When the young Dr.
Liu heard this, he said: "Assistant Zeng, you just came, and you are not very familiar with the process of receiving patients here, so I can handle it."
After speaking, Dr.
Liu urged the patient's family again, saying, "Go quickly, go quickly, line up early for early examination, don't delay your condition." ” Zeng Yi was left aside, a little angry, for the emergency room reception process, Zeng Yi can be said to be backwards, now the doctor-patient relationship is tense, the hospital in order to put itself in an advantageous position in the event of a medical dispute, for the reception work has made a lot of detailed regulations.
The details are detailed, and the responsibilities are indeed clear, but if you follow this reception process, even if it is the simplest disease, you may need to do at least seven or eight tests, from blood tests, urine tests to B-ultrasound, electrocardiogram, and even CT.
Fortunately, the patient who came today is a man, and if it is a woman, I am afraid that Dr.
Liu will have to open another list for ectopic pregnancy examination.
The hospital stipulates that as a doctor, you have to follow the process, otherwise if something goes wrong, it will be your own responsibility.
Zeng Yi was not angry at this, he was angry about Dr.
Liu's "delicate disease", the patient trusted him with life and death, and this Dr.
Liu actually thought that the patient vomited filth, so he hid far away, neither looked at the complexion nor asked about the condition, and directly opened a checklist, which is really chilling.
If seeing a doctor is so simple and you don't need to be responsible, why do you need a graduate of a medical university to do it, even the aunt who is in charge of cleaning in the corridor will also make a bill.
Moreover, the condition is urgent and slow, even if it is a checklist, at least it has to be treated differently, there is a bottom line, the patient in front of you is acute gastroenteritis, this is a minor disease, but if it is not dealt with in time, the consequences will also be fatal, you open seven or eight checklists at once, and wait for the patient to complete the examination.
I guess it's time to be cold.
The patient's family also raised questions, saying, "Doctor."
You see, he's in pain like this.
Can you treat it first, I'm afraid he won't be able to hold on."
"Not checked.
How do I know what the disease is?"
Dr.
Liu straightened his face. looked very authoritative, and said, "Why don't you come and tell me how to cure this disease?"
The patient's family immediately had nothing to say, and although their faces were unbearable, they still bent down and prepared to carry the patient on their backs for examination.
Zeng Yi didn't have time to reason with this Dr.
Liu, it was important to treat the disease and save people at the moment, so he said: "The place for inspection is upstairs, and it is very hard for you to carry it alone."
I'll help you with a hand," Zeng Yi took two steps forward, picked up the patient from the bed, and worked with the patient's family members to carry the patient out of the treatment room.
Seeing Zeng Yi working so hard, a trace of disdain appeared at the corner of his mouth, and he said in his heart, "You, the embroidered pillow, can also do these face-saving jobs that win the favor of patients.
For this temporary assistant who was assigned, even a few young doctors in the emergency room, they are also a little despised by them, why do you have to stay up in the emergency room without night or night, and you are the assistant to the dean.
After leaving the ward, Zeng Yi took advantage of no one's attention, directly raised his hand, and poked the patient's back violently, only to hear the patient's muffled snort, and then the pain on his face was even worse, and said: "I can't stand it, I want to vomit, and I have to pull."
"You hold on, let's go for the examination first, and then we will be able to do the examination after the examination," the patient's family is still consoling.
But before he finished speaking, the patient lay on the back of the family member and began to vomit wildly, vomiting so loudly that it sprayed out two meters away, and immediately splashed filth everywhere in the corridor.
Half a minute later, the vomiting was a little stopped, the patient's face was not white at this time, but white, even his lips were purple, and his voice trembled, saying: "I really can't hold it back, send me to the toilet, send me to the toilet", There are other patients in the corridor, looking at this situation, some hide away, some cover their noses and accuse, and some are very concerned, saying: "Look what has become of him, hurry up and send it to the bathroom, don't hold back the problem."
The patient's family only made two promises, and it was difficult to insist anymore, so they said, "Excuse me, where is the bathroom?"
Zeng Yi behind him said: "Just turn left downstairs not far away, I know, you come with me" said, he helped to help the patient, and led the other party to the bathroom.
The bathroom is not far away, and when the door is pushed in, the patient can no longer bear it, and before he squats down in the pit, the crotch has already gushed down.
While supporting the patient's care, he asked, "Doctor, you said this won't be a big deal?"
Seeing the patient's appearance, how could the patient's family not be afraid in their hearts, and they had the worst plans.
Zeng Yi took a look at it and said, "It seems that after leaking out, his complexion is a little better."
The patient's family looked back and found that the patient's face did have a little human color after this gushing, when he was sent to the hospital before, his face was completely white, so white that there was no human color, and now it seems that there is a trace of normal skin color.
"You touch his forehead again and see if it's still cold," Zeng Yi said again.
