382 should 1 Li Min passed the defense in this way.On the way back to Corey, her spirit has been in a state of excitement, thinking that she has been "holding her tail" since she went to work, and she has always "rationally" pressed herself not to argue with anyone.This was the only request her parents made to her before she reported to the provincial hospital.For more than a year, before today, she had basically done it.Today is helpless, I have to fight against the water, I hope my parents know, I won't teach myself a lesson.Otherwise, Director Qin asked himself speechless at the defense meeting, and everyone would have to laugh at him in the future.I can't afford to lose this person.Thinking that she could finally let herself go and debate heartily just now, Li Min was so excited that she felt a very refreshing feeling filling her lungs, making her want to run, jump, shout, and sing!
But the hospital was full of patients and medical staff in a hurry, and she could only suppress her emotions.At the same time, she also doesn't answer the question of defense, but she is arguing this!
I really didn't expect it beforehand.There is another thing she doesn't understand, which she has been thinking about, but she can't figure out how to figure it out - why Director Qin always looks at herself unpleasantly; and that Director Zhang, just like Liu Na and Leng Xiaofeng said, there is always a turtle in their eyes.However, Director Zhang didn't target himself today.Count him smart!
Otherwise, it's not much worse if it's one or the other.Anyway, these two people have long looked at themselves unpleasantly.I don't know where to provoke them.Li Min returned to the twelfth floor with a complicated mood and bumped into Zhang Zhengjie who walked out of the nurse's office.Li Min hurriedly stopped and made way for Zhang Zhengjie."
Xiao Li, why did you go?
I'm looking for you. ”Zhang Zhengjie said in a hurry, but his demeanor did not seem to be in a hurry."
Director Zhang, do you have something?
I just went to the hospital to do it. ”The traces of excitement on Li Min's face are still there."
Gone for the defense?"
Zhang Zhengjie's news is also very well-informed, combined with the expression on Li Min's face, he judged that Li Min passed the test."
Congratulations.""
Thank you, Director.What's the matter with the Director?
Just make a phone call and tell me to come down. ”"I'll just come up and see the patient after the decompression."
Zhang Zhengjie said and added slightly embarrassedly: "The main thing is to thank you." ”After saying that he came to thank Li Min, Zhang Zhengjie looked much calmer.He then said generously: "I am responsible for the patient who operated on it today."
No, I'm mainly to blame for that.Number 2 listens to the intern's medical history, only examining his fractures and limb trauma.I didn't think to ask him if he had any other injuries. ”"The director doesn't have to blame himself."
Li Min now agrees with Director Shi's words when she came to her to mutter: "Although the day before yesterday's big round missed the diagnosis of this patient, although Dr.
Yang missed the diagnosis last night shift and again this morning, although this patient has occipital injuries and symptoms, he has always been conscious."
He doesn't say it himself, which of us is still a roundworm in his stomach or has a clairvoyant eye that can see through his brain?
”Li Min conveyed Director Shi's words to Zhang Zhengjie almost unchanged.Then he said, "Director, today is also a coincidence."
When we went in, he saw that we were crowded, and he muttered irritably that his headache had not been cured for two days, otherwise I would not have looked at him. ”"He said the headache wasn't cured?"
Zhang Zhengjie grabbed Li Min's words and asked, "Who treated him?"
What drugs were used?
”"yes.He said it.I brought five interns, as well as Qin Zhang and Yang Yu.Dr.
Sun from your department is also following behind.They all heard it.Who treated it and how it was used, I didn't see it in the medical records. ”"I don't see any record of that.But it didn't heal for two days?
That's when someone gave him medicine during the day yesterday. ”Zhang Zhengjie was puzzled.After the patient is admitted to the hospital, it is routinely required to keep a record of the course of illness for three consecutive days.This patient had a record of the first course of illness in the early morning of the 1st, and the complete inpatient medical record of the 2nd barely counted as a day, but the 3rd was blank.Such medical records are spot-checked by the medical record room, and points will definitely be deducted.But now that this disease has gone through the hands of too many people, and Dean Chen has seen it, it will definitely not work if he wants to secretly make up the course record of No. 3.There is also a supplementary record of the course of the illness must be matched with the long-term medical order (book) and temporary doctor's order (book).Because this patient is a simple orthopedic treatment, the medication is also very simple.Glance.If it weren't for the inconvenience caused by the fracture, it might be a tertiary care and no escort was allowed.Zhang Zhengjie only said to himself, and immediately said, "Xiao Li, thank you."
