Director Shi's request to Yang Weiguo was serious and he could not refuse.On the twelfth floor of the provincial hospital, a department where there is a shortage of attending physicians, he Yang Weiguo should take on his own responsibility.But as he said just now, he is not brave enough, he is afraid of the future......
"Okay, you go back and think about it, call me at 9 o'clock tomorrow morning." ”Director Shi didn't want to look at him anymore.White grew tall, great, and strong.Why are you so daring?
Pan Zhi came from a distance, and they had already seen each other.Therefore, Pan Zhi quickened his pace, and Director Shi looked in the direction Pan Zhi came from, and said in his heart: "It's just right, let's finish everything." ”"Little Pan."
Director Shi greeted Pan Zhi loudly."
Settled?""
Yes.What's wrong with the director?
”Pan Zhi replied to Director Shi, and then nodded at Dr.
Yang."
I just told Lao Yang to let him take on the work of the attending physician on ward rounds once a week.What do you think?
”Pan Zhi immediately replied, "I will follow your arrangement. ”"And you're once a week, too?""
Okay.Then director, let's go, is it better for me and Lao Yang to stagger the date of your ward round.That, I mean that we can do a ward round every other day, and then urge Xiao Zheng to be more attentive, which should be able to avoid such a thing today. ”When Pan Zhi heard this, he thought of it on the spot.But his statement just spoke to Director Shi's heart.For Director Shi, becoming the director of the Department of Cardiothoracic Surgery of the Affiliated Hospital at the age of 48 is something he has been striving for.The name of that director is not only good-sounding, but also a poke of his success in his life.Successfully covered, he can calmly recruit graduate students, select the best seedlings, be his own big disciple, and create his own Shi era, but he failed in the competition that belongs to men's achievements.He was so unwilling.Did you swallow your anger until you retired?
The rest of your life chews the taste of failure day and night?
Just when he was tossing and turning, restless day and night, he happened to learn that Director Qiu of the Student Affairs Department of the Medical College was releasing news that the provincial hospital needed a senior attending physician or deputy senior physician in thoracic surgery.He didn't care about everything he had accumulated in the attached hospital for more than 20 years, and went to Director Qiu to find an opportunity to come to the provincial hospital.The cardiothoracic surgery department of the provincial hospital is a blank sheet of paper, except for Director Li, who is about to retire, there are no more specialist doctors.There are no wards inside, and there is no visibility outside......
If these don't come together, it means that there are not enough patients to do cardiothoracic surgery on their own......
But this difficulty of "being poor and white" has been overcome one by one.In three years at most, the cardiothoracic surgery department of the provincial hospital can go to the Affiliated Hospital of Jinzhou Medical College.Let those who were not optimistic about themselves in the past, let those who doubt their abilities in the past, let them open their eyes and take a good look at how they have established a thriving and thriving cardiothoracic surgery from the level of poverty and whiteness.But at this time, can the medical accident of a vassal department not be taken back to medical school by the intern?
Can it not be used as a talking point by those who opposed him in the past?
Who is to blame?
Blame yourself for being negligent.It's no wonder that Xiao Zheng, the general manager of the hospital, didn't follow up on the patients who were newly admitted to the hospital in Corey.blame Yang Weiguo for protecting his life, but he didn't manage the specialist patients well.lived up to the effort he had poured into him for more than half a year......
But no matter who blames him, he has to come up with a perfect remedy tonight so that he can assure Chen Wenqiang that this will never happen again in the future.In fact, Director Shi knew very well in his heart that the truth he didn't want to face was that he had loopholes in the management of the department.Now he just wants to make up for the mistakes, plug the possible loopholes first, and then go to Dean Chen to talk about it in detail.The sooner the better.The more detailed, the better.In this way, Chen Wenqiang can recognize his reflection, and so that Chen Wenqiang can rest assured.Doctor Yang saw that Pan Zhi mentioned the hospitalization chief Xiao Zheng, and when Director Shi pondered for a while, he said tentatively: "Today's incident, if Dr.
Zheng had half of Li Min's sense of responsibility, he should have been able to avoid it if he went to see the patient seriously."
