Although it is clear that only one nurse was dealt with in this trauma surgery, it is certain that the participating nurses will be transferred out of the trauma surgery for various reasons one after another and unobtrusively.is the head nurse herself, if it weren't for Director Liao of the Nursing Department, who carried forward her style when she was divided, and let Lu Qing take away the nurses with excellent skills and reliable character to the hospital council, it would be difficult to say the end of the head nurse.In the end, it was Secretary Tang who came forward to mediate and put the work achievements of the head nurse in the past ten years on the table, starting from her assignment to the provincial hospital as a nurse, to the secretary of the Youth League Committee, the secretary of the Youth League Committee, and the head nurse, she was an advanced worker and an outstanding party member in any position, until all kinds of advanced things obtained by her collective were put out, so as to win an administrative warning for her, as the end of the matter.But the impact of this incident on the head nurse is huge.This is reflected in the way she used to speak euphemistically, but recently she has become noticeably harsh.Lu Qing came down to talk to her these days when she had time to ease her emotions.In the evening, I often make some food to send over, chat with her to distract my attention, and relieve the depressed mood of the head nurse.Seeing that Zhang Zhengjie and Xie Xun had returned to the department, Lu Qing asked, "Have you finished the meeting?"
”"It's over."
Zhang Zhengjie is in a good mood.When he saw Lu Qing coming again, he smiled and joked to Lu Qing: "Sister and sister who came down to comfort you again?"
”He has been punished by his father for fighting since he was a child, although he feels that he is embarrassed by the punishment this time, but he is not tall but very broad-minded, very open-minded and tolerant.In his heart, there are so many people who share their mistakes with him and suffer punishments with him, what kind of punishment is this.It's just that we have lost this year's advanced individuals and collectives, and we will work hard next year.He had advised the head nurse once, and then he threw it behind his head.Lu Qing looked at Zhang Zhengjie like that, and said enviously: "Yes."
I can't count on you, the irresponsible leader, but I can't do it myself. ”"Oh, Xiaoqing, you want me to be responsible, I really can't do this, I will promise you anything else."
Zhang Zhengjie smiled and deliberately said something to misunderstand.Lu Qing glanced at him with a smile and ignored him, and only said to the head nurse: "I have to go back, the obstetrics and gynecology clinic will send a consultation order to Dr.
Li."
I didn't see the word emergency, so I didn't go to the director's office to look for her.They're done with the meeting, and I'm going to have to go back and tell her. ”"Then you go back.I'm fine, you don't have to come down, it's not good to delay work. ”The head nurse sent Lu Qing to the stairs.Xie Xun felt strange and stopped Lu Qing and asked, "The consultation list for the obstetrics and gynecology clinic?"
What kind of disease?
”"External mass, 13 years old."
Lu Qing replied and left in a hurry."
External mass, 13 years old, is it a hernia?"
Xie Xun was left standing in the corridor and muttering to himself: "Why did you still go to the obstetrics and gynecology clinic?"
The triage desk is also messed up. ”Zhang Zhengjie teased Xie Xun: "Why don't you hurry up and contact you for further study?"
The outpatient triage desk is not in your hands, so you don't have to worry about it. ”Xie Xun glanced at Zhang Zhengjie, looked at his watch and said, "I'll go to the hospital office to make a long-distance call."
You can take a look at my beds. ”"Go, go, I'll watch it for you."
*Li Min got the consultation order and went to the gynecology clinic.She also suspected that it was a hernia.But after contacting the patient, especially after a detailed physical examination, she felt a little inaccurate.The little girl was embarrassed during the physical examination.Fortunately, Li Min is a woman, and her attitude towards her is very kind, so she twisted and took off her pants and lay down on the gynecology bed.The size of the lump was two circles larger than Li Min's fist."
Come bend your knees and relax.Exhale slowly as I say.Hu ......
"Li Min's preconceived thought was that the abdominal intestine slid through the groin to the outer yin.However, the cystic mass, which was close to 10 centimeters in size, did not return to the abdominal cavity as the little girl's abdomen relaxed.The tenacity and substantial palpation sensation made Li Min unable to touch or guess what kind of tissue it was.Percussion is not a tympanum, and auscultation is not a bowel sound.The little girl has never had any symptoms of intestinal obstruction.What is it?
