Because Li Min had the "routine" given by Xu Qiang, when she went to work in the afternoon, she left home a few minutes early and went to the watermelon stall to pick two large watermelons.When the melon seller saw her belly, he helped her deliver the watermelon to the 11th floor.Xiao Jiang and Li Min arrived at Corey around the same time, and when they saw the two big watermelons, they said, "Why did you think of buying this?"
”"It's hot, and everyone has worked hard these days.I'm in for a treat. ”Xiao Jiang saw Li Min say this and treated, so he smiled and said: "The affairs of the department are not your business alone, let's go to the department to accumulate." ”"Next time.This time I've bought it all.Come on, eat watermelon. ”Li Min beckoned everyone.Xiao Jiang sent the warmth to the small storeroom and brought the watermelon knife.Later, the little nurse asked, "Why did Director Li treat you?"
”Li Min replied: "The heat is one thing, and the other two enteral nutrients are going to go to the hospital."
If a patient in our department asks for reimbursement from the pharmacy, don't be reluctant. ”"Oh, Director Li, you can eat this watermelon and make us feel distressed.A jar of ansu can buy you a few of these watermelons. ”The gossip is reluctant to enter the hospital with nutrients.Li Min smiled.Wen Wen immediately stood up to Li Min: "Director Li doesn't invite us to eat melons, so the patient's nutrients have to go to the pharmacy." ”"That's it.Don't take it seriously. ”"Yes, Director Li, don't take it seriously."
A few doctors seldom spoke, and buried their heads in hardship.In the afternoon when it's almost 30 degrees, isn't it good to eat melons to quench your thirst?
Where did so much nonsense come from!
Two large watermelons, only watermelon skin and watermelon seeds are left in a few moments.The hygienist was also happy after eating the watermelon, and the two carried away the trash can with watermelon rind, the nurse in charge wiped the table, and the diligent little nurse helped mop the floor.Soon all that was left in the office was the joy of eating melons."
The meeting will be held at three o'clock in a while, and the doctor will leave one on duty, one in the nurse responsibility class, one in the disposal class, and all the others will go to the large conference room."
Ginger assigns a task.Nurses who chattered and didn't want to go to meetings complained incessantly.Xiao Jiang glared: "The number of people in the meeting is not enough, and the hospital office will deduct the bonus."
Today's political study is preceded by Director Liao's lecture on special nursing, which of you dares not to go?
Besides, the study roll call before the meeting is under the management of the Medical Education Department, do you want to provoke Director Zhang?
”The chirping just now was immediately much lower, and as for the nurses' continued chattering, Xiao Jiang didn't think he heard it.She asked Li Min: "Who is your doctor who takes care of the house?"
”"I'm staying in Corey."
Li Min didn't want to go to the big conference room, there were so many people, the air was not circulated, and it was not something that a ceiling fan could solve.And there are so many people that it's easy for her to feel irritable.She said to Lu Kaiwen: "You can remember Director Liao's lecture in a while, and come back and lend me the notes to see." ”"Okay."
After determining who was going to the meeting, Xiao Jiang immediately called everyone to hurry up, "Hurry up so that you don't have to take the stairs at both ends."
On a hot day, whoever of you is willing to climb the stairs will pinch it. ”"Let's go, let's go."
Dr.
Ma responded enthusiastically to the head nurse.Lu Kaiwen followed him out, Dr.
Deng greeted Yang Yu and the four interns, Xiao Jiang urged, and after a moment's effort, only Li Min and Nuan were left in the nurse's office, and the nurse left behind in the disposal class went to change the dripper."
Warm, I'll go back to the director's office, you call me if you have something.""
Okay."
I should go down warmly.Then he followed Li Min and walked to the door to turn down the speed of the fan.The nurse's office, which was full of people just now, was full of excitement just now, and in an instant, only one person was left.She took out a small notebook from the pocket of her white coat and looked at it seriously.Warm and calm, focusing on the pamphlet in her hand, as if the shadow of domestic violence the year before had completely left her.Looking from the side of her face, there are small dimples looming on her cheeks, and beautiful eyebrows and long eyelashes cast shadows on the lower eyelids.An out-and-out gentle little beauty.Warmth is very satisfying now.Before her sister Wen Wen graduated, she begged Dean Chen, and Dean Chen asked her sister to become a teacher in a kindergarten in the provincial hospital.Her younger brother is now studying electrician in a technical school, and when he graduates, it would be good if he could work as an electrician in the logistics of the provincial hospital.My sister has joined the work, so that the warmth is no longer in a hurry, and the warmth is also at ease.Warmth is full of warm expectations for a new life.She has corrected herself to the perspective of not comparing herself with others, and put aside the extravagant hope that she is inferior to others - there will be no parents without parents, and her three sisters and brothers, under the control of her grandmother, have finally lived out as individuals.The ceiling fan turned slowly, and the breeze ruffled the shredded hair on the brim of the warm nurse's hat.The so-called quiet years are good that there is no longer panic and hesitation at this moment, and it is this moment to know next year and the year after next, and to know that it is happy to move forward along the current trajectory.
