Surgery

　　There are more and more family members at the door of the ICU. The loudspeaker in front of the door calls the family members of a certain bed from time to time, and soon I hear the crying from the ICU interview.

　　"The visiting time is eleven o'clock at noon. Can you enter two people and come and see Xiaohui later?" Chen Yanfang said.

　　"Yeah." Jing Xiaoran nodded, "I will accompany Xiaoxiao for a while, I will come over when the time is up."

　　Holding a bank card in his hand, Jing Xiaoran returned to the emergency ward.

　　In the ward, the doctor started rounds.

　　Xiaoxiao was awake, but still wearing a non-invasive ventilator, Jing's father and Jing's mother were all waiting by the hospital bed.

　　Dr. Cai, who is in charge of Xiaoxiao, is auscultating Xiaoxiao with a stethoscope.

　　He bowed slightly, squinted, and listened intently to the sound from the stethoscope.

　　Behind him were two young resident doctors, each with a diving stethoscope hanging around his neck, one of which was covered with pimples and looked young.

　　After the auscultation, Dr. Cai hung the stethoscope around his neck and wiped his hands with the hand beside the hospital bed. He pointed to the resident next to him and said: "You both come to auscultate, listen carefully to the heart."

　　"Then talk about the nature of the murmur. The heart murmur of this little patient is very typical. If you can hear it, then you will all encounter this kind of disease in the future."

　　In patients with congenital heart disease, according to different types, the normal auscultation sounds of the heart will change, which is called the pathological murmur of the heart. Usually, hearing a pathological murmur means changes in the structure of the heart, such as cardiomyopathy, valvular disease, and congenital heart disease.

　　Before modern instruments such as ultrasound were invented, doctors used to auscultate the murmur of the heart to determine the type of disease and make a diagnosis based on clinical symptoms.

　　However, with the continuous development of medical technology, ordinary ultrasound machines can diagnose various diseases including heart disease, and clinicians are increasingly ignoring these most basic skills.

　　However, the diagnosis of the machine will be biased, and even the results of ultrasound performed by different people will be different, so solid clinical basic skills are also very important.

　　A young resident doctor behind Dr. Cai hesitated. Seeing Dr. Cai's stern gaze, his body trembled. He immediately took out his stethoscope, half-bended, and slowly opened Xiaoxiao's coat, preparing to put the stethoscope close to the heart.

　　"Didn't your teacher teach you that you need to warm up the stethoscope with your hands before auscultation?"

　　Jing Xiaoran walked to the hospital bed, pulled Xiaoxiao's shirt down, and stared at the young resident doctor in front of him.

　　In county-level hospitals, doctors generally have a bachelor's degree or a junior college degree, while talents with higher degrees flow to the city-level tertiary hospitals.

　　As for the tertiary teaching hospitals in provincial capitals, the threshold is for graduate students, and some departments even only recruit Ph.Ds from overseas returnees.

　　"But it's summer, and I only need to warm up my stethoscope in winter." The resident doctor said hastily, "The probe of my stethoscope is not cold!"

　　"Really? Your teacher taught this way?" Jing Xiaoran glanced at Dr. Cai, wondering.

　　"Ah... this..." The resident doctor was speechless and at a loss, he didn't even dare to see Dr. Cai.

　　"Please do not hinder our family rounds. Are we a doctor or are you? What will you do and come to the hospital for treatment?"

　　Dr. Cai calmed his face, his face was full of impatience. They were most afraid of this kind of plausible family members. Knowing a little medical knowledge, they felt that they could command the doctor and judge the right or wrong of the doctor's behavior.

　　"Can I point out your mistakes?" Jing Xiaoran asked rhetorically.

　　He was worried about Xiaoxiao's physical condition, and simply reminded this sentence, could it become an obstruction to medical treatment?

　　"Have you not taken my sister's temperature?"

　　"Even if it is summer, the temperature of the stethoscope is definitely lower than the temperature of the human body."

　　"Doctor Cai, I want to ask you, am I wrong?"

　　Father Jing watched the situation wrong, and pulled at the corner of Jing Xiao Ran's clothes, and said in a low voice, "Xiao Ran, the doctors are also very busy. I'm hospitalized."

　　"Brother, it's okay, I'm not cold." Xiaoxiao said from the side.

　　She is afraid of her brother being angry, and even more afraid of her brother being angry because of herself.

　　Jing Xiaoran heard what Jing Fu and Xiaoxiao said, and understood that his mentality was out of balance.

　　He was so nervous that he magnified such a small matter infinitely, and he was a little reluctant.

　　At first glance, these two young hospitalized patients had just arrived in the clinic, and it was inevitable that they would make some mistakes.

　　Jing Xiaoran had encountered family members like himself in his previous life, and hated such family members the most. He did not expect to become such a person now.

　　"I'm sorry, I'm bothering you, please continue to investigate." Jing Xiaoran apologized, then sat beside Xiaoxiao's bed and stopped talking.

　　Dr. Cai looked a little better, and he motioned to the resident doctor to continue the physical examination.

　　The resident warmed up the stethoscope probe with his hand and gently placed it on Xiaoxiao's heart.

　　"The order of auscultation is wrong..."

　　Jing Xiaoran looked at the resident doctor's auscultation site and couldn't help but say.

　　Where are the graduated students? How come you don't even know the sequence of basic cardiac auscultation!

　　The common auscultation sequence with the inverted horoscope starts from the mitral valve area, to the pulmonary valve area, aortic valve area, the second aortic valve area, and finally the tricuspid valve area. These auscultation areas are connected to form an inverted horoscope.

