Medical road

The formal career of a doctor has begun. Zhang Fan didn't put down his studies, and he read books with Shao Hua when he had time, practiced oral English, memorized vocabulary, and took a walk.Shao Hua and the two elderly people took care of all the trivial things in the family, and never let the little things in the family interfere with Zhang Fan. Even the old couple quarreled much less on weekdays.

Every week, if Zhang Fan is not busy, he and Shao Hua call his parents and Jing Shu. If Zhang Fan has no time, Shao Hua will call and greet him regularly.The days passed slowly like this, plain and plain, like chicken soup that nourishes the stomach, tasteless but nutritious, and there is happiness in the bowl.

It was Zhang Fan’s turn to collect the patient numbers. The emergency department had sent two patient numbers the day before yesterday. Although it was not Zhang Fan and the others, they called Zhang Fan from the emergency department. The other doctors did nothing. Said.One was a non-open clavicle fracture, and the other was a non-open ankle fracture. Dehydration and swelling were reduced for one day. After completing the surgical examination, the operation was scheduled to today.

Today is Zhang Fan's 24-hour duty, and he must be a member of a team in the department to handle discharge and admission.Because the outpatient service is always patient."Anan, Brother Xue, either of you stay in the department."

"I!" Xue Feiba had to undergo surgery. The surgery on the day of receiving the patient's number is estimated to be one day. After this day, his legs are not his own.

"Okay, then I'll take the Asian male to the operation. Dr. Li, do you want to have the operation or write a medical record in the department." Zhang Fan said to the female doctor who transferred to the department. This group is equivalent to tailor-made for Zhang Fan , The attending doctor of fishing, the female man is hospitalized.

"Mr. Zhang, I should write a medical record." The female doctor said hesitantly. She is not as tall as Wang Yanan and her body is weak, so she didn't plan to do surgery.Zhang Fan originally set a score of seven or three for surgery and medical records, but the result was a bit high. Both Lao Xue and Wang Yanan felt inappropriate, and finally set 31 medical records.The medical records of discharged and admitted, some of the little girls are busy.

"That's fine, you write a medical record in the department. This is my meal card. Just swipe my card for whatever you want to eat at noon." Zhang Fan handed his meal card to Xiao Li.

"Ms. Zhang, who has a card, don't use it." The little girl was a little embarrassed.

"Yours is yours. You follow us on duty and work for us. We should take care of the food. You are welcome." Zhang Fan handed the card to Wang Yanan. Wang Yanan could not help but stuffed the card into the pocket of the girl's white coat ."What are you polite? Take it! You don't have any bonus, it's a little bit to save a little." Wang Yanan said.

"Thank you!" Xiao Li said blushing.

"Okay! Surgery." Zhang Fan is about to enter the operating room. The two new graduate students have also inquired about Zhang Fan recently, but this is how people are. I don't believe it before I have heard of it.Xu Xian and the others also have surgery. Xu Xian has already made a decision. After the operation is over, he must see Zhang Fan and the others.

In spring, the snow melts and the earth rejuvenates.The state supports the frontier, and many large-scale projects have started.In the early years, most orthopedic patients suffered from falls, especially elderly people who accidentally fell and caused fractures. In recent years, although there have been many fall injuries among elderly people, they have dropped to the third position.

The first cause of fracture is car accidents, all kinds of car accidents.The second is the accidental fracture in the engineering team.Especially in a car accident in a city, although the speed of the car is not fast, it is really hard to hit, and a comminuted fracture can't escape.

The three orthopedics departments have their own special operating rooms, and the anesthesiologists and surgical nurses are not fixed.However, the head nurse in the operating room treats Zhang Fan differently, so he can quickly match the table and everything.

"Yeah, Zhang Fan, I finally came out of the internal medicine department. No matter how the department is scheduled, I don't invite my elder sister to eat." When the head nurse saw Zhang Fan changed into the washing clothes and entered the operating room, he greeted Zhang Fan from a distance.

"Hello, head nurse, isn't this because there are many operations? I am thinking about asking the sisters in our department to have a meal on a weekend." Zhang Fan smiled before saying a word. Although he was wearing a mask, his eyes were laughably narrowed for the nurse. It's comfortable to look long.

"Why, who is in our department, you tell the eldest sister in secret, I will definitely help you get it." Saying this, the head nurse deliberately posted.The distance is not too close, it looks like it's posted, but it's actually a bit short.But the fragrance of the head nurse, the white neck, and the neckline of the hand-washing suit are peach-hearted, and you can still see the loose and vaguely, it seems to be black!

