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Ever since the hospital held a meeting of middle-level cadres, discussions on talent introduction and training plans for hospital doctors have not stopped./The discussion draft has been distributed to various departments. Of course, what everyone is most concerned about is the change in future treatment.
"Qin Chuan, have you heard? After the transformation of the hospital, the income distribution will undergo huge changes. In the future, the income distribution will not depend on whether you can treat diseases, but on your diploma. In the future, the income of a doctorate will kill us every minute.
"This is He Xiaokang's understanding of this plan.
"I've looked at it, and there is actually no difference. The key is that there is no plan to increase wages. Now we are all fighting for the list of further studies." Qin Chuan is still very conflicted about further studies.
If you can get a place for advanced studies and study and work in a higher hospital, it will be very helpful to improve your abilities. In a higher hospital, you can encounter more and more complex cases. Don't say goodbye
Yes, even in Nanya Hospital, the cases we have seen are those that are more difficult to encounter in Tanshan Central Hospital. After all, Nanya Hospital is the best hospital in Sanxiang Province, and many difficult diseases are not treated in hospitals across Sanxiang Province.
After the solution was found, it was sent to Nanya.
Qin Chuan is not worried about no one to teach him now, but it is difficult to meet various types of patients. Although simulation can be carried out in the space, the simulation is always very different from the actual situation. Although the system is all-inclusive, it is not possible
All cases are included in it, and each patient is a special individual. The cases are almost impossible to enumerate. Therefore, the real ability cannot be trained in space, but needs to be gradually accumulated in practice.
"Xiaochuan, the director asked you to go to his office." Gao Zhanting walked in from outside.
"Hey. Sister Zhanting, congratulations on your haze dissipating and seeing the light of day again." Qin Chuan said.
"That's tonight. Jinyu Restaurant, I'm treating you! You won't come back until you're drunk!" Gao Zhanting was in a very good mood.
Qin Chuan entered Cheng Guanhua's office.
"Qin Chuan, sit down. You have been in the emergency department for half a year, but your performance has surpassed all the veteran doctors. I really want to give you this opportunity for further training. But after all, you have only been here for half a year. In the department,
My other colleagues have been working in the emergency department for many years. There is no credit but hard work, so this is the opportunity. I thought about it for a long time, and finally decided to let He Xuedong participate in further training. First of all, He Xuedong has been here for the most years and is the one who should be here.
Go out and see new things. Secondly, He Xuedong's performance in this period is also very good. Gao Zhanting and He Xiaokang have all given up on their own initiative. So, I also hope that you can carry forward your style and don't fight for this opportunity." Cheng Guanhua said.
"Director, don't worry, I have no objection. I've only been working for less than half a year. The most important thing now is to secure my position. I'll talk about it later when I have the opportunity." Qin Chuan was still hesitating at first, but now it's good that he doesn't need to hesitate anymore.
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When Qin Chuan returned to the department, Gao Zhanting immediately asked: "Xiaochuan, I didn't succeed in the training this time. It's your turn next time. I just want to be a simple doctor now, and I won't think about these things."
He Xiaokang also smiled and said: "I won't go out unless Fang Ping comes with me."
This guy turned out to be worried that Fang Ping would change his mind.
"Ha. You guy, you actually have such an idea." He Xuedong walked in with a smile. "It makes me feel guilty. Xiaochuan, it is said that you have the best conditions. Such an opportunity for further study should be given to
A motivated doctor like you should go out, but I really want to make a qualitative improvement in my medical skills."
He Xuedong did not say that he actually wanted to change his specialty. After working in the emergency department for several years, he lost all his majors. Now he suddenly wanted to become a doctor, so he wanted to get his majors back.
"Doctor He, don't say that. This kind of thing is a hospital benefit. Of course, it should focus on senior qualifications like yours. If you give the quota to me, then I will rob you." Qin Chuan said with a smile.
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Several people were still talking when the emergency center called and asked the emergency department to discharge the patient.
"Who is going?" He Xiaokang asked habitually.
"I'll go." He Xuedong just got a place for further study. Naturally, it was hard to avoid it, so he volunteered to sign up. Wu Xiaoming usually pretends to be deaf and dumb. Although his performance has been better recently, no one is willing to go with him before he is discharged from the hospital.
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"I'll go too." Qin Chuan said.
Qin Chuan lifted the universal first aid kit so that He Xuedong could go out.
Gao Zhanting originally wanted to go, but her aunt was here and there was no way to go before discharge. He Xiaokang just didn't like being discharged. He would rather die of exhaustion in the emergency department than go to the front of the hospital.