*Director Liang walked down the step stool tiredly, and Director Xu, who was about his age, also stepped down at the same time.The peritoneum has been sewn up, and the patient's subcutaneous fat is not much, so Shi Yi and the intern are fully capable of the later suturing work.Since Director Xu was deprived of the right to fourth-level surgery by Director Liang, he has always been very dissatisfied with Director Liang's "□□" behavior.Set himself up with Lao Bian and support Xie Xun with all his might.But when the liver cancer patient was opened and the liver mass was exposed, he was glad that he decisively handed over the patient to Director Liang before the operation and after seeing the CT film.I can't do this surgery on my own.Another patient with liver cancer died on the operating table, and I am afraid that I will avoid liver cancer in the future and smell the "liver" discoloration.Anesthesia Director Liu smiled and cleaned up her small table covered with record paper, and she gave the three-legged leather stool to Director Liang.After thanking him, Director Liang kicked the triangular stool to the corner of the wall, and then sat down against the wall, put his hands in his breast pockets, and squinted his eyes to re-push the radical liver cancer surgery process just now.When Shi Yi took the intern to deal with all the follow-up work and was about to get out of bed, Director Liang opened his eyes with satisfaction, and secretly said that all the steps were not wrong, and the patient could wake up.Director Xu went to take a shower with him.The agitated flow of water under the shower head made the two directors over 50 years old feel a lot of fatigue.Director Liang saw that Director Xu had been "well-behaved" a lot in the past six months, so he said to Director Xu: "Old Xu, you can try liver cancer in the left lobe of the liver next time."
You have no problem with a left hemiliver removal. ”Director Xu nodded in gratitude.I am old, my personal skills are not as good as others, and I have to bow my head under the eaves of people.In addition, this radical liver cancer surgery is the most personal operation skill, and the hand is a little heavier, and the bile duct is leaking if it is not bleeding.Either would be catastrophic.The two of them rushed for a while, and Director Xu said with a hint of hesitation: "Lao Liang, you said that we should deal with the liver gate?"
”"What's wrong with that piece?""
Isn't there a lot of liver left?
I'm afraid of recurrence after surgery. ”Director Liang wiped a handful of running water from his face, put his head out of the shower head, shook his neck and said, "If there is a little less, I am afraid that he will have a hepatic coma after surgery."
Once hepatic encephalopathy occurs, it will die before it recurs.Do you think this is possible?
”Director Xu is silent.It was because of this difficult reason that I gave way to the surgeon!
Director Liang stood back under the shower head, he adjusted the heat and water, and adjusted the water flow of the shower head to the thickest, so that he could use the hot water column to massage the stiff neck."
Alas!
Liver cancer surgery rarely encounters early stages.Come in and it's the middle and late stages.Today's example is a beautiful thing to say.Most of the dozens of liver cancer cases we have done this year are advanced cases that can barely be operated.The so-called life and death have a fate, and we have done our best. ”Director Xu knew that what Director Liang said was reasonable, but he often felt in his heart that patients who had reached this level might as well not have surgery.But patients are basically willing to use half a year of survival to gamble on the ethereal postoperative survival probability - the tumor did not recur after surgery, and after one year, hope for three years, and hope for five years after three years......
After only five years, the tumor is considered to be cured clinically.However, Director Xu turned up the heat of the shower, wrapped himself in steam, and at the same time wrapped himself in the heart of the truth that he couldn't say or dare to say - he didn't see a liver cancer patient survive five years."
Everyone thinks that he is God's own son."
Director Liang muttered."
I'm not optimistic about this patient's one-year survival rate."
Xie Xun came in with his bathing things."
Director, Director Xu, your family members are urging you to eat.""
Uh-huh, it's washed.How's your one?
”"It's not easy to do."