That, that, director, I'm not saying this to excuse myself, I will pay attention to Xiao Huang's patients every day in the future. ”* Pan Zhi is also one of the people who doesn't want medical malpractice on the 12th floor.He pondered and suggested to Director Shi: "Director, why don't I do a ward round every Monday afternoon, what do you think?"
”"Okay."
Director Shi readily agreed.His voice was palpable in his approval of Pan Zhi's proposal.It is not a loss that he proposed to Chen Wenqiang that Pan Zhi should come to the cardiothoracic surgery.In the end, Pan Zhi is still more eye-catching and responsible than Yang Weiguo.Pan Zhi took the initiative to exercise the attending physician's right to make rounds on Monday afternoons because the chief on the twelfth floor scheduled rounds every Wednesday morning.What Director Shi meant was that Corey had to do four elective surgeries a week, two on Monday and Tuesday, a pause on Wednesday, and two more on Thursday and Friday.Seeing that Pan Zhi happily recognized it, Dr.
Yang muttered in his heart: Pan Zhi has been promoted to attending physician for two years, and his next step is to be the deputy chief physician, he graduated earlier than Dr.
Zheng and Xiao Huang, of course he is not afraid to check on them.But he may not be able to be promoted to the deputy high school earlier than Dr.
Zheng.No, I may not be able to be promoted to the deputy high school in my life.Not right either.Although I am worried, I can't destroy my ambition.But Pan Zhidu has made a statement, and he can't be silent.So he mustered up the courage and said, "Director, I'll go back and think about it, and I'll call you again when I've thought it through." ”"Good.Let's go, let's go home and eat. ”It was dark, and the night breeze in spring was actually cold.Director Shi looked up at the sky, and the curved first quarter moon was like a sickle, hanging not far above the side of his head.* Yan Hong held the newly awakened baby Pan Jia and looked into the distance from the window, hoping to see Pan Zhi come back.It's easy to see Pan Zhi's figure, getting closer and closer to home in the half-bright and half-dark street lamp, but he was intercepted by Director Shi to talk.Yan Hong took Pan Jia's baby finger and pointed: "Baby, the youngest and most handsome is your father." ”Xiaoyan came over to the window to look, "Aunt Hong, I'm going to give Uncle Pan a hot dish?"
”"Wait, they might have something to talk about.""
Hmm.Let's wait a minute. ”Xiaoyan stood behind Yan Hong, shaking her head left and right to tease Pan Jia to hide and seek, and Pan Jia's head followed her back and forth.Sister Luo came over to pick up Pan Jia, she said to Yan Hong: "Xiao Yan, give me the baby, I'll give him a pee, he should almost pee." ”"Okay."
Yan Hong handed the child to Sister Luo.On May Day, Yan Hong's parents saw that their daughter and grandson were well taken care of by Sister Luo, so they supported the young couple to keep Sister Luo for another month.Sure enough, leaving Sister Luo to help take care of her son, Yan Hong felt that her life had not changed much because of her son.Sister Luo took the child away, Yan Hong stood at the window doing exercises, and she and Xiaoyan paid attention to the three men talking under the street lamp until the three entered the building."
Let's go for the hot dishes.""
Hmm."
Xiaoyan promised to get busy.Yan Hong took over her son after urinating, sniffed the milk fragrance on her son's body, and said to Sister Luo with a smile: "Find the spot where he pees, you can wash more than half of the diapers." ”"yes.Seeing that summer is coming, he doesn't have to carry diapers and saves him from spanking. ”"Hmm."
Pan Zhi opened the door and came in, and saw his son staring at the voice, knowing that the child's eyesight could not recognize himself at present, but he still greeted his son with joy: "Baby, I know that Dad is back." ”Yan Hong hugged his son and beckoned to him: "The operation went well?"
Is it an ectopic pregnancy?
”"It went well.The interstitial part is ruptured.There is a lot of blood loss, and it is conservatively estimated to be more than 3500.Li Min told you?
”"yes, I'll tell you when I'm off work.We've all finished our meals and haven't waited for you. ”"You don't have to wait for me, you'll eat when you arrive.I'm too busy today for me to call you.I guess Li Min will tell you. ”Pan Zhi changed his clothes, washed his hands, and when he returned to the hall, Xiaoyan had already put the food on the dining table.The same dining table as Li Min's family.Yan Hong walked back and forth in the house with her son in her arms.When Pan Zhi had almost eaten, Yan Hong asked, "What are you talking about at the street lamp?"
”"Director Shi wants me and Dr.
Yang to start the attending physician's rounds next week.""
That's a good thing.""
yes, it's a good thing to ask for."
Pan Zhi told Yan Hong about the situation of the patient who operated on tonight."
If Director Shi hadn't done a serious ward round before getting off work, and waited until the patient was in shock before rescuing, the result would be difficult to say.But Dr.
Yang did not immediately agree to Director Shi. ”"Why?"
Yan Hong felt strange."
God knows what he thinks.Today's matter, if he had managed the urinary side, or Xiao Zheng had fulfilled his responsibilities, the patient would not have been so dangerous.Although Director Shi didn't say anything, I think he was very dissatisfied. ”"I won't be happy if I change the head of any department.This dead person is making a fuss, and it is an accident.The director also wants to eat melons. ”Pan Zhi put down his chopsticks, immediately took his son from Yan Hong's hand, and said happily: "The provincial hospital has done a good job in this, and there is no ambiguity in the morning and evening rounds."
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You know that the city yard where I used to be, the evening rounds are almost empty. ”"That's right.Hey, aren't you afraid of accidents?
”"Isn't there an intern in the ward 24 hours a day?
The interns of the medical university have people who are particularly serious in every phase.During the weeks when there were no interns, and it was the hottest day, Corey was basically fine. ”"You people, you're really to the bones."
Pan Zhi smiled, hugged his son and teased contentedly: "Baby, how many meals did you eat today?"
Do you miss your father?
”Yan Hong smiled and helped Sister Luo and Xiaoyan clean up the dinner table.
*Dr.
Yang did not attend the emergency surgery in the evening, he was called out by Director Shi after dinner.But when I got home, I couldn't read the book.The sound of the TV in the hall.He could have been able to get rid of it normally, but tonight he felt as if the sound of the TV was in his ears, and every word was so clear that it was deafening.But he can't say that he can turn down the sound of the TV, his parents-in-law are already behind their ears, and without such a loud voice, they can't hear the conversation on the TV at all."
Lao Yang, what did Lao Shi do when he went out with you just now?
Isn't it difficult?
I see that when you come back, God will not give up. ”Director Luo and her husband read books at one end of each case."
That's ......," Dr.
Yang told all that had happened in Corey that evening.Then he said: "Lao Shi wants me to take on the responsibility of the attending physician's rounds, and I will Pan Zhi one day at a time." ”"Then you can check it.The three-level ward round system is in the provincial hospital" Director Luo shook his head and sighed: "There is no name."
But the provincial hospital can't be blamed entirely.The ladies of the various universities of science and technology are not evenly armed, and the three-level echelon has not been established, and it is normal for the three-level ward round system to be reduced to a fictitious slogan.Historical reasons. ”Seeing that his wife said it lightly, Dr.
Yang said that he was worried that Dr.
Zheng and Xiao Huang might be promoted to the deputy high school earlier than him, and then turn back to check on himself and "retaliate" against him.Director Luo listened, her eyebrows raised, and she used all her strength to suppress her urge to scold Yang Weiguo."
That old Yang, how many years has it been since Xiao Huang graduated?""
It's going to be three years soon.""
Where's Dr.
Zheng?""
Four years.""
How many years have you been promoted to attending physician?"
Doctor Yang was slightly embarrassed, but under Director Luo's forced gaze, he said, "I was promoted at the end of 86."
It should be counted to be approved in 87. ”"So, you're eligible to apply for the deputy high school this year.But you don't have essay and foreign language test scores.Take a step back and you're going to have all of this ready next year. ”Director Luo knocked on the professional English book in Yang Weiguo's hand and said: "Just such a little thing, you can't pass the exam this year, you can't pass the exam next year?"
I can't help you if I talk to you in a foreign language.However, from the attending doctor to the associate high school, the normal undergraduate student is to serve as the attending doctor for 5 years.And Xiao Zheng and Xiao Huang, they haven't even been promoted to the attending physician, you just want to be 'retaliated' in five, six, seven, or eight years, can you still have a little ambition?
Yes!
”Yang Weiguo was so ashamed of being asked by his wife that he couldn't even raise his head.Director Luo secretly scolded her husband in the bottom of her heart!
But I have to be patient to analyze him: "If you don't take care of the urology matter, you are forcing Dean Chen to introduce specialist talents in disguise."
Do you remember thoracic surgery?
There were no stable inpatients at this time last year.As a result, you see that this year has started to go like this, is it basically stable at 3 or 4 surgeries per week?
”"Yes.It was 4 units per week for the last month. ”"Yes, your current urology patient is much better than the thoracic surgery you did last year.Think about it, if Dean Chen brought in a similar deputy chief physician from outside, would he be able to support the Department of Urology soon?
Where are you going to stand then?
”Dr.
Yang is even more depressed.Director Luo was angry: "Hey, Lao Yang, you look up for me." ”Dr.
Yang raised his head with difficulty, but his eyes did not dare to meet Director Luo's.Director Luo had no choice but to slow down his tone to explain him: "Director Shi's request is actually to give you a chance, learning to do ward rounds and being able to check well is the only way for the section director."
Now that the urology department is not pressing you, Director Shi has opened the thoracic surgery to you, what are you afraid of?
”"Me?
I've never been a team leader in my life.I......
Alas!
”This made Luo Ying, who has been a squad leader since he was a child and then used to being a leader all the way, speechless.This man was so cowardly when he was a child, he wasn't even a group leader.She thought about it and asked from a different angle: "Lao Yang, what do you think of bringing interns this year?"
”"I guess so.I did everything required by the internship syllabus. ”"In fact, there are standards for the attending physician's ward rounds.""
What standard?""
You've studied at the Medical University Affiliated Hospital, right?
Think about how the attending physician and the director made rounds at that time.You just do it like an intern. ”"Luo Ying, I'm not afraid of you laughing at me, at that time, the urology department of the Affiliated Hospital of the Medical University was rounded from top to bottom: Is there something wrong with this patient?
No?
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That next.There was also nonsense on the operating table, and they only spoke up when the consultation and death were discussed. ”Later, Chen Wenqiang became the director of the Department of Trauma Surgery, and during the period of his ward rounds, he would ask from the medical history to the physical examination, and even let go of the test sheet.Let me ask this, mainly," Dr.
Yang said hesitantly: "I asked Xiao Zheng Xiaohuang like this, and Director Shi asked me like this, what should I do if I can't answer?"
”"Then how does Lao Shi check on your patients now?""
He's like a professor at the Affiliated Hospital of the Medical University, asking if this patient is okay, right?
If it's okay, I'll be next.That's it.Since I went to work, except for Dean Chen, everyone has been doing this rounds. ”* Director Luo supported his forehead, no wonder Yang Weiguo was afraid of ward rounds.This person has not been trained as a standard, systematic resident since he came to work.But whether he passed through or not, he would never allow him to retreat now.Can't afford to lose that person!
So she picked up the place that her husband cared about the most and went under the knife: "Lao Yang, if you don't want to do ward rounds, you can go to the outpatient clinic."
Mixed in outpatient for 15 years, mixed until retirement.What do you think?
”Yang Weiguo shook his head like a rattle, "No, no, no, I won't go to the clinic." ”My son and daughter are not married, how can I go to the outpatient clinic?"
Then you take on the responsibility of the attending physician's rounds.How Dean Chen checked you, you can check Xiao Zheng and Xiao Huang as you did. ”Director Luo immediately widened his eyes: "I think it's Lao Shi who has made you live a lot of leisure."
That makes you forget where Shi Lei's smiling King Kong came from, doesn't it?
Let me tell you, Lao Yang, if you dare to admit him, do you believe that he will turn his face?
I'll take you under the knife next week.Kill a hundred examples, kill chickens and monkeys, be cruel to you, not to mention that you can scare Xiao Zheng and Xiao Huang, even Pan Zhi can be scared.You say, don't you?
”"Yes."
Dr.
Yang felt that the appearance of his wife's eyes immediately widening in front of him would definitely scare the attending physician, let alone the resident and intern, during the ward rounds.Director Luo felt that Yang Weiguo couldn't give him room to retreat.She immediately pointed to the telephone on the bedside table and said, "Lao Yang, you call Director Shi now, just one sentence: agree to the Friday afternoon round." ”Dr.
Yang couldn't hide, so he had to pick up the telephone and dial Director Shi's phone."
Lao Shi, I'm Yang Weiguo.That I was doing my rounds on Friday afternoon. ”"Okay."
Director Shi simply gave the word "good" and hung up the phone.He knew that he had found Yang Weiguo to talk, and it was okay for Yang Weiguo to agree, but if he didn't agree, Luo Ying wouldn't have looked at him and hid back.Director Luo waited for her husband to hang up the phone, and then said, "Okay, I'm not worried about it, hurry up and read English." ”Dr.
Yang nodded, this time he could see it.When he was ready to rest at ten o'clock, he secretly took a sip of himself, isn't this a backward step away without leaving, and he is cheap!
* Chen Wenqiang left the operating room and went to the director's office on the 12th floor.Dr.
Zheng, the general resident of the hospital, was told when he returned to the department after the operation: Dean Chen was waiting for him.In the director's office, Chen Wenqiang sat expressionlessly behind the ownerless desk opposite Director Shi, and he bent his middle finger to gently tap on the table, but the very low percussion sound sounded in Dr.
Zheng's ears like a war drum."
Dean Chen, I was wrong."
Dr.
Zheng pondered for a long time, and finally spoke up."
Today I was negligent.I won't anymore. ”"Your negligence is an explanation, huh?"
Chen Wenqiang was very angry, he wanted to point at Dr.
Zheng and scold, but the raised finger retracted."
If you admit her to the hospital for treatment, even if it's a ureteral stone, and you don't take it seriously, haven't you thought about it, haven't you thought that the pain will cause death?"
Dr.
Zheng shrank back.He swallowed back into his stomach what he thought Xiao Huang could handle the patient."
Why should I set up a general inpatient in Corey?
Why is it required to be responsible for the total 24-hour hospitalization?
”Chen Wenqiang's anger couldn't hold back in the end, and he began to reprimand Dr.
Zheng with his head and brains."
Zheng Qiang, can you concentrate and devote your energy to clinical work.You basically don't have to take care of the patients on the eleventh floor, and there are less than sixty patients on the twelfth floor, why can't you close them, ah?
You give me a reason. ”Dr.
Zheng pouted, and he couldn't say a word."
When Li Min was the general inpatient officer, she was in charge of the upstairs and downstairs, I don't say the number of patients, how many departments are involved in the diseases she manages, are you just the general inpatient of thoracic surgery?
Patients with extracerebral trauma, burns, and urinary diseases, you touch your heart yourself, and how much effort you put into it.Orthopedic patients, you have nothing to do with it, do you still want to go to orthopedics or trauma surgery for a year and a half?
”Chen Wenqiang was angry, why didn't this young man put his work first."
If you don't want to be a hospitalist, just say it.You see which department in our provincial hospital doesn't need to be on duty, you can go wherever you want.My clinic is not a place for fictional stories.Any patient admitted to the hospital has the possibility of death due to any negligence.I don't want you to regret your negligence at work, if you can't work hard, change your major as soon as possible, so as not to mislead others and yourself. ”"Dean Chen, I will carefully check every patient admitted to the department in the future."
Dr.
Zheng's voice was not loud, and his serious persistence was in his apprehension.Chen Wenqiang was silent for a while, and just when Dr.
Zheng thought he would be kicked out of the thoracic surgery, he saw Chen Wenqiang stretch out his finger.Chen Wenqiang said: "Again and again, two and no more.Last time, Director Shi had already given you a chance because he didn't take care of the patients on the eleventh floor.Today is the last time, and you can do it for yourself in the future. ”"Yes.""
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Alright, let's go eat.Go and come back soon. ”"Well, thank you, Dean."
Dr.
Zheng took a step back, bowed to Chen Wenqiang, and left.He opened the door of the director's office and saw today's culprit standing a few steps away, Dr.
Huang."
Senior brother."
Xiao Huang had a cautious and flattering smile on his face."
Senior brother, I'm sorry, I'm the one who caused you.""
Dean Chen is very angry."
Dr.
Zheng shook his head and said, "Hurry up and go in and admit your mistakes." ”"Yes
.
"() The distance is a bit far