Did the professor of respiratory medicine have lung cancer?"
Yes, it was found out before New Year's Day.I've been coughing for months.It's never been a good idea.A bad cold can't help but cover it up. ”"You mean he knew he had lung cancer?
What typing?
Can't I have surgery?
”"Small cell lung cancer."
Chen Wenqiang was dumbfounded.Small cell lung cancer is detected in the early stage, and it can be surgically resected if it is confined to the lung parenchyma.But the problem is that most people who have this tumor are treated with cough, sputum, pneumonia, etc. for a period of time, and wait for no improvement before considering other diseases, which delays the diagnosis.INTERVIEWER Who would think about lung cancer and go for a CT scan?"
Started chemotherapy?""
Hmm.Seeing that he is 75 years old, it is difficult to say whether he can withstand the blow of the first chemotherapy and radiotherapy. ”"Isn't that a year or two?""
yes.Even if it is carried over, it is not optimistic.Small cell lung cancer is susceptible to drug resistance and is insensitive to second-line chemotherapy drugs. ”Shu Wenchen felt quite heavy.He didn't have much contact with the old director, and he had heard of Professor Hou when he was young, even if he bent over and was beaten during the day, he still hung up his stethoscope and went to the ward at night.For decades, he has been an old man who is highly respected by his peers and juniors in the same profession, and he is also the Taishan Beidou of the northern respiratory discipline."
No wonder the Medical University sent Professor Zhu over for a consultation this time.He has already taken over the director of the respiratory department.It's really young and promising.I saw that he and Guan Lan were about the same age and had a good conversation, and I thought they were classmates. ”Professor Zhu and Director Luo were studying for graduate school at the same time after the resumption of the college entrance examination, and Director Guan had just been admitted to the Medical University that year."
Director Guan told me that when he went to the Medical University for further study, he was Zhu Professor Zhu as his mentor.When I tell you about Guan Lan, I think about it like this: Lao Fu used to be the dean of the branch and handed over all the work here; Lao Fei and I are going to devote most of our energy to the new plan of the provincial court; You are just the medical director, and you are busy with the medical work of the whole hospital, which is different from when I was at that time.At that time, I had you come back as the chief of surgery, and I entrusted you with all the surgical affairs, so you don't have to worry about it anymore.But now the total number of medical staff and patients in the internal medicine department is more than the total number of provincial hospitals five years ago.You have to deal with it alone, and it is extremely inappropriate if there is an omission. ”Chen Wenqiang's temper has risen and his patience has declined in the past two months, and Shu Wenchen has seen it in his eyes.He insisted that as long as Chen Wenqiang could bear it, he would not stretch out his hand.It turns out that Chen Wenqiang was still able to do a great job at the end of the year when he had the most patients.But if someone can help him in internal medicine, the burden on his shoulders will undoubtedly be much easier.Chen Wenqiang was stunned.He took out his cigarette case and remembered that it was an ICU ward, so he took the cigarette case in his hand and fiddled with it without pulling out a match.He fiddled with the cigarette case for a while, stared at Dean Shu and asked, "What do you mean?"
”Shu Wenchen continued: "This rat poisoning is an emergency, and the emergency department has handled it very well.To be honest, none of these patients are in danger of life so far.You and I are staring at the ICU this week, mostly to give an explanation to the above, but in fact, Guan Lan is presiding over the work here. ”"Well, that's what you said.Say whatever you want, just say it.I've been around for the past two months, and I haven't had any room for my head. ”Chen Wenqiang interrupted him and made his own request.Dean Shu smiled, this person still habitually didn't want to use his brain to think about problems in front of him.So he stopped laying the groundwork, and directly told Chen Wenqiang his purpose."
A few years ago, I had the consideration of promoting Guan Lan to the assistant to the dean, do you think he can get along with you?"
Can it get along?
