After the crackling applause welcomed Lu Kaiwen and Miao Yuesheng, the eleventh and twelfth floors separated and began their own diagnosis and treatment work for the day.The medical staff on the 11th floor, led by Chen Wenqiang, followed him back to the 11th floor.The matter of the trainee nurse was taken over by Sister Jiang, the deputy head nurse, to arrange the work, and Chen Wenqiang took Li Min and others to the doctor's office.Although the windows are open and the doors are opened, the influx of heat waves suggests that it is likely to be 30 degrees today.Li Min took out a large gauze cloth and kept wiping his sweat left and right.Dr.
Ma and the others thoughtfully gave Li Min the ventilation openings in the nurse's office and the window.Chen Wenqiang nodded with satisfaction, and then said: "We have added two new comrades on the eleventh floor this time, Yang Yu is mainly responsible for the burn, but the neurosurgery patient, Yang Yu, you also have to try to participate in the management."
Do you have faith?
”Yang Yu became excited.Both he and his father thought that during the operation season, Dr.
Chen could involve himself in the postoperative management of neurosurgery because of the large number of patients and the busyness.He didn't expect that he had just entered the department, and Dean Chen would give him such an opportunity.He immediately raised his voice and replied, "Dean Chen, don't worry, I will take care of the patients seriously and responsibly." ”"Okay, then you can try it with Kevin Lu.Yang Yu, although you are now a hospitalized doctor, you have not managed a neurosurgical patient.You follow Director Li with Kevin Lu first, no, if you can't call it, you must ask, ask me, ask Director Li, ask Doctor Ma and Doctor Deng.I am not often in the department, and when there is an emergency, and Director Li is not in the department, you must remember to go to Director Shi for help in time. ”"Yes.""
Kevin Lu, you have followed Director Li for the past six months.Rotation is more important than an internship, which determines your future professional direction.Don't let us all come to expect from you. ”"Yes."
Kevin Lu was excited.He didn't expect that he would be able to come to the provincial hospital as he wished, and he didn't expect that he didn't go to the neurosurgery rotation first.Neurosurgery, the dream specialty.arranged Yang Yu and Lu Kaiwen, and Chen Wenqiang handed the two notes in his hand to Doctor Ma and Doctor Deng."
You two have been attending doctors for a long time, and you have been studying in our department for half a year, and your ability to lead the intern students to take charge of daily diagnosis and treatment work is more than enough to let them understand the initial diagnosis and treatment procedures of neurosurgery.You bring one for each of these two students.You two have to teach well, you have to teach them carefully how to manage neurosurgical patients.Every week, I will make ward rounds, and Xiao Li will check the interns' medical records at any time and check the interns' understanding of the patient's prognosis.The lectures of the specialist will be the same as the previous semester, and the arrangement will be uniform. ”Doctor Ma and Dr.
Deng hurriedly responded.Although he is not qualified to participate in the lecturer qualification examination, Chen Wenqiang is a person who never treats people who follow him to work hard.Bringing an intern will add some work, but the rewards will also be greater.After arranging a few of them, Chen Wenqiang looked at his watch and said, "Round the ward at nine o'clock, you prepare first."
Xiao Li, I'll come back when I go to the hospital. ”"Okay
.
"* Chen Wenqiang left, Yang Yu and Lu Kaiwen followed behind Li Min excitedly, plus a nervous intern, tightly behind them.Sister Jiang, the deputy head nurse, had just assigned a few trainee nurses, and when she saw Li Min's shuttle-shaped marching queue, she smiled and joked to her: "Director Li, you brought a pair of bodyguards." ”Li Min looked back at the three young men who followed closely and said with a smile, "Yes."
Envy it.You don't need this medical record, I pushed the medical record cart away. ”"Push it away.You're going to make a big round.Right?
”"yes.I'll have to get out of bed again. ”"Then you can divide it and give me a list.""
Okay."
Yang Yu grabbed a step, dragged the medical record car into his hand, and dragged it into the nurse's office, Li Min said to Dr.
Ma and Dr.
Deng: "There is still half an hour, let's reassign the hospital bed first, and then you will see if there is any need to write a stage summary." ”"How do you redivide it?"
Dr.
Ma asked, "Is it to be re-disrupted, or can I take the hospital bed that I am in charge of?"
”"Well, there are twenty-eight inpatients in the department now, and you two will go with six beds first, or take the patients you are in charge of.How about adding more patients later?
”Li Min asked Dr.
Ma and Dr.
