The door to the director's office was open, and Director Li sat there smoking by himself."
Director."
Li Min sat across from him and asked, "Is it for the old man and the old lady?"
”"Isn't it surprising that the old lady has so much money?"
Director Li asked her straight to the point."
Hmm.It was a surprise at first.Later, I was not so surprised to hear that the old man had worked before the founding of the People's Republic of China and had a pension. ”Li Min naturally replied to Director Li, and reorganized the words that the old lady had said to Director Li concisely.She always said something in front of Director Li, this elder who has experienced many vicissitudes and many things in the world will often explain to her things that she has never heard of, and even dare not think about or believe.Through Director Li, she saw the world through the eyes of different people."
But the old lady said that the efficiency of the old man's unit is not good, the pension cannot be paid on time, and the relationship between the six children who are alive is not good, and it is still ......"
The rest is not a question of surprise or not, but Li Min can't accept how the relationship between parents and children can be like that.Director Li put out the cigarette butt in the ash cup, pushed the glasses and said, "Let's not mention the patient's family affairs.The blisters on the feet are all ground by themselves.What I want to tell you is, don't underestimate the rags.They are definitely not people who can't afford to pay for the operation. ”Li Min was surprised and looked at Director Li with puzzlement."
You've probably heard about my experience.In those years, my family relied on the eldest and second to pick up the rags, and my wife to play hard, not to mention themselves, but also to raise the third and fourth children.Pick up the rags, it's a little dirty.But these old couple don't have to raise children, their life experience and social experience are also richer than those two boys in my family, and they will not be deceived and bullied when they go to the scrap yard......
Naturally, they will have some life-saving money in their hands.Nor are they people who can't afford to eat hot meals in the cafeteria. ”What follows this is that Li Min took the old lady to a hot meal, so that the other patients' families on the eleventh floor had opinions.Li Min was stunned and couldn't react to these words.She understood every word of these words, but when they were put together, it was a little difficult to understand thoroughly.Director Li knew from her reaction that this was a girl raised by a family who didn't worry about food and clothing, and she didn't understand the things that made a living at the bottom of the society.She is so badly kind, in case she is taken advantage of, it will be a big trouble.But how do you talk to her?
*Director Li thought about it for a while, but he didn't think of how to remind Li Min.Li Min's social experience is not as good as that of her own old daughter, a pure simple girl from the school gate to the workplace.Alas, if I could, I would like my old daughter to grow up like this."
I just went downstairs and talked to the old couple for a while.They probably told Zhang Zhengjie that they had no money, and I reminded them a little that the current treatment is not suitable.In order to operate on him, well, to give him the most appropriate treatment, Zhang Zhengjie may apply for them so that he can get free treatment from the civil affairs department.Their reaction must have been sent back to the shelter before.That's why they'd rather pay for the treatment themselves. ”After listening to Director Li's explanation, Li Min couldn't help but wonder when he thought about the old lady and the old man's lunch and evening meals."
Then they eat cold sauerkraut......
"If you really go out to work and beg passers-by, not to mention two steamed buns, even if you have two nests, you can eat them on ice."
Have you ever eaten wowotou?
”"I've eaten it."
It's really hard to eat when it's cold, and it's so rough that you pull your throat."
For people of our age, it's okay to have enough to eat.If you are so thirsty, you can stuff ice and snow directly into your mouth.Don't say it's just cold sauerkraut. ”Li Min couldn't be compared, but it didn't prevent her from believing Director Li's words, and her parents had also told her about robbing tree bark and grass roots in those years."
As for the patient, since they have paid the medical bills, they will be treated according to the normal way in the future, and you don't have to follow anymore."
Director Li was afraid that Li Min would not understand, so he told her again: "These people know best how to use people and take advantage of other people's kindness.When you have time, you can read more books, and there are some things that you can't touch as a girl. ”"Uh-huh, thank you, Director.I'll be careful. ”Li Min knew that the old director was for his own good, but the old lady still had to talk to the director about her own business."
Then the old lady asked if she could have surgery after paying the money?""
I've already told Zhang Zhengjie about arranging surgery, you don't have to worry about it.""
Yes
.
"* Li Min exited from the director's office just in time to see Qin Zhang returning with the intern.To be honest, there was no need for Qin Zhang to take the intern there, but Director Li ordered him, and he couldn't help but walk around.At this time, when Li Min came out of the office, he asked, "Doctor Li, is the patient going to have surgery immediately?"
