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Envy 22


Li Min called Dean Chen's parents' house on time.The person who answered the phone was probably a junior in the family, and Li Min heard a faint voice on the phone: "Uncle, there is a person named Li Min looking for you." ”"Hey, it's Xiao Li."

Dean Shu's voice was a little hoarse.He subconsciously looked at the floor clock on the side, which happened to be nine o'clock.The melodious echoing striking bell rang."

Yes.Senior Brother Pan told me to call you at nine o'clock in the evening. ”"In this way, tomorrow afternoon's intervention selection exam, you will replace your teacher with the questions, and the score is 20 points.A big question, a small question.The test questions are required to be common cerebrovascular hemorrhage and obstruction sites.It is best to test the range of blood supply to the cerebrovascular system. ”"Okay.""

After you solve the question, give the answer to Director Zhang at the same time.I'll give him an account. ”"Yes.""

Is it okay to give it to him tomorrow morning before going to work?""

This—no.I'm going to start my rounds tomorrow by 7:15, he won't be working that early.And I didn't have time to go to the hospital before the morning meeting.It will be delivered as soon as the meeting is over. ”"Then I'll ask Director Zhang to send someone to go over the 11th floor to pick it up before the morning meeting, is it okay?""

Good.I will prepare the exam questions and answers. ”"Whose phone number?"

Chen Wenqiang's hoarse voice came."

Xiao Li.I'll ask her to do the exam questions tomorrow afternoon. ”"Hmm.""

Dean Shu, is my teacher okay?""

Wait a minute.Xiao Qiang, come over and say a few words to Xiao Li. ”Xiaoqiang's name made Li Min hold the microphone and hold the clip.Fortunately, Dean Chen came to answer the phone immediately.Chen Wenqiang's voice came from the microphone: "Xiao Li, is Corey okay?"

”"It's good.Corey's patients are very stable.I did my rounds before work.The postponement of the surgery on Tuesday and Wednesday also informed the patient and family, and they accepted it well. ”"Hmm.You've been bothering a lot these two days. ”"Yes.Teacher, take care. ”Li Min saw that Chen Wenqiang had nothing to say, so he wanted to put down the phone.I didn't think that Dean Shu took the microphone and said, "Xiao Li, if someone asks me about the relationship between me and your teacher, do you know what to say?"

”"How do you say it?"

Li Min subconsciously asked."

It's okay if you smile and don't answer.""

Okay."

Li Min readily agreed.It's simple and easy to execute.Putting down the phone, Li Min drew a soul in his heart, what should he do to "smile and not answer", do you want to tell others or don't want to tell?

Isn't this attitude purely to seduce people into thinking about their relationship?

Li Min scolded a few words and went to get down to business.She pulled out a stack of blank paper and took out the exam questions.Thinking of the pituitary gland question in her retest, she mischievously wrote down the first question: detailing the composition, characteristics, and movement of the supratentorial artery (19 points).After the question is asked, Li Min carefully wrote down the supratentorial artery, including the superior portion of the bed process of the internal carotid artery, the anterior, middle, and posterior cerebral arteries, the ophthalmic artery, the posterior communicating artery, the anterior choroidal artery, the Willis ring structure, and the apex of the basilar artery.The important thing is the start and end point of each paragraph.It took Li Min half an hour to write the answer to this question, and with these pages densely filled with answers, she could guess Director Zhang's satisfied look when he looked at the answer, and she could also guess the appearance of the answerer's collapse.If you can answer more than 80% of this question correctly, you must not be a neurological surgeon, but also a radiology department, and you must be an attending doctor and a senior resident who pursues it.As for the bleeding and obstruction sites, she only had a score of 1.The answer is correct as long as it is the blood vessel to which the brain belongs.It is really because the cases of cerebral hemorrhage and cerebral obstruction that she has encountered in the past two years are too different from each other.She has never encountered any of the 45%-50% or more incidences mentioned in the book.Statistically non-specific.This is the question she came up with based on what she currently knows about intervening in this emerging subject.Designed to relieve embolism and hemostasis - no matter what the purpose, if you can't thoroughly grasp the anatomy, how to start?

I guess the questions in the abdominal vascular part should be similar to my own.

