If the hospital has no money, the big guy will make up for it.Chen Wenqiang put forward this idea, and Director Liang was stunned for a moment and asked, "How did you come up with this method?"
It's not like you. ”"I was doing my ward rounds just now, and a patient said that their factory raised funds, 1,000 per person, and gave 10% interest, and it was not okay if he didn't pay it.He was hospitalized for surgery this time, and his family was tight, and he asked me if I could give him some cheap medicine.I just realized that we took out a loan from the provincial hospital, and begged my grandfather to sue my grandmother, and he said that it was a low interest rate for us, and it was 11.7, and the fixed deposit was only 8% for five years.We're not making money for the bank!
”"Then you mean a thousand for one person, and 10%?"
Director Liang said tentatively."
That's what I just thought.I have to report to the council and have a meeting to discuss it. ”Chen Wenqiang was a little uncomfortable.There is no basis for what he said, but fortunately Lao Liang is no one else.Director Liang thought for a while and said seriously: "If you want me to say, don't suggest a hard apportionment.There are a lot of people in our provincial hospital who have a little bit of a bottom in the family, and if they are voluntary, maybe many people will participate in the fundraising for 11,000 yuan. ”"Will you?""
Of course I will.You just said how much is the five-year term in the bank, and instead of giving the bank our money to make money, it is better to use it to raise funds in the hospital.However, the money is stored in the bank, and if it is to be used, it is calculated according to the current interest when it is withdrawn in advance.What about this fundraising?
Can I pick it up in advance then?
You have to have a charter for this. ”"There is a difference between participating in the hospital fundraising and depositing money in the bank.The money went to buy equipment, and what to take was taken in advance.I'll talk about it when it's due. ”Chen Wenqiang thought about it and said: "Otherwise, whoever has the money will transfer it privately and negotiate it himself." ”Director Liang nodded and asked, "Do you only buy those laparoscopes?"
”Chen Wenqiang shook his head and said, "More than that."
The Department of Internal Medicine has applied for a batch of bedside ECG monitors as soon as possible.On the surgical side, I don't think three care units per floor are far from enough.I took a look, and we actually have 7 private rooms on each floor.In addition to the nurses in each department who are used as duty rooms, there are also three private rooms that have to be used in a way. ”Director Liang is very much in favor of Chen Wenqiang's plans.But he put forward a different opinion: "I think it would be more appropriate to change the large wards of eight people to four-person rooms."
Because our first-level care is a 15-minute round, there is no need to configure one-to-one special care like the ICU, and one nurse sees four postoperative ones, which is better than three intensive care units. ”Chen Wenqiang groaned when he heard this.After a while, he said: "Lao Liang, you make sense to say this, changing to an eight-person room is basically enough for a week after surgery."
Let's take a closer look at how to make the use of the wards on each floor more reasonable. ”…… Chen Wenqiang's proposal was quickly approved at the school meeting.Finally, the notice sent to all employees is that the hospital is ready to raise funds from all employees in order to purchase medical equipment.The term is three years, 1,000 yuan per share, and the interest is 10%, but it cannot be withdrawn in advance, and the real-name system can be transferred to the staff of this hospital.Li Min went back to discuss with Mu Jie: "How much should I pay?"
”Mu Jie didn't have to think about it, so he said: "You have that manuscript payment, and it's not appropriate to pay as much as you want."
Ask Dean Chen, and he should give you a real number. ”Li Min immediately called Chen Wenqiang and asked, "Teacher, how much should I pay for the fundraising?"
”"If you want to have a child at the end of the year, you must set aside at least 10,000 or 8,000.""
yes, I see."
Li Min put down the phone and told Mu Jie what Chen Wenqiang meant.Mu Jie thought about it and said, "You go and ask Yan Hong to see how much she pays." ”“？”"
Your remuneration, if Dean Chen doesn't want others to know about it for the time being, you'd better be like Yan Hong.Either it's the money I earn from programming, and you have to say that it's my younger brother's earnings. ”Li Min immediately understood what Mu Jie meant.The remuneration for the authorship......
Forget it, let Pan Zhi's decoration team top the name.Li Min went to find Yan Hong, and the two of them took the child to the master bedroom to discuss: "Rainbow, how many fund-raising funds are you going to subscribe?"
”"It's only 10,000 yuan at most."
