Li Min has been following the progress of the autopsy of the deceased patient in the orthopedic department.A few days later, the autopsy results of the orthopedic patient came out.The main cause of death was acute renal failure, which was discussed that night.In addition, during the comminuted fracture of the femoral neck and traction after admission, the patient's body formed a thrombosis, not only the brainstem embolism, but also other organs of the body also had different degrees of embolism.In other words, even if there is no kidney damage caused by mannitol, even if there is no internal fixation, he will soon become critically ill due to embolization of multiple organs.Whether death could have been avoided is hard to say.No one in the provincial court knows how to entrust an intermediary to reach an agreement with the family.Anyway, Director Xiang lost face in the provincial hospital once because of the improper timing of mannitol use and the problem of using it.To this end, he handed over part of the orthopedic affairs to Director Wang.Director Wang successfully obtained most of the rights that the deputy director of orthopedic administration should have.Li Min added a note to the end of the death record: Beware of elderly bedridden patients - → blood clots.The two big characters of the thrombus composed of the red small skull are scary how to look at it.Shocking!
* Then the patient with internal jugular vein thrombosis in operation No. 2 dragged on for a week, and in response to the pre-operative explanation, there was a large area of brain cell death, and he became a vegetative state.It is an undeniable fact that it relies on a life-support system.The family no longer wanted to admit the fact that the disease had turned around, and after persisting for a few days, they agreed to remove all life support channels.Amid the heartbroken wails of the patient's wife, the young man who had undergone double flap decompression was able to get out of bed and walk around."
Dr.
Li, thank you for saving me."
Lying in bed these days, the young man finally figured out something.The first thing he was able to do when he walked out of the small ward was to come to the office to thank him with the support and accompaniment of his two brothers-in-law."
You're welcome.This is what I should do.After a few days you are discharged from the hospital, you need to take care to protect your head.Next year, I will come for a skull repair surgery, and it is not enough to rely on a layer of scalp to protect brain tissue. ”"When should I come?""
When you are discharged from the hospital, I will write a summary of the hospital in your outpatient medical record, which will include all the things to pay attention to and the approximate time period for coming back for surgery next year."
The patient thanked him again and again, but his two brothers-in-law looked at Li Min and had a lot of things to write on his desktop and dragged him away.* Li Min was busy for half an afternoon, and finally finished writing the internship appraisal of the eight interns in this group.She gathered the written intern appraisal together, took it to Director Li to sign and seal, and then handed it to Chen Wenqiang to sign and seal.Among the eight interns, she gave the lowest score to the student who interned with Dr.
Yang.The missed diagnosis of occipital hematoma was also written into the identification.- The provincial hospital will not deal with him, but when this student wrote the complete medical record, if he had carefully followed the requirements of diagnostics and did a rigorous examination, the whole incident could have been completely avoided.That's what Li Min thinks and insists on.The intern's lead teacher also heard about it.Under his questioning, his classmates, who were interning in trauma surgery, provided him with a complete ins and outs of the matter.was so angry that the teacher who led the team called the intern brought by Dr.
Yang over and criticized him fiercely.But this is also an approach that does not help.Later, under the plea of the student concerned, he not only came to Chen Wenqiang to ask if it would affect the student's internship appraisal, but also came to Li Min to greet him first for the internship signing, hoping that the provincial court could be accommodating."
Dean Chen, Dr.
Li, after all, this is a matter related to the student's life."
Li Min was very angry and immediately rejected the leading teacher.Looking back, she also complained to Chen Wenqiang: "Dean Chen, the internship appraisal of these students, I write realistically.If he had worked hard, there would have been all those things behind.And if this appraisal is known to the students that I wrote it, I don't care if the interns come back later, you and Director Li can write it yourself. ”Part of the appraisal of the intern students is written by the instructor and part is written by the head of the department.The internship in neurosurgery and thoracic surgery should naturally be written by Chen Wenqiang and Director Li.However, the head of each department generally receives the subsidy himself, and the matter is pushed to the general inpatient or the teaching secretary to do it.Chen Wenqiang now has Li Min, a conscientious and responsible resident general who takes care of chores, and he doesn't even write a word in his medical records, so how can he be willing to handwrite the appraisal of intern students.So in the face of Li Min's complaints, he directly handed over his work seal to Li Min to stamp on the appraisal.Then I didn't even read the content of the intern's identification, and signed the name by brushing."