”"Director Li said that he would arrange this with Director Zhang."
Li Min and Qin Zhang came into the office, and when the old lady collected the hospitalization deposit, she told the old lady: "Auntie, Director Li said that he would arrange your uncle's surgery with Director Zhang." ”The old lady thanked them again and again before going back.The warm intern said with great envy: "I didn't expect to have so much money to pick up scraps." ”An imperceptible pain crossed the warm face.Li Min knew what warmth was, so she opened her mouth to interrupt what the intern was about to continue to say."
Warm, I'm back in the duty room.You call me for something. ”"Teacher Li, don't you have a phone in the duty room?"
The intern Li Min brought with him asked.This boy is also serious, and he comes to Corey almost every day.There was no place to live on the eleventh floor, so I went to the general outside to squeeze and mingle for one night.It was rare that he was still in good spirits the next day."
I'll unplug the phone when I go to bed at night, otherwise the phone will ring weirdly and scary.If there is something on this floor, we will find a nurse first, and if there is something on other floors, if I want to get out of the ward, I still have to call the nurse to open the door.You follow Director Li tonight, and you will have surgery. ”"Hmm
.
"* Zhang Zhengjie went home and began to fill out the form after eating, and it was better to have surgery for the old man's fracture as soon as possible.Thinking about the application process and the time it would take to get it approved, he couldn't help but feel a little irritated.scolded hatefully in his heart: "M's, it would be nice if I only had to take care of the doctor and not have to worry about other things." ”Alas!
Rao is going to operate on the patient, and in the end, Corey has to add money to it.If there are a few more patients like this every month, not to mention bonuses, even the salary will not be earned."
Xinjie, what's wrong with Corey?"
His daughter-in-law cleaned up the house and brought him apples."
Well, here comes an old man with a broken femoral neck, who is picking up rags.It is estimated that there will be grinding in the report. ”Zhang Zhengjie grabbed the apple and took a big sip.His daughter-in-law closed the fruit knife that she had just broken.This kind of thing, trauma surgery experience and several times.The first time, she watched Zhang Zhengjie running around to go through the formalities, and it took more than ten days to get all the seals covered.Later, I became familiar with the process, even though it was much faster, but the identification of the containment station was the most delayed."
Dean Chen agreed?""
Hmm.It's a shame that he is now the medical director.Otherwise, I have to provide all the patient's medical records and examination information to the medical department first.Again, under the witness of the Medical Affairs Department, please come to the director or Director Wang for consultation.After the consultation opinion provided by the two of them, Fei Baode had to ask for a hospital meeting.The process in the hospital can take three days at the earliest. ”Zhang Zhengjie clicked and finished eating an apple, wiped his hands and continued to fill out the form.The phone rang.The woman walked to the living room to answer the phone."
Hey.""
Well, I am.Looking for Zhengjie, he's here.Zhengjie, Director Li is looking for you. ”Zhang Zhengjie had no choice but to put down the pen in his hand to answer the phone.......
"What?
They paid a 3,000 hospital deposit?
But this morning in the emergency department, the old lady cried and knelt down in public to beg Liu Liwei, that was a monkey show!
”......
"Okay, I'll go now."
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Tomorrow Corey has also scheduled surgery, and the work that can be done tonight will not be postponed until tomorrow.Who knows what tomorrow will bring. ”The eleventh floor is the emergency surgery ward that Xie Xun said, and if there was no trauma surgery, this patient might have been admitted to the orthopedic ward.Zhang Zhengjie didn't know what to say about the old couple, and if he had money, he would be hospitalized directly, and he had to be hinted by Director Li that he would have to go through containment before he could be treated for free, so he was willing to pay for it himself."
Xiaoyuan, I'll go to the hospital.It may be necessary to operate on the old man who broke the bone during the day. ”"Hmm.""
You call your mother in a while and remind her to turn off the TV, so that Nan Nan doesn't look endless.""
Okay, I remember."
