Dean Shu stepped forward to break the embarrassment of the two researchers sent by the superiors in the small conference room.The investigation is understood, and the attitude of the provincial court also shows that everyone still wants to be harmonious, and they will have to have a good face in the future, right?"
Old Chen?
Why are you two here?
”Dean Shu asked knowingly."
Dean Chen went back to round the ward.We were not able to do our job properly as assigned by the Faculty Council, alas, the Dean, it was my medical office that did not do our job well.I'm sorry when the organization believes in me......"
Director Qin made a gesture of review.Director Xiang hurriedly stood up and said, "Old Qin, the root of this matter is the greed of my relatives who can't be beaten with eight poles.When people come to the provincial hospital to see a doctor, they have the mentality of blackmailing the provincial hospital.They had been to the Medical University before, and the Affiliated Hospital of the Medical University had already explained to them the dangers of the operation and the chance of survival, so why they didn't receive treatment at the Medical University," Dean Shu's eyes looked at the researcher, waiting for the researcher to speak.But what can the researcher say?
It's nothing more than a repetition of the emphasis on social impact.Dean Shu looked at Director Qin again.Director Qin knew what he needed to say, and the time had come.He said to Director Xiang: "Old Xiang, you can arrange two jobs for them."
Whether it's sanitation or auxiliary police, how many years have you been the director of orthopedics, and you have lived in the provincial capital for hundreds of years, what can't you do?
You have to embarrass our hospital and the superiors. ”Director Xiang sighed and said, "If you want to say that, I'll be embarrassed."
I'm doing this for the sake of public affairs, and I'm taking a personal favor.Who will reimburse me for the expenses?
”Chen Wenqiang, who came in from outside, pointed to the two researchers and said, "Lao Wu and Xiao Meng will reimburse you." ”Then when Xiao Meng was about to speak, he quickly continued: "If you don't care about the director, you just go back and report the results of the investigation to the leader?"
He's here to help you both. ”Lao Wu pinched his nose, stretched out his hand to the director and said, "Thank you."
Come to me if you have something to do in the future.I owe you a favor. ”Xiao Meng also had to stretch out his hand: "Thank you, Director Xiang." ”Chen Wenqiang turned his head to Dean Shu and said, "I just said that I want to give Lao Wu and Xiao Meng a good trip, it just so happens that you are here, and the cost will be calculated on your head." ”Dean Shu smiled: "Okay."
You called Lao Zhao, let's have a meal together.That Lao Xiang and Lao Qin, you two also go, and greet Dean Fei and Dean Fu, and don't pull down any of them. ”Director Qin agreed and went out to make arrangements.
*Director Zhao also came to drink, which made the researcher a little depressed.He shook hands with Director Zhao lightly and sat back in the position of guest of honor.The thing was caused by him, Zhao Wenxuan's desire to be the dean.Dean Shu specially called him, it was a dumb man who ate dumplings and had a number in his stomach, purely to add to his own blockage.Xiao Meng didn't know what Lao Meng was thinking, and shook hands with Director Zhao very politely.Dean Fei sat between Dean Shu and Dean Fu, and although he was unwilling to take a back seat next year, he had no better way to save himself.I just hope that in the last two years, the old girl will be arranged.The rest depends on whether Qin Guoqing can take care of his three children.But the arrival of Director Zhao seemed to block Qin Guoqing's way.His eyes roamed back and forth between Chen Wenqiang and Director Zhao.Director Zhao gave him a heartless smile back, and then enthusiastically cooperated with Director Qin Zhang Luo's wine bureau.Xiang Xiang accompanied the director to the last seat, and then raised his wine glass, and there was a knock on the door."
Director Xiang, the call from the emergency department is looking for you."
Director Xiang immediately stood up and said, "Leaders, there is something wrong with the emergency department, and I can't accompany you, so I will always ask Xiang Zuodong to drink another day." ”Chen Wenqiang said, "You should go quickly."
I'm not going to drink until you call. ”"Okay."
