In the trauma surgery duty room, Dr.
Yang and Dr.
Liu occupied a duty bed.Dr.
Liu turned a cigarette in his hand, and several fingers went back and forth several times.He kneaded and grinded the tissue paper on the outer layer of the white cigarette until it was about to break, and then he put the cigarette under his nose, sniffed it vigorously a few times, and reluctantly put it back into the cigarette case."
If you want to smoke, go out and smoke, I'll have to sleep for a while."
Seeing him like that, Dr.
Yang deliberately pointed to the door and drove Dr.
Liu out."
I'm not because of you."
Doctor Liu smiled nonchalantly, "You don't want to be bitter and hateful."
The patients with gastric perforation have all been taken to the internal medicine department, and it is not your fault that you have anything to worry about.The ECG room should have figured it out yesterday. ”Dr.
Yang sat up, leaned against the head of the bed and said, "How do I look at that old man, I always feel that he doesn't look like he can be better." ”Doctor Liu laughed: "You still learned to look at faces?!"
”"I didn't learn much about looks.Look at the old man, it's nonsense to say that he doesn't understand reason, and people still know that they can stop in moderation and accept it when they see it.If he understands things, he can choke all of us last night.It's so fucking cunning.Until now, as far as the loose arm is concerned, he still only recognizes me as a person, and he is obviously a man with a secret conscience. ”"Alas, be a man.He turned to his heart this time, and he won't be you again.Do you still have to be on duty for Lao Chen tonight?
”"Tibai.has replaced Director Li, what can't be replaced for him.The head nurse told me today that she couldn't do anything except for the brain CT examination fee, and the other fees were all free.The ward is lived, and so is the duty room.When people say that, it's not good for me to continue living in the ward.In any case, it is better to live in this duty room than to go home and quarrel. ”"Okay, just what you did, you were deducted from the hospital for three months' bonus, and whose daughter-in-law can you change without quarreling.Don't say it, Lao Liang of our department is good-eyed.Lao Chen, well, it's not bad.As soon as Lao Liang mentioned that you would be exempted from hospitalization, he agreed.and Director Zhang and the head nurse were also interesting enough, and no one stopped them.In this way, even if you deduct your bonus for three months, you don't have much to lose. ”"That's not what I said.If I hadn't hurt this......
"Who made you drink so much that day!"
If you listen to me take a few sips, you won't knock your head off. ”Dr.
Yang couldn't tell the reason for the injury.But such an aggrieved feeling made him almost take a breath.He coughed a few times, lay down suddenly, pulled the quilt on, and said, "Sleep, don't fucking bullshit."
I've got to work the night shift again tonight. ”Dr.
Liu thought that his words had touched his pain point, so he smiled and closed his mouth and lay down.Dr.
Yang volunteered to be on the night shift again, but he also saw that he took the initiative to be on duty for Director Li, and immediately received the effect.As for whether Chen Wenqiang will use him as a substitute tonight, then I have to wait for Chen Wenqiang to have surgery before asking.But he still hopes in his heart that he can ease the relationship with Chen Wenqiang, but he can't fix it immediately, and he can improve it a little bit, and it's okay if he doesn't like him.In the afternoon, Director Wu of Pediatrics went to the office to sit down, and Leng Xiaofeng knocked on the door and came in."
Director, I gave you a CT scan for the patient you brought in in this morning.The results of the examination were 'fourth ventricular mass lesion, supratentorial obstructive hydrocephalus'. ”"What about CT films and reports?"
Director Wu stretched out his hand and asked Leng Xiaofeng for something."
I asked Dr.
Gong, who did the examination, to know about this result.""
Hmm."
Director Wu nodded, snorted lightly, and grabbed the desktop phone."
The radiology department is ......," he said, his finger slicing across the phone number list pressed under the glass pane on the table, and it took a while to find the radiology department."
Hey, I'm Pediatric Lao Wu.Call me out to you guys to listen to the phone. ”The person who answered the phone probably heard from this self-claim that it was the director of pediatrics, and immediately went to find someone for him.Director Hu came quickly......
"Hey, old Hu, it's me."
We had a child in the morning, '......', yes, that's it, the fourth ventricle mass lesion, supratentorial obstructive hydrocephalus'.Is the diagnosis correct?
”......
"That's what I said, how dare I not believe you."
I'll ask Dr.
Leng to get the film and report, and then ask our dean to give a consultation. ”......
"Hehe, that's it.I'll thank you again. ”"Dr.
Leng, you first write a list for the trauma surgery department, and ask Dean Chen to come and consult the child.The diagnosis is written in the radiology department.Then you go to the radiology department and get the child's film and report and send it to me. ”Director Wu put down the phone and immediately ordered Leng Xiaofeng."
And this child said that he couldn't have surgery.You almost tell your parents. ”"Yes."
Leng Xiaofeng even gave up taking a nap today, and was looking for information about obstructive hydrocephalus.Now that Director Wu said that the child needs surgical treatment, she is very eager to know immediately what choice Dean Chen will make: should he do surgery to remove the space-occupying lesion directly?
Or do you just do a cerebrospinal fluid shunt to relieve the obstruction?
Of course, there is a third option: Dr.
Chen will transfer the child to the hospital because there is no pediatric surgery in the provincial hospital.Li Mincai settled the breast cancer surgery patients in the intensive care unit, and Chen Wenqiang walked in."
Doctor Li, there is a consultation in the pediatrics, you and I will go together.""
Okay."
The patient's family immediately chased after Chen Wenqiang: "Dean Chen, Dr.
Li, let's go have lunch together first, I've made an order." ”Chen Wenqiang excused: "No need, no need." ”"Don't, it's two o'clock, why don't you have to eat."
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The family was very sincere."
If you don't go, no one else will dare to eat."