Deng."
Okay.We listen to you. ”Dr.
Deng also came over."
Then you two will each get six medical records first."
Dr.
Ma and Dr.
Deng each took 6 medical records and took their respective interns to look at them.Li Min pointed to the remaining dozen or so medical records in the medical record car and said: "There are few patients in the summer, let's divide a little, Yang Yu, you can take four medical records first, and you can draw them at will." ”Yang Yu took four copies from the top according to his words, and then Li Min said to Lu Kaiwen: "You can also draw four books."
Just smoke it. ”Lu Kaiwen Yang Yu took away four medical records next to each other.Li Min said to the intern standing beside him: "The remaining eight are the two of us, you read the medical records first, if there is anything you don't understand, wait for Dean Chen to finish checking the room and then ask me." ”Then, Li Min found a blank piece of paper and began to register the medical records in everyone's hands."1 ward with 12,345 beds.12 wards with 1 bed. ”Doctor Ma's.Hmm—that's good."2 wards with 1234 beds.2 beds in 12 wards and 1 bed in 13 wards. ”Dr.
Deng's.Not bad either.There are only two patients in ward 12, Dr.
Ma and Dr.
Deng are divided one by one, and they are each covered in ward 1 and ward 2, which is done clearly.Li Min finished registering the less than thirty beds in a while, and then she took the paper to find Xiao Jiang."
Sister Jiang, the reassigned hospital bed.""
This one is for me?""
You can make another copy.Dean Chen may use it for ward rounds in a while. ”"Okay."
Xiao Jiang handed Li Min's piece of paper to the nurse in the responsible class to copy it warmly.Wen Wen asked while copying, "In what order will the patients give you points?"
”"The order of me, Dr.
Ma, and Dr.
Deng.Yang Yu and Lu Kaiwen will not add new patients to them for the time being.Let them get used to it for a while. ”After copying the newly assigned patient room and bed number, and then writing the distribution order of the patients admitted to the hospital on the work memo of the responsible nurse, she returned the paper to Li Min.He said to Li Min with a smile: "Director Li, this time there are two more new forces in the department, and there is a doctor who will help you take charge of the patient." ”Li Min also replied to her with a smile: "Yes."
No one helped me in the last few weeks, but Dr.
Ma and Dr.
Deng and I were busy enough. ”"You can take it easy this time."
Xiao Jiang interjected: "Director Li, how do I think you don't have any pregnancy reaction." ”"I didn't have morning sickness or anything.I'm just afraid of heat and sweat.You see my work for a while, my back is wet. ”Li Min snatched the small folding paper fan in Xiao Jiang's pocket and snorted vigorously.Xiao Jiang said to her: "What is the use of you standing under the fan and fanning this little fan."
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The harder you work, the more you sweat.Besides, who is not afraid of the heat on this day, and who doesn't like to sweat. ”"Pregnant with a boy is hot."
Warmth said."
How can this be?"
Nurse Xiao Wu walked in and said, "When I was pregnant with my daughter, I was also afraid of the heat.The head nurse is pregnant with her daughter, and she is also afraid of heat. ”Li Min was a little irritable: "What's going on these days, it's getting hotter and hotter, and half of the rain doesn't drop."
The temperature outside is 30 degrees, and I have a small thermos of 36 or 7 degrees in my stomach, and I will not cool it down for 24 hours, whether it is a boy or a girl, how can it be hot. ”They were chatting about pregnancy and body fever outside, and Lu Kaiwen touched Yang Yu with his elbow in the middle and asked him, "Teacher Li is pregnant?"
”"yes.How don't you know?
So who didn't tell you?
”Yang Yu looked at the medical records very seriously.Lu Kevin asked this, which surprised him a lot.Doctor Ma, who was opposite them, asked in a low voice, "Xiaolu should know that Director Li is pregnant?"
”How do you hear this, how can it have a different taste?
Kevin Lu was immediately a little upset.It doesn't matter if you make fun of yourself, but it won't be the case if Li Min is involved.Fortunately, he remembered that Xiao Zhai said that Dean Chen is currently relying on these two doctors, so he suppressed the unhappiness in his heart and explained to Dr.
Ma very seriously: "I came to the provincial hospital for internship at this time last year, and the first department was neurosurgery, which was taken by Mr.
Li. ”Dr.
Deng smiled and gave Dr.
