In the blink of an eye, the New Year is here.At this year's party, Li Min greeted Director Li and the head nurse Lu Qing early: "Let's not have to drink a bottle of wine."
I really can't drink it. ”Li Min's vomiting last year was already a joke in surgery.It's just a bottle of beer, and I'm sorry for the 75% alcohol that soaks my hands every day.The head nurse of the operating room once pointed at Li Min's head and said, "Grandma, you just smell the alcohol in your hands, and you should practice the amount of alcohol." ”Li Min knew what was going on by herself, because she was injured by drunkenness when she was a child.Director Li saw Li Min talking about this matter solemnly, and he immediately nodded and agreed without hesitation.He's older, not like the young male doctors on the eleventh floor.And Lu Qing is indispensable for this matter, people who love to drink and can drink can drink happily on such a department party.If you don't like to drink, then put on a show to cheer up.Lu Qing immediately finalized the performance program with Li Min.With Li Min taking the lead, young doctors and interns will listen.As for the nurses, whether it was the new and old nurses she brought from the eleventh floor, or the new and old nurses from the nursing department, she had already done it in her hands.The trainee nurses are even more quail-like in front of her, the head nurse, who is becoming more and more refreshing.And they all rejoiced.
*Zhang Zhengjie came up to discuss with Director Li: "Lao Li, we only divided the department in September this year, should we have a party together?"
”Li Min shook his head at Director Li behind Zhang Zhengjie's back, but unexpectedly Zhang Zhengjie turned around and arrested him."
Xiao Li, are you scared of drinking last year?"
Li Min immediately nodded in acknowledgement, and then said in disguise: "Director Zhang, how many people are in the two sections, how can they sit open?"
”Director Li also thinks the same.Zhang Zhengjie said: "Lao Li, if you don't want the two departments to run together, I will ask the head nurse to send you half of the department accumulation in the previous eight months."
When I was dividing the department, I was so busy chattering that I didn't bother to give you this money.When they all settled down, there was another eleventh thing.Today, the head nurse and I were about to go shopping, and then I suddenly remembered it. ”Zhang Zhengjie didn't come to say, these chores on the twelfth floor are now under the care of Director Shi, and Shi Lei would not ask Zhang Zhengjie and Wang Jing for this money even if he thought of it.But the two were willing to give it, and he naturally accepted it happily.When Zhang Zhengjie left, Shi Lei also said to a few of them: "I didn't expect Director Zhang and the head nurse to be such bright and upright people. ”Director Li and Li Min have never been in contact with this kind of account, and they don't know that the accumulation of eight months is not a small amount.Lu Qing and Director Shi are like mirrors in their hearts: if Zhang Zhengjie is unwilling to give, Wang Jing will not mention this matter to Lu Qing; And Lu Qing knew that with this money, she and Director Shi would never ask for it.Li Min said: "Director Zhang and the head nurse have always been such people.When I went back to the department, Director Zhang said that I would go downstairs to round the ward and give me a bonus, which has been given to me for the past few months.Last month, I was given an intermediate title. ”Director Li smiled: "Xiao Li, you can."
Our provincial court can get two bonuses, and you may be the only one. ”"I'm the only one who is hospitalized in two departments.There are so many patients at the end of the year, and I am going to be exhausted by the number of patients who are discharged and admitted to the hospital every day. ”Lu Qing patted Li Min on the shoulder: "Little young man, don't say dead and dead at every turn."
It's the New Year. ”Li Min smiled, and accepted Lu Qing's teaching.After a while, the head nurse came up with an envelope.She directly handed the envelope to Lu Qing and said, "You count the points, and when you have time, come to my side to look at the account books of the section from January to August." ”Lu Qing smiled so hard that he couldn't see his eyes: "I still helped you keep your account book."
Look, it's only a little more. ”"If you know, it's good."
Wang Jing was relieved."