*On the next Monday, considering that Dean Chen was on bereavement leave, Director Shi had elective surgery, and Director Liang might not be able to return to work in the hospital, Li Min first planned the work of the department in his heart - today he would exercise the right of the deputy director to do a weekly round.In order to prevent unexpected situations from catching herself off guard, she started a separate morning round when Dr.

Ma and the others had breakfast and did not come back.The head nurse, Xiao Jiang, also arrived early.When she came, she looked for Li Min."

Director Li, I called you yesterday afternoon and didn't find you.""

I was mostly in Corey yesterday.It's either the nurse's office or the director's office. ”"Where.I hit the nurse's office and said you were in the director's office, and the line was always busy.Did you unplug the phone?

”Without waiting for Li Min to explain, she continued: "I just asked you Dean Chen and his parents' house, and then I asked Sister Lu to ask." ”"Did you pass yesterday?""

No, then I thought about it, Sister Lu was right.It's better to go over at noon today, and send our share of the money over together.Otherwise, you'll have to make two trips. ”"Well, too.That Sister Jiang, Dean Chen can't come for the past two days, so let's have a little more heart.I'll pay close attention to the doctor's side, and the nurse's side will make you work harder. ”"No problem.I'll keep an eye on the nurse's side. ”After Xiao Jiang finished speaking, he comforted Li Min: "You don't have to be too nervous, Dean Chen usually doesn't stay in the department, and the two of us will deal with the affairs of the department."

It's just as good as usual. ”Li Min smiled and didn't want to argue with Xiao Jiang.Dean Chen is not in the department, but if there is a phone call, he can immediately give advice on how to deal with it or return to the department immediately.But not today and tomorrow.She nodded to Xiao Jiang, feeling that reminding Xiao Jiang was not enough to attract her enough attention, so she would just look at the nurse a little more.The two hurriedly said a few words in the corridor, Li Min continued to check the room, and Xiao Jiang went back to the office.…… Before the morning meeting, Director Zhang came to find Li Min."

Xiao Li, Dean Shu called me and told you to ask the question, are you ready?

To be used in the afternoon. ”Li Min took out the envelope inserted in the pocket of his white coat, handed it to Director Zhang with both hands, and said, "The question and answer are in the envelope."

I didn't mention it to anyone.What's the problem, you called me after eleven o'clock, our department has a routine big round every Monday morning. ”Director Zhang took the envelope and saw that the envelope was subsistence and stamped with Li Min's prescription.He was very satisfied with Li Min's attitude in handling the matter, and happily responded to the next "good", turned around and left the 11th floor.A little nurse specially came to the corridor to inform Li Min: "Director Li, the head nurse is collecting money." ”"yes, I see.Thank you. ”When Li Min returned to the office, Dr.

Ma, Dr.

Deng and others were all around Xiao Jiang and were paying money.Doctor Ma also said: "I just went home yesterday, and I came back last night to hear about it, and it was not easy to pass so late." ”Dr.

Deng said something similar.Xiao Jiang looked at the stack of money they gave, and said, "It's better for you two to send it yourself."

Director Li, did you say yes?

”As soon as Li Min sat down, he was caught by Xiao Jiang and asked.She looked at the thickness of the two stacks of money and said, "You two went over with Xiao Jiang at noon."

Kevin Lu," Li Min turned around: "What about you?"

”"I guess noon passed.The head nurse took me a. ”"Okay.The four of us are exactly the same car. ”Li Min looked at the time and reminded Xiao Jiang: "It's almost time to hand over the shift, and I'll collect the money after the shift." ”Xiao Jiang pressed the money and record paper with the plate key, and said to the night shift nurse, "Okay, hand over the shift." ”Tomorrow's elective surgery was stopped, and last week's postoperative patient was in the recovery period, and the night nurse completed the morning shift in less than ten minutes.Because Kevin Lu lives in Corey, he followed up and said: "Last night, the general patient was in stable condition and was on duty with the nurse. ”Xiao Jiang looked at Li Min: "Director Li, do you say a few words?"

”"Okay."

Li Min cleared his throat and said, "Dean Chen suffered an accident, and he will have a funeral leave today and tomorrow, so it's not good for us to call Dean Chen if there is something."

So let's all cheer up these two days.It's okay to go around the ward.In order to prevent changes in the patient's condition, it can be detected and treated early, so as not to delay the condition and not miss the best treatment opportunity.The head nurse, the nurse patrols the ward, what do you think is arranged?

