Director Zhang of the hospital office answered Chen Wenqiang's call and contacted the pediatrics.After receiving the exact news from the director of the pediatric department, he immediately notified the head nurses of each department to hold a meeting."
Eleven children have been hospitalized in the pediatric department, and Dean Chen suspected that there was an outbreak of infectious diseases in the nursery and instructed the nursery to be closed temporarily.You go back and inform your respective department of the notice, and take the nursery children home immediately.What is the specific disease, you have to wait for the report of the laboratory department.The rest will be decided later. ”The announcement of the closure of nursery classes immediately plunged many departments of the hospital into a state of chaos.Mothers at work hurriedly leave their jobs and go to the nursery to pick up their children home.And the jobs they left behind must be filled.Director Zhang said very clearly.Take your child home and get to the pediatric ward if he has symptoms.Q: What are the symptoms of the child?
- There is only one sign at the moment: fever.The general principle of the nursery class division of the provincial hospital is 3 months to 2 years old.But it's not strictly divided by month.Some children are already leaving, even if they are only ten months old, they can go to the second class.But some of them have been 14 months, and they are still unstable, and they have continued to work in the nursery class after touching one heel.The children who fell ill this time were all in a class of those who could climb.The public health side and the laboratory department focused on the children's toys.Children who can crawl will usually catch something and stuff it into their mouths, and gnawing on everything is a common trait of these eleven children who have become ill.Dean Shu is responsible for the work related to public health and laboratory departments.Dean Fu and Guan Lan stayed in the pediatric department to assist.When Director Wu saw the two of them coming to help, he immediately went to sleep in the duty room unceremoniously.He didn't sleep all night last night, and he was busy for half the morning, and he couldn't stand it.
*Dr.
Wang took his daughter to do a cardiac ultrasound.The results were far from encouraging.Not only does the child have a patent ductus arteriosus, but he also has a small amount of atrioventricular regurgitation.Director Liu of the Department of Pediatric Surgery read the examination report and comforted Dr.
Wang and said, "Your daughter, this is all a minor problem.When she recovers this time, if you are in a hurry, we will have surgery as soon as possible.My opinion is observation, though.Maybe by this time next year, her little problem will naturally heal with her development. ”Director Liu told Dr.
Wang about the time of closure of the ductus arteriosus again."
Most of them are closed within six months.But a delay of half a year is not a big deal.Don't look at the little girl who is one kilogram lighter than the standard weight and is in a hurry.This is related to height and parental genetics.Neither of you is fat, and the child is just starting to climb, and this time he will be thinner than when he was 6 months ago. ”Director Liu's comfort did not relieve Dr.
Wang's anxiety.Because the two children with high fever, after being comforted by their mothers, it may be that they are a few months older, and after noon, their body temperature began to drop.And the body temperature of their Baozhu has always hovered close to 40 degrees.Towards noon, some of the children started coughing.And Baozhu not only coughed, but also experienced shortness of breath.Guan Lan, the director of the respiratory department, transferred Baozhu to the intensive care unit and gave her a small flow of oxygen.Wang Qiuyun hugged her daughter who had been scalped with a needle infusion, and tears fell down one by one.Guan Lan comforted the couple: "Transfer the child to the intensive care unit to avoid bacterial infections in the major ward."
She has a room by herself, and when she wants to sleep, the room is quiet, and she can sleep better. ”What the hospital and pediatrics can do is to give immunoglobulin supportive treatment in advance.
*Chen Wenqiang followed Li Min and Dr.
Ma to take the patient to the ICU.This is something that has never happened before.Several of them looked solemn and stopped at the entrance of the ICU for less than a minute, so that the family members were convinced that they were still alive, and they pushed them into the ICU.Standing at the door of the ICU, Dr.
Ma said to the family members who were gathered around: "Family members are allowed to visit from 3 to 5 p.m.Generally, only one person can enter.You go to eat first, and then come back when you're some. ”The family prepared lunch, but the patient was like this, how dare Dr.
Ma respond, he didn't wait for Chen Wenqiang and Li Min to come out, and took the intern to the canteen to eat.There is also an outpatient clinic in the afternoon.Chen Wenqiang stood on the duty island of the ICU, wrote the operation record himself, and then carefully looked at Li Min's postoperative course record, and after checking that everything was correct, the two of them left the ICU gloomily and went back to the operating room to change clothes.Lao Wu is still waiting for Chen Wenqiang in the dressing room."
