That night, the uproar in the emergency department became a hot topic of discussion for a long time this year.In order to complete the sorting of the handouts, Li Min delayed until 11 o'clock before going to sleep.As for Mu Jie, he stayed up all night, and he had to hand it over to Li Min's younger brother tomorrow to take back after running all the programs and checking that there were no bugs.He slept too late and didn't respond when Li Min got up.So after breakfast, Li Min told Xiaofang: "Your Uncle Mu doesn't know what time he goes to bed, you can be quiet at home."
Boil some millet porridge, when will he get up and when will he eat it. ”"Okay."
Xiaofang agreed.Then Li Min asked Xiaofang to wait for her brother to arrive before going grocery shopping, or let Xiaoyan bring some greens.Then inform Xiaofang that her parents will arrive today, and prepare the fish and meat in advance.After arranging the housework, she went to work with a schoolbag and thick handouts.At the east gate of the hospital, Xie Xun caught up from behind her.Ask her, "What are you?"
Hugged so much. ”"It's a neurosurgery handout for interns.There is a film with slides, so there is a lot to look at. ”When Xie Xun was waiting for the elevator, he had to look through a few sheets, and then said, "Isn't this similar to the "Internal Medicine Manual" issued by our Medical University?
”"yes.However, the University does not have a surgical manual.Last year, you can only meet what cases will be.After more than half a year, the types of neurosurgery diseases are basically complete.In addition to the types of diseases, I also added the treatment of unexpected situations that will be encountered during post-operative treatment. ”"You're thinking that an intern will come to an internship with this?""
It's better to have a reference than to wait for me to repeat everything.""
That's still a big class for interns.""
Yes.But for daily treatment, I can tell them to memorize the manual before contacting the patient.Multiplier. ”Xie Xun nodded, feeling that his general surgery department should also sort out such a manual.When the elevator reached the 11th floor, Li Min nodded to Xie Xun and went out first.Xie Xun's fists clenched and loosened, loosened and clenched again, he could no longer concentrate on personal skills, he should also think a little more and take on a little more surgical work.* When Li Min arrived at the office, he first opened the window for ventilation, cleaned up, and then went upstairs and downstairs with Dr.
Zheng, the chief resident of the hospital, and took the intern students to round the ward and revise the medical orders of individual patients.It was almost eight o'clock when all these things were done, but both of them were confident about Corey's situation.There was no morning meeting today, so Li Min said to Dr.
Zheng: "Senior brother, I'll go to the director's office on the eleventh floor."
You call if there's something.Dean Chen may come over today. ”"Okay."
The two doctors went home to save their relatives, and Li Min grabbed the two interns who were in the turn of the neurosurgery department and handed them over to the day shift nurse."
Xiao Wu, on the eleventh floor, they watched this morning, and they had something to do to let them run errands.I'm in the director's office. ”"Okay."
Xiao Wu happily agreed, and began to work with the two interns.These two have been practicing in neurosurgery for 12 days, and now they can be used by people in the top half.Another reason is that Xiao Wu, a nurse, is reliable, so after Li Min explains clearly, he can rest assured that he can go back to the office to be busy with himself.It was almost half past eight, and Chen Wenqiang sent his daughter over."
Teacher.""
Xiao Li, Xiao Yan'er will be handed over to you, and I will go to the hospital first.""
Okay.""
Yan, study hard here with your Sister Li.""
Uh-huh."
Miss Xiao Yan'er took out the roll of paper and said, "My dad is going to deal with the matter of jumping off the building, Sister Li, do you know who jumped off the building?"
”"Yes.At 9:30, we discussed jumping off the building.How is it?
”"Okay."
*The kindergarten teacher who jumped off the building last night was in the emergency room for observation.But Cao Xiu'e chased her to the emergency room for a while to "vent".In the middle of the pursuit, he knocked down other patients who were under observation......
Then the patient and family members who were knocked over complained.Due to the special nature of the patient, Chen Wenqiang was invited by Director Qin of the Medical Department to deal with the complaint as soon as he arrived at the hospital.This patient came to the hospital in the dark.If Chen Wenqiang wants to say that the family is not brainy, tomorrow is May Day, a public holiday for the national holiday, even if you come three hours early, the outpatient clinic will receive the ward according to the condition.When I go to the emergency department at night, the emergency department naturally has to stay for observation according to the regulations, do all the tests that can be done, or have a clear diagnosis, or in the name of waiting for investigation for various reasons, and wait for the 2nd to go to work normally, and then send it to the ward.The emergency department does this, and no one can say that they are wrong.They have sufficient grounds to act according to the rules of the hospital.It's just that they have raised objections to this practice, because there is a commission for the examination.