Li Min frowned and pondered, and couldn't think of what kind of tissue the cystic mass was for a while."
Did you have this lump in the last year?"
Li Min helped the little girl to sit up, asked her to put on her pants, and continued to ask about her medical history."
Hmm.It started at this time last year, and it was originally the size of a knuckle. ”The little girl stretched out her thumb and measured it to Li Min, "It's so big, and then it's getting bigger and bigger."
During the summer vacation this year, I came to the hospital to see it, and the sister who was triaged at the door said that I had to go to surgery.I saw that the surgeons were all men, so I went back. ”The little girl is very lively and very organized.It seems that this history is not wrong.The child's mother accompanied the little girl to see the doctor.She has been standing outside the screen listening to the conversation between Li Min and her daughter, and seeing that Li Min is serious and patient with the child, she talked to Li Min when Li Min washed his hands."
Dr.
Li, this child has refused to go to school for the past two months, and I see that her walking posture is not right, and I think something is wrong with her.I asked it many times before I asked.That Dr.
Li, when she was born, she also had a bag at the base of the opposite thigh, which was not big.Later, he underwent surgery at a children's hospital.I brought her medical record from her last surgery. ”This is a very serious mother.The medical records of the child's birth are still kept.Medical records from the children's hospital, yellowed paper with the pathological diagnosis of discharge: ovotesticles.Li Min understands the meaning of this diagnosis, that is, in the same gland, there are both ovaries and □□ histological components."
Dr.
Li, I originally thought I would take her to the children's hospital this time.But the doctor who treated her in the first place has long since retired.Didn't I hear that your provincial hospital has been doing well in pediatrics and surgery recently, so I brought her over. ”After the child's mother explained, she said, "She is too old to let the male doctor check there, so I have to take her to the gynecology department." ”Li Min nodded in understanding, which is also one of the reasons why the surgery must be equipped with a female doctor."
You see, the discharge summary on this medical record is very clear."
Li Min pointed to the words on it and showed it to the child's mother."
But at that time, only one side of the oval testicle was removed.The other side was suspected to be intra-abdominal and laparotomy was not found.Why do you want to look for it, let me tell you, the temperature of the abdominal cavity is relatively high, □□, well, it is the egg testicle, and it is easy to undergo malignant transformation at such a temperature.Also, did the doctor at the Children's Hospital advise you to do a chromosomal test?
”The doctor at the Children's Hospital said.But because I had to go to the medical university to do it, and it was inconvenient for the child to be small, I didn't do it.It is okay to say that it is okay to wait until the child is older and see the development situation.But the boy refused to take a bath with me since he was in the fifth grade, and I neglected it after a long time.Look at her," the child's mother leaned into Li Min's ear and asked, "Is it a boy or a girl?"
”"Girl.The external genitalia are exclusively for girls. ”Li Min gave her an affirmative answer."
Amitabha.Thank God!
”The mother clutched her chest and sighed."
Actually, your daughter's lump, I suspect that she may be a gynecological problem, not a surgical matter.You can also go to the gynaecology ward.What are your plans now?
”Li Min bluntly told the child's mother about his thoughts.Although she really wanted to take this patient, it was not interesting to cause unnecessary trouble."
Dr.
Li, I don't understand this."
The child's mother was defeated in Li Min's clarifying gaze."
I mean, I don't know exactly how to treat it, but I know the difference between gynecology and surgery.Mainly, I heard about you before I came, and said that you are very careful with patients.When I was waiting for you here just now, I also heard this gynecologist introduce you to work very seriously, and the exam is the first ......
I think I'll leave this child to you, you treat her as a sister or a junior, and you can treat her as she looks good. ”It was the first time for Li Min to meet such a dedicated mother, which made her suddenly feel heavy on her shoulders.She pondered for a moment and said, "According to her current condition, she must need surgery."
