause at all.

Huang Zihao is 38 years old this year and is a new attending doctor. The hospital arranged for him to be Chen Weiche's teacher. When he saw that Chen Weiche was not only diligent in work, but also humble and studious, he was very happy. He immediately smiled and followed Chen Weiche toward the room where the patient was.

After carefully examining the data and patient's condition, Huang Zihao smiled and said to Chen Weiche: "You try changing to a thick tracheal intubation?"

"Ah~!" After Dr. Huang said this, Chen Weiche immediately understood and immediately changed to a slightly thicker trachea. At this time, an amazing scene happened. The patient's blood oxygen saturation suddenly soared to 98%!

Chen Weiche shook his head and smiled bitterly. It is true that wise people will make mistakes. It seems that they still lack experience in Western medicine. No wonder they can't diagnose it with traditional Chinese medicine. It turns out that the previous doctor neglected that the patient's airway pressure was too high.

Huang Zihao said: "I had encountered similar cases in another hospital before. At that time, I was a mechanical ventilation patient. The airway pressure of the ventilator was always high, and the patient's SPO2 was about 90%. I never understood what was going on. Later, after a senior doctor's guidance, I realized that the patient's neck was short, the tracheal intubation entered the bronchial tube, and it was immediately cured when it was pulled out a little bit! So, sometimes these unintentional small aspects often have a greater impact and cause greater harm to the patient. Details determine success or failure, and we must pay special attention."

Chen Weiche was very impressed and asked immediately: "How can we usually judge this situation accurately?"

Huang Zihao said: "This is hard to say, generally based on experience. For reference indicators, one is to listen to whether the bilateral breathing sound is symmetrical, and the other is to take regular breast radiographs on the bed to see if the position of the intubation is appropriate. It is usually about 3 cm away from the augmentation, and the diameter of the tracheal intubation should be estimated based on the patient's weight, etc.."

Chen Weiche expressed his education and after some thanks, he went to work hard on his own work.

Huang Zihao looked at Chen Weiche's back and thought to himself that this was a good seedling, and it was not as arrogant as the rumors, and he squeezed out his teacher. Before, when he came in, the director arranged for him to be Chen Weiche's teaching teacher. At that time, Liu Hongnan asked his friends to give him a blow, saying that Chen Weiche, a man who relied on his high level of traditional Chinese medicine, did not take the teacher seriously, and it was very difficult to teach.

Huang Zihao was originally skeptical, but after so many days of getting along, he knew that Chen Weiche was not only diligent in work but also very studious, so his impression of him changed greatly. Chen Weiche used magical acupuncture technology to save pregnancy. He had heard about the lives of women and children.

"Doctor Huang, the temperature of that old woman is still 38.5 degrees!" Mei Lingling came to Huang Zihao and reported the examination just now.

Huang Zihao couldn't help but frown slightly and pondered. The patient was an old lady in her seventies. She was admitted to the hospital for five days after having a fever. She had been in the temporary ward of the emergency department for many days. Her body temperature never subsided. The blood test routine, blood biochemistry, blood sedimentation, immune indicators, thyroid function, etc. were all normal. The anti-infection treatment was ineffective. What was going on?! He encountered a problem!

"You didn't check it wrong, are you?" Huang Zihao asked.

Mei Lingling said dissatisfiedly: "Of course not. I am also a qualified nurse. How could I make mistakes even if such a simple thing as checking my body temperature?"

Chen Weiche passed by and heard it, and his heart moved, but he couldn't say anything randomly. After walking a few steps, he quickly waved to Xiaosha: "Xiaosha, come here!"

Sha Yujuan immediately became happy, jumped over and trotted over, pretending to have a cute expression: "Brother Weiche, what's the matter with me?"

Chen Weiche approached her and whispered a few words. Sha Yujuan immediately expressed her understanding and lighted her head as if she was pecking at rice. After about half an hour, she took a thermometer and walked towards the old lady before.

"Old grandma, let me take your temperature, right?" Sha Yujuan walked over and said politely with a friendly smile.

"Ah? I just tested it!" The old lady was a little panicked, but she immediately calmed down and made an excuse to refuse, "No, no, little girl, I think you are very busy, why don't you go and do it! Don't worry about me, the bad old lady!"

When Chen Weiche saw it, his inference became more certain.

Sha Yujuan smiled and said, "It's okay, it's only a minute or two to measure the body temperature. It's a simple task and it won't delay much trouble!" He immediately wanted to help the old lady, pester her, act coquettishly, and coax her in various ways, making the old lady giggle.

The old lady refused, so she had to let her go. Sha Yujuan helped her take her temperature. After a while, she took out her thermometer and saw that it was 37.5! It was so normal that it could not be normal anymore! She looked at Chen Weiche suspiciously.

Chen Weiche came over and said with a smile: "Grandma Liu, your health has recovered. Why not let me inform the uncle and let him pick you up home!"

Grandma Liu immediately stopped doing it and shouted, "I won't go back, my illness has not yet recovered. I have a high fever every day!"

Chen Weiche said: "But Xiaosha helped you take your temperature just now, it's normal!"

Grandma Liu said: "She's not accurate in the test, that young nurse named Mei did well!"

"This is not necessarily true?" Chen Weiche smiled and said, "Why did I see someone secretly drinking hot water before?"