”Xiao Jiang said with a tense face: "There is only one patient in Corey who is first-level care now, and the other second-level nursing, how often should I inspect the ward, except for noon, I will watch in Corey in the past two days."

Whoever makes a mistake reports to the nursing department.The rest of the work will come as usual.Do you remember them all?

”"Remembered."

The nurse replied neatly.This made Li Min feel that her speech just now was much less imposing, and she continued: "I will continue to make rounds at half past eight in a while.Meeting. ”One of the four interns who rotated over last week stopped Li Min: "Director Li, should we follow the elements?"

”"No, I don't.You still depend on your parents for your living expenses.We are comrades of the same section, and we have contacts with each other.You will be on the 12th floor next week, and you may not be able to stay in the provincial hospital to work in the future, so you don't have to pay this money.Dean Chen can't remember you. ”Li Min's words made the four interns a little embarrassed.It happened that the phone rang, and the head nurse who answered the phone called Li Min: "Director Li, you come to listen to the phone." ”This call resolved the embarrassment of the 4 interns in a timely manner."

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Hey, I'm Li Min.Oh, yes.Yes?

Are you sending it now?

Sky!

There's a lot going on in Corey in the morning.Already in the elevator?

Come on, then. ”Putting down the phone, Li Min said to Xiao Jiang, the head nurse: "Sister Jiang, the logistics sent us 4 bunk beds, all of which were loaded into the elevator, and the tatami mats were also delivered."

The duty room has to be sorted out quickly. ”The head nurse did not hesitate to say, "Take out the two beds in the room where there is no telephone."

There can be bunk beds in a duty room.Director Li, I still have a few people left to get it done, you can help me get this thing done. ”Li Min had no choice but to say to Lu Kaiwen: "You take the four interns, first carry out the bed and mattress and put them in the corridor, put them by the door of the warehouse, and let the hygienist mop the floor in the house." ”"Okay."

Kevin Lu beckoned the four young men to come with him.Doctor Ma said to Dr.

Deng: "Old Deng, do we have to go to the bunk bed room to live?"

”Dr.

Deng shook his head and said, "Probably not."

There is no general hospitalization in our department now, and Dean Chen sleeps on the 12th floor during the night shift.Isn't it, Director Li?

”Li Min nodded and said, "Dean Chen wants bunk beds in order to leave a place for interns to live in the department." ”She didn't say the rest, the room without a phone was already smaller, and if there were four bunk beds, it wouldn't be much better than the university dormitory.The logistics staff clerk brought four workers and came quickly.Li Min took people and pushed the medical record cart to start the ward rounds, and the things went to the 12th floor."

Kevin Lu, you call a few family members of the patient to help, we have to do ward rounds.""

Hmm."

*The two-hour ward round is not as simple as Li Min's own ward rounds.She had to read every doctor's order, every chapter of the test sheet, and the checklist, not to mention the interns, after more than 30 patients were checked, everyone was exhausted, including Li Min.The intern cart followed Li Min and said, "Director Li, you are stricter than Dean Chen's investigation. ”"Dean Chen has rich clinical experience, he has a bottom in his heart, I don't have it, I don't have it if I don't be meticulous, I can't afford to miss it."

Li Min told the truth."

You guys have to write a good ward round, and I'll look at the medical records one by one in the afternoon."

Looking at the medical records one by one means that if you are unqualified, you will be sent back to rewrite, not only the interns, but also Lu Kaiwen and others are a little nervous.Doctor Ma and Dr.

Deng glanced at each other and understood that Li Min was anxious because Dean Chen was not there.The two of them didn't say much, and led the young people back to the doctor's office.Li Min washed his hands, went to the bathroom, and just picked up the water cup when he returned to the office, Xiao Jiang knocked on the door and came in."

Director Li, Yang Yu had surgery today.Did you know?

”"Is it Director Liang?"

Li Min put down the hot water cup, took out a reel of No. 0 and began to knot it on the lock nose."

Hmm.Director Liang and Director Xie both took the stage.Do you think we Cory are going to mean it?

”Li Min pondered for a while and said, "Yang Yu is set in our department, and this money is really good."

Well, let's accumulate it from the branch. ”"How much?

