In the operating room, Director Liang, Chen Wenqiang and others stepped up their work while gossiping.In the trauma surgery duty room, Dr.
Yang, who was asleep, was woken up by the family members with a perforated stomach."
Doctor Yang, Doctor Yang."
The sound was louder than the other, and the sleeping Dr.
Yang was woken up."
What's the matter?"
Dr.
Yang rubbed his eyes and sat up from the bed, and when he saw that it was the son of a patient with a stomach perforation, he immediately exploded."
There's no other doctor in Corey?
Last night, your dad tossed all night, and didn't give anyone a good night's sleep?
”"That Doctor Yang, don't be angry."
The man smiled cautiously, "It's my dad who has an accident again."
Just now, Director Li invited my father for an internal medicine consultation, and the internal medicine department said that my father had a heart attack. ”"What?
Your dad had a heart attack?
What type of heart attack?
There was nothing abnormal in the ECG monitoring last night. ”Dr.
Yang rubbed his face, extremely shocked."
Yes, my dad did have a heart attack.Director Li said.I don't understand either, but my dad wants to see you. ”Dr.
Yang got up and got dressed, and muttered, "I'll tell you, I'm not at work now."
Last night, I was on a night shift for Director Li.I didn't do your dad's surgery, and I wasn't his doctor.What did he see me doing?
”"We don't know either.And he clamored to see you. ”As the patient's family spoke, they stuffed folded pink into Dr.
Yang's pocket.Dr.
Yang hurriedly took it out and stuffed it back, this money can't be collected.At the age of 84, he had a heart attack after gastric perforation, and he may have to be confessed to the hospital."
That's a little bit of our heart.Thank you for your hard work last night. ”"Whoever works the night shift will do the same thing as me.Don't give me money yet, wait until your dad is discharged from the hospital. ”Dr.
Yang resolutely refused to accept it, and the patient's family had no choice but to give up.In the intensive care unit, Director Li was talking to the doctor who came to consult with the internal medicine department.When he saw Dr.
Yang coming in, he immediately beckoned him and said, "Xiao Yang, come and see the electrocardiogram."
This morning's rounds have not found anything unusual about him.But just now I did an electrocardiogram on him and found that he had an atypical heart attack. ”Dr.
Yang took the drawings in Director Li's hand, tilted his neck and looked at it for a while, but he didn't see why.I came to the ECG monitor again, compared the drawings in my hand, looked left and right, and found nothing abnormal in this ECG.So he whispered: "Atypical myocardial infarction is something that you internal medicine experts can see."
Our surgeons can only look at a roughly normal ECG. ”Director Li crossed his hands in front of his lower abdomen, and was very pleased that Dr.
Yang could speak like this.He nodded slightly, and walked out side by side with the doctor who had come to consult."
That's what I mean, too.See if you take this patient into your heart.Of course, our department will follow up on the surgical part and send a special nurse to it. ”......The doctor who came to the consultation was very difficult."
A myocardial infarction patient at this age is a ......
It's a postoperative ...... again" "But if you don't take it, our surgery won't have the ability to treat him for a heart attack."
Or do you send a doctor in your heart to guard him?
”"Director Li is joking, several doctors in our hearts, even the director is participating in the shift together, where is the extra manpower sent over.""
Not only the director of our department, but also Dean Chen has to participate in the shift.Let's be honest, this patient with a heart attack, whether you want to take it or not, you have to take it for treatment regardless of your department. ”Director Li said righteousness and strictness."
Alas.Then Dean Chen of your department is going to work shifts. ”The doctor in his heart avoided the fact that Chen Wenqiang was only the dean, and continued to vomit bitterness."
In fact, our cardiology department has always been full of patients.How many beds are empty like yours.When we caught up with a lot of serious problems, Dean Shu had to go to the department to guard.Well, I'll go back and discuss this patient with the director, okay?
”Director Li shook his head, "It's not that I don't want to, I'm afraid that if you discuss for a few hours, the patient's occult myocardial infarction will suddenly worsen, what if it is irreversible?"
In addition, there are so many vacant beds in our department, so we urgently transferred some lighter ones to lower hospitals this week, so as not to have no beds during the double festival.Otherwise, there is an extra bed in the corridor. ”Director Li didn't give in, and the doctor in his heart couldn't get out.He thought for a moment and said helplessly: "Director Li, haven't I given a doctor's order and used medicine?"
100% fine within an hour.I'll go back and arrange to pick up the patient within an hour.That's okay, right?
”"Okay.Then I'll take your words to the consultation opinion, and I'll wait for you to pick up the patient. ”"Okay, whatever you want."
The doctor in his heart sighed, "You must follow a nurse here, the surgical matter, our nurses in the department can't handle it." ”Seeing that he agreed to take the patient to the department, Director Li nodded and said, "Okay, send a nurse over first, isn't it gastrointestinal decompression." ”When he turned back to the care room, he saw the old man screaming "ho-ho" in his mouth, asking Dr.
Yang to take out his hand.Dr.
Yang sighed, turned to his son, and said, "Which of you comes and comes to see him, take out his right hand for ten minutes." ”"Fifteen minutes."
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Old men bargain."
Okay, fifteen minutes."
Dr.
Yang hesitated, but agreed."
Twenty minutes."
The old man saw that Dr.
Yang agreed to be happy, and immediately changed his words."
That's ten minutes."
Dr.
Yang seemed to be very concerned about the cunning of the patient, and he changed his mind when he made a furious appearance.The patient immediately stopped saying goodbye and interceded with his son."
