At half past seven, young doctors were already busy shuttling around the surgical wards.The nurse on the night shift yesterday was warm, with two dark circles under her eyes, lying on the big table in the nurse's office, engrossed in writing a shift diary.A shadow stood by the window, blocking the glamour.Warm head didn't raise his head and said, "Get out of the way, block the light." ”No one moved.Nuan Wen looked up angrily and said, "You're a person—" and she was stunned when she said three words.Because the person who came was her ex-husband."
Get out of the way, I'll be on shift in a moment."
The warmth is urgent, and the tone is very bad.The time before the early shift is that I can't count it in seconds, and I have time to talk to this person!"
Warm, Dabao is sick, the doctor in the pediatric clinic said that there are no beds, and the pediatric corridors are full."
The man spoke to the warmth with a hint of begging.Warm sighs, tears welling up in his eyes.But she knew that the shift was approaching and that she had to finish the job first.Otherwise, the head nurse and the director will deduct the bonus."
You get out of the way.I'll talk about it after I'm done writing the shift. ”"Warmth, how can you do this?
Isn't that your son?
How can you not be in a hurry at all?
Don't you want to take care of your children?
”The man was in a hurry and reached out to grab the warm pen.With a flash of warmth, a drop of ink dripped onto the shift book.She quickly grabbed the chalk and sucked up the ink.But tears then fell on the notebook, moistening a few words."
It's over, the 10 dollars are gone."
Looking at the handwriting moistened by his own tears, he sighed warmly.Then she leaned back in her chair, took out the gauze from the pocket of her white coat, wiped away her tears, and said without looking at the man, "There is a mistake in the shift book, and the bonus will be deducted."
Excuse me. ”"Warmth, how can you have money in your eyes?
You don't care if Dabao is sick?
Or did you not give birth to it?
”"Dabao was born to me, but have I seen him for more than a year?
Don't forget why we got divorced.If it's not for money, can you hit me?
”"Didn't I humble you?
Why are you still holding grudges?
”The man rightly blames the warmth.Wen Wen walked over and turned on the fluorescent lamp, came back and leaned over to continue writing the shift.The man reached out to grab the notebook, and with a tearing sound, most of the pages of paper were torn off the notebook.Her warm face immediately changed color, and she trembled her lips and said, "You want me to be kicked out of the ward by the head nurse, don't you?"
You want me to lose my job, don't you?
”Seeing that Wen Wen was serious, the man pursed his lips and said, "Who told you to ignore the child!"
I'm telling you, I'm going to bring the baby to you, and I'll see if you don't care about it. ”Then the man threw the handover book on the table and walked away.Wen Wen dragged the handover book, tore off the torn half of the page, wiped her tears, and then copied it at the desk.
*At 7:45, Lu Qing appeared in the nurse's office on time.She changed her clothes, and when she saw that Nuan was still writing her shift, she didn't bother her, and turned her head to ask the hospitalist: "Doctor Zheng, did you have something to do with Corey last night?"
”"Evening traffic accidents, you know?
More than a dozen surgeries were performed together.There was a thoracotomy and was received by our department after surgery.I'm in the custodial unit.Nothing else. ”Lu Qing breathed a sigh of relief.She went back to her parents' house last night, and it was almost midnight when she came back.On my way to work this morning, I heard about last night's emergency surgery.Thankfully, Corey only accepted one postoperative one.It doesn't matter if you're not there."
So is your surgery going on as usual today?""
It's business as usual."
At 7:53, Nuan finally finished writing the shift log.The head nurse looked at all the doctors and nurses who had gathered neatly and said, "Shift over." ”Warmly holding the shift book, he read: "Wednesday, April 22, 1992, the night shift was shifted. ”Outside the open door of the nurse's office, an old lady's voice suddenly came from coaxing the child: "Dabao, call Mom, you call Mom quickly." ”This voice is remembered by some people in the office.But whether you remember it or not, everyone's eyes have seen it.In front of everyone's eyes, the old lady who spoke smiled and said to the person standing at the door: "This is a warm son, please help hug it." ”The intern, who was standing in the doorway, was caught off guard and was forced to catch the child stuffed into his arms.Before he could react, the old lady turned around and walked away.The boy, who was less than two years old, was suddenly thrust into the arms of a strange man in a white coat and black-rimmed glasses, and he immediately let out a frightened, high-pitched cry."