If Xie Xun wants to say that it is not easy to do, it is definitely not ordinary difficult to do."
It's sticking too much.I want to call my sister to replace me. ”"Look at your breath."
Director Liang sneered at him: "You don't want to think about her for a few months." ”"That's all I said.From beginning to end, each replacement, aren't you tired?
”Xie Xun let out a long breath, hot water was poured on his shoulder, and he loosened his shoulder back and forth.He proposed to Director Liang: "Director, let's not start the stage together next time, okay?"
”"Not good."
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Director Liang flatly refused."
Don't point me at you as a crutch.You can move forward on your own. ”Then Director Liang casually turned off the hot water and said to Director Xu, "Let's go, Old Xu."
If you are full, you don't shave your head, you don't take a bath, we have been washing for a long time. ”"Okay.This hot water is really a relief, but the more you wash, the more hungry you become. ”Director Xu readily agreed, and Director Liang put on a wash suit without wiping the water.Anyway, these men are in a vacuum every time.
*Dr.
Zhou and Dr.
Chen came in front and back, and the two of them gave way to Director Liang and Director Xu, and Dr.
Chen also helped Director Liang.Then Zhou and Chen consciously stood on Xie Xun's left and right, the shower head was turned on, and the servants were talking about the operation just now."
Lao Xie, today's surgery is yours, and another person may not be able to get off the stage."
Dr.
Zhou sincerely said flattering words.He graduated three years later than Xie Xun, and watched Xie Xun struggle all the way to the sky under Director Cheng's hands, and then was exceptionally promoted to attending physician and deputy chief physician.The friendship in those two years made him one of the few young people who graduated later than Xie Xun and was qualified to shout "Lao Xie"."
Yes, Director Xie, I don't think there are many in our hospital that can peel off such adhesions."
Dr.
Chen admires Xie Xun's surgical skills.When he arrived, he happened to meet Xie Xun who had been promoted to an intermediate title.Watching Xie Xun's surgery be more beautiful than Director Cheng's.Such a gap between himself and Xie Xun made him call Teacher Xie in addition to calling Director Xie."
Today is hard.This is also the first time I have encountered such a situation. ”Xie Xun squeezed the shampoo to wash his hair, stretched his neck and said, "There are still a few people in our provincial hospital who can do this surgery."
Our director can, and so can Dean Chen. ”Dr.
Zhou and Dr.
Chen believed.Both of them said at the same time, "They can." ”"Director Xiang can too.I watched him last time do a vascular replacement.Damn, the kung fu under his hands is not better than our director, but it is really not weak at all. ”Xie Xun is on a case-by-case basis.He did not have any contradiction with Director Xiang, and he still admired Director Xiang's personal skills.Xiang Taihe, who has gone to the emergency department to become the director, came out of the same medical school with Dr.
Zhou and Dr.
Chen, including Director Cheng, who has passed away.Dr.
Zhou was very pleased that Xie Xun respected Director Xiang.He said: "When I brought patients in today, I saw that Director Xiang had an operation, which was pelvic fracture incisional reduction and internal fixation.This operation, our provincial hospital may be able to take it down alone. ”"Director Wang should be able to do it."
Dr.
Chen answered."
If I have the opportunity to take care of the director, I should be able to."
Xie Xun, under the influence of Director Liang, now opens his mouth and only says that people are good, otherwise he will not speak."
I've seen Director Gu have surgery.He is somewhat similar to Director Wang's style, which is the kind of steady and steady way.In fact, I admire him and Director Wang, who are never in a hurry. ”Before getting off the operating table, Director Wang, who came to take a shower, came in to greet them with a smile.Hearing people praise themselves behind their backs is happier and more comfortable than in front of themselves, especially when Xiang Taihe went to the operating room to demonstrate today.Director Wang asked with a smile, "I heard that your operation is not easy to do?"
”"Hmm.It's too sticky. ”Xie Xun replied.Director Wang nodded and went to the deepest shower room that was farthest away from them.He didn't want to affect the conversation of the three young men.And he also needs time to be quiet and take care of today's operation.He always felt that the operation was not perfect today.After finishing the stroke, he sighed: I hope there will be no epidural hematoma, spinal cord edema, and cerebrospinal fluid leakage after surgery.In an instant, Director Wang thought about all the complications that might occur in the short term after surgery.As for possible infection, incision dehiscence, it must have been a cerebrospinal fluid leak or malnutrition.Well, I'll have to send someone to the neurosurgery department to get a few boxes of enteral nutrients.Postoperative nutrition can only keep up, and anti-infection cannot be counted on antibiotics alone.Tomorrow, I have to think about finding Director Fan and Chen Wenqiang and asking them if the two enteral nutrients can enter the pharmacy.Selling it to patients so privately, it's not milk powder, it's a quasi-brand thing, how troublesome it will be if something happens.* At the door, three men in their early 30s, washed by the hot water, have regained their vitality just like the seedlings that have lost water have been moistened by the rain.They are still talking about today's surgery."