That student is the one who deserves the punishment.If you don't take it seriously during the internship, what will happen after you work?
I don't know how many people are involved in the trouble he caused alone. ”Director Shi firmly supported Li Min to give the lowest score to the student and wrote about it in the appraisal.He also planned to wait for the specific punishment in the hospital to contact Director Qiu of the Student Affairs Department of the Medical College to talk about this matter in detail, so that he could use this matter to educate the students well.In addition, it is also necessary to let Director Qiu know how much responsibility Chen Wenqiang has taken on in this process.That's the favor he owes to Lao Qiu.It's not appropriate not to tell him.Of course, if he says something in private, it is also related to his own unhappy mood.For the sake of this intern's lack of seriousness and caution in his work, not to mention that Director Zhang and Dr.
Yang made a big shame this time, Director Luo also lost face in the provincial hospital, even Yang Yu drooped his head every day, not daring to raise his head and look at others.It is estimated that in the end, I will have to be criticized, and the patient was admitted during his night shift.* Towards the end of the month, the patient with occipital hematoma was compensated by the party who injured him, and he was discharged from the hospital with a smile on foot, and the punishment of the trauma surgeon was immediately down.Director Zhang Zhengjie and head nurse Wang Jing were punished with administrative warnings for not taking ward rounds seriously during the National Day, and the party circulated criticism; Dr.
Yang was given a major demerit and a three-month bonus deducted for misconduct and inconsistency during his work on duty; A nurse was immediately transferred from the post of trauma surgery after being administratively denoted and assigned to work in a branch hospital; Director Shi, Director Li and Qin Zhang were notified of criticism; Other clinical doctors on the 11th and 12th floors, including Chen Wenqiang, were named and criticized at the hospital-wide meeting.The only exception is Li Min.Director Qin personally talked to Li Min and encouraged her to continue to work hard.After the punishment, everyone's hearts were put back in their place.And Qin Zhang, who actively pursued Gu Lihua after the accident and succeeded, was also scolded by Sister Luo for being a donkey who was leading and regressing.For a while, there were many people who looked at Qin Zhang, and they had everything to say.* After learning that Xiao Gu and Qin Zhang were having a relationship, Nurse Ji came to the door with a lot of guilt.She said to Director Qi helplessly: "I tried my best.I can teach her about her work, and there is no way to do this. ”"Xiao Ji, we are very grateful to you very much."
Dean Fu was the first to know the news, but he didn't have the face to tell Director Qi, and he was embarrassed to say it to Head Nurse Ji.When Nurse Ji came to the door and couldn't hold it back, he could only helplessly thank Nurse Ji.Alas!
His niece is not angry......
Alas!
Shame on you!"
Don't worry about her, she's like her mother, she has to ......"
After Nurse Ji came over to tell them the news about the couple, Director Qi, who had been so angry that his face was pale and trembling, regardless of what he wanted to say, was stopped by Dean Fu with stern eyes.Nurse Ji was not interested in their family's privacy, and only said lightly: "Xiao Gu has no problem operating independently now."
When you have time, you have to remind her to work hard and always be vigilant, and there is no need to go wrong in the work of dialysis. ”Dean Fu and his family thanked Nurse Ji for sending Nurse Ji out of the door.When she turned around, Dean Fu and Director Qi began to quarrel, and Gu Lihua didn't know that she was doing something wrong, she was stuffy in the room and didn't go out.* But after Dean Fu's daughters came home, the conflict between the husband and wife broke out again after the children expressed their attitude, and rushed to an unprecedented new height.Director Qi regretted that he didn't get Gu Lihua to be a school doctor earlier, and gave her an option to go to the dialysis room, which gave Qin Zhang a chance to find Gu Lihua.But as soon as she said this, Dean Fu said, "It's fate."