AhhDirector Shi shouted angrily and said, "Carry the child to the corridor." ”The hapless intern was so frightened that he hurriedly hugged the crying child and left.Director Shi didn't know the warm past, turned around and blamed the warmth and said, "Hurry up and read your shift." ”"Yes."
After choking warmly, Director Shi said, "Be louder." ”…… After reading the warmth, Pan Zhi didn't wait for Director Shi to say more warmth, and immediately rushed to say: "Last night, the night shift brought in a thoracic postoperative patient who caused a traffic accident.The patient suffered a fracture of the sixth and seventh ribs on the left side, a contusion of the right lung, an open pneumothorax, and ...... after emergency surgery," Pan Zhi said in detail for almost 2 minutes.Dr.
Zheng, the general manager of the hospital, added a sentence after that: "Agree to the shift of the night shift doctor and nurse."
Corey's other hospitalized patients are unremarkable.The two patients awaiting surgery today are unremarkable. ”"Dean Chen, are you still in trouble?"
Director Shi can still maintain his usual attitude towards Chen Wenqiang."
Nope.""
Xiao Li?"
Director Shi asked Li Min as usual."
It's fine.""
Adjournment."
Director Shi's mood was very bad, and when the doctors and nurses in the office were almost gone, he said to Nunnery: "Family affairs are family affairs, who has no children."
But you can't let your children interfere with your work. ”Warm eyes fell in strings.Director Shi was angry.His voice raised a little: "Did I say you wrong?"
Are you still wronged?
”Lu Qing, the head nurse who walked to the door, heard Director Shi's voice was wrong, and hurriedly walked back.She tugged at Director Shi's sleeve and said, "Director, come here, I have an autograph here, I have you to come." ”Director Shi was dragged into the corridor by Lu Qing.The intern was walking down the hallway with the child in his arms, and the child's crying was quieter, but it still didn't stop completely.Director Shi glanced at the crying child, glared at the head nurse and said, "You take care of the nurse." ”"Director, it's not to blame Warmth for this."
Lu Qing said the warm divorce in a few words."
Who knows how her ex-mother-in-law got the baby today.Warm also went to see the children a few times the year before last, but I didn't see them once. ”Director Shi didn't know these things yet.But Dr.
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Zheng had already pushed the patient with a flat cart to be sent to the operating room.He hurriedly said to the head nurse: "Then you can watch and help the warmth."
Don't delay Corey's work. ”After explaining this, he went to catch up with the car and entered the elevator together.Lu Qing, the head nurse, took the child from the intern's hand and said, "Go ahead." ”The intern was pardoned, thanked the head nurse repeatedly, and then fled.As he fled, he warned himself that he must arrive early for the shift in the future, and that he could no longer stand at the door. ”Lu Qing handed over the child to Nuan and said, "Why did I give the child to you?"
Why is this kid a little hot?
Is it a fever?
”Warmth whispered to the head nurse about the morning."
No wonder.I wonder why you didn't finish your shift when you got to the point.But you don't know what the child's condition is, how do you take the child to the doctor?
”"I'll look for it.I don't think they're going to leave the hospital. ”"Hmm.They won't be willing to give it to you.There you go.Call Corey for something. ”"Hmm.Thank you head nurse. ”* Warmly hugged his son and coaxed softly.Almost everyone who met her along the way asked curiously: "Warmth, whose child?"
”Isn't it like: "Warmth, your son?"
”This is the one who knows her old story.There was an even more embarrassing question: "Warmth, have you remarried?"
”It's like to gossip.By the time Nuan Wen walked to the pediatric clinic, she was already in turmoil.She didn't know what kind of mood she was in at this moment when she was holding her child.She walked around the pediatric clinic with the child in her arms, but did not find the child's father and grandmother.When she left the pediatric clinic and was about to carry the child back to the ward, her ex-husband, mother and son showed up together.It turned out that the mother and son had been staring at her.Seeing that she didn't talk to any doctor in the outpatient clinic while holding the child, and was about to hold the child on the elevator, the mother and son couldn't hold it back."
Warm, where are you going to take the child?"
