Li Min ate and bathed at home, rested for a while, and saw that the time was almost up, so he went back to Corey to check the room.Dr.
Ma and Dr.
Deng are really serious and responsible people, and in the past two days, they have been meticulous and conscientious in the ward with the interns who have just been replaced from the upper floor."
I'm back, Director Li.""
Is it going well?""
It's back, it's all going well.How about Corey?
”"It's all good.Director Liang comes four times a day, and the number of times Director Shi comes upstairs every day is ......"
Director Ma smiled: "When he doesn't have surgery, he is basically in the duty room on the eleventh floor." ”"And now?""
Yes.""
Then I'll go say hello to him first, and then I'll do the rounds.""
Okay."
The two doctors went to prepare.Li Min went to knock on the door of the duty room."
Director Shi, I'm Li Min."
The door soon opened, and Director Shi, who was holding a book, still looked like a smiling King Kong."
You're back, is it going well?""
It went well.Director Shi, hard work. ”"What are you talking to me about?
I'm the head of the department, and that's what I'm supposed to do. ”Director Shi took it for granted, leaving Li Min speechless, and only smiled and bowed to him slightly."
What did you test?""
Examined everything about pituitary tumors.I also tested a frog heart intubation and anastomosis after dissection. ”"It's hard to stop you.Who is at the test site?
”"Professor Cui, Director Qiu of the Student Affairs Office, Director Zheng of the Graduate Affairs Office, and my teacher.The other one is the candidate. ”"What did Professor Cui say after the exam?"
Director Zheng said to wait for the notice, and Professor Cui agreed, "That's good."
Congratulations.Is Dean Chen back with you?
”"Thank you.When I came back together, there was something in the hospital, so I didn't wait for him, and I checked the room first. ”"Then you check the room, I'll go back upstairs."
Director Shi asked what he needed, and seeing that Li Min was back, there was no need for him to stay on the eleventh floor any longer, so he easily went back to the twelfth floor.Although the two interns who have just been rotated down have listened to Li Min's lectures for the past two weeks, they are still in contact with neurosurgery patients for the first time.Li Min's re-examination went smoothly and she had plenty of time, and she also wanted to thoroughly understand all the changes in the patients in the department in the past two days, so she was very patient to listen to the intern's medical history.After asking each patient, we will conduct a targeted physical examination, and we will also ask Dr.
Ma and Dr.
Deng for supplements.The four wards 1, 2, 3, and 4 walked down, and almost an hour passed.* Chen Wenqiang went home and cooked a little noodles, mixed some meat sauce, and then poured the leftovers from the refrigerator into the noodles.While eating, the phone rang.It's Dean Shu."
Lao Chen, it's me.""
Hmm."
Chen Wenqiang picked up another chopstick noodle."
I eat noodles, you say."
Dean Shu has now figured out that Chen Wenqiang insisted on characterizing the anesthesia accident as a technical accident the year before last, "Xiaoqiang, two investigators were sent down from above." ”"Well, I know.What is new in the liver cancer patient's family?
”"People have given up chasing liver cancer."
Dean Shu told Chen Wenqiang in detail about the two days when Dean Fei was pressed, himself, Dean Fu, and Xiao Gao were found to talk."
Lao Chen, I don't think they mean to investigate the reason for the patient's family's petition.I privately guessed that the researcher seemed to have some other purpose. ”"For what purpose?""
I always felt like that person was running for you.My instincts couldn't be wrong.When you talk to them, you must not quarrel with them. ”Chen Wenqiang continued to eat noodles with a snort.Dean Shu raised the microphone on the other end of the phone and told him not to quarrel with others.After a while, Chen Wenqiang finished eating the noodles before he spoke."
Xiao Shu, I haven't been at ease since the New Year.Ever since that explosion, I've felt as if some danger was following me.I've told you all, so I've reduced the number to four per week. ”"It's a blessing or a curse, it's a curse that can't be avoided.What should come will always come. ”"Yes, what should come will come.I often have this thought: Our provincial hospital has taken too big a step for more than a year, and we all have a clear picture in our hearts about whom's job.Especially my brain surgeon, from scratch, the tiger's mouth snatches food, can I not cause trouble.What is the opinion of that old man and old man?
”"Don't worry, they're both on this boat, and no one wants this boat to leak."
Dean Shu gave Chen Wenqiang assurance and analysis."
Especially Lao Fei, when he had an accident the year before last, he was the medical director, and if he really pursued the anesthesia accident, anyone could avoid it, but he, the person who was specifically responsible, couldn't dodge.You don't have to worry about his position. ”"I'm afraid that the old boy will be hiding a traitor, and when the time comes, he will sing a high-profile stab like that year.""
