Chapter 412

"Two years of service?"

Not to mention the thick black eyebrows, Alfonso looked around and gave Zheng Jianguo a wink: "Zheng, it's September now. I've been a three-year resident, and you've successfully become a resident after hard study. The one-year residents are now receiving induction training."

"Training? And pre job training? Don't just come to work? "

Zheng Jianguo didn't wake up until he was stunned. When he came in April, he came against last year's inpatient quota. According to the requirements, in September, he really became a two-year inpatient in the second year, so he changed the topic: "have you received pre training before?"

"No, this is because no one wanted to centralize the management of the scattered medical professional committees of different majors. I heard that the federal government is ready to integrate the medical professional committees of various states into a new association to be responsible for the relevant training of interns, trainees and professional doctors in the United States."

Alfonso said with his hands full of depression. Zheng Jianguo was surprised again. After an idea flashed in his mind, he said, "I feel like the Federation took away the right to make rules, and then the task of work was left to the medical professional associations of various states?"

"That's it. In the next three years, it will be up to those masters in Washington to decide whether they are qualified -"

Full of deep thought and muttered a few words, Alfonso looked at Zheng Jianguo's face and felt a light in front of him: "Oh, Zheng, if you become the person in charge of those medical associations in the future, remember to be open to my son or daughter at that time, how about?"

"Ha, is it with Manion?"

The corners of his mouth pulled out a smile. Zheng Jianguo followed his words, but he didn't want Alfonso to look around nervously. He turned around and said, "don't talk to others if you know."

"What's that?"

Surprised to see Alfonso, Zheng Jianguo blinked and saw him say, "my mother doesn't agree with me to marry her. She says she needs to find a doctor at least. She's going to enter medical school next year."

"Your mother -"

Looking at Alfonso's nervous appearance, Zheng Jianguo nodded and didn't speak. At present, children with poor family conditions in America can rarely squat at home when they grow up. They either want to live independently or are driven out by their parents because of contradictions.

On the contrary, few people can quarrel with their families before the economic foundation determines the law of superstructure. After all, most normal people know that money is not a good thing, but it will be hard to lose it.

Just soon, Zheng Jianguo understood why Pliny told Alfonso before. Although the emergency room has recognized his performance in one year, after all, he has only received less than half of the training, and Alfonso is regarded as the role of fan Dailin in the medical school before.

So Zheng Jianguo also remembered in his heart: "do you bear the money she went to medical school?"

"I don't need your help. If she goes to medical school next year, I'm also a specialist. It's enough for her to go to medical school for four years. My wish is that you can take care of my daughter or son at that time -"

It seemed that he was full of incomparable confidence in Zheng Jianguo's future. Alfonso smiled and used all his wishes. Zheng Jianguo nodded and said, "well, I wish you and Manion have a son early."

"Thank you, thank you!"

Alfonso's face showed a bright smile, but Zheng Jianguo thought of the nickname Yang Na gave Manion in his heart. The mood calmed down. Soon the nurse took the patient and the CT film back, and he pressed the CT film on the fluorescent light box on the wall. He saw that there was an abnormality in the right pulmonary floor rib compartment on the CT: "is this liquid?"

"Yes, it's crypt fluid."

Seeing the abnormality on CT, Alfonso said, looked left and right, looked at Angela coming in the distance, and continued to say, "Angela, come here."

"Oh, Dr. Alfonso, do you call me?"

Angela trotted in front of the two. Alfonso had turned his head to CT and said, "Zheng, what should we do next?"

"Below? To deal with the liquid in this recess? "

After Zheng Jianguo asked, he saw Alfonso nodding, so he continued to say, "well, that's the pleural puncture to remove the liquid?"

"Yes!"

Alfonso said approvingly, looked at Angela next to him and said, "Angela, what are the steps to extract the effusion?"

"Routine disinfection, towel laying, lidocaine local infiltration anesthesia -"

Glancing at the concerned patient, Angela saw Alfonso nodding and said, "good, then you will assist Zheng in pumping."

"Ah, really?"