Yan Hong's expression didn't look like a fake.Li Min was surprised: "Why?
How is it so little?
”"Minmin, I have been on maternity leave at home for the past few months, and I only have a basic salary, but these months are the time when my family's expenses are the highest.And Pan Zhi has gone to your department, unlike the surgical opportunities in the general area, I am talking about the opportunities for the surgeon.Now the older thoracotomy is done by Director Shi, you know, right?
”Li Min thought for a while and said, "It will be different when you go to work in August."
At that time, Pan Zhi would definitely be able to get more opportunities as a surgeon.I think Director Shi will let him be a surgeon. ”"Let's talk about that then.Anyway, Pan Zhi and I are definitely not as good as last year this year. ”"You've had the biggest harvest this year.You think about Pan Jia, don't you?
”Yan Hong lovingly grabbed her son's little hand, bit it gently, and replied to Li Min, "Yes." ”Then she asked Li Min, "Then how much are you going to buy?"
”Li Min thought for a while and said, "I'll add 20,000 yuan to you, let's buy the same one."
When the time comes, you will say to the outside world that Pan Zhi gave it to his family. ”"Where did you get all this money?"
This time it was Yan Hong's turn to be surprised."
There's my book, and there's Mujay's programming.The fundraising proposed by Dean Chen, the two of us must support it with practical actions.In addition, the high-interest bonds of last year are also hard to come by.It is not interesting to have a bank that has a lower interest rate than a hospital fundraiser. ”"That's fine.Then you can buy it in my name. ”"Rainbow, haven't you seen me?
In the past two years, you have not helped me with money. ”"Then I may not be able to meet you in a short time.""
You don't have to pay me back in a hurry, it's not good for me to pay so much money at once, you are helping me."
Yan Hong smiled, no longer talking about the interest of the raised funds, and turned to tease Pan Jia, who was in Li Min's arms."
Minmin, let me tell you that the baby didn't hug Xiaoyan yesterday, and said nothing.In the end, it was Sister Luo who found out the reason and said that she had a fishy smell on her body.You say he's so small, why is his nose so good?
”"He only recognized you by his nose as his real mother."
Li Min sniffed the milk fragrance on Pan Jia's body, and said with a smile: "Your son is getting more and more beautiful, maybe he will be the first in the provincial hospital in the future." ”Yan Hong smiled proudly: "That's, you don't look at who his parents are." ”"Say you're fat, and you're gasping.This is Pan Jia's own president. ”Li Min slapped Yan Hong's hand away: "I'll just hug this for a while, and when I go home, you have time, and you can hug as much as you like." ”"Yes, it's President Pan Jia."
Yan Hong retracted his hand and smiled for himself: "But without the excellent genes of me and Pan Zhi, he can still grow like this out of thin air." ”"Pull it down.Look at Dr.
Wang downstairs and his son, he and Dr.
Yang of the ophthalmology department are both good-looking, do you dare to say that the genes of the two are not good?
”"Blind to his parents' beautiful genes."
Yan Hong shook his head with an indescribable expression: "That kid probably combined the worst things about his parents."
The kid didn't seem to be here for almost a month. ”"Hey, Rainbow, let me tell you that I've met Yang Weihua's current husband several times.That person, tsk......"
"How's that?"
I heard that it was an official. ”"That man must have been a soldier before."
Li Min said very firmly."
Free novels bring you joy and joy ---> storyskyline.net
Is it the same kind of person as your Mujay?"
Li Min nodded again and again, "The posture of standing with a straight waist is the same as Mu Jie."
I've been to our Cory two or three times, and each time it's been very polite. ”"Who is in his family hospitalized?""
Not his family, it's the child of a comrade in his office.Operated on Saturday. ”"Oh.How about him standing with Yang Weihua?
”"I think it's better than matching with Dr.
Wang.When you go to work, you go to the ophthalmology department to see Yang Weihua, she seems to be getting younger and younger. ”"I'm in a good mood."
The two talked about some miscellaneous things, and then Li Min said goodbye and went home."
Mu Jie," Li Min told him the result of the discussion with Yan Hong."
That way, I don't have to be too conspicuous in the hospital.""
Okay.How much do your comrades in the hospital usually pay?
