Chapter 66

The work of internal medicine has begun. In internal medicine, we must first be calm. What is calm, that is, we must sit still. Morning rounds, look at the returned test sheets, modify the doctor's orders, and open new test sheets.

I spend most of the day sitting by the computer typing. From time to time, I have to turn through the book. Discuss with other doctors when necessary. The Department of Cardiology has also added a treatment method, intervention. It takes a lot of time and energy.

The intervention of the municipal hospital really made several women hold up. Under the pressure of Lao Huang, Ouyang developed abruptly. After Ouyang came to power, he received strong support and joined many new doctors.

Ren Li has stopped intervening. The new doctor has taken over. She has worked hard for several years. She eats too much radiation and can't go up the white blood cells. I usually guide everyone behind the lead plate.

Zhang Fan's teaching Ye Jing will never intervene. Radiation is harmful. Although it is protected, it is still harmful. She directly rejected the director's proposal.

I don't want to study as an ordinary bed doctor. If you have a patient, you can see it. If you can't see it, you can find a superior doctor. Anyway, there are superior doctors in the Department. It's over to push the patients who can't be handled to others.

However, her advantage is that she is meticulous. As long as she manages the patient, she can't find anything wrong. What the superior doctor said and what she did was not unusual at all. She didn't have her own ideas.

She is also free and unfettered, unlike other doctors' busy dogs. If you don't fight or rob, you are a good man in the Department. If there is a patient, take care of it. If there is no patient, don't try to fight.

Her husband's income is fairly good, and there is no pressure at home. She doesn't have to think about more money and less money. It's better to have more than one. It's better to have less. If you don't want, you'll be just. He is a hidden person in the Department. Don't call her when there's an emergency. She is also happy.

She currently has seven patients, all of whom are relatively stable. Routine treatment is OK, and there is no need for special care. Of course she would love to have someone write her case.

As soon as she got off work, she left. Zhang Fan had to write the course of disease and paste the test sheet. Sometimes I have to help other doctors, do an ECG or something.

Today is Ye Jing's 24 hours. During the day, Zhang Fan is very sharp. The course of the disease that should be recorded has been recorded, the test sheets that should be pasted have been pasted, and the tests to be opened have also been opened.

In the evening, after other doctors got off work, Ye Jing took Zhang Fan to make a ward round first. When other doctors left, someone with a critical patient had already said hello to her.

But three rounds a day is a dead rule. The patients in the internal medicine department are all old patients. They are very clear about the treatment procedures. Some patients are clearer than transferred doctors. Make less rounds and run to the duty room every minute to find a doctor.

After checking the room, Ye Jing began to frown. Zhang Fan's internal medicine was not very strong, but he also saw that the situation of several patients was not very good.

Patients in the Department of cardiology are told by minute. If the treatment is improper or delayed, the patient may not have a chance.

Moreover, there are many accidents in the Department of Cardiology. A good person suddenly has atrial fibrillation and angina pectoris. Before the doctor arrives at the ward, the person is gone. There are many such things.

Therefore, doctors in the dry heart should have a strong heart and sharp legs and feet. Be able to work under pressure and run fast.

Ye Jing frowned and said, "I can't be stable again today. It's hard to endure this class." In any case, more than ten years of old doctors still have vision and experience.

Zhang Fan couldn't. He didn't go to the internal medicine department during his internship. I didn't turn to the internal medicine after work, and the system didn't turn on the internal medicine. So a little confused.

"Yes! Then don't sleep. " Zhang Fan said naively.

Ye Jing turned to Zhang Fan with a bitter smile and said, "if you can solve it without sleeping, it's not a big problem. I really regret that I chose cardiology because of my childishness. It's terrible. "

"It's too late to regret now." Zhang Fan held his mouth and thought.

Ye Jingren is still atmospheric. He buys rice and water for Zhang Fan. This is to win over Zhang Fan. She doesn't have to do some things, such as writing medical records, pasting test sheets, handling hospitalization and discharge, etc.

"Xiao Zhang, where is your family. Have you got someone? " Zhang Fan is writing a medical record. She's fine. She's gossiping nearby.

"Provincial. No object yet. "

"Oh, are you used to coming to the frontier? Didn't you talk about a partner in college? I think the new arrivals are in pairs. The last time I came to transfer, it was our department where a couple came together. "

"All right." Zhang Fan is speechless. It's too gossip about women.

"I heard you decided on the Department, the Department of surgery. Your surgery is good. You'll have nothing to do after surgery. It's natural and unrestrained every day. "

That's a layman. Is it a class III surgeon? That's the director or retired.

Zhang Fan said helplessly, "it's almost the same. Also very busy. There are many operations, and sometimes they don't care about eating. "

"What? I've seen you have meals almost every day. I often go to sing. I've seen it several times. It's from the surgery department of our hospital. " Not to mention that she went to sing and eat by herself, but also to say that others, hey!

"Really, I don't know when I first came." Zhang Fan is really speechless and doesn't dare to say more. This woman is dying of talking too much.

"You'll know when you decide. Internal medicine is really bad. There are a lot of things in women. Some people gossip when you wear a beautiful dress. It's annoying. "

"Oh." Zhang Fan also plans to finish the medical record and read the internal medicine book as soon as possible. Ye Jing has been talkative. He can't calm down and has made mistakes several times.

Finally, after twelve o'clock, she went to wash. Zhang Fan's ears are clean. There are three cases of disease that have not been recorded.

Ye Jing sleeps in the doctor's duty room, and Zhang fan can't go to the duty room to sleep. And the internal medicine wards were full, and she couldn't find an empty ward to sleep. She didn't tell Zhang Fan to go back.

When Zhang Fan was hesitating what to do, the nurse ran in“ Come on, five beds won't work. Where's Dr. ye? "

"Duty room."

"You shout, come on."

With that, the nurse ran to the ward. There are three night nurses, and only one doctor if he hasn't been transferred.

Zhang Fan hurried to the door of the duty room and shouted, "Dr. ye, the fifth bed can't work. The nurse is calling."

Bang Dang! With a sound, I don't know what fell to the ground. Ye Jing came out and said while running: "I knew it. I knew it. It's definitely unstable today. Go and push the bedside ECG. "

When Zhang Fan ran to the ward with his ECG, Ye Jing had begun to do chest compressions, panting and saying, "you come, I can't press it anymore. I do an ECG. "

External chest compression should be pressed for 5 cm, 100 times a minute, and the body can't press it. Rib fracture is the most common complication of chest compression. Strength.

Zhang Fan quickly took over Ye Jing and began to press outside his chest“ Cardiotonic, static push. Maximum dose, fast. "

The family members were driven out and looked inside with the glass at the door. The fifth bed was an old man in his sixties. The old lady was already in tears outside. Several children supported the old man and looked forward to the doctor in the ward.

Drop! Drop! Drop! The bedside monitor starts to alarm and the heartbeat curve starts to flatten.

"It's no use. Pull the last ECG. Stop rescue. " Ye Jing stopped and said to Zhang Fan.

Slowly withdraw from the ward. There is nothing left to say. The patient's situation has been explained to his family members early and may die at any time.

Just sat down for a few minutes. The nurse came again, "nine beds!" Then turn around and run. Zhang Fan pushes the ECG machine and runs with Ye Jing.

"Nurse! nurse! Come on. My mother seems to be dying. Come on. " Cried the family of the twenty-three bed.

"You go to bed 23 first, and I go to bed 9. Take an ECG first. Keep the drawings. " Ye Jing orders Zhang Fan.

While they were rescuing 23 beds and 9 beds, 18 beds were in trouble again. Zhang Fan didn't even have time to do ECG, so there was no one. One night, busy until dawn, I walked four at a time.

Before we catch our breath, we'll discuss the death record in the morning. Write the medical record quickly. Complete the rescue record.

In this way, it was too late to mourn the spring and Autumn period. Zhang fandu spent the first 24 hours in his heart.