If you have time, go check it out and sign it for me.Let's face the villain and the gentleman behind the back. ”Then she explained, "At first, I forgot about it.Later, it was really eleven, and the whole thing was absent-minded.Doctor Li, thanks to you. ”"Head nurse, don't thank me.I'm getting my bonus from you every month, that's what I'm supposed to do. ”Li Min replied to the head nurse with a smile.Wang Jing smiled and didn't speak.Zhang Zhengjie and his original plan was to give Li Min half of the bonus, but later the eleventh missed diagnosis broke out, and the two of them coincidentally thought that they had to give Li Min the full amount.This is what Li Min earned on his own.Otherwise, when the patient has an accident, they will also have to be deducted from the bonus, and the punishment will be heavier.When the head nurse left, Lu Qing gave the envelope with the money counted to Director Shi for a look.Director Shi said, "Xiao Li, don't leave yet."
Sooner or later, your neurosurgery will have to be separated.Dean Chen doesn't care about these things, you have to have a bottom in your heart. ”Li Min hurriedly waved his hand and refused: "The neurosurgery department is separated, and the eight characters haven't been skimmed yet, let's talk about it then." ”Director Li said, "It's not a bad thing to learn more. ”"Forget it this year.Next year, I'll definitely learn this time next year. ”Li Min said as she stepped back, and Director Li saw that she didn't want to learn, so he didn't force it.Director Shi insisted: "Xiao Li, this matter should be in charge of you, the head of the hospital, and the head nurse.I'm just meddling to see the beginning of the twelfth floor, and Lao Li is too hard to worry about these trivial things when he is old, and you and the head nurse have no experience. ”Director Shi said this, Li Min is not good to go back further.She had no choice but to lean over and look at the account book of the section that Lu Qing had recorded.This money comes from a variety of sources.Fines are exclusive.And there are quite a lot of fines.For example, a patient's family members smoke in the hospital room; The doctor smoked cigarettes and did not flick the ashes into the ash cup; Destruction of public facilities...... and so on, which made Li Min refreshed and at the same time felt that the head nurse was really tired."
This head nurse has been working for three years, even if he is a dog for three months."
Lu Qing laughed at himself: "It's all these trivial things.But if you don't get it in place, Corey will be a mess. ”Li Min nodded: "Hard work, you are too hard." ”"So the bonus coefficient given to you by the hospital is 2.0, which is with your hard work."
Director Shi smiled and said to Lu Qing: "How do you feel about installing a phone for free?"
I still had to pay to pretend to be a phone. ”Speaking of the phone, Li Min said: "I heard that the initial installation fee for installing a phone outside costs 5,000 yuan." ”"Dr.
Li, do you want to install a phone?"
Lu Qing asked her, and then said: "The external line of the telecommunications bureau is expensive, and the extension of the provincial hospital is cheap."
If you install an extension, I estimate that 3,000 yuan is enough" "No, that's what I said."
I don't even go home to live. ”"Is Dr.
Yan going to pretend?"
Director Shi asked."
Hmm.Her mother didn't worry about her, and it was inconvenient to come and see her.Senior Brother Pan went to ask, and he had to queue up for the installation, and I heard that he might not be able to line up in a year. ”"I asked her.I told Xiao Pan about the news. ”"Then I'll thank you for Yan Hongxian, Director Shi."
Li Min thanked Director Shi."
You're welcome.You don't like me who grew up in a provincial town, and I know a lot of people.When I was a child, my classmates and neighbors were from all walks of life.It's almost the same, and at this age, it's all brainy in the unit.If you and Xiao Yan have anything, just say it directly, I just can't find someone to contact directly to help, and I will ask you who is in charge of things, and tell you who is useful. ”"Thank you.Thank you. ”Li Min thanked him again.Director Li understood that what Shi Lei said was true.For Shi Lei, his feelings are getting more and more complicated.But Shi Lei gave him enough respect, respect and help, and he could only bury some of his untimely thoughts deep in his heart.Even Director Liang, he didn't reveal a word to him.Not to mention Chen Wenqiang, who is already in the position of assistant to the dean, is getting smoother and smoother.Director Shi took out the account book, but Li Min was very surprised.The department accumulation composed of the head nurse's trivial things is simply drizzle compared with the number in Director Shi's hand."
These were supposed to be the needs of the prep department.Basically, it is a commission given by the medical representative, except for the whole number that a few of us get every month, and the fraction is all here. ”Lu Qing took the book and took a look, happy."
Director Shi, your fraction is really big enough.""