This can stop Chen Wenqiang.He didn't seem to have thought about getting along with people.Shu Wenchen didn't bother him when he saw him deep in thought, he quietly stood beside him with his elbows and smiled.He has enough patience and confidence that he believes that he can wait for Chen Wenqiang to think clearly and figure it out, and then make a decision that is in line with the current situation.Because-Guan Lan wants to help the object of work is not himself, but Chen Wenqiang.
*The matter of mentioning Guan Lan as the assistant to the dean, Dean Shu has thought about it for a long, long time.Even when Chen Wenqiang came back from the south and became the director of surgery, he had such thoughts.But before he could raise this matter at the hospital meeting, it happened that Fei Baode took the opportunity to "rectify" Chen Wenqiang......
Later, by mistake, Chen Wenqiang became the assistant to the dean, and then became the medical dean.The performance of the provincial hospital over the years, the possibility of pushing itself upward, is increasing year by year......
Now Dean Fu has arrived at the place where his heart yearns; Dean Fei also got the position of dean of logistics that he coveted; Under the personnel changes, the consideration of promoting Guan Lan to be the assistant to the dean was once again placed on his desk and appeared in his mind repeatedly."
That Xiao Shu, cough cough, I don't have anything to hide from you, I haven't thought about getting along with anyone or not in the past fifty years."
Shu Wenchen smiled: "That's."
You and I have been companions since I was a child, you don't need to think about it.And what about you in the South?
”"I'll be my surgeon."
Chen Wenqiang replied very naturally.He then said under Dean Shu's questioning eyes: "Later, as the director of neurosurgery, I was also the director of the Department of Neurosurgery, and it was enough for me to treat patients and do a good job.That's what you need to think about.Even after coming back all these years, I have not always been a clinical doctor.In fact, if I hadn't been the last time, if I could have been the director of surgery, I think it would be better than being the medical director of this old man.It's too tiring. ”"But you can't get down."
Shu Wenchen sighed."
yes."
The two of them discussed related matters.This time he said it again, and Chen Wenqiang suddenly made up his mind: "Since you are optimistic about Guan Lan, I choose to listen to you."
Anyway, he is the director of the Department of Respiratory Medicine, and even if you have to return to the Department of Cardiology as the director in the end, he will not be able to get there.You've protected me for fifty years, and I can't help you retire?
Don't worry, I'm sure I'll get along with him. ”Shu Wenchen smiled, and a big stone in his heart fell to the ground.This is Chen Wenqiang, who treats himself with all sincerity and treats himself with sincerity.He received every share of his kindness to him; When he needed help, he didn't hesitate......
Brotherhood is sublimated into the righteousness of a confidant and turned into a trustworthy back, how much more can the love in the world be?
*Li Min is still in the ICU at the same time.She rang the doorbell to open the door, first changed her hat and mask, and then changed into a sterile gown and slippers to go in, but she didn't notice Dean Shu and Chen Wenqiang, who saw her go in the shadows.There will be fewer people in the ICU tonight.With the improvement of the patient's condition, the experts from the major hospitals in the provincial capital have returned one after another.Dr.
Zhu still came to the ICU of the provincial hospital on time every afternoon."
I wish you, teacher.Director Guan. ”Li Min arrived at the nurse's station, and saw Dr.
Zhu and Director Guan who were sitting there giving medical orders."
Senior sister is here.I said that I don't want to be called a director, I want to call him a senior brother. ”Li Min smiled and nodded, and called obediently: "Senior Brother Guan." ”The patient got better, and Dr.
Zhu was also in the mood to chat."
Xiao Li, I heard Guan Lan say that you are doing a good job in neurosurgery.It's all in the doctor's seat, yes. ”Li Min smiled a little shyly, pushed his glasses up and said, "I do what you teach."
The work diary is kept every day, and it is specially classified and tracked.Every patient in the ward can basically know everything about it.I also strive to know what it is and why it is so.But I'm very busy, and I haven't had time to go back to the medical university to see you. ”When Dr.