”"Like the head nurse, if they didn't have a fixed deposit, I estimate that there would be twenty or thirty thousand.Because when buying a fund-raising house, there are a lot of people who apply for three rooms.As for Director Liang, it is estimated that they will only be more than the head nurse, and will not be less than the head nurse.I don't know the specifics. ”Mu Jie nodded, and then said, "Do you know how much money your hospital is going to raise?"
”"I don't know.At the morning meeting, the head nurse said that only 10% interest would be given every year and that it would be returned in three years.It's hard for me to ask Dean Chen about this. ”"Don't ask.The phone call you just made showed that you supported Dean Chen's decision. ”"Hmm."
*Fundraising has become the biggest hot topic of the week in the provincial hospital, even overshadowing the success of Xie Xun's first laparoscopic surgery, and also overshadowing the unexpected event of a neurosurgeon dying on the operating table and a patient who died overnight after being sent to the ICU.For Li Min, the shadow of two consecutive deaths on Thursday and Friday also overshadowed the good news that Mu Jie brought back from a re-examination at the railway hospital.Mu Jie advised Li Min: "In terms of probability, no matter how careful you and Dean Chen are, you can only avoid human errors."
There is no way around a death like this that you cannot control.Isn't it?
”Here's the thing.But Li Min just felt very uncomfortable in his heart.…… Chen Wenqiang also felt bad.But in neurosurgery, no one can be 100% immortal on the operating table.He understands all this truth, and it is not the first time he has encountered this kind of thing on the operating table.But if it really happened again, he still couldn't avoid the discomfort in his heart.At this time, Dean Shu, who was sitting in the courtyard with him, had already persuaded her for a while and talked to him about the probability of an accident in surgery."
Lao Chen, I have gone to see the medical records of these two patients.The family of the deceased accepts it, you have to blame yourself again, you can't get along with yourself, that's too much. ”Dean Shu tried his best to persuade Chen Wenqiang, who was frowning."
Lao Shu, you don't have to persuade me.I get it.We are doctors, and we can't save our lives if we can cure the disease. ”Chen Wenqiang sighed and said with regret: "These two patients, alas!
Although there is an element of dead horses being the doctors of live horses, I really think that the operation can be successful and can save their lives. ”"If you can't shake off their influence, I think you'll have to pause your surgery for a few days next week?"
Chen Wenqiang thought seriously for a while and replied, "No."
It's all arranged things, and it's not easy to change them at will.Don't worry, when I go to work tomorrow morning, I'll be fine.You and Lao Chu will go back first.Lest there be something at night, and we are both not good here. ”"Are you okay?
If you really do it, I'll call a car and go back first. ”"Okay, I'll stay here tonight.I'll be back early tomorrow. ”After Shu Wenchen and his wife left, Chen Wenqiang went back to the house to chat with his parents.Recently, he came back every Sunday night to stay overnight, and more often than not, Shu Wenchen and his family lived here."
Work?"
The old man opened his mouth to inquire in detail."
Hmm.On Thursday, a patient suddenly stopped beating and breathing on the operating table, and the operation was stopped for rescue after half a walk, and finally he was not rescued. ”The look of frustration on Chen Wenqiang's face flashed.Xiao Yin comforted him and said: "It is not uncommon for neurosurgery patients to have such intraoperative reactions. ”"What is the reason?"
The old man asked."
I don't know.Current medical science is not yet able to understand the cause of this sudden death. ”Chen Wenqiang thought about it and explained to his parents: "The operation did not touch a place that might induce cardiac and respiratory arrest.Maybe the brain is signaling to his body that he doesn't want to live, but all of a sudden his heart stops beating anyway. ”"That's right.It's not because of you, so you shouldn't feel guilty. ”"yes.If the doctor could cure all the diseases, there would be no dead people in this world. ”Both the old man and the old lady opened their mouths to comfort their son.Over the years, he has been the chief surgeon from his son, and every time a patient dies, he will be affected.What do you say about being a doctor, you are used to seeing death and you don't care, there is no such thing as a doctor here.This is also the reason why the old man is often annoyed in his heart and regrets letting him study medicine.The old man knows his son's temperament, and under his usually plain and inconspicuous appearance, he hides his enthusiasm for the world."
I'm fine.It's just thinking about the impermanence of the world.In fact, this doctor can't cure many diseases.Last Thursday, I had a glioma come for a follow-up examination, and it recurred just over a year after the operation. ”"Do you have another operation?""
