Director Qin came quickly with a few security guards.In the medical elevator that had just sent the patient up, Li Min took the intern and the two doctors to study, and when he got out of the elevator, he saw the scene of "escort".Those security guards are worthy of veterans, and they are skillful.The son of the Wang family probably wanted to drag Dean Chen to say something, but before he could speak, he was pushed into the elevator by the shoulders of the two security guards."
Teacher, are you alright?"
Li Min is worried about Chen Wenqiang.He is not Zhang Zhengjie's person who can fight."
It's okay, it's okay.Let's get inside. ”Although Chen Wenqiang said that he was fine, his mood was affected in the end.If you can't handle official affairs impartially and in accordance with principles and regulations, look at it, it's only been a year and a half, and you won't wait for the Discipline Inspection Commission to investigate.Li Min handed the patient over to Sister Feng, the patrol nurse who came to pick up the person, and then instructed the family to leave one person to wait outside the door of the operating room, and enter the operating room from the other side.After changing into hand clothes, I came out and saw that Chen Wenqiang had not changed his clothes, and was holding hand clothes to enter the men's locker room.This......
What did he do?
I didn't want Chen Wenqiang to be in a hurry, so he said to Li Min: "Let Dr.
Deng disinfect it in a while," "Okay." ”The two trainees took turns on stage one day at a time, and the three interns took turns.Li Min's arrangement is also fair and reasonable.After Li Min finished painting the selection of the craniotomy, Chen Wenqiang said: "Xiao Li, let Dr.
Deng open the craniotomy today."
I'll take the intern to be his assistant, and you'll get started when you get into the cranial cavity. ”"Okay."
Li Min agreed first.When she threw the swab into the dirt basin, she realized that there were Chen Wenqiang, Dr.
Deng and interns before the craniotomy, and there was no place for her to stand even if she wanted to.Chen Wenqiang is taking care of himself.She walked back to Chen Wenqiang and said in a low voice, "Thank you, teacher." ”"You're welcome.Mujay's feet aren't swollen, are they?
”"It's not swollen, I let him raise it often or put a pillow on it.""
Well, then you can brush your hands.""
Okay."…… The operating room is almost all open today.The scene of Chen Wenqiang being blocked outside the operating room seems to be a breeze blowing through the water, and after a few ripples, it has no impact on the doctors who are psychologically strong, can quickly eliminate interference, and are going to take the stage today.The work that needs to be done is still going on as usual.However, in the office of the director of the medical department, Director Qin, who took over this tricky job, began to have a lot of headaches.Because these people didn't say a word when they entered the medical office, it made it clear that we just disliked you as a small official and that you couldn't be the master, and we went back to find Dean Chen's posture."
You went to stop Chen Wenqiang from entering the operating room today, which has affected and interfered with the normal medical order of the provincial hospital and delayed our work of treating patients and saving people.Our provincial court has every reason to send you to the police station. ”"Can the police station keep us locked up until we die?"
The youngest girl asked Director Qin sharply.Director Qin was stunned for a moment, but his years of social experience told him that such a stingy child, taking care of her was to give her face.He frowned slightly, and spoke only to the woman who bowed her head and said nothing at the door, to the person who was a parent."
You guys are making such a fuss, which affects the normal work of our hospital.As a last resort, we must deal with the problem in accordance with the work process prescribed by the state.If you are willing to leave a record of your detention on the file, leave a record of your detention......"
Director Qin's heart-attacking words immediately had an effect on the woman."
You can't."
When Mom's immediately got excited."
Why did Lao Ding arrange a job for his children due to anesthesia, why did my Lao Wang also die on your operating table, so you don't care?
You are biased one to the other, isn't this bullying our orphans and widows?
”The mother and daughter spoke in a tone.Alas, this is the way to solve the problem.Director Qin was patient and talked about yesterday's car wheel.Roughly speaking, the death of your old Wang, for our hospital, all our treatments are without any mistakes.If you don't believe it, you can go through a medical appraisal process.The woman shook her head and refused.She remembered what the director had said that it was impossible to win by going to the health bureau to sue her.Director Xiang is an extremely prestigious person in the circle of relatives.His words are spitting and foaming, and they will become nails.If you say that you don't know your own family, then your relatives will know about it......