She went to be a school doctor, so Qin Zhang didn't know where she went if she had a heart?
Won't you go looking for her?
Will I be able to leave him alone in the end?
”......
"Anyway, old man, if you remember your son and daughter's words for me, they will not move around with Gu Lihua in the future." ”Director Qi reminded Dean Fu.Dean Fu's son was vehemently opposed to Gu Lihua and Qin Zhang's talk.Their brother and sister did not hesitate to threaten Gu Lihua by severing their relationship, but in this way, they did not reverse Gu Lihua's thoughts."
If you don't go, you won't go.Lihua is not without brothers. ”Dean Fu didn't make any moves with his own pair of children.Just like what my son said: Such a stupid person, I'm afraid that I will be dragged down by her in the future."
Aren't you afraid that the old Gu family will peel off your precious niece?"
Director Qi was dissatisfied with Dean Fu's attitude, so he stabbed him fiercely.Dean Fu was ruthless: "The only child is not alive anymore!"
”This can make Director Qi angry enough.The two of them are arguing with each other, and you are arguing back and forth.She no longer cares about Gu Lihua still living in their house, what she says happily, she says the unbearable Gu family and Gu Lihua's mother's stupidity in front of the children.Dean Fu slapped Director Qi in a hurry, Director Qi scratched Dean Fu a few times, and dragged his son to cry for divorce......
Under the persuasion of his son and daughter, Dean Fu had to immediately admit his mistake to Director Qi.And Gu Lihua slammed the door in the noise, and moved to the single dormitory that night.Unit dormitory, such a thing can't be covered at all.* Lu Qing and the head nurse muttered: "That Qin Zhang is really slippery."
If he hadn't pursued Gu Lihua and Dean Fu hadn't worked hard, he would have not just reported criticism this time. ”"Dean Fu raised a stupid child, what can I do.However, Qin Zhang looked like he had escaped the demerit punishment through Gu Lihua," the head nurse said regretfully: "I really think that he didn't like Xiao Gu before and rejected Dean Fu's backbone."
Now look, not only is he spineless, but this person's character can be regarded as being well-known in the provincial court. ”This is not a good reputation.* Afterwards, Director Liang said to Director Li: "Lao Li, you are confused!
How much trouble you have added to Lao Chen.I can't believe it's your doing.I told you that Chen Wenqiang is your own son, and he can't stand such an emotional disquengerence.Don't forget that you have four other children, all of whom work in the provincial hospital. ”Director Li was silent for a long time and said, "Lao Liang, I won't do it again." ”Director Liang's words became a prophecy, and Director Li obviously felt that Chen Wenqiang was alienated from him for most of the month.In fact, Director Li came to the door of Director Liang that night and learned that the patient had been subjected to craniotomy and decompression in the emergency department, and he had already regretted it."
Lao Liang, I really didn't expect that patient to have a occipital hematoma, so I sent Qin Zhang over to take a look.""
Alas, Lao Li, I guess Chen Wenqiang can't think about it here.It stands to reason that no matter what happens to the patient, you are always a responsible person and will go over to take a look, why did you send Qin Zhang that day?
”Director Liang asked knowingly.Director Li pursed his lips and was silent."
Lao Li, I understand your knot, but can you stop being angry with other people?
I'm also angry.My boss is still in the county town and refuses to come back, what else can I do if you say I can persuade myself to open a little?
”yes, what else?!
The initiator is dead.Twenty years have passed.But Director Li always felt that there was a heavy stone that had been pressing on his chest, making him unable to be restless and unable to breathe smoothly in the dead of night."
Lao Li, I advise you to do a good job of self-adjustment.Otherwise, how can Lao Chen rest assured that you will go to the emergency department to be the director next year?