The patient's family reached out and touched the patient's forehead, and then said, "There is heat, there is heat, there is heat, just now the hands, feet and forehead were cold, and now the fever is starting to start." ” Zeng Yi breathed a sigh of relief in his heart, he had seen a lot of this disease, and as soon as he touched it just now, Zeng Yi knew that it was eaten badly, and when he saw what the patient spit out, he was even more sure.
If you eat badly, your stomach will definitely hurt, and the disorder of gastrointestinal function will also cause the patient to have various symptoms, such as paleness, convulsions and spasms of your hands, as for vomiting and diarrhea, it is the body's instinctive reaction.
So Zeng Yi didn't argue with that Dr.
Liu, and went out and directly made a small trick to let the patient speed up vomiting and diarrhea, after all, the patient is very young, and the body's resistance and metabolism are super strong, this disease comes urgently, it looks scary, but as long as the bad things can be excreted, the disease will be more than half better.
The patient squatted in the toilet, vomited and vomited, vomited and discharged, and then even vomited out the green bile, but after ten minutes, the patient obviously had some strength, although he was still a little weak, but he was able to squat on his own, and his hands and feet were no longer twitching.
The patient's family also saw this situation, and the tense nerves at that time were relaxed.
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Step forward to help the patient clean up the dirt on his body.
"Patients don't usually eat regularly," Zeng Yi said at this time.
The patient's family said, "Yes, this child in my family."
Developed from a young age.
I don't like to eat much, and I'm a picky eater. ” "Let's eat less snacks," Zeng Yi said in a deep voice.
"Young.
The stomach is already overwhelmed, and if it goes on like this, it is yourself who suffers. ” The patient's family was busy cleaning up the filth at this time, and after listening to Zeng Yi's words, they were busy saying: "Yes, yes, no matter what, I will definitely change his snack problem."
Speaking of this, the patient's family was suddenly a little surprised and said nothing themselves.
How the hell did this doctor know that his child liked to eat snacks?
The child of his own family knows that this child is not ordinary at snacking, almost never eats serious meals, and snacks do not leave his mouth every day, this is his staple food, serious meals, but just snacks and supplements.
"Go back and take him to the Chinese medicine department to register, find an old doctor to take a good look, and take a few pairs of medicine to recuperate" Zeng Yi saw that the patient was no longer in serious trouble, and after saying this, he turned around and left the bathroom. , The patient's family was so surprised that they forgot to say a word about Ying He, and only after Zeng Yi disappeared did he realize that this young doctor was still a miracle doctor Back in the emergency room, the doctor Liu was busy again, and the work in the emergency room was like this, when there was almost no stop, people would keep being sent in.
After a simple bandaging and hemostasis treatment, Dr.
Liu prescribed a large number of examination lists and asked the patient to go for examinations to see if there was a problem with the bones and whether there was a concussion.
Zeng Yi looked at this scene, feeling a little helpless, the emergency room is still like this, not to mention other outpatient clinics, according to reason, the emergency room system should be to ensure better and faster life-saving and wounded, but the current system has played a counterproductive role in delaying the emergency time, which has to be said to be a pity.
The patient with acute gastroenteritis was able to walk on his own after coming out of the bathroom, and with the help of his family, he returned to the emergency room again.
Dr.
Liu had just finished treating the trauma patient, and when he looked back at him, he said, "Are the results of the examination out?"
The patient's family said: "I haven't had time to do it yet, as soon as this child went out just now, he vomited and diarrhea."
"Then hurry up and do it" Dr.
Liu was a little dissatisfied, and said: "You don't take it too seriously, and you dare to delay the examination, if you delay the treatment, we will not be responsible for what the consequences are."
As he was talking, Rong Jianxing, director of the emergency center, came to inspect the emergency ward, and when he entered the door and heard Dr.
Liu's voice loud, he calmed down and said, "What's the matter?"
Dr.
Liu hurriedly said: "Director Rong, you came to see this patient, he said that it was a stomachache, I asked him to go for an examination, but it was all over the past 20 minutes, and they didn't do any examination."
Rong Jianxing's face was expressionless, and after listening to Dr.
Liu's words, he didn't say anything, what kind of level and style these young doctors were, he looked at it in his eyes all day long, and his heart was naturally clear, and he said at the moment: "Come, lie flat on the hospital bed, I'll take a look" The patient was lying on the hospital bed, Rong Jianxing stepped forward and only glanced at it, and said: "Well, the face is normal" After speaking, he reached out and touched the patient's forehead, and said: "The body temperature is also normal, it should be fine, I'll take a closer look." ” Rong Jianxing took off the stethoscope hanging around his neck, pressed it on the patient's chest cavity and listened to a few positions, then put away the stethoscope, and then reached out and pressed it on the patient's subcostal abdomen, saying: "Inhale, exhale, it hurts or not."