Who can live behind closed doors?
The head of the family died, the three children and two jobs were missing, and the eldest did not have a good job.Thinking of the three children whose future was uncertain, the woman said ruthlessly: "If you don't give us the same treatment, I will jump from your seventeenth floor."
I want to scatter the suicide note on the streets and alleys of the provincial capital first, and you will anesthetize it ......unexpectedly" Balabala, the woman was emotional, and at the same time, she saw that Director Qin's expression was broken.Director Qin grabbed the phone, dialed the number and held the microphone like that, and when the woman was tired and silent, he silently put the microphone down.Looking at the mother and daughter who were hugging and crying, he slowly removed the disgust in his eyes and restored his modest, courteous, but also non-offensive official demeanor of the medical director.Is it possible to blackmail when a hospital is like this?
*The other end of the phone is connected to the secretary's office.Dean Shu and Dean Fei were invited over by Secretary Tang early in the morning, and the reason was that Director Qin had reported to her the purpose of the family's quarrel before going to work—he had told the director last night.As for why he didn't tell Dean Shu, it was Director Qin's caution.He was an old man who had followed Dean Fei for many years, and he rashly sent bad news to Dean Shu's ears, didn't he think he was "disgusted" with himself enough!
As soon as Secretary Tang told the matter, Dean Shu and Dean Fei speculated that it was the Ding family showing off.But if they didn't say anything to the director, neither of them believed it.This matter involves the handling of the anesthesia accident the year before last, and the violations are not limited to the handling of the accident.The deeper the three people in the room thought, the less pale-faced they became.Frankly speaking, in the twenty years that the old dean presided over the provincial court, they all belonged to the people who had been taken care of by the old dean.I thought that the matter was already over, but it was turned out again a year and a half later, and it was faintly more difficult to deal with than if it was reported at the time.They were secretly thinking about how to deal with this matter, when Director Qin called.As soon as Secretary Tang heard the cry on the phone, she immediately pressed the speakerphone, and she pulled Dean Shu and Dean Fei together to listen to the cry of the deceased's family members who were on the verge of disorder.The family of the deceased announced that they were going to commit suicide by jumping off the building, whether it was true or not, they couldn't wait for the real death, and then they didn't expect it.The hospital must pay attention to the social impact, and Dean Shu doesn't want to wait for Dean Fei to pretend to be deep.Dean Fei, he will have to be on the second line next year, and he is a dean, so he can't be dragged to the funeral by him for a good future.He said directly: "Lao Fei, today let the logistics install iron railings in the elevator halls on all floors."
Mounted from the top down.Before installation, let the security department strengthen the management of elevators and stairs everywhere.Those who do not have a nursing certificate or visitation certificate are resolutely not allowed to get on the elevator. ”Then he reached for the telephone again and called the nursing department."
Director Liao, I'm Lao Shu.You should inform the head nurses of each department to renew all the nursing certificates and visitation cards of each department before today's lunch break.The original nursing certificate and visitation card will be invalid before the end of work at noon.Yes, yes, you should contact the security department. ”Secretary Tang saw that Dean Shu immediately issued instructions on his desktop phone, and did not even give a false face to discuss with himself and Dean Fei, understanding that he was really afraid that the patient would commit suicide by jumping off the building in the provincial hospital.He sighed and said, "This is the best policy."
If this person really scattered the suicide note all over the provincial capital, I am afraid that before she jumps off the building, the leaders above will come to ask us.The year before last, it was we who violated our principles. ”Dean Fei said: "That is also the collective decision of the hospital's leadership team. ”Secretary Tang sighed with regret on his face, but he couldn't help but say: "I also did it according to Dean Chen's proposal......