Zhu saw Li Min say this, knowing that she had done what she had taught, he smiled more and more amiably.He nodded and encouraged Li Min and said, "Work hard, your Senior Brother Guan is very optimistic about you." ”Director Guan echoed with a smile and handed the medical record in his hand to Li Min."
My little junior sister is the hardest working young man in the provincial court.I got to the intermediate level ahead of me. ”Li Min was noncommittal to what he said, smiled and took the medical record and began to look through the excerpts, and after a while, he was immersed in his work.She circled in the ICU for almost an hour, mastered the condition of the most serious patient, and then nodded to Dr.
Zhu, who was carefully inspecting the patient, and quietly left the ICU.* After Li Min left, Dr.
Zhu saw that the patient was fine, so he started chatting with Guan Lan."
Xiao Li's understanding is good, and his tenacity is good.I remember that she went to the respiratory medicine department as an intern in '89 when she first started clinical practice.Over the years, I have brought 180 undergraduates, and only a few of them can do what I asked at the beginning of the internship. ”"Really?
Also to check the literature on fever?
”Guan Lan asked cooperatively."
yes.It's the same as the question you were given at the beginning.But she does it better than you. ”Dr.
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Zhu laughed."
Better than me?"
Director Guan glared in disbelief."
Hmm.She found all the fever-related literature in the library, Chinese and English. ”Dr.
Zhu pointed his finger at the medical record folder and said, "The index text of the transcription is thicker than this.Excerpts are made in full accordance with the formal requirements of the index.She also borrowed more than a dozen library cards from her classmates, and came to my office with a box of books, telling me that these were the fever literature she had screened out and related to the rash, and that the relevant chapters were all clipped.He also asked me which one I needed to read. ”Dr.
Zhu laughed as he spoke: "I open questions for graduate students, and some graduate students are not as serious about checking literature as Xiao Li.Don't believe me, the index she copied is still in my office, so you can go to my office one day to take a look.Don't feel ashamed. ”Director Guan immediately said, "I don't disbelieve it.Is it how long did she take?
”Dr.
Zhu thought for a moment and said, "It's almost two weeks." ”"That's a lot longer than it took me."
Director Guan joked: "She's not as good as me." ”Dr.
Zhu Waner: "You only handed in Chinese."
Xiao Li found more information in English than in Chinese, nearlydouble.At that time, I told Professor Hou that Xiao Li was so serious that he could do well in any subject in the future.Later, Professor Hou also asked about her graduation assignment.I saw her in your provincial hospital the other day, and I really regret that she is not in the respiratory medicine department. ”Guan Lan smiled.The time arranged by the Medical University for the internship in the Department of Respiratory Medicine is five weeks, which can be remembered by the instructors of the internship to this day, especially by people like Dr.
Zhu, which shows that the first assessment is in the eyes of Dr.
Zhu.Because Li Min is not like himself, he studied with Dr.
Zhu for a year."
Then why didn't you keep her at the medical university?"
Guan Lan was a little curious."
I heard that Li Min's grades are also quite good.""
I wasn't the director of the respiratory department at that time, so I had no rights."
Dr.
Zhu replied jokingly.Then he coughed lightly and said, "The main thing is that she wants to be an obstetrician and gynecologist, otherwise I would really go to the principal to keep her."
Of course, there are also reasons why Professor Hou thinks that she is not suitable for the atmosphere of the Medical University.You also know that the medical university has fierce factional battles, redundant personnel, and too many rules and regulations, and the layers of suppression will make a person with a personality like her lose her vitality.You see she's not very nice with you. ”"Well, that's good.She was promoted to attending physician and had a foothold in neurosurgery.The medical university was assigned to her, graduated a year earlier than her, and there are still those who have not yet taken a fixed course. ”"It's all about personal effort and chance.At the beginning, I was in a youth spot, and there were those who I recommended to go to college, and there were also those who did not work hard and returned to the city in the end.Some of those people are now working as workers, some are pedaling tricycles to deliver goods, and some are laid-off and waiting for rice to be cooked at home.Even my classmates, who went to university with me later, were also assigned to primary hospitals after exams. ”Director Guan nodded.He is Dr.