Corey has no money to spare, so he has less money in the first year, and his family has saved a little more.I'm afraid that the dinner party at the end of the year will make it cold.If I had known that there would be an 8-month share downstairs, I wouldn't have saved so much. ”"Then let's not classify these as department accumulation.How can you divide this integer between the four or five of you, Director Shi, you follow your rules, and this fraction is enough for me. ”Lu Qing glanced in Director Li's direction as he spoke.Director Shi immediately understood: "That's good, we have another income at the end of a few years." ”Lu Qing took the money and left, and she was responsible for all the preparations for the New Year's party.It can be as big as ordering a dish, or as small as buying prizes for a party at the wholesale market.Fortunately, Xiao Zhai doesn't talk much, and helping her do these things is to work hard, check and fill in the gaps, and meticulously take care of all the bookkeeping, warehousing, etc.Li Min sat opposite Director Li with Director Shi and re-sorted out all the drug fees and commissions in the department.Li Min suddenly found that Xu Qiang alone accounted for more than one-tenth."
Is this okay?"
Li Min asked cautiously."
We don't write the name of the factory, we only write the name of the generic drug.The varieties sent to us by the pharmacy warehouse, he followed the monthly commission of the medication, as long as the clinical efficacy is guaranteed, we are not afraid of any doubts, nor will we be implicated in any way. ”Thinking of facing Xu Qiang after the New Year, Li Min was a little sick to his stomach.She really couldn't understand that Xu Qiang drank too much and inexplicably talked about Liu Na's psychology.On the contrary, I feel that this person is not worthy of inexplicable affection, nor is he worthy of inexplicable."
These things will be in your charge after the festival, and I will hand them over to you now.Wait until August when you step down as the general manager of hospitalization, and then hand it over to the next general manager.If the medical representative is vague, you have to inform Director Li and the head nurse, if it doesn't work, we will change to other medicines. ”Director Li was originally squinting his eyes and taking a nap, but at this time he opened his eyes and said, "Xiao Li, if there is anything, just tell Director Shi."
Lao Shi, you can do these things with the four of them, and Lao Chen and I don't prescribe them. ”"You are the section director, you have to decide this matter, so I can do it."
What Director Shi said was respectful, and it was by no means a prevarication.His attitude made Director Li's usual straight face show a smile."
I know you understand what you mean, I have given you the power, and I will bear the responsibility."
The latter sentence is a joke.Li Min smiled and took Director Shi's account book back to the duty room.After Li Min left, Director Li said to Director Shi: "Xiao Li seems to be reluctant to contact those medical representatives. ”"She is in the position of the general manager of the hospital, and she has to take on these things, otherwise there will be more and more young doctors after Corey, and if there is one thing that is not clear and inappropriate, it will inevitably cause questions from those young people."
Director Li nodded silently, not to mention other people's doubts, if Li Min is a little timid, then Qin Zhang will provoke the young man in Corey to expand his suspicions.He once told Chen Wenqiang that he was out of sight and out of mind, and sent Qin Zhang away, but Chen Wenqiang disagreed."
Lao Li, you look at the few things he has done since he entered the department, if he had been put aside 20 years ago, what do you think he would do to us and those two head nurses?
I guess it's that Sister Luo, Director Liao, and Secretary Tang can't do well.This kid has no bottom line. ”What Chen Wenqiang said meant Director Li understood, if it weren't for Dean Fu's efforts to protect the incident, Qin Zhang would not have been able to escape the demerit punishment.But he was able to lower his head and bend down to chase Xiao Gu......
"It's better to leave him in surgery and put it under my nose."
I asked Lao Shi to look at it a little more.Ten years and eight years, he couldn't get up. ”Director Li didn't mention Director Shi's exquisiteness, but only reminded Chen Wenqiang: "I look at these young people in surgery, especially the Xie Xun you are optimistic about, his heart is not Qin Zhang's opponent. ”Chen Wenqiang is also worried, choose a person with a good heart to cultivate, when you meet such a wolf cub, it may really be a food delivery.If you choose something more than Qin Zhang......
