Sure enough, as the year approached, the number of outpatient patients decreased significantly, and Corey began to reduce the number of surgeries.In addition to the emergency surgery must be done immediately, that is, the limited operation can be postponed to the year after the year, and the patients are also willing to spend the New Year at home, and the elective surgery is basically postponed to the fifteenth day of the first month.The head nurse looked at the small blackboard that registered the inpatients, and said to Zhang Zhengjie: "When the bonus for this month is calculated after the year, everyone's faces will look good." ”Zhang Zhengjie comforted her: "Let's take it as January to February." ”Because Chen Wenqiang was there, Director Xiang and Director Cheng came over to discuss the Spring Festival duty.Without the director's office, Zhang Zhengjie invited people to the duty room for a small meeting.Director Yan is interested in letting the newcomer be on duty.Chen Wenqiang listened for a while but said: "Let's all go home on vacation, and when we encounter something that the young man can't handle, he will inevitably be called back to the hospital by phone."
What I mean is that the first group on duty at the first turn of the night shift will be brought up to the day shift, and the latter group will follow the night shift, so that everyone can spend the New Year at home with peace of mind. ”What Chen Wenqiang said is reasonable, and the unquestionable attitude also shows that the matter on duty is not negotiable."
And what about after that?"
Zhang Zhengjie began to remember the order of duty during the Spring Festival."
After a year?
What's going on after the year?
”Chen Wenqiang saw that Zhang Zhengjie wrote that Li Min was on duty on the fifth night of the Lunar New Year, and he understood what he meant."
The sixth year is Lao Liang's group, and the seventh year's group is Lao Li's group, and they are lined up down.Who's who is in line. ”Director Cheng said, "Dean Chen, am I on duty until mid-April?"
”"Oh?""
I'll be out of class in a new year.Do you think it's okay?
”Director Cheng said tentatively.Zhang Zhengjie pointed to the notebook in his hand and said, "Director Cheng, you and I are in a group, and it will be our turn to work on Sunday after the New Year."
What's the point of this not being out of class. ”Oh, too.Director Cheng said with a smile: "Then I will stand on the last shift." ”Chen Wenqiang didn't say anything about their words, and said according to his prior plan: "After the New Year, it's time for the doctors in our outpatient clinic and ward to rotate again.The matter of rotation should also be on the agenda now.Director Zhang, you and Dr.
Yang, Dr.
Wang, and Dr.
Liu, the four of you discussed a sequence, and the two of them went to the emergency department for half a year.March 1 passed. ”Zhang Zhengjie's face suddenly changed greatly.Now that I am the director of the ward, do I still have to rotate to the outpatient clinic?
But seeing Chen Wenqiang say his decision in front of so many people, it is a posture that does not leave room for people to raise objections, and according to his temper, he does not want to make any changes.Arguing with Chen Wenqiang?
He didn't think he could win.He had to calculate in his heart, now go to the emergency department, and there will be an exam at the end of March!
But as September passes, the most important surgery season of the year will be missed.I haven't had a few surgeries in the last three or four months......
When exactly when this will pass, he began to struggle.* "Old Xiang, you orthopedics need an attending doctor; There is also an attending doctor who will come over from the general hospital.This is to fill the vacancy in the trauma surgery ward, and the other is to fill the gap in the orthopedic rotation and the lack of general experience, so go to Director Zhang's group.This rule is set first, and after the head of the doctor, the senior resident doctor will be rotated, so that no one likes to go to the emergency department. ”After saying this, Chen Wenqiang laughed: "Trauma surgery is just an emergency ward in disguise.Everyone goes to the clinic for a year, and everyone accepts it.It takes half a year to go to the emergency department, and you have to be in our "emergency ward" for half a year, I don't think you have any opinions, right?
”Director Cheng laughed a little exaggeratedly.He echoed: "Lao Chen, I have nine people in the ward, and other people are easy to say, so I'll go and discuss with Lao Liang, and let the senior attending doctor come here first."
But what about Xie Xun?
He's already finished his high school. ”"Let him choose."