The child goes to her grandmother's house during the winter and summer vacations, but pointing to her grandmother's ability to control her grandson from watching TV, Jin Yuan expressed great doubts.She brought Zhang Zhengjie the scarf and tweed coat he was going to wear, helped him put them on, and said, "It's getting colder and colder, let's change into a down jacket tomorrow." ”Zhang Zhengjie shook his head: "What's cold, just a few steps into the inpatient building." ”The woman knows that her husband belongs to the gang of "demeanor and not temperature", and he will not change his down jacket if he is not frosty.He sighed and said, "If you catch a cold now, there will be no one in the ward to take care of you." ”Xie Xun went to Shanghai, and the orthopedic doctor Sun who came over in rotation was okay to touch the fish and watch the excitement, drink and brag, and point to him to do something else or not to dream; Doctor Yang, Zhang Zhengjie has always had a scrutinizing and observant attitude towards him; Xiao Huang, who just came back from studying urology, is not used by people at all.Zhang Zhengjie took a deep breath and gave in: "I'll wear a down jacket tomorrow." ”The woman who had achieved her goal smiled, thoughtfully arranged the scarf for him again, and admonished, "Look at the road."
The snow outside is solid and slippery. ”"I know.You go to sleep first, don't wait for me.I don't know when I'll be back. ”Zhang Zhengjie opened the door and walked away as he spoke.* Li Min went back to the duty room to record the performance of the femoral neck and his family members in the diary.The old couple's behavior made her very incomprehensible.But she only had time to write down her doubts in her work diary, so she heard Wen Wen call her: "Doctor Li, Director Li asked you to go to the outpatient clinic with him." ”"Good.I'll go. ”Li Min went out to look at the elevator room, and Director Li had already pressed the elevator.She hurriedly ran over with her military coat and asked, "Director, what kind of patient is it?"
”"Chest pain.An electrocardiogram (ECG) has been done and does not support any pathological changes in the heart. ”Director Li still had a cool face and took Li Min and the others to the emergency department.Regarding Li Min's hospitalization, Director Li does not support it.There is only one reason: it takes time to experience and verify from theory to time.However, at that time, because the trauma surgery interns had already been stationed, there was no more suitable personnel, so when Li Min first took office half a year ago, he repeatedly explained to Chen Wenqiang and Director Shi: take Li Min for consultation.Looking at the "incurable diseases" that are related to other departments and the department, or even have no connection at all, is the best training for Li Min.For example, like this patient with chest pain tonight.The 45-year-old woman, who was on the fat side, was tired and weak as she leaned on the man who supported her on the medical bed.In the winter, the traces on her forehead soaked with sweat are still very clear.The emergency physician was anxiously standing by the bedside, and there was an ambulance on his left hand.The nervous appearance of waiting for the battle is particularly in line with the atmosphere of the emergency room.When he saw Director Li enter, he rushed over like he saw a savior."
Director Li, come and see.I did her ECG again 15 minutes ago and nothing was normal. ”Tonight's internal medicine emergency doctor is none other than Dr.
Dou, the attending doctor in the cardiovascular ward.Very standard ECG without any waveform changes.That is, there is no ST-segment elevation and no pathologic Q waves.There is no T-wave inversion.There was also no change in ST depression.The middle-aged man who was holding the female patient said: "She has had chest pain for several years, but it used to be once a year and a half a year once a year, and three times in the last six months.When we came to the hospital, we did an electrocardiogram, carried a box, drew blood for testing, and we went to the medical university for an echocardiogram, but nothing was found. ”Dr.
Dou was very anxious and embarrassed, and when the patient had a seizure, he had a slight disturbance of consciousness.According to the family, this is the first time such a situation has occurred.Therefore, after the patient came back from filming, he asked Dr.
Liu if the surgical ward was Director Li's night shift, and invited Director Li here.Because the doctor on duty in the Department of Cardiovascular Medicine is Wang Yiran, he does not think that Wang Yiran has stronger clinical experience than himself.After looking at all the examinations and a few medical records, Director Li began to ask the patient's husband."
Under what circumstances did she have chest pain?"
Without hesitation, the man replied, "Angry."
All three of these episodes were caused by the child watching TV and not doing homework well.Alas.By the way, her first chest pain was after giving birth.I was very angry that time. ”He didn't say anything about it.Everyone saw the female patient's action of pinching his palm."
How old is your child?""
It's just over my 15th birthday, and I'm about to take the high school entrance examination.I'm really afraid that if I don't wait for the high school entrance examination, I'll make her angry first. ”As Director Li asked about his medical history, Dr.
Dou felt more and more that his judgment was reasonable.How can anyone have such myocardial ischemia?
