Chapter 107 Cultivate speed up!
Tong Zheng patted Zhao Yuan on the shoulder.
"Recharge for five minutes, and output for eight hours in a crazy way! Let's go and start working!"
An experienced doctor needs to manage many beds. The doctor will be responsible for the beds arranged by the patient. As the backbone of the emergency department, Tong Zheng is responsible for more beds, so there are more patients to manage.
When I arrived at the ward, the child's administration instantly became the focus.
A middle-aged woman dressed in a fashionable manner suddenly stopped Tong Zheng, "Director Tong, when will my daughter be discharged from the hospital?"
"Bed No. 6?" Tong Zheng glanced at the bed.
The girl was trapped by love, and after breaking up, she cut her wrist and traumatized herself. She was discovered by her parents and her life was hanging on the line. She came to the hospital and after several hours of rescue, she saved her life.
"Do a checkup later. If there is no special situation, you can go through the discharge procedures in the afternoon! However, if the trauma is cured, it is even more difficult to heal the wound in your heart. It is recommended to find an experienced psychologist for guidance."
Inpatients in the emergency department usually stay for one or two days, and patients who have been inpatient for more than three days will be transferred to professional departments.
Tianhua Hospital is a large hospital with very shortage of beds. Not only are the patients in a hurry to be discharged, but the doctor also hopes that the patients can be discharged as soon as possible, so that the beds can be transferred as soon as possible and more patients can be admitted.
Tong Zheng is different from other attending doctors. He will not be a hand-off manager and will follow every patient throughout the process, not wasting the patient's time and money, nor will the hospital's medical resources.
When he arrived at another hospital bed, Tong Zheng nodded to Zhao Yuan.
Zhao Yuan understood Tong Zheng’s intention and stepped forward to examine the patient.
While checking his body, he asked, "How did you sleep yesterday?"
"I didn't sleep well at all, and it was no more than three hours in total. The wound hurts so much!" The patient was twenty years old this year. A student from the sports school had an altercation with the adjacent table while drinking at a food stall. His head was opened by a beer bottle.
"It's normal for the anesthetic to disappear."
"Doctor, will there be any sequelae?"
Zhao Yuan did not answer.
Tong Zheng has a high level of suture. It uses classic intermittent sutures and takes care of the details. The wound should recover quickly.
However, the current situation is not as optimistic as imagined.
Zhao Yuan told Tong Zheng truthfully, "If you have edema in the wound, you need to increase medication and it will take at least two days to discharge from the hospital!"
The ward suddenly became quiet.
The level of child administration is recognized.
Zhao Yuan is actually questioning authority?
Zhao Yuan pointed out the key point, "There is no problem with the surgery, the problem occurs in postoperative care."
Tong Zheng frowned, "What's going on?"
The nurse in charge of the ward surveillance stood up and said aggrievedly, "This patient was secretly discharged from the hospital last night and came back around 3 a.m.."
Tong Zheng was more surprised at this moment.
Zhao Yuan actually judged through his eyesight that the patient had made a mistake in nursing, and he was indeed unable to treat him as an ordinary intern.
"You are negligent!" Child politics rarely is so serious.
After practicing medicine for many years, Tong Zheng has seen various emergencies and said to the patient, "Life is yours. If you want to be discharged from the hospital, you can go through the procedures now. However, the later recovery has nothing to do with our hospital!"
Seeing that Tong Zheng was about to give up on himself, the patient was startled and pleaded quickly, "Sorry, Director Tong, last night, my girlfriend broke up with me. I coaxed her for half a night before coaxing her. I will definitely cooperate with you in the treatment next and will not cause trouble for you."
Tong Zheng did not really give up on him, but wanted to make him realize the seriousness of the problem.
The method is to treat it coldly, ignore him and walk towards the next hospital bed...
Following the Child Political Consultative Investigation, Zhao Yuan also gained a new understanding of Tianhua Hospital.
Unlike field doctors, emergency surgery is like an assembly line, and patients are like broken goods, and the attending doctor is responsible for repairing the goods.
As for how to recover after the operation and how to use medicine, there will be a standardized process. The attending doctors enter the patient's information in the computer system, and each link will be tracked and followed up in the later stage.
After the rounds were completed, a young nurse with a pretty appearance found Tong Zheng with a folder in her arms.
"Old boy, do you expect seven to eight surgeries today?"
Tong Zheng seemed dissatisfied, "A little less!"
For novices, having three or four surgeries in one night is the limit.
But for experienced experts like Tong Zheng, seven or eight surgeries are just the beginning.
When the nurse turned to Zhao Yuan, Tong Zheng introduced to Zhao Yuan, "You should focus on getting to know this little fairy - Bai Lu, the goddess nurse in our emergency operation room."
The nurse worked early, and Bai Lu looked very young, definitely less than 30 years old, but she has worked in the emergency department of Tianhua Hospital for ten years.
