Medical road
Chapter 201 (Thanks to the boss: Shimura Bird)
Walking in standing, not going out on his knees, Zhang Fan leaned on a hard liver and gnawed down a book that shouldn't be transferred to a doctor to study.You have the strength to be respected, and you can work hard to make people support you.
The technical unit is relatively simple. Although some people have bad tempers, they are strong in technology, and others will not deliberately target them. If you try to change to an ideological unit, you will be allowed to hold your tail in minutes. In minutes someone will stand up and teach you how to be a man!
In the winter, when the snow was flying, Zhang Fan was out of department, endocrinology was finished, internal medicine had been transferred to three major departments, and his heart was nervous. After a night shift, Zhang Fan, who was new and new, really understood what it means to incite wind and fire. , One after another, the fragility of life was fully demonstrated in the cardiology department, and I also experienced the hardship of a doctor.
The breath is stuffy, cough!cough!cough!The lean old man, with a blue-purple face, endless spitting, greedily breathing a trace of oxygen entering his lungs.A flu, like a harvester in the autumn harvest, is an old man who cannot survive the cold winter by harvesting in pieces.
Digestion, an internal medicine department responsible for the most organs, is also a department that can witness the changes in life in China. Viral cirrhosis is slowly transitioning to alcoholic cirrhosis.The forging ahead elites from all walks of life eventually fell into the gastroenterology department because of all kinds of carelessness.
The next stop is a special department, ICU.ICU means the Intensive Intensive Nursing Department in Chinese. This is a department where the cost of nursing and medicine can be equal. You can imagine the hard work of doctors and nurses in this department.
The city hospital and the ICU are connected to the operating room. If there are major operations or critically ill patients, they are almost always sent here. This is also the most modern department. Although this discipline has only been developed for less than 30 years, the rate of increase is very obvious. The combination of modern advanced equipment combined with specialized treatment and care can really bring back some special patients. Then another relative problem also arises, cost!This department is also an extremely expensive department.
Upon entering the department, a variety of 24-hour monitoring equipment and one-to-one targeted care directly make the cost like running water. A patient spends more than 10,000 yuan a day in the ICU, which is considered mild in the ICU. patient.
There are not many doctors in the ICU department, and there are not many old doctors, because this department has been established in the hospital with the shortest time. It lacks foundation and cannot develop many, many technologies.
Director Lin Long, a very domineering name, is actually a short middle-aged man in his forties. He has a good temper and doesn't talk much.I often stand in the center of the department and whisper to the doctors and nurses in a low voice: "Be careful and be careful. This department is the last position of the hospital. If we can't hold onto it, there will be no hope for the patient!"
Because of the particularity of the patients in the department, doctors do not manage the patients individually, and all the patients are managed and treated uniformly.For example, if you are worth twenty-four hours today, you are the doctor in charge of all patients today.
What does the doctor in charge mean, that is, the medical records or death records of all the patients today. They are all yours when they are discharged and admitted. Doctors with bad luck have three deaths a day, two or three discharged and two or three admissions. Then congratulations. , I won the lottery, don’t think about going to bed for these twenty-four hours! If you encounter a critically ill patient who needs to be rescued again, you can congratulate you. After you get off work twenty-four hours, you still need another eight hours.
Labor law, labor union?No, in places like hospitals, these organizations are all foreign. I’ve heard that I’ve never seen it before. The biggest responsibility of the union is to give nurses a pair of durable flat white leather shoes on the Nurse’s Day, and give them some oil and noodles during the New Year. Sometimes when the hospital doctors and nurses get married, the chairman of the labor union represents the hospital to bless the new couple!This is its full responsibility.Overtime pay?Turn you back!Want human rights?Do you like to do it or not, the young graduate students who graduate every year line up and wait for their positions!
Zhang Fan was out of endocrinology. The medical department called early to discuss the next transfer. As Zhang Fan’s status continues to rise, now some small matters such as transfer, the deputy of the medical department management transfer The director has to discuss with Zhang Fan.