Why haven't you left yet?
I'll send you a car. ”Chen Wenqiang is not in a high mood."
Wait until you treat me to lunch again.Don't be reluctant, I gave you half a pull of apples. ”"Humph!
Don't talk about these things that you don't have.You're just looking for an excuse to stay.Do you want to see my jokes?
”Chen Wenqiang vented his emotions that had been deposited in his heart in the past two months after the death of Director Li, and he could not vent his outlets, to his comrades-in-arms who had fought and rescued disasters together in Tangshan, without any scruples."
Why do you think so much of me?
Think of me as such a villain.Have you forgotten the conversation between Su Dongpo and Buddha Yin?
”Lao Wu persuaded Chen Wenqiang: "Forget it, for the sake of that patient, I don't have the same knowledge as you."
You don't have to chase me, I'll be back in the afternoon.That's your attitude......
Hum!
”"You're going to hold me hostage again?""
What am I going to do with you!
I'm on business.Whatever is investigated, you will hand it in.As for how to deal with it, it is a matter of the above.But Lao Chen, listen to my advice, in the future, you should carefully choose the indication for surgery, otherwise you will be very embarrassed. ”Chen Wenqiang sighed and avoided Lao Wu's persuasion.He turned to him and said, "That's it, come with me to the cafeteria for lunch."
I have an outpatient clinic in the afternoon, and I can't entertain you with seven plates and eight bowls. ”Lao Wu smiled, he has lived to this age, who cares about a bite to eat.He just wanted to talk to Chen Wenqiang again to see the possibility of coming to work in the provincial hospital.The two of them came out of the operating room and saw Li Min waiting for the elevator."
Teacher, Teacher Wu.""
Xiao Li, come with us to eat in the cafeteria?"
Lao Wu invited Li Min.Li Min smiled and said, "I have delivered food at home."
I won't go to the cafeteria to affect everyone's appetite.Teacher, is the afternoon clinic time going to be delayed?
”Chen Wenqiang looked at his watch, and it was almost two o'clock.He said to Li Min: "You talk to the outpatient guidance desk and registration room, and the clinic will open at three o'clock." ”"Okay."
Chen Wenqiang said that he couldn't entertain Lao Wu with seven plates and eight bowls, but he still called the canteen manager when he went back to his own office to change clothes."
You look at the whole two dishes, I'll bring someone over right away.It is the leaders of the provincial department who come to the hospital these days.Yes, just the two of us. ”When Chen Wenqiang took Lao Wu to the small private room of the canteen, the administrator stood at the door and said with a smile: "Dean Chen, I have to wait for another three or five minutes." ”"Okay, you can do it as soon as possible."
When the meal was served and the meal was almost finished, Lao Wu took advantage of Chen Wenqiang's relaxed mood and asked him: "Lao Chen, you tell me something from your heart, can I come to the provincial hospital?"
”Chen Wenqiang looked at him carefully, thought for a while and asked, "Are you optimistic about the infrastructure projects in the west?"
”Lao Wu nodded.But Chen Wenqiang continued: "For that project, our leadership team is going to use the same audit method as the internal medicine center building built last year.The aim was to prevent the 17-storey inpatient building from being exploited.If you're thinking about that project, I'll be honest with you, you'll probably get a little bit from the project contractor.But I won't hide it from you, when this project was launched, it was the contractor who gave us the provincial hospital to advance funds to run the project, and he accompanied Lao Fei throughout the whole process.Of course, it is Lao Shu who catches the total.You said that now the provincial and municipal levels have agreed to approve the project, and you have come down to replace the old fee, do you think it is possible?
”"Isn't Lao Fei the second line next year?""
That's right.He's second-tier and not retired.If construction starts at this time next year, the most likely way for our provincial court to take is for him to finish the project in the west completely.This completion means that it must finally pass the audit of the hospital and the audit at the provincial and municipal levels.Substitutions in the middle will be prone to the phenomenon of prevarication, which is not conducive to the final audit. ”Lao Wu fell into a deep groan.Chen Wenqiang saw that he was still unwilling to give up, and his idea of wanting to fight for Lao Shu and Lao Zhao to get a little more help prevailed."
Old Wu, in fact, you don't have to stare at the project in the west.You know that the residents of the west are going to move, haven't you noticed that there is a branch of the provincial court in the northeast corner of the provincial capital?
When the projects in the west are completed, the next development plan of the provincial hospital is the construction of the branch.There are not only inpatient buildings, but also staff dormitories.Our initial plan is that the hospital will be able to have 900 beds in the future, which should be slightly larger than the second-class hospital, and when the provincial hospital has enough strength, we will send some deputy chief physicians there, and then we can apply for the third-class hospital. ”"That's when the year after next begins?""
Pretty much.Dean Fu went to the branch to be the dean, if you must come over, you exchange with him, I don't know if he can be willing. ”Lao Wu grinned bitterly: "I offended everyone this time." ”"So what do you think?
Lao Shu doesn't look for me, I don't know.You're not the one to do that. ”Lao Wu grinned, but he didn't say that he wanted to give a dismount and hold these leaders first.Chen Wenqiang saw that Lao Wu didn't say anything, so he didn't force him, but he changed his heart-to-heart look, leaned over to Lao Wu and said: "Lao Wu, if Lao Shu can't go up next year, you will come to the provincial hospital, are you afraid that he will hang you up?"
He is a dean, big and small, he refutes you a few times at the hospital meeting, you have no foundation in the provincial hospital, have you thought about this situation?
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”Old Wu narrowed his eyes."
Also, Lao Zhao has been doing medical work for so many years, are you afraid that you won't be able to go back when you want to?
Or is there no place to go back?
You must know that some people make it impossible for them to do things, but the bad things are the best. ”"Lao Chen, are you going to blackmail me?""
Hush.The two of us can be regarded as friends of life and death, I want to blackmail you?
I'm going to blackmail you with whatever I want!
I only became the medical director this year, and at the end of my ten-year term, I will be 62 years old.What do I mean, do you say?
”Chen Wenqiang didn't seem to care about Lao Wu's appearance, but his eyes never let go of any expression of Lao Wu."
Lao Chen, you are deceiving the children with these words.I said that the provincial court you want is still solid today's situation.Is it a little bit closer?
Shu Wenchen went up, and Fei Baode retired.Zhao Wenxuan came up, and Fu Jingnian came back.Do you say that your provincial court has not changed much?
”"What are you doing with it?
What kind of work is not done well or not in place at present?
If the province has leisure and leisure, it is better to set its sights on those third-tier areas that lack medical treatment and medicine, and raise the basic medical care in the third-tier areas. ”Old Wu Moran.After a while, he said, "Lao Chen, let me come over and you help me go to the branch?"
”"Shu Wenchen has to go up.""
What's so good with you when he goes up?
You have a good relationship, isn't it better for him to be a dean than to change Zhao Wenxuan?
Anyway, you're still a medical director. ”"Isn't it okay for the number one to be in charge of medical care?"
Also."
Can I trust you?""
I believe in you in Tangshan, and you believe in me.Remember?
”After Chen Wenqiang finished speaking, he looked at his watch and said, "It's almost, I have to go to the outpatient clinic."
You have a good idea to call me, and there is no rush this year. ”Back at the hospital office, Chen Wenqiang called Director Zhang to arrange a car for Lao Wu to go back to the provincial hall, and then put on a white coat to go to the outpatient clinic.
*There are a lot of outpatient patients, but there is not only a big sign at the triage desk, but also a reminder from the registration room, so everyone can wait quietly outside the clinic.When Chen Wenqiang arrived, several returning patients immediately greeted him: "Dean Chen is here." ”"Dean Chen, did the operation go well in the morning?"
This is the person who knows his Thursday clinic habits.Chen Wenqiang smiled and nodded to these people in response, and after the outpatient nurse opened the door for him, he said, "There are still a few minutes left, you are waiting for a while, Director Li should come over immediately." ”A few minutes later, Li Min came to the outpatient clinic with a large group of doctors and intern students.The old patients who were familiar with Li Min smiled and said, "Director Li is only now like a director." ”Li Min smiled at these people, saw the door of the consultation room open, went in and greeted Chen Wenqiang, and began to work according to the usual practice, first after the postoperative follow-up, then for next week's surgery, for today's hospitalization, and finally for the new patients who came in the order of registration.After two hours of high-intensity outpatient visits, everyone felt very tired.After the last patient left, Chen Wenqiang said, "Let's go, let's go back to the ward rounds."
Check up early and rest early. ”When they returned to the eleventh floor, Xiao Zhai, the nurse on duty, said, "Dean Chen, Dr.
Li, the one who operated on the morning is gone."
