When a doctor opened a plug-in

Chapter 86 Is it the patient or the wrongdoer?

This is an attempt by Li Baoshan!

That is to have a dedicated person to do professional work, and Qin Yue's work is scientific research.

If every doctor had to engage in scientific research and clinical practice, he would have no skills at all.

He asked Qin Yue to leave the ward, and at the same time of the operation, he summarized the surgical data and surgical procedures to improve the scientific research ability of the emergency department. This is what Li Baoshan has always wanted to do.

The times are advancing, scientific research and clinical research must be combined!

This drastic move can be said to be a major reform of the emergency department of the second hospital of the province!

The biggest changer in this personnel transfer was Chen Cang, who became the backbone of the emergency department.

Wang Yong’s work is intuitive and straightforward. To put it bluntly, it is Chen Cang and Wang Qian's previous work, which is to write medical records and take care of patients...

Chen Cang changed his body and became a superior physician!

But he became Chen Cang's lower-level physician...

With bitter tears, Wang Yong sighed.

Even they are not as good as Chen Cang. After all, they were okay before. The senior physicians were at least senior doctors and at least good skills, and they... wrote medical records for Chen Cang and did miscellaneous tasks. To be honest, Wang Yong was really frustrated. !

No matter how bad he is, he doesn't want to fall to this point.

Wang Yong is not only afraid of hardship and embarrassment, but also of no hope.

How much better can Chen Cang be than himself?

How much can you learn with Chen Cang?

He knew that Chen Cang had some ability and was stronger than himself, but this kind of strength was limited and would not exceed himself too much.

How much can you change with Chen Cang?

Too limited!

But this is life, you can only be controlled if you have no ability.

If you want to stay in the Second Provincial Hospital, you have to obey the arrangement.

At this time, Wang Yong had even shaken his mind about staying in the Second Provincial Hospital. After all, he couldn't learn much from Chen Cang, and keeping it was just a waste of his youth.

If you can get a contract here, or if this is a temporary worker, Wang Yong decided to leave.

Hey……

Who can give up in two or three years?

In fact, Li Baoshan did not target anyone. It was a reasonable arrangement. He made some reallocations based on the specialties of different people. Chen Cang actually wanted to use it for surgery, but referring to Chen Bingsheng's words, he also felt young. People still see more and experience more before comprehensively considering letting Wang Yong follow Chen Cang.

As a temporary worker, Wang Yong is most suitable for Chen Cang.

Qin Yue is also quite satisfied with his work!

After all, in the future, I only need to do surgery, statistics, and write articles. The clinical pressure is much less and the scientific research pressure is increased.

But... research work, this may be the easiest place to get results in the emergency department.

Qin Yue is also very satisfied!

The only dissatisfaction is... I have to lay hands on Chen Cang!

The transfer of personnel needs to be completed within three days. To be honest, Wang Yong is the person with the most emotions and opinions in his heart.

The others have basically improved.

An Yanjun became the person in charge of the future off-hand, Chen Bingsheng became the person in charge of emergency gastrointestinal surgery, Shi Na became the inpatient team leader, Wang Qian and Chen Cang had prescription rights, and Qin Yue became a scientific researcher plus surgery. personnel.

...

...

Chen Cang got busy all of a sudden, he had to admit and treat patients independently, he had to undergo surgery, and he had to write medical records.

Wang Yong was a little slack. After all, there was a big gap in his heart. The same group of people became his superiors, and it was unhappy for anyone, let alone these young guys in their twenties who didn't accept anyone.

Chen Cang has no time to comfort Wang Yong. The emergency department is not a kindergarten. You cried and became emotional. I will give you a lollipop to comfort you.

On Wednesday afternoon, a patient came to the emergency department and gave the group of young doctors who had just taken up a job!

The weather was good in the afternoon of August, and Chen Cang just came out of the operating room when he heard a noise coming from outside.

Patient again?

Through the glass, Chen Cang saw a pair of young lovers stumbled in, followed by a fat man with a bald head of more than 1.6 meters, sweating profusely.

The man supported the woman. The woman was obviously blurred and lying limply in the man's arms. The two staggered as if drunk.

Seeing this, Tian Xianglan, the nurse station, hurriedly greeted the nurse to push the car and helped the woman up. At this time, Wang Yong also hurried out and moved into the rescue room.

Chen Cang is no longer the assistant at the time. In this situation, he has to deal with the patient independently!

Chen Cang said to nurse Xiaolin: "Go to the monitoring, take blood pressure and heart rate."

After speaking, she put her hand on the woman's wrist, and suddenly a chill came, her pulse was weak, and her palms were cold.