My opinion is to give her an ultrasound first to see what this lump is.However, it is estimated that B-ultrasound will not achieve this purpose.Well, she needs to have a CT of her abdomen.I told you that she had two purposes for doing a CT scan, one was to determine the nature of the mass, and the other was to find out if there was an ovarian in the abdominal cavity.Do you know the importance of ovaries to women?
”The child's mother nodded.The little girl nodded and said, "We have the physiology and hygiene department."
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The ovaries determine a woman's secondary sex characteristics and development. ”"That's a good point.What about becoming an obstetrician and gynaecologist when you grow up?
”The little girl was shy and timid, but her eyes sparkled, and she asked, "Can I?"
”"Yes.If you study hard and score enough in the college entrance examination to go to medical school, you will be able to become a doctor in the future. ”Li Min encouraged the little girl and continued to say to her mother: "If she has an ovary in her abdominal cavity and this mass is an egg testicle, then remove the lump and get rid of it, so as not to enter puberty and later menstruate, which will be stimulated by estrogen and produce malignant transformation." ”"She's already menstruating.Came in February last year. ”The girl's mother said to Li Min."
So early?"
Li Min was taken aback."
She was only twelve last year, right?
What is your birthday?
”"It's her birthday at the beginning of the year."
The gynecologist interjected on the side: "Now the children have menarche early, not that we want to be 14 or 15 at that time." ”The little girl also said, "Many girls in our class have come to the fifth grade.I'm almost the latest. ”Li Min laughed at himself: "I'm only 25, why do I feel like there is a generation gap with you and this era."
Do you have regular periods?
”"Once a month, for 5 or 6 days.It's the same as in the physiology books. ”The little girl and Li Min got acquainted with each other very quickly."
What about menstrual flow?"
The child's mother said: "This child is like me, with heavy menstrual flow and frequent menstrual cramps.Anyway, every month I would give her time off and let her rest at home for two or three days. ”Li Min nodded, and according to the name she filled in the medical record book of the provincial hospital, she was prescribed a B-ultrasound list, a CT sheet, a blood and urine routine and other necessary examination items, and at the same time gave her a hospitalization permit."
You can take her for an outpatient check-up, and she will probably get all the results tomorrow afternoon."
If you take these results and go to the hospital again, although it is a little more troublesome, it is faster than the ward examination. ”"Good.Thank you, Dr.
Li. ”For such a big child, half of the medical expenses will be reimbursed if the unit is good.If you can stay one day less before surgery, you can save money for one day.The child's mother followed Li Min out, and asked as she went, "Doctor Li, what if this is an ovary?"
Is it also excised?
”"I'm worried that it's an ovary, so I want you to take her for an abdominal CT.If it is an ovary, it is determined that there is no ovary in the abdominal cavity, and it is natural to return to the abdominal cavity.Pathology is done in this surgery.If there is a possibility of malignant transformation or has been malignant, it is still cut off as a last resort.You can relax first, she now has regular menstrual periods and normal menstrual flow, which proves that she has well-functioning ovaries in her body.She is so young, after she moves in, I will find the director of the obstetrics and gynecology department for a consultation, and I will treat your daughter's illness very carefully.I will arrange these arrangements when the results of the examination are out. ”"Uh-huh.Thank you, thank you. ”* Li Min saw that the mother had taken her daughter for a check-up, borrowed the phone of the gynecology clinic and called back to the department, and after asking if Lu Qing was okay, he reported his whereabouts to her: he wanted to go to the obstetrics and gynecology department to find Su Ying."
Sister Su, do you think it's better for that girl to accept you here, or to receive surgery?"
Li Min went to find Su Ying, and she knew that Su Ying's development focus was still on gynecology.Su Ying replied without being stunned: "I received the bed you managed."
When she moves in, I'll go check it out.If we can, let's operate on her together.If I was admitted to the gynecology department, Director Liu took over the gynecology department, and I couldn't intervene at all now, I could only stare at the second particost. ”Speaking of the fact that gynecology can't be intervened, Su Ying's heart hurts together."
Well, then I will write the consultation sheet to you at that time, indicating the second birth, and please go to the consultation."