Dean Shu immediately quit.Although he still had a smiling face, his voice was less warm."
Secretary Tang, Dr.
Zhao is the attending physician, he had a technical accident during tracheal intubation, and our hospital council held a meeting to discuss and collectively decided to transfer him from his job in accordance with the hospital regulations.Am I right?
”Secretary Tang nodded heavily.Then he said: "When the superior comes to investigate......
Dean Fei immediately followed: "Dr.
Zhao, as the attending physician who has returned from further study, is fully qualified to operate independently."
I remember that the doctors and nurses who were present at the time immediately wrote down the witnessing process, and when the time came, they handed in the materials, that is. ”"Then at this time, why don't we take the initiative to report this matter to the higher-ups?"
Secretary Tang asked Dean Shu for advice.Dean Shu shook his head: "It's not appropriate."
If you encounter a little difficulty, you will send it up.If we encounter a medical dispute and threaten to commit suicide, why don't we wait for the provincial department to come and ask us, do we want to prepare a mediation committee for our provincial hospital alone?
”Dean Fei understood that Dean Shu wanted to increase the pressure on Director Qin.He stood up and reached the telephone, and in front of Dean Shu and Secretary Tang, he dialed the number of the emergency department to find the director."
Lao Xiang, I'm Lao Fei.Come up to my office. ”......
"Yes, come over now."
Yes, for the sake of the patient's family. ”Dean Fei put down the phone and said, "Since this person is a relative of Director Xiang's family, I think it would be better to let Director Xiang go and help Director Qin do the work first."
But the two children of the Ding family ......
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"Secretary Tang and Dean Shu looked at him, waiting for him to say the next word."
Externally, I claim to be a temporary worker.If you still can't keep your mouth, you will be sent to the branch hospital first, no, I will see which district hospital to send to.It's not that we don't want to keep their brother and sister. ”Dean Shu nodded slightly, like a warm spring breeze, and said with a soothing force: "The two children of the Ding family are in logistics, and how to adjust their work is within your responsibility.Let me say more, you have to do things steadily, and don't cause any more trouble.No matter how you say that, it is also related to Dr.
Zhao's illegal operation. ”Dean Fei nodded and left.* When Dean Fei went out, Secretary Tang pondered for a while, and said to Dean Shu, who stood up and was about to leave: "The superiors came to investigate, and according to Lao Fei's proposal, then Xiao Zhao can no longer stay in the provincial hospital."
It is also not suitable to stay in the medical mouth anymore. ”"Because of his recklessness, he made the work of our provincial hospital passive, and I don't know how much follow-up impact there will be.Now that he graduated in July and has a bachelor's degree from the School of Pharmacy, even if he goes to a pharmaceutical factory or the pharmaceutical management department of the District Health Bureau, we are worthy of the old dean. ”"If you go to the medical management department, he will carry this in his file, and he will be an officer for the rest of his life."
Secretary Tang also wanted to fight for Dr.
Zhao."
Xiao Zhao is not that bright, and I don't think he looks like a person who can do technical work in a pharmaceutical factory.Let's leave him in the provincial courtyard, and the big guy can still take care of him a little. ”"Old Tang, I really don't agree to your suggestion.Lao Fei really wanted to take care of him, so he was sent to the medical department in 86, and now he is at least the deputy chief of the medical department.Or send him to the hospital office, hand him over to Director Qin to take with him, follow Director Qin to learn the ability of high eyebrows and low eyes, and finally when he retires, no matter which department of the provincial hospital, how can he retire in the position of deputy director.You say, don't you?
”Secretary Tang nodded.Dean Fei really has a long-term plan for Xiao Zhao, and when Director Zhou of the Department of Anesthesiology doesn't want him, he should really get him to the hospital.She sighed again and said, "Lao Fei gave up Xiao Zhao so early, if the old dean had a spirit, how chilling it would be." ”Dean Shu smiled from the bottom of his heart this time.He knew that Tang Qin's cleverness was not fake.Otherwise, there are thousands of lesbians in the whole hospital, how can she stand out smoothly all the way.Dean Shu nodded, but he defended Dean Fei and said, "Old Fei doesn't want to go against the wishes of the old dean's family.Let them have a child in their family who can continue to be in the clinic.But Old Tang, you and I are both from clinical backgrounds, and not everyone can be a clinical doctor and nurse, I think you should have the same experience as me. ”Secretary Tang nodded again and again."
