Chapter 202

Name:Medical road Author:臧福生
Standing in, he couldn't go out on his knees. Relying on his hard liver, Zhang Fan stubbornly chewed down a book that shouldn't have been transferred to a doctor to study. Only when you have strength can you be respected, and only when you work hard can people have a heart of support for you.

The technical unit is relatively simple. Although some people have a bad temper, they are strong in technology, and others will not deliberately target them. If you try to change an ideological unit, let you clip your tail and be a man every minute, and someone will stand up and teach you to be a man every minute!

In winter, when the snow was flying, Zhang Fan was out of the Department, the endocrinology department was finished, and the internal medicine department had been transferred to three major departments. The tension in the heart, one night shift down, let Meng Xin Zhang Fan really understand what is fanning wind and fire, one by one. The fragility of life was incisively and vividly displayed in the Department of Cardiology, and also experienced the hard work of a doctor.

Suffocation in breathing, cough! Cough! Cough! The thin old man, with a blue purple face, spitting endlessly, greedily breathed a trace of oxygen into his lungs. An old man with flu, like a harvester in autumn harvest, who can't survive the cold winter.

Digestion, a department of internal medicine responsible for the most organs, is also a department that can witness the changes of life in China. Viral cirrhosis slowly transitions to alcoholic cirrhosis. Elites from all walks of life struggle because of all kinds of inattention, and finally fall into the digestive department.

The next stop is a special department, ICU. ICU means intensive care department in Chinese. It is a department where the nursing cost can be equal to the drug cost. You can imagine the hard work of doctors and nurses in this department.

The municipal hospital and ICU are connected to the operating room. If there are major operations or critical patients, almost all of them will be sent here. This is also the most modern department. Although this discipline has only developed for less than 30 years, its rising speed is very obvious. The collection of modern advanced instruments combined with special treatment and nursing can really bring some special patients back to life, Then another relative problem will follow, cost! This department is also an expensive department.

Once in the Department, all kinds of 24-hour monitoring equipment and one-to-one targeted care directly make the cost like running water. A patient spends more than 10000 yuan a day in the ICU, which is regarded as a patient with mild symptoms in the ICU.

There are not many doctors in ICU departments, and there are not many old doctors, because this department has been established in the hospital for the shortest time. It lacks information and many technologies can not be carried out.

Director Lin long, a very domineering name, is actually a short middle-aged man in his forties. He has a good temper and doesn't talk much. Often stand in the center of the Department and say softly to the doctors and nurses: "be careful and be careful. This department is the last position of the hospital. If we can't hold it, the patients will have no hope!"

Because of the particularity of patients in departments, doctors do not manage patients separately. All patients are managed and handled uniformly. For example, if you work 24 hours today, you are the doctor in charge of all patients today.

What does the doctor in charge mean, that is, the medical records or death records of all patients today belong to you. If a doctor with bad luck encounters three deaths, two or three discharges and two or three hospitalizations in a day, then you can congratulate you and win the prize. Don't think about sleeping in this 24 hours! If you encounter a critically ill patient who needs rescue again, you can congratulate him. After 24 hours of work, you need another eight hours.

Labor law, trade union? No, in places like hospitals, these organizations are foreign. I've heard of them and haven't seen them. The biggest responsibility of the trade union is to give nurses a pair of durable flat white shoes on nurse's day, and send some oil and noodles during the new year. In addition, when hospital doctors and nurses get married, the chairman of the trade union goes to bless the new people on behalf of the hospital! This is all its responsibility. Overtime pay? It's you! Want human rights? Do you like to work or not? Young graduate students who graduate every year are waiting in line!

Zhang Fan was out of Endocrinology. The medical department called early to discuss the next transfer. With the continuous rise of Zhang Fan's status, the deputy director of the medical department's management of transfer should discuss with Zhang Fan about some small things such as transfer.

Because Zhang Fan's situation is too special, the hospital has not encountered it for many years. A department needs to be transferred to a doctor because of lack of reports. Zhang fan can't be sent at this moment, because Zhang Fan may be pulled to surgery that day. And now ordinary doctors dare not take Zhang Fan.

Zhang Fan spent more than two hours talking about Endocrinology and directly set up a banner in internal medicine. If he can lecture in front of a group of school bullies for two hours, it can't be imagined how high Zhang Fan's level is. So now only Zhang Fan chooses the Department, not the Department.

Zhang Fan doesn't care about that department. He has to transfer and study. Everyone is the same before and after. He has to go in anyway. After a long time, the medical department finally chose a department with relatively more transferred doctors.

ICU is really a department that is always in the light. The lights in the ward are always on. There are seven fixed doctors with directors in the Department. More than twenty nurses. It's not easy for the nurses in this department to stay up late after they are 30 years old. Therefore, the nurses in this brother's department also lost the most. When they can't change the Department at a certain age, they can only leave in gloom, quietly as if they had never been this person!

Although at present it is equal pay for equal work, in fact, there is a great difference between having a staffing and not having a staffing. In the early years, the hospital would release some staffing to nurses every year. Now the staffing is more and more expensive, and one will not be released to nurses for several years. In the long run, the attraction of this industry will be lower and lower. Like the United States, almost all nursing people are African and Asian! Or when technology is developed, use robots instead.

Zhang Fan had a three-day rest before entering the Department, because there have been too many things recently. First of all, Wang Yongyong's review will take a lot of time. Zhang Fan must check it himself. The athlete's body is too special, which is the first-hand information of sports medicine.

We also need to clear up the surgery in the surrounding counties. Now the surgical directors in the urban area don't compete with Zhang Fan, so it's not worth it. Zhang Fan has destroyed the market. In the past, the acupoint is to fight for fame. Now, the acupoint must first fight for Zhang Fan's share. Zhang Fan is young and can do five or six operations a day at rest, but these famous directors can't. moreover, as soon as the operation is over, Zhang Fan immediately pays dividends on the spot. Can the doctors in the county be unhappy.

Even if there is a system, the tense nerves should have a rest, otherwise they really can't stand it and are too tired. Non stop surgery, non-stop learning to read, even robots have to power off and restart, not to mention a body of flesh.

After a three-day holiday plus a weekend, Zhang Fan completely slept in after finishing some things two days ago. Two years ago, Zhang Fan slept in for more than ten hours for the first time.

Shaohua also had a rest at the weekend. Shaohua suggested going skiing. There are many natural snow fields in chasu city. It is said that a little repair can meet the standards of international events. The snow here is not man-made in the mainland. The snow in the frontier, especially in the mountains, has no problem filling a small depression in a winter.

There are few people going skiing. Shaohua has an appointment with Jia SuYue and Wang Yanan, and Zhang Fan has brought Li Liang. Moreover, Jia SuYue is in a bad mood recently. She finally broke up with Lejie. She is very depressed. Shaohua also wants to take her to relax.

At present, Wang Yanan is OK in the first Department of orthopedics, but the Department of orthopedics, which is naturally semi physical, makes Wang Yanan a little unbearable. She and Li Liang are not far or near now.

The snow farm is a little away from the city. Zhang Fan drove with several people. After he got on the road, several women began to chat, which made Jia SuYue, who was originally depressed, temporarily forget the pain of lovelorn.

"Brother, does boss Ma want to make a big move to the hospital?" Li Liang asked. He knew very well the relationship between Zhang Fan and boss ma.

"You have a heart! The hospital is going to fill in some department personnel, and then slowly become a regular army. Boss Ma has a big heart. " There are some things that Zhang fan can't say to Li Liang.

"Zhang Fan, when are you going to decide on the Department? The practice results are coming out this time. I guess there are many people who want to enter the orthopedics department, and several graduate students also circle around the director all day. You should have more snacks yourself. Don't be unable to enter the Department at that time. After all, there are so many places in the Department." Wang Yanan said to Zhang Fan.

"OK, I'll take care of it." Zhang Fan doesn't care about it at all, but the girl is kind.

The laughter and laughter all the way unknowingly led to the ski resort in the mountain area. The ski resort in the small border town is very simple. It is to build an electric winch for transporting tourists on a hillside with thick snow, then divide some areas around, recruit some herdsmen hiding in winter dens as coaches and employees, and then set up a large tent at the foot of the mountain, Three hundred and one large plate chicken can make a small fortune in a winter.

This kind of investment is small and the income is considerable. Moreover, in mountainous areas, it can escape the supervision of some government units. When this kind of business is small, it will never be managed. As long as it is large, there will be various regulatory units to supervise. It is hard to say whether it is good or bad, but at least this regulatory unit can make this kind of institutional facilities more perfect and safer.

Frontier people, as long as they are younger, are almost all skiers. There are too many natural snow fields, and all kinds of ice skates and plows are popular in winter. They grew up in the snow nest since childhood, and they are comfortable with this kind of sports.

Zhang fan can't. although he grew up in the northwest, his hometown doesn't have such heavy snow. Skiing is the first time. He didn't dare to go up to the top of the mountain and slide down like several others. Zhang Fan chose the hillside and slid slowly.

Looking at the easy and natural sports, it's different for him to start. Zhang Fan fell and rolled down from the hillside, and then changed his sled and never went skiing again. It's too embarrassing. Many little girls who just started primary school skate better than him.

Simply, Zhang Fan became a photographer and took pictures of several people. Shaohua saw that Zhang Fan didn't skate, and she changed her sled to accompany Zhang Fan. "Go and play. I have no love for this. It's not easy to come out. Don't make you unhappy because of me."

"No, I'm happy to be with you." As soon as he said this, Zhang Fan couldn't help holding the girl in his arms.

"Let go of me, others see! I hate it! " Shao Hua's face is red with cold. Zhang Fan really wants to bite!

There are a lot of people, hundreds of people. There are many experts and many children. Many children slide down the mountain with car tires and scream happily. Zhang Fan's current level can only play this. The children who can slide the tires are small dolls. He can't afford to play!

At this time, the running winch "bang!" The sound of stopped. Many people standing on it fell down. They wore more clothes in winter, and they were wearing sledges. They couldn't get up for a while and half. They cried all over the time.

The slope is not small, and the width of the winch is not large. It is difficult to rescue if you want to rescue. Moreover, a woman in the machine room next to the winch ran out crying: "help! Help! Bayin was electrocuted! Come on! "

Bayin was a temporary electrician at the site. Because he didn't receive professional training, he was electrocuted due to improper operation. Zhang Fan hurried to the machine room. Some young people in the crowd on the winch had slowly got up and helped up the people around him.

"Where is the power supply? Where is the main power supply? Power off! " Zhang Fan shouted as he ran.

There are many patients with electric shock every year. For this rescue, the power supply should be cut off at the first time, or the rescued people should be separated from the electric field with insulated objects, otherwise people may not be saved and they may also be shocked.

This electric shock injury is particularly complex. The degree of injury is closely related to the level of voltage, type of current, current intensity, frequency, duration of electric shock, route of current and environmental meteorological conditions. The low-frequency AC in general families is particularly easy to cause ventricular fibrillation, which is very harmful, so we must manage the power supply well.

Every year, the power system will organize professional personnel to conduct regular emergency training for personnel within the system. After years of accumulation, the power system finally surpassed the hospital in electric shock first aid. Because in the hospital, only the emergency department and other relevant departments can rescue professionally, quickly and correctly.

This rescue not only refers to the rescue of the human body, but all targeted rescue according to the environmental field. Therefore, especially when someone is shocked and it is uncertain whether there is still electricity, personnel without formal training must not rush to rescue!

Zhang Fan shouted while running. In the distance, the person in charge of the snow field may also shout again: "the power has been cut off! The power has been cut off! "

Zhang fan runs towards the computer room, and Shaohua also follows Zhang Fan. She doesn't trust Zhang Fan. Although she doesn't understand this first aid, how can an undergraduate not know the harm of electric leakage? Zhang Fan has run away and can't pull it. People are selfish after all! It's understandable to subconsciously protect your sweetheart.

But Zhang Fan's career can't make him flinch. Today, if Zhang Fan is not a doctor, he can't go to the rescue. It's absolutely past. But as a doctor, the patient is in danger and needs professional first aid. If you don't stand up at this time, the title of doctor really doesn't deserve to have.

Yes, there is a lot of criticism about doctors in society, but after all, it accounts for a small share. Doctors are still respected after all. We can't deny most people because of some people.

Zhang fan runs hard. It's really troublesome to run in the snow. One foot is deep and one foot is shallow. In a short distance of 200 meters, Zhang Fan falls down several times and doesn't care. He has seen the woman holding the electrician crying.

The branch pierced his hands, and the snow entered his boots. Zhang Fan ran to the patient in a panic and said to the woman out of breath, "come on! Put him down! "

"Yes!" The woman is still sad and doesn't react.

"Put it flat! I want to save him. I'm a doctor. "

"Oh! Doctor, doctor, help him! " The woman after flattening the man cried, looking at Zhang Fan with blurred tears.

"Shut up!" Zhang Fan is anxious to die. There is no time to explain to her.

Li Liang and Wang Yanan in the distance saw Zhang fan running to the computer room. They also hurried to catch up to help. Li Liang is a man after all. After a while, he left Wang Yanan behind. Saving people is to strive for lost time. How can he care about others.

For this first aid, the patient must be placed on a flat ground or instrument, because the range of cardiopulmonary resuscitation is particularly large, with ups and downs of about five centimeters. This kind of rescue often breaks the ribs, and if the patient is not placed flat, an inadvertent rib pierces into the lung. This is even worse for the critically ill patient.

"Call quickly." Zhang Fan knelt beside the patient and shouted to Shaohua running in the distance while doing external cardiac compression.

Zhang Fan's tone is very hasty, and Shaohua is also nervous. This is the lover. She is even because of love. Although Shaohua doesn't understand how dangerous the patient is, she can hear the anxiety of Zhang Fan's tone.

"No signal!" Shaohua shouted to Zhang Fan with a cry.

"I'll go!" Zhang Fan ran away.

This person's right hand has been electrocuted, and his right hand has blackened, especially the middle finger of his right hand has been carbonized. In this place, he can only do simple cardiopulmonary resuscitation. It's really called not every day and not working. The safety regulations formulated by the state are not children's play!

"How's it going?" Li Liang surpassed Shaohua and ran to Zhang Fan. He was also panting.

"Cardiopulmonary resuscitation, 30 to 2, I press first, and then we change!" Zhang Fan pressed quickly.

Cardiopulmonary resuscitation is really a very physical activity. If you want to maintain the speed and depth, you must also maintain a certain frequency. This kind of thing can't be done by ordinary young people. Young people usually roar up in a hurry, Ho! Oh! Oh! Three times, it's boring.

Therefore, formal training should be provided. If some young people are trained in routine cardiopulmonary resuscitation every year, they should be able to save many people who should have hope to live.