As long as he looked at the photos on the file, Chen Wenqiang didn't want to recruit such a person to the provincial court.In order to comfort Lao Li, Chen Wenqiang said: "Lao Liang and I recommended Pan Zhi in their department, saying that Pan Zhi is a successful person.You have to take a look at Pan Zhi when you have time. ”"Pan Zhi.I'm afraid that he is too far away from Xie Xun, and with Xie Xun's unruliness, he can't hold down the scene in surgery.Actually, Zhang Zhengjie is very good, but it's a pity.If he can graduate from a bachelor's degree, he will definitely be a candidate for the future dean of surgery. ”"yes, it's a pity that it's on the diploma.This is also because he himself is not angry, and Director Luo will be admitted to graduate school.He's only in his thirties, why can't he get a graduate school?
”* Now that Director Shi has vaguely mentioned this matter, Director Li said helplessly: "Xiao Li is a girl in the end, and she suffered a loss in surgery."
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That Qin Zhang, the younger generation of our provincial court, counting from Xie Xun, no one can wrestle with him. ”Director Shi didn't answer this.If he wants him to say what he thinks, he also hates Qin Zhang's approach.But Qin Zhang, a person who puts interests first, you can't say that he did something wrong - what he believes in is different from the big guy.Director Li saw that Director Shi didn't answer, so he wrapped himself in a military coat and squinted again.Director Shi called out to him: "Lao Li, Lao Li, Corey is fine, I'm guarding here, you go back first." ”"Okay, then I'll go back."
Director Li was not polite to Director Shi, changed into a down jacket and left.* This New Year's party is much more peaceful, there is no pressure to drink, Li Min sits in the group of little nurses, and plays drumming and passing flowers with them.Yang Yu, who plays the drums, can always stop the drums on the right people who have not performed the show under Xiao Zhai's prompting......
After playing, even the shy and timid trainee nurses are happily involved, hoping that the drum beat will stop on those who have never performed.Director Shi pinched the wine bottle and said, "Lao Li, our department is like internal medicine." ”Director Li nodded and said, "Xiao Li is happy to play like this."
She's worked the hardest in the past six months, or let's go downstairs. ”"Do you want to wait for the leaders of the hospital to come to pay New Year's greetings?""
Then let's wait a minute."
This year's New Year's greetings are Chen Wenqiang's leading role.Walking to the twelfth floor, he immediately spread out his chair and said, "It's time for you to toast the twelfth floor." ”Director Li hurriedly sandwiched some dishes for him: "How much have you drunk, quickly suppress the wine."
His eyes were red. ”Chen Wenqiang took the chopsticks and feasted on them.Dean Shu and Secretary Tang delivered a polite New Year's message, wishing everyone good health and smooth work.Then, under the help of Director Li, he joined the game of drumming and passing flowers.Dean Fei held the flower that Secretary Tang threw into his arms and said, "Old Tang, the drum has stopped, and the flower is in your hand." ”Secretary Tang smiled and said, "Who do you all see the flowers in?"
Is it spent in whose hands and who performs the show?
”Dean Fu said in the laughter of everyone: "Old Fei, hurry up and let's continue." ”Dean Fei stood up and sang a piece of "Nothing", "Why do you always laugh enough, why do I always have to pursue, is it that in front of you, I will always have nothing", no one expected that Dean Fei still had such confidence, a few lyrics shouted out, and the little nurses began to slap excitedly.When he sang "You love me for nothing", a little nurse gave him the flower, and the atmosphere was so lively that it toppled the roof.Secretary Tang regretted again and again: "Old Fei, you should have come to the stage to sing last year to celebrate the eleventh." ”Dean Fei shook his head and said, "I'm afraid that I will be ashamed of myself when I stand in front of Lao Shu, and I will be uglier than him." ”Chen Wenqiang ate some vegetables, ran to the toilet again, and said in much better spirits: "I'm not afraid of being ugly by Lao Shubi, what are you afraid of."
How can a manly man care about a stinky skin.You say don't you?
”The voices of the little nurses shouting "yes" outweighed the shouting "no", which made Chen Wenqiang feel that the nurses in his department were very powerful.* At half past seven, the party ended, but there was no serious trouble on the twelfth floor, Director Li went home, and Director Shi let the young people chat with melon seeds, while he and Lu Qing and a few older nurses talked and laughed softly.The sudden ringing of the phone broke the warmth of the room.The little nurse closest to the phone stretched out her hand to answer the phone, and then said, "Director Shi, the emergency room phone said that a patient with dilated pupils had been sent for brain CT. ”Without waiting for Director Shi to speak, Li Min quickly stood up and said, "Give me the phone." ”"Hey, I'm Li Min.What is the cause of the mydriasis in that patient?