The call from the ICU just now. ”Although it was expected, Chen Wenqiang, Li Min and others still held on to a glimmer of hope, hoping that the patient would survive.But it's only been a few hours after the operation!"
What is the reason?""
My heart stopped.I heard that when his daughter-in-law went in to visit, his heart rate was always stable.Later, I saw that my heart was beating slower and slower, and I couldn't be rescued in the end. ”Chen Wenqiang took a long breath and said calmly: "Probably he doesn't want to live anymore." ”Li Min was a little out of shape, she seemed to be asking herself and Chen Wenqiang: "If he doesn't want to live, why do he insist on surgery?"
”Chen Wenqiang looked at Li Min like that and explained to her: "That seizure has already destroyed his intention to survive.From the time I told him that a clean brain tumor might not cure epilepsy, he didn't look like a living person. ”"Then, teacher, why did you decide to operate on him?""
He wanted self-esteem but didn't dare to commit suicide, he didn't need to commit suicide with ruthlessness and courage.Not.We didn't help him kill himself, either.We performed a meningioma resection on him as normal. ”Li Min apparently failed to fully understand the meaning of Chen Wenqiang's words.But it's almost time to get off work.Chen Wenqiang said: "First find out that you will have surgery tomorrow."
Xiao Li, you go home and rest first.Go back and get a good night's sleep, tomorrow's surgery won't be easy. ”"Thank you, teacher."
Li Min felt that her brain was a little messy, and she did not participate in the ward rounds before work.So I went home early.
*"Aunt Min, why did you come back so early today?"
”Xiaofang asked Li Min when she saw Li Min send the lunch box bag into the kitchen."
I'm tired.I'll lie down for a while, and then call me to dinner at half past six. ”"Okay."
Mu Jie was busy in front of the computer, he saw that Li Min looked bad before entering the kitchen, and listened to the conversation between her and Xiaofang, so he said with concern: "Then if you are tired, let's rest for a while." ”"Hmm."
Li Min changed his clothes and got into the quilt and fell asleep in a daze.But in a few moments, she was surrounded by various brain waves of seizures, spikes, full waves, and a composite waveform of the two, alternating α and β rhythms, and then theta activity......
But no matter how much I waited, I couldn't wait for normal brain waves to appear.She was so uncomfortable that she wanted to cry, but she couldn't; She wanted to urge Director Liu to wake up the patient lying there, but Chen Wenqiang said coldly: "We performed a meningioma resection on him according to normal medical procedures."
It's that he doesn't want to live anymore. ”It's that he doesn't want to live anymore.It's he himself who doesn't want to live anymore!
These words kept ringing in Li Min's ears.No, teacher.He wanted to live.He insisted on surgery, just to give it a shot, and the survival rate was less than 5%.It's just that his wish to relieve the seizure through surgery has been disappointed......
Hum!
Or did he himself not want to live.Coward!
Li Min suddenly lost the heart to argue with Chen Wenqiang.Yes, his wish to relieve the seizure was frustrated, so he gave up on his own.It's just that he doesn't want to live anymore.In front of Li Min's eyes is the patient's open medulla, and the monitor monitored by Director Liu is α rhythmic brain waves......
The voice of Director Zhou joining the rescue began to appear."
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Isoproterphrium 1mg," "Atropine 2mg......"
Li Min suspected that he had misheard."
Minmin, Minmin, wake up."
Mu Jie came to call Li Min.Li Min felt that he was suddenly dragged to a clear place in the flickering.When she opened her eyes, she saw that Mu Jie was pressing his arms against the mattress, supporting his body, looking at herself with concern.He stood with his good leg against the mattress, his injured leg knee resting on the mattress, leaned forward, and took out one hand to wipe her sweat, and then wiped a handful on her face, wiping away her tears from the corners of her eyes to her temples."
Minmin, get up and eat.It's half past six. ”"I don't want to eat.I'll sleep a little longer. ”"Get up, eat and go to sleep.I asked Xiao Fang to fry the peeled fish for you, all of them are small fish with such a long finger, Xiao Fang fried it so well for the first time, it was quite crispy.She's just waiting for you to encourage her. ”Li Min had no choice but to get up and go to the bathroom to sort out his emotions before going to eat.But no amount of delicious food could whet her appetite.After eating a few small fish and praising Xiaofang, Li Min said, "You two eat slowly, I'll go see Pan An." ”Mu Jie saw that she was emotionless, and he didn't persuade her to eat."