Then I'll ask you one more thing, you should tell the old dean's wife about this job change as soon as possible.Let their family have a bottom in their hearts first.Or maybe they have a better arrangement.But our hospital office can't enter the Zhao family anymore. ”Secretary Tang raised his eyebrows to look at Dean Shu, and with an inquiring look, he forced Dean Shu to give her a clear answer."
Lao Chen is now the medical director, how much pressure is there in surgical work now, we can't do anything to delay at this time.Once something goes wrong in the clinic, we have to put down our work and have to put out the fire. ”"Okay, I understand.As soon as this Lao Li leaves, I know that Lao Chen is the one who can't see the Zhao family. ”Secretary Tang opened up the reason why Dean Shu did not accept the Zhao family to come to the hospital.Dean Shu said solemnly: "Secretary Tang, Lao Chen is not so careful.You see, what he originally proposed was that Xiao Zhao had the right to anesthetize the patient, but now it seems to be the right one.If this is not the case, we will be very passive when faced with the investigation of our superiors. ”Secretary Tang thought for a while and said with a smile: "It's not like that.If it weren't for Lao Chen's proposal and not dealing with it as a technical accident, we would really not be able to explain it.It's me who thinks it's bad. ”After Secretary Tang finished speaking, he immediately admitted his mistake to Dean Shu: "You can still see it."
I'm just worried that he is prejudiced against the people of the Zhao family because of Lao Li's matter. ”Dean Shu also changed his smile and said, "You are looking at Lao Chen from the crack in the door, and you are looking at people flat."
You see, we sent Xiao Zhao, who had a technical accident, to study, and Lao Chen didn't raise any objections. ”"Yes, yes, it's me, as a lesbian, who is narrow-minded."
Secretary Tang actually wanted to say that Chen Wenqiang did not object, because he was not able to oppose it at that time; Another reason why he didn't object was that he sent Xiao Zhao out to study, and it was you Shu Wenchen who made the decision - it was impossible for him to oppose you.If you put that matter now, hum, you see that Chen Wenqiang will not elevate the matter to a liability accident and will not send Xiao Zhao to prison.But Dean Shu listened to Secretary Tang use a joking tone to talk about the narrow-mindedness of female comrades, and he didn't dare to talk about it.Secretly spitting Tang Qin in her heart, this woman has to take advantage of her gender everywhere and at all times.But he could only smile generously, say a few words about Secretary Tang's self-humility, and then tell Secretary Tang to keep up with the handling of things and not have any accidents, and then left Secretary Tang's office.
*In the No. 6 operating room, Li Min and Chen Wenqiang alternately came to be the surgeons, and during this period, they also gave Dr.
Deng several opportunities to get started, which caused the whole operation time to be a little longer, but other than that, it was very smooth.Without waiting for the skull, Chen Wenqiang asked Li Min to step down, and he took Dr.
Deng and the interns to continue the operation.Li Min saw that he really didn't need to be a helper for Chen Wenqiang on the stage, so he got off the operating table from Shanruliu, and then lay on the small table of anesthesia Director Liu and wrote the operation record.After closing the skull, Chen Wenqiang looked at Dr.
Ma with envy on his face and said, "You should prepare for tomorrow's operation, just like Dr.
Deng today." ”Dr.
Ma thanked him repeatedly: "Thank you, Dean Chen, thank you, Dean Chen." ”These days, I have been soaking in Cory for fifteen or sixteen hours almost every day, and I haven't paid in vain.Dr.