After getting in the car, He Xuedong stared at Qin Chuan's universal first aid kit and said, "Qin Chuan, your first aid kit is very special."
Qin Chuan smiled and said: "I made it myself and it cost me a lot of money. But this thing is still suitable."
"I think you shouldn't be a doctor at all, you should be a scientist." He Xuedong said.
"I'm not good at being a scientist, so I'd better just be an emergency doctor." Qin Chuan said with a smile.
"Qin Chuan, are you really not going to do junior college in the future?" He Xuedong asked seriously.
"Who can say clearly what will happen in the future? The boat will arrive at the bridge. We will talk about the future later," Qin Chuan said.
"As someone who has been there, I still want to give you some advice. You can't be an emergency doctor for a long time. There are just a few types of cases that come and go in the emergency department. If you stay in the emergency department for a long time, you only know how to intubate. After this training
, I am planning to go to a junior college. It’s no good if I don’t go. I’m old, not as young as you, and I can no longer afford the trouble. You should also pay attention in the future, and you must not lose the junior college, otherwise you will not be able to do emergency services in the future.
He Xuedong also had a very fond impression of Qin Chuan, so he told Qin Chuan what was in his heart.
As he spoke, he had already arrived.
The patient's name is Li Tihuo, a male in his 70s. He has a history of diabetes and liver metastases for many years. He stayed in the hospital for a while and was unable to determine the location of the primary tumor. Because the patient was already very old, his family members did not want to undergo surgery.
Active treatment. After staying for a period of time, the patient's pain improved and he was discharged from the hospital. In the past two days, he developed consciousness disorder. The patient's eldest son, Li Guocheng, called 120.
As soon as the ambulance stopped, Li Tihuo's eldest son, Li Guocheng, rushed to greet him.
"Doctor. Doctor, please hurry up, my dad is dying." Li Guocheng said.
Qin Chuan quickly picked up the first aid kit and got out of the car with He Xuedong, and immediately followed Li Guocheng and ran upstairs.
Li Tihuo lived with his boss, Li Guocheng, who lived on the top floor of a six-story building. Qin Chuan, who was carrying dozens of kilograms of first-aid kits during this trip, had nothing to do. He Xuedong was already out of breath. He arrived at Li Guocheng's door.
All the while, I kept gasping for air.
Seeing that Qin Chuan was fine, He Xuedong sighed: "It's great to be young!"
At the door, Qin Chuan and He Xuedong were already there, hearing Li Tihuo's family members wailing incessantly.
"Dad, Dad, wake up. I'm Meiyun, I'm back. Talk to me." Li Tihuo's youngest daughter, Li Meiyun, cried and shouted. Raise a child to protect you from old age, raise a child to see you through the end of your life. Before she died.
According to Chinese custom, it is a pity that one's own flesh and blood cannot be seen off by his side anymore.
"My little sister just came back from the East China Sea. When I came back, my father could no longer speak." Li Guocheng said in a low voice.
Entering Li Dingguo's home, Li Tihuo was lying on the bed, having fallen into a slight coma. His whole body was sweating profusely, and his clothes were soaked with sweat. There was a lot of water in his abdomen, which was very swollen. It was bulging like a big rubber ball.
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He Xuedong measured the old man's blood pressure: "The blood pressure is normal."
Qin Chuan used his fingers to open the old man's eyelids. He shined a bright flashlight into Li Tihuo's eyes and found that the old man's pupils were somewhat slow to react to light.
"Have you eaten anything in the past two days?" Qin Chuan asked.
"I don't eat anything. He said his stomach was very bloated and he didn't want to eat," said Li Tihuo's eldest daughter Li Jinping.
Qin Chuan felt a little like hypoglycemia. He immediately tested the old man's rapid blood sugar. It was normal, and hypoglycemia was ruled out.
"Doctor, what happened to my dad?" Li Jinping asked.
Li Guocheng also came over: "What is the disease? If it is cancer. We are going to give up, and we really don't want to let the old man suffer anymore. My father himself said that if he gets sick again, don't torment him anymore. Anyway,
He won’t live long, so don’t let him suffer anymore.”
"Brother, how can you say such a thing? My dad worked so hard to raise us. But now, we don't even make any efforts and just give up?" Li Tihuo's youngest daughter, Li Meiyun, stared at him.
Big brother, as if looking at a stranger.
"Little sister, if you were like me and had been by my father's side to take care of him and watched him suffer from the disease for several years, you wouldn't have said such things. If my father's illness could still be cured, I would, I would
Is this possible?" Li Guocheng felt a little aggrieved, and the man in his fifties actually burst into tears.