He won't and won't dare.This is not the time when he had the heart to compete for the dean five years ago.He will have to be on the second line next year, and his sons and daughters are all working in the provincial hospital.He had to leave a way out for his children. ”"That's good."
Chen Wenqiang was relieved."
Xiaoqiang, I kept thinking last night, if you hadn't insisted on setting the matter on Dr.
Zhao's technical accident the year before last, then this time not only Lao Zhou of the anesthesiology department would have been involved, maybe these people in our provincial hospital team, starting from me, would have to be stripped of a layer of skin this time."
Chen Wenqiang laughed and said: "The deputy director of the anesthesiology department who was compensated the year before last, and the director of the anesthesiology department will be compensated again this year, Lao Zhou, Lao Shu, the surgery of our provincial hospital will be completely crossed."
The loan on the twelfth floor can't be repaid, and your plan to move to the west ......"
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He suddenly said in his heart: "Xiao Shu, why do I think this matter is obviously for Lao Fei and me, and secretly, why do I suddenly feel that I should still come to you."
Don't be above to pour out of the position next year, there are too many people staring, you have to go up a step forward The plan is leaked, blocking the way of others, right?
”Dean Shu was silent, he had to admit that there was a possibility.This Chen Wenqiang, Grandfather Chen didn't mistake him at all, only what he didn't want to do, as long as he wanted to do it, he could do his best."
Isn't it, Xiao Shu, is this possible?
That's the level of the main hall and the right of the deputy department.You don't know why, and you don't know who you were cheated by. ”"It's a possibility.Alas - it was me who took it lightly.Xiaoqiang, it's a shame for you to be vigilant.I'm going to tell my big brother and them to go, prevention first. ”Chen Wenqiang was a little embarrassed by Dean Shu's praise.But after he was proud, he immediately cocked his tail in front of Dean Shu."
Lao Shu, you have lived a comfortable life in the mainland for too long and have not thought of making progress.Before the 17-story building was built, the provincial hospital was a second-level hospital.Now that more than six years have passed, and we continue to follow the working model of more than 10 years ago, we will not suffer a loss.Let me tell you that you have time to go around Guangzhou, the south has already undergone earth-shaking changes."
I'm going to take a look at it this year. ”Dean Shu cut off Chen Wenqiang's smug words, and then urged him: "Come over after eating, and send people away early." ”Chen Wenqiang was interrupted, so he said with emotion and unhappiness: "I don't care, that's Lao Fei's business."
Let him go. ”"He has fought with people, and Lao Fu and I have also fought with the researchers, and the rest is waiting for you to come forward and sweep them away.""
Wait for me?
What about Secretary Tang?
It's up to her. ”"Secretary Tang is talking to them.But what do you think Tang Li can talk about?
”"Okay, I'll go over it
.
"* In the small conference room, Secretary Tang is now sitting in the position where he is being questioned.But unlike the top bull of the three deans, Secretary Tang is more like the person who leads the conversation."
Regarding the anesthesia accident, as the party secretary of the provincial hospital, I was very sad when I learned the news.Regardless of whether the lung cancer patient's operation can be successful or not, he did not pass the first level of anesthesia and lost the opportunity to continue to think about the challenge of the disease......"
Secretary Tang slowly said her feelings about the anesthesia in a gentle tone, with a kind attitude and a calm demeanor, Xiao Gao had long been accustomed to her speaking speed.One said, one listened, and two made notes, and half an hour passed, and Secretary Tang's feelings were not finished.Xiao Gao knew that Secretary Tang could talk for a long time without drinking water or going to the toilet.I just don't know if the two manuscripts I brought with me are enough.The researcher's assistant in charge of the record, tired of writing, rarely stopped writing before the speaker stopped.He knocked on the table and motioned for the researcher to look at his notebook.The two of them sat for a long time, and they understood what the other party was thinking with one look, and let Secretary Tang continue, maybe he couldn't finish his thoughts at this time tomorrow.It's really not as happy as Dean Shu's "I regret it very much".Secretary Tang didn't care what they meant, she continued to follow her train of thought: "This incident has sounded the alarm for us, and accidents may occur in any work. ”Isn't that nonsense!
The investigator opened his mouth to interrupt Secretary Tang: "Do you think the final responsibility of the hospital is correct?"