Ma a round and said, "No wonder Director Li came up and asked you to take 4 beds, which is the same treatment as Xiao Yang, this is trustworthy to you." ”Doctor Ma also felt that what he had just said was reckless, he smiled apologetically and explained, "I thought you and Qin Zhang were all the way." ”Qin Zhang's matter was turned upside down by everyone half a month ago.Including he first chased Li Min, followed by the niece who rejected Dean Fu, and later had a relationship with Dean Fu's niece.Even when he was in medical school, he was more popular with girls and was exposed by his classmates.Lu Kaiwen heard Xiao Zhai talk about this, and he took this opportunity to say: "My girlfriend is Zhai Ying, I heard her talk about Qin Zhang."
Yang Yu, you were also in Corey at the time, do you remember Qin Zhang's apology?
”Yang Yu nodded and said, "Remember."
How are your medical records?
Don't wait for Dean Chen to ask you, it's a shame that you don't know what to ask. ”Doctor Ma and Dr.
Deng heard that Lu Kaiwen's girlfriend was Xiao Zhai, the two exchanged glances, and continued to look down at the medical records in Yang Yu's voice of reminding Lu Kaiwen.
*When Yang Yu rotated with Director Shi last year, he often followed behind the interns and watched Li Min make rounds and lectures to the interns.After six months of rotation, he consciously mastered most of the medical records of neurosurgery.And Li Min's way of working, he not only likes it very much, but also brings it to his own work practice.The medical records he drew next to each other this time were 4 beds in 3 wards, all of which were patients managed by Li Min before.He read Li Min's medical records and her medical orders very carefully, and at the same time compared them with the similar cases he had learned last year and the two weeks of review.If he didn't understand and had questions, he wrote them down and prepared to see if there was a chance to ask when Chen Wenqiang made his rounds for a while.If you don't have a chance, just wait for Li Min to ask after the ward round.As for the tube burn ward, there are now no patients with burns.Don't be distracted thinking about it for a while.Although he had never taken care of burn patients, his father, Dr.
Yang, passed on all his experience in the diagnosis and treatment of burn patients to Yang Yu after deciding that he would go to the burn ward.These are enough to ensure that when Yang Yu encounters a burn patient, he will not be in a hurry and does not know how to deal with it.Four doctors and three interns sat quietly in the doctor's office, silently looking at the patient's medical records in their respective charges, despite the intrusion of the summer heat.* Half an hour goes by quickly.Li Min felt that he was chatting outside for a while, and then went to the bathroom, seeing that the time was more than 9:50.She called Mr.
Chen's office, but no one listened.Is it already out?
Li Min put down the phone and went back to the doctor's office, picked up the messy medical record folder on the table, and inserted it into the medical record cart.She had just finished inserting a book, Yang Yu and Lu Kaiwen stood up, and the two of them came up together to help, and it was cleaned up in a few moments."
Lao Deng, our work was robbed by Xiao Yang and Xiao Lu."
Dr.
Ma sorted out the medical record folder in front of him, followed his intern, and took the medical record folder to the medical record car."
We're sitting far away.Next time, I will drag the car over and finish reading a book and get a book. ”"Okay."
Li Min leaned against the window and shook Xiao Jiang's paper fan, watching Dr.
Ma and Dr.
Deng sing and harmonize, she smiled slightly and curled the corners of her mouth.It doesn't matter if you do this work or not, you can do it with the attitude that the desk should be tidy up.Xiao Jiang heard the sound of inserting the medical record folder, walked in with a few keys and said, "Yang Yu is for you, it's from the No. 3 locker."
This desk is for you.Dr.
Lu, you use this desk, locker No. 4.I'll be free in the afternoon, and I'll get you two desks, locks, etc. ”The two took the key to the locker and said in unison, "Thank you, Sister Jiang." ”Xiao Jiang divided the remaining three keys in his hand among the three interns."
One locker per person, No. 567, remember not to lose the key, if you lose the key, the lock is 20 yuan, including the fine.You pick your own desk, one drawer per person, and lock it yourself.Although we usually don't leave people here, don't leave valuables either. ”The three interns took the key and thanked the nurse Xiao Jiang with a smile.* Chen Wenqiang arrived on the eleventh floor a minute early, he saw Li Min standing in the corridor with people and pushing medical records, nodded with satisfaction and said, "Let's go, start the ward rounds." ”In 1 ward and 1 bed, Dr.
Ma took out the medical record folder, turned to the page of the long-term doctor's order, and respectfully held it to Chen Wenqiang with both hands.This is the etiquette that a subordinate doctor should have for his superior's ward rounds, and it also has a potential meaning of surrender.During the ward rounds of 5 patients in ward 1, Chen Wenqiang noticed the change in the doctor in charge of the bed.Without waiting for him to ask, Li Min handed over the readjusted bed management registration form."