Well, I'll go back and check the nurse's medication records. ”After explaining this, his two little short legs scrambled upside down and strode away.Li Min understood his intentions.If the nurse's dosing record can be found, it means that the doctor on duty on the 3rd has treated the patient.Even if the patient's final prognosis is not good, trauma surgery will not be as passive as it is now.In fact, Li Min didn't know that Zhang Zhengjie was scolding Dr.
Yang and Director Luo in his heart.People in their forties have moved in and lived together for more than a month, and what kind of group wedding do they still participate in, do you want to be ashamed!
* Lu Qing came out of the office and said, "Doctor Li, the head nurse called from the eleventh floor just now. ”"Let me go down?
I took a look at today's surgery and passed. ”When Li Min was on the eleventh floor, the head nurse took care of her very much.She always kept it in her heart."
It's not for you to go down.She said that when you had surgery, Jin Yuan called her and said that she wanted to thank you and invite you to go to her house for dinner. ”Li Min has a very good impression of Zhang Zhengjie's daughter-in-law.She smiled and said, "Then invite me to dinner."
I'll go downstairs to the head nurse in a moment.Sister Lu, let me tell you that the patient today, no matter who is in charge of it downstairs, I saw that it was handled like this today.You look at your sister-in-law and talk to her. ”"Not going home again tonight?
Tsk, your new house is so empty. ”"What's the solution?
I still have the overall responsibility of hospitalization, and I have to look at this more carefully today. ”Li Min said as he went to the custody room.Lu Qing followed Li Min to the custody room.The patient's parents were persuaded to leave by his sister and brother-in-law, and now the second sister and the second brother-in-law are in the custody room with special guards.Li Min took out a flashlight from the drawer of the disposal cart and checked his light reflection, and found that the speed of reflection had improved significantly compared to the morning.After a physical examination, no pathological reflexes were eliminated.It made her breathe a sigh of relief."
When will he wake up?"
The patient's sister was very sad and worried."
He was awake when he left the operating room.Now he fell asleep like this, and after the anesthesiologist sent him back, he added some medicine to the drip.The purpose is to let him sleep for a while longer, which is conducive to the recovery of his brain. ”"Oh, that's right.My parents were worried when they left.You said that he was in his twenties, and he didn't go to work well every day, and if he didn't need surgery, his family wouldn't know that he was hospitalized.Hum!
Such a son, fighting, eating and waiting to die, my mother and father will treat him as a baby.also pointed to him to support the elderly, and raised him until he was old. ”Li Min smiled and ignored such words.She took the infusion book and counted the amount of fluid coming in, and then compared it with the urine volume recorded by the nurse.This patient has cerebral edema, and if he follows the dry method of fluid replacement after general surgery, he will definitely "drown" this patient.That's it, I have to dehydrate a little mannitol from time to time."
Dr.
Li, I have an empty urine bag every hour.Ah, it's all there. ”Xiao Zhai motioned to Li Min to look at a large number of cylinders in the corner, and the full scale was 2000 ml.There is also an empty 500ml small cylinder on the side.The special nurse who is on duty in the custody unit today is Xiao Zhai.She doesn't need any doctor to say anything more when she is on duty, and the patient can leave anything to her with confidence."
I'm relieved of you."
Li Min made a joke with Xiao Zhai.I opened a urine routine test sheet, and the monitoring of urine specific gravity is very necessary."
The results are out, let me know.""
Okay" Xiao Zhai looked at the test sheet, released 10 ml of urine from the urine bag, made a record and handed it to the patient's family to send a urine sample."
You wait in the lab for a while, and the results will come out soon
.
Free novels bring you joy and joy ---> storyskyline.net
"* Li Min walked out of the care room, laughed with Lu Qing, and walked up the stairs to the nurse's office on the eleventh floor.The two of them walked to the door, but saw Zhang Zhengjie talking to the head nurse with a white face.Li Min thought about it and knew that it must be his doctor's order to check No. 3 that he didn't find out.Dr.
Yang didn't come to work, not Zhang Zhengjie, so whose day shift and night shift is No. 3?
Looking at Dr.
Sun's appearance this morning, it shouldn't be him."