Because Zhang Fan’s situation is so special that the hospital has not encountered it for many years. A certain department needs to be transferred to a doctor because of lack of people to report. At this moment, Zhang Fan cannot be sent, because Zhang Fan may be caught that day. Pulled away for surgery.And now ordinary doctors dare not take Zhang Fan.
Zhang Fan gave a lecture on endocrinology for more than two hours. He directly set up a banner in internal medicine. He could teach for two hours in front of a group of schoolmasters. One can imagine how high Zhang Fan is, so now only Zhang Fan Pick the department, not Zhang Fan.
Zhang Fan doesn't care about that department. He has to transfer and study. Everyone is the same before and after. Anyway, he has to go in.The medical office chose for a long time, and finally chose a department with a relatively large number of transferred doctors.
The ICU is really a department that is always in the light. The lights in the ward are always on. There are seven fixed doctors in the department plus the director.More than twenty nurses.One by one young people, the nurses in this department really can't do anything when they are over thirty years old. It is really not easy to stay up late with children and old people.Therefore, the nurses in this department also lost the most. When they were at a certain age and couldn't change the department, they could only leave eclipsedly, as quietly as there had never been this person!
Although there is equal pay for equal work at present, there is a huge difference between the establishment and the establishment of the establishment. In the early years, the hospital would release some establishments to nurses every year. Now the establishment is becoming more expensive and expensive, and it will not release one for nursing care for several years.In the long run, the attractiveness of this industry will be lower and lower, as in the United States, almost all nursing care professionals are African Americans and Asians!Or wait for the advancement of technology and use robots instead.
Before Zhang Fan entered the department, he rested for three days. Because there have been too many things recently, first of all, Wang Yongyong’s re-examination will take a lot of time. This Zhang Fan must be checked by himself. The athlete’s body is too special. This is considered the first in sports medicine. First-hand information.
The surgeries in the surrounding counties must also be cleared up. Now the directors of surgery in the urban area are no longer competing with Zhang Fan.Zhang Fan has already ruined the market where he went.In the past, acupuncture was to fight for fame. Now, Zhang Fan’s share of the acupuncture needs to be solved first. Zhang Fan is young and can perform five or six operations a day when he is resting, but these famous directors can’t, and once the operation is over, Zhang Can the doctors in the county be unhappy if they pay dividends on the spot immediately?
Even if there is a system, the tense nerves have to take a break, otherwise it is really unbearable and too tired.Constantly operating, constantly learning to read, even if the robot is powered off and restarted, let alone a physical body.
After a three-day holiday and a weekend, Zhang Fan completely slept for a lazy sleep after finishing some work in the first two days. After two years, Zhang Fan slept for more than ten hours for the first time.
Shao Hua also rests on weekends, and Shao Hua suggests going skiing.There are many natural ski resorts in the city of Chasu, and it is said that a little modification can meet the standards of international competitions.The snow here is not man-made in the interior. The snow in the frontier is especially in the mountainous areas. There is no problem in filling up a small mountain in a winter.
It’s boring to go skiing. Shao Hua made appointments with Jia Suyue and Wang Yanan. Zhang Fan took Li Liang with him. Recently, Jia Suyue was in a bad mood. She eventually broke up with Le Jie and she was in a depressed mood. I want to take her to relax.
Wang Yanan is currently in the Department of Orthopedics. However, the Department of Orthopedics is naturally a semi-physical department, which makes Wang Yanan a little overwhelmed. She and Li Liang are not too close now.
The ski resort was a little far away from the city. Zhang Fan drove off with a few people. After hitting the road, several women started chatting and chatting, making Jia Suyue, who was depressed, temporarily forgetting the pain of losing love.
"Brother, is Boss Ma going to take any big action against the hospital?" Li Liang asked. He was very clear about the relationship between Zhang Fan and Boss Ma.