The emergency department is on duty, although independent, but also in conjunction with the ward.Ensure that there are 8 teams on duty in the Department of Surgery, and each shift has an associate chief physician.In this case, if you want to call the director back, it will be a big deal.After a while, he called the director and asked Chen Wenqiang to go back.After listening to the phone, Chen Wenqiang did not forget to come back and explain to the people at the banquet: "In the car accident, Lao Xiang didn't want to amputate his leg, and asked me to go back to see if I could save the injured person's foot."
The young man is in his early twenties. ”Lao Wu stood up and said, "Lao Chen, let me take a look." ”"You drink first, and if you decide to have surgery, I'll call you in an hour and let you see the best part.""
Then I'll thank you in advance
.
"* Chen Wenqiang hurried from the cafeteria to the emergency department.When I arrived at the emergency building, I saw the chaos on the first floor, the injured people who were covering their wounds and groaning, and the escorts were shouting to find a doctor to go over to see the injured......
The mixture of cries and scolding irritates people's eardrums and hearts.But this is also a helpless thing, but whenever there is a traffic accident, there are more injured, and this is the case.He Chen Wenqiang squeezed in the crowd without wearing a white coat, which inevitably caused a few scoldings: "What to squeeze, what to squeeze, if you don't look at it, you are injured." ”Chen Wenqiang squeezed all the way to the office under the scolding, but saw Director Xiang holding a CT film with a solemn face."
Old Xiang."
Chen Wenqiang said hello and walked over."
What are you doing?
It's not a leg, either. ”"The emergency film was only given by the CT room, and I called Director Xu on duty outside the general department to deal with it.The patient's family is in the process of being admitted to the hospital. ”explained to the director, but the film was snatched away by the anxious Chen Wenqiang."
Advanced stomach cancer?
Bladder perforation?
Who has this indwelling urinary catheter?
The patient should have an acute abdomen. ”Chen Wenqiang glanced at the film and asked suspiciously.Director Xiang sighed and said, "Both."
I've just seen this patient, Lao Xu should be there soon, we don't have to worry about this, I'll go back and tell you.The emergency is not in a hurry on his side.Let's see if the severed limb can be saved.The young man was only in his early twenties, and he was stricken by the fish in the pond. ”Chen Wenqiang followed Director Xiang to the disposal room.Briefing the director as he walked: "The two cars collided and overturned a tricycle full of honeycomb coal on the side.The young man who was delivering coal on a bicycle was crushed under the coal cart and suffered a comminuted fracture in a quarter of his right leg, leaving half of his skin still attached. ”Chen Wenqiang asked: "Is the wound very heavily contaminated?"
”"Yes.I'm still wearing long pants this season.Otherwise, I wouldn't have called you here.There is no 10% chance of success in this surgery.But just like that, he was amputated......"
Xiang shook his head at the director: "He's too young."
If he can save his foot, even if he is lame in this life, it is better than not having this foot. ”"Let's take a look at the wounds first."
Chen Wenqiang heard that there was a 10% chance to the director, and immediately wanted to try it.Overall, this Xiang Taihe's technique is good.He said less than 10 percent, which is probably close to 10 percent.Although this person hates it, he is still willing to think about the patients, and he is not the kind of person who wants money and does not care about the interests of the injured.In the disposal room, two interns and a nurse are cleaning the young man.The coal truck overturned, he was crushed by the tricycle, the honeycomb coal buried him, covered with soot, and he could not enter the operating room without basic cleaning.The young man was conscious, and when he saw Director Xiang and Chen Wenqiang coming in, he stretched out his hand that was infusion and said, "Doctor, help me."
Help me. ”The nurse slapped it and shouted, "Don't move."
If the trickle is bulging, you have to re-tie it, and that wastes the time that saves your life. ”Promise to the director: "Okay."
We save you. ”He walked over and untied the triangular scarf on his right leg to show Chen Wenqiang.Chen Wenqiang leaned over to look at the injury, and sure enough, as he had just introduced to the director, only half of the skin was still attached.Not to mention the preservation of the severed limb, it is an ordinary fracture or a skin injury with a relatively large wound, and the fracture will not heal and the wound will not heal because of the lack of blood circulation.But he hesitated for less than ten seconds before saying, "Do it."
There is a 1% hope, let's try it too. ”"Have you checked your abdomen?"
Chen Wenqiang looked back at the young man on the disposal bed, wearing only a pair of boxer shorts, and asked."