"Haha, really no, I have a girlfriend!" Zhang Fan took a step back slightly unnoticed, really, can't stand it!Faced with such a young woman with high EQ, Zhang Fan had to retreat, otherwise, he would definitely make the head nurse laugh to death!

"If you are not married, you can get a divorce even if you are married. Really, the little girl in our department, that talent is not good. If you are not married, choose more, or you will regret it."

"Zhang Fan!" Wang Yanan came out of the female doctors' dressing room and went to their dedicated operating room. Zhang Fan didn't come. He opened the induction door and saw that Zhang Fan and the head nurse were gossiping and shouted.Zhang Fan was rescued this time.

"The head nurse, I went to surgery." Zhang Fan leaned against the wall and was about to leave.

"Haha, go, your little apprentice is jealous!" Before leaving, the head nurse said like a cat!

"Haha!" Zhang Fan didn't dare to make trouble.

After entering the operating room, Wang Yanan glared at Zhang Fan and said: "Don't mix with her, otherwise I will definitely file a complaint with Shao Hua."

"What and what, wash your hands and disinfect them quickly." Zhang Fan doesn't care at all. What do you say about this, the little girl still doesn't understand, but Zhang Fan knows very well that the head nurse is absolutely meaningless, it's just a different kind of getting along. .

"Huh! You think she is enthusiastic about you. She treats doctors a little bit more like this. I have seen several times." Wang Yanan whispered, because the anesthesiologist and nurses are already in place.Wang Yanan has really improved now, if he had definitely said it out loud before.

"Go ahead and wash your hands, or I'll go." Zhang Fan couldn't explain to her, the girl's realm was not yet reached.Although she is one year younger than Zhang Fan, Zhang Fan is definitely almost forty in his heart!

Wash hands, disinfect, spread orders, and cover with towels.When entering the operating room, you have to pay attention to almost everything and have rules.Don't speak loudly. The first is to be afraid of disturbing others. The louder the second, the easier it is for droplets in the mouth to escape and contaminate the surgical area.

When washing your hands, you must wash your elbow joints. After washing, you must keep your hands and arm ends flat, and you must ensure a sterile posture.Moreover, the doctor’s hand is also very demanding. You can't wear your ring or watch. If there is a rupture, then the operation can be avoided!

The drape is generally three-layered. The thickness of these three-layered sheets is estimated to be four centimeters. The three-layered special thick sheet directly covers the human body from head to toe. Only surgery is required on the operating table. The area is leaking out, and it is not visible in other places.

The operation started, the first clavicle fractured.Simple, too simple, now Zhang Fan, this kind of operation is directly without difficulty for him, but even if it is not difficult, Zhang Fan is also very cautious, regardless of the size of the operation, he will be treated equally.Otherwise, something will happen sooner or later.

Wang Yanan wanted to do it, but as soon as it was broken, he didn't ask for the lead."Here, come and touch it. The clavicle has a curvature, and you see the broken part, this is the thinnest part of the clavicle. When you apply the steel plate, you must correct the steel plate. Otherwise, the steel plate will not conform. A few months after the patient was discharged from the hospital, either the steel plate broke or the bone nonunion appeared."

Zhang Fan kept talking to Wang Yanan as he did it.The first Wang Yanan is very dedicated. A teacher likes this kind of doctor and forgets her gender.Second, Zhang Fan and Shao Hua can be so smooth. Thanks to this girl, Zhang Fan said at the beginning that she must help her stand in orthopedics.Third, the girl actually treated Zhang Fan as a master.This is one drink and one peck, Wang Yanan is kind to Zhang Fan!

After more than half an hour, he woke up with anesthesia, and the first operation was over.

Itinerant nurses and surgical nurses hurriedly packed up the equipment and the various sheets still on the ground.Then put these in the cleaning channel. There are cleaners who specialize in cleaning up the items after the operation. They are waiting in the cleaning channel.Take the blood-stained cloth from the clean road.

Ten minutes later, the anesthesiologist said: "Wash your hands!" Wang Yanan continued to wash and disinfect his hands.

In the outpatient clinic, there were constant patients, and three car accidents came one after another, all with open fractures.The worker who was injured on the construction site suffered a foot fracture, which was also an open fracture, and another open fracture occurred just before get off work.

