Medical road

Modern conveniences, 24-hour supermarkets, restaurants, and street lights that are always bright at night all reflect the advantages of a modern country.

In the countryside, the construction of a large number of paved roads made the sunny days all covered with soil and rainy days all covered in mud become a thing of the past.The highway extends in all directions, hundreds of kilometers between counties and cities, and 120 fast speeds!

The speed limit on highways is not restricted for this special vehicle. The ambulances that the state subsidizes to county and township hospitals are well-equipped and high-quality!Some large ambulances can directly provide a mobile platform for emergency operations.

I entered the city hospital directly in forty minutes, at this speed!As a result, the three men on horseback got sick!A strong man like a mountain, throw up!The white-flowered milk spit out a car, blending with the semi-fermented smell, and the heating in the car so smoked, the emergency nurse's nose was almost twisted!

During the Spring Festival, the land of China is like a train suddenly entering the slow lane. The pace of running suddenly slows down. Supermarkets are closed, restaurants are closed, and the government has sealed them. Every household is immersed in a happy and peaceful holiday atmosphere.

On the third day of the junior high school, Zhang Fan was on duty for twenty-four hours.However, there is overtime pay on duty these days!And double the overtime pay, triple?Just talk, you take it seriously!

People come and go in the usual hospital.At this time, patients are extremely rare, and the doctors are all taking turns to rest.The outpatient department stopped, and the routine operation stopped, but the yellow light in the emergency department was always shining.

A platform in front of the emergency department has a special device for sending patient numbers by ambulance.A harsh whining sound came from far and near. The doctors and nurses in the emergency department were having lunch. Hearing the sound, it was like a meeting number. At the same time, they had put down their chopsticks, put on their hats and masks to welcome the arrival. Of patients.

Other industries are not clear, but in this medical industry, a dean and a department director are very important.Yes, the country is vigorously supporting development, but if there is a problem with the idea of ​​the leader, then the money will be spent a lot, but the effect is hard to say.

A hospital and a department are inseparable from the joint struggle of the department staff, but if you choose the wrong path, then even if it is not in vain, it is a long journey.

The emergency department of a large hospital is directly a treatment center integrating diagnosis and treatment. Some emergency operations are directly handled in the emergency department.Under the leadership of a powerful department director, he can directly monopolize some operations in trauma surgery and general surgery.

But the director of the emergency department of the city hospital was born in pediatrics. Because there was no one in the emergency department, she could not compete for the director of the pediatrics department. The pediatrics department was a small general department, so it was arranged to the emergency department. In internal medicine, there are few professional pediatric surgeons.

This is the shortcomings of the old-fashioned doctors. They have not been fully developed. Although they are in the emergency department, their thinking has not been separated from the pediatrics.The state vigorously supports the development of emergency department, but the emergency department of the city hospital has not carried out surgery. The biggest surgical operation that can be performed is sutures. If the wound is too large or deep, it will be sent directly to the relevant department. The efficiency of the emergency department will not be used. high.

The only distinctive diagnosis and treatment is gastric lavage. After drinking pesticides before 1990, there is no need to go to the hospital anymore. It's useless!Because the pesticides at the time were all potent pesticides, such as the familiar dichlorvos, one sip is just three steps!There is no time to rescue.

In recent years, the control of pesticides has been slightly better.To be honest, drinking this kind of pesticide now makes it particularly uncomfortable to live without death.Pulling into the hospital is gastric lavage.

If it is a pesticide that is weakly acidic or does not react with alkali, it is very painful.Soapy water!The soapy water used in hospitals is not tall, it is the kind of soap used by ordinary people to wash clothes. After dissolving, it is poured directly into the stomach, a large amount is poured, and then it induces vomiting, strong vomiting, and gallbladder You spit it out.Stomach lavage and enema, one set down, is as uncomfortable as punishment.

But there are also benefits. Generally, housewives drink pesticides. If they are rescued once, they will never drink pesticides again. This gastric lavage will make you never want to see soap again in your life!

Ake was sent to the emergency department, and the blood test in the emergency department showed no obvious abnormalities, because the disease has been treated in the county hospital, and the disease, especially abdominal disease, is very similar. If the laboratory examination does not have a typical test positive, it is really bad judgment.

A disease, a rare and atypical disease, can be diagnosed by a doctor at a glance. Either the doctor has recently seen similar patients, or he has had it himself!At the very least, this doctor is really good.It takes time for ordinary doctors to diagnose and treat diseases.

Relying on symptoms and many diseases with similar symptoms, laboratory tests, such as the current fever, taking antibiotics at home, and infusing antibiotics in lower-level hospitals, directly interfere with the course of the disease. If there is no clinical experience, even a postdoctoral doctor will follow Textbooks, not to mention a clear diagnosis.

This is the case with Ake now!There are big tricks in the emergency department. Laboratory examinations are not typical, so you can directly enlarge the recruitment. Anyway, I don’t know that it is a disease in that department, so I can consult directly!

During the Spring Festival holiday, the bosses in the department are not on duty, unless the department is too small to rotate the staff.The emergency department called for consultation, and all the young doctors came!Moreover, during the three days of the Spring Festival, the general department is not an old doctor on duty. Who makes you young and unqualified? Just keep going.

Respiratory department and general surgery department could not say anything about the disease for a long time. Physical examination found that there was a spot on her body, and her fever was 40 degrees Celsius, but her pulse and blood pressure were normal.This makes it difficult for a few young doctors, what kind of disease is this?Other inspections at the meeting will not come out.

