Director Liang returned to the Department of General Surgery with Xiao Chencai, and Director Li from the Department of Obstetrics and Gynecology came with two interns pushing a flat cart."
Hey, Xiao Li is here, rare guest, you can make my general surgery shine here."
Director Liang greeted him with a smile."
What Xiao Li, he is in his fifties."
Director Li blamed Director Liang for saying a word to him with a smile."
You are 150 years old, and in my eyes, you are also a little sister who recruits people."
Director Liang answered with a smile.Director Li smiled and ignored him, reached out and took the medical records handed over by Dr.
Chen and began to look through them.There are only a few pages, and if you look closely, you can read it quickly.But she pointed out Li Min's medical record and what Dr.
Cheng wrote to Director Liang: "Old Liang, look at your little doctors, how careful they are one by one. ”Then he sighed: "If those people in the obstetrics and gynecology department can do this, I will save myself from nagging them all day long." ”"Those people in your department just suffer less.Plant it once in the medical record, and that's it for the next time. ”Director Liang took the medical record and handed it to Dr.
Chen, and then handed the CT film to Director Li."
Look at this, you might have to arrange emergency surgery.At the age of 80, total hysterectomy is also an indication for this condition. ”Director Li stretched out his hand to take the film and said, "Li Min didn't make a mistake in the medical record." ”"Didn't Lao Chen plant it?
Every day in the surgical department, he stresses the importance of writing good medical records.Warn those young people that if something happens in the future, they will fight a lawsuit with themselves.If you don't write it for a long time, it's begging.You look at a few images, here, here, these sections, I didn't lie to you. ”Director Liang stretched out his finger and clicked a few frames of images on the CT film for Director Li to see."
M's, the old man of their family is ruthless enough."
Director Li watched the film and said, "I believe you."
At such an age, no one can do such a thing except for her own old man.You see, I answered your call and brought all the flat cars here.Hurry up and write me the summary of the transfer, and I'll take the medical records with me in a while. ”"Okay."
Director Liang agreed repeatedly, turned his head and put on a smiling face, and hurriedly urged Dr.
Chen: "Xiao Chen, I asked you to write a summary of the specialty, this is half an old man, how are you writing?"
If you dare to waste our precious time Director Li, be careful that I will deduct your bonus. ”Dr.
Chen, who was writing with his head bored, hurriedly replied: "It's almost, I can finish writing in two minutes." ”Director Li watched Director Liang pretend to scare Dr.
Chen, and she couldn't help but laugh like a flower.She put away the CT film and said to Xiao Chen, "Don't be in a hurry for a while."
I'll go see the patient first. ”She turned around and walked out, Director Liang hurriedly followed and asked, "I'll call you directly, Lao Liu won't have an opinion, right?"
”"You've beaten it all, and that's when you remembered.Don't worry, Lao Liu didn't come to work after the New Year. ”Director Li saw that Director Liang was puzzled, so he added: "The craniotomy operation the year before last made her feel heartbroken.It's a little bit of a stir, and she can't handle it very much.Before the Spring Festival, our department admitted a patient with advanced cervical cancer, and the family members had a lot of opinions.When it comes to physical examinations every year, how do you find out that it is at an advanced stage.You know that the physical examination is done in the outpatient clinic, and the gynecological physical examination is done, I don't hide it from you, you should also know, that person was sent out by the ward, and the branch hospital said that it was not wanted.In the end, Lao Shu and Lao Fei both spoke, so they left her in the outpatient clinic to be responsible for gynecological physical examination.The matter of advanced cervical cancer really has nothing to do with Lao Liu, the director of the ward.But she came to my house two days ago and told me that she was thinking about retiring from the house. ”"Within?
She's not even fifty years old!
”Director Liang was so shocked."
Lao Li, who of us hasn't been wronged in our lives?
But if I have a narrow heart, I will never come back to see you alive. ”"yes, I understand.But she's different.In those years, she took care of her two children and took care of her in-laws from the countryside, and she suffered too much.After her lover was demobilized, she has held her in the palm of her hand for the past few years, let alone talking to her loudly and stingily, and she can't wait to play the board and arch her.Then she had to agree against her will for the sake of the hospital, and forgave the family who beat her.How can you say that she can get by in her heart!
No, as soon as this thing came out, she didn't want to do it.But you said that there was that injury at the bottom, and I didn't dare to persuade her deeply, isn't it easy for our provincial hospital to stop her?
”Director Liang sighed: "Then your obstetrics and gynecology department is not missing a cadre!"
”"yes.Alas, Lao Liu also started step by step from the grassroots level.The thought of her innocent beating and injury makes me feel uncomfortable.So I can understand how uncomfortable she is when she returns to the department, how angry she is when the patient's family gets angry again, and how she feels when she gets to the door of the operating room.But if she retreats, my side will be even more strained.How much will it help me hold on for two or three years?
”"You're right.The year before last, the matter was left there, so that it was not easy for individuals to accept the anger of their families. ”Director Liang nodded frequently.The beating of Director Liu of the Department of Obstetrics and Gynecology was a blessing in disguise, but it was innocent enough.It is inevitable that she will always have a shadow in her heart."