　　But the resident put the stethoscope in the aortic auscultation area as soon as he got started, and it was not in the right place!

　　The stethoscope in the hands of the young resident was stagnant, and his heart was distressed. The college internships were all mixed up.

　　Today, when I came to study in the clinic for the first time, I met such a family member. What can he do?

　　It's still bitter in his heart!

　　What can he do? He can only continue the auscultation hard scalp, but the experience of this auscultation makes him unforgettable.

　　"The location of the auscultation is wrong!"

　　"The time for auscultation is too short!"

　　Doctor Cai had a sullen face on the side. At first he felt that Jing Xiaoran's mouth was broken, and he kept picking up faults.

　　But later he also felt that the level of this student was too bad, and he didn't bother to stop Jing Xiaoran.

　　"Forget it, go ahead." Jing Xiaoran felt that he still shouldn't watch them rounds, otherwise he would be able to spot countless faults.

　　He stood up, ready to leave.

　　"Brother, where are you going?" Xiaoxiao immediately grabbed Jing Xiaoran's hand.

　　"I'll go outside to make a call and be back soon." Jing Xiaoran smiled and patted Xiaoxiao's little hand.

　　"Brother, then you come back soon." Xiaoxiao whispered.

　　Jing Xiaoran walked out of the emergency department, and the pungent smell of disinfectant dissipated most of the time.

　　"Xiao Ran!" Father Jing followed Jing Xiaoran, "I'll go home first. You and your mother will be here to watch Xiaoxiao. I will bring you food at noon, and come here for you."

　　Father Jing's face was tired,

Because he has many part-time jobs for many years and often has to work overtime, he looks a lot older than people of the same age, his hands are full of calluses, and his body is slightly rickets.　　"Xiao Ran, why are you doing this?"

　　Jing Fu pointed to the emergency ward.

　　Jing Xiaoran understood what his father meant, and said with a smile: "Because of Xiaoxiao's illness, I have learned a lot by myself."

　　It is difficult for Jingfu to believe this argument, but there is no other reason to explain this.

　　"Dad, I borrowed money." Jing Xiaoran quickly turned off the subject, and took out the bank card from his pocket, "I just prepared to give it to you."

　　Father Jing didn't stretch out his hand and smiled slightly: "Xiao Ran, you can keep the money you earn from part-time jobs. Parents don't usually give you living expenses, and you have worked hard."

　　Since Jing Xiaoran entered junior high school, Jing's father and Jing's mother have hardly paid Jing Xiaoran's living expenses, let alone pocket money.

　　Jing Xiaoran inserted the bank card into Jing's father and said, "Dad, this is the money I borrowed."

　　"How many? Where did you borrow it?" Jing Fu frowned, holding a bank card, or a private bank, "You don't want to borrow money outside, right? Those who borrow online, Ligunli has no good end... "

　　"Dad!" Jing Xiaoran couldn't smile. "The source of dignity! It's not something that can be found in our country's "Criminal Law"!"

　　"How much?" Jingfu nodded, a little relieved.

　　"400000!"

　　"What? 400,000?" Jing's father tightened his hand holding the bank card. He thought there were only a few thousand, tens of thousands, but unexpectedly there were 400,000!

　　"Where did it come from?" Jingfu's face was uncertain.

　　"I went to the aunt to borrow it." Jing Xiaoran thought about it and answered truthfully. He didn't want to tell the truth, but if he didn't tell the truth, Jing's father and Jing's mother would definitely not dare to accept the bank card.

　　"Chen Yanfang?" Jing's father clenched his bank card tightly. "Why would he lend it to our house? Your mother and I have been there so many times! Every time we go back empty-handed."

　　Jing Xiaoran told Father Jing what happened on the dinner night, including what happened after Jing Hui was sent to the hospital, and the conversation with Chen Yanfang in the ICU today.

　　"They want a divorce?" Father Jing said, "Xiao Ran, do you count as breaking up their family?"

　　To some extent, what Jing Xiaoran said during the dinner was the fuse for their divorce.

　　"Dad, I want people to know it, unless I don't do anything. Even if I don't say it now, the uncle will show his feet sooner or later, and the aunt will ask for a divorce." Jing Xiaoran said.

　　Father Jing was still a little puzzled: "But how do you know these things about your uncle?"

　　"I know a friend in the Yanli Pavilion, the one I met during dinner last time, and she works at the Yanli Pavilion."

　　"That girl..." Only then did Jing's father believe in Jing Xiaoran's words, "I see."

　　"Well, dad, you can take care of the money. We don't take the money for nothing. We must pay it back, and we have to pay interest."

　　Jingfu nodded and accepted the bank card.

　　Since he can help Xiaoxiao, then he is not a hypocritical person, otherwise he would not let him borrow money after the relationship with Jing Weiguo's family froze.

　　"Xiao Ran, now that we have all the money, when Xiaoxiao's condition is stable, we will go to the city hospital for surgery." Father Jing showed a rare smile on his face, and the family was overwhelmed by Xiaoxiao's illness over the years.

　　Although Xiaoxiao's congenital heart disease is very common, as long as it involves heart surgery, it is not easy. Surgery of congenital heart disease requires cardiovascular surgery and intensive care unit, and the two departments must cooperate with each other.

　　However, the general county hospitals do not have cardiovascular surgery, and all patients need to go to the provincial tertiary hospitals for treatment.

　　"Dad, it happened that I had a friend in the hospital, and I asked him to help me contact the Cardiovascular Surgery Department of the City Hospital." Jing Xiaoran said.

　　"Good." Father Jing said gratifiedly, "After Xiaoxiao's surgery, our family will be fine."