How to do?Simple, expand the scope of consultation!~ Anyway, during the Spring Festival, idleness is also idleness. We are so busy that doctors in other departments can't be idle. Come on, let's discuss it together!In the absence of big brothers, the young generation of hospitals gathered in the emergency department.

Not to mention Huaguo's high-end medical care, but it is very effective in controlling infectious diseases. Some young doctors have only seen them in books, but they are all the most classic and typical cases selected in the books. In reality, they have not seen real medical records. Yes, it is impossible to recognize and diagnose, and it cannot be treated if the diagnosis is not clear.Moreover, this disease is very simple, but people are a complex, and there are too many similar diseases. With the current medical level, many diseases cannot be diagnosed clearly, which is a symptomatic treatment.

And why do we say that this infectious disease should be strictly controlled?

Talk about the most severe infectious disease, cholera!Grade A infectious disease and plague are side-by-side diseases. How dangerous is this disease? It is caused by a special bacteria. This bacteria is too powerful. When ordinary bacteria enter the stomach, they are killed by gastric acid, while Vibrio cholerae Not afraid.

It enters the intestines directly after passing through the stomach, and then directly causes intestinal cramps, directly causing severe diarrhea and vomiting of the sick person. How violent, it is very direct and direct, it is jet-like vomiting, just like a goddess scattered flowers. Ejection, vomit is still intestinal stuff!Unlike normal vomiting, it is stomach contents.

Diarrhea, severe diarrhea, severe diarrhea that can't be controlled directly, exaggeratedly said that this kind of patient is directly with a bucket next to the bed for vomiting, and then there is also a bucket under the buttocks!Double barrel!At the end of the pull, the water that was pulled out was exactly the same as the water that washed the rice.This is the fluid inside the body!

In this way, I can't feel its power.It is very powerful. To what extent can a cholera patient be dehydrated in one day? A person who weighs two hundred catties can have diarrhea directly to less than one hundred catties!It is directly that the cross talk actor Sun Yueneng became Gong Hanlin within a day of vomiting and diarrhea!

Is it scary? What's even more terrifying is that there is no effective medicine for this disease. Simply put, even if you get to the hospital, you will only be given fluids, a lot of fast fluids, competitions, and see who is strong in the end. Hopeless.The rest is up to you, come over and count your fate!Can't make it, directly cremated, you will not even see the last side of the family!~

The scary thing is that this disease is very spreading. Once a case occurs in an area, the water source must be controlled first.Because this bacterium can quickly pollute water sources, it is spread through diet and cannot be properly controlled. One infection is a large area, and one death is also a large area.This is the horror of infectious diseases!

The Department of Infectious Diseases is a separate department, but medical knowledge is related. Zhang Fan has a habit. After entering the department, he will first check the liver disease in this department. Regardless of whether the system is turned on or not, he must be treated again. This is one The process of reviewing the past and knowing the new, this kind of effort, if he does not make his head, God cannot tolerate it!

Of course, Zhang Fan had to go to the emergency department to expand the scope of consultation. Zhang Fan was the furthest away from the infectious department, and Zhang Fan was the latest.The young doctors rushed to say, but no one can be diagnosed.

"Come on, let's take a look at Director Zhang." A new graduate student this year, I don't know whether he is praising Zhang Fan or deliberately embarrassing Zhang Fan. Anyway, it is a bit unnatural and envy and jealous. !

The current Zhang Fan really doesn't care about them, because he himself knows that it's not a level, so there's no meaning to care about it.Not all doctors have this mentality. There are hundreds of people of all kinds, and Zhang Fan didn't pay attention to him.

"Brother Zhang, you can see! The respiratory department does not accept, nor does the digestion department accept, but this person is burned like this, the emergency department can't help it. If it doesn't work, I will call the director!" Xiao Li in the emergency department took the medical record Quickly handed it to Zhang Fan.

Zhang Fan looked at the temperature and the vital signs recorded by the nurse. Then he pulled Ake's clothes away, with one hand on his pulse, and the other opened Ake's clothes and looked at Ake's chest.

In just thirty seconds, in just thirty seconds, Zhang Fan said to Xiao Li: "Report to the Health Bureau! This is an infectious disease!" This sentence made other doctors three steps away involuntarily in an instant!

"Really, don't talk nonsense, you were diagnosed without laboratory tests? Once reported, this is no small matter. It will involve the hospital." The graduate student just now felt that Zhang Fan ignored him. , A little unhappy.

After repeatedly challenging others' bottom line, Zhang Fan turned his head to look at him and threw his medical record on his chest, "Rose rash! Relatively slow pulse! High fever! How did you graduate!"

"Do a Feida test! Blood culture! Send it directly to the Department of Infectious Diseases!" Zhang Fan said without saying a word, turning around to Xiao Li in the emergency department.

"Alright! I'm going to prepare, Brother Zhang, do you report or me?"

"You are the first doctor. If you don't want to, I will report to you."

"Look at what you said, isn't it that I'm afraid to take credit for your work? I'm not like someone. Come, I will go!"

"Doctor Zhang, amazing!"

"Yes, you can tell at a glance!"

Thousands of people beat the drum.Nothing, the graduate student just now was a bit embarrassed with the medical record!Although just one sentence, the lethality is really not small!With so many people, he regretted his death!