Zhu and his contemporaries in the countryside, and Dr.
Zhu said this, and his fellow youth partners also have it.Dr.
Zhu stood up as he spoke, and said to Director Guan, "These patients are fine, and I won't be here tomorrow."
If there is any unforeseen situation, you can call my office or home again. ”"Good.You wait for me to call the garage and have someone take you back. ”After making the call, Director Guan explained to the doctor on duty in the ICU, and accompanied Dr.
Zhu to leave the internal medicine center building.On the way, he asked with a smile: "Teacher Zhu, you came here tonight just to say these words to the little junior sister, right?"
”"Hmm.Don't be jealous.You're a lot better than her. ”Dr.
Zhu, who took off his hat and mask, wore black-framed glasses, and his white and chubby face became as white as the full moon."
Yes, yes.She wasn't a few years older than my child. ”Director Guan joked: "If she is assigned to the respiratory medicine department and I take it, she will call me a teacher."
Now it's a little sister's. ”Dr.
Zhu also smiled: "It was Chen Huichi who was worried about her, saying that she was too hard, let me come over to see if she was okay."
She started recruiting graduate students this year.Chen Huichi said that she didn't care what major she had done in the past two years.Do you understand?
”"Understood.When you meet a good seedling, no one is willing to let go. ”Chen Huichi is a classmate in the same class as Director Guan, and she is a member of the old three classes who went to the countryside after graduating from high school.In the first year of the resumption of the college entrance examination, the couple was admitted to the Medical University at the same time, which became a legendary story of the commune in the countryside and the clinical medicine major of the Medical University.After graduating, she stayed on to work in the Department of Obstetrics and Gynecology at the Medical University.When Li Min interned in obstetrics, she was in her medical team.Director Guan sighed: "Chen Huichi has begun to recruit graduate students." ”"yes, you have to work hard.Don't be left too far behind by your classmates. ”"Yes, yes, I will.I've been working on it. ”The two are the same age, and they have gotten along very well in the past five or six years, and it is not too much of an exaggeration to say that they are also teachers and friends.Director Guan sent Dr.
Zhu Ercheng into the car, watched the car drive away from the provincial hospital, and then fluttered a few snowflakes falling on his hair, and turned around to enter the internal medicine inpatient building.
*The seven poisoned patients treated in the ICU gradually improved after stabilization with the support of experts who came one after another.Among them, the conductor who drank the least egg soup was the first to be discharged from the hospital.Others were also transferred out of the ICU and admitted to the neurology department for follow-up treatment.Other medical work in various departments of the provincial hospital has also resumed normal work order.When some of the poisoned patients are cured and discharged, they are also close to Chinese New Year's Eve.Regarding the toxicity of the poison-causing drugs in this collective poisoning incident, Dean Shu gave a lesson to all medical staff at the last general meeting of the hospital a year ago, and its nature is not much stronger than that of popular science.Because there is only so much information that can be given to him by the above.His lectures are more about how to treat the symptoms, how to save the patient's life, maintain the function of the patient's vital organs, and the quality of life.After that, Secretary Tang took the stage and took the microphone and commended Dr.
Dou, who was in charge of receiving patients in the emergency department that day, and Dr.
Liu, who actively assisted Dr.
Dou in rescuing patients.Praise them for taking the most appropriate first aid plan when they do not know what the poison is.It lays a good foundation for successfully saving patients' lives and reducing complications in the future.Even nurses such as Director Li, Li Min and Gu Lihua were praised.They were praised for their quick response after receiving the notice, and immediately cooperated with Dr.
Dou and Dr.
Liu in the emergency department for carrying out timely and effective rescue.There are also people who have been criticized.After smiling and praising the people in front of him, Secretary Tang immediately put on a very serious face and sternly criticized Xiao Wang, a surgeon who was transferred to the emergency room.He left the emergency room work area to sleep because there were no patients in the emergency room in the middle of the night, and the nurse could not find him when the emergency patients came.In addition to giving a notice of criticism, it is also necessary to deduct the bonus for three months, and submit a review letter after the meeting.These are all things that all the medical staff in the provincial hospital expected.But to everyone's surprise, after the meeting, the praised people received bonuses.Li Min didn't know how much Doctor Dou and Dr.