After changing places back and forth, the patients all answered separately, and Rong Jianxing had a basic judgment in his heart, and said: "It's okay, it's just that I have a bad stomach, I vomited just now."
The patient's family said, "Spit up, spit out, spit cleanly."
Rong Jianxing bowed slightly, and said: "Then it's no big deal, you can be discharged from the hospital after a rest, if you feel uncomfortable, just take a drip and supplement the trace elements." ” Dr.
Liu immediately took out a prescription note, swiped a few lines on it, and then brought it to Rong Jianxing, and asked with a smile: "Director Rong, do you think this plan is feasible?"
Rong Jianxing took a look, it was nothing more than normal saline, glucose, and some potassium supplementation, he thought about it for a while, and said, "Let the patient pay for the medicine."
Seeing that his plan was affirmed, Dr.
Liu was in high spirits, signed his name a few times, stretched out his hand to hand the prescription to the patient's family, and said, "Go and pay the money."
Then take the payment slip and go to the pharmacy to pick up the medicine."
Rong Jianxing finished dealing with this, turned around and went to another hospital bed.
The emergency ward is a large chase room.
There are more than a dozen hospital beds next to the wall at both ends.
It mainly receives patients who are in acute condition but do not require surgical treatment.
However, in addition to the operation, that is, the hanging bottle, at this time there was a patient lying in the ward who was hanging the bottle, Rong Jianxing went over to check one by one to check whether there was any impropriety in the young doctor's treatment. , Zeng Yi took a glass of boiling water at this time, put it on the bedside of the patient with acute gastroenteritis, and said, "Drink some water, I added some salt, it's good for you."
Rong Jianxing noticed the situation here.
At that time, he raised his eyebrows, and said in his heart that this young assistant to the dean was a little interesting, these doctors in the hospital would prepare some tea and coffee in their offices, and some people would prepare milk and sugar, but no one would always have salt by their side, so they would drink salt water if they had nothing to do all day Although it is only a small detail, Rong Jianxing has a great impression of Zeng Yi, this young assistant to the dean, it seems that he is more professional than most of the doctors in the hospital, don't look at the salt is small, but it is very useful at critical moments, and many diseases can come in handy, take the patient in front of him, a cup of hot salt water not only replenishes the water lost due to vomiting and diarrhea, but also replenishes the salt required by the human body, improves physical function, and is more conducive to the balance and recovery of the intestinal flora.
After Rong Jianxing finished inspecting the emergency ward, he went out and entered the emergency office by the way, and saw Zeng Yi sitting there reading the information, so he smiled and said, "Assistant Zeng, you are still used to it in the emergency room."
Zeng Yi hurriedly stood up and said, "Habit, habit, thanks to Director Rong's care."
Rong Jianxing took off the stethoscope and put it on the table, then sat in front of Zeng Yi, and said with a smile: "It's really a bit condescending to let Assistant Zeng do the emergency." ” Zeng Yi smiled and said, "Director Rong, don't you also have to go to the emergency ward every day to inspect?"
Rong Jianxing smiled, this assistant Zeng spoke very interestingly, and this detached temperament that can go up and down is not something that ordinary people can have, if he is assigned to the emergency room, I am afraid that he will start grinding foreign workers a long time ago, or he will give up on himself.
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But according to his own observations, this former assistant is not at all enthusiastic, not only can help in the emergency room, but also take time to go to other departments to understand the situation.
"Assistant Zeng has been coming to the emergency center for a while, if you find any problems, please give more guidance and criticism" Rong Jianxing lit a cigarette and sat in the emergency office as if no one was there.
Zeng Yi didn't say anything, Rong Jianxing's daily work schedule, Zeng Yi also saw it in his eyes, it was really hard, it was rare that Rong Jianxing, the big director, was able to be conscientious and responsible, meticulous, in terms of medical ethics and medical style, there is really nothing to say, and the medical skills are also very powerful, just now he started to diagnose and treat patients, Zeng Yi also saw it, even if he does not rely on any test data, only with experience and simple diagnostic methods, the diagnosis rate is already very high, not lower than any big expert.
"I haven't understood these materials yet, how can I talk about finding problems," Zeng Yi shook the information in his hand and said with a smile.
Rong Jianxing smoked differently from others, his lung capacity was amazing, almost "here", most of it was sucked off by him, and then the cigarette ash naturally fell, Rong Jianxing patted the cigarette ash that fell on his white coat, and said: "Assistant Zeng said this, it is an indulgence in the work of our emergency center, if there is a problem, we can improve" Zeng Yi has a good impression of Rong Jianxing's words, his usual concept is not afraid of problems, and he is most afraid of turning a blind eye to the problem, so he said immediately: "If Director Rong wants me to speak, then I will talk about some immature views."