That pelvic fracture open reduction and internal fixation, I see how Director Gu has to be promoted to deputy high, and I can only touch this operation after three years.I remember it was a fourth-degree surgery. ”"It's a fourth-degree surgery.But our provincial hospital is not so dead about the title and surgical level. ”Xie Xun turned off the shower head, and Zhou and Chen also turned off the water.Xie Xun packed up his things and said, "My junior sister didn't go to the doctor last year, so she did a radical liver cancer surgery and cut off the left half of her liver."
Let's give her this surgery today, and I guess she can take it down.Well, that's a little slower than me.Do you say, Xiao Chen?
”"Yes."
Dr.
Chen looked at the radical left hemictomy performed by Li Min.He did not reject Li Min, because when everyone was hospitalized together, Li Min helped him a lot on the operating table.What's even more rare is that Li Min has a tight mouth, she doesn't communicate with other surgeons, and she doesn't tell others who is embarrassed on the operating table and why she can't take any surgery.Doctor Zhou took his things and followed behind Xie Xun and said, "Old Xie, I don't have much contact with Li Min.What impressed me the most was that Pan Zhi and her daughter-in-law had an accident, and she actually crossed Pan Zhi to take the idea of a cesarean section.scared Director Shi. ”Xie Xun took the lead in the men's locker room, he took off his hand clothes and said, "That operation was performed by my daughter-in-law.Not her.I arrived a little late to see my daughter-in-law take her and Pan Zhi on stage.Cesarean section of local anesthesia, tsk, Xiao Yan's sister is also a hard person who can stand up. ”"Then Pan Zhi is not ambiguous.He's pretty ruthless.Just gave himself a knife. ”Xiao Chen also sighed.Dr.
Zhou looked at him strangely and said, "Many people in our provincial hospital were sterilized by Director Cheng."
What's wrong with him?
”"Did you do it?"
Xiao Chen asked curiously.Dr.
Zhou turned his back and muttered, "I just want to do it earlier." ”Xie Xun smiled knowingly.If Dr.
Zhou had been sterilized, he would not have been "forced to marry" by his son.But Dr.
Chen didn't know about this, which shows that Dr.
Zhou's ability to "hide from the sky and cross the sea" is still very strong.But that's his personal matter, and the old man's uneducated tongue woman says these gossips.The servants changed their clothes and walked out of the operating room, and the patient's family members who were waiting at the door diligently went to press the elevator, it was past two o'clock, and the doctors had not eaten lunch yet.
*In the small conference room, there was no Director Wang of the Finance Department, and there was no Director Fan of the Pharmacy Department to attend the meeting, and other people who should be present, including Dean Fu of the branch, came.Secretary Tang refused to sit in the chair anymore, she said to Dean Shu: "The rule of our college council is to take turns, one person at a time, and I presided over it in the morning."
I'll be going to the big conference room in a moment. ”The last sentence had to go to the large conference room, so Dean Shu had to sit in the presiding position.He said straight to the point: "I talked to Director Wang of the Finance Department about his proposal in the morning, and I talked to her at noon.Banks are in dire need of cash to fill their holes.I asked Director Fan of the Pharmacy Department to help and return all the payments due in May and June to the pharmaceutical company.Pharmaceutical companies, big and small, have paid this afternoon. ”Everyone present was stunned.What does it mean to "banks urgently need cash to fill holes"?
Dean Shu did not explain further, and then said: "The special loan approved by the higher authorities for us to build a women's and children's center is a low-interest loan, which is different from the one we built an internal medicine inpatient building.My opinion is that the comrades should discuss whether it is time to use the loan to start building a women's and children's center. ”Chen Wenqiang bit his lip tightly, whenever Xiao Shu was surprised, he didn't raise objections first, but patiently thought about why, and couldn't think of it, so he waited patiently for Xiao Shu to unveil the cup, and he said what he told himself in detail tonight.He pushed down the words "the bank urgently needs cash to fill the hole", and the most likely thing is that something happened to the bank.Could it be that Xiao Shu got the inside information?
