Li Min inserted the ten medical records in his arms back to the fixed position of the case car one by one, and thanked the nurse in charge.One of the nurses in charge of the day shift was busy checking temporary medical orders, and the other was writing a shift log.For the office nurses on duty during the day shift, what they hate the most is that the doctor will throw away the used medical records.If the surgeons were willing to send the medical records back without them having to push a cart to pick them up, they would already be reciting the Buddha, let alone praying for them to be put back in their original place after using them.Therefore, Li Min quickly won the favor of several people who were responsible nurses in the trauma surgery department by virtue of the knee-jerk behavior of being reprimanded by the nurses of the affiliated hospital during the internship stage.Look at the time, there is less than half an hour before the end of work, and it is time for the ward round before getting off work.The resident doctor has to make rounds twice a day, the attending doctor once a day, and the chief doctor once or twice a week.The three-level ward round system is a model adopted by most hospitals in China.If there is anything that needs to be paid attention to by the night shift in the hospital bed that you are in charge of, the diligent ones will leave a message in the shift book, and the lazy ones will also tell the doctors and nurses on the night shift, and it is the bottom line of all doctors not to let potentially dangerous patients be ignored by the night shift doctors.After Li Min inspected the circle, everything that should be dealt with was properly disposed of.Happily, he wrote down the precautions for the serious illness of the two burns in the shift book.Chen Wenqiang stood aside and waited for Li Min's handover book."
You two burns should be scabbed, right?""
Yes.Today, I did a scab cut in the 10th ward. ”These days, as the condition of these two burn patients has stabilized, Li Min already knows what to remind the night shift to pay attention to in the shift book.Even to put it bluntly, basically all the doctors on night duty are familiar with the condition of these two burn patients, but Li Min still does not dare to ignore the procedures that should be followed.If she doesn't make a reminder in the shift book, if anything goes wrong, she is the first person to blame, not the night doctor.Because the trauma surgery has no total hospitalization.It's a of hospital management.After Li Min changed out of his white coat, Chen Wenqiang came over and said, "You don't have to deal with Dr.
Yang's drinking, but don't offend him."
He has someone above the hospital. ”"Thank you, Director Chen."
At this time, there were only the two of them in the locker room, and Li Min picked up his schoolbag and left after thanking him.Before leaving the locker room, Chen Wenqiang caught up."
The old lady with the thyroid gland you are in charge of asked someone to come to me for surgery.Director Zhang agreed.The results of the examination will come back tomorrow, and if there is nothing wrong, the surgery will be arranged the day after tomorrow. ”Li Min was slightly surprised, the two directors each brought a medical team, and it was rare for such an intersection to happen, so wouldn't it be more appropriate to transfer the patient to Director Chen's treatment team?"
I told Director Zhang, the old lady's admission to the hospital is in your charge, and it's not good to do all the examinations and then transfer to my side of the treatment group for surgery.Everyone came from a young doctor, and I was looking forward to having surgery every day. ”Li Min was grateful and smiled, "Thank you, Director Chen, for taking me."
I haven't had thyroid surgery yet. ”"It's not difficult to cut most of the thyroid gland.However, it is necessary to avoid damage to the recurrent laryngeal nerve, and it is necessary to pay attention to the removal of the parathyroid gland. ”"Hmm.I'll go back and take a good look at the thyroid gland solution. ”Chen Wenqiang nodded: "We have miscellaneous surgeries, and you can encounter anything."
Although the amount of surgery is not large, it can be seen in a wide range of ways.The dissection is passed first, and then it is regarded as ten times when it is seen once, ten times when it is done once, and ten times as a hundred times, and the level will naturally go up.It's all about yourself. ”"Yes.Thank you, Director. ”Li Min thanked him in a low voice.She felt that she had not had much contact with Director Chen in the past month or so, and the relationship between the two was not as good as he taught herself.But regardless of these previous circumstances, he is still very right to say these things, and he can distinguish between good and bad.So she also reciprocated the favor by removing the usual "Chen" from the daily address of Director Chen.This is also what Lu Qing secretly told her."
You're welcome.These people who have been assigned to the hospital this year are also considered unlucky.The current director of our hospital in charge of medical care has just been replaced.He just canceled the decision to regulate training, and it was useless for anyone to oppose it.He was going to experiment for three years, alas. ”Chen Wenqiang shook his head and sighed as he spoke."