Sister Lu," Li Min dragged Lu Qing back to the twelfth floor, and quietly told her about the No. 3 doctor's order and his suspicions.Lu Qing couldn't help but be taken aback after hearing this: "Whose day shift is it?"
”"I don't know.Saying that I could take a break, I didn't look at the schedule during the eleventh day, and it seemed that there was a big change. ”"Wait, I'll go back and check.I have a record over there. ”Lu Qing took out Eleven's duty book and took it to Li Min's duty room.Li Min also tried to arrange Eleven's duty as a rough one."
The night of the 2nd is Dean Chen's, the day shift on the 3rd is Director Li, and the 4th, that is, today's night shift, is Director Shi.Sister Lu, usually they are Director Shi in the front, then Director Li and Dean Chen.How did this turn out like this?
”"How do I know?
You see, the night shift on the 30th is Director Shi, the day shift on the 1st is Xie Xun, the night shift is Director Zhang, the day shift on the 2nd is Dr.
Sun, and the night shift on the 3rd is Dr.
Yang. ”Lu Qing turned out the eleventh duty schedule and filled in the empty space of Li Min."
Sister Lu, forget it.This matter is really like what Director Shi said, let's not know. ”In this matter, the people who are on duty throughout the festival are responsible.In other words, the patient himself is the most responsible.If he had been hospitalized on September 30, he had told Director Shi about his occipital injury, and he might have had a brain CT scan at that time.Li Min felt that his judgment would not be wrong.Director Shi always smiled when he looked at it, but if he could get a commission for the CT examination, he would rather kill the wrong person than let it go.
*After the end of the work time, the last surgeon entered the intermediate defense, and the judges in the small conference room breathed a sigh of relief.M's, Chen Wenqiang's seriousness makes others embarrassed.He gave you a defense, but he also asked you to blush and feel guilty.Director Qin, who wanted to get such an effect, was scolded back by Li Min.That's because Director Qin doesn't have the ability to ask Li Min from the aspect of specialist business.
——Chen Wenqiang, but he was looking at the professional knowledge of orthopedics one by one.After the crowd dispersed, Director Qin stayed behind Dean Shu and followed him into Dean Shu's office."
Something?"
Dean Shu was forced to change him from the position of director of the hospital office to the position of director of the medical department, but he has always pretended to be deaf and dumb about the relationship between him and Dean Fei."
Sit down."
Director Qin reported on the trauma surgery and the results of his investigation."
How are the patients doing?"
Dean Shu immediately figured out the key point."
I waited in the operating room for Dean Chen to finish the operation and came back.The surgery went smoothly and successfully.It was Li Min who was in charge.This, Dean Shu, I'm not saying that Li Min can't be the main knife, but Dean Chen seems to be too indulgent to Li Min.After all, she is young, and once there is a deviation in the neurosurgical operation, the impact will be great. ”"I talked to Lao Chen about this.His opinion is that if only one person in the provincial hospital can pick up any specialized technology, it means that the specialty is a hidden danger to the overall medical safety of the provincial hospital.You know what I mean, right?
”Director Qin is a transparent person, and he immediately said, "Dean Shu, it's because I'm narrow-minded.But when it comes to Li Min herself, she is not only a female doctor, but also too young.Once there is a mood swing......
If you want me to say, it's better to choose a male doctor over 30 years old.Not to mention physical reasons, the mood is also more stable than that of lesbians.For example, Xiao Chen from the general department is more suitable, and the ...... of orthopedics" Dean Shu picked up the phone, and Director Qin immediately stopped.I didn't want Dean Shu to make a phone call, but told him: "Neurosurgery involves operation under a microscope, and it requires high basic skills.Lao Chen has not looked for other candidates in the past few years, like Xiao Chen you just said, he is the attending doctor who was promoted last year.Since Xiao Chen's place, he has seen all the young doctors who have been assigned to surgery in the past few years.In the end, it was a coincidence that Li Min was chosen, which has nothing to do with whether Li Min is young or a female doctor. ”Dean Shu picked up the phone and went to the twelfth floor.It was Li Min who answered the phone.She was giving an intern a lecture on the decompression she had done in the morning.The night nurse went to take over."
Looking for Dean Chen?
He went to a meeting and hasn't come back yet. ”"I'm Dean Shu, he returned to Cory, let him wait for me in Cory, and I'll go over.""
Yes.""
Let's go to the neurosurgery department and see the patient."