Surprise also appeared on Dean Fei's face, the muscles in his cheeks trembled, he had been running projects and banks in the west for most of the year, and the scenes of Director Wang pulling him to the bank last week began to be replayed in front of his eyes......
He replayed it and found no flaws in the bank.So, Dean Fei asked, "Lao Shu, have you gotten any news?"
”Dean Shu shook his head and said slowly: "I suddenly feel that the bank wants us to repay the loan, and then give us a loan after repayment, which feels very uncomfortable." ”Dean Fu hurried back at noon and heard about the situation from Secretary Tang.He hesitated at this time and said: "Lao Shu, the payables for May and June have been given, is the money for repaying the loan in August enough?"
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”"Not much."
Dean Shu smiled and said, "The first way: the loan to the west of us has arrived, and the internal medicine center will be repaid first; The second way: Manager Jiang, Lao Fei said in the morning that he could bring money into the field to work.If our loan is fine, please ask Manager Jiang to give us half a day's advance.Old Fei, can you contact him?
”Everyone is looking at Dean Fei.Dean Fei stood up and said, "I'll go back to the office and call him." ”"Okay, I'm sorry for you."
Dean Shu was very polite.He no longer calls in a small conference room and gives a very tolerant attitude.Dean Fei left, and Dean Shu asked Director Zhang, who was in charge of the Billing Office of the Inpatient Department: "Director Zhang, over there in the Hospitalization Billing Department, how is your work progressing smoothly and the work order is being sorted out?"
”Director Zhang reported with a smile: "I referred to the data provided by the medical record room and the finance department, and after consulting with the head nurses of each ward, I determined the amount of prepaid hospitalization deposits for most of the diseases prone to arrears.Overall, there has been an increase of about 20% on average, and there should be no shortage of hospitalization fees for inpatients in the future. ”When Secretary Tang bowed his head to everyone, he suddenly said: "Director Zhang, let's pay attention to social impact.Don't have a patient who wants to be hospitalized because the hospitalization deposit is not enough, so it will not be admitted.Although we are not at peace this year, the advanced units still have to work hard to win it.Right, comrades?
”"Yes, yes."
Everyone should be with Secretary Tang.Who dares to say no or react slowly, Secretary Tang has no time to talk this afternoon, and tomorrow he will be slow to listen to "Tang Seng chanting".Director Zhang immediately replied to Secretary Tang: "For patients with insufficient hospitalization deposits, I will explain to the hospitalization department and let them temporarily go to the emergency ward for observation."
One is to ensure the safety of the patient's life, and the other is that we have convenient transportation, a phone call home, and the hospitalization fee will be sent the next day. ”"Is that okay?
Is it possible to stay in an emergency room?
”Secretary Tang was worried, and she asked Dean Shu for the answer.Dean Shu said: "After Director Xiang arrived in the emergency department, with the patients of major internal medicine and major surgery, there will be basically no misdiagnosis or missed diagnosis, and the emergency treatment in the emergency department can still be guaranteed."
However, the source of the disease in the observation ward of our emergency department is complex, and the emergency department is also full of people, which is certainly not as good as the treatment environment of inpatients, and it is not conducive to the recovery of patients.And most importantly, the doctors in the emergency department are not as meticulous as the inpatient doctors, because most of their time is spent seeing emergency patients.Director Zhang, how do you explain these things to patients and their families who cannot pay the full amount of the hospitalization deposit and have to stay in the emergency department for observation. ”Director Zhang felt that this explanation was not within the scope of his duties, but Dean Shu gave the order, and he felt that he should still go to the outpatient and emergency department, and conveyed the director's instructions to the head nurse and all the relevant doctors.Let them remember it and put it into practice.This is a big deal about medical safety."
What about Dean Chen, what about the surgical department?"
Secretary Tang asked Chen Wenqiang, who was silent in thought.Chen Wenqiang said: "Director Xiang has nothing he can't do except for craniotomy."
However, there are only so many inpatient beds in emergency surgery, and if he adds an extra bed in the corridor, I will abolish his right to admit some diseases.He knew in his heart that he would not give up the diseases that should be kept, nor would he stretch out his hand to the diseases outside the chest and brain. ”※※※※※※※※※※※※※※※※※※※※ catch insects, thank you for not saying () the distance is a little far