Doctor Yang, why don't you take fifteen minutes?"
Dr.
Yang nodded helplessly and said to the escort: "If you try to pull out the gastric tube for more than a minute, you will be tied all the time." ”The nurse stepped forward to assist the patient and released the patient's arm.Dr.
Yang settled the patient, sighed and said to Director Li, "This is how I tossed back and forth last night.Alas.What do you say in your heart?
”"Pick someone up in an hour."
Dr.
Yang followed Director Li and walked out, looking at the corridor where there was no one, and said to Director Li in a low and humble voice: "Director Li, I really didn't see that there was a problem with his ECG. ”He was really scared, afraid that he was delaying the patient.This night shift, alas!"
Well, not just last night.I just looked at the electrocardiogram when he was admitted to the hospital, and it was similar to the current one. ”Director Li shook the ECG diagram that ran out of his hand, "This is from yesterday's emergency department, and this is the diagram that just ran."
Yesterday's preoperative emergency examination, the ECG room reported normal.I made a special call today and suggested that I observe closely or do another examination. ”Dr.
Yang listened to Director Li's explanation, and finally let go of his heart.Director Li was still on the side and said: "If I had reported a hidden heart attack yesterday, this gastric perforation operation would not be so simple." ”It was not only Dr.
Yang who had palpitations, but Director Li was also stunned by the results of the ECG examination again.He decided that when he encountered elderly patients in the future, he needed to be careful and careful.Like this patient, if there is an acute heart attack on the operating table......
Sure enough, the rivers and lakes are running to old age, and their courage is smaller than that of rats.Liu Na and Yan Hong, who walked out of the cafeteria, walked faster and faster.Left Leng Xiaofeng and her Senior Brother Gong far behind.Liu Na said with a little disdain: "Leng Xiaofeng's vision is too low, she will pay attention to whoever hooks up with her." ”Yan Hong smiled and dragged Liu Na's arm forward to speed up."
It's not good for you to be quiet, so that people can hear it."
Then she said, "You came late today, I don't know why."
Xiaofeng told me that she accepted a child in the morning, and the illness was quite distressing, but it was not enough to do the standard of emergency CT.She took pity on the child and went to find Senior Brother Gong to 'Gache' for a CT scan. ”Liu Na shook her head, "That's not going to be." ”"Isn't it anything?
When you are in the outpatient clinic, you can't imagine the pitiful appearance of those children in the hospital.I'll take it another day to see the six-and-a-half-month premature one.You know how uncomfortable it is. ”"I don't think like you.I'm telling you, I really don't think it's any good for that kid to survive.No matter what you do when you grow up, you can't bear it if you're in good health, let alone a child who is born prematurely before seven months. ”"Not like you say.The mother had three children in a row because of ABO blood group hemolysis.It was not easy to save this to six and a half months, and if this child is not actively rescued, I am afraid that the mother will not be able to bear it. ”Liu Na was stunned for a moment and grabbed Yan Hong's hand."
Can the kid live?""
It should work.I'm going to see him today.The strength of his little hand gripping my fingers increased. ”"That's good, that's good."
The two of them talked and arrived at the dormitory, put down the lunch box and bag, and hurriedly took the clothes to the water room to wash."
Li Min didn't come to lunch today.""
Yes, she said yesterday that she had a breast cancer to come to the stage, and the surgery is much more nervous than our obstetrics and gynecology department."
In the operating room, Director Liang and Chen Wenqiang carefully placed the multi-hole drainage hose, and the two of them sutured the wound from the beginning to the last skin layer, and did not stretch out their hands for Li Min again.Li Min was a little bored and only took the wire scissors to cut the thread.Her frustration was seen by Director Liang."
Dr.
Li, do you know why you weren't allowed to tie knots and stitch them up?""
Are you afraid that I won't sew well and have skin necrosis?"
Li Min herself said the most likely answer, but deep down she hoped that this was not the reason."
Our Xiao Li is a person who understands."
Director Liang is still in the usual tone."
It's not that your suturing and knotting skills are not up to par, it's that your qualifications are too shallow, and this patient takes the breast too seriously before surgery.If there is skin necrosis after the operation, which affects the milk/atrial reconstruction, she can't accept it. ”Li Min nodded silently, she guessed that this was the case, but it was really punctured, and it still felt a little hurt."
yes, I understand.""
Doctor Li, Director Liang and Dean Chen have given you a lot of opportunities.Those who graduated a few years before you and went to general surgery don't have as many opportunities as you. ”Director Zhou's words immediately dispelled the discomfort in Li Min's heart."
I understand, Director Zhou."
Li Min handed the thread scissors to the instrument nurse, reached out and took a stack of dry gauze, unfolded it, and gently and carefully stacked it layer by layer at the patient's knife edge.Raising his face again, he was already gone, and the loss just now.She smiled and said to Director Zhou, "The dean and the director have given me a lot of mobile phone calls.A few more pieces of dry gauze, a large gauze, double folded to cover just here. ”…… 1990/9/27 In Li Min's work diary on this day, he described in detail what he saw during the operation of breast cancer and Director Liang's words.At the end, he also wrote the words: qualifications, qualifications are not enough!
Even if I could do it well, it wouldn't work!!
The three bold exclamation marks are like three bombs, and they are clearly embellished at the end.Qualifications - became the treasure she worked hard to accumulate in the following years, and also became her later dependence.※※※※※※※※※※※※※※※※※※※※ ABO blood group is not compatible with hemolysis, the mother's blood type is O, and the fetus is A, B, and AB () are somewhat far away