Angela's eyes were wide open and her face was excited. The patient's fish bubble eyes patrolled her brand, immediately shook her head and said, "doctor, I don't want medical students to help me see a doctor!"

"Sorry, our Massachusetts General Hospital is a teaching hospital. As long as you choose to treat in this hospital, you can't refuse this request, and I'll look at them. You just need to sit straight and face me. Believe me, it's just a simple operation without going to the operating room -"

Alfonso shrugged and refused the patient's protest, but he also understood that if the goods really wanted to change the hospital, he could not refuse, so he said more words to broaden the other party's heart, but winked at Zheng Jianguo and Angela nearby.

"Well, let's start. You disinfect."

Knowing that these simple tasks are the learning tasks of interns, Zheng Jianguo tilted his head and said to her, then saw Angela's face looking excitedly at the table next to the medical supplies, and muttered: "after lidocaine local infiltration anesthesia, routine disinfection and towel laying -"

Sweeping Angela, according to the murmur, she first paved a conventional disinfection towel, then revealed the position where the needle was to be inserted, began to use lidocaine for local infiltration anesthesia, and listened to Alfonso say, "Zheng, where is the needle inserted?"

"The needle is inserted into the upper edge of the eighth rib of the posterior axillary line."

Zheng Jianguo glanced at Angela and saw that after the infiltration anesthesia, he tied the needle barrel with a guide tube in his hand to the upper edge of the eighth rib. At the same time, when his right hand slowly pushed in, his left hand pulled out the needle barrel bolt and reported his own operation steps. Although this is a rare learning opportunity for him, it is also an opportunity that Angela would not touch: "pull back while entering the needle, Be careful to avoid neurovascular bundles -- "

"Have you started?"

The patient sitting on the hospital bed didn't seem to feel it. He turned his head and looked, but his behavior frightened Angela next to him. He quickly explored his hand to help him and said, "it's already started. You can't move."

"Don't touch me -"

Just as Angela's hand fell on her body, the patient suddenly shook his body to avoid her hand, but Alfonso shouted, "don't move!!"

"Fark!"

Looking at the needle he was pushing, Zheng Jianguo suddenly disappeared into a third under the patient's action. Zheng Jianguo only had time to scold and turned white. Suddenly, when he turned his head and looked at the guide tube next to him, he saw that the previously faint transparent liquid in the tube had turned into a dazzling crimson. He just felt that his scalp was fried: "crimson?"

As Zheng Jianguo felt his scalp burst, the patient also cried with pain: "ah -"

"Crimson? Venous blood? "

Angela turned her head and asked. Zheng Jianguo had looked around and found that Alfonso, who was still there before, didn't know where to go. She quickly said to her, "yes, go find Pliny! It may hurt the hepatic vein - shet, this is a liver biopsy!!! "

"Ah --"

When the patient's scream woke up Angela, Alfonso appeared in the distant corridor with Pliny, but Alfonso was still explaining: "Angela turned sideways when he was forbidden to move --"

"Why don't you let the doctor touch you?"

When Pliny got to the bed, he only saw the color of blood. After asking loudly, he stretched his hand and pulled up the guardrail of the hospital bed. The patient also endured the pain and opened his mouth: "thanks, the female doctor wants to touch me. I don't want her to touch me - ah, I want to sue you."

"Just because you moved and now you have injured your liver, I think you need emergency surgery. Do you have an emergency contact?"

Pliny pulled up the guardrail on one side and said on the other side. Unexpectedly, the patient directly scolded: "Falk, I don't have an emergency contact. I don't have anyone. Falk, I only have myself -"

"Well, let's have an operation! I've told director Nathan to arrange the operating room. Let's go directly to the operating room and Dr. Sean. "

"Hepatobiliary doctor Sean?"

Taking the patient's curses as a deaf ear, Alfonso pushed the hospital bed and looked at Pliny. "Is that him?"