Is there still a reflection of light?
”......
"Hmm.Well.I understand.Good, good. ”Leaving the phone, Li Min said to Director Shi and Lu Qing, "Hurry up and clean up."
There is a patient with a head injury, who is quite serious, and will come in and be hospitalized soon. ”Everyone didn't wait for the head nurse and Director Shi to speak, and immediately took action.Under Lu Qing's command, picking up the decorative colored paper, cleaning the desk, placing the plates, saucers, wine bottles, and sweeping and mopping the floor, they were busy together.Director Shi dragged Li Min and asked, "What's the situation?"
"At the unit dinner, two people who drank too much argued in the bathroom.The one who was slapped fell to the ground, and then he couldn't call anyone, and the people who went with him saw that something was wrong with him, so they sent him here.The estimates are not encouraging. ”"Call the hospital office and inform Dean Chen first."
Director Shi immediately gave Li Min an order."
Okay.""
Dean Chen," it was a pony who answered the phone."
Doctor Li, he's a little too drunk, talking in Dean Shu's room.I'm going to tell him. ”"Thank you."
As soon as the nurse's office was cleaned up, a crowd of hula people poured in."
Doctor, doctor, help."
There were men and women, all full of alcohol.Director Shi stepped forward and said, "You all let me see."
Keep your family in the office and let everyone else out. ”It was probably Director Shi's momentum that frightened the group, and most of the men and women who had drunk a lot of alcohol went out.A middle-aged man with a big tongue tried his best to stabilize his shaking body, but finally failed, and sat on a bench.He pointed to Li Min, who was looking at the patient's reflection of light."
You healed him, and I will invite you to drink.In the provincial capital, you can go to wherever you like to drink. ”Li Min ignored the drunk and went straight to the examination.The patient lying on the flat car is already breathing more out and less in.But when the drunkard saw that Li Min ignored him, he staggered to his feet, and was blocked by Yang Yu, so he said to Director Shi: "You, you come to treat him, what will the little nurse do." ”"Where's the CT film?"
Chen Wenqiang walked in with a blushing face, hurried, and slightly unsteady.A family member hurriedly handed over the CT scan."
Dean Chen, the patient's pupils are dilated, and the light reflex is almost non-existent."
Li Min hugged Chen Wenqiang and said to the nurse: "Push the care room."
Severe head injury should be treated as the first rescue.My family gave me the outpatient medical records. ”Director Shi saw that Chen Wenqiang was back, so he took two steps back and motioned for Yang Yu to step forward and follow Li Min to see the CT film.This film shocked Li Min, the brain stem has been squeezed out, and the ring pool is gone......
This is a diffuse cerebral contusion.One of the most severe types of head injuries.The prognosis of this patient......
The countdown to his life has begun!"
Dean Chen, how is my son?"
The parents of the gray-haired patients look to be in their 60s.But the anxiety they showed at this time, the haggard feeling that they couldn't bear the sudden blow, were all reflected in their weather-beaten faces, like people struggling to catch duckweed on the water's surface.Chen Wenqiang stood unsteadily, sat next to the drunk, and shook his head to try to clear himself, but he failed.Thankfully, what remnants of his sanity were still able to direct his actions."
Doctor Li, tell them about it.Lao Shi, Director Shi, don't leave yet. ”Director Shi stood beside Li Min and said, "Okay, I'm not leaving."
I'm here with you and Dr.
Li. ”"This patient is in critical condition and has a diffuse cerebral contusion, which is the most severe type of traumatic brain injury.It's basically, well, the chances of a rescue are slim to none. ”The sitting drunkard didn't seem to understand Li Min's words, he grabbed Chen Wenqiang's sleeve and said, "Chen, Dean Chen, you save him, I invite you to drink." ”The family was struck by Li Min's words, and a middle-aged woman in a dark red tweed coat grabbed Li Min's arm and said, "Doctor Li, save him." ”Then she pounced on Director Shi in a panic, so frightened that Director Shi hurriedly reached out to support her and stop her from kneeling."
Director Shi, please save him.He's only 37 years old.Our children haven't finished elementary school yet. ”A stout red-faced man at the door said with an open heart: "Brother and sister, he just drank too much, just get up after sleeping." ”Some of the people who came with him who had little drink went and pulled him: "Come out, come out."