Deng was like stepping on auspicious clouds after surgery, and he no longer thought that Dean Chen would suddenly let go.He said in his heart that in addition to thanking Dean Chen, he also wanted to thank the little doll in Li Min's belly.If it weren't for him, it would not have been possible for him and Dr.
Ma to easily touch the inside of the skull in such a short period of time.It was the last two months of the training that were almost over, and then I could get started in a meaningful way.When they returned to Corey, before it was time for lunch break, Chen Wenqiang said to Li Min: "You still go to the outpatient clinic with me in the afternoon." ”"Okay."
Their neurosurgeon visits a half-day clinic every week, with no exceptions, usually on Thursday afternoons.Therefore, the surgery scheduled on Thursday morning is usually simple so that it can be completed before noon.Dr.
Deng recommended himself very knowingly: "Then Dean Chen, I will look after the house on the eleventh floor in the afternoon." ”"Okay.Call the clinic if you have something. ”"Yes."…… After Li Min changed into a white coat, he went to see Yan Hong's mother and son.She was pleasantly surprised to find that Pan An was getting better and better looking day by day."
How's the wound?
I'll give you a change of medicine. ”"Su Ying came to change it in the morning, and the wounds are all fine.""
Is there milk?""
Here we are, but it's not enough for him to eat."
Yan Hong had a little regret."
If it's not enough, it's not enough, don't you still have an infusion.""
If you lose this today, you won't lose tomorrow.This prophylactic antibiotic use is purely abused. ”"You can trust us.Let's use it for another day tomorrow, anyway, Pan An is mainly eating bottles. ”"There's something you can't believe.If the amniotic fluid gets into the blood vessels, it is not a problem of infection. ”"Three days, at least three days.In any case, there are also contaminants such as meconium arranged by your family in the amniotic fluid.If you think about it, once an intrauterine infection occurs, etc., then you will not be able to take two more days of antibiotics to solve it. ”Yan Hong was silent for a while and said, "I want to go home."
It's hard to live in the hospital. ”Li Min nodded her forehead and said, "You are still embarrassed to live in this single room, how can those ten people in a big room survive those eight days."
You're pretty much done. ”Xiao Yan said with a smile on the side: "Aunt Hong wants to go home and take a bath." ”Yan Hong's mother smiled and said, "You can't take a bath."
Let's talk about it after the confinement. ”Yan Hong looked loveless, and asked Li Min for help: "I have no smell on my body."
You're not afraid I'll stink your house?
”"I'm not afraid.On Sunday, I mop the floor with disinfectant and ultraviolet light, and then even if I use the best police dog with a nose, I will not smell a trace of you two mothers. ”"But I can't take it anymore.I'm telling you that the last time I washed my hair was last Saturday.It's been a week.The hair is oily. ”"That's not going to work either.You haven't had the stitches removed yet.It's that if you change the waterproof dressing, it's still not good for the wound.Bear with me, and wash it when the stitches are removed. ”Yan Hong saw that Li Min didn't support him either, so he said hatefully: "When you are confined by yourself, you will know that you are powerful."
I usually have a period, and I feel sticky and uncomfortable if I don't wash it for a day.I've been here every day. ”"You lochia?""
Normal amount.""
Bear with me."
Li Min has no possibility of relenting.The face is full of unsupportive attitudes."
Humph!
I shouldn't have come to you.If it's a big room for 10 people, I have a reason to go home. ”Li Min smiled and ignored her, reached out to poke Pan An's little face, and watched Pan An purse his lips in his sleep looking for food.Yan Hong's mother said to her: "Rainbow, Li Min is for your good, you see what you said, it is so chilling." ”"Auntie, it's okay, I don't care about her.She yelled at me to make her feel more comfortable, so that she could avoid postpartum depression.Pan An, do you understand?
Let's not laugh at your mother's unreasonableness now, ah!
”"Hurry home and eat."
Yan Hong began to pick up Li Min."
Okay, I'll go back."
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Li Min said hello to Yan Hong's mother again, and then went out with her coat.