After sitting in the office for a day, Dean Shu wanted to take a walk, he wanted to see the patient's condition, and he had a good idea in his heart.Putting down the phone, Li Min faced the corridor and continued."
When you go to work in the future, once you encounter a patient with a occipital injury, you must consider that there may be a hinge injury to the frontal lobe.For cerebral contusions and lacerations that may occur as a counter injury, special vigilance must be exercised.Because not all patients can show clinical symptoms at the first time, some may be the second day, the third day, or even longer.It is best to visit the patient several times a day.Conditional follow-up brain CT for 3 days. ”"It was hundreds that day."
Interns have someone to worry about the cost.Li Min glanced at him and continued: "Maybe the patient's family will have opinions on frequent brain CT scans.But money is not so important compared to life.The purpose of the examination must be clearly explained to the patient and his family.It is important to emphasize to the patient and his family that the patient is rushed to perform CT and surgery in order to monitor the progression of cerebral edema and avoid an increase in intracranial pressure to the point of herniation.This will delay treatment and make it easy to miss the best time for surgery. ”"Isn't it enough to go to special care?"
There are questions from interns."
If it's a responsible person who can fully meet your level of approval, that's fine.However, it is not a substitute for brain CT.If the patient and his family object, they must not be lazy, do not record it in the course of the disease, and wait for irreversible consequences such as brain herniation, and the price of laziness will come to the door.Dean Chen," Li Min finally saw Chen Wenqiang come back in a hurry."
What's the matter?"
Chen Wenqiang stopped."
Dean Shu just called you to wait for him in Cory, and he will come over immediately.""
Hmm.What are you talking about?
”"Today's decompression.It's almost over. ”Chen Wenqiang walked in, asked a few interns along with today's operation, and found that these eight people basically mastered the content of the hedge injury part, so he let the interns go to dinner.Then he asked Li Min: "What about Yang Yu?"
”"Director Shi worked the night shift tonight, and he followed Director Shi to make rounds.Director Shi wanted to check the patients downstairs first. ”Chen Wenqiang nodded and said, "You come with me." ”Li Min followed Chen Wenqiang to the director's office."
How's the patient doing with the decompression flap?""
I went to see it 20 minutes ago and it was smooth.The purpose of the morning surgery was achieved. ”"That's good."
Chen Wenqiang's expression was a little soothed, he stood up and took out a large clip from the roll cabinet behind him, and turned to the latest page to show Li Min, which seemed to be the duty arrangement during the eleventh period."
Teacher?"
Li Min couldn't call Chen Wenqiang's attitude."
I've been thinking about this after the operation, and I've been thinking about it again and again this afternoon, if I want to dig deeper into this matter, all the doctors upstairs and downstairs will be involved.If you look at the shift on September 30, except for you, all of them have been on the day or night shift between the eleventh holidays after this patient was admitted, including me. ”"Hmm.What do you mean, teacher?
”Chen Wenqiang closed his eyes, and after opening his eyes again, his eyes didn't dare to look at Li Min, and he said with an extremely painful expression: "I have no choice, you may have to rewrite the medical records you wrote today."
Free novels bring you joy and joy ---> storyskyline.net
Leave room for the day shift and night shift No. 3. ”"Okay."
Li Min agreed without hesitation.If she hadn't thought like this before the operation, but after the words that Director Shi muttered in her ear, and the duty schedule for the eleventh holiday with Lu Qing, she was already unconsciously ready to change the medical record.Now that Chen Wenqiang asked for an exit, she felt that the second boot had finally fallen."
I'm staying in the duty room tonight and coming to rewrite in the evening.I'm going to eat first. ”Li Min couldn't bear to look at Chen Wenqiang who was so painful and tangled."
Well, there you go."
Chen Wenqiang saw that Li Min agreed very happily, and also left enough time for the people in front, and the expression on his face became even more complicated.* When Dean Shu and Director Qin arrived on the twelfth floor, they happened to see Li Min's back when he entered the duty room.But neither of them was named Li Min.They looked into the nurse's room, the door locked.If you pull the door of the doctor's duty room, it's also locked.Director Qin suggested: "There is also a director's office in their section, let's go over there and have a look." ”"Okay."
In the open director's office, Dean Shu saw Chen Wenqiang with a tangled expression, empty eyes, and a daze looking at the ceiling."
