Medical road
Chapter 66:
The work of internal medicine has begun. In internal medicine, we must first be able to stay calm. What is meant by being able to sit still.In the morning, check the ward rounds, look at the reported laboratory test sheets, modify the doctor's orders, and open new test sheets.
Sit at the computer and type most of the day.From time to time I have to look through the book.If necessary, discuss it with other doctors.The cardiology department also has an additional treatment method, intervention.Very time-consuming and energy-consuming.
The intervention of the city hospital really made a few women support it.Under the pressure of Lao Huang, he developed abruptly. After Ouyang came to power, he received strong support and recruited many new doctors.
Ren Li no longer intervenes. The new doctor has already taken over. She has been fighting for a few years, and she has eaten too much radiation, and the white blood cells can't get up.I usually guide everyone behind the lead board.
Zhang Fan’s teacher, Ye Jing, would never intervene. Radiation is harmful. Although there is protection, it is always harmful. She directly rejected the director’s proposal.
Just be an ordinary bedside doctor and don't want to go to further education.If you have a sick number, you can see it, but if you can't see it, you can find a superior doctor.Anyway, there are higher-level doctors in the department, and the patients who can't handle it will be passed to others.
But her advantage is meticulous, as long as she manages the number of patients, there is usually no problem.What the higher-level doctor said, how she did it, was not out of line at all, and had no idea of her own.
She has a happy life, unlike the busy dogs of other doctors.If you don't fight or grab, you can be considered a good person in the department.If you have a sick number, you can manage it, and you don't want to fight if you don't have a sick number.
Her husband's income is pretty good, and there is no pressure at home.She doesn't have to think about more money and less money.More can be better, less can be achieved, and no desire is more rigid.He is a hidden person in the department.Do not call her if there is an emergency.She is also happy.
She currently has seven patients, all of whom are relatively stable.Conventional treatment is fine, and special care is not needed.Of course she would be happy to have someone write the case for her.
After work, she left, and Zhang Fan had to write the course of the illness and paste the test sheet.Sometimes I have to help other doctors to get an ECG or something.
Today is Ye Jing's twenty-four hours. During the day, Zhang Fan was very agile. The course of the disease was recorded, the test sheets that should be pasted were pasted, and the examinations to be opened were also opened.
After the other doctors got off work in the evening, Ye Jing took Zhang Fan for the rounds first. When the other doctors left, those with a critically ill number had already greeted her.
But three rounds a day is a dead rule.In the internal medicine department, those who live with old patients are very clear about the treatment procedures, and some patients are better than the transferred doctor.There should be one less round of ward rounds and go to the duty room every minute to find a doctor.
After checking the room, Ye Jing began to frown. Zhang Fan was not very good at internal medicine, but he also noticed that several cases were not well.
The number of patients in the cardiology department is told by the minute.If a treatment is improper or delayed, the patient may not have a chance.
In addition, there are many accidents in the cardiology department. A person who was good at first suddenly had atrial fibrillation and angina pectoris. Before the doctor arrived in the ward, the person was gone.There are many such things.
Therefore, doctors who work in the heart must have a strong heart and neat legs.Must be able to withstand stress and run fast.
Ye Jing frowned and said, "I can't be stable again today, this class is not easy." Anyway, the old doctor with more than ten years still has some vision experience.
Zhang Fan didn't work. He didn't go to the internal medicine department during the internship.After work, I didn't transfer to the internal medicine department, and the system did not open the internal medicine department.So a little at a loss.
"Really! Then stop sleeping." Zhang Fan said innocently.
Ye Jing turned her head and smiled bitterly and said to Zhang Fan: "If it can be solved without sleeping, then it's not a big problem. I really regret it. I was naive and ignorant, so I chose cardiology. It's really terrible."
"It's too late to regret now." Zhang Fan thought with his mouth closed.
Ye Jingren is still grand, buying food and water for Zhang Fan.All this is to win over Zhang Fan, write medical records, paste laboratory test reports, deal with hospitalization and discharge, and other things she doesn't have to do.
"Xiao Zhang, where's your home. Are there any targets?" Zhang Fan was writing medical records, she was fine, just gossiping nearby.