It's easy for anyone to remember today.In the future, we will admit patients, and they will come in the order of me and Dr.
Ma and Dr.
Deng.Yang Yu and Lu Kaiwen will not increase the tube bed for the time being. ”Chen Wenqiang looked at the allocation of hospital beds, nodded and returned the page to Li Min, and then continued to check.This ward round was only aimed at the patient's condition, diagnosis and treatment, and no one was asked, and when Yang Yu and Lu Kaiwen hesitated, Li Min immediately added.Chen Wenqiang didn't embarrass them, and the patients who just took over were not satisfactory to this extent.There are less than thirty patients, and two of them are ready for surgery tomorrow and the day after tomorrow.After the big round, Chen Wenqiang went back to the hospital, and Li Min called Yang Yu, Lu Kaiwen, and three interns together, and explained to them carefully how to write the ward round records.Then, Li Minti asked: "This time, the director's ward round record, you don't write it directly into the medical record."
In addition, I found a piece of paper to write.When I see it, you can copy the medical records. ”Dr.
Deng asked, "Director Li, I won't write it with Lao Ma?"
”"Well, you two don't have to write today.I'll show you a copy of the teacher's request. ”"Okay, thank you, Director Li."
After a while, Yang Yu and Lu Kaiwen finished writing the director's ward rounds one after another.The three interns only completed two drafts.When Li Min commented on Yang Yu's writing, he called several other people together.All four ward rounds were corrected, which took more time than she took to write herself.And then there's Kevin Lu's.And then the three interns.The ward rounds of the three interns, Li Min has changed a lot."
There are some things in the ward rounds that the head of the department thinks you know, so they don't say them.But when you write a ward round, you have to write out what you need to write.Like this, Dean Chen agrees with the current treatment plan, absolutely not.Do you know how to write the basis for the current treatment plan and why he agreed?
”"Now I know.But I can't write it. ”One of the interns muttered quietly, embarrassedly."
Yang Yu, what should I do if I encounter such a situation?""
It's hard writing.Well, at the very least, it is necessary to write down the basis for the current treatment plan, and then say that the director agrees with the analysis of the condition and points out that the current treatment plan is in line with the patient's current condition.Or the director agrees to use the current treatment plan temporarily, but asks for adjustments at any time according to the changes in the condition. ”Yang Yu has been working for a year, not to mention writing oil during this kind of director's rounds, but also knowing to grasp the key points.The three interns had an idea.In the end, Li Min concluded: "Don't look at how fast they write and change less, Dr.
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Yang was interned the year before last, and he just finished the rotation."
Dr.
Lu also came here when he was an intern last year.Hurry up and write, write well and have lunch. ”Doctor Ma and Dr.
Deng looked at Li Min teaching the interns with smiles, and they both understood in their hearts that they said that the interns were handed over to them to bring, but Li Min was in charge of the specific teaching.But look at Li Min's dry mouth, these thirty or so medical records might as well let Li Min write the ward rounds by himself, and if he has the effort to change them, Li Min has already finished writing them.However, Li Min carefully explained and changed it, and the three interns quickly finished the draft, and finally finished writing the director's ward round record before the lunch break."
I'll be on time in the afternoon and I'll tell you about tomorrow's surgery.By the way, remember to inform the 7 students upstairs to come down at 4 o'clock to attend the class.Alright, let's all eat. ”* Not to mention Miao Yuesheng, who was named by Chen Wenqiang to go to the provincial hospital.He has been in a trance since the announcement of his graduation assignment.He felt that he was the one who was hit by a pie falling from the sky, but he didn't understand why the provincial court wanted him.Because in his five years of university study, his grades were in the middle of the grade, and he was neither a student union official nor an activist.Even the school's cultural and sports activities, he belongs to the group that is determined to participate and wave the flag.It wasn't until Director Qiu talked to him that he understood the reason why he was able to go to the provincial hospital."
Director Qiu, are you saying that Dean Chen and Teacher Li really published a book?
Is it about the craniotomy pathway?
”"yes.The sample book will be available in August.Li Min is the editor-in-chief, and Chen Wenqiang is the chief reviewer.I read the original manuscript and it was very good. ”Director Qiu told Miao Yuesheng that Chen Wenqiang did not owe anyone favors."