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There are a lot of fights in the emergency department. ”Director Li nodded, he understood that these words of persuasion were all for his own good, and they were all Director Liang's heartfelt words.He said with emotion: "Thank you, Lao Liang, I won't do anything to anger others anymore."
Lao Chen, you have to talk about it for me. ”"Okay, I'll have to talk to him.You don't know how uncomfortable he was for that, so he hung in my house and shed tears.Last time I drank with me, I was so drunk that I said that I had no face in front of Xiao Li, and it was not good to put up a teacher's shelf again. ”"You mean me, right?""
I'm going to say you still need to go around the bend, I'll just say it.Don't be in a hurry about Lao Chen, give him a time to adjust, and he will slowly figure it out.If you are not a young man in your twenties or thirties, you will not still believe that things in this world are either right or wrong, black or white. ”*Not only does Director Li need time to adjust his emotions, but Chen Wenqiang feels several times more pressure than him.On the one hand, he felt that he was ashamed of his father's teachings, and on the other hand, he felt that his way of leading Li Min astray was a big mistake and unforgivable.Under the two blows, he was depressed and difficult to discharge, because the pressure of working for several days was particularly high, and he caught a cold when the weather changed.The first snow at the end of October turned into water when the fine snow particles fell to the ground, and the provincial hospital had not yet started heating, so it turned out to be just an ordinary cold, but he could fall so sick that he couldn't get up.After getting off work, Li Min said to Xie Xun, who was on night duty: "Senior brother, I'm going to Dean Chen's house to see him, he's been sick for two days." ”"Go ahead.Bring one for me.If he needs anything, let him squeak. ”"Okay."
Under Yan Hong's staff, Li Min bought red Fuji apples that looked like paintings, and the smallest one had to weigh more than half a catty.She originally wanted to buy bananas, but was reminded by Xiaoyan that bananas are cold and not suitable for sick and pregnant people."
Xiaoyan, you can, you know such things.Who told you that?
”"My aunt bought books on food and pregnancy care, and I read these books every day.""
Well done.No wonder your Aunt Hong likes you. ”Xiao Yan smiled and added half a cup of ginger tea to Li Min.When the hot ginger tea was drunk in his stomach, Li Min felt that his whole body was warm.She stood up and said, "I'll have to get over quickly, or it will get dark in a while." ”"Then you come back for dinner."
Yan Hong didn't keep her either."
Good.Don't wait for me to eat, just leave me one. ”"Okay, I'll ask Xiaoyan to put it in the thermos bucket for you."
When Li Min arrived at Chen Wenqiang's house, he found that Director Shi was also there, and the apples brought by Director Shi were the same as those bought by Li Min.She saw that Director Shi and Chen Wenqiang were chatting quite speculatively, so she went to the kitchen to help Xiao Yin cook."
Aunt Yin, do you want to go for an infusion?""
He doesn't have a fever and doesn't need an infusion for the time being."
Xiao Yin thought for a while and said, "He, it's actually a heart disease." ”"Heart disease?"
Li Min was surprised, and then asked hesitantly, "Is it because of the criticism in the hospital?"
”As soon as Xiao Yin wanted to speak, Chen Wenqiang raised his voice and shouted with insufficient confidence: "Xiao Yin, send Lao Shi." ”"Director Yin, you don't need to send it."
Director Shi hurriedly stopped Xiao Yin, who was about to change his shoes."
Don't come out on this cold day.There was no heating, the door opened wide, and the cool breeze came in.Go back, go back, go back. ”Director Shi spoke, closing the door.Xiao Yin was not reluctant, but said in the door: "Lao Shi has time to come and sit." ”"Okay."
With the sound of promise, the footsteps downstairs faded away.Xiao Yin pulled Li Min back to the kitchen with him, and continued what he had just been interrupted and failed to say."
Your teacher has a heart disease, and most of it is in the matter of asking you to change your medical records.In this half month, he pulled Lao Liang to drink three times, and when he was drunk, he said that he had taught you badly.See how you can persuade him.Alas!