Rong Jianxing nodded, and with another sharp inhalation, he strangled the cigarette butt to death, and said, "Assistant Zeng, please speak."
Zeng Yi said: "Actually, there is only one, I see these doctors in the emergency room, they are relatively young, and their experience is definitely not as good as the old doctors, but the nature of the emergency work is a bit special, and it is necessary to make a quick judgment.
Rong Jianxing knew very well in his heart that Zeng Yi was already very polite when he said this, he was criticizing those young doctors for being too "clean and squeamish", and when the patient came, he pushed the patient to the cold machine, and he himself.
He refused to even reach out and touch the patient's body temperature, and it was difficult to even look at the patient more.
To know in many cases.
It may be that one more glance may save a patient's life.
Today's young husbands are becoming more and more dependent on machines. voluntarily gave up the medical standard.
And chose to take the machine as the foundation, for this kind of bad signs, Rong Jianxing has long seen it in his eyes, and has been thinking of a way to solve it, but it is a pity that he is a "thorn" in the eyes of the leaders of the hospital, and his words naturally have no weight, even if it is a good opinion, when it reaches the ears of the leaders of the hospital, it will turn more than a dozen times first.
Do a good job of filtration and precipitation, for fear that there are any unsuspecting ingredients in it.
Because of this, Rong Jianxing also slapped the table with the leaders of the hospital, and Rong Jianxing dared to do this in the entire Beijing Hospital, because he was not afraid, he didn't want to be the director of the emergency center for a long time, so he waited for the hospital leaders to drive him away, but the hospital leaders really couldn't do without Rong Jianxing, if the emergency center didn't have Rong Jianxing, it might soon be in trouble.
Rong Jianxing repeatedly put forward his opinions many times and slapped the table many times, but the problem is still unchanged, and the position of the director of his emergency center is also thunderous, if you replace Rong Jianxing, no one will come to do this mess, and it will be you who will be in trouble at that time.
After repeating it many times, Rong Jianxing simply didn't raise any opinions, and after sitting down on the cold bench all these years, he also understood a little that he couldn't do anything, which may have a lot to do with his temper.
Maybe when he put forward his own opinions, the leader also considered it, but when he slapped the table, the leader couldn't come to the stage, so the good idea was also shelved because of the leader's face.
Because of this, Rong Jianxing has a good impression of Zeng Yi, this young man should be more persistent than himself, but he does not have the bad problem of being stubborn and stubborn.
Rong Jianxing smiled, and said, "The method that Assistant Zeng said is a good way and it is indeed feasible, but I, the director of an emergency center, am afraid that I am powerless to do this."
Assistant Zeng may not know that I used to specialize in cardiovascular and cerebrovascular treatment, and it was only after I arrived at the emergency center that I became a general practitioner. ” Zeng Yi understood what Rong Jianxing meant, the work of "old with new" needs to coordinate the resources of various departments in the hospital, people like me who have been put on the cold bench, even my own medical work, I have to rely on self-reliance, let alone any coordination work, so, I support your idea, but I really can't do anything, if you want to do this, I'm afraid you have to figure it out yourself.
"As long as Director Rong thinks it is feasible, when Dean Zhou comes back, I will hand in a special report" Zeng Yi took the matter by himself, and he had to be responsible for proposing it himself.
Rong Jianxing saw that Zeng Yi dared to think and dare to do, and he admired it, but out of kindness, he still reminded: "Assistant Zeng, you just came to the hospital, I am not in a hurry to see some situations that are not familiar with the situation and hand in a special report, and it is not too late to investigate and investigate and understand the situation from all angles."
Zeng Yi knew that Rong Jianxing had good intentions, and said: "Yes, I am currently a very immature idea, and I have not yet reached the height of the topic."
Rong Jianxing understood the meaning of Zeng Yi's words, and said very cheerfully: "I don't have a big level, but I have been working in the emergency center for many years, I believe I still have a certain right to speak, if Assistant Zeng needs to know anything, I should still be able to contribute."
Zeng Yi smiled, Xin Daorong Jianxing is actually a very clear person, at least in his own medical work, he is not confused.
Zeng Yi does have the idea of doing a special topic, but he is not in a hurry, after all, he is a novice in the hospital, and if he is in a hurry, it is likely that there will be any problems that cannot be seen.
The two chatted in the office for a while, and a staff member on duty knocked on the door and came in, saying, "Director Rong, there is a new critical patient, I need you to go over and take a look."
Rong Jianxing didn't delay, reached out to pick up his stethoscope, and said, "Assistant Zeng, then I'll go to the emergency ward, those young doctors, I want you to mention more."
Zeng Yi smiled, watching Rong Jianxing leave, and said in his heart that he had finally made a breakthrough in the emergency room, but Rong Jianxing still recognized himself.
The 6,000-word chapter is to be continued: