Chapter 78

Regional hospitals, whether they are top three or not, almost do basic work. What do you say about research? It's all floating clouds. One day, I'm busy going to the clinic, writing medical records and doing surgery. I don't have time to do research. Besides, the conditions of grass-roots hospitals are limited. Hospitals only provide spiritual support for personal research, and don't think about the rest.

Lao Hu has some opinions on amebic bowel disease and has published many papers. However, due to limited conditions, the number of patients can not go up, and he can only think about it by himself. On the contrary, his papers are often cited by others. He is also proud of it.

This is also the sorrow of the Chinese medical community. As long as you can't go to hospitals above the provincial level, you will be skilled workers, doing the same thing year after year, day after day. You can't innovate without innovation.

It's good to say that if you fail, endless ridicule will surge in. You won't stop until you're drowned. When you're used to skilled workers, you'll be safe. No one says you or laughs at you. Therefore, civilian doctors are elites who can withstand pressure and despise ridicule.

The weather is slowly getting hot. The spring in tea vegetable city is very short. You often spend it in the combination of rain and snow. Sometimes suddenly one day, you will find that peach blossoms are in bloom. Zhang Fan went to work in the morning. As long as he didn't work overtime the night before, he would get up more than an hour early to run.

Although there are systematic blessings, self exercise is also very important. A doctor is not healthy. How to see a doctor for treatment. Run two laps along the hospital, sweat and take a bath. I'm very energetic all day.

In chasu City, ethnic minorities account for the majority. If you want to eat soybean milk and fried dough sticks for breakfast, you have to go to a far development zone. There are many Han people there, and the breakfast around the hospital is either mutton steamed stuffed bun or beef zygote and milk tea butter. The fat content is a little high.

Zhang Fan bought a small electric rice cooker, cooked some porridge before running, and went back. He ate some flower rolls and pickled vegetables. It was very comfortable. Eating meat in the morning is really difficult to overcome. Zhang Fan usually goes to work half an hour in advance to read books or something.

As soon as I entered the hospital in the morning, I found a middle-aged woman slamming down with her left chest. She also pulled a child, about five or six years old, who cried loudly: "Mom! Mom! " Although she was still half an hour away from work, she was lucky and fell in the hospital.

Zhang Fan's third department ran to her with two steps. At the same time, two nurses also found the situation and hurried over.

When Zhang Fan looked, something was wrong. The teeth closed tightly, and a lot of liquid flowed, which was painful. Caress your chest with your left hand. Zhang Fan reached out to touch the carotid artery while shouting, "wake up, wake up, comrade!"

"Come on! Come and help me level it. You go to the cardiology department and call someone. " Zhang Fan touched the carotid artery and found that the woman's pulse could not be touched. He said to the nurse. After flattening the patient, Zhang Fan quickly cleaned up the residue in her mouth to keep her breathing unblocked. The preliminary judgment is cardiac arrest. The rescue time window of cardiac arrest is very short, and there is no time to wait.

The two nurses are students who come to the hospital for internship. One went to shout, and the other was at a loss. Zhang Fan kneels down and starts chest compressions. Give her mouth to mouth breathing.

"I won't!" The little nurse said in fear.

"God." Unable to take care of the slobber and foam of patients' lips, Zhang Fan did a artificial respiration. The child next to him was out of breath“ You placate the child. " I was already very nervous. The child cried badly. What makes people upset is not ordinary.

"You take care of the children." Zhang Fan took the time to say. 4 to 5 minutes, without effective circulation, the brain of patients with cardiac arrest will leave irreversible damage. If it takes longer, there will be no chance. The usual exercise and systematic blessing make Zhang Fan's strength output very uniform.

There were more and more people in the past, and several doctors came. Seeing this situation, they immediately came forward to help Zhang Fan rescue. The patient was really lucky, and Zhang Fan's rescue was effective. After a round of chest compression, the pulse fluctuates.

The doctor in my heart came with the first aid kit. When a more professional doctor arrived, Zhang Fan gave way. The child was tired of crying and lay in the arms of the little nurse, looking pitifully at his mother lying on the ground.

"Come on, send to the emergency room, ventricular fibrillation, or sudden stop. Give me a hand. " After the people helped carry the stretcher in the emergency department, the doctor in his heart took the patient away.

Zhang Fan's pants have become mud pants. It's too late to go back and change now. I found a tap and washed my mouth first. I don't care about emergencies. Without a gauze, I just blow mouth to mouth.

At noon, I was going to work, and a call came from my heart, "Zhang Fan, did you rescue the patient in the morning? Did you do artificial respiration? " Ren Li called the gastroenterology department.

The tone is severe. Zhang Fan's heart "clicks". It won't be an accident“ I met him at work this morning and fell in front of me. I felt that the carotid artery had disappeared and there was no time to send it to the emergency department. And I asked an intern nurse to inform the Department of Cardiology. And the rescue room was effective. There was a carotid pulse in three minutes. "

For this kind of thing, we have to explain the situation at that time. If the rescue is successful, you should do it. If it fails or has sequelae, the hospital must ask. If the family members are unreasonable, it will be very troublesome, but as a doctor, no matter how troublesome they are, they have to do it.

"Don't say that first. Come first and hurry up." Ren Li urged.

"What do you mean?" If Zhang Fan wondered, he couldn't. I can't help it. I hurried upstairs to the cardiology department.

"Director, are you looking for me?"

"Are your mouth or lips broken?"

“HIV？” Zhang Fan understood in an instant.

"No, HBV (hepatitis B) is strongly positive." Ren Li looked at Zhang Fan and said.

"It doesn't seem broken." Zhang Fan involuntarily touched his lips and said. Then he ignored Ren Li and ran away. In the bathroom, Zhang Fan opened his mouth to see if his skin and mucous membrane were damaged.

Fortunately, it didn't break. Half an hour later, Zhang Fan with a swollen mouth came out.

Zhang Fan's appearance, the doctors in the heart sympathized with him, no one laughed at him, "I have reported to the hospital feeling, you go to draw blood, it is necessary to inject hepatitis B immunoglobulin. We also just got the test sheet and informed you and the hospital feeling office at the first time. " Ren Li said.

"Is that man okay?" Zhang Fan's mouth is not broken, and they are vaccinated on time. They are not particularly worried. I have come to the Department of Cardiology, so I asked casually, otherwise it has always been a matter in my heart.

"The rescue is timely. Now it has been hospitalized for observation. Zhang Fan, you are this!" Speaking, Ren Li gave Zhang Fan a thumbs up.

"That's good. I'll take blood first." It's not Zhang Fan's big heart. It's a matter of professional ethics. He doesn't know the result of the patient he deals with. He will always think about it in his heart.

The person from the hospital feeling office met Zhang Fan in the elevator. Several people protected Zhang Fan to the laboratory like kidnapping. The results came out soon, and Zhang Fan's luck was not bad, HBsAb (+). There are antibodies. There is no need to deal with them further.

The director of the hospital feeling office patted Zhang Fan on the shoulder, "good boy. My legs are not soft. I'll take some people with me. I'm afraid you won't be able to leave. " Although it is a joke, the helplessness in the joke can not be realized by outsiders.