The child's grandmother broke off.Warmth was frightened, and the child in her arms immediately turned her head in the direction of the sound, and when she saw the old lady, she immediately stretched out her hand and cried: "Grandma, hug." ”After more than half an hour of crying, the child's voice was already hoarse.The old lady hugged her grandson distressedly and coaxed the child and said, "Dabao doesn't cry, don't cry." ”Then he turned his head and pointed at Nuan Nuan and scolded: "Nuan, you are a wreck, you can't even coax your own son, and it's a shame that the child didn't bring it to you." ”The warm face was white and white, and she wanted to say that she hadn't seen the child for more than a year, and the child recognized her life.But when the words came to her lips, she suddenly felt that she didn't want to say another word to the mother and son.She turned and walked away.The old lady reached out and grabbed her shoulder, frightened the child in her arms, and her little hands hugged her neck tightly and cried loudly.The son's hoarse cry made Wen Wen's eyes red immediately.The people around looked at it.The man took his son over and hugged him, and said in his mouth: "Warm, you can't even leave your son alone, right?"
”The old lady said: "You are embarrassed to see the child, when the child is sick, you can go around the pediatric corridor and leave, you are still not your own mother!"
”Warmth allowed the old lady to pull her clothes, she only wiped the tears that seemed to be endless, she couldn't walk away or speak, just stood silently and wept silently.The old lady became more and more angry when she looked at her like that.How can it be such a wreck!
AhhhJust as the old lady's fingers were about to touch the warm forehead, Dr.
Liu came from the emergency room, followed by a young couple holding a child.When he saw such a scene, he immediately shouted: "Warm." ”Warm looked sideways at the place where the voice came from, dodging the old lady's poke."
Dr.
Liu.""
What's going on?"
Doctor Liu asked when he saw that Nuan's mother-in-law was dragging Nuan and didn't let go."
Why did you get to the pediatrics?
Are you so idle?
You beware of Dean Chen's tantrums.Why don't you go back quickly. ”Warmth pulled out the sleeves of his clothes and was about to leave.The old lady simply grabbed her arm and threw her to the ground, dragging the warmth so hard that she almost collapsed.Dr.
Liu frowned and said, "What are you doing?"
You let go of the warmth. ”The old lady said, "Warmth doesn't care about the child, the child has been sick for two days."
Is she a mother?
”In front of Dr.
Liu, whom he knew, Wen Wen finally spoke."
Doctor Liu, I've been to see the children several times, but they don't show me anything.I haven't seen a child since eleven the year before. ”Regarding the beginning and end of the warm divorce, Dr.
Liu was very clear because he was in the trauma surgery ward at the time.It was not only the comrades of Corey who sympathized with the warmth, but also the people in the hospital who knew the whole story of the incident and had a sympathetic attitude towards the warmth.He glanced at the old lady, then at the warm ex-husband who was holding the child, and said to the man with a cold face, "Do you still want to beat someone again in the hospital?"
Warmth has been divorced from you for two years.If you dare to do it, I will call the security guards and the police. ”The old lady saw that Nuan Wen said such a thing, and Dr.
Liu said unkindly to her son, although she felt shameless, she immediately said: "The child has been sentenced to our family, why do you want to show her?"
”Doctor Liu sneered and asked, "Then why did you just say that the warmth doesn't matter what the child is?"
”The warm ex-husband whispered: "The child is sick, and there is no bed in the pediatrics."
How can it be a warm son.She couldn't leave it alone. ”The people who watched the excitement around suddenly realized that this was a divorce for a daughter-in-law, and then did not give a mother/child to the mother, and came to find someone to go through the back door......
Laughter and whispers followed to spell out the truth.Dr.
Liu was stunned by the shameless logic of the family and the shamelessness of the family.He came back to his senses and asked Warmth, "Do you want to care?"
”*Dr.
Wang stayed in the pediatric department until he could no longer stay, so he put down his daughter and ran the stairs back to Corey to attend the morning meeting.He went in too late, so that Director Liang and the other four department directors and deputy chief physicians sitting on the bench all thought of him.Director Liang saw that he was out of breath and asked, "Is there something wrong with your patient?"
”Everyone should look at the beds in their management before the morning meeting, so as not to know the changes in the patient's condition overnight when the nurse takes over the shift.Dr.
Wang was asked.He was hesitant and didn't say anything.The head nurse said, "Director, everyone is here, do you have a shift?"
”"Deliver it."
After the morning meeting was over, Director Liang looked at Dr.