Chen Wenqiang did not want to deal with individual cases.This is what Dean Shu told him yesterday."
Lao Chen, these people in surgery can go through the outpatient and emergency departments in about five or six years.Then you won't finish one lap and then a second lap, right?
”"I can't do it without the second lap.No one wants to be in the emergency department, nor do they want to be in the outpatient department, but can we close the outpatient department or the emergency department?
At that time, it may be necessary to start with the deputy chief physician who has never been to the emergency department.Lao Cheng, you might as well tell Xie Xun this.Now, while there are still a few of us who are old and immortal in the inpatient ward, we can take the resident doctor on duty, and let the senior attending doctor go to the emergency department and outpatient clinic first, so that the outpatient ward is not wrong. ”It doesn't matter if Director Cheng is retiring, the doctors in the Department of Orthopedics who asked Director Cheng are deep in thought.Zhang Zhengjie interjected at the right time and said: "Lao Chen, I'll go to the emergency department for half a year after the year."
Let's see if Lao Yang or Dawang is partnered with me, there are two people in the orthopedic department here, and it will not delay Corey's work arrangement. ”Chen Wenqiang nodded approvingly: "You two look at Director Zhang's style, and talk to your comrades in the department, I don't want to see anyone make a fuss and delay work." ”Director Cheng and Director Xiang didn't expect to discuss the Spring Festival shift, but they discussed such a thing.Director Xiang immediately thought that the staff on duty in March would have to make a new fine-tuning, so he greeted Chen Wenqiang and went back.Director Cheng pulled Chen Wenqiang and said, "Director Zhang went to the emergency department in March, and the duty in this ward is about to change." ”"The orthopedic department will have an attending doctor, and he will let him take the rest of the director's time."
Director Cheng immediately understood Chen Wenqiang's plan, and left with a wry smile.* When Zhang Zhengjie saw that the people were scattered, he said to Chen Wenqiang: "Lao Yang and I will go to the emergency department first."
Director Liang can still accept urology patients here for the time being. ”Chen Wenqiang nodded in approval: "Then come according to your arrangement first."
When Lao Yang comes back in September, the people sent out for further study will also come back soon. ”"But when Director Liang goes over, there will be fewer people on our side.""
There will be no less.After the year, there will be a deputy chief physician in the chest. ”"You're going to stand up first?""
Let's set up one first.Whether it is thoracic surgery, urology, or neurosurgery, you have to stand up quickly.You've also heard about the accreditation criteria of tertiary hospitals, right?
The fees for these three classes are different from those of Class B.We can't be ...... because of individuals Isn't it?
Your trauma surgery is not moving for the time being, and when you have a few more students in the fall, the internal medicine department has moved out of the place, and the emergency department is in order, you can see how to stand up the bones. ”Zhang Zhengjie felt that the last sentence was to comfort himself, but Chen Wenqiang had already sat firmly in the position of assistant to the dean, and it was very interesting to say such a comforting word.He couldn't hold back anything but thanks, so he went to Dr.
Yang and told them about going to the emergency room.
*Li Min saw the Spring Festival schedule, and her heart blossomed.She went back to the dormitory and happily said to Yan Hong: "Rainbow, I can go home in the afternoon of the thirtieth day, and then come back to work the night shift in the afternoon of the first day of junior high school."
You can go home after the big rounds in the morning of the second day of junior high school, and come back in the afternoon of the fifth day of junior high school, what about you?
”Yan Hong was very depressed, and she was so uncomfortable that she was about to cry when she heard Li Min say this."
Minmin, I'm on the night shift in my thirties, and I can't ask for leave for ward rounds in the second year of junior high school, and I can't go home on the first day of junior high school.Then I went back to the day shift in the third year of junior high school and the night shift in the fifth year of junior high school.We work in shifts of five.I can't go home until the fourth year of junior high school, and I have to come back on the fifth day of junior high school. ”Li Min didn't know how to comfort her.said tentatively: "Why don't you ask Pan Zhi how he is on duty during the Spring Festival."
Their city hospital may not be as nervous as we are, let him come and accompany you.When you go home in November, you'll be ready for the New Year, and you may not be able to go back.Isn't it?