"Ah!" The old lady slapped her forehead and her face changed immediately, and she felt a little embarrassed!

It turned out that this smart old lady had figured out the approximate time when Mei Lingling helped her take her body temperature. Every time before the other party came, she would secretly drink a lot of hot water. Sometimes she would deliberately hide a small hot water bag in her armpits. Mei Lingling had a bad service attitude, was dirty and tired, and was reluctant to serve the elderly. She was basically perfunctory, so she was easily fooled by the old lady. The old lady was so happy.

Chen Weiche persuaded earnestly: "Grandma Liu, I know you have a quarrel with Uncle Dong and have a quarrel, but Uncle Dong really knows that he is wrong. He just chatted with me and said he shouldn't scold you. Look, you should be more generous and forgive me, right?"

Sha Yujuan also advised from the side: "Yes, Grandma Liu, you have been married for decades. Isn't it normal for a fight at the head of the bed and the end of the bed? Don't make things difficult for Mr. Dong! Moreover, our temporary ward in the emergency department is quite nervous. You have been here for a long time, and it's not easy for us to do it!"

Only then did she realize it and admire Chen Weiche very much.

At this time, the old lady's wife showed her head at the door of the ward. Chen Weiche hurriedly helped the old man in and let him sit next to the old lady's bed. The old lady snorted and turned her head away.

Chen Weiche quickly greeted Sha Yujuan and another staff member in the ward, signaling everyone to go out quickly and leave the space for the quarrel couple.

By the bedside, Mr. Dong touched his wife's hand warmly and said with a embarrassed smile: "Look at you, you are old husband and wife, and you are still making trouble, so you are laughing at the younger generation. Doctor Xiao Chen came to me just now and asked me if I had quarreled with you, and said you were pretending to be sick..."

"Hmph! I'm pretending to be sick, so what?" The old lady was very unhappy and pulled her hand back and said, "Are you admitting your mistake?"

"Okay, okay, I was wrong, I really realized that I was wrong. I promise not to scold you again and not beat you again. I will do all the housework. If I make a mistake, I will be brave enough to kneel on the washboard..." Mr. Dong made a series of promises, and finally made his wife burst into tears and laugh.

When the two of them helped each other out of the ward, there was already a large circle of people in the corridor and they applauded.

Mr. Dong's face turned red and said apologetically: "I have caused trouble for everyone these days! We will go and get discharged from the hospital immediately! In addition, I would like to thank Dr. Chen Weiche and Xiaoyao Sha for your special thanks! If it weren't for you, my wife and I wouldn't know when to make up."

Everyone laughed kindly and applauded to celebrate them. The old couple was very embarrassed, laughed, carrying bags, supporting each other, and leaving happily.

Attending physician Huang Zihao praised Chen Weiche and Sha Yujuan on the spot, without any shame because Chen Weiche solved the case he could not solve.

Then he said loudly: "This incident touched me a lot. Xiao Chen is indeed outstanding. He is better at communicating with patients than me! It seems that if you want to become a qualified doctor, medical skills alone are not enough, and there are still many aspects to learn. Chen Weiche is not my student this time, but my teacher. I want to thank him and learn from him!"

Chen Weiche said embarrassedly: "Doctor Huang, you are too rewarding. You are my teacher and I am your student. I will need you to give me more advice in the future!"

Huang Zihao said: "Everyone learns from each other!" He said in his heart that Chen Weiche cannot be treated as an ordinary student in the future.

It is because of this that the relationship between the two teachers and students became increasingly harmonious and became both teachers and friends, and it was said to be a good talk in the hospital, but this is all a story later.

Immediately afterwards, Nurse Liu also praised Sha Yujuan and affirmed her work. Du Jingyi was envious, but she and Sha Yujuan were friends and best friends, so she was only happy for her.

Sha Yujuan secretly said to Du Jingyi: "Jingyi, have you noticed that it seems that our good things are related to Brother Weiche!"

Du Jingyi glanced at Chen Weiche with a beautiful look and said in a low voice: "Yes, since we met him, we have been praised often, and was named an excellent nurse a few days ago!"

The crowd dispersed, but the head nurse called Mei Lingling and criticized her: "How did you take your body temperature? For so many days, all the tests were fake data!"

"I……"

"Don't explain to me. Be more upright in the future. Learn from Sha Yujuan and Du Jingyi more!" Nurse Liu said very unhappy. Mei Lingling was so embarrassed about this incident. The professional was fooled by the old lady, so that the attending physician could not find the cause of the disease. Although the attending physician also has a responsibility, your nurse is more responsible! The doctor was also misled by you!

"I have always been very optimistic about you and Luo Shuangshuang, but you have disappointed me in recent times!" Nurse Liu felt a little disappointed with these two confidants, and waved her sleeves to leave. Mei Lingling was embarrassed. As the head nurse, her face was also very bad.

Mei Lingling felt aggrieved and hated Sha Yujuan to death.

Luo Shuangshuang came over to comfort her and said, "Don't be angry! Didn't those two little fairies rely on Chen Weiche? Now they are becoming more and more arrogant!"

Mei Lingling said: "If this continues, they will sooner or later step on our heads!"

Luo Shuang's eyes rolled and said, "I thought of a way to punish them hard!"
Chapter completed!