Su Ying was very happy.Such a rare case, Li Min also wanted to share it with himself.This little junior sister, she is really not rare in vain.Li Min then said that today's surgical meeting was held, and it was related to Su Ying, like Chen Wenqiang, who asked Xie Xun to leave the class."
My teacher arranged for my brother to leave the class, saying that he could go to further study.""
Really?
Then you have to get out of here.His study time has changed several times this time, and if it weren't for his classmates over there, the study would have been yellow. ”After chatting for a while, Li Min said, "Sister Su, I have to go back."
There's still a mess to prepare for tomorrow's surgery. ”"Hmm.Let's go back.If there's anything wrong with your brother, tell me quickly.His man, if it were up to him, he would have offended everyone in the provincial court. ”Li Min was a little ashamed, and Xie Xun was still looking at himself when the meeting began.Her unnaturalness at this moment made Su Ying guess that it must be Xie Xun who was choking with at the meeting just now.Alas, this one is not careful.Li Min reported the matter to Chen Wenqiang when he returned to Corey.Chen Wenqiang immediately promised her: "Then you can do it with Su Ying, remember to do the pathology first during the operation, and it will be difficult to go back if you cut it off." ”* Dean Shu said to Dean Fu, who was sitting in his office, "Old Fu, have you made up your mind?"
”Dean Fu nodded and said, "Lao Shu, in the past ten years, seeing more and more patients coming to the provincial hospital for medical treatment, do you also feel like me that our medical industry has entered a period of rapid development?"
The branch hospital was originally to solve the problem that citizens in the northern suburbs could not seek medical treatment, and to put it bluntly, it was the scale of a health center.But I've been thinking about it for half a year, and it's very difficult for us to develop in such a big place here. ”When Dean Shu heard him talk about this, he suddenly interjected: "There is a lot of land in the northern suburbs that was originally allocated to the provincial institute as a branch, do you want to build a dormitory building over there?"
”Dean Fu did not evade, and said directly: "Let Dean Fei build it."
I heard people say that you can still go up, I will go to the branch hospital to grasp medical treatment, and build up the branch......"
Dean Shu understood what Dean Fu wanted - he wanted to build the performance of the branch and wait for him to go up, and get the position of the dean under his ass.He couldn't help but think in his heart: In three years, will your old man be in time?
You are racing against Chen Wenqiang, can you outrun him?
But Dean Shu couldn't say this to him."
Old Fei is going to be in charge of building the building?"
Dean Shu frowned and said, "I'm afraid that he will be like the one in charge of the seventeenth floor, the building will be completed, and the people will run away, and finally leave a big mess of auditing."
Old man, it's not like we have just become the dean, and we don't have enough rights to stop that kind of thing from happening, and we can explain and get out. ”Dean Fu was silent for a while and said, "I will look at Lao Fei carefully, and I won't let him be too outrageous."
He couldn't break the law and end up filling in myself.The courtyard also needs you to tell Director Wang to keep an eye on the money. ”Dean Shu thought for a while and said, "If you have to make up your mind, it's not impossible."
Then build a few buildings on the northern suburbs and replace all the residents on the west side of the provincial courtyard.poured out the ground to exchange space for the next development of our provincial hospital.You see, in the summer, we still said that the pediatric department has more than two floors, and it has only been a few months, and I went to the pediatric department yesterday to inspect and found that the pediatric ward was basically full. ”"You want to build a pediatric center?""
I had this idea.There are more and more children in our provincial hospital, and the momentum of pediatric surgery is also very good, so it is urgent to build a pediatric center.I plan to build a seven-story pediatric center in front of the internal medicine inpatient building, with the first floor for the pediatric outpatient clinic, and then the upper four floors for the pediatric internal medicine ward, and the top two floors for the pediatric surgeon. ”Dean Fu thought about it and said, "If you build a seven-story pediatric center alone, it can't be done.I think it's better to build a 12-story women's and children's center and move the obstetrics and gynecology department out.The seventeen floors are all for surgery. ”"The surgeon can't eat for the time being.In addition, the women's and children's center building is going to be built high, which will block the sunlight of the internal medicine inpatient building behind. ”Dean Shu reminded Dean Fu."