”"It's still Liu Na and Xiaofeng.I was able to take family leave early. ”"Xiaofeng's family leave is accompanied by Director Wu on duty for her.She's going back to her brother's wedding this time, and she's not sure when she'll be home next time. ”"Yes, Leng Xiaofeng received a marriage certificate, and the family leave is once every four years.Seeing that you have all gone home for the Chinese New Year, I want to go back too. ”"Why don't you find the night shift in the second year of junior high school and see if you can change it, and go back early in the morning of the third year of junior high school."
Li Min suggested to Yan Hong: "Take the day shift for the night shift, is it easy to change it for the New Year?"
”Yan Hong shook her head.After pondering for a while, he said, "Minmin, I want to try to change the night shift of the first year of junior high school first, if I can change it, I can go home in the afternoon of the second year of junior high school."
When I come back on the fifth day of the new year, I can stay at home for two days. ”Li Min was surprised: "But you can stand two night shifts in a row?"
”"I was alone in the dormitory on the first day of junior high school, and I slept in the dormitory for a day.There should be no problem. ”Yan Hong said this, and Li Min couldn't think of a better word to comfort her, so he told Yan Hong about his Corey's change in scheduling as a joke to relieve Yan Hong's boredom."
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Caihong'er, let me tell you, Dr.
Liu of our department is not happy.He said that he worked the night shift last Chinese New Year's Eve, and this year he worked the night shift again.I have been working for ten years, and I have been on duty for five years in thirty shifts. ”Yan Hong couldn't help but laugh: "When it is the shift, it all depends on fate."
Then his life is really not very good. ”"It's the surgeon who likes to bully newcomers.Let me tell you, if Dean Chen hadn't come out this time, I would have been on duty for Class 30. ”"Wouldn't it?
Isn't your surgery a group?
”"Hmm.But the directors of the Department of Surgery wanted to disrupt it, but they were vetoed by Dean Chen.I listened to what Director Zhang said, and he also said that I took a big advantage. ”"You're pretty lucky, you don't have to be on duty at thirty."
Li Minwan said, "I'm still alive?"
You've forgotten about my 'eleven' extra night shift.Dean Chen: That's mainly from the perspective of medical safety.Each department arranges for the young ones to be on duty for 30 shifts, and if there is something to do, the department director is not allowed to run to the hospital, so it is better to come according to the group. ”"Well, yes, so that everyone can celebrate the New Year at home with peace of mind.If you want me to say that the group that Dean Chen did is really good.Hey, what happened to your Dr.
Liu's 30 night shift?
”He was so angry that he lost his temper in Cory, saying that it started because he was not married, and he was in class 30 every year.When he got married, last year he said that he was the youngest and had to take care of his old comrades.This year, the rules have been changed again, and I have to work the night shift of thirty, and it's not over to catch a person and bully him!
Anyway, it's quite unpleasant.Director Zhang was also quite angry, saying that he was also worth a lot of classes that no one wanted to attend.Dr.
Liu said that he was an 'advanced individual who learned from Lei Feng', and if he didn't do more, everyone didn't want to do it, so why should he be advanced.Director Zhang was so angry that his face changed.Heck, it looks like it's going to eat people.In the end, it was Dr.
Yang who said that he would change shifts with him, so that this matter could be suppressed. ”"Didn't you Dr.
Koyan come home?
Didn't he say that his ex-wife always went to him?
”"Didn't reply.Not only his ex-wife, but also his son and daughter came to Corey to look for him, and he didn't come back.He said that he had completed the divorce procedures, so what would he do when he went back.I think it's okay to leave, his daughter-in-law is too much.I told you that he had a fever and was dripping in Cory, and his daughter-in-law didn't even go to take care of him, and he caught someone and scolded whom.Hum!
”"I don't think they're good cakes.The time you forgot him, it's the time before......"
"I haven't forgotten.How could it be forgotten?
I can hide as far as I can from him now.But his daughter-in-law is even more hateful. ”"It's not his daughter-in-law now, it's his ex-wife."