Old Chen."
He shouted Chen Wenqiang."
Oh, you two are here.Is it for that patient?
”"How's the patient doing?"
Shu Wenchen asked directly."
I haven't seen it yet.Xiao Li said that she had seen it just now, and it was quite stable.Let's go over and have a look. ”Coming out of the custody room, the three returned to the director's office.Dean Shu and Chen Wenqiang sat opposite each other, and Director Qin sat in the position of Director Shi.Seeing that the two deans didn't speak, Director Qin had no choice but to say tentatively: "Dean Chen, I have thought about this matter again and again today, as long as the patient is fine, can Zhang Zhengjie and Yang Weiguo be released?"
”"Let Zhang Zhengjie and Yang Weiguo go?"
Chen Wenqiang groaned and asked rhetorically, and then immediately said, "Yes."
Li Min is the general hospitalist, she is in the department 24 hours a day, you go to the duty room and tell her to change the medical records. ”Although Chen Wenqiang's attitude was not very good, he agreed so happily, which surprised Director Qin.Can you talk to Li Min yourself?
Director Qin thought of the debate with Li Min on the regulations in the afternoon, and suddenly a wave of anger rose in his heart, this is to stretch out his face and beat Li Min, a young female doctor?
Director Qin suppressed his anger and said to Chen Wenqiang, "Dean Chen, you let me go?"
Do you think it would be useful for me to talk to her?
Can I make sense of her?
”"It worked.You explain the reason to her clearly, and her person is reasonable, and she will not be like you. ”Director Qin was so excited by Chen Wenqiang's mocking tone behind him that his fingers clasped under the table."
Old Chen."
Dean Shu disapprovingly stopped Chen Wenqiang's hostile attitude that seemed unwilling to cooperate."
Director Qin is ostensibly for Zhang Zhengjie and Yang Weiguo.But if you think about it, in the end, it will still fall on the provincial courtyard and the collective wedding on the eleventh.Although it was Director Qin who caused trouble, and was pestered by his family, it was the provincial hospital that lost money.Of course, this is the worst-case scenario. ”Dean Shu didn't say much else in front of Director Qin, so he only patiently did Chen Wenqiang's work."
Now that the patient has undergone bone flap decompression surgery in time, didn't you tell the family when you went to see the patient, you chose the best time for surgery this morning.Earlier, the patient's condition is under observation, and there is no need for surgery, right?
”Chen Wenqiang looked at Dean Shu contradictoryly, and did not say what involved more people.Didn't he expect that the eleventh and twelfth floors were not completely separated?
Unbelief!
Dean Shu gave Chen Wenqiang a little time to digest what he said, and then continued to persuade patiently."
Lao Chen, as long as this matter is mentioned in the future, the collective wedding of our provincial hospital has affected the treatment of patients, and the collective wedding will not only not help the provincial hospital to strive for the advanced unit of spiritual civilization, but may also be a sign of shame for the provincial hospital.Not only was the provincial hospital dishonored, but even when Secretary Tang and I went to the provincial hall for a meeting, we were inevitably criticized by the small meeting of the conference and ridiculed by various hospitals in the provincial capital.You say, don't you?
”Dean Shu brought up these words in front of Director Qin, and Director Qin suddenly realized that this matter was not his own trouble, nor was it a matter of letting Zhang Zhengjie and Yang Weiguo go, and this matter was also related to the collective honor of the Provincial Court, as well as Dean Shu and Secretary Tang."
Lao Chen, now that the patient's condition is stable, from the perspective of clinical practice, his diagnosis and treatment have not been delayed, so are you talking to Li Min?"
Shu Wenchen clasped his hands, leaned forward, and looked at Chen Wenqiang.Chen Wenqiang knew that Shu Wenchen's body language contained firmness that could not be refused.So, he nodded and said, "Director Qin will go with me."
How can I do such a violation of the rules!
”"You, can't you ...... work" Dean Shu didn't say what he said later, but Chen Wenqiang and Director Qin both understood that they should say not to play tricks or something.Director Qin understood that Chen Wenqiang was taking revenge for the afternoon's defense.But his relationship with Chen Wenqiang, both of them are like mirrors in their hearts.Therefore, with both public and private, I should take the initiative in front of Dean Shu at this time.He immediately stood up and said, "Okay, I'll go."
I'll go on my own. ”() The distance is a bit far