Fifty for one person?

”"Okay.I see that Yang Yu and others in our department don't have any special contacts, and it is estimated that no one is willing to add additional money, so I will go out by the head first, and you will tell you today.When Dean Chen goes to work, I will report to him. ”"Wait a while, you will send money with me.I don't want to face Sister Fen. ”Li Min sighed and said, "I don't want to face Sister Fen either." ”"You went with me."

Little Ginger began to beg.Li Min had no choice but to agree.Xiao Jiang immediately put his hands together and chanted the Buddha."

Are you worth it?"

Li Min glanced at her."

It's not worth it.I don't want to face Sister Fen, except that she used to be too much, and I can't bear to pay for this money. ”Xiao Jiang sat opposite Li Min, and his face was really a reluctant "miser" expression."

Look what you're talking about.The rules of our department are there, who has something to do, especially a serious illness like cancer, everyone help, although this little money doesn't play a role, after sending it out, it also seems that we are affectionate, and it seems that Cory is united.Let's ask for peace of mind. ”"That's the truth.Let me tell you, I just followed Dean Chen's share this morning, although I told everyone that it was voluntary, but you said that the doctors and nurses of our department, who can not pay this money?

Our nurses are better, fifty per person.But I see you doctors.None of them will be less expensive.But it was Yang Yu's turn to be different.You said that Yang Yu has only been here for three weeks, mainly because his mother is Sister Fen, let everyone pay this money, who wants to. ”Li Min smiled: "Didn't I say that I accumulated from the department?"

You don't have to be embarrassed. ”"Isn't it the same thing that wool comes out of the sheep, and it accumulates from the branch?!"

Little ginger is stupid."

It's going to feel better.If you really want everyone to take out another 50 yuan directly from your wallet, everyone will feel distressed. ”The movement of Li Min's hand continued.She seriously explained Xiao Jiang, because she had more contact with Xiao Jiang, and she found that the work of the head nurse, the housekeeper, was simply not done by people.If you want the department to be peaceful, it's no problem for the department director not to face each other for three days, and the doctors and nurses perform their duties.But if there is no head nurse for three days, Corey promises to be a mess."

Sister Jiang, we have been using open sources and reducing expenditure in the past few months, and Corey has not lost any money.Except for Mingli's prize money, which is not the top three in the hospital, we don't have a shortage of money.That's a fifty buck away!

”"It's a bad heart.Let me tell you that my salary this month is not enough to follow the group, and I have too many children. ”Little Ginger sighed."

You don't have to give everyone to you, do you?""

It's better to hang each one in the morning.I gave three copies, two of which were intern nurses I had brought with me, and one was Director Liang's daughter, which was 150 yuan, plus Dean Chen's this.Is it not enough salary?

”Li Min smiled and said, "Then Yang Yu really deserves your own money." ”Xiao Jiang glared at Li Min, "Who are you talking about 250?!"

”"I'm kidding you."

Li Min hurriedly bowed his head and admitted his mistake."

Humph!"

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Xiao Jiang wasn't really angry, she continued: "Today is August 17th, and there is still half a month." ”"The second half of the month should be fine.After the elective surgery is done, you can sell some more antin. ”At the mention of selling enteral nutrition in Corey, a smile was added to Xiao Jiang's face."

By the way, the head nurse of the pediatric department came to me, and she wanted to use it too.Do you think this can be used for pediatrics?

”Li Min thought for a while and said, "Look at how old the child is."

This is an adult formula.For those over 10 years old and weighing 30 kilograms, we can reduce the amount and experiment with a maximum of half an alternative diet.If you're under the age of ten, I don't think it's good to cause anything.Especially for infants, formula is more suitable for infants and young children to absorb than enteral nutrition for adults. ”"Okay, that's what I'll say to the head nurse of the pediatrics.But Xu Qiang said that if he delivered five boxes and ten boxes, he would like one box or two boxes, let us take them out first, and then make up for us when he delivered them again. ”"Then let's go with the Department of General Surgery and Neurology.The price of five boxes is the same as that of neurology. ”"But the head nurse of the pediatric department wants to ask for three or five cans to test it first, and it can't be the price that is sold to our patients.How much do we charge for pediatrics?

I mean, how much money is appropriate for the head nurse of the pediatric nurse?