”Secretary Tang replied with an unchanged expression: "I haven't found any mistakes so far. ”…… The conversation went on for an hour, and there was not a single trace of useful information.The two men who were stunned by Secretary Tang's "chanting" reluctantly raised and surrendered."
Secretary Tang, I'll get here first today."
Secretary Tang readily agreed.She asked for the record, read it carefully, checked that it was correct, and signed it.Then he left with Xiao Gao Shi Shiran."
Hateful!
The provincial court from the president to the secretary is simply slippery. ”"Therefore, for many years, this provincial hospital has never been able to insert needles and splash water.""
It's not that there is no opportunity, five years ago it was a good opportunity."
yes, five years ago it was a once-in-a-lifetime opportunity.As long as a leader is sent down, all the problems that have been difficult for many years will be solved.But no one expected that in the end, Shu Wenchen would be given the position of number one.The time and place are favorable, and they are all occupied by Shu Wenchen.So the position that will be poured out next year should not really be taken by him again."
Then let's talk to Chen Wenqiang tomorrow.That Chen Wenqiang is an acute son who catches fire on fire.At the time of the anesthesia accident, he was the assistant to the dean and was in charge of the medical work of the surgical department. ”"Okay."
There is no need to wait for tomorrow, Chen Wenqiang went to the hospital office to change into a white coat, and came to the small conference room to find them.
*Director Liang came to the 11th floor to have a look before leaving work as usual.Just saw Li Min taking people on ward rounds, asking seriously, and explaining it simply but in place, he nodded secretly in his heart.This is a patient after emergency craniotomy for hemostasis."
In patients with hypertensive intracerebral hemorrhage, the common complications we should be aware of are lung infection, upper gastrointestinal bleeding, fever, water and electrolyte imbalances, and one is deep vein thrombosis.Finally, we don't have too good preventive measures, so we can only let the caregiver do a real lower limb massage to promote blood flow and reduce the chance of thrombosis. ”The two interns listened to one and remembered the other, and they seemed to be more serious.But Dr.
Ma and Dr.
Deng were always holding a small notebook and recording.Li Min used the director's capacity to make rounds very rarely, but every time he said something, it was just the dry goods that they could use at this stage."
What are the precautions for lung infection?"
The two interns, you look at me, I look at you, and they are both waiting for each other's answers.Seeing that the two of them couldn't, Dr.
Ma said, "Be careful to avoid aspiration."
Comatose patients should have a tracheotomy in time, and instruct the nurse to suction once every half an hour. ”Doctor Ma was silent.Li Min couldn't wait for an answer, so he explained by himself: "Generally speaking, patients who have been in a coma for more than three days and have signs of upper airway obstruction have hypoxemia, which we use blood oxygen saturation to judge.It's time to do respiratory support in time. ”"What other precautions are there?""
With antibiotics.""
What do you say about the use of antibiotics?""
Broad-spectrum antibiotics are used first, and then switched to sensitive antibiotics according to the results of culture."
The patient's family listened attentively on the sidelines."
What causes upper gastrointestinal bleeding?""
Stress.""
How?""
The first is intragastric lavage.100 ml of iced saline plus 2 mg of norepinephrine is injected through the gastric tube.Secondly, the drug remitidine 150mg of gastric acid suppression is added to 100ml of normal saline intravenous infusion once a day. ”The intern in charge of this patient replied.This is what was written in the doctor's order book the day before yesterday."
Not bad."
Li Min praised him, "To treat a patient, remember the principles and methods of treatment of a disease."
The six-week internship is enough time for you to learn about the common diseases and complications of neurosurgery.If the effect of ice saline plus norepinephrine is not obvious or ineffective, we can add 2000u of thrombin to 1000ml of normal saline and then inject it into the stomach.Remember to use ice salt water. ”"The rest of the electrolyte imbalances are detected," Dr.
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Ma continued, "Yesterday morning it was still once every six hours, but after the results came back yesterday evening, Director Liang said that it could be changed to once every 12 hours." ”Li Min looked back at the medical records in an uproar, and saw that the test sheet that came back this afternoon was also normal, so he said: "Tonight's is normal, and tomorrow morning it will be changed to once every 24 hours." ”"Yes."
Doctor Ma replied.This is the patient he is responsible for.After Li Min checked the patient in the intensive care room, he turned around and was about to come out, when he saw Director Liang standing at the door."
Director Liang."
Li Min greeted him with a smile."
I'm back.Did it go well?
Didn't get tested, did you?
”"It's all going well.Of course I won't be stunned. ”Li Min replied with a little pride.answered the same question as Director Shi.Director Liang was satisfied, and he smiled and said, "You continue to do the rounds, I'll go back." ”"Thank you, Director Liang."
