In the radiology department, Director Liang operated the X-ray machine while pointing to the images above to explain to Dr.
Kim."
Fractures within 3 centimeters of the lower flexure are the most common Colles fractures.When falling, the human body instinctively comes to the rescue, causing the forearm to pronate, the wrist joint to be extended dorsiastically, and the palm to the ground.Then the ground returns the force and conducts it to this place, which is the weak point of the styloid process of the flexure, where many fractures occur. ”Dr.
Jin nodded obediently.Looking at a patient who has been reduced after a fracture on an X-ray immediately gives him an intuitive three-dimensional image.He felt as if he had been confused in the past, and suddenly there was a possibility to see the light of day."
This reset is well done."
Director Liang turned off the machine after ordering the pill and told the patient: "You may be in pain if the anesthetic is too strong for a while, so let the outpatient doctor prescribe red medicine for bruises, which contains pain-relieving ingredients."
Be sure to keep this position and not move. ”"Yes, thank you, Director Liang, thank you, Dr.
Jin."
The patient thanked him and went back to the emergency department for observation with his arm in hand."
Next.""
Next."
Several patients were basically affirmed by Director Liang after re-examination.Soon after arriving at the provincial hospital, he never heard the affirmation and guidance of others on his own, and this affirmation made Dr.
Jin, who was still under the X-ray line, feel a little drunk and floating.......
"This won't work, you took the plaster apart." ”When Director Liang saw that Dr.
Jin was going to find something to dismantle, he immediately took out a large round blade wrapped in adhesive tape from his pocket, cut down the two layers of the plaster bandage, and divided the entire plaster tube in half."
Make a scabbard by yourself like this, Xiao Li carries it with him.""
Yes."
Dr.
Jin saw that Li Min had used it, but he didn't expect this discarded large round blade to be used in such a way."
Look at this, the displacement of this place, you have to force it here, and push this small piece of broken bone a little bit inside.Look, isn't this the right thing to do with a broken bone?
”Director Liang used Dr.
Jin's thumb to exert force, including the patient, and the three of them saw that the bones that were staggered on the screen were basically completely aligned.Dr.
Jin's feeling for Director Liang at the moment is simply a reborn parent.Even though the patient was still there, he thanked Director Liang in a low voice.The patient, Dr.
Ren Jin, used gauze to fix the incised plaster pad to his arm, but he thanked Director Liang in his mouth."
If it weren't for you, Director Liang, my hand would be abolished.""
It's impossible to scrap it, we're going to make a review of your film tomorrow morning at the latest.Your fracture is different from those in front of you, and it's no wonder that Dr.
Kim.In addition, I have to remind you, don't look at me to reset you so well, there is still a possibility that the shift will occur again tomorrow.If that's the case, you're going to have to have surgery, so you have to wear a steel needle here to fix it.Otherwise, it may really be wasted. ”"Oh, I'm so sorry, it's Dr.
Jin's fault.""
It's fine."
Dr.
Kim re-immobilizes the patient's cast.After Dr.
Liang waited for the patient to leave, he said to Dr.
Jin: "If you encounter a fracture for the first time and there is such an image, or if the radiology department draws you such an illustration, you should take an image immediately."
Then take the film and explain to the patient the difference between manual reduction and surgical fixation, and the necessity of surgical internal fixation, otherwise medical risks may be buried.If there is a disturbance in a few months, even if it is uncertain that it is a medical accident, it will cause a commotion.The outpatient medical records and films are to wash away your dependence," "Thank you, Director Liang, thank you for teaching me." ”Dr.
Kim, who was tall and tall, choked up."
Nothing, let's call the next one."
*Director Liang and Dr.
Jin were busy in the radiology department until almost 8 o'clock, and Li Min pushed an ambulance to pick up the patient for them.This is a 56-year-old male patient who slipped on an icy road while riding a bicycle and fell directly to his knees.But the more unfortunate thing is that he couldn't get up after he fell, and sat on the icy road until the ice under his butt melted, and the ambulance drove to the place where he was injured.The left knee joint hit the ground first, and Li Min suspected that he had a fractured patella.The other one has a cold and cold, so I'll put it away first and then deal with it."
The knee joint cannot be straightened, cannot stand with weight, and the local tenderness is obvious, but no obvious horizontal depression is seen."
Li Min briefly described the information obtained from the physical examination to Director Liang, and added softly: "The patient is sensitive to pain and resists physical examination.I just wanted to touch his knee with two fingers, and he screamed like I was cutting his flesh with a knife. ”Li Min is quite dissatisfied with the patient's performance, he is not retired yet, he can't reach the elderly, how can he be regarded as a manly husband, it's too much."
Well, Xiao Jin gave him perspective and dots."
Director Liang asked Dr.
Jin to push the patient into the examination room.In this moment's work, Dr.
Jin has learned to operate the X-ray machine."
Director Liang, then I'm going back to Corey?""
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Let's go back.I'll wake you up for something. ”"Okay."
Director Liang's definition of something, Li Min thinks it is more reliable.
*Li Min went to the obstetrics and gynecology department first.Yan Hong bought the breakfast of the promotion department according to the agreement between the two, although it was still steamed bread and egg porridge, but there were only the two of them in the gynecology duty room, and they could still eat breakfast comfortably."
You're okay after eating, come with me to sleep with the nurse."
I see that the sleet outside has basically stopped, and the construction in front of the dormitory will continue. ”The construction of the new building under construction in front of the dormitory began at dawn every day, and many large light bulbs of 200 watts were lit at night, and work was almost 9 o'clock before finishing work.In less than a month, the construction team not only laid the foundation, but also watched the two-story building built with prefabricated panels and red bricks rise."
I asked Xiaofeng to go back and wait for the test, I have to go back to the dormitory."