"Simply. No object yet."
"Oh, are you used to coming to the frontier? Didn't you talk about someone in college? I think the newcomers are all in pairs. The last time I came to transfer, it was a couple who came to our department."
"It's okay." Zhang Fan was speechless, and the woman was too gossip.
"I heard that you have ordered the department, the department of surgery. Your surgery is good, and you will be fine after surgery. It is chic every day."
This is too unprofessional, the top three surgeons are chic?Is that the director or retired?
Zhang Fan said helplessly, "It's almost the same. It's also very busy. There are many operations, and sometimes I don't have to eat."
"What? I saw that your surgeon has a meal almost every day. I often go to sing. I have seen it several times, from our hospital's surgeon." Not to mention that she went to sing and eat by herself, but also said that others, hey!
"Really, I didn't know when I first came." Zhang Fan was really speechless and didn't dare to say any more. This woman talked too much to death.
"I'll know when you are in the department. Internal medicine is really bad. There are a lot of things in the women's pile. You wear a beautiful dress and people make irresponsible remarks. It's very annoying."
"Oh." Zhang Fan also planned to finish writing the medical records earlier and read the internal medicine book. Ye Jing kept chattering. He couldn't calm down, and he made several mistakes.
Finally, after twelve o'clock, she went to wash.Zhang Fan's ears are clean, and there are three other records of his illness.
Ye Jing was sleeping in the doctor's duty room, and Zhang Fan couldn't go to the duty room to sleep.Moreover, the internal medicine wards were full, and there were no empty wards to sleep in, and she didn't tell Zhang Fan to go back.
When Zhang Fan was hesitating what to do, the nurse ran in."Hurry up, five beds are gone. Where's Doctor Ye."
"Duty room."
"You go shout, hurry up."
After speaking, the nurse ran into the ward.There are three night nurses, and if the doctor hasn't transferred, only one.
Zhang Fan hurriedly ran to the door of the duty room and shouted, "Doctor Ye, the five beds are dead, and the nurse is calling."
Cang Dang!With a cry, I didn't know what had fallen on the ground, and Ye Jing's disheveled hair came out. He ran and said, "I knew it, I knew it, it's absolutely uneasy today. Go and push the bedside ECG."
When Zhang Fan ran to the ward with his ECG, Ye Jing had already started doing chest compressions, panting, and said: "Come on, I can't press anymore. I will do the ECG."
The chest compression needs to be pressed down by 5 cm, 100 times a minute, and the body cannot be pressed even if it is not pressed.Rib fractures are the most common complication of chest compressions.How strong is it.
Zhang Fan quickly took Ye Jing and started chest compressions."Cardiotonic, static push. Maximum dose, fast."
The family members were kicked out and looked inside through the glass at the door. Five beds were an old man in his sixties.The old lady was already bursting into tears outside, and several children supported the old man, looking forward to the doctor in the ward.
drop!drop!drop!The bedside monitor started to alarm and the heartbeat curve began to level out.
"It's useless. Pull the final ECG. Stop the rescue." Ye Jing stopped and said to Zhang Fan.
He left the ward slowly, and there was nothing left to say. The status of the patient's number had already been confessed to his family members, and he might die at any time.
Just sitting down for a few minutes.The nurse came again, "Nine beds!" Then turned around and ran.Zhang Fan pushed the ECG machine and ran with Ye Jing.
"Nurse! Nurse! Come on. My mother seems to be out of order. Hurry up." The family member of the twenty-three bed shouted.
"You go to the twenty-three bed first, and I'll go to the nine bed. First make an electrocardiogram. Keep the drawings." Ye Jing told Zhang Fan.
Just as they rescued the 23rd and 9th beds, the 18th bed was in trouble again.Zhang Fan didn't even have time to do an electrocardiogram, and he was gone.One night, I was busy till dawn, and left four at once.
Before taking a breath, we will discuss the death record in the morning.Write medical records quickly.Complete rescue records.
In this way, it was too late to mourn the spring and autumn, Zhang Fan spent the first 24 hours in his heart.