If you have any questions in the future, you can come to me.You also graduated from a prestigious university and came from a professional background.Not those medical classes, workers, peasants, and soldiers.The first three years of graduation have been delayed, and I can't say that I won't be able to catch up in the next five years. ”Li Min's eyes began to be a little moist, and his throat was a little blocked.She coughed lightly, "Thank you, Director."
Well, I'm going to the pediatrics. ”"Hmm," Li Min's answer surprised Chen Wenqiang.He didn't expect that Li Min would leave immediately at this time and respond to his concern with a fleeing attitude."
Goodbye, Director."
Li Min said goodbye to Chen Wenqiang crisply, changed his schoolbag on his shoulder, and really went to pediatrics.Leng Xiaofeng stood in front of the director of pediatrics at this time to listen to the training.The director slapped the table, probably too hard, and his hand hurt.rubbed his hands together and said Leng Xiaofeng with a calm face."
You new college students, you can afford to ask for a bonus.Why don't you have that kind of spirit when you work?
I asked you to persuade the parents of the child that the child must take his medication regularly, and take it regularly.Did you do it?
Are you taking my words as a deaf ear?
”Leng Xiaofeng's face turned red, and he hung his head in embarrassment.But I was unhappy in my heart: How can I persuade the parents of the children who you can't persuade as a director?
Li Min heard the hysteria of the head of pediatrics outside the door of the office.She stopped, stood outside the door, hesitated for a moment, and then turned to leave.Li Min didn't go far before he met a pair of parents holding their children.The little boy was about three years old, with big round eyes and a very intelligent appearance.Li Min glanced at the family of three and continued to walk his own way.But she didn't want the woman holding the child to stop her."
That, doctor."
Li Min had no choice but to stop.The woman smiled, "We know that you are good with Doctor Leng, who is in charge of my children."
There's just something I want to ask you. ”Li Min was puzzled, "I'm not a pediatrician.I don't understand pediatric things. ”"That's right.My child, she told the director that she had epilepsy.Do you think they can give us a proof that they can't be cured?
”Li Min bit her mouth lightly, looking at the mother and son without speaking.The woman was embarrassed, and her dry mouth was gone.The man took the child and held the child in one hand and put the other around the woman's shoulder."
That doctor, we just want Dr.
Leng to help prove that this epilepsy can't be cured.""
Then why don't you just go to her?""
Every time we came to her, she persuaded us to take medicine as the director said.But epilepsy, many people say that it can't be cured. ”At present, there is no complete cure for epilepsy, and various clinical dosing regimens are also hoped to be controlled by long-term medication.But Li Min felt that the couple was very strange, what was the use of asking for such a proof?
Thinking so, she asked like this, after all, Leng Xiaofeng was being reprimanded by the director of pediatrics."
We, we ......" the couple immediately panicked.Li Min was even more puzzled: "If the child is sick, he will be treated, what's the use of you getting that certificate?"
”Under Li Min's gaze, the woman snorted: "We, alas, we ......"
"If you have anything difficult to say, just go and tell the director of pediatrics."
You don't tell the director, and you don't want to treat the child well," "It's not that we refuse to treat the child, can this disease be cured?"
”The man turned his hand-eating son upside down, pulled down his wrapped thumb, and scared his son, "Don't eat your hands."
If you eat again, the doctor will give you a needle. ”The little boy pouted, wanted to cry but didn't dare, unhappily twisted in the man's arms and stretched out his hand to his mother.Li Min persuaded them for a while, and when he saw that the couple was obviously on their minds, but they were not willing to explain to themselves, they were impatient to say more."
I don't know much about this disease.It should be said that there is no cure.However, taking medicine as required can control the condition.You should listen to the director of pediatrics, and if there is anything you don't understand or what is the request, you should also tell the director.The head of the pediatric department is in the office, and he hasn't left work yet. ”The two husbands and wives did not achieve their goal, and left with their children in their arms.Li Min looked at the green plants in the corridor, and the circle of golden red painted by the setting sun was beautiful, but he still sighed lightly for the unhappiness of this day."
Li Min, how long have you been waiting?"
Leng Xiaofeng finally came out."