”"Ask Xu Qiang how much money he wants for a box, and then determine the single can.Don't mess around, the other subjects have at least five boxes at a time.And the price of selling to patients is the same.This should be explained to the head nurse of the pediatric department. ”"Hmm.I'll explain it to her. ”Xiao Jiang reached out and grabbed the phone to paging Xu Qiang."

Please help me paging 1270168.Shenwai, surnamed Jiang. ”After a while, the phone rang.Xiao Jiang reached out and grabbed the earpiece."

Hey, Xu Qiang, I'm Jiang Wen, the head nurse of neurosurgery.I've opened up a new department for you.Yes, it's antin.Patients tolerate anthrin better than Nengquan SU and are less prone to diarrhea. ”…… Xiao Jiang Balabala said a lot to Xu Qiang, and finally got a trial can for the pediatric nurse manager for free, the price of five cans, and the price of the whole box.Xiao Jiang copied a copy of the recorded content to Li Min, and then said enviously: "The neurology department is really powerful, Xu Qiang said that he would send them ten more boxes in the next two days."

They use a lot more than ours. ”"Don't be dissatisfied.They have to take money to buy it from Xu Qiang if they have a large amount, and we don't spend money on it. ”Li Min deliberately misinterpreted Xiao Jiang's words.She pretended not to understand the meaning of Xiao Jiang's words.She didn't want to tell the patient's family that everyone had to take enteral nutrients after surgery.Forced to change the taste!

Once the patient's family is reluctant to go to the hospital to report it......

Xiao Jiang also understands what Li Min is thinking, doesn't he just want to make money and don't want to take care of things?

She thought for a while and said to Li Min: "Director Li, it's not what you said.Let me tell you that Xu Qiang just took a fancy to the small dosage of our department, and Dean Chen was in our department, so he could advertise him, so he chose to do experiments in our department. ”"Or else?

You want him to do experiments in neurology, even if it is half the price for neurology, the doctors and nurses in neurology are willing to do it.In fact, we borrowed the light of Dean Chen.Otherwise, he would give a can of ten or eight yuan for the test and observation, and if you say that it is still this price, the doctor in the neurology department will definitely rush to do it.Even I will accept it.It didn't take much effort to fill out that observation report.Isn't it?

”"yes.I just don't know how long this experiment will last!

Once the experiment is stopped, the cost of a can is 80 yuan. ”Xiao Jiang became worried."

Sister Jiang, don't leak out about being free.Otherwise, it will be full price in the future, and those people in Corey should not be overly excited. ”"If it's the full price, not to mention others, even myself, don't be too excited.""

The experiment is over, and we're sure we're going to have to pay the full price.Are you still in order to fix this?

”Xiao Jiang nodded helplessly: "Alas!

A can is only 30 yuan, and I have to do it.Without this money, the nurses in our department would not be able to hold it.Neurosurgery nurses are notoriously tired, not much better than emergency department nurses.If you don't have money, who wants to work hard for me!

”Li Min occasionally glanced at the complaining little ginger, and her attention was all on the 0 line in her hand.Xiao Jiang said this, which means that her complaint today is almost over."

Sister Jiang, you ask Puwai, has Yang Yu and her mother stepped down?""

Good!"

Xiao Jiang called Puwai.Putting down the phone, she told Li Min: "Not yet." ”Li Min replied to her: "Ask the operating room to see where the operation went."

Otherwise, I'll wait for you to come back from Dean Chen, and we'll go over in the afternoon. ”"Okay."

Xiao Jiang called the operating room again."

Hey, I'm the head nurse of the neurosurgery.Our Director Li asked Yang Yu about her mother Yan Xiaofen's surgery, yes, it was the radical gastric cancer surgery, how was it?

”…… Li Min shook his head slightly at Xiao Jiang by calling his name like this.knew that it was the operating room that didn't recognize her Jiang Wen's name, so she didn't say anything."

Well, okay, thank you.""

The operating room says it's almost there.""

Shut up?""

Not yet.During the deep well operation, the nurse who came out to answer the phone was said to be a touch of oil, slippery and greasy, but it was difficult to do. ”"Then you will go to Dean Chen's house first, and then we will go to Puwai after going to work in the afternoon.""

Okay

.

"() The distance is a bit far