Yan Hong corrected Li Min seriously.Li Min patted her lightly: "Well, you're so right. ”The two looked at each other and smiled.There are only two of her left in the dormitory, and the two of them go in and out together, still the old pace of "going to work to see a doctor and reading books after work".But by the time Yan Hong got off the night shift on the 27th of the lunar month, there were less than 20 inpatients left in the trauma department, and there were few patients in the gynecology department, but the number of waiting mothers in the obstetrics department had not decreased.At noon, Li Min and Yan Hong had lunch together, and when they learned that she had changed to the night shift of the first year of junior high school, they said, "On the first day of junior high school, we are on the night shift together."
I'll bring you dumplings. ”"It's so far away, it's troublesome.I've heard that the cafeteria also makes dumplings every year. ”"What's the trouble.You can't catch up with the food in the cafeteria.I took the thermos home and it was still hot when I came back. ”*The night shift on the first day of the new year was much quieter than usual, but Li Min was a little distracted during the morning meeting on the second day of the new year.Her aberration fell in everyone's eyes, if it wasn't for the morning meeting, she went in too late, maybe everyone would have gathered around her to ask.At the end of the morning meeting, the head nurse took the lead in speaking."
Doctor Li, your face is wrong, and the night shift last night was nothing."
I was only injured by a firecracker in the emergency hospital, nothing else."
Well, Corey is nothing.But on the emergency side, a corpse was delivered in the early hours of the morning.Corpse spots and zombies have appeared, and they still need to be rescued. ”Li Min's dry words attracted the attention of the general practitioners.Zhang Zhengjie glanced at Chen Wenqiang and asked, "Who was always on duty last night?"
”"Dean Shu.""
Then it's fine.Xiao Li, come, let me tell you, let's listen to a ghost story on the first day of the Lunar New Year. ”What kind of person is this!
Li Min glared at Zhang Zhengjie.But seeing that everyone was surrounding him, he had to say: "It was almost four o'clock in the morning when the outpatient clinic called, saying that there was a traffic accident, so I went over with Dr.
Jin of the orthopedic department." ”The man in the flat car still had traces of coagulated blood on his head, face, and mouth, and some slight traces of dirt on his new clothes.When several people moved to the treatment bed, Li Min found that this person was stiff.She habitually asked for a flashlight to look at the injured person's pupils, and found that the light reflex was gone.She quickly reached out to feel the carotid pulse of the injured person, and the skin under her finger was like ice, and she couldn't feel any pulse at all.The moment she straightened her waist, she saw that the wounded's lips had begun to wrinkle.It was so shocking to her!"
Call and ask the general on duty to come over.Push the ECG machine over quickly. ”Li Min instructed the nurse in the emergency room.The nurse who disassembled the infusion set also asked a little strangely, "Don't you open the fluid path?"
”"Do an ECG first."
Li Min gave the order categorically, and his face was undoubtedly resolute.One nurse ran out to make a phone call, and the other, very unhappy, stuffed the infusion set into a torn plastic bag and turned to push the ECG machine.Li Min tugged on Dr.
Kim's sleeve to prevent him from moving, Dr.
Jin was vigorous!
You have to be next to him to give yourself courage.Dr.
Jin felt that Li Min's behavior was too strange, so he asked her, "Dr.
Li, is there anything wrong?"
”Li Min pushed him and said, "You go and untie the wounded's clothes and look at the color of his back and buttocks." ”Dr.
Jin's eyes widened: "What are you looking for?"
”After thinking back and forth, he also noticed that the facial expression of the injured person was wrong.Immediately asked in the shape of his mouth: "Corpse spots?"
”Li Min nodded.* Outside the door, several family members wept in low voices, and a man lifted the curtain and asked, "Why haven't you rescued you?"
”Li Min didn't know what to say.It just so happened that the little nurse pushed the ECG machine over.She then asked Dr.
Kim to untie the injured man's clothes and connect the leads.Sure enough, there was no response."
When did you find the wounded?"
Li Min couldn't care much at this time, and asked the man who was guarding the door curtain."
You don't care when we found out?