Do you want to eat some small ravioli that night, or whirlpool eggs stuffed with sweet wine?""
Sweet Bar."
Li Min passed the night today, and Pan An had finished eating the bottle and lying on Pan Zhi's shoulder to burp.Li Min went around to Pan Zhi's back to tease the villain.After playing for a while, Pan Zhi handed the child who had taken the burp to Li Min to hug."
Senior sister, do you know that something happened in pediatrics?""
What's wrong?""
Downstairs, Dr.
Wang's youngest daughter is on a ventilator.""
Huh?"
Li Min was so surprised that he couldn't keep his mouth shut."
What's going on?""
There was an outbreak of syncytial virus infection in Toban, and more than 20 children, most of whom are now sick.His child was born prematurely and had congenital heart disease, and he was the heaviest one in the nursery class. ”"Oops, that's pathetic.How lovely that little girl is.Rainbow, do I remember the child or did you deliver the baby?
”Yan Hong nodded."
yes.Everything was normal when I was born.Why do you have congenital heart disease?
”"I don't know the exact type.It's just that I went back to Corey in the evening to check on the ward and listened to what Dr.
Yang said. ”"Congenital heart disease?"
Li Min frowned."
The pearl in his family, that is, the child brought by Wang Qiuyun has congenital heart disease, and both of these little sisters are sick, does she have genetic factors in this regard."
Sister Luo came to pick up the child."
Dr.
Li, I'll change a diaper for him.""
Okay."
Li Min handed over the child to her.Then he said a little depressed, "I'm going back."
I'll see Pan An tomorrow. ”Li Min left, and Yan Hong asked Pan Zhi: "Min Min's mood is not right today." ”"The brain tumor patient they did in the morning, the brain tumor was in the medulla oblongata, and the heart rate dropped during the operation.After the operation, he was sent to the ICU and died before he got off work. ”"No wonder.How are your patients?
”"It's okay to watch."
Pan Zhi thought that his dozen or so patients were okay, but he didn't know that Dr.
Yang, who was on the night shift tonight, was racking his brains to rescue his patients at the moment.* In the western restaurant outside the Friendship Store, Yang Weihua followed Lao Sun to the private room.She used to come to this restaurant with her mother and sister, and although she didn't come many times, she was not unfamiliar."
Want something to eat?"
Lao Sun opened the exquisitely decorated recipe."
Look at it."
Yang Weihua sat down and felt tired.Lao Sun ordered two dishes according to their respective favorite tastes, and then accepted a new dish recommended by the waiter."
Alright, so be it.Ask for black tea.Wine?
Champagne Bar. ”When the dishes were ready, the champagne was poured into the crystal clear goblet, and the waiter withdrew.Lao Sun raised his glass and said, "Weihua, come, for our new home." ”“Cheers!”
Yang Weihua happily raised his glass.After shopping for five or six hours, the two of them bought all the daily necessities that they might need in the house behind the medical university.There are not only TVs, refrigerators, washing machines, etc., but also small appliances such as microwave ovens, dishwashers, and ovens.Even the curtains, they only submitted the dimensions, and the manager in charge of receiving them at the Friendship Store repeatedly promised that they would all be delivered on time and placed tomorrow.With a glass of champagne in his mouth, Yang Weihua's face was a little less tired of the past.She was tired, but she smiled excitedly, watching Lao Sun pour herself another glass of wine."
You're going to get drunk.""
It's okay, let's take a walk after dinner, and then drive home when the wine goes down.""
Go to the movies?""
Okay."
Lao Sun immediately agreed, and then saw a smile like a flower bloom on Yang Weihua's face.Yang Weihua muttered: "I don't seem to have watched a movie for ten years."
No, since I was pregnant with Xiaozhi, I have never entered the cinema again. ”Lao Sun stretched out his hand, Yang Weihua hesitated, and handed his hand over."
Wei Hua, you smiled so well and beautifully just now.Smile a lot, I'll watch a movie with you when I have time.Good no good?
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”"Good!"
※※※※※※※※※※※※※※※※※※※※ April 1, 2020, the U.S.
FDA issued an announcement requiring all pharmaceutical companies to immediately remove and recall all ranitidine drugs because they contain carcinogenic N-nitrosodimethylamine (NDMA), which will gradually accumulate over time or above room temperature, exceeding the acceptable safety level for humans.I wish it was an April Fool's joke.This drug is too widely used in clinical practice.() The distance is a bit far