I checked.I'm going to do another abdominal ultrasound later.I was also worried that he also had crush injuries to his abdominal organs.But this coal ash can't be cleaned up. ”As he spoke, he changed the injured man into a clean triangular scarf to bandage his injured leg.Then ask the nurse, "How long has the tourniquet been on, remember to loosen it every 20 minutes." ”Chen Wenqiang instructed him: "Lao Xiang, you make preoperative preparations, and I will notify the operating room to prepare for the operation, and use the same set of people and horses last time for replanting the broken arm."
But for the wounded in the hallway, you have to arrange who is in charge of whom. ”"Okay."
Promised to the director, called the intern who came back after pouring water, and cooperated with him to give the patient a preoperative medical order.* Li Min took care of all the things in Corey, and stepped on the bell to get off work and walked out of the east gate of the provincial hospital.This is not considered an early departure.When she returned home, Xiaofang had already prepared the meal.Because she only ate a bowl of chaos in the middle of the afternoon, this time she put down her chopsticks without eating much."
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Not eating?"
Muljay asked her."
I ate a blunt one in the afternoon.""
Then wait for eight or nine o'clock and then have a bowl of sweet wine stuffed with nest eggs?""
Okay."
Li Min waited for Mu Jie to finish eating, and said, "I'll go see Pan An." ”"Don't talk for a while, you've had a hard time riding in the car today."
Mu Jie reminded Li Min."
Hmm.I know. ”Today, Pan Zhi was on the night shift, and Li Min directly opened the door with the key of Yan Hong's house.She entered the house and saw Yan Hong sitting at the table eating by herself, and Sister Luo was cleaning up the children.Xiaoyan brought a basin of hot water over and scrubbed Pan An, who had just finished pulling.The two cooperated tacitly, and quickly changed the child's diaper and wrapped the small quilt."
Can you eat this?"
Li Min stepped forward and hugged the cleaned child.Xiaoyan quickly sent the bottle over.Li Min sat down against the wall and stuffed the bottle into Pan An's mouth.When Pan An finished drinking the 40ml milk, Sister Luo took the child and burped the milk.Only then did Yan Hong dare to speak: "I'm used to it."
He was early and late, and I was trained by him.When I picked up the rice bowl, he pulled it, and he must have peed at the lunch meal.You see, he'll pee again in five minutes after the burp. ”Sister Luo smiled: "The child is like this, he has an empty stomach to eat, and after eating the urine, he can sleep after he finishes peeing, and the dried ones left behind are slowly digested." ”Xiaoyan smiled and said, "I'll eat when I wake up." ”When Yan Hong put down her job, Li Min hugged the child and walked behind her to the master bedroom.Xiao Yan, who was eating, quickly put down her chopsticks and pushed the crib in the hall into the master bedroom."
Aunt Min, let him sleep on the bed.""
Okay."
Li Min put the sleeping Pan An in the small bed, and Xiaoyan changed Pan An's diaper again, then wrapped the swaddling clothes tightly and covered it with a small quilt."
I slept until nine o'clock.Then get up to eat, play for a while, and go to bed again at eleven o'clock. ”Yan Hong proudly introduced Li Min to her son's new habits."
That's good, you don't delay anything, and the whole family can sleep in peace in the end.""
yes.How about your retest?
”"It went well."
Li Min told Yan Hong about the retest, and told her the number of the express train."
We used to patronize the direct express trains.""
It's better to sit fast if you're pregnant.It didn't cost much more anyway.Even if you still have surgery, can you afford it?
”"Rotate with Dean Chen.It should be fine. ”The two of them chatted casually, and Xiao Fang knocked on the door and came in and said, "Aunt Min, Dean Chen is calling, asking you to go to the operating room for surgery." ”Li Min hurriedly stood up and said, "Rainbow, then I'll go first." ”"Be careful.Don't get too tired. ”"Hmm.""
What surgery?
Did Dean Chen say it?
”Li Min went home and asked while wearing a windbreaker."
I didn't say it."
Li Min said to Mu Jie: "I'll go to the operating room to see the situation, and I'll call back when I'm free." ”"Okay."
When Li Min walked out of the unit, he saw not far ahead, Director Shi and Dr.