If people are sent in, and you don't give them rescue, do you want to see death in your hospital?
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”At this time, Dr.
Jin exposed the skin of the patient's buttocks, and he beckoned Li Min and said, "Dr.
Li, come and have a look." ”The back and buttocks of the injured were large areas of purplish-red, which had been fused into patches.Li Min beckoned to the man and said, "Come over and press it with your hand." ”"What's wrong with me?"
The man pressed his hand, and the fuchsia disappeared, and he let go of the fuchsia and reappeared.Li Min hid behind Dr.
Kim, dragged his white coat and poked his head out and said, "This is a corpse spot."
If the victim died in the open field, it means that he died for more than 6 hours.If it is a traffic accident that you are talking about, there is a malicious escape of the vehicle that caused the accident and did not immediately send the injured person to the hospital, and the police must be called according to the regulations. ”The man was immediately stunned.He turned his head and walked out, almost colliding with Dean Shu who came in.
*"Dean Shu. ”Li Min and Dr.
Jin hurriedly greeted each other."
Oh.Dr.
Li, it's Dr.
Kim, right?
You two night shifts?
What's the matter?
”"The outpatient phone said that there was a traffic accident, so we hurried over.On examination, the light reflex is absent, there is no carotid pulse, and the lips are wrinkled.The ECG has no waveform.Just now, it was found that the injured person had corpse spots and corpse stiffness, and the time of death was estimated to be more than 6 hours. ”Li Min hurriedly reported to Dean Shu.Dr.
Jin took the ECG machine and wanted to push it away, but Li Min tugged at his sleeve and refused to let go, shouting outside: "Come in and push the ECG machine away." ”As soon as her voice fell, several men and women poured in outside, rushing to Dean Shu and kneeling down."
Doctor, save him.He's not dead.When we found him, he was vomiting blood.Don't you see there's blood in the corners of his mouth?
”Dean Shu asked them to get up, asked for Dr.
Jin's stethoscope, and listened carefully to the chest of the injured person, and there were neither heart sounds nor breath sounds."
Did you take the anal temperature?""
Not yet."
Li Min immediately called the nurse to come in and take the temperature of the anus."
How long did it take you to find the wounded?"
Dean Shu circled the stethoscope in his hand, still asking in a tepid and gentle tone.The man who began to lift the curtain could not hide his sadness and said, "My brother repaired the motorcycle before dinner, and said that he would come back for dinner when he went out to try."
We waited from six o'clock to seven o'clock, thinking that the motorcycle was not repaired and was broken halfway, and we had to push it home.We didn't wait for him to eat first.It turned out that it was almost eight o'clock, and he didn't come back yet.All of us went looking for it with flashlights.He was found in the land more than three miles away from home.We also wondered how he didn't try the car on the road, so he went to the wilderness.It's not a place to test it. ”"Call the police.I don't know if he was abandoned in the field after a traffic accident. ”"Doctor, then you save him first."
The nurse showed the anal table to the family of the injured person."
He doesn't have a bit of a temperature now.Already frozen in the field. ”The families of the injured were silent."
When did you find him, at 4 o'clock this morning?
3 points?
Or last night at 8 o'clock?
”Dean Shu asked."
I found it almost 2 o'clock."
The woman who wept the most saddled replied, sobbing in reply."
Then why did it come so late?""
Isn't it unlucky to go to the hospital for the New Year.The car we met saw that he was motionless and refused to carry us.We can't stop the car......" replied a younger woman.Li Min exchanged glances with Dr.
Jin, and then looked at Dean Shu.The man who lifted the curtain said, "We can't wait for the car, so we have no choice but to carry him to the hospital." ”I saw Dean Shu and said, "Actually, you found out that he was dead before you went to the hospital, didn't you?"
”"Nope.He didn't die. ”The woman in her thirties who had initially answered cried, "He's not dead."
Ahhh ”After crying a few times in a grief-stricken voice, she pointed to the man and said, "The motorcycle you stole cost your brother's life on the first day of the new year."
Your nephew is only ten years old, who are you worthy?
AhhhLi Min and Dr.