Move a little further?"
Dean Fu was very concerned about the planning of the Provincial Hospital, he pulled out a blank piece of paper from the document basket on Dean Shu's desktop, and said while drawing the current layout of the Provincial Hospital: "Let's move this women's and children's center forward, and the open space between the two high-rise buildings can be connected to the current open space here."
This large area is green, do you say it is like the hospitals we went out to see?
”Dean Shu reminded him: "In this way, there will be more residents to be replaced in the west, and the pressure of relocation will be greater." ”Dean Fu pursed his lips and was silent, his way was very different from the attitude of Dean Shu over the years.He believed in the prospect he had depicted based on what he had seen when he went abroad, such a beautiful prospect, and he didn't believe that Shu Wenchen was not moved.Sure enough, after being silent for a while, Dean Shu made up his mind and said, "Judging from what we saw last year, and deducing the possible development prospects of the Provincial Institute in 20 years, we should take down the land in the west first.Otherwise, it is likely to be trapped in a square inch like the Medical University, and there is no room for development.You bring Lao Fei and Lao Chen over, and I'll call Lao Tang again, let's discuss it first. ”* It is rare for four deans and a secretary to sit in a small conference room for a meeting.However, this is a major matter related to the future development direction of the provincial hospital, and Dean Shu does not want to let the discussion of the academy council influence the direction of the matter when the team does not unify their thinking and come up with a basic strategy.At first, Dean Fei listened a little absentmindedly, but slowly he was attracted to get involved."
I think we can't just focus on the development of the provincial hospital and only build a women's and children's center, we also have to build a dormitory building in the northern suburbs.According to Lao Fu's plan, if the branch hospital is to be built, if it reaches the scale that Lao Fu said within ten years, and builds a new eight-story inpatient building, the number of resident doctors, attending doctors, nurses and nurses in charge will be not much different from that of our provincial hospital five years ago.Do you have to have 2 or 3 two-bedroom houses with six units to be able to live in a young doctor?
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”"I can't stop watching."
Chen Wenqiang interjected: "There is no land here in our provincial hospital, and when this gynecology and pediatric center is built, we will definitely increase the number of people."
The number of surgical beds has increased, and the number of staff has to increase accordingly.In addition, the young people who have been divided in the past few years will have to have an attending physician building when the time comes, what about the nurses?
What about the nurse in charge?
All of them are crowded into single dormitory buildings, and one room per family is not enough.These people are the main force of our provincial hospital. ”Secretary Tang answered: "This stall is a bit big.Why do I think you're going to build another provincial courtyard?
”The four men looked at each other and smiled, and they wanted to build a common understanding of the branch house, so that they would give up all the previous disagreements at this moment."
We're getting a little bit bigger."
Dean Fu sighed.I originally wanted to get rid of Jiang Yan's entanglement, but in order to convince Dean Shu, I had to draw a beautiful blueprint.But after the polishing of Dean Shu and the addition of Dean Fei and Chen Wenqiang, it really feels like building another provincial hospital."
Lao Shu, I think what Secretary Tang said makes sense.Is it so good, let's build a five-story inpatient building in the northern suburbs first, and when it develops later, it can be changed to outpatient use.There is enough space behind the fifth floor to build a 12-storey or 17-story inpatient building. ”Dean Fei looked at Chen Wenqiang's sketch in the notebook and said what Chen Wenqiang thought in his heart.Dean Shu thought for a while and said, "We have to disassemble this project and divide it into several steps, otherwise it will not be approved if it is reported."
There's no money for us.There is also to persuade the residents in the west of our provincial courtyard to move to the northern suburbs.That's a tough thing to do. ”Secretary Tang said: "I don't think it is easy to move those households in the west.Our school district is good, just for the sake of the children's schooling, and those residents will not be willing to move. ”※※※※※※※※※※※※※※※※※※※※ pushes the article "Don't Meow Brother" by Zhu, probably a cat is a technical job, this is a pit excellent writer, () The distance is a little far