"You have a heart! The hospital is going to fill up some department personnel, and then slowly become a regular army. Boss Ma has a big heart." There are some things that Zhang Fan is not good at telling Li Liang.
"Zhang Fan, when will you decide your subject? This time your practice results will come out soon. I guess there are many people who want to enter the orthopedics department, and several graduate students will also be around the director a day. I can't get in, after all, the department just counts places." Wang Yanan said to Zhang Fan.
"Okay, I'll take care of it." Zhang Fan didn't care about this at all, but the girl was kind.
With laughter and laughter along the way, I unconsciously arrived at the ski resort in the mountainous area. The ski resort in the frontier town is very simple. It is to build an electric hoist to transport tourists on a thick snowy slope, and then divide some areas around it. Recruitment Some herders who spend the winter in winter nests act as coaches and employees, and then prop up a large tent at the foot of the mountain, with three hundred large chickens, and they can make a small fortune in one winter.
This kind of investment is not big, and the returns are considerable, and because it is in the mountainous area, it can escape the supervision of some government units. This kind of business will never be supervised when it is small. As long as it is big, there will be various supervision units to supervise it. It's hard to say bad, but at least this kind of supervision unit can make this kind of institutional facilities more complete and safer.
Frontier people, as long as they are younger, are almost all skiers. There are too many natural snow fields, and various ice skates and sledges are popular in winter.They have grown up in Xuewozi since childhood, and they are comfortable with this kind of sport.
But Zhang Fan couldn't. Although he grew up in the northwest, his hometown didn't have such a big snow, and it was the first time to ski. He didn't dare to climb to the top of the mountain and slide down like a few others.Zhang Fan chose halfway up the mountain and slid slowly.
Looking at the easy and chic exercise, it's not the same to get started. Zhang Fan can be regarded as rolling down from the middle of the mountain, and then he changed the sled and never went skating again. It was too shameful.Many girls who have just started elementary school are better at skating than him.
Zhang Fan simply became a photographer, taking pictures of several people.Shao Hua saw that Zhang Fan was not skating anymore, she also changed the sled to accompany Zhang Fan, "Go and play, I have no love for this, and finally come out. Don't make you upset because of me."
"No, I'm very happy to be by your side." As soon as he said that, Zhang Fan couldn't help holding the girl in his arms.
"Let go of me, others have seen it! I hate it!" Shao Hua's face flushed with cold, Zhang Fan really wanted to take a bite!
There are many people, hundreds of people.There are a lot of masters, and there are also a lot of children. Many children slide down the mountain on car tires, screaming with joy.Zhang Fan can only play this at his current level. Those who can slip the tires are all small dolls, and he can't hold back his face to play!
At this moment, the running winch stopped with a "bang!" sound. Many people standing on it were thrown down. They wear a lot in winter, and they are wearing sleds. They can't get up for a while. Time cried and cried.
The slope is not small, and the width of the hoist is not large. It is not easy to rescue if you want to go to the rescue. Moreover, a woman in the engine room next to the hoist ran out crying: "Help! Help! Bayin was electrocuted. Come! Come on!"
Bayin was a temporary electrician in this venue. Because he had not received professional training, he was shocked because of improper operation. Zhang Fan hurriedly went to the machine room. Some young people in the crowd on the hoist were slowly getting up. , One after another helped the people around him.
"Where is the power supply? Where is the main power supply? Cut off the power!" Zhang Fan shouted as he ran.
There are a lot of electric shock patients every year. In this kind of rescue, the power supply should be cut off first, or the rescued person should be removed from the electric field with an insulating object, otherwise the person may not be rescued, and he himself will be shocked.
This electric shock injury is particularly complicated. The degree of damage is closely related to the voltage level, the type of current, the current intensity, the frequency level, the length of the electric shock, the path through which the current passes, and the ambient weather conditions.The low-frequency alternating current in ordinary households is particularly easy to cause ventricular fibrillation, which is extremely harmful, so the power supply must be managed well.