I just came.I've been writing for a while, and I'm afraid you'll have been waiting for a long time.I didn't expect to come all the way and not see you. ”"I was left behind by the director for training.Alas, for the child who still refuses to take regular medication for epilepsy. ”Li Min took out the hand cream from his schoolbag, and Leng Xiaofeng reached out and picked it a little."
This Vaseline should only be used when your hands are wet.Otherwise, it's boring. ”"It's better than glycerin.Wipe your hands with Kessel, I feel that the more I use my hands, the drier they become. ”Li Min stuffed his hand back into his schoolbag, "I can't do without this thing, when I brush my hands today, there is obviously a boundary here." ”There was no one in the corridor anymore, and Li Min stretched out his hand to weigh on his arm, "Up and down." ”Leng Xiaofeng smiled, "You surgeons have a lot of hands, and you still use that soapy water, how can it be good?!"
Otherwise, you will go to internal medicine. ”Li Min immediately shook his head, "I don't want to go to internal medicine, I can't stand it by writing medical records endlessly every day." ”As they spoke, they quickened their pace and walked towards the cafeteria.In the dormitory, Yan Hong, an obstetrician and gynecologist who was dying, was lying on the bed, staring at the bed board stupidly.Liu Na from the Department of Stomatology walked over and pushed Yan Hong."
What's wrong with you today?
When I was eating just now, I saw that you were a little distracted. ”Yan Hong looked at Liu Na sideways, "Nana, I don't want to be in the obstetrics and gynecology department." ”"Want to swap with Li Min?
I heard that Li Min has always wanted to go to the obstetrics and gynecology department. ”Yan Hong blinked and shook his head, "I can't do surgery." ”"Then you don't want to go to the internal medicine department to write medical records, where else can you go?"
Yes, the clinical medicine major says that you can go to any department, but it is not like that.Gold ophthalmology and silver surgery, dirty and tired obstetrics and gynecology.In such a small department as ear, nose and throat, there is no one to retire, and it is easy not to make up for it."
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Okay, let's come back early today, let's go, go fetch water."
Liu Na dragged Yan Hong up from the bed, and Yan Hong, who was full of worries, followed her out a little woodenly.When the two of them were about to arrive at the water room, they met Li Min and Leng Xiaofeng who came out of the cafeteria.The two stepped forward to take their thermoses, and the four of them went to the water room to fetch water together.After returning to the dormitory, Li Min asked Yan Hong, "Why is your face so ugly?"
What's going on?
”Yan Hong, who was pouring water into the water cup, shook his hand and almost poured the water out.She sighed and plugged the lid of the thermos and put it away before speaking."
You may not think that the people from the Family Planning Office took a pregnant woman in labor to the hospital in the middle of the night last night.The woman had given birth to two girls.When I heard that she was caught, she kept crying that her husband was a third-generation single lineman, and she also knelt and begged the family planning office not to induce labor for her.She hid outside for more than half a year, and last night she was arrested by the family planning office, as well as the police from the Public Security Bureau, from a relative's house. ”"Did you induce labor for her?"
Yan Hong's face was gloomy, and he shook his hand to hold the water cup unsteadily.She put down her glass of water in a dejected manner, and her voice trembled."
I went to the hospital in the middle of the night last night and hung up on Lefnoor.Before getting off work today, the woman gave birth to a full-term boy, white and fat, more than seven pounds.Her mother-in-law hugged her grandson and cried that his family finally had a grandson. ”"I've already given birth to two girls.So is she a rural hukou?
”"It's not.When she gave birth to her second child the year before last, she was fired from the unit.I heard that he will not keep his target this time. ”"I remember that the child induced by Lefnoll did not survive, is it really fake?"
Li Min chased after Yan Hong and asked.Yan Hong nodded gloomily, "Their family doesn't know that the child won't live for a few days."
The old nurse in our department said that some lived for three days.I saw the old lady's ecstatic appearance, and I didn't know if I would be able to stand it then. ”"How many years have been family planning, how dare they still have more children?
This is the third child. ”One sentence silenced the young girls in the room.Yan Hong took a while before he spoke: "I'm not saying that they should be given birth, but looking at the Huanshi newborn with a loud cry and good arms and legs, he will die tomorrow and the day after tomorrow, and I feel uncomfortable."
