Medical road
Chapter 78:
Regional hospitals, whether they are top three or not top three, almost do basic work.When it comes to research, it is all clouds. I am busy going to outpatient clinics, writing medical records, and performing operations. There is no time for research.Besides, the conditions of primary hospitals are limited. Hospitals provide only spiritual support for personal research, and don't think about the rest.
Lao Hu had some insights on amoebic intestinal disease and published several papers, but due to limited conditions, the number of cases could not be increased, so he had to think about it himself, but his papers were often cited by others.He was also very proud of this.
This is also the sorrow of the Chinese medical community. As long as they can't get into hospitals above the provincial level, they will be skilled workers from then on, doing the same things year after year, day after day, without innovation.
It’s okay to study something, and come up with a result. If you fail, endless ridicule will surging. You won’t stop if you don’t drown you. Once you become accustomed to skilled labor, you will be safe. Say you, no one laughs at you.Therefore, the most capable doctors are elites, able to withstand pressure and ridicule.
The weather is getting hot slowly. The spring in Chasu City is very short. It is often spent in the rain and snow. Sometimes suddenly one day, you will find the peach blossoms.Zhang Fan went to work in the morning. As long as he didn't work overtime the night before, he would get up more than an hour early to go for a run.
Although there is systematic blessing, self-exercise is also very important. If a doctor is unhealthy, how can he go to others for treatment.After running two laps along the hospital, sweating and taking a shower, I was very energetic all day.
In Chasu City, ethnic minorities account for the majority. If you want to eat soy milk or fried dough sticks for breakfast, you have to go to the development zone far away.There are many Han people over there, and the breakfast around the hospital is either mutton buns or beef zygote, milk tea ghee, and the fat content is a bit high.
Zhang Fan bought a small electric rice cooker and cooked some porridge before running. It would be good to go back. To eat some Hanamaki, just pickles is very comfortable.Eating meat in the morning is really hard to digest.Zhang Fan usually goes to work half an hour in advance to read books.
As soon as I entered the hospital gate in the morning, I found a middle-aged woman, clutching her left chest and falling down with a bang.She was still holding a small child, about five or six years old. The child cried loudly: "Mom! Mom!" Although there was still half an hour before work, she was lucky enough to fall in the hospital.
Zhang Fan Sanbu ran to her with two steps, and at the same time two nurses also discovered the situation and hurried over.
Zhang Fan saw something wrong.There was a lot of fluid flowing from the jaws closed, and it was painful.Stroke your chest with your left hand.Zhang Fan yelled and stretched out his hand to touch the carotid artery, "Wake up, wake up, comrade!"
"Quick! Come help me level, you go to the cardiology department to call someone." Zhang Fan touched the carotid artery and found that the woman's pulse was no longer felt, and said to the nurse.After leveling the patient, Zhang Fan quickly cleaned up the residue in her mouth and kept breathing smooth.The preliminary judgment is cardiac arrest. The rescue time window for cardiac arrest is very short and it is too late to wait for someone.
The two nurses are students who come to the hospital for internship.One went to call someone, the other was at a loss.Zhang Fan knelt down and began to press on his chest, you quickly breathe in her mouth.
"I won't!" The little nurse said scaredly.
"God." Without paying attention to the saliva and foam from the corners of the patient's mouth, Zhang Fan gave an artificial respiration.The child next to him was out of breath crying."Please comfort the little child." The child was already very nervous, and the child cried so much, which made people irritable.
"You take care of the child." Zhang Fan said in time.In 4 to 5 minutes, if effective circulation is not achieved, patients with cardiac arrest will leave irreversible damage to the brain.If the time is longer, there will be no chance.The usual exercise and the blessing of the system made Zhang Fan's power output very even.
More and more people came over, and a few doctors came. Seeing this, they immediately helped Zhang Fan rescue. This patient was really lucky and Zhang Fan's rescue was effective.After a round of chest compressions, the pulse fluctuates.
The doctor in my heart also ran up carrying the first aid kit.When a more professional doctor arrived, Zhang Fan gave way.The child was tired of crying, lying in the arms of the little nurse, looking pitifully at his mother lying on the ground.
"Quickly, send to the emergency room, ventricular fibrillation, and stop suddenly. Come and help." After everyone helped lift the stretcher in the emergency department, the doctor in his heart took the patient away.
Zhang Fan's pants have become mud pants.It's too late to go back now.I found a tap and washed my mouth first.I couldn't take care of the emergency. I didn't have any gauze, so I just blew mouth to mouth.
It was about to get off work at noon, and the phone in my heart called, "Zhang Fan, did you rescue the sick number in the morning? Did you do artificial respiration?" Ren Li called the gastroenterology department.
The tone was stern, and Zhang Fan "cocked" in his heart. It wouldn't be an accident."It was me who came across at work in the morning and fell in front of me. When I touched it, the carotid artery had disappeared and it was too late to be sent to the emergency department. And I asked an intern nurse to inform the cardiology department. And rescued. The room was effective and carotid pulsations appeared within three minutes."
This kind of thing must be explained clearly at the time.If the rescue is successful, you should do it. If it fails or has sequelae, the hospital has to ask.If the family members are unreasonable, it will be very troublesome, but as a doctor, no matter how troublesome they are.
"Don't talk about this, you come here first, hurry up." Ren Li urged.
"What do you mean?" Zhang Fan was puzzled.No way, I hurried upstairs to the cardiology department.
"Director, are you looking for me?"
"Are your mouth or lips broken?"
"HIV?" Zhang Fan understood instantly.
"No, it's a strong HBV (hepatitis B) positive patient." Ren Li said while looking at Zhang Fan.
"It doesn't seem to be broken," Zhang Fan said involuntarily, touching his lips.After that, he ignored Ren Li, turned his head and ran. In the bathroom, Zhang Fan opened his mouth to see if his skin and mucous membranes were damaged.
Fortunately, it didn't break.Half an hour later, Zhang Fan with his swollen mouth came out.
Zhang Fan’s appearance, the doctor in his heart sympathizes with him, no one laughs at him, "I have reported to the hospital, go get some blood, and if necessary, go for hepatitis B immune globulin injection. We have just received a test. Single, you and the hospital will be notified as soon as possible.” Ren Li said.
"Is that person okay?" Zhang Fan's mouth did not break, and he was vaccinated on time, so he was not particularly worried.I have come to the cardiology department, so I just asked casually, otherwise my heart has always been a matter.
"The rescue is in time. I have been hospitalized for observation now, Zhang Fan, you are this!" Ren Li gave Zhang Fan a thumbs up while speaking.
"That's good, I'll go for a blood draw first." It's not Zhang Fan's big heart, it's a problem of professional ethics. I don't know the result of the sickness I dealt with, and I really think about it.
The hospital staff ran into Zhang Fan in the elevator.Several people guarded Zhang Fan to the laboratory like kidnapping.The result came out very quickly, and Zhang Fan's luck was not bad either, HbsAb (+).With antibodies, there is no need to proceed further.
The director of the Hospital Office patted Zhang Fan on the shoulder, "Boy, good-looking. The legs are not soft. I will take a few people there, I am afraid that you will be scared to leave." Although it is a joke, it is a joke. Helpless, outsiders can't experience it.