*After Chen Wenqiang finished lunch, he received a call from Dean Shu.Ask him if he was influenced by the family."
It's okay, it doesn't affect much.Qin Guoqing came quite quickly. ”"Do you have time in the afternoon?
Come to my office and I'll tell you something. ”"I'm going out of the clinic this afternoon.The registration room closes at about five o'clock.If you want to be in a hurry, I'll let Xiao Li support in the outpatient clinic for a while.Or wait for me to come over in the evening?
”"You'd better go to your parents' place in the evening.lest they harass you again. ”"What's going on?
Lao Qin and Lao Xiang haven't dealt with it yet?
Say it now. ”Chen Wenqiang thought that the matter was solved last night.Dean Shu picked the matter and said it again.Chen Wenqiang on the other end of the phone only listened but didn't speak, and when Dean Shu asked him, he sighed and said, "Are you ready to give up Xiao Zhao?"
”"Lao Chen, it's not that I'm going to give up on him.He had such an accident, and it would have been impossible for him to be on the front line of medical treatment.Now it's Feelord who wants to save himself.Do you still remember that the director of the anesthesiology department at that meeting, Lao Zhou, once approached Fei Baode a few years ago and suggested that he adjust Xiao Zhao's job position?
”"I heard about it later.I remember that there seemed to be a dozen or twenty people holding a meeting at the hospital, and it was almost full. ”"yes.Before Xiao Zhao went to study at the medical college, Lao Zhou went to him and told him that Xiao Zhao was not suitable for clinical practice.He was promoted from the Medical Section, and later to the Chief of the Medical Service, and to the Director of Medical Affairs, all within his area of responsibility.Do you understand?
”Chen Wenqiang didn't understand.He asked Dean Shu, "But don't you agree with him to go to pharmacy school?"
It can be regarded as a transfer from clinical work.He went back to the preparation room and the pharmacy......
What are you afraid of your superiors investigating now?
Could it be that you did something wrong in the middle?
”"There's nothing wrong with me."
The phone line passed Dean Shu's chuckle."
If there is a technical accident, depending on the severity of the situation, you can be transferred from your original job or you can choose to be sent out for further study.For Xiao Zhao's matter, send him out for further study, and the superiors will also understand that we have considered the old dean. ”"And Xiao Zhao's matter has no impact on me.At the beginning, the leadership team of the hospital held a meeting and characterized it as a technical accident according to your proposal.There is nothing wrong with this characterization either.No matter how much you investigate, it will stand the test.In the end, going back ten years ago, it was also Faylord's problem.It was he who insisted on shoehorning materials that were not suitable for being a doctor into his clinical work. ”"You're fine."
Chen Wenqiang's tone was relaxed."
Fei Baode will give up whoever he likes, and it has nothing to do with either of us.But why do I always feel like there's something wrong with this?
”Chen Wenqiang was puzzled and continued to ask: "Is it that I am thinking too much?"
”"No, Xiaoqiang, I'm not afraid that you will think too much, I am afraid that you will think less.Have you thought about it, if the Wang family comes to make trouble today under the pretext of an anesthesia accident and asks for the same treatment, tomorrow there may be a Zhang family who will make trouble under the pretext that the Wang family has been compensated.You understand what I'm worried about, no?
”Chen Wenqiang replied without hesitation: "I understand."
Isn't that the English text that the little geese are learning, and the camel in the desert wants to go into the tent?
The appetite grows bigger and bigger, and in the end, the desire is insatiable, and it can't be satisfied. ”"Haha, Xiaoqiang, your analogy is too appropriate.It's just hard to fill the craving. ”On the other end of the phone, Dean Shu's laugh rang out."
In this way, when you are alone in the future, I don't worry that you will be forced step by step.""
Xiao Shu, I understand, you can rest assured.""
You really understand?""
Hmm.I'm going to do things the same way I did in the future.Prevent micro and gradual judgments. ”"Well, you can rest.Remember to stay with my parents tonight. ”"Okay."