He is 1.7 meters tall, with long legs and thin waist, as he is known, with fair skin and pink cheeks, but his jade face is cold and he doesn't like to laugh very much.
It is considered a professional habit for nurses not to laugh, especially beautiful nurses. If they are kind and gentle to the patient, it is easy to cause misunderstandings among patients.
There have been many cases in the hospital. When the patient was seriously ill, he fell in love with the nurse because of the nurse's careful care. He was unable to get it and eventually made a big fuss about the hospital.
Bai Lu was well-informed and said before Tong Zheng would introduce him, "He is the intern who just came to report today, Zhao Yuan?"
Tong Zheng narrowed his eyes into slits and joked, "Are you handsome? Just rub the corners of your mouth quickly, and the lipstick was covered with saliva."
Bai Lu rolled her eyes unhappily, "It has nothing to do with handsome men, I mainly heard that he has something."
Something is something?
Zhao Yuan couldn't help but smile bitterly, "This evaluation is refreshing."
Bai Lu shrugged and raised her eyebrows, "Director Xie's original words, if you are not satisfied, please settle the score with him."
Tong Zheng patted Zhao Yuan on the shoulder and pretended to whisper, "Your Madam Xie and I, you can ignore it. However, Bai Xiaohu, don't offend me. Whether your surgery will go well in the future depends on her mood."
Zhao Yuan re-measured Bai Lu's eyes.
Bai Lu rolled her eyes and waved her hand quickly, "Don't hold me too high, I'm afraid of falling to death."
After saying that, she swept to the watch on her wrist, "A rescue vehicle is about to arrive at the hall soon, you have to prepare for the surgery."
“What’s the situation?”
"Suspected acute appendicitis! The patient was in severe pain, and the family agreed to undergo an excision."
Tong Zheng thought for a while and asked Zhao Yuan, "Do you want to practice your skills?"
Unexpectedly, the opportunity came so quickly, Zhao Yuan certainly would not refuse, "Okay!"
Zhao Yuan is only going to work on the first day!
Bai Lu was surprised and confirmed with Tong Zheng, "Are you sure you let the intern perform appendicitis surgery independently?"
Generally speaking, interns will perform appendicitis surgery independently under the supervision of their instructors before graduation.
Tong Zheng looked old and smiled like a wrinkled walnut:
"Hey, don't judge heroes by age. I started to undergo surgery independently at the age of twenty. Moreover, this kid is better than me, and he can pretend to be a pig and eat a tiger."
Zhao Yuan was speechless.
Is this praising yourself or scolding yourself?
...
Gala Gala, the operating flat car left the ambulance, and the sound of the wheels crushing the floor tiles broke the silence of the hall.
Zhao Yuan came to the door in advance and waited for the operation to land, and quickly followed the car.
At the same time, Zhao Yuan asked Dr. Sun who was on the train to try to understand the patient's condition.
"How about the patient?"
Dr. Sun is a resident in the emergency surgery department. He just became a regular employee last year. Today it was his turn to be on duty at 120 for emergency treatment.
At this moment, he looked excited. The director of the small operation such as appendicitis must not look down on it. It is rare to have an opportunity. It is also a very good opportunity for him to complete the removal of appendicitis independently.
He quickly replied, "The patient's surname is Ye, a woman, 22 years old. She started to feel uncomfortable around 10 o'clock last night. She originally thought it was menstrual pain, so she took painkillers at around 10 a.m. The pain was unbearable. My family called 120 and I had a physical examination in the car. The pain in the lower right abdomen was obvious and I jumped repeatedly. The preliminary judgment was acute appendicitis."
Although I didn't have time to check the patient's physical condition, based on Zhao Yuan's experience, it was probably not that simple.
Entering the operating room, pulling the curtain, the patient lies on the sterile mat, covering his abdomen, and keeping crying for pain.
Zhao Yuan stepped forward and started to check the patient's body.
Dr. Sun had learned from Bai Lu that the operation would be handed over to Zhao Yuan for the operation, and he had no chance to take the operation, and he was extremely depressed.
However, he did not leave, stayed in the operating room with a thick face, engaging in a lucky mentality.
Zhao Yuan is an intern. He went to work on the first day of today. There is a high possibility of something going on. He will have the opportunity to act as a substitute at that time.
Zhao Yuan first percussed the patient with his fingers on the part of the pain, and then moved to other parts. With in-depth examination, his complexion became more and more serious.
About two minutes, Zhao Yuan stopped and reported to Tong Zheng with a serious expression:
"Abdominal color ultrasound examination is recommended. The patient may not have appendicitis, but cholecystitis."
"Nothing nonsense, how could it be cholecystitis? I can't tell the difference between the gallbladder and the appendix, so I dare to speak out here?"
The diagnosis result was questioned by the intern...
Dr. Sun, who has always had a very good temper in his colleagues' eyes, was as if he was stepped on his tail, and was furious!
Chapter completed!