Liu were, anyway, Director Li and himself were both 200 yuan, and Xiao Wang, who was called by himself, also had 100 yuan.Everyone was happy.There's still money to take for the sake of things!
Dr.
Liu sent the money over, and did not forget to pour cold water on them: "I fined Dr.
Wang a three-month bonus."
The leaders of our provincial hospital are definitely rewarded according to the three-month bonus of the emergency room. ”Li Min smiled, it doesn't matter what reward they give themselves, it's good to get the money.Lu Qing asked him with a smile, "How much reward did you get?"
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”Dr.
Liu avoided answering.Lu Qing was anxious to ask, so he said: "I have done more than Dr.
Li, so naturally I will get more than her."
In fact, this matter is an emergency department of internal medicine, I just watched Lao Dou be busy that morning and went up to help, and I don't know how to do it, their internal medicine department is on his own duty in the second half of the night, and the interns can't help.But if the nurse could find Dr.
Wang that day, I would have called the ward to find someone. ”This is 100% true.Lu Qing sighed: "He is too, why did he leave the emergency area to sleep."
Just find a bed to stay in and make do with half a night.This is not good or bad is about to celebrate the New Year, and I was criticized and fined bonuses, which is so breathless. ”Dr.
Liu also sighed: "That day was also strange, not to mention surgery, there were few people in their internal medicine department who even had a fever and cold in the first half of the night."
In the second half of the night, the entire emergency room was crowded.The little nurses chatted all night. ”"Isn't that Xiao Wang still untouched, why didn't he go over to chat and go to sleep?"
Lu Qing asked Liu Liwei while checking the reward according to the calculator.Dr.
Liu pouted: "Which of the nurses who were assigned to the emergency room has a way."
He can still look at those nurses whose father is not an official.He's ......
They don't take him to chat. ”Lu Qing smiled, Dr.
Wang's mind is a secret in the provincial court.Not only do they know, but even the little nurses know.Dr.
Liu didn't want to say more on this topic, so he continued what he said just now: "Xiao Luzi, let me tell you that I have been in the emergency department for half a year, and when I find that I am overwhelmed, they are basically common diseases that are easy to deal with; The more you have to be careful when you have nothing to do at night, maybe something happens at dawn, and it is definitely a big thing that scares people to death. ”Director Li listened to the two of them talk for a long time, and then interjected: "Xiao Liu, if you are free, sort out your experience in the emergency department in the past six months." ”"Me?
What can I sort out at my level. ”Dr.
Liu laughed at himself."
The most basic is the one that best meets the needs of young clinical inpatients.If the doctors in the emergency medicine and surgery can reach your current level, isn't it" "What level do I have!"
”Dr.
Liu hurriedly cut off Director Li's words."
Look at your lazy appearance that can't hold up the wall."
Director Shi watched Dr.
Liu interrupt Director Li twice and three times, speak against Director Li, and slapped him heavily on the back."
You haven't hurried to thank Director Li for cultivating.There is currently no emergency manual for residents in the emergency department.There are so many interns in our provincial hospital now, each with a first-aid booklet, not to mention that they can reach your current level, and if you look through the emergency first-aid manual, you don't know how many people you can save in the future.Hello Lai has also worked for more than ten years, the size is an attending physician, there is this thing at the bottom, are you still afraid that you will not be able to enter the deputy high school in a few years?
”Dr.
Liu was pointed out by Director Shi, and immediately stood up straight, bowed slightly to Director Li, and said, "Director Li, thank you."
Director Shi, thank you as well.I'll write it when I get back today, and I'll ask you to revise it when I'm done. ”Director Li smiled and said: "Young people work hard and do what they want."