Xiao Yin waited for Chen Wenqiang to put down the phone and asked, "Lao Shu called you?"
”"Hmm.He told us to stay with my parents at night. ”"Okay."
Xiao Yin is willing to accompany Chen Wenqiang to live.On the in-laws' side, Chen Wenqiang can sleep peacefully at night, unlike here, since Chen Wenqiang became the medical director, the family often comes here and there, and rarely one night is quiet.But then she asked: "The family who came to our house last night to sit, their affairs were solved in the courtyard?"
”"Specifically, the medical department is responsible.I had surgery in the morning and went to the clinic in the afternoon.All I do is medical care.These things were assigned to Secretary Tang to follow up with the medical office. ”Xiao Yin was relieved when she saw Chen Wenqiang say this, but looking at her watch, she said, "Old Chen, we can squint for five minutes." ”"Forget it, let's go to the hospital early.You waited for me to go with me that night, and I asked the garage for a car. ”"Okay
.
"* "Minmin, it's time to get up. ”Mu Jie shouted to Li Min to get up."
The alarm went off once.""
Well, just get up."
Li Min arched a few more arches on the bed before he hung his legs off the bed with his eyes closed, and after sitting and stretching a few times, he began to get dressed.Mu Jie knew that Li Min couldn't be disturbed at this time, so he went out in a wheelchair.Mixed a little hot water into her magnetized cup and prepared her to drink."
Or go to the clinic this afternoon?""
Hmm."
Li Min drank a glass of warm water from the water cup, and then said as if he had completely woken up, "You still have to lift your feet in the afternoon." ”"Hmm.I will. ”"I'm not in a hurry with that handout.You don't have to accompany my mom to help you out.The books in those two bookcases, you can read casually.Just put it back in its original position after reading it. ”"I know.Go to work, I'll wait for you to earn money to buy rice. ”Li Min was laughed at by Mu Jie, stretched out his hand and patted him lightly on the face, saying, "Then you have to be obedient at home." ”Then put the "achievements" of these two days into a school bag.If you are free in the outpatient clinic in the afternoon, you can discuss it with Dean Chen.…… The Department of Neurosurgery only conducts half-day outpatient visits every week, and most of them are patients who make appointments, referrals, and follow-up visits.It is very rare to come to the provincial hospital for the first time to find the time of neurosurgery outpatient treatment.Some patients are referred to the following city and county hospitals, either because the local hospital cannot diagnose the diagnosis, or because they do not have the ability to open the craniotomy, or they may not believe that the neurosurgery department of the local hospital has the ability to open the craniotomy and turn to the hospital.A small number of locals from the provincial capital know that there will be no beds in the Affiliated Hospital of the Medical University for two or three months, so they come with the outpatient medical records of the Affiliated Hospital of the Medical University or other hospitals.Their potential trust is not as good as that of out-of-town patients, but these patients often become a living advertisement to enhance the reputation of the provincial medical neurosurgery department in the provincial capital after surgery.The advantage of this patient is obvious, that is, the medical records they carry not only have a simple medical history, but also some preliminary examinations, and considerable examination data can be used as a reference, and most of the patients basically carry brain CT films.The disadvantages are also obvious, the first is that Li Min can't earn the commission for open brain CT examination.The second is that it is easy to be misled by the medical history in the medical record.Chen Wenqiang has already reminded Li Min of these two points.Nowadays, the income of neurosurgery is getting higher and higher, and Li Min no longer cares about the commission of CT examination.What she's looking for now is to reach more patients and more different cases.When he arrived at the outpatient clinic, Li Min spread out his large book folder specially prepared for outpatient admission.She copied down the names of a few patients from previous weeks, handed them to the intern, and told him to go outside and call someone in."
These are those who are going to be hospitalized after the follow-up, so let's call in first."
Chen Wenqiang sat opposite Li Min and watched her busy.After determining the surgical patients for next week and issuing a hospitalization certificate, the numbers will be called in the order of registration this afternoon.It was Dr.