Yes, I just hope that she will hold on for another three or two years, and the newcomers will all get up.You said that there are more and more doctors and nurses in our obstetrics and gynecology department, and there are more and more hospital beds, but the number of patients is increasing faster than the hospital beds. ”The intense work and pressure, coupled with the combined effects of menopause, made Director Li's face lose its former luster, and also made her lose her perennial reserved and elegant bearing, replaced by deep helplessness and exhaustion.This is also the reason why Director Liang and Director Zhou have been joking with her recently.Old alumni and old classmates, who is not happy in their hearts, whose is not easy, everyone sees it.Like the twin surgery yesterday morning, with the help of Chen Wenqiang, Director Liang and Li Min, the two children were born safely.But the mother then had postpartum bleeding that didn't stop, and she almost couldn't get off the operating table.Fortunately, the blood station braved heavy snow and the danger of snow on the road to deliver platelets in time.But that's it, she, Su Ying, Chen Liping, and the director of the ICU also stayed in the department until midnight, afraid that the operation would come back to DIC or something.It wasn't until it was confirmed that the mother was basically safe that she and Su Ying dared to go home.And because Chen Liping was a second-line shift, she didn't even go home, and stayed in the ward all night.I only went to work early this morning, and Dr.
Hong told me about the old lady."
Director, I guess the old lady □□ caused by acute peritonitis caused by a gynaecological problem.But I thought that our department was so busy yesterday that you and Director Su went home in the middle of the night, and Director Chen still had to watch the mother.I thought it would be easy to get her over, but where else do we have the staff to perform emergency surgery on her?
I just thought that the young ones in surgery didn't have a definite basis for diagnosis anyway.If there is any danger, they will have a deputy chief physician foreman, and they can do laparotomy if they are conservative.Even if a total hysterectomy has to be done, the surgeon has enough strength and manpower to save the old lady's life.If it's okay, it can also let you sleep with Director Su for a few hours, and it's not impossible to take it over today. ”Director Li knew that it was wrong for Dr.
Hong not to accept the patient, but she also knew that Dr.
Hong was not capable of performing a total hysterectomy.If Chen Liping took the two doctors on duty last night to operate on the old lady, it would inevitably make the mother have no special person to guard.As for himself or Su Ying to come again, it will be difficult for Corey to work the day and night shifts today.Therefore, Director Li agrees with Dr.
Hong's measurement and choice.One is a young mother who is a first-time mother (mother of premature twins), and the other is an old lady who is about to die at the age of 80; On the one hand, there is a cesarean section work that will continue today, and I don't know how many cesarean sections will be performed, and on the other hand, it may be that only three directors of the obstetrics and gynecology department can take down the total hysterectomy.The workload of obstetrics has always been very saturated, no, Chen Liping and Su Ying each took someone to have a cesarean section in the morning.This laparotomy and uterine resection have to be operated by yourself.The scales are tilted to that end, how to choose, she Li Shuhui has been an obstetrics and gynecology doctor for 30 years, and there are some things that cannot be said, but what to do and how to choose, everyone understands.Therefore, because of Director Hong's words, after Director Li answered Director Liang's call, he immediately pushed the flat car to pick up people.
*Director Liang opened the door of the ward and saw the old lady's three sons and daughters gathered around the bedside, and they already knew the results of the CT examination.But on one side is the father and the other is the mother, these children in their fifties, ashamed and guilty, can't find a crack in the ground."
This is Director Li of our Department of Obstetrics and Gynecology, and your mother's condition may have to be transferred to the Department of Obstetrics and Gynecology for treatment."
Director Liang introduced the children of the elderly."
Director Li, I'm sorry for you."
The old man's sons and daughters greeted Director Li very politely.Director Li took the patient's abdomen very seriously.As for the obstetrics and gynecology internal examination, I can only go back and do it again."
Director Li, does my mother need surgery?""
Hmm.I went to the obstetrics and gynecology department to prepare for surgery.It is estimated that a total hysterectomy will be performed. ”What Director Li said was very likely, but her attitude told the old lady's children that a total hysterectomy was necessary."
Is it serious?""
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It's serious.Regardless of other external injuries, only the uterine perforation, if dragged on, it will die.You should have brought her in sooner.Now she has pus all over her stomach.This means that the elderly have weak physical resistance and no ability to react.If I had changed to a younger one, I would have been in shock a long time ago.Let's push the cart over. ”Director Li beckoned to the intern by the door.There was a half-covered quilt on the car, and the old lady's son carried the old man over.The old lady felt very shameless and laboriously shrunk into the quilt, and in the end, only a little gray hair was exposed."
Is it better to have surgery right away in the middle of the night?"
The woman who had been picking on Li Min asked.Director Liang immediately retorted after the woman's words: "The diagnosis is not clear, and no doctor will easily go to the operating table."
Your mother has a CT scan result, otherwise Director Li would not have taken your mother over.This requires gynecological surgery, our surgery opens the belly, what is it?
What should I do if I can't do it?
”The woman insisted relentlessly: "When we were hospitalized, the gynecology department consulted us, and we didn't say that we would take my mother over for surgery." ”"The gynecologist doesn't have clairvoyance, she can't replace CT, and she can't see what's going on in your mother's belly.If a condition like your mother's has been delayed until now to be sent to the hospital, it will never be a matter of three days or five days.You should have sent people years ago. ”Xiao Chen excitedly pushed the woman.He had just finished writing the summary of the transfer and hurried over to deliver the inpatient medical records.Hearing the patient's daughter's obvious intention to frame several people, he couldn't help but think of the fact that when he took over the patient in the early morning, he was choked by the patient's daughter.I did a day's surgery during the day, and at night I was nervous and followed Li Min to such an operation.There are a bunch of medical documents that should be written after the operation.It was easy to finish writing, and I fell asleep for a few minutes, just because this patient was called up, and then the family didn't know what to do......
Xiao Chen, he also has a good temper."
Forget it, don't talk about it.Let's go. ”The old lady's other daughter grabbed her.I don't think it's shameful enough.() The distance is a bit far