The two of them entered the trauma surgery ward, and saw that Zhang Zhengjie had already changed into a white coat and walked out."
Director."
Li Min opened his mouth to say hello."
Going to a doctor?
The old leader is like this?
”Director Zhang stopped and stood in front of Chen Wenqiang to ask.Chen Wenqiang could only stop and replied indifferently with an expressionless face: "It's okay, the rest depends on whether he wants to wake up or not." ”Li Min could only stop and watch the conversation between the chief and deputy director of the trauma surgery department.I didn't want Director Zhang to suddenly speak to her: "That Xiao Li, you don't need to have radical prostatectomy tomorrow."
You go to the dry ward a few more times, and go to see the old leaders more often. ”Li Min's eyes widened in surprise, her lips pursed, and finally reluctantly responded with one word: "Okay." ”Zhang Zhengjie was very happy to see Li Min's reaction, nodded and smiled with Chen Wenqiang and Li Min, walked between them, and got off work with his briefcase in his hand.After subconsciously and agilely taking two steps back and letting Zhang Zhengjie have enough space to pass, Li Min bit his lip lightly, realizing that he had followed Director Chen to a craniotomy at noon, and now he was immediately targeted by Director Zhang.The matter of standing in line was inevitably kicked in front of Li Min.She had no choice and was a little caught off guard.At the same time, it also broke her unhurried and determined demeanor since she went to work."
AhhTomorrow's radical prostatectomy, you can't get it, it's not interesting.You might as well repair the oblique hernia of the old beam.These basic surgeries are what you should learn to do now.I'll take you to the emergency room another day. ”Zhang Zhengjie treated Li Min with such an attitude, which made Chen Wenqiang smile secretly in his heart, and then he happily opened his mouth to comfort the frustrated Li Min.In his heart, those who are not serious undergraduates, including Zhang Zhengjie, the administrative director, should be brushed off in the exams in the past few years, and then sent to the sluggish municipal hospital or district hospital.Especially Dr.
Wang, who is a general surgery specialist, is not an exam in the health school, but can understand the problems of the 70s.But in the later medical colleges, how can they take the exam by themselves, be admitted, and then pass the graduation exam.When Li Min heard Director Chen say that he was going to take himself to the emergency department, he immediately cleaned up his boundless depression and thanked Director Chen with a smile."
Then I'll wait for the director to take me to the emergency room and surgery."
Li Min looked at Director Zhang's attitude just now, and his mood was very low, and he secretly thought that Director Zhang was too much.Could it be that when Director Chen called himself to go to the clinic today, he said that he would not go?
Do you want to give up the opportunity of craniotomy?
Since he put on such an attitude to force himself, since he can't hide from standing in line, he can't hide head-on.Anyway, if you go back and beg him, you may have to look at your face and be eaten.It's better to take advantage of the situation to go to Director Chen's side, and it is also the side where he forcibly pulls himself over.Director Chen's technical strength is stronger, and he doesn't have to look at his face.It was in vain that he was blind to the orthopedic trivial work that he undertook for Director Zhang for more than a month ago.I don't want to specialize in orthopedics, so I will take this opportunity to get out.Chen Wenqiang was very happy to see Li Min's attitude, and happily explained the key points of today's craniotomy to Li Min: "When using bone drills, you must control the depth of bone drills, and you must know the thickness of the skull in each part of the head.Be mindful of individual differences.Otherwise, once the bone drill is drilled into the cortical layer of the brain, it is medical malpractice. ”Li Min nodded repeatedly.A craniotomy that piqued her interest in neurosurgery.Director Chen saw that Li was sensitively interested, so he washed his hands and continued to speak."
Neurosurgery is actually better than any branch of surgery.You see, tomorrow we will have to have a large thyroid section, and this one is now going to general surgery.The first time I did it, it was still very good.When I did it the second time, the local adhesions and the anatomy were changed.It's going to be hard to do, but it's still doable.However, if you encounter the second laparotomy in the liver, gallbladder, spleen, pancreas, and gastrointestinal tracts of the abdomen, in most cases, the abdominal organs are adhered together, and it is sometimes more difficult to peel off the adhesions and expose the surgical field.If you move, you will bleed, and if you move, you will either break the liver and gallbladder or perforate the intestines.If the bile ducts are damaged, peritonitis will occur 100%.Not to mention the third laparotomy.No matter how good the surgeon is, he will be careful to avoid it, which will definitely make the chief surgeon unable to come to the stage. ”Li Min had heard of this theory.After washing her hands, she shook off the water, and took out a large gauze cloth from her pocket to wipe her hands."
Director, you're right.However, there are many surgeries in general surgery, and I can practice the basic skills of surgery. ”"You've passed the bleeding stop, knotting, and thread cutting now.The rest, huh. ”Chen Wenqiang's smile was meaningful."
The rest is something I can't do under the operating table.""
Wait for the opportunity.For the blunt peeling of the hemostat, you can buy some pork to practice.Buy a part of the belly pouch with fascia.Stitching can buy pig's trotters to practice, pick pig's trotters to practice. ”"Okay.""