Every year, the power system organizes professional personnel to conduct regular emergency training for the personnel in the system.Over the years, the power system has finally surpassed the hospital in electric shock first aid.Because in the hospital, only the emergency department and other relevant departments can provide professional, rapid and correct rescue.
This rescue does not only refer to the rescue of the human body, but is based on the targeted rescue of the environment, so especially if someone is shocked, if you are not sure whether there is still electricity, personnel without formal training must not go rashly Help!
Zhang Fan screamed as he ran, and the person in charge of the ski resort in the distance may also shout loudly: "The power has been cut off! The power has been cut off!"
Zhang Fan ran towards the computer room, and Shao Hua also followed Zhang Fan.She didn't worry about Zhang Fan. Although she didn't understand this first aid, how could an undergraduate not know the danger of leakage? Zhang Fan had already run away and couldn't help it.People are selfish after all!There is nothing wrong with subconsciously protecting your sweetheart.
But Zhang Fan's profession can't make him shrink. If Zhang Fan is not a doctor today, he doesn't need to go to the rescue, he can definitely say the past.But as a doctor, the patient is in danger and needs professional first aid. If you don't stand up at this time, then the title of doctor really doesn't deserve the title.
Yes, the society now has a lot of criticism against doctors, but after all, this is a very small part. After all, doctors are respected, and they cannot be denied because of some people.
Zhang Fan ran hard. Running in the snow is really troublesome. One foot is deep and one foot is only two hundred meters away. Zhang Fan has fallen down several times and can no longer take care of it. He has seen a woman holding an electrician. Crying.
The branch pierced his hands and the snow entered his boots. Zhang Fan crawled around and ran to the patient in embarrassment. He breathlessly said to the woman: "Quick! Quickly level him!"
"Yeah!" The woman still didn't react in sorrow.
"Fangping! I want to rescue him, I am a doctor."
"Oh! Doctor, doctor, save him!" The woman who flattened the man looked at Zhang Fan and cried out in tears.
"Shut up!" Zhang Fan was anxious to death, so there was no time to explain to her.
When Li Liang and Wang Yanan in the distance saw Zhang Fan running towards the computer room, the two hurried to help.After all, Li Liang is a man. After a while, Wang Yanan was left behind. To save people is to fight for the lost time. How can he take care of the others.
This kind of first aid must place the patient on a flat ground or equipment, because the cardiopulmonary resuscitation has a very large amplitude, with a undulation of about five centimeters up and down. This kind of rescue often breaks the ribs and makes the patient not flat. A rib pierced into the lungs accidentally, which made a critically ill patient worse.
"Call now." Zhang Fan knelt beside the patient while doing external compressions while shouting to Shao Hua who was running from a distance.
Zhang Fan's tone was very hurried, and even with Shao Hua he was nervous. This is the lover, connected by love. Although Shao Hua doesn't understand how dangerous this patient is, she can hear Zhang Fan's tone of anxiety.
"No signal!" Shao Hua shouted to Zhang Fan with a cry.
"I'm going!" Zhang Fan was dashed.
This person’s right hand is electrocuted, and his right hand has turned black, especially the middle finger of his right hand is already carbonized. In this place, only simple cardiopulmonary resuscitation can be done. It is really called daily refusal and the ground is not working. Safety regulations are not a trifle!
"How is it?" Li Liang surpassed Shao Hua and ran to Zhang Fan. He was also panting.
"First, CPR, thirty to two, I press first, and then we change it!" Zhang Fan pressed quickly.
Cardiopulmonary resuscitation is really a very physically demanding activity. To maintain speed and depth, it must also maintain a certain frequency. This kind of thing is generally impossible for young people to do, but young people usually rush up. , She!!!Three times, boring.
Therefore, formal training is still necessary. If some young people are trained in routine cardiopulmonary resuscitation every year, it should be able to rescue many people who should have hoped to survive.