I didn't listen to the nurse, saying that this person might not survive tonight. ”The drunken man sitting next to Chen Wenqiang suddenly stood up, grabbed Chen Wenqiang's shoulder and shook it: "You go and show him."
Take a look.Why can't he get up?
Woooooooo ”The middle-aged man was crying with snot and tears, and Chen Wenqiang was also dragged to sit unsteadily.Chen Wenqiang shook his hand away in disgust and said, "Don't shake me, I'm going to vomit." ”Lu Qing hurriedly called Dr.
Zheng: "Xiao Zheng, take Dean Chen to this pool and vomit." ”Doctor Zheng and Qin Zhang hurriedly stepped forward and dragged Chen Wenqiang to the edge of the sink without saying a word.With a "wow", Chen Wenqiang lay on the edge of the pool and began to vomit.Lu Qing walked over and patted him on the back and said, "How much wine did you drink?"
”Li Min instructed Yang Yu: "Go get Dean Chen's water cup and pour some warm water for him to rinse his mouth."
Xiao Zhai, 50% glucose 100ml + VB1100mg + VB6100mg intravenously pushed him out. ”After Chen Wenqiang rinsed his mouth, he was taken away by Xiao Zheng and Qin Zhang.Director Shi always stood by Li Min's side.Li Min pinched his nose and opened the window wide, letting the disgusting smell in the office quickly disperse."
Your doctor will get drunk too."
It's not nonsense.Who doesn't get drunk if they drink too much?
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With the impact of Chen Wenqiang's vomiting, the patient's family members who were interrupted and pleading took a long time to find the person to ask for help - they caught Director Shi."
Director Shi, the outpatient clinic said that there was a craniotomy.Hurry up and operate on him. ”Director Shi looked at Li Min: "Xiao Li?
”It's a cross-professional matter, and it's better not to make a decision at this time.Li Min shook her head with difficulty while giving the doctor's instructions and said, "The brain stem has been squeezed out, and this kind of brain injury is basically hopeless......
Her voice became lower and lower, so low that only Director Shi and the patient's wife could hear clearly.The few people in the room, when Li Min gave the doctor's order to the nurse and asked the nurse to implement it immediately, did they know that she was the person in charge of the treatment.The old man grabbed Li Min's sleeve and said, "Girl, can you operate on him?"
Try it if you can, and if you can save it.Otherwise, our old couple was full of gray hair, and watched our son die in front of our eyes......
"The old lady cried so much that she couldn't stop crying.Li Min looked up at the people inside and outside the house and said, "Reluctantly operated on, alas, I said, what did I say, he really didn't need surgery......
The patient's wife said: "A dead horse should be a live horse doctor, we can't watch him die." ”The silent Li Min and the silent Director Shi made everyone inside and outside the house realize that the patient was really bad.The drunk, who sat on a bench and slumped, muttered, "I'll just hit him gently."
Really just hit him lightly.I assured Chairman Mao that I wasn't lying, I really only hit him once. ”At this time, several more people poured in."
Mom and Dad, what's wrong with the third child?"
The old man choked up and said, "The doctor said that people can't do it, so they won't do surgery." ”These people immediately surrounded Director Shi and begged, "Doctor, let's operate on my brother.""
Doctor, please." ”"If you don't have surgery, you're going to die.Do it, if you can live!""
Xiao Li?"
Director Shi asked Li Min again.Li Min took a deep breath and said, "You went on stage with me?"
”"Okay.""
Yang Yu, you give a temporary medical order and go and tell the nurse in the intensive care room: make preoperative preparations."
Yang Yu answered.The people who came in later looked at Director Shi's badge and looked at Li Min, and suddenly Li Min was the person in charge of neurosurgery.But Li Min didn't have time to care about what they were looking at.She began writing consent forms for surgery.While writing about what may happen during the operation with the family.Anesthesia accidents, etc., are secondary.Most likely, there is damage to the brainstem and intraoperative cessation of breathing.Li Min's handwriting on most of the page was too urgent and a little sloppy, and when she finished writing, she asked the patient's wife: "The patient signs, you and the old man can come."