——The full set of examinations and emergencies are completed and then admitted to the ward, which affects the bonus of the ward.But Director Xiang and Zhang Zhengjie were unforgiving, and the two of them said directly: "You can earn the part of the bonus for the medicine." ”It is said that the ward earns the bonus for the part of the medication, but the emergency department has given long-term medical orders, and the ward generally does not completely overturn it, which leads to the medical representatives who are difficult to enter the ward, and they rush to the emergency department.There is no curfew in the emergency department, so anyone can come and go.Even the emergency surgery ward is open every day.Both the medical and surgical departments are less expensive than the fruits of the season, and even the small benefits provided by various medical representatives have also been reduced a lot.The surgery department was still calm, but the unhappiness of the internal medicine department was stopped by Chen Wenqiang on the grounds that no one likes to go to the emergency department, and the low emergency bonus will affect morale.With Chen Wenqiang's official support, Xiang Taihe, director of the emergency department, and Zhang Zhengjie, deputy director of the emergency surgery, teamed up to win the hearts of the people in the emergency department, and the two of them would not let go of a penny, and they thoroughly consulted all the regulations of the hospital.The income of the emergency department has gone up, and it is not uncommon for serious cases to be observed in the emergency department for 24 hours.But as long as the emergency department did not delay the diagnosis and treatment of patients, Chen Wenqiang also went to them.If you are hospitalized in any department, you must not have a check-up first.But Cao Xiu'e's righteous indignation last night caused Director Qin to be invited to the hospital early in the morning by Section Chief Lu, who was on duty at night.The reason is that the cause of this incident is Dean Fei's son, and the trouble is Dean Fei's daughter-in-law and his son's junior.It's not something he can handle.He made great efforts to appease the patient, saying that he would report the matter to the leader at dawn today, but he didn't dare to go to the kang across the pot - he would call Dean Chen without notifying Director Qin.Director Qin also heard about jumping off the building last night, and when he arrived at the hospital, he first asked for the patient's medical records to see what kind of patient it was.But when he saw the emergency medical records, he began to worry, he didn't know what the exact diagnosis of the patient was.He called Chen Wenqiang's house and no one answered the phone, and when he called Dean Shu's house, no one answered the phone.He looked through the whereabouts of Dean Shu and Chen Wenqiang and found a common number.M, these two have a really good relationship!
It's just a day off, and this is living under one roof.I have the ability to live together every day.
(Don't blame him for thinking so, he doesn't know the relationship between the two.) ）*Chen Wenqiang looked at the patient's medical records and frowned.The existing medical history is extremely simple (emergency medical records and inpatient medical records have different requirements).A 56-year-old man was admitted to the hospital with sudden bilateral abdominal pain for half a day and worsening for two hours.Well, this complaint barely passes.History: Started emaciating in the past six months without obvious triggers, and lost about 5 kilograms of weight.On examination, there is no heart murmur, a soft abdomen, and a palpable spleen under the left costal margin.There is no tenderness in the whole abdomen, and there is no rebound tenderness.Massive fragmented hemorrhage can be seen under the fingernails.Complete blood count: WBC is high, but in the normal range.Classification is also within the normal range.I didn't come back for any other lab tests.The scheduled abdominal CT examination has been scheduled until the afternoon of the 4th.Fortunately, there was an emergency abdominal ultrasound, and the results showed that there were many small nodules with uneven density and different echo heights in the liver and pancreas.Ultrasound diagnosis: hepatopancreatic mass lesions?
Splenomegaly.CT of the abdomen is recommended to rule out liver cancer of small nodules."
What are the requirements for patients and families?""
Apologize.""
Then let the troublemaker apologize."
Chen Wenqiang's tone was not good: "What are you looking for me to do in such a thing." ”"That's right, Dean Chen."
Section Chief Lu hurriedly replied: "The patient's family didn't know where they heard about it, and the people who knocked him down were the daughter-in-law and junior of Dean Fei's son, and he asked the servants to go together to apologize to him." ”"And such a thing?"
Chen Wenqiang asked suspiciously."
Yes.I communicated with the patient's family for a long time last night, and finally reported to the hospital leaders today to calm them down. ”Chief Lu touched the non-existent sweat on his forehead and said, "There is no one in that family who is reasonable." ”"Director Qin, you inform Dean Fei, how to apologize to him for taking the idea, hurry up and deal with it.Xiao Lu, you come with me to see the patient. ”Chen Wenqiang felt bad when he saw the patient for the first time, and if he was not mistaken, the patient was definitely a sign of advanced tumor.* Dean Fei was so angry last night that his eldest son graduated from junior high school, but it was more than ten years ago, and he took a lot of effort to get him into the car class.Now make such a humiliating thing for yourself!
If it weren't for the eldest son not around, he would have been able to hack him immediately.But he wanted to go to the fund-raising building to find his son, so his wife persuaded him: "It's a big night, you go over at this time, it's not enough to add materials to those long-tongued women in the provincial court."
Let's go back tomorrow morning. ”I persuaded him for half a night, and persuaded him that for the sake of his grandson, his son is in his thirties, and I believe that with his daughter-in-law's intelligence, he will definitely be able to understand with his son.Dean Fei was so angry that his liver hurt and his head hurt, and there was no comfortable place in his body.Others lie in bed, tossing and turning, but they can't sleep.Tossing and turning made his wife not sleep well."
You said that kindergarten teacher, how did he get on it?
Yes?