You've met a gentleman.Another person will not send you to the provincial court just because your unintentional suggestion has been adopted. ”Miao Yuesheng's eyes were full of stars, and his thinking was not on whether Director Qiu said that Chen Wenqiang was a gentleman or not.He was very excited: "That's great.I will definitely buy a copy and ask Mr.
Li to sign it for me.I don't know if Dean Chen will sign for me.I have read Dean Chen's handwriting, and it is very well written. ”Director Qiu looked at the excited Miao Yuesheng, as if he saw his daughter a few years ago, who would rather delay her homework than catch up with "Volleyball Girl" and "Dream of Red Mansions".He said in his heart that this kid is really innocent, and he only admires Chen Wenqiang, no wonder Chen Wenqiang ordered him to go to the provincial hospital."
You have to work hard when you go to the provincial hospital, Dean Chen likes people who are serious, hard-working, and have a good head, but they also have to be down-to-earth and willing to endure hardships.When your efforts at work are recognized by him, he will take the initiative to sign for you. ”Miao Yuesheng nodded like a chicken, it was the first time he had entered the student office to talk to school leaders other than the class teacher and counselor.After talking about the worship of idols, he stammered a little when he answered Director Qiu's words."
I, I will, I will."
*Miao Yuesheng arrived at the provincial hospital at the same time as Lu Kaiwen, Wang Dali and others who came to report to the provincial hospital.After he settled down yesterday afternoon, he wanted to go to the eleventh floor to find Li Min.When he left the provincial hospital on June 28, Li Min was on the Sunday day shift.That's a shift that no one likes to be on duty.It's only been 4 weeks, so it's probably not going to change.Kevin Lu grabbed him and said, "Don't you know that Teacher Li reads books in addition to seeing a doctor?"
If you interrupt her while she is at work, she will definitely not be happy. ”"However, no matter which subject we are in, if we don't go to see her when she goes to work in the future, will we go to her house after work?
She doesn't like people going to her house even more. ”Miao Yuesheng knew some of Li Min's little habits."
We can wait for her to leave work at noon, or when she gets off work in the evening.Go to the elevator room and wait. ”Lu Kaiwen gave the most suitable idea, and asked Wang Dali, who was in the same room: "Did you say it?"
”"Yes.We're past noon tomorrow.There was no surgery in the neurosurgery on Monday. ”"Okay."
Miao Yuesheng immediately responded.But Miao Yuesheng didn't expect that he was assigned to the surgery department and was sent to the twelfth floor by Director Qin of the Medical Department.Looking at Li Min and Chen Wenqiang, who were close at hand, he was a little excited.Before he could say anything, Director Shi ordered him to go to the thoracic surgeon.Thoracic surgery is done outside the chest, and Mr.
Li can give a lecture to the interns, and he can go over and listen.It will be a year later.* Li Min washed his hands, fanned the snatched small fan, and went to the director's office.The door of the director's office was open, Xiaoyan was mopping the floor, and the thermos bucket and lunch box were placed on Li Min's office desktop.Li Min asked strangely, "Xiaoyan, why are you here today?"
What about Xiaofang?
”"On the first day of her cycle today, she had some stomach pain, so I came for her.""
You go back and cook some ginger soup for her.""
Hmm.I'll burn her when I get back.Aunt Min, I cooked pork knuckle ginger in a pressure cooker in the morning and picked a large piece of ginger for her to eat.Aunt Min, you can taste the pork knuckle ginger I made, and compare it with Uncle Mu's cooking. ”"Okay."
Li Min opened the lunch box and laid out the food in the same way, and Xiaoyan went to wash the mop after mopping.By the time she came back, Li Min had already finished nibbling on a piece of pig's trotters."
Xiaoyan, you are doing a good job, in time you can open a small restaurant by yourself."
Li Min did not hesitate to praise Xiaoyan.Xiao Yan pursed her lips and smiled."
You go back to lunch, I'll take the lunch box back when I get off work in the evening."
Xiaoyan picked up the kettle and walked out, she said, "Aunt Min, you eat slowly, I'll go fetch water." ”Li Min was almost done eating, and Xiao Yan came back with a pot of hot water.She changed the hot water for Li Min's water cup, and then asked, "Aunt Min, what do you want to eat at night?"
”"I've eaten cucumber sliced seaweed soup.Don't add sesame oil and salty. ”"Okay."
Xiaoyan helped Li Min put the finished thermos bucket and lunch box into place, and left with the lunch box with a smile.() The distance is a bit far