Yan Hong saw that Li Min was a little dazed, so she reminded her: "You forgot yesterday's notice that you tested your gas today?"
Liu Na has to go back to the Medical University every Sunday, and Xiaofeng has to go to Director Wu's house. ”"Oh, I forgot.But don't worry, Nana will let Xiaofeng stay in the bedroom and wait to test her qi, don't believe you call Director Wu's house. ”"What if she goes to the Wu family?
I'm embarrassed to tell her to go back to the dorm. ”"You call now, she's definitely not going to go so early.I guess even if she goes to Director Wu's house, she will go back to the dormitory immediately.She's changed a lot this month. ”Leng Xiaofeng's changes this month are obvious to all.In the past, those obscure small problems of taking advantage of a little bit and doing less work are becoming less and less common, and the whole person's efforts to get along with everyone from the inside out make people no longer subconsciously want to reject her.Yan Hong felt that Li Min was reasonable, so she said, "Then I'll try it." ”Li Min took the lunch box back to the trauma surgery department to wash, and after a while, Yan Hong came over with her duty quilt."
Minmin, it was Director Fan who answered the phone, she said that if Xiaofeng passed, she would immediately let her go back and wait for the test, so that the two of us could rest assured that we could catch up on sleep.I told her that we would go back to the dormitory immediately after lunch, and change Xiaofeng to her house. ”"That's great, let's go to bed.I had to go to the post office in the afternoon and get the money. ”"Then you go by yourself, but be careful.""
Hmm.I took it out and deposited it in a nearby bank and came back with no cash. ”The money they said was remitted by Mu Jie, whom Li Min received a few days earlier.There are only a few words in the postscript: All is well, don't read it.Li Min estimated that this money was the balance of his entire allowance.The two of them slept peacefully all morning, but they did not know that a catastrophe was about to befall this ruined and thriving hospital.
*Sunday is the day when the heating starts one week after the test of air in the wards of the provincial hospital.After a week of repeated adjustment of the heating in some departments, most of the heating that did not meet the requirements were rectified.Heating in the burn unit, delivery room, pediatrics, and especially in the neonatal ward are the focus of the plumbing shift.But no one expected that when the end of work was about to end in the evening, a set of radiators in the waiting room suddenly burst.In a few minutes, the obstetrics and gynecology corridor became a sea of water.Waiting in the waiting room for mothers is basically about to give birth within one or two hours.The bursting of the radiator frightened a woman who shouted to the nurse in a scream: "Come on, I think the child is showing his head." ”Sudden birth?
Two midwives immediately came out of the delivery room and put the screaming woman into the delivery room.The result of such a treatment made other pregnant women cry out in the same way.The heating and hot water in the waiting room flowed down the hallway, and the screams of the waiting room panicked the families waiting outside the door, and they broke in despite the nurses' obstructions.The scene got out of hand.As the chief on duty, the current director of the medical department and the former director of the hospital office, Director Qin, rushed to the obstetrics and gynecology department with the security guard, but found that Director Liang had basically controlled the situation - he asked the heating and water intake on the entire floor of the obstetrics and gynecology department, and notified the plumbing team to come over for repairs, and at the same time called the hygienists of the trauma surgery and general surgery to come over and clean the corridor and the waiting room with the hygienists of the obstetrics and gynecology department.Director Qin thanked Director Liang repeatedly, and together with the obstetrics and gynecology doctor, he persuaded the family members of the expectant to leave the waiting room, so that the hygienist could clean the floor of the waiting room.In the chaotic obstetrics and gynecology department, the most embarrassing thing is the floor of the waiting room and the delivery room.The place where it used to be clean and you could walk barefoot is now stepping on a lot of muddy footprints.Director Li, who rushed to the scene after receiving the news, almost jumped up: "Hurry up and wipe it, quickly wipe it clean." ”Deputy directors Chen Liping and Su Ying dragged the discarded middle order and knelt on the floor together to scrub those muddy footprints.Chen Liping, who is usually extremely strong, said hatefully: "We must investigate the responsibility of logistics." ”"Don't think so much about it yet, take care of these frightened women tonight who may have a sudden birth."
Director Li straightened up, looked at the floor that had basically recovered, and said, "Wipe the delivery room, and close the delivery room for disinfection in a while." ”The doctor on duty said, "Director, there are still a few children to be born." ”Chen Liping was so anxious that she changed her face and said, "When we clean up the waiting room, we will not delay any mother to give birth." ”* The plumber of the provincial hospital is still quite reliable, and the burst radiator was replaced after a while, and the heating of the obstetrics and gynecology department on the entire floor was restored.They explained to Director Qin with trepidation: "Fortunately, it is in the waiting room, and if there are other more important places, it will be even more troublesome." ”Some family members said angrily: "Isn't the waiting room the most important?"
How many adults are scared, not to mention, everyone in the waiting room is going to give birth. ”This is the quarrel caused by the plumber not being able to speak."
Accidents, accidents.Today's incident was an accident.Let's clean up the waiting room, so that your loved ones can have a warm and clean room to rest. ”Director Qin said that he would appease the family, signaled the plumbers to leave quickly, and together with Director Liang, pushed everyone to the elevator hall of the obstetrics and gynecology department.There are a lot of extra beds in the corridors, and these are all waiting for mothers to live.In a panic, the shouts of the doctor and the nurse have been coming and going.※※※※※※※※※※※※※※※※※※※※* Knee fall in front of the knee is suspected to be a fracture of the patella.
**The background to this is that several plumbers tested the radiators in the delivery room for not changing their boots, and then triggered a nosocomial infection.I remember that there was a reportage "Holding Up the Black Sun" at that time, which was about this incident.The distance is a bit far from the 4th day of the 3rd watch for 7 consecutive days