He's a person, he just can't get along with himself, I've known him for 30 years, and he's still the black and white character he had when he was young. ”Li Min immediately said, "Then I'll go?"
”"Go ahead."
Xiao Yin took the half-peeled green onion from Li Min, and pointed out the hand towel and hand polish to Li Min."
Do you want to take some of this ginger soup?"
Li Min pointed to the ginger soup that had just turned off the fire, sent to Director Shi, and drank it himself."
Less.It's not good to drink ginger soup on an empty stomach, well, it's your teacher's bad stomach. ”"Then I'll add some more hot water."
Li Min picked up the thermos and poured half a cup of hot water into the enamel cup, then mixed a little ginger soup with a soup spoon and served it inside.Xiao Yin nodded approvingly behind Li Min, no wonder Lao Liang wanted to talk to Lao Chen, this girl has the vision to see and do things in a measured manner.Chen Wenqiang was wrapped in a thick down jacket coat and curled up on the sofa.The whole person is not only obviously thin and lacks energy, but also looks like he is several years older."
Teacher, drink some ginger soup."
Li Min put the enamel jar on the square coffee table on Chen Wenqiang's side, and sat down on the single sofa by the way."
I haven't eaten yet.Wait until you eat before drinking. ”Chen Wenqiang couldn't lift his spirits.Director Shi came over just now, he forced himself out of bed, and Li Min was still there at this time, so he couldn't go back to bed and lie down."
It's not pure ginger soup, I mixed it with some ginger soup in plain water.The concentration is low and will not irritate the stomach. ”Li Min took out the attitude of coaxing his little nephew to drink medicine to explain, and his expression was almost pasted with "Good."
Take medicine, it's not bitter", these big words that coax children.Chen Wenqiang reluctantly picked up the enamel jar, and when he smelled it, he didn't smell any ginger, so he took a few sips gently.Seeing Li Min sitting on his side, staring at himself and waiting for him to speak, he forced his head to ask her: "Xiao Li, how do you feel about your work during this time?"
”Li Min's smile was heartfelt and satisfied: "It's much better than last year."
There are not so many patients to manage, but there is no less income. ”It's not less.Chen Wenqiang smiled: "It's all high-precision surgery, and your income will naturally not be less." ”In October, three cases of atrial valve repair were performed in a row, each of which was carefully selected by Director Shi and Director Liu, and the operation was completed very satisfactorily.The first two patients have recovered and been discharged.This last case is also out of the custody unit, and it seems that there will be no problems."
Teacher, are you going to work next week?"
The inpatient of the neurosurgery department is waiting for him."
I want to, too.""
We have accumulated several cases of brain tumor patients there, and if you go to work next week, I will expedite the patient's surgical preparation tomorrow."
Xiao Yin looked at Li Min from the kitchen, this child, didn't she persuade the patient to take care of herself, why did she urge the sick to go to work quickly?
Li Min saw Xiao Yin looking at herself, she didn't wait for Chen Wenqiang to answer, she opened the skylight and said something bright: "Teacher, Aunt Xiao Yin said that you have a heart disease, and I am worried that I will be damaged by the modification of medical records."
I assure you that I will absolutely follow your teachings as I have worked before and how I will continue to work in the future.I'm in my twenties, so I won't be affected by this. ”Chen Wenqiang was embarrassed, but he followed up and asked Li Min: "Next time you encounter such a thing, will you change your medical records?"
”"If Director Qin and Director Zhang come to me, I will change it.If someone else's words, I asked you first. ”Li Min looked at Chen Wenqiang's eyes and replied.Her expression made Chen Wenqiang believe that Li Min was telling the truth."
Why?""