Wang and said, "Dr.
Wang, what did you just see?"
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You didn't see a patient in the morning?
”"That's- my child had a fever in the middle of the night last night, and I just went to the pediatrics."
Dr.
Wang bowed his head and explained to Director Liang.Director Liang immediately changed his tone and asked, "Got a cold?"
”"Director Wu said that it was a viral infection, and more than a dozen children were sick in the nursery."
Dr.
Wang's anxiety appeared on his face."
Mainly, my daughter has a murmur in her heart, and Director Wu asked her to do color ultrasound."
Dr.
Song originally planned to have surgery with Dr.
Wang, but when he saw this, he said, "Director, you ......can see the operation between me and Dr.
Wang" Director Liang said, "Is it your patient or Dr.
Wang?"
”Dr.
Song replied, "It's mine, a large thyroidectomy." ”"Then the king, go see the children.Children under the age of nine months are most likely to get sick.Once hospitalized, a person simply cannot take care of it.Your patients, you can see them yourself, otherwise you will divide them into several. ”"Thank you, Director, then I'll talk about it when you step down, Director.Thank you, thank you. ”Dr.
Wang thanked Director Liang, and then explained to Xiao Chen, the general manager of the hospital, about the patients he should pay attention to in the dozen or twenty beds, and immediately ran back to the pediatric ward.When Dr.
Wang arrived at the pediatrics, Director Wu and Director Qi of the Department of Pediatrics were taking all the pediatricians on rounds.The total number of children in this ward, including those hospitalized this morning, has reached eleven.It's all the kids who came in after work yesterday.The chief complaint is similar, unexplained fever.The hemogram is marked by lymphatic elevation.There are no other obvious clinical features.Director Wu examined all the children and said very heavily, "All of them are nursery children. ”The head nurse knocked on the door and came in."
Director, I contacted Director Hu of the Radiology Department, and he said that we can now take our children over for filming.He was on the machine himself. ”Director Wu said, "Then Director Qi, you take care of the house, and I'll take the children there."
Head nurse, you go and ask for a medical elevator.A parent is holding a child, and the intern, you, you go to the office and bring me the perspective sheet. ”The head nurse said yes and went out.The interns who were ordered by Director Wu also hurriedly went out to pick up things.Director Qi said to Director Wu: "The nursery school should be closed.Otherwise, the number of infected children will increase. ”"Hmm.Then you call Dean Chen, and you will do it. ”"Okay
.
"* When Chen Wenqiang came out after changing his hand clothes, the head nurse in the operating room called out to him, "Dean Chen, the telephone number of the pediatrics."
Director Qi has something important to do with you. ”Chen Wenqiang hurried over."
Hey, Director Qi, I'm Chen Wenqiang.Well?
Ah——?
hStarted last night?
Okay, I got it.I agree.Envelope.Seal immediately.The nursery is fully sealed.Okay, I'll notify the hospital office.You remind the kindergarten to be careful. ”Chen Wenqiang called Dean Shu, but no one answered after a few rings.He called the hospital office again.Director Zhang answered the phone.He was full of emotion: "Hey, who?
Who are you looking for?
”"I'm Chen Wenqiang.What about Dean Shu?
”"I went to the internal medicine department."
Chen Wenqiang told Director Zhang about the pediatrics, and then said, "You now inform the parents of the children in the nursery and ask them to take the children home."
No one took the children with them, so they arranged to go home from work.Dean Shu's side, I told him immediately. ”A few minutes later, Chen Wenqiang found Dean Shu.Dean Shu immediately said after listening to the phone: "It's right to close the nursery class.Have you already handed it over to Director Zhang?
Well, that's it for now.I'll go to the pediatrics after my rounds. ”Director Liang waited for Chen Wenqiang to put down the phone and said, "What's the matter?"
”"Collective viral infection of toddler children.""
Oops, that's a problem."