This operation is open and non-open. In fact, it is simple. Openness means that there is a wound and bone leakage. This kind of trauma must be operated as soon as possible. The more delayed it leads to osteomyelitis, the greater the chance of infection.

Non-open surgery generally requires surgery to reduce the swelling. If the swelling is severe, the doctor will be dumbfounded after the operation, and the skin will not be stitched together!Especially in areas with thin skin, you must wait for the swelling to disappear.This is also the case for some people who have broken bones three or four days or even a week after they are admitted to the hospital for surgery. This is not because the doctor is waiting to ask you for a red envelope, but you can't do it at this time!

With two operations, three operations, and four operations, Wang Yanan couldn't hold on.For a whole day, the girl really couldn't carry it anymore, her waist was sore and her legs ached.After the fourth operation, Wang Yanan's waist was a little rickets.But the patients kept coming, the emergency department had already called, and a case number for femoral fracture surgery was sent immediately.

"Go down, go, Xue Fei called up." Zhang Fan said.

"It's okay, I can persist." Zhang Fan can persist, and she thinks she can persist too.

"Observe, surgery is not done in a day. Go!"

"But why don't you go down."

"I'm one year older than you. Go ahead and be obedient." Zhang Fan would definitely not say that I am a man, otherwise the girl might not go on.

"Well, I'm going down."

In the department, it is already off work."Why don't you leave?" Xue Fei was eating a box of lunch, looking at his mobile phone, and said to Xu Xian who had not left after get off work.

"Well, I'm not in a hurry, and the medical records have not yet been written." When Xu Xian underwent the operation, Zhang Fan and the others underwent the operation, and Xu Xian had to give a doctor's order to explain his condition, so he did not see Zhang Fan's operation, but he was not reconciled , And there are many patients undergoing surgery today. He is waiting, waiting for Zhang Fan to ask for help, and then he is ready to compare with Zhang Fan when he goes up.

This is the common problem of Xueba, not convinced.That's right, if you want to make progress, you must have an attitude and spirit of dissatisfaction.At this time, the nurse station of the Department of Orthopaedics does not seem to be off work.There are many sick numbers, day-shift nurses are still working overtime, and night-shift nurses have come to take over.

The head nurse didn't leave either. There were too many new cases. She had to stare at it for a while, otherwise things would easily happen."The eight beds still have liquid out, the bell is ringing!" Miao Juan stood at the nurses' station and called to the nurses, "Head nurse, there are two sets of beds left. This set is antibiotics. You can change it for me. I'm busy. But here it comes."

"You little hoof knows to instruct me!" Although babbling in his mouth, he did not slow down to help change the dressing.

"Oh! I said Xue Fei, you Zhang Fan is really a lucky cat, he is on duty with so many sick numbers." After the head nurse changed the medicine, he saw Xue Fei graciously eating and looking at his mobile phone.Just said something at the door of the office.

"Have you eaten? Let's eat together without eating."

"I was called after I had leftovers. There was no sincerity at all. We were so busy that the nurses hadn't eaten yet. Go and buy a KFC."

When Xue Fei was about to make excuses, Wang Yanan dragged his lead-filled leg into the department."Go to the operating room, there is another femur fractured here."

"Hi! What are these days!" Xue Fei said, got up and went to the operating room. It would be shameful not to go anymore at this time.Xiao Li, who was transferred, was painful and happy.

When other departments transfer departments, how can they pay for writing medical records? This is work.But after I got to the Department of Orthopedics, I didn't even give money but also took care of the meals, but the medical records were a bit too much, and she didn't get up much from morning to night.But I am happy to think that I have made more than 100 yuan today.

Xu Xian looked at Wang Yanan and said nothing."Five operations, even if your body is as strong as a cow, you can't stand it anymore!"

Car accident during rush hour.The ambulance pulled two more broken bones.It was almost eleven o'clock in the evening.Zhang Fan still has another operation.Xu Xian kept waiting, but Wang Yanan ate some food, slept for a while, and went to the operating room.Just didn't wait for Zhang Fan to come down.

Xu Xian looked at his watch, and it was almost one o'clock in the morning.From nine o'clock in the morning, to now.Zhang Fan has been undergoing surgery, and Xu Xian's face is blue.Regardless of the level of surgery, as far as the body is concerned, he is no longer Zhang Fan's opponent.Surgery, especially orthopedics, is half physical work!

Xiao Li, who writes medical records, is not happy at this time, and only pain is left!