They don't like me.When the time comes, I will go to Dean Shu to complain, saying that they threatened me to change my medical records. ”Li Min smiled slyly: "It's best to get multiple punishments for the two of them." ”Chen Wenqiang was amused by Li Min, but after laughing, he said with a tense face and a serious face: "My decision to change the medical record that day was very undeserved.I thought about it again and again to be right.Everyone should be taught a lesson, and these people who are not serious enough in their work can remember it for a long time.Alas!
”Chen Wenqiang sighed and regretted."
Why should I change my medical records, why should I care so much?
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It's not true, there are too many troubles in this matter.Not only Director Zhang and Dr.
Yang, but almost everyone in the hospital will know that I am the initiator of this medical record change. ”Li Min saw Chen Wenqiang's worried appearance and persuaded him: "How do you know?
Director Qin admitted that he did it, and it has nothing to do with you. ”"If I hadn't said it earlier, you wouldn't have happily agreed to him."
Chen Wenqiang insisted."
Teacher, I want to change it anyway, I didn't happily agree to Director Qin, but it was just to make him look at me more unpleasantly.When it comes to Director Zhang and so many people, if you don't say it, I will also give Dr.
Yang a chance to change it.Have you forgotten that Yan Hong and I smashed Dr.
Yang last year, and Director Zhang also helped to suppress the matter?
You said that if Director Zhang came to me, could I disagree?
”Li Min slowly tore the white silk of the orange in his hand, giving Chen Wenqiang time to accept his statement.She waited for Chen Wenqiang's expression to change and seemed to understand Zhang Zhengjie's role in this matter before she continued."
Teacher, you also know the favor I owe to Director Zhang, this time I paid it back, and I have one less thing in my heart.I don't think he'll ever have to change his medical records again.But this time, you want to take it on yourself, I suggest thinking about Director Qin.He was criticized by an internal party circular.Aren't you a lot happier when you think so, and don't you want to be yourself?
”"Well, Qin Guoqing is quite unlucky this time."
Chen Wenqiang thought that Director Qin was also thinking about the provincial hospital, but threatening a young doctor to change the medical record could not be put on the table.Therefore, after the discussion of the party committee of the hospital, he still gave him such a punishment.When he thought about it, he felt much more relaxed."
Xiao Li, let's not mention this.In the future, you should remember that you must never change your medical records.This is tampering evidence.In court, no matter how much you are right, if you commit this taboo, other words will not stand, and you are very likely to lose in the end.Of course, in our country, medical appraisal committees generally resolve medical disputes, and generally do not go to court.But when I went to the appraisal committee, changing the medical records was also criticized.Do you understand?
”"Understood.I'll keep it in mind. ”Li Min ate the oranges in two bites, and saw that Chen Wenqiang's face was not good, but his spirit seemed to be much better, so he stood up and said, "Teacher, I'll go back."
You have a good rest for two more days, and the surgery we should have done will not be delayed any longer. ”"Xiao Li, eat and leave."
Xiao Yin came out to stay in the guest."
Aunt Yin, it's not good for me to leave the department for a long time, so I have to go back quickly.""
Then you'll have to eat, too.""
Yan Hong's family invited someone to cook, and they brought my share.""
Then take the orange.As long as your teacher and I are at home, we can't eat so much. ”Xiao Yin couldn't help but say, stuffing a big bag of oranges into Li Min's hand."
That's when someone else came to visit the teacher.""
Take it."
Chen Wenqiang also spoke."
Then I'll be respectful and obey."
Li Min took the plastic bag, closed the door like Director Shi, and stopped Xiao Yin in the room.Xiao Yin Xiaoxiao turned around and said Chen Wenqiang: "Look, Xiao Li, she is not a three-year-old child in kindergarten, she will not be affected by one thing, you just love to worry about ......"
"I hope so."
What's for dinner?
I've been eating rice porridge for days. ”"How about eating baby wontons?
What I just wrapped was a southern practice, not a big stuffed wonton from the north. ”"Okay."
Xiao Yin saw that Chen Wenqiang had an interest in eating, and knew that part of his heart knot had been untied, and the rest of Director Li's had to be opened up slowly.() The distance is a bit far