"Yes, Xiao en, Zheng, the attending doctor of liver and gallbladder, just stay here. You can't participate in this operation -"

Following the hospital bed to the door of the operating room, Pliny opened his mouth and stopped Zheng Jianguo opposite the bed. The latter nodded and stopped outside the elevator door. The operation involving repairing liver injury was also a major operation. He saw Pliny open his mouth before the elevator closed and said, "Zheng, take Angela to No. 2 debridement room. There is a girl who cut vegetables and cut her palm -"

"Cut vegetables into the palm of your hand?"

Zheng Jianguo's heart just showed a depressed feeling. He was distracted by the main complaint. After taking off his disinfection gloves, he rushed to Angela with a worried face and said, "let's go and see the girl who cut the palm."

"Dr. Zheng -"

Angela's face was still full of anxiety. Zheng Jianguo knew what she wanted to say, shook his head and said, "what you did was right. When I gave him puncture and aspiration, the patient was not allowed to move, but we didn't expect that he would respond so strongly to you. You would stop it when you saw him moving, right?"

"Yes, I saw him sitting there trying to turn his head or turn around to stop his action, but I didn't think my action would aggravate his reaction, so that something like this happened."

Angela looked stunned. The uneasiness behind her swept away. She quickly followed Zheng Jianguo's statement and said, Zheng Jianguo nodded and said, "that's it. There's nothing wrong with your and my operation. It's all his problem. If someone asks, just tell the truth, and I'll tell the truth. I think even if you receive the summons later, the hospital lawyer knows how to deal with it."

If Angela's behavior is outside the hospital, she should at least face the accusation of harassment. Only in the hospital, even if Angela is a medical student, with Zheng Jianguo and Alfonso nearby, her rights in the face of patients are supreme. Otherwise, no matter how grumpy the patient is, she will be knocked down by a crowd of nursing workers, If the patient resists with any more weapons, Akon and yolan can draw their guns.

As for the latter patients to sue, as the teaching hospital of Harvard Medical School, the Massachusetts General Hospital has a luxurious lineup of lawyers. Needless to say, many senior law students, like medical interns, are looking forward to more mobile phone meetings.

Just as Pliny likes to hand over debridement and suturing to new medical students, hospital lawyers will give this level of litigation to law school interns.

In addition, the two colleges of Harvard are rich in doctors and lawyers, the most prestigious professional groups in the United States. If the lawsuit goes to the back, the lawyer's fees alone are enough to bankrupt the patients. The more claims, the more so.

Therefore, unless it is really hurt, medical trouble is really impossible. Of course, attacks on doctors rarely happen, but once it happens, it is a shooting case due to legal gun possession.

"Is this a bit immoral?"

Angela, who followed Zheng Jianguo to the door of debridement room 2, suddenly asked a question. Zheng Jianguo glanced at her, raised her hand, pushed open the door of the debridement room, looked at the girl sitting in front of the suture chair and smiled: "Hi, Hani, I didn't expect you to learn to do housework when you were so young. I'm Zheng Jianguo, a doctor in the emergency room, Can you tell me how old you are? "

"I, I'm 14 years old. I, I want to help my mother do what I can. I'm going to make her a vegetable salad."

The girl with gauze wrapped around her hand looks beautiful. Her golden hair hangs down in the middle, but something flashes in the depths of her blue eyes. Zheng Jianguo listened to her skilled explanation and glanced at the young woman with the same blonde hair and blue eyes next to her.

I don't want the young woman to quickly raise her hand and stroke the hanging hair beside her ears. After shaking her head, she hugged her arms, smiled and said, "Vivian is always so considerate. I told her not to do this, but she still didn't listen."

His eyes swept over the young woman's raised hands, movements and smiling face. Zheng Jianguo looked at the girl named Vivian, looked at her white neck, turned his head, put his mouth close to Angela's ear, and quickly said something.

Angela looked up at his side face, looked at the case board in her hand, and quickly said, "OK, Dr. Zheng."

"What is she going to do?"

The young woman's eyes twinkled on them and asked them. Then she seemed to wake up and stroked the drooping hair around her ears. Zheng Jianguo's smile became more and more brilliant. She immediately said, "I asked her to get some absorbable surgical suture. That kind of suture doesn't need to be removed -"