Writing here about the above-mentioned surgical contingencies I have fully understood the consequences and I insist on surgical treatment.Here the relationship with the patient is written, and here the signature. ”After the patient's family finished signing, Director Shi said, "I called the operating room, and we can take the patient over now."
You look at the eye surgery notice. ”The surgeon on the operation notice is Li Min, the first assistant is Shi Lei, and the second assistant is Yang Yu."
Hmm."
Li Min nodded to Director Shi excitedly, in front of the patient's family, she couldn't say thank you."
Then Director Shi, you go to the operating room first, and I'll take the patient over later."
Li Min looked at his intern and instructed: "You go to the intensive care room to see how you are preparing before the operation." ”The intern immediately went.Then Li Min pointed to the intern led by Chen Wenqiang and instructed: "You go to the director's office to see Dean Chen and see if he can go to the operating room." ”"Hmm."
Director Shi said, "I'll go to see the patient, and the family members will come with me." ”All the family members immediately followed him with a hula and cheer.Li Min hurriedly began to write a record of the first course of illness.When the sound of the flat car bones turning passed by the door of the nurse's office, Li Min happened to finish writing.She hurriedly sorted out the medical records and said to Lu Qing while clipping: "You contact the ICU, and this patient will be sent back to them." ”Lu Qing immediately smiled and said, "That's great."
I'll just say that Dean Chen said it. ”Li Min smiled and walked to the elevator room.I don't care what you say, anyway, this patient can't go back to neurosurgery to account for mortality.Anyway, the family members can accept the dead people in the ICU; Anyway, what the mortality rate in the ICU is, the hospital can accept it.This is a weak mortality assessment.* Li Min changed into his handclothes and lifted the curtain, but he heard Chen Wenqiang's voice ringing in the dressing room next door, and he couldn't hear it clearly.I only heard Director Shi Ying Cheng say, "I'll let people come in and call you in a while, and you will sleep for a while wrapped in your coat." ”Li Min pursed her lips, grabbed her hat and mask, and left the locker room.When I entered the operating room, I saw Director Zhou taking the newcomer to endotracheal intubation."
Pinch the angle of the mandible with your left hand and press the base of the tongue with the endotracheal intubation, the idea is that the epiglottis is here, and you can see the esophagus and trachea clearly.You've done it. ”Director Zhou brought the laryngoscope to this newcomer, who was only assigned to the anesthesiology department this year, and instructed him to do transoral photopic intubation.Regarding Director Zhou's use of this dying patient to teach tracheal intubation, Li Min could only sigh softly in his heart and tell Yang Yu to brush his hands.Everyone understands that this patient is dead or alive."
How far does the catheter have to go into the trachea?""
4 to 5 centimeters.""
How can you tell?""
Look at this marker."
The little doctor in the anesthesiology department pointed to the catheter in his hand and replied, "This line indicates that it is 20 centimeters from the tip."
Depending on the patient's cervical spine, it is sufficient to determine that the tip is within 18-22 cm of the central incisor. ”"How can I be sure that the tube is already in the trachea?""
When the chest is first pressed, there is airflow exhaled from the catheter orifice; the second bilateral thoracic cage is symmetrically undulating, and the alveolar breath sounds can reach the clear lungs; The young man secured the endotracheal tube and began to check whether the tube was in the trachea as he had answered."
Thirdly, when using a transparent catheter, as it is now, the catheter wall is clear when inhaling, and the catheter wall is blurry when exhaling, showing a 'white mist' phenomenon.After the fourth catheter is connected to the anesthetic, if the patient is breathing spontaneously, the capsule may expand and contract with the breath. ”Director Shi praised on the side: "Not bad, Lao Zhou." ”Director Zhou grinned and asked the young anesthesiologist, "What about the fifth?"
”"If the partial pressure of CO2 at the end of the expiratory period can be monitored and a regular pattern of CO2 is displayed, it can also prove that the intubation was successful."
Li Min finally waited until the anesthesia teaching was finished.She reminded softly: "Director Zhou, let's put yourself in a position." ”* Director Shi only went to brush his hands after seeing Yang Yu disinfect, and he said to Director Zhou before leaving: "Lao Chen is resting in the locker room, you can call him over." ”Director Zhou immediately said, "Okay."
I'm going to call him.You look carefully, and ask Dr.