Not really.□□ annoying.Because the nursery class of the provincial hospital enrolls children from 3 months to 2 years old.As long as one of the parents works in the hospital, they can be sent to the nursery.Single-employee employees have to pay a part of the childcare fee, and dual-employee employees are exempt.And there is another advantage of the nursery class in the provincial hospital: it can send children over at any time 24 hours a day, and it can also be picked up at any time.Fully cooperate with the different shift times of the nurses in the hospital.After Chen Wenqiang explained the matter to Director Zhang of the hospital office and notified Dean Shu, he restrained his spirit and didn't think about it.Neurosurgery: Today's surgery is also quite tricky.* In the radiology department, Director Hu said after taking a film of those pediatric children: "Old Wu, I personally stared at the washing of the film.You just go back and wait for the results. ”Director Wu had just seen that Director Hu was giving the child perspective first, and then taking a film, and after thanking Director Hu, he took the parents back to the ward with the child in their arms.The director's office of the Department of Pediatrics, Dean Shu, Guan Lan, the current director of the Department of Respiratory Medicine, and Dean Fu, who had just returned from the branch, were all there.Director Qi told them about the common symptoms of those children.Guan Lan listened to the call.He put down the phone and said, "Director Sun of the laboratory department took samples in the nursery last night.He went to the nursery again this morning and took samples of every child who was sent in the morning.Virus isolation started last night. ”After Director Wu returned, the in-hospital consultation of the pediatric department began.In addition to pediatricians and interns, there were also observers - the parents of those patients, one from the family.The whole office was a little packed.After introducing the results of chest fluoroscopy and blood routine to everyone, Director Wu said: "Among the eleven children, so far, only three have a fever of more than 38°5.Each of these three children has different reasons.For example, the child in Dr.
Wang's family.8 days and 9 months old, premature, underweight, teething in the past two days, mild diarrhea during the day before yesterday and yesterday.The kid also had a heart murmur.The other two with high fever were the children of an internal medicine nurse.I think the two children's reactions are related to the fact that the mother has just resumed her shift work, and the children are not used to sleeping in the nursery at night. ”Director Wu was very glad that he was on the night shift last night, although he was busy for most of the night, he had a thorough understanding of each child's condition and basic situation.He smiled and continued, "The rest of the children were admitted to the hospital with a low-grade fever.Because there are many children in the emergency department at night in the pediatric department, these children are carried directly to the ward to see me.As soon as I saw that several children from our provincial hospital nursery class had come at the same time, I hurriedly vacated a ward outside the child. ”"In fact, if it weren't for the convenience of our provincial hospital staff, parents would probably be feeding some antipyretics at home and sending them to the hospital when the respiratory symptoms are obvious.""
Last night, I asked parents to take their temperatures every hour, and more than half of the children had atypical intermittent fever.So according to the behavior of most children, I tend to have a respiratory syncytial virus infection.Specifically, one is to wait for the results of virus isolation in the laboratory, and the rest is to wait for obvious clinical symptoms and chest X-ray. ”When it comes to respiratory syncytial virus infection, don't look at the white coats in the house, and there are people who don't know the outcome of the disease.Director Wu didn't miss the opportunity to show Leng Xiaofeng's face, so he asked her to popularize syncytial virus infection to the people in the house."
Simply put, it's a respiratory disease caused by syncytial virus.The incubation period is generally 3 to 7 days.The clinical characteristics are coughing, wheezing, suffocation, dyspnea, and in severe cases, there will be airway obstruction, atelectasis, hypoxia, cyanosis, respiratory failure, and even heart failure.There is currently no cure.However, it is self-limiting and generally has a good prognosis.However, if the child is young, frail, and has underlying diseases such as heart and lungs, the prognosis is difficult to determine. ”Director Qi waited for Leng Xiaofeng to finish speaking, and comforted Dr.
Wang and the others, saying: "Symptomatic supportive treatment, Dean Shu has just said that the hospital will provide immunoglobulin.Relax your minds.When the child's symptoms are not obvious and they can eat, let the child eat and sleep well to increase their own resistance. ”After Director Qi finished speaking, Dean Shu immediately said: "These are all our own children, Director Wu, Director Qi, the two of you and all the pediatric doctors, nurses, and interns, how hard you have to work."
Take good care of these children, and I will do you a great job.Whatever is needed, it is raised. ”After a thank you, Dean Shu said, "Old Fu and Xiaoguan, you two are experts in the respiratory department.In the past few days, other things have been put on hold to help Director Wu and Director Qi tide over this difficulty. ”※※※※※※※※※※※※※※※※※※※※@所有的亲亲读者有个好友答应给我发微博的推送, I want to leave a message from readers with more than 400 words, and thank you () about this book is a bit far away