I see that you were in the emergency room that day, and you were much better than you were in the ward. ”Dr.
Liu immediately said: "You spare me, I have a 24-hour rest for 24 hours, I have been more than 5 years old in the past 5 months."
You see, not only did I lose my hair on my head, but I also had a receding hairline.Don't look at me as if I wasn't in a hurry that day, I was pretending.Although Lao Dou had done tracheal intubation in internal medicine, I finished one, and his hands were so shaky that he couldn't open the tracheostomy bag.Or I can call Li Min myself.Let me tell you Director Li, I can feel the heart rate increase, and my blood pressure is soaring.If I stay in the emergency room like this, it won't take me three or five years, and I'll have to be in my fifties or sixties. ”Dr.
Liu didn't want to stay in the emergency department.The family's money has been "corrupted" a lot by herself, even if the daughter-in-law doesn't say or complain, she should be a little bit of a little bit of a shame, and hurry back to the ward to "make meritorious contributions".Director Li saw that Dr.
Liu had no intention of staying in the emergency department, so he stopped persuading him, and left the office with a smile and the two hundred yuan.
*Afterwards, Lu Qing called Dr.
Liu.Dr.
Liu insisted on not spitting in response to Director Li's solicitation, and said to his daughter-in-law Xiao Wan, who was brainwashed by Lu Qing: "Is the emergency room a good place?"
The first is that there is no money, the second is that there is no money, and the third is that there is still no money.Plus a tired and worried.I'm tired of digging a hole for myself and going to the emergency room?!
”"If you don't go, you won't go.Director Li's suggestion is that you should hurry up and finish it. ”"If I don't go to the emergency room, don't take advantage of people.Otherwise, if I write out the booklet, but don't follow Lao Li, what will it become?
”"You can't just write Lao Li first.He is about to go to the emergency department to be the director, if you get this for him, let him correct it and print it out, Dean Chen will definitely be happy. ”"I'm afraid that when he is happy, he really sent me to the emergency room to Lao Li.""
Go, you hurry up and write it.That's so much to worry about. ”Xiao Wan turned her face, thinking about it, she slowed down her voice and persuaded her husband: "Don't give you a chance, if you don't seize it, you will finish writing it first and then talk about anything else."
Do you think about it, is it better to work in the emergency department than to go to the ward of the branch hospital to make more money?
”Needless to say!
Xiao Wan's finger pointed at the door of his head: "If you think about it in the next few years, there are more and more undergraduates in the provincial college, and among the doctors who are not undergraduates in your orthopedics major, you are almost the youngest."
How do we compare our college diploma with those undergraduates?
Yes?
You don't leave more roads for yourself now, are you anxious to wait for the undergraduates to squeeze you to the branch in the future?
Do you think that it takes an hour to take the bus to work every day, and you have to go without the sun at two ends every day?
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”Dr.
Liu knew that what his daughter-in-law said was the heartfelt words of the current situation of the Provincial Hospital.That's how my future in surgery is.It's not that he didn't think about it, but he didn't dare to think about it.But if you don't dare to think about it, can you avoid the cruel reality?
※※※※※※※※※※※※※※※※※※※※2019/12/19-2020/1/18 Annual Ceremony: Most Popular Vote: Voting Time: 2019.12.19-2020.01.18 Voting Rules: 10 bottles of nutrient solution = 1 mine = 1 vote for the most popular author of the year→ vote for the author column of the participating author, the author's works under the author's name, or the author's works can be irrigated with nutrient solution; Vote for the most popular work of the year→ vote for the works of the participating authors or irrigate the nutrient solution.Annual Inventory: Best New Author of the Year, Most Diligent Author of the Year; Annual Achievement: Honor of the Work of the Year, Honor of the Author; Film and television adaptations over the years......
More exciting content is loading, so stay tuned~*** won the 2018 Best New Author Award last year.This year is probably going to be empty-handed, haha......
Tomorrow morning at 6:00 a.m. update () is a bit far away