Wang hurriedly walked forward.When I walked to the seventeenth floor and was about to enter the east gate, Zhang Zhengjie, who went to the emergency department, caught up from behind."
Director."
Li Min greeted him politely."
Xiao Li.Did you get a call too?
”"Yes, Dean Chen told me to go to the operating room.What kind of surgery?
I saw Director Shi and Dr.
Wang in front. ”"I was injured in a car accident and injured more than a dozen."
No wonder.With the current on-duty force of the Department of Surgery, it is possible to perform three surgeries at the same time.But with so many wounded, it may be necessary for all of them to go into battle.* At the side of the hand-brushing pool in the operating room, Director Xiang and Chen Wenqiang, who were brushing hands, and Director Xu of the Department of General Surgery were talking about the patient with advanced stomach cancer and ruptured bladder."
The old man walked more than ten miles to his daughter's house three days ago, and walked home after lunch, but did not eat dinner.The family thought he was tired.But he didn't urinate for three days, and it was delivered this evening.I don't know who treated him.Just now I was brought back to Corey, and the CT room called me and told me about this patient.Lao Chen, when you went to the emergency room, I had just gotten a CT scan of my abdomen.The patient's son told me that the catheter went down and no urine came out.When I pour it out, I'm going to teach the person who opened the CT to understand, and I'll have his last name. ”Director Xu comforted him and said, "I also know that doing an abdominal CT is not completely wrong."
If it hadn't been a car accident, someone might have gone for a CT scan. ”"You always think of people in the best of the best."
Director Xiang was indignant."
Who opened this CT list, if I don't ask and don't find out, maybe I will be able to delay things and stab Lou Zi next time.If you have a plate-like abdomen, proper upper gastrointestinal perforation, rupture, or rupture of solid organs, you have peritonitis, why don't you rush to the emergency hospital?
If you don't get urine, whether the bladder area is full or not, you can understand it by doing a percussion.Fortunately, there was no emergency queue in the CT room, otherwise the old man would have been in toxic peritonitis shock, and if he couldn't be rescued, he would have had another accident. ”It makes sense to be angry with the director.In the outpatient clinic, when we see an elderly man who has not urinated for a few days, I think that it is prostatic hyperplasia and difficulty urinating.In this case, the patient was given a urinary catheter, and the urinary catheter was indwelled without urine......
Fortunately, I also know to do an emergency CT for the patient.Chen Wenqiang supported Director Xiang and supported him to check who was taking care of the patients in the outpatient clinic tomorrow.Then asked him: "Lao Xiang, have you arranged the group of other doctors who are going to perform surgery?"
”"After arranging, I put a note on the patient's face and wrote the surgeon on his forehead.After a while, people who come from home will see the bottom link of the operation notice at the nurse, and then they can follow the surgeon to the stage. ”This method is also used by this bastard.Although it is not respectful enough for the patient, it can reassure the patient and the accompanying family members, and wait for the surgeon to come and receive the person.But Chen Wenqiang still asked him: "The chief knife has been notified?"
”"The notification has arrived.I'm all eating at home.The nurse in the emergency room called me and told me that she had called all the surgeons. ”"Then how did you arrange our one?"
Chen Wenqiang put his arm into the alcohol bucket of his soaked hands, "I will take a group of Xiao Wang, the head of orthopedic hospitalization, you will take Xiao Li, and we will each bring an intern to take a hand."
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Deal with the calf side of him first.Subventral bleeding of the spleen, I mean not to touch it yet.Wait until Lao Xu's operation is finished. ”Chen Wenqiang nodded.Director Xu immediately shouted: "Old Xiang, you can't finish your legs for six or eight hours."
You have a belly of yourselves. ”Director Xiang sneered: "Your one won't be easy to do."
Maybe we're done with the legs, and you've just finished it, just in time to pick it up.You work the night shift, and the abdominal emergency is yours.Don't believe it, the patient hasn't urinated and defecated for three days, and the urine in his stomach has been soaked in the abdominal cavity for three days, and the free gas under the diaphragm is all caused by bladder perforation. ”Director Xu was so angry that he scolded him: "You crow's mouth." ”() The distance is a bit far