I was upset that the newborn was dying.He is developing very well and has a rating of 10 after birth.Why do so many patients with pulmonary heart disease and cancer who are in their seventies and eighties, who are barely breathing and unable to get out of bed, know that they cannot be cured, and they are left to die, and still have to do useless treatment in the hospital?
”She covered her face and choked, tears streaming down her fingers.Leng Xiaofeng stepped forward and hugged her, "Don't cry."
Think about the newborns in our incubator.Who should live?
Who should be damned?
”"yes.Yan Hong, don't cry.When I was an intern, I also met a person who had an ampullary malignant tumor at the age of five.Who can tell you clearly about life and death. ”Yan Hong cried and hiccuped."
If it was in the second trimester of pregnancy and didn't survive, I wouldn't be uncomfortable.But he was full-term, still healthy, and alive.How is this different from killing someone?
”Yes, is it any different from killing a full-term child to induce labor in this way?
Li Min pulled out Yan Hong's washbasin, ripped off Yan Hong's towel from the clothesline, poured some hot water that had just been brought back, just enough to soak the towel, and then she carried the corner of the towel and shook it to dissipate heat.When it wasn't so hot, he wrung it out and handed it to Yan Hong."
Wipe your face.It's useless for us to say anything.Family planning is a national policy.If the people in the family planning office are not ruthless, those who want to have more children don't know how many.It can only be said that they were unlucky and were found before the child was born.Or when the family planning office found them, the child had already been born, and the family planning office would not have thrown the child to death, right?
”"Yes, Yan Hong, they are just unlucky.Those who have pulmonary heart disease and cancer can't just let their families live, right?
Besides, now is not the time for Athens, and newborns must be selected by the elders first.If that's the case, we don't have to set up a neonatal ward in our pediatric department. ”"Alas.Those who are healthy do not live.If you are born and need to be rescued, you will have to spend money to treat it.Why do I think something is wrong with this world?
”Li Min stretched out his hand and tapped Liu Na's brain, "You want to become a philosopher?"
Want to be anti-party?
There's something wrong with the world.Hey, I'm telling you, that bride of our department died today. ”Li Min changed the topic stiffly, then returned to the long table to finish it, took out the work diary in his school bag, turned to the latest page and filled in the year, month and day."
The one who got lymphoma on his honeymoon?""
yes.So when it comes to who deserves to die and who deserves to live, we can only watch.Sometimes at most a few words of comfort, what can be done is too limited. ”Yan Hong snorted, wiped the towel on his face, then threw the towel into the basin, picked up the alarm clock and screwed the time."
It's time, read the book, read the book.I do a good job of limited ability. ”The pressure of work is great, how can there be so much time to think about life and death, to think about whether it should be or not.The four of them each took out professional books, sat around the long table and began to work hard.The miserable white glow of the fluorescent tube shrouded the four girls with glasses who were working hard.The profession of medicine is an industry that works and learns from the old, and it belongs to the industry that never leaves the hand and never leaves the mouth.For those who have taken the gaokao, college means where they spend four years of happy time; For those who are admitted to medical universities, it means where to continue their senior year of high school for five or six years.The University of Medicine has people who take make-up exams every semester, and there are also people who are demoted and dropped out of school every academic year.Medicine itself is a thing that goes against the sky, and it is natural and normal to die in the middle of the road.Even some people have worked hard for five or six years, and in the end they still can't get their graduation certificate, so they have to go back to school the next year to take the make-up exam and pass the graduation exam before they can get their graduation certificate.Such people are common every year.The graduation examination of the Medical University is conducted by the institutions directly under the Ministry of Health, and the nine courses are one paper.There is no focus, any question in the question bank may be selected on that graduation paper.Medical students who have gone through clinical practice have a better understanding of the "key points" of the textbook, which is a must for common diseases and frequent diseases, but it is often not these common diseases and frequent diseases that are admitted to clinicians, but those uncommon cases that occur with a small probability.Li Min first wrote a work diary, then turned out "Local Anatomy" and concentrated on the anatomy of the thyroid gland.After reading it twice, I closed the book and took the paper to draw the anatomical diagram of the thyroid gland and its surroundings, marked the blood vessels, nerves, etc. one by one, and then flipped the book to check again, there was nothing wrong, and found "General Surgery" from the bookshelf behind me, and began to look at the surgical steps of most of the thyroid resection.The alarm bell rang suddenly, startling Leng Xiaofeng, who was concentrated.She pushed the thick "Pediatrics" in her hand and clamped the pen to the title page of the notebook full of words."