Director Liang waved his hand and walked away.* Chen Wenqiang entered the small conference room, and said in a loud voice: "Lao Wu, Xiao Meng, you two have been busy for many days, are you relying on our provincial hospital canteen to provide you with free meals?"
”"We are needed for work.You think we're willing. ”Lao Wu emphasized."
I don't want you to get out of here."
Chen Wenqiang joked with the researcher with a grin, and teased him half-truthfully: "You should go home or not, be careful that your two daughters-in-law have run away with others." ”"Cut.Your daughter-in-law just ran away with someone else. ”Xiao Meng sneered."
Look at you, what has become of this?
You can't bear a joke, you still have to learn more from Lao Wu.How can you do it without changing the color of Mount Tai. ”"Lao Chen, when did you come back?
We're just looking for you to find out. ”The investigator truncated Chen Wenqiang's gag."
I didn't come back for a while.I heard that you have questioned the president and secretary of our provincial court, and I think it will be my turn, so I have to come and surrender.Hey, Lao Wu, we're old friends, you have to be merciful. ”Lao Wu laughed: "When did you Lao Chen become such a foolish virtue?"
”"It's been changing since the year before.Shortly before the anesthesia accident, I became an assistant to the dean, assisting Dean Fei, who was in charge of medical care at the time, in managing the surgical staff.Alas!
Regret medicine is hard to buy.I want to know that being an official is a step forward, so I have always been my director. ”"There's nothing to retreat.""
Then your old Wu will return to the neurosurgery department of the Affiliated Hospital of the Medical University as the attending doctor, okay?"
Chen Wenqiang began to generalize.".I've been throwing away the clinic for years. ”"No matter how many years you have thrown it away, you can't escape your eyes for such a clinical idea.Otherwise, why don't you send someone else to investigate the petition of the family of the deceased of liver cancer.You can't do it. ”Lao Wu was praised with a proud face."
Lao Chen, I don't blame you for this, I said that you guys, go to the patients to petition, you said that several members of their family are crying at the □□ office, how bad the impact is!
Why don't you think about social impact?
Only by maintaining stability and unity can we exert great efforts toward the four modernizations.Isn't it?
”"That's great.Let me tell you about this.This patient was originally in the middle and advanced stages of liver cancer.It would be feasible if he had been more self-conscious and had not operated on him.You understand this, right?
”Chen Wenqiang waited for Lao Wu to nod before he continued: "The patient has earned it if the operation is successful, and he can fight for the chance of survival."
Family members can hold the child who fails the operation and can arrange a job for the child.This is the beginning of an act of seeking medical treatment with an impure purpose.Do you understand?
”Lao Wu and Xiao Meng shook their heads."
If you don't understand this, ask them what the purpose of □□ is."
Chen Wenqiang lowered his face.There was silence in the room.After a long pause, Lao Wu spoke: "Lao Chen, what you said is true.They want to be fair, and they want to be treated the same as the one who died of lung cancer on the operating table. ”"That's the end of it.Let's do clinical work, the dead end up breathing and heartbeat, and they all have to be treated the same, not to mention the provincial hospital, even several affiliated hospitals of the Medical University have long been closed.Isn't it?
”"Yes.""
So score what causes of death.The lung cancer was an anesthesia accident, and Dr.
Zhao, we dealt with it according to the regulations.You should have also consulted the medical records and materials written by several comrades at the scene.If you have different opinions on the determination of this medical malpractice, let's hold a meeting attended by the directors of each hospital in the provincial capital, and let's discuss it.I don't believe that there have been no vague anesthesia accidents in these years. ”Anesthesia accidents are often a pretext for that or something, Lao Wu has been working in clinical practice for more than ten years, and he understands it in his heart.He really didn't dare to guarantee that all anesthesia accidents in the Affiliated Hospital of the Medical University would stand up to scrutiny.Especially Chen Wenqiang's scrutiny.Seeing that he was silent, Chen Wenqiang said: "The family of the deceased came to my house the day after the patient's death.When asked me, when will he arrange a job for his children.Lao Wu, it's not that we don't take care of the social impact, but we can't start this. ”"If you think about it, after this start, the leaders of the provincial hospital have to ask the clinical doctors: if you can achieve a 100% success rate of surgery, you will do it, but if you can't transfer the patient to the medical university or Beijing.That would regress the diagnosis and treatment of the provincial hospital.Does the ministry want to see such an outcome?
”() The distance is a bit far