And a heart attack.The odds are slim to none.But if it's not a heart disease, what could it be?
Hysteria?
Not quite like that."
Ask a neurology consultant and let them try it.Make an emergency appointment for an EEG test. ”"You suspect it?"
Dr.
Dou thought down the EEG."
Well, I suspect so.An electroencephalogram (EEG) and a trial of treatment will confirm the diagnosis. ”"Tonight, then?""
Stay and see, safe."
After Director Li gave such a suggestion, he turned around and took Li Min and waited for a group of people to go out.Before they could leave the emergency room, the patient's husband rushed to catch up with them."
Director Li, wait, wait."
He ran a little hurriedly, but what was even more anxious was his mood."
Director Li, what is her illness, can you tell me a little bit about it?"
Director Li stopped and replied to him in a good time: "I suspect it is chest pain epilepsy."
Whether this is specific or not, we have to wait for the results of tomorrow's EEG examination, as well as the trial treatment of internal medicine. ”"Epilepsy.Isn't it 'epilepsy'?
”Director Li nodded."
Isn't that disease a child?
Can you still get it?
Will it be passed on to children?
”"Whoever told you that epilepsy has to be from a young age.Sometimes when the head hurts, epilepsy can occur.Like your daughter-in-law, you know better than anyone the cause of the first symptoms after giving birth.At present, it is impossible to pass it on to children. ”The man was relieved."
You're relieved if you don't pass it on to your children?""
That's not what I say.I'm looking at people who are counting in their fifties, and I'm not just a child for the rest of my life.Is her disease easy to cure?
”"If the diagnosis is epilepsy, take medication on time to control the condition, and pay attention to what triggers you have.So many people with heart disease and diabetes don't all live by taking medicine.You take good care of her mood and get sick less, and this is not a terminal illness. ”"Yes, yes.I understand, I understand.Thank you, Director Li.Thank you, thank you. ”After entering the elevator, Director Li said to a few of them: "The manifestation of epilepsy is very complicated, you go back and read the book."
Do not treat abdominal pain as an acute abdomen in the emergency department in the future.What if it is abdominal pain epilepsy?
”Yes, what if it is abdominal pain epilepsy?
If the laparotomy found nothing, how can I explain it to the patient and his family?
Isn't it embarrassing?
Li Min secretly wrote down this and decided to go back and flip through the book to study the epilepsy part again.When they returned to the department, Nuan Wen said, "Director Li, Director Zhang, and the doctor on duty in the orthopedic department went to have surgery." ”"Hmm.Xiao Qin, you go over and have a look. ”Qin Zhang immediately agreed and went happily.Originally, if this operation was done urgently, Zhang Zhengjie should have brought his own.* With the help of the furniture store owner, Xu Qiang and inexplicably put the single bed and desk in place.The boss said a little regretfully: "Young man, your big room is suitable for buying a double bed of 1.5 meters." ”Xu Qiang smiled and said, "I don't live here."
She lived here temporarily in order to get closer to work.Thank you.I'll go to your store if I want to buy anything else in the future. ”"Good, good."
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The owner happily drove away."
Wash your hands, let's go to the cafeteria to eat."
Inexplicable proposal."
Okay."
At this time, the restaurants that were a little closer outside were closed, and the farther ones were too far away."
I have to go back to my dorm room and get my lunch box.""
I'll go with you, take a rag and get it down, and we'll clean up the house together."
Wait for me to see if I can find time to slip through the window the day after tomorrow. ”Nodding inexplicably, he said, "I'll ask the head nurse tomorrow for a bottle of paste, and a few more newspapers, so get ready first." ”Xu Qiang heard the inexplicable paste and newspapers, and thought that she would say that she didn't have to come by herself, but in the end, she only waited for a "ready first".He couldn't help but be a little disappointed.Inexplicably, he locked the door with a smile, pulled him apart from the stairs and said, "If only I had something to do every day, every day I had something that you had to do." ”"Then I'm busy with you, so I can't care about making money.""
Then I'll be able to see you every day."
Xu Qiang put his inexplicable hand into the pocket of his down jacket, and the mood of spending more than 2,000 yuan this night, suffering from gains and losses, was diluted a lot by this inexplicable sentence.He continued to follow the inexplicable words: "I also want to see you every day.Hold on for a few more months, and I will be able to buy the neighborhood behind the medical university. ”"Then you're so busy, do you still have time to read?"