Li if you have something. ”Li Min just wore gloves and ignored such unnutritious words.She secretly rolled her eyes in her heart and asked me?
I don't know about your anesthesia.But she pretended not to hear, but the new anesthetist seriously agreed.The patrol nurse smiled and said to Li Min: "You are the biggest in this room at this time." ”Not really.Li Min has an intermediate title.But Li Min shook his head and said, "I can only be the second, you are older than me."
Wash your hands. ”When Director Shi and Yang Yu stood where they should go, Chen Wenqiang also followed Director Zhou in.He glanced at Li Min's line and said, "Let's go." ”Li Min went to see Director Zhou, and Director Zhou nodded.The large round blade was handed to Li Min.A beautiful arc glided through, the scalp was cut open in the whole layer, and Director Shi and Yang Yu began to use hemostatic forceps on the left and right.......
"Lao Chen, something is wrong with you."
How can you drink so much that you can't stand up?
”Director Zhou stabbed Chen Wenqiang, who occupied the anesthesiologist's three-legged round stool and was lying on the small table."
Don't touch me, disgusting.Just now, I was shaken by the patient's family and vomited. ”Chen Wenqiang was obviously weak when he spoke.Director Shi said, "That's not the patient's family, just that person slapped the patient." ”Director Zhou looked back at the CT film hanging on the reader, and asked in disbelief: "Is it really just a mouth?"
Such a heavy brain contusion and laceration, Lao Shi, you can be more reliable even if you tease me, don't fool me so much?
You don't know how to watch CT films. ”"I'm not fooling you.Later, I asked the other people who sent him, and it was really caused by a mouth.Both were drunk and bumped into each other at the bathroom door.The beater said to the patient, 'What do you have eyes on?'
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’The one who was beaten replied, 'What do you care about me?'
’That one gave him a mouthful.This one fell to the ground and couldn't stand it.The beaters and the people watching from the side thought he was trying to slander people.But after waiting for a while, I saw that something was wrong with him lying there, and I turned him over and saw that things were not good, so I called an ambulance and sent him to the hospital. ”Director Shi told the story of the patient's injury as if he were talking about stand-up comedy."
Oops, this is a mouthful.Now I have to go to prison for at least ten years. ”Director Zhou sighed."
Not really.A human life. ”The interns and instrumental nurses at the viewing platform were all frightened by the possibility of the patient's death.The nurses patrolling the station were so busy that they touched the ground, occasionally interjecting between Director Zhou and Director Shi, who were chatting lively.Only Li Min was engrossed and did not dare to have the slightest negligence.The voice of the bone drill suddenly stopped, and Chen Wenqiang immediately raised his head vigilantly and asked, "What's wrong?"
”"Teacher, the dura mater is very tense."
The people in the operating room also heard that Li Min's voice was very nervous."
Be careful."
Chen Wenqiang told Li Min."
Hmm."
Li Min became more and more cautious with his bone drill."
The cranial plate has been removed."
Li Min breathed a sigh of relief and hurriedly reported to Chen Wenqiang.Chen Wenqiang immediately stood up, Director Zhou held him uneasily, and reminded him: "Be careful." ”"Go on."
Chen Wenqiang stood in the space behind Li Min and Yang Yu, looking at the surgical field through their shoulders."
Little bend, sharp knife."
Li Min stretched out his hand and called out to the instrument nurse.Director Shi threw the suction ball back to the instrument table, and replaced it with a loud sneer from the little nurse: "Director Shi, don't throw things around, you will mess up my instrument table." ”Director Shi pretended to be deaf and dumb, pretending not to hear.The patrol nurse threatened Director Shi with the oval forceps used for disinfection just now: "Don't throw things around, do you hear?"
”Under the threat of oval pliers, Director Shi hurriedly admitted: "I heard it."
I don't think she's busy. ”"Then you're making a mess."
Li Min ignored their bickering and continued to do it on his own.Yang Yu hurriedly changed the suction head.As soon as the dura mater is opened, the brain tissue bulges out along the incision.This is a situation that Li Min has never encountered.She nervously asked Chen Wenqiang: "Teacher?
”"Suture the meninges, close the skull.Fast!
Otherwise, it won't be sewn for a while.Angle needle 7 wire, do continuous sutures. ”() The distance is a bit far