Jin followed Dean Shu out of the treatment room, leaving the injured and their families inside.The old lady in her sixties chased after them to the office, and when she entered the door, she knelt down in front of Dean Shu to hug his legs."
Dean Shu, don't call the police.I'm just these two sons, and I've already folded one. ”"Hurry up.Didn't you see the motorcycle?
”The old lady nodded."
If you're telling the truth, motorcycles are worth thousands of dollars, then he probably got hit on the road, and then the money-grubbing perpetrator took the motorcycle and dumped him in the wilderness.If you don't call the police, you will let the wicked go, do you think your eldest son died in such a vain?
”The old lady didn't want the driver who hit and killed her eldest son to get away with it, but she knew that the police would definitely not miss asking about the motorcycle when they came to investigate.She really didn't want her youngest son to be implicated because of this motorcycle.She wiped her tears from her face in a daze, her lips squirmed but she didn't know what to say, and let the nurse pick her up and take her to the clinic and his family.
*Li Min and Dr.
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Jin followed Dean Shu in the outpatient clinic and waited for the police to take over the matter, explain the process of receiving the patient, hand in the outpatient medical records, and then they could go back to the ward.She was a little afraid that the last time in the operating room, the lung cancer patient who died of suffocation, the head nurse asked her to stay away from the deceased who had just died, which still left a mark on her heart.Dr.
Kim took the frightened Li Min back to the trauma surgery department.But the two nurses on the morning shift didn't have time to take care of her, so she could only curl up in the rest room of the nurse's small shift by herself, and when she closed her eyes, she saw the corpse spots on the back of the deceased......* Director Li comforted Li Min and said, "This matter has nothing to do with you."
With Dean Shu here, he will take care of things. ”Director Zhang clapped his hands and said, "It's not uncommon to send people who have been dead for a few hours to be rescued.After a few years, you go to the emergency room and you see someone who has been dead at home for a few days before being discovered.In the summer, it is possible that the corpse has maggots. ”Is this comforting?
Director Liang pulled back: "The surgeon is just out of the emergency department, and it is generally not his turn to follow to pick up the patient." ”He saw that Zhang Zhengjie disagreed, so he continued: "Our surgical vehicle equipment and road conditions can't be operated on the car, why do you want the surgeon to go over?"
You're talking about what happened in the countryside, right?
”"It's just that there are fewer dead people.When you work in the clinic for ten or twenty years, you will not be afraid to see many corpses. ”Chen Wenqiang made the final decision."
That's it, it's like Lao Chen, you went to Tangshan to rescue ...... that year" The head nurse immediately interrupted the trend of getting farther and farther away: "Okay, don't talk about the dead."
It's not taboo for the New Year, so hurry up and go to the room.You Chariso, let's go home for the New Year. ”"What's there to taboo.That is to say, our ward is a new building, the old building before, and no one has died in any bed.Don't look at the space occupied by our provincial courtyard is quite large, if you put the dead next to each other over the years, it may not be enough to level the place. ”Doctor Liu's words are very clear to scare Li Min."
Liu Liwei, are you looking for death?
You wait for me to tell your daughter-in-law. ”Lu Qing came up to protect Li Min as a trump card.Doctor Liu immediately became numb: "I can't say it." ”Corey had less than twenty inpatients, and it didn't take half an hour to check it out.Zhang Zhengjie waved his hand and said, "You can go home after the ward round record is written."
Xiao Li, you write quickly. ”Chen Wenqiang took the stack of medical records held by Li Min and said, "Give it to me."
We wrote three of them each, and we finished them in a while. ”"Hey, Dean Chen, I don't dare to check on you.""
It's okay, I'll write Director Li for ward rounds."
Director Liang waved his hand to Li Min: "Go, go home for the New Year."
Set off more firecrackers, that thing to ward off evil spirits. ”※※※※※※※※※※※※※※※※※※※※ was on the night shift of the outpatient clinic on the first day of the Lunar New Year in the first year of work, and the car accident that was transferred to the scene of the accident was encountered, and the one who cried was miserable...... () The distance is a bit far