"Little sister, how can you say that to my elder brother? Over the years, my father has been taken care of by his elder brother. How many times have you taken care of me? When did you come back to see our father? When did you not shirk your work and be too busy? Now you are filial
I'm here, right? Fortunately, my sister-in-law is not here." Li Jinping, the second eldest brother, immediately started to complain on behalf of her brother.
The third child, Li Diqing, was very annoyed when he saw that his father was about to die and the family was still arguing here: "You all should stop saying a few words. Our father is about to die, so you can just let him be quiet for a while. Doctor
, what is the situation with my dad? You have also seen the situation in my family. If you give me an accurate answer, we can make a decision."
Li Diqing's wife Wei Xiaojia quickly grabbed Li Diqing and said, "Stop saying a few words."
Li Meiyun's husband, Zhang Senpeng, repeatedly apologized to Li Guocheng: "Brother, don't be as knowledgeable as Meiyun. Meiyun is actually anxious too. We haven't done much in these years, and we have all relied on our eldest brother, second brother, and sister to take care of us. We feel very guilty."
Qin Chuan and He Xuedong couldn't make a decision. On the surface, the old man had been suffering from illness for a long time and was relatively weak. But now it looks more like hypoglycemia. But the test results showed that the blood sugar was normal.
"Xiao Qin, since it is not hypoglycemia, combined with the old man's medical history, cachexia should be considered. The old man has been ill for such a long time, and his body functions are slowly declining, so he is more vulnerable than ordinary people." He Xuedong said.
"Then don't go to the hospital. After all the hard work, it still can't be cured in the end. Why let my dad suffer anymore?" Li Diqing, the third child, also firmly disagreed with being sent to the hospital.
"Qin Chuan, do you think?" He Xuedong meant to follow the family's advice and give up rescuing the old man.
Qin Chuan was originally ready to agree with He Xuedong's opinion, but after thinking about it, he still said: "Although it is certain that the elderly have cachexia, I still think that I should send him to the hospital for a check-up. Maybe it is caused by some small problems? In
Here, we lack instruments, and it is impossible to see accurately with our eyes. To be cautious, it is better to go to the hospital. Although you don’t want to let the old man suffer, you can’t just watch him die like this, right? At least you can let him
He has a chance to say goodbye to you."
"Qin Chuan." Seeing Qin Chuan say this, He Xuedong hesitated for a moment, but finally said nothing.
The younger daughter Li Meiyun wiped away her tears and said, "Brother, sister, let's send my dad to the hospital. I haven't spoken to my dad yet when I got back."
"What should I give? What if I send him over and rescue him? How about letting him suffer for a few more days? It's not a matter of spending money now. It's not necessary at all. You did this to appease the guilt in your heart.
For our father, it is like suffering in vain. For the past few days when my father has been ill, I feel heartbroken when I see him suffering." Li Diqing firmly opposed being sent to the hospital.
"But, can you bear it just to see your father struggling on the edge of death while we do nothing?" Li Jinping asked.
Li Jinping's husband Zhang Dong supported his wife and said: "Di Qing, now that the doctors are here, what should we do? Let's listen to the doctors, okay?"
Li Meiyun also said quickly: "Eldest brother, second brother. I didn't do well in the past. But let me finally be able to fulfill my filial piety for us, okay? This time, I came back after a long vacation. I just want to come back and spend time with you."
Let our father finish the last journey of his life."
Li Diqing was held back by his wife Wei Xiaojia and remained silent.
Wei Xiaojia said: "The eldest brother usually takes care of the most and is also the eldest son in the family. It is up to the eldest brother to decide what to do."
Everyone turned their attention to Li Guocheng.
Li Guocheng is the eldest son in the family. After thinking for a long time, he made up his mind: "Send him to the hospital!"
After making the decision, Li Guocheng finally breathed a sigh of relief.
"Hurry, send an ambulance!" Zhang Senpeng said excitedly.
Zhang Senpeng directly carried the old man on his back and walked downstairs quickly.
"Be careful, be careful." Li Tihuo's children followed closely one after another.
Qin Chuan initially thought that the family was reluctant to send the old man to the hospital because of the medical expenses. Unexpectedly, it was because of this. Sometimes, the patient's family will face such a difficult choice. Whether to treat or give up.
Knowing that there is no cure, is there any need to extend the patient's life? If you choose to extend, the patient and the patient's family may have to suffer. If you choose to give up, the patient's family will have to accept the torture of their conscience for a long time. This
There is no right or wrong in it. There is no standard answer. (To be continued, please search Piaotian Literature, the novel is better and updated faster!