I'm going to do it for him.Otherwise, he won't live long.But wait for the results of a full-body examination.Let's see. ”"Xiaoqiang," Chen Wenqiang's mother suddenly called him: "I heard that your hospital is going to raise funds to buy equipment?"
”"Hmm.There is no appropriation above, and Xiao Shu took out a loan to buy the first CT a few years ago, so that the auxiliary examination of the provincial hospital suddenly ranked among the top few in the provincial capital.Now the loan for that CT has been paid off, but the equipment is old. ”"Didn't your hospital buy a new one last year?""
Not enough.Nowadays, there are many people who make appointments for CT scans.Generally, it will be queued until three days later.It turned out that the one didn't work well enough.I'm going to dispose of it to the grassroots hospitals below and then add some money to buy new ones. ”"How much?""
Hundreds of thousands.I looked at the model number of the new machine. ”"How long will it take to get it back?""
Based on the current number of patients, it should be three years.""
That's good.Comrades of the same unit, although you borrow money to do things for the unit, it will not be good if you can't pay it back. ”"Mom, don't worry.This fund-raising to buy equipment is better than taking out a loan from a bank, which has to repay interest every month, which is higher than the interest rate of fund-raising. ”"Aren't you paying it back every month?""
No, once a year."
The old lady thought about it and said, "Your father and I still have a little here, you can take it." ”"No, I don't.I have it there.You ask Xiao Yin, is it?
”"Mom, don't worry, we really have.Didn't I tell you the remuneration he got home last time?
This time, we'll pay with that money. ”"Handed it all in?""
Hmm.I have to take the lead. ”*As soon as Dean Shu and Lao Chu arrived home, the phone rang.The husband and wife looked at each other the same, and Lao Chu walked over to answer the phone."
Hello?"
Lao Chu only had time to pronounce a word, and asked anxiously on the phone: "Director Chu, is Dean Shu here?"
”"In, Lao Shu, your phone.""
Hey, I'm Shu Wenchen, who is it?""
Dean Shu, I'm Endocrine Luo Ying.Dean Chen's family has no one, let me tell you. ”"Well, you say."
Dean Shu agreed and sat down."
The day before yesterday, our department admitted a 42-year-old woman with type I diabetic ketoacidosis.Blood glucose 32.1, PH4.6, hemoglobin 85.3.Yesterday there was a slight right bulbar edema after the acidosis was corrected. ”"Too much infusion?""
Free novels bring you joy and joy ---> storyskyline.net
Nope.The 24-hour volume of fluid is 4500ml, which is close to 10% of body weight. ”"What about blood sugar?""
It's 13.9 this morning.""
Blood sugar is going down a little fast."
Dean Shu was silent for a moment and asked, "Is the PH value normal now?"
”"It was pretty much normal last night.""
That's a quick correction.""
Yes, I also think it's the acid correction that is too fast.I saw that the PH value was normal and I was afraid that she would have an accident, so I had already taken symptomatic treatment last night, including methylcobalamin, VB1, furosemide and dehydration, to prevent cerebral edema, etc.But the patient is in a shallow coma this morning. ”"Did you have an MRI?""
I did it this morning.Extensive demyelination changes. ”"How is the patient now?""
Dead."
Director Luo's voice fluttered."
Huh?"
Dean Shu broke the credit."
Why did you die?""
I'm weird, too.I went to Corey today to do a round, because she was in a shallow coma, so she had an MRI in the emergency room.Magnetic resonance showed cerebral infarction and metabolic encephalopathy, and he was referred to the neurology department when he came back.The doctor on duty called me and said that the patient had passed away in the neurology department.The family has a lot of complaints.Said that people were much better yesterday afternoon, etc. ”Dean Shu stopped speaking when Director Luo stopped, "Huh?
”prompted her to continue.Director Luo said on the phone: "Now the patient's family has a lot of opinions, saying that our department has treated the person to death.Three or four people surrounded the doctor on duty.The doctor on duty tonight is the doctor in charge of the bed of the deceased - my student is inexplicable. ”"Did you notify the medical and security services?""
Informed.Chief Lu was on duty at the medical office, and I called him and said he would come right away.But the security office, the security office said that they had limited manpower on the night shift, and suggested that I find Dean Chen. ”"Okay, I see, I'll call the head of security, and I'll go over and take a look.""
I'm sorry for your trouble."