Ma and the intern who asked about the medical history, and Chen Wenqiang and Li Min would occasionally interject and ask the patient and/or family members about individual points, followed by a detailed physical examination.Chen Wenqiang watched as patient Li Min did a physical examination.Dr.
Ma and the interns who came with him, several people will also take turns to examine the patients.I saw more than two dozen patients in one afternoon, and then these people all left their contact information on Li Min's large notebook, and they also had a rough idea of how long it would take to line up for the operation bed.Of course, there are also people who are anxious and want to be hospitalized immediately for surgery.At this time, Li Min had to persuade him with good words."
Neurosurgery is delicate, and it's best to do only one case a day.If you have an additional desk for surgery, in case your mental head is not enough, your head is different from other places, and you will have to regret it if you encounter a place that you shouldn't touch. ”"Six days a week, you've only had four surgeries.""
I have a night shift, and Dean Chen also has a night shift.We don't do surgery on the day we get off the night shift.It is good to avoid possible mental deficiencies.After all, the head is different from the rest of the body. ”After the patients answered correctly and left happily, Li Min said to Chen Wenqiang: "Teacher, why don't we have 5 surgeries a week."
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Like today, it's slow, but it's not impossible. ”Chen Wenqiang shook his head and said: "We have just started, and we must be steady.If the same brain tumor occurs on the operating table of the medical university, the reaction of the patient's family is different from that in our hospital.Now that we have done hundreds of cases, according to the probability of occurrence, is there a greater chance of various accidents?
”Naturally.This is an indisputable fact.The first is anesthesia.Craniotomy in neurosurgery is basically performed under general anesthesia.However, in the case of general anesthesia, there are patients who cannot be intubated due to respiratory problems, resulting in the inability to perform surgery.Although they haven't encountered it before, where is the probability, and the more surgeries there are, the more likely they are to encounter them.Then there are various anesthetic accidents such as anesthetic allergies and intolerances.Respiratory cardiac arrest on the day before surgery this week has sounded the alarm that they will experience various complications."
Doctor Ma, you told the outpatient clinic to stop registration and take the intern back to the ward first.Dr.
Li and I will go back to check on the ward in a while. ”"Okay."
When Dr.
Ma left with the interns, Chen Wenqiang said with a solemn face: "Xiao Li, how can you stand by the river without getting your shoes wet."
Our hundreds of craniotomy operations have been done too smoothly.In other words, the more successful cases we have now, the greater the chance of being in a coma and not waking up after surgery. ”Li Min really didn't think about this problem.She said tentatively: "We are well prepared before the operation and cautious during the operation, is it effective to avoid this?"
”Chen Wenqiang reluctantly smiled and said, "I hope so."
Not to mention being prepared for danger in times of peace, but now I am getting more and more worried.The more the rivers and lakes run, the less timid they become, that's right.I even wonder if we get one example wrong, isn't it possible that Pandora's box will be opened, and more mistakes will follow?
”Li Min was a little scared by what Chen Wenqiang said.Seeing Li Min's face change, Chen Wenqiang understood that his reminder had been effective.It's a good thing for young people to be energetic, but don't go too far."
A successful result of 100 surgeries is likely to be wiped out by a failed operation.You have to remember that in the hospital, in the field of surgery, there is never a remark.No matter how hard you work, you can't make mistakes in this profession.If we don't say anything else or to protect ourselves, the identification of technical accidents and liability accidents, any of which will affect our future work and life. ”Chen Wenqiang couldn't help but talk too much because of the phone call with Dean Shu at noon."
We have to have a basic requirement for ourselves: as a qualified neurosurgeon, we must not have an iatrogenic injury in our lifetime.Be sure to treat the patient's head as if it were your own.As long as you're still a surgeon, don't forget this phrase. ”"Yes.I'll definitely remember. ”Li Min had already stood up, she listened respectfully to Chen Wenqiang's words, and then answered from the bottom of her heart.※※※※※※※※※※※※※※※※※※※※ catch insects () is a bit far away