Chen Wenqiang hesitated for a moment, and then said, "Otherwise, hey, Lao Liang," he called Director Liang, "You and Lao Zhou will go to dinner first, and Dr.
Li and I will go to the pediatrics to have a look." ”"Okay."
Director Liang agreed very happily, and the patient's family smiled and left with Director Liang.Li Min followed Chen Wenqiang to the pediatrics, and first went to the office of Director Wu of the Department of Pediatrics."
Oh, Lao Wu, you can, there is such an office."
Chen Wenqiang sat opposite Director Wu and patted the armrest of the leather chair enviously."
You come to the pediatrics, and my office will be given to you immediately."
Director Wu greeted Chen Wenqiang with a smile and motioned for Li Min to find a place to sit by himself."
You're not talking nonsense.Did I come to pediatrics?
Fix all these empty heads. ”Chen Wenqiang scolded him with a smile."
Isn't your dean's office better than mine?
You can't afford to come.Otherwise, if you come here today, the Department of Pediatric Surgery will be able to open now. ”Chen Wenqiang took the CT film handed over by Director Wu, and Director Wu's words made his smiling eyes narrow into a slit, and his mouth pretended not to care: "I don't care if your pediatric surgery is open or not." ”Director Wu turned on the reader and held the CT scan in his hand to introduce the child's condition to Chen Wenqiang.Because the child was admitted to the outpatient clinic, he introduced each item in detail.......
"So, you mean to leave this child with us for treatment?"
But we don't have pediatric surgery here. ”Chen Wenqiang listened to Director Wu's introduction and pondered for a while before speaking."
It's up to you.""
According to the situation of the child you introduced, you can do a shunt surgery first, relieve the compression, and wait for the general condition of the child to improve, and then do elective surgery.But this space-occupying lesion," Chen Wenqiang hesitated, "the child is too young, and the risk of craniotomy is too great."
If the shunt resolves the symptoms, observe them.If the tumor doesn't continue to grow, let's see. ”"Okay.Anyway, this kid has to do it. ”"After the operation, I have to be placed in your department, otherwise I will be transferred.Our nurses don't have the skills to care for such a child. ”"Forget it.Which of the nurses in your department is not the top of the past?
”Chen Wenqiang was about to open his mouth to refute, but Director Wu saw his appearance and immediately changed his words: "Okay, well, let us go to the department after surgery." ”Chen Wenqiang achieved his goal and said with a smile: "Let's go, go see that child." ”Director Wu stood up to open the door, turned to Chen Wenqiang and said, "Old Chen, I said that you are now in charge of the medical treatment of the surgical part, why do you have to raise the pediatric department of our hospital to a higher level, right?"
You're not one of those people who doesn't understand clinical practice.If you can set up pediatric surgery, the name of our provincial hospital will also be bigger. ”Pediatric surgery is only available in the Affiliated Hospital of the Medical University and the Children's Hospital, and if the provincial hospital can set up a pediatric surgery department......
That has a greater impact than setting up the emergency department, thoracic surgery, orthopedics, and urology.Chen Wenqiang stood at the door and thought for a while before cautiously answering Director Wu's words."
It's not an easy thing to do.The strength of adult surgery in our provincial hospital is insufficient.If you want to open pediatric surgery, not to mention that the amount of surgery cannot be increased temporarily, and if there are a few more children who have undergone surgery, postoperative care will also be a problem. ”"Why don't you put it here in our pediatric department first?"
Director Wu was very active in suggesting."
As long as the hospital assigns us a few nurses who can go to the postoperative intensive care, you have to come first for the ward round."
Director Wu and Chen Wenqiang walked side by side, and Li Min followed closely two steps behind."
After the operation, it will be placed in your pediatrics, and the surgery and pediatrics will be combined first, but you can consider the pediatric surgery matter."
Chen Wenqiang was moved."
After a few years, when the technical strength goes up and the manpower is sufficient, it will naturally be able to separate the pediatric surgery.But can you choke on this?
”Director Wu grinned, pediatric postoperative care is much more difficult than the treatment of ordinary children.But if we work in this direction, the pediatric department of the provincial hospital will be able to go to the next level, and there will be no need to rely on the pediatrics and children's hospitals of the Affiliated Hospital of the Medical University......
Every time he transferred a child who needed surgery, and every time he told his parents that the provincial hospital could not operate on the child, Director Wu felt blushing and feeling guilty."
Okay, you can give me a few special care that can bear postoperative care, and then increase the bonus distribution a few points, and put it in pediatric nursing first."
Director Wu pretended to insist on his own requirements.Chen Wenqiang laughed: "You are not greedy.If there were a nurse like that, would I still have to put the post-operative ones in your pediatrics?
”Director Wu led Chen Wenqiang to the patient's hospital bed, where Leng Xiaofeng was standing talking to the child's parents.Seeing the three of them, he nodded to Director Wu and the others, and then introduced to the parents of the child: "This is Dean Chen and Dr.
Li, who are here to consult your child." ”Director Wu stepped forward and said to the parents of the child: "The CT examination results Dr.
Leng told you, we asked Dean Chen of the Department of Neurosurgery to come to the consultation to see how to use surgery to reduce the compression of the cerebrospinal fluid on the cerebral cortex. ”"Thank you, Dean Chen, thank you, Director Wu."
The parents became agitated.Chen Wenqiang stepped forward to examine the child, Li Min and Leng Xiaofeng nodded, and took out their own notebooks.※※※※※※※※※※※※※※※※※※※※ thanks to the little angel who voted for me or irrigated the nutrient solution~ Thank you to the little angel who voted for [landmines]: Wang Wangwang 2; Thank you to the little angel who irrigated [nutrient solution]: thank you very much for your support to me, I will continue to work hard!
() The distance is a bit far