”"Send the child.The eldest daughter-in-law hasn't given away a child a few times over the years, what's so strange about it. ”Mrs.
Yang disagreed."
Our provincial hospital still has one less gay man to send children?"
Mrs.
Yang was silent.After a long time, she said, "Won't I be twisting my waist and unable to move after this year?"
The eldest and his family were not on time to get off work, and our eldest grandson was sent back by the kindergarten teacher. ”Dean Fei immediately understood the basic conditions for the accident.The eldest son sends Dean Fu to the branch every day, leaving early and coming back late; I have been busy with the move to the west for more than half a year, and I can't go home on time; The eldest daughter-in-law and the second son were transferred to work in the branch, and the daughter went to pharmacy school last fall; My wife can't pick up the kids.To sum up, it gives people the opportunity to enter the house.Dean Fei was so angry that he pounded the bed and smiled bitterly.This is also a fool, he can't get into Zhenggao this year, and the second line is imminent......
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Speaking of which, the transfer of the eldest daughter-in-law and the second son to the branch is also one of the ways out that Dean Fei planned for his children.Because the director of the pharmacy department of the branch hospital retired a few years ago, he discussed the vacancy half a year ago, and he has not been able to find a suitable candidate.For the supervising pharmacists with intermediate titles in the pharmacy department, it is too far away, the bonus is too small, and the income will be reduced.Therefore, the team leaders of the outpatient pharmacy and the ward pharmacy here are similar, and no one wants to commute even if they are promoted by half a level.The more important reason is that Director Fan can't come up with a suitable candidate.She has worked hard in the pharmacy department over the years, but there is really no suitable candidate who is outstanding and can carry the business 100%.As for Director Xiao, the current deputy director of the pharmacy department, he has to manage the preparation room, which is where the provincial hospital makes money every day.Transfer him over, Director Fan can't take care of so many things alone.Later, she mentioned it to Director Fan of the Pharmacy Department, and she agreed to send the eldest daughter-in-law over to temporarily act as the director of the Pharmacy Department of the branch hospital.The assessment period is one year.If there is no mistake, he will be officially appointed as the director of the pharmacy department of the branch.Is Cao Xiu'e willing to go?
Willing.She graduated from Night University last year, and although she has the name of Medical University, it is only a junior college.Stay here, and at the end of my life, I will be a pharmacy team leader.And the team leader of this pharmacy, she may not be able to get it.In the past few years, several undergraduate students have been admitted to the Department of Pharmacy.As for the less bonus, the lower income, and the father-in-law's subsidy, where is there still so much money.The three of them all eat at their in-laws' place, and their father-in-law pays for their clothes, so they buy some things for their parents during the New Year's holiday, which means nothing.But she accepted the position of director of the pharmacy department at the beginning of the branch, and countless jobs were waiting for her to learn and do.Although she can take Dean Fu's car to go to work, Dean Fu will not wait for her after work.Naturally, the commuter bus will not wait for her.So, if she can't get off work normally, she will live in a bachelor dormitory over there.As for his second son, he can come back every day by rubbing the car or taking the commuter bus in the yard.But when he came back here, it was almost after six o'clock in the evening.So, the child became a kindergarten teacher and sent home every day.* Dean Fei figured out the reasons before and after, but he was even more angry."
It's still ridiculous.The children are sent home to us. ”"There is no reason for vain envoys to call people.You're not the head of the kindergarten.I sent the boss to give the teacher a few gifts.That's probably how familiar it is. ”"Then how did he get people to the fund-raising building?"
The little girl's eyes were shallow.What else does this say.If she doesn't go to the fund-raising building, the boss can still tie her up and resist. ”The truth is this.But Dean Fei has never done such a thing in his life.He was so angry that he couldn't sleep anymore."
Alas.I don't know how our in-laws will come to the door tomorrow, how will we apologize.Don't get your boss divorced. ”"My grandson is so old, what is the difference?""
Don't just look at your grandson, you have to think about the second child and his sister-in-law, and the daughter was only sent to the pharmacy school last year.Do you dare to guarantee that your daughter can learn better than the second child?
”Mrs.
Yang didn't dare to guarantee it.The second child of his own family, he accompanies him to recite the pharmacopoeia almost every day, alas!"
You said these children in our family, alas!"
Mrs.
Yang was also worried.I finished junior high school, and my second son and daughter both went to high school.But it's not that hard to memorize the pharmacopoeia by yourself, this second child.Dean Fei mentioned that his children were not angry, and he almost vomited three liters of blood.When his parents died early, an orphan, he could study hard and be admitted to college by all odds, why did his own children, alas, not have any of them to learn and open their minds.Speaking of her children's incompetence, Mrs.
Yang has nothing but to sigh."
The three children looked okay when they were young, why didn't any of them be admitted to college."
But she still wanted to say two good words for her second son."
Old Fei, don't be too angry, the second child is not as bad as you said, isn't he also working independently in the branch now.That's pretty much an opening up.If we can do it in the future, we will go to study for a night like the eldest daughter-in-law, and we will be able to relax our hearts. ”() The distance is a bit far