You just ask the instrument nurse for surgical needles, those horn needles and silk threads or something, and throw them away after one operation.You can pick it up and do the exercises. ”This is what Chen Wenqiang gave Li Min and the most suitable guidance for her current situation.The two of them walked side by side to the locker room.The nurse on the night shift chased behind him, "Director Chen, Director Chen, the outpatient clinic just called, please go to the emergency." ”"What's the matter?""
It looks like there was a bus accident.The medical office stopped the director and Dr.
Yang at the gate. ”"Good.You tell them, I'll go with Dr.
Li right away. ”"Look, let's leave a few minutes late, so we don't have to go back and change clothes.Xiao Li, do you want to go to the emergency room?
”Li Min nodded again and again, "I can't ask for it." ”It was time to get off work, and many people changed out of their white coats and walked out.Director Chen first went back to the nurse's office, dialed the phone in the physiotherapy room, and asked someone to tell her that her daughter-in-law had an emergency department in the outpatient clinic and could not go home on time.Li Min also took the opportunity to call the pediatrics and asked the nurse who answered the phone to tell Leng Xiaofeng that she was going to the emergency department and didn't have to wait for her to have dinner together."
Dr.
Li and Leng Xiaofeng have a good relationship?"
The nurse who took over the night shift saw Li Min leave the phone and asked her."
Yes, we're classmates, and now we live in the same dormitory.""
I heard you're four people in a room?""
Yes.Are there a lot of people over there?
”Li Min had heard that nurses were nervous about accommodation."
It's okay.The number of newly recruited nurses is eight in a room.If the home is close, there will be no beds this year.It is more difficult to get off the night shift and go to the morning shift. ”The nurse's night shift is at 11 p.m., and the morning shift is at 6 p.m.If you don't have a bed in the hospital, it's hard to get back late and wake up early.But even so, the doctors who have just graduated from the hospital still insist on four people in a room.Nurses, you can squeeze it.Because they really get off work after the night shift.Unlike the doctors who have to take care of the bed, sometimes there is no obvious boundary between commuting and commuting.If something happens if you don't rest well, it is definitely an unbearable loss for the individual and the hospital.Li Min and the other nurses changed the battery for Director Chen, smiled at the little nurse, and followed Director Chen to the emergency room.If Director Chen is asked to go to the emergency room for consultation, then the patient is likely to suspect intracranial hemorrhage and need him to determine whether he needs to undergo craniotomy.The emergency room of the provincial hospital, after ten years of preparation, has not yet formed a scale.The reason is that the emergency department of surgery, if the hospitalization standard is enough, it is basically directly shunted to the corresponding department for hospitalization.Patients who need to be kept for observation are reluctant to be hospitalized in a rudimentary emergency room for observation.The most fundamental reason is that the hospital lacks medical staff and does not have enough manpower to set up an emergency department.Therefore, the current emergency ward is managed by the outpatient department.The night shift is a disguised emergency shift.During the day, doctors and patients have argued countless times in the outpatient clinic because of the priority of emergency patients.The leaders of the hospital also had no choice, and when they encountered doctors and patients who were the first to open acute and critical patients and quarreled with outpatient doctors, most of them sent people from the medical department to close the mud, appease the patients and then reprimand the medical staff.Then the water passed without a trace, everything was as usual, and the quarrel was not fundamentally resolved.This kind of treatment makes medical staff even more reluctant to go out of the outpatient clinic.Therefore, the people who are in the outpatient clinic are basically talking about the discoloration of the outpatient clinic.Fortunately, it is a semi-annual rotation, and according to the current latest personnel schedule, it will take five years to get a turn.No matter how unwilling you are, you can accept it.Li Min followed Chen Wenqiang to the observation room in the emergency department.Before I got out of the elevator, I saw Director Zhang and others who had been stopped by the trauma surgeon, and they had to go back to Corey to change their clothes first.Chen Wenqiang said extremely annoyingly: "Let you change your clothes without ringing the bell." ”Dr.
Zhang and the others didn't care about arguing with him, and when they squeezed into the elevator, they instructed the elevator worker: "Hurry up, go to the ninth floor." ”Seeing that they were so urgent, Chen Wenqiang turned back to Li Min with a smile and said, "Yes, I was caught in the courtyard and left early." ”For such a childish schadenfreude, Li Min could only smile, which could be regarded as a response.The two of them rushed to the outpatient clinic, and saw the well-planned emergency department, like a department store with a discount.From time to time, I saw a few people with broken heads and bleeding, covering their heads and moaning.Around each of the wounded, there were people around, screaming, shouting."
What about the doctor?
What about doctors?
With so much blood left, why don't you two care?
”Seeing Chen Wenqiang and Li Min glancing at them, they walked over without touching their feet, screaming and accusing one after another.Li Min followed Chen Wenqiang closely, dodging the people who were about to reach out and grab her.Both of them walked quickly around the person who shouted the most fiercely without changing their faces.In the emergency room, there is no urgency to call out.The silent, apathetic, atrophied patients are the most terrible.This is the emergency department that they need to check and deal with as soon as possible.In the emergency room, it is the instinct and duty of clinicians to distinguish the criticality, urgency and severity of patients at a glance.Talent is required, and it is one of the basic skills that you need to be taught repeatedly during your internship.※※※※※※※※※※※※※※※※※※※※ isn't it pretty?
The little angels squeaked () a little far away