Xu Qiang shook his head and didn't say that he couldn't watch it if he had time."
Then are you still taking the exam this year?"
Xu Qiang was silent for a while and said, "Let's talk about May Day."
I'd love you to go to the Exam. ”"Why?""
Boom and then decline.It's too hard to go to school after work. ”"Li Min should be going to graduate school today.She has good grades and will definitely be able to pass the exam. ”"Aren't they very busy with surgery?
She still has time to read?
”"I've heard that she's only in neurosurgery now.This year, eight more people have been separated from the Department of Surgery, and those who were sent out for further training last year have also returned.There are many surgeons in their current hospitals, and there are interns in every department.If she doesn't rush to the operation, others may not be happy. ”Xu Qiang thought of the inexplicable fact that Li Min had been promoted to the intermediate level, and couldn't help but sigh at Li Min's good life.I thought that the girls who were assigned to surgery would do auxiliary work on the edge of subordinate surgery like the female surgeons in the attached hospital, but I didn't expect Li Min to come to the stage directly like the male doctors."
You're going to get a Ph.D."
Xu Qiang made up his mind and said, "Lest I feel inferior to Li Min in the future."
If you can graduate in the spring and start your PhD early, she will be admitted this year, and by the time she graduates, you will have a Ph.D. by then. ”Inexplicably, he thought about it and said, "I'll try it."
It's a pity that my supervisor doesn't bring doctoral students, so I can't transfer to a Ph.D. directly.There are only two professors who call doctors of endocrinology, and I don't know how many people will apply for the exam at that time. ”Xu Qiang suddenly laughed: "Professor Luo's supervisor calls doctoral students, you go to transfer his doctoral students, and let your supervisor make a recommendation." ”laughed inexplicably, and almost spit out the white porridge that he ate in his mouth.She covered her mouth and coughed a few times before she glanced at Xu Qiang and said, "Then she won't be my senior sister?"
No, I can't mentor her. ”Xu Qiang stopped patting his hand on the back inexplicably and said, "What era is it?"
You should think differently, in the past, there were substitute teachers to take in apprentices, so now it is not impossible to come and teach students for apprentices.It's a big deal, your name is Shizu. ”Inexplicably stopped the chopsticks and seriously thought about Xu Qiang's proposal."
If my mentor had been willing to step in, this might have been possible.This saves me a lot of time.Well, I'll talk about it in a few days when I've read the list of books that my mentor has written.lest she think I'm too ambitious and don't want to do my graduation thesis. ”"You're right.I see that your supervisor is a person who is very academically ambitious, and I guess she will definitely approve of your continuing doctoral studies. ”"Hopefully.I'm more worried that she wants to keep me in the provincial hospital. ”Inexplicably worried.Compared with staying in the provincial hospital, she longed to stay and work in the Affiliated Hospital of the Medical University in the future, especially Xu Qiang's plan to buy the community at the back door of the Medical University, one of the top communities in the provincial capital, which attracted her to stay in the Affiliated Hospital of the Medical University."
In fact, the development of the provincial hospital in the past two years has also been very good."
Xu Qiang said the truth in passing.But he immediately noticed the trace of unhappiness that was inexplicably revealed.For his ability to observe words and feelings, he has now entered the first-class, and he is busy improvising and immediately changing his words to remedy."
Of course, there is still no comparison with the Affiliated Hospital of the Medical University.I think when you talk to Professor Luo about this, don't tell her whether you will stay in the provincial hospital for your future work, and wait until you get a doctorate.You look like the pathological Dr.
Huo, he came to the provincial doctor and gave him a half-price house.You can mention this to Professor Luo, and she will understand why you want to do a PhD. ”Xu Qiang cleverly concealed the old story that Professor Luo wanted to inexplicably ask for a house and was not qualified.But the implication in his words is so obvious that it is inexplicably impossible to hear it.So inexplicably immediately agreed: "You're right, I should have used that thing well last year, otherwise it would be a pity." ”※※※※※※※※※※※※※※※※※※※※ Gebeng is this pronunciation, but the specific two words were not found.It means that the bits and pieces of old cloth are pasted layer by layer to make the soles of shoes.When China's modern chemical industry was not yet developed, most families wore such handmade soles.() The distance is a bit far