At this time, the woman had her eyes closed tightly, her face was pale, and she looked serious.

At this time, the man who helped the woman to enter took the fat man's arm and shouted: "You can't go! This is how we finished eating at your house. You can't go, I call the police!"

The man is very thin, not tall, and looks honest, giving people a sense of weakness at first glance.

The fat man touched his sweat: "Where did I go, I went to the toilet, this is all in the hospital, you let me go first!"

The little man held the fat man's arm and said loudly, "No! No, I can't let you go!"

Chen Cang walked out at this time and asked the man: "Who is the family member?"

The little man pulled the fat man and came over: "I am!"

Chen Cang nodded, didn't think too much, and asked about the basic situation.

The thin man had tears in his pitiful eyes: "My wife didn't faint like this at first, but after eating dinner at his house yesterday, she started to vomit when she went back, vomiting endlessly, and then she realized It's a little fuzzy and slow to respond, it's his restaurant! I didn't expect to faint today..."

The thin man kept emphasizing the incident after eating at his home, and combined with all his performance, all clues seemed to be approaching the direction of food poisoning.

Chen Cang frowned and thought about the reason. At this time, Wang Yong also walked over. After seeing the patient, his eyes widened, and he couldn't help winking at Chen Cang.

At this time, Chen Cang was busy thinking about the patient's condition and where he could look at Wang Yong.

Generally speaking, when encountering a coma, you must first consider several aspects. The first is intracranial disease, the second is metabolic encephalopathy, and the third is toxic encephalopathy.

Check it first!

The woman was not very old, only in her twenties or thirties. Chen Cang asked, "Does she usually have any illnesses?"

The man shook his head: "No! It was like this when he went home and slept after eating at his house!"

At this time, the monitoring data has come out, HR: 120min, BP: 9655mmHg, SPO2: 99% (medium flow oxygen inhalation), RP: 32 minutes.

The patient was still in a coma, and Chen Cang kept thinking about the reasons. His heart rate was a little fast. Is there high blood pressure?

Before Chen Cang had time to say it, the man emphasized: "My wife is fine at ordinary times, she is not sick, and can eat and drink. It was like this after having a meal in his restaurant!"

Chen Cang knows: "Xiao Lin, check blood sugar urgently, as well as blood routine, liver and kidney function, blood sugar, serum electric ion... etc., yes, there is also lactic acid and blood gas analysis. Also, give the patient oxygen. Add a bottle of balance liquid!"

After finishing speaking, Chen Cang said to Wang Yong: "You can help to prescribe the doctor's order just now, and add an urgent brain CT to rule out cerebrovascular diseases, and I will check the body."

Before Chen Cang spoke, Wang Yong winked at Chen Cang, took Chen Cang's arm and went out.

"This person is an errant! I have seen it several times, and the couple are habitual offenders who come to touch porcelain and blackmail!" Wang Yong reminded.

"They came once a few days ago, and Old Chen showed it."

Chen Cang was stunned!

There is no shortage of blackmail patients in the emergency department, and they often encounter them. It can be said that they are of all kinds, regardless of gender, young and old, but the purpose is simple!

False money.

Chen Cang has seen a mother and daughter. The mother pretends to be sick, and the young ones pretend to be filial. The pair is perfectly matched. They often go to the small clinic for infusions, and then the whole body is convulsed and unconscious. They are sent to the emergency department urgently. No blood is drawn or treated. The daughter is responsible for negotiating with the doctor of the small clinic. Once the money is available, the mother’s illness will heal and disappear. Maybe the other person will nod and smile at you next time they see it. Chen Cang didn't want to provoke, but he wouldn't cooperate. Generally speaking, he didn't want to provoke his upper body. After all, he had seen a doctor who went out and was beaten into the emergency department because he clicked it. This time he was a patient.

but……

Chen Cang felt that this woman was really sick!

Thinking of this, Chen Cang urged: "Hurry up and get a doctor's order and check it."

Wang Yong's eyes widened: "Brother, don't you understand what I mean? He is here to squander money, you..."

Chen Cang stared at Wang Yong and said, "You are a doctor, not Sherlock Holmes. Go and see what the patient's signs are? I suspect it is a hyperosmolar nonketotic hyperglycemic coma."

When Wang Yong heard this, he made a cut and grunted unconvincingly, then turned and left, muttering: The dog bit Lu Dongbin and doesn't know good people.

Chen Cang sighed and shook his head. Suddenly, there was a disturbance inside.

ps: I'm finally done, and the update time will resume. Every day at 0 o'clock and 12 o'clock noon, there are too many veterans during this time, and the update time is unstable, which brings you a lot of inconvenience. I hope you can understand it. Thank you.