Two hours passed.It's too fast. ”Liu Na stood up and stretched, "Let's go, go to the water room to wash."
Take a fifteen-minute break, and it's time to learn English when you come back. ”The arrangement of English learning was unanimously agreed upon by the four of them.No one knows what their future will be, but they all remember the teaching of the teacher during the internship: professional literature is best read in foreign languages; English is required for promotion titles.So, English can't be put down.There is also one thing that the four of them understand in their hearts, maybe if they want to take the postgraduate entrance examination in the future, it is impossible to temporarily rush into English.Without school exams, the level of English learning in the rest of the years depends entirely on self-effort, encouragement and supervision between several people.After washing, the four of them worked hard according to the case.When the alarm clock rang again, Liu Na first put away her books, "My mom."
I didn't even work that hard in college. ”Leng Xiaofeng said: "That's because your oral department is too relaxed."
To be honest, among the clinical specialties of the Medical University, your dental department is relaxed. ”"It's easy to go, too."
Li Min slowly spun the old-fashioned hero pen in his hand, "Except for the medical department, the major in the medical school is easy. ”"How stupid we were to apply for a medical profession in the first place."
Yan Hong stood up and untied her hair, put her books together, and turned to make the bed."
When I first filled out the application, I didn't understand anything.It is said that girls are good at studying medicine and being teachers, and there are the most clinical recruits, so I applied for medical university.If I had to choose, I would definitely apply for high care, no, I should apply for a dental professional. ”"You can change it now."
Liu Na folded the big towel next to the bed, put it on the escalator, and said with a smile while spreading out the quilt: "I know that there is still a machine in the dental department that no one uses."
There is a queue of people who come to see the dentist every day.If you want to apply for transfer to the dental department, the hospital should be able to agree to it. ”Yan Hong immediately refused: "I have read all the clinical medicine, and I have paid for all the hard work, and it is meaningless to turn to the mouth again."
I heard that many people in our hospital retired from various departments last year, so there are many people entering this year.Li Min, you are well-informed about surgery, have you heard?
”Li Min replied indifferently without distinguishing joy and anger: "I heard about it."
I also heard that the only female surgeon had retired, so I was assigned to surgery. ”"You don't like surgery?
Don't want to be a surgeon?
”Yan Hong stopped her movements, looked at Li Min who was about to go to bed, and asked."
Never wanted to be a surgeon!"
Everyone could hear the unhappiness in Li Min's tone.There was silence in the room, and everyone silently spread out the quilt.Li Min coughed lightly in silence, "Go to sleep."
I knew that there was no new person entering the Department of Surgery and taking the title of female surgeon, so I just wanted to stay in the Department of Surgery to fill this number. ”She picked up her headphones and said she wanted to listen to the tape for a while, ending the topic of the sub-subject.Yan Hong grabbed the alarm clock and wound it, set the time, carefully put it on the table, looked at Li Min and comforted: "Surgery is much more complicated than obstetrics and gynecology, if you practice the scalpel well, you can transfer to gynecology at any time in the future, but it is impossible for gynecology to transfer to surgery."
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Hey, I'm telling you, get up at night and drink water, and be careful not to pull the alarm clock to the ground.One has already broken last week. ”Liu Na stretched out her hand, "Put it next to my pillow." ”"Are you alright?
I'm turning off the lights. ”Leng Xiaofeng stretched out her hand from the bed curtain that was put down, she lived in the position of facing the door, if it wasn't for a special night bed, she usually turned off the light."
I'm fine, you turn off the lights.""
I'm fine too."
As Leng Xiaofeng's fingers pressed, there was a "snap", and the room fell into darkness.What is the holiday after ※※※※※※※※※※※※※※※※※※※※ wrapping up?
——Tick out the laziness that has been accumulated for a year and a half*** Think about the books you read when you read books, I'm really afraid.For example, Dream of Red Mansions is 730,000 words, Romance of the Three Kingdoms is 800,000 words, physiology is 1.22 million words, bureau solution is 800,000 words, internal medicine is 2.48 million words, and surgery is 2.27 million words......
A few days ago, I saw a sentence that persuaded people to study medicine, and the sky thundered and split () a little far