Director Luo waited for Dean Shu to put down the phone before she put back the microphone."
Old Yang, I have to go to Corey."
Luo Ying said while changing clothes."
I'll go with you."
Dr.
Yang just listened to his wife's call to Dean Shu, and guessed that something had happened to their department."
Okay, then hurry up
.
"* The doctor on duty in endocrinology is inexplicable, according to the regulations, she can rest for half a day yesterday afternoon.She informed Director Luo of the patient's condition before resting, and then she went back to the library of the Medical University to check the information.That's why Director Luo did his rounds last night and this morning.In the endocrinology department, if you don't receive a critically ill patient, most of the time, you don't do a ward round for three days (a slight exaggeration), and nothing will happen to the department.But when she left yesterday at noon, she had already improved.Why did you die today?
Faced with the family of the deceased with a difficult attitude, he had no choice but to call Director Luo for help.Director Luo told Dr.
Yang about the dead man as he walked.Dr.
Yang didn't know much about internal medicine, but he still knew about the large-scale demyelination changes, and because the eleventh floor was a neurosurgery, he still knew it."
Is it metabolic encephalopathy?""
Suspicion is.""
Dehydrated mannitol?""
Gave furosemide.Methylcobalamin, VB1 were given.But this morning the patient was in a shallow coma.I knew that the patient would die if she went to the neurology department, so I left her in the endocrine system. ”"Patients with cerebral infarction, it makes no sense for you to stay in the endocrine.""
Yes, that's why I asked the neurology department to consult and take her over."
As the couple spoke, they arrived at the endocrine office one step ahead of Dean Shu.Seeing Section Chief Lu, who was barely coping with the somewhat excited family members of the deceased, Director Luo invited them all to his office to talk."
Director Luo, my daughter-in-law was obviously fine yesterday.""
When she came to the hospital the day before yesterday, she was in a coma, and her blood sugar was 32.1, PH4.6, and hemoglobin 85.3, which is moderate anemia."
You've got to give me an explanation. ”Director Luo was unhappy.She asked with a calm face: "The patient has been diabetic for many years, why does she take insulin irregularly?"
Why don't you urge her to take her medication regularly?
”The man quibbled: "She didn't listen to what I said." ”Director Luo shook his head and said, "She was in a coma when she came.There's a word called 'back to light', have you ever heard of it?
”"You say my daughter-in-law is a return to the light?
What about the evidence?
”"It's about a sudden improvement in spirit before death.Otherwise, you can explain to me that all our doctor's orders are correct, why did she go from sobriety to coma. ”"Who is the doctor?"
The husband of the deceased asked, then pointed to his own nose and asked, "Let me explain it to you?"
How do I know this. ”Director Luo spread his hands and said, "You see that I said that you interrupted my words and refused to listen carefully, and let you say that you don't know."
Free novels bring you joy and joy ---> storyskyline.net
So what are you going to do?
How do you ask me to explain?
”"She," the husband of the deceased pointed inexplicably and said, "she killed my daughter-in-law!"
”"You just said that your daughter-in-law was fine yesterday, why do you say that Dr.
Mo killed your daughter-in-law now?"
Director Luo said dissatisfiedly: "Doctor Mo, she rested yesterday afternoon. ”"But my daughter-in-law is in her charge.How could she leave her patients to rest?
”Director Luo suppressed the disgust in his heart for this person, nodded to Dean Shu who walked in, and continued to argue with the deceased's husband: "According to what you say, as long as the patients in the doctor's charge are hospitalized, the doctor can't rest?"
”The husband of the deceased nodded, and said in a heartfelt manner: "You want to save the dead and help the wounded, how can you rest while the sick are still lying in bed?"
”Metabolic encephalopathy associated with ※※※※※※※※※※※※※※※※※※※※ knowledge: refers to the absence of coherent thoughts and movements, manifested by delirium and insanity.Pathophysiology 1 iatrogenic: Rapid change of plasma composition blood sugar drop too fast, will cause the plasma osmolality to drop too fast, and the osmotic pressure of cerebrospinal fluid is still very high, so that the water in the □□ tends to the side of cerebrospinal fluid, causing cerebral edema.2.
Encephalopathy caused by abnormal nutrient metabolism and hypoxia, alcoholic and some carbon monoxide encephalopathy.() The distance is a bit far