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Chapter 52 Not Playing Cards According to the Routine PS:

Chapter 52 Don’t play by the rules (PS: Please collect, recommend and read!)

After the doctor on duty and the nurse on duty handed over in detail the patients admitted to their shift and the patients scheduled for surgery today, the shift handover ended.

Then the right to speak was directly transferred to Yan Haihan.

Yan Haihan once again solemnly welcomed Yang Yifeng's arrival.

He then pursed his throat and said solemnly: "When Xiao Yang comes to our department, there is no group assigned to him. The specific group he will stay in after that depends entirely on Xiao Yang's own wishes."

"Director Hu, Director Cai, you can also fight for it."

"Kuku!"

After hearing this, Hu Ming laughed a little inappropriately.

But after making the sound, he immediately faced Yan Haihan's dark expression and said with an apologetic smile: "I'm sorry, Director Yan, I didn't cover myself with a quilt last night, so I might have caught a cold."

I really couldn't hold it back just now.

After speaking, he stretched his neck deliberately and smoothed the shape of his trachea with his hand.

Anyway, believe it or not, Yan Haihan still has to do his job well on the surface.

Hu Ming laughed suddenly, which made the atmosphere in the shift room suddenly become a little weird. Yan Haihan could only order with an ugly face: "If there is nothing else, just end the shift."

"Today at three o'clock in the afternoon, the department will hold a large case discussion for the whole department."

"Director Hu, Director Cai, your two groups are not operating today. Everyone in the group must come to participate."

It was obvious that even Zhou Chengdu could tell that Yan Haihan had omitted all the long speeches that he had prepared, such as, "The department does not belong to me alone, the department belongs to everyone."

The development of the department depends on everyone, and the development of the department depends on everyone.

The resources in the department are all fair, and everyone can do their best...

Then after going around in a big circle and making everyone else faint, he said one more sentence: Pang Dingkun will stay in my group for the time being...

Cai Dongfan and Hu Ming formally agreed to Yan Haihan this time.

After all, Yan Haihan is the director of the ward, so he still has to give him some face.

After the shift ended, Yan Haihan did not get up and leave immediately. Instead, he motioned to the people in his group to go to the ward rounds first, and then began to walk towards Yang Yifeng and talked to him in a very gentle tone: "Xiao Yang, where are we in our department?

It’s definitely not as good as the Xiangnan Hospital you were at before, in terms of basic equipment and..."

Hu Ming took his people and left without even bothering to listen.

Cai Dongfan glanced at Yang Yifeng, shook his head slightly and sighed, then led Luo Yun and Zhou Cheng to walk around the ward.

Then walking around, there were two patients who were about to be discharged, one was Zhou Cheng and the other was Du Yanjun.

For the five newly admitted patients, the preoperative examinations have been basically completed. Only one patient's CT scan and three-dimensional reconstruction are scheduled for this afternoon.

Moreover, Zhang Zhengquan happened to be on duty today, and the team would have priority in arranging surgeries tomorrow, so I wanted to arrange the surgeries for these patients as soon as possible.

The patient was admitted on the day Zhou Cheng and Du Yanjun were on duty.

A total of five surgeries were arranged.

The two patients are Zhou Cheng, and the two patients are Du Yanjun.

Zhang Zhengquan only has one bed, because the patients are not admitted when he is on duty, so he is assigned to Zhang Zhengquan only after his own bed space is filled.

After Zhou Cheng checked the room, he quickly went to grab the computer! He had a total of five beds, 25-28, +9.

Among them, 25 beds are postoperative patients and are ready to be discharged today.

Bed 26 is for patients with tibial plateau fractures who had surgery just last week. They are currently recovering well after surgery, but they need to be observed for a few more days. The patients are also willing to stay in the hospital for a few more days, and have basically stopped intravenous drugs.

Switch to oral medications to relieve pain and reduce swelling, and continue anticoagulation with low molecular weight heparin sodium.

I had a post-operative X-ray review on Sunday, and the results are now good. The patient can already continue to perform functional exercises in bed. The rehabilitation training of leg raising and quadriceps muscles has gradually improved. He is considered a patient waiting to be discharged.

.

There are no special arrangements. I just need to review the postoperative inflammation indicators today to avoid infection.

The patients in beds 27 and 28 are all fracture patients who were admitted last Friday.

One was a simple fracture of the mid-shaft femur, and the other was an intertrochanteric fracture. The postoperative examinations have been completed, and mannitol was used for dehydration over the weekend, and the current degree of edema is within control.

However, Cai Dongfan felt conservative and did not arrange surgery for the 28-bed patient with a femoral fracture. Instead, he hoped that the swelling would subside for a few days before elective surgery. The patient with a femoral intertrochanteric fracture would have surgery tomorrow.

The +9 bed is the previous fracture patient, the patient who Du Yanjun took the initiative to help Zhou Cheng write the medical record.

I am also preparing for surgery tomorrow.

Zhou Cheng quickly arranged the discharge records and medical instructions for the 25th bed he was discharged from, and told the nurse station that bed +9 would be transferred to bed 25 this afternoon.

+9 bed will be ready for surgery tomorrow.

After the operation, it is naturally inconvenient to live in the corridor. After all, living in the corridor is very inconvenient.

After Zhou Cheng finished writing the discharge medical orders and handed the discharge medical records to the patient, he sat in front of the computer and wrote the preoperative medical orders for the current 9-bed and 27-bed surgeries with a somewhat complicated mood.

Surgery is not a child's play, except for the evaluation of the indications and contraindications of surgery.

Preoperative examination and preoperative preparation are also important processes.

For example, patients whose fractures require internal fixation need to use prophylactic antibiotics. After all, the prosthesis inserted is a foreign body. Surgery with foreign bodies is an absolute indication for prophylactic antibiotics.

Of course, there are also routine preoperative preparations such as antibiotic skin testing and routine blood preparation.

There are also talks and signatures.

However, the reason why Zhou Cheng has complicated thoughts is mainly because he feels that, except for the 28 patients with intertrochanteric fractures, there is no other way and they must undergo surgery! The fracture here is not that it cannot be reduced manually, but that there is no way to reduce it.

Posterior fixation is an extremely unstable fracture area and must be treated surgically.

However, for beds +9 and 27, surgery can be completely avoided by performing manual reduction and standard plaster external fixation.

"Forget it." Zhou Cheng thought for a while and shook his head.

To be on the safe side, to be on the safe side.

After a fracture, it is an unstable fracture. Surgical treatment is naturally the most stable treatment method. It is the same wherever you go, that is, you can struggle with it here.

Just when Zhou Cheng was giving the medical advice, Yang Yifeng seemed to have escaped Yan Haihan's entanglement, and then found Pang Dingkun, who was about to leave the operating room at this moment, and asked: "Senior Brother Pang, hello, I am Yang Yifeng, please take care of me in the future.

.”

Zhou Cheng looked at the two people.

I thought to myself: Alas. When a doctor meets a doctor, they feel sympathy for each other.

If your class is different, the things you can talk about will naturally be different.

Pang Dingkun is not a doctoral student from Xiangnan University, but a doctoral student from Hengda University. Although he is older than Yang Yifeng and graduated early, Yang Yifeng's resume can now be beaten by him.

So Pang Dingkun invited you very politely: "Yi Feng, our group has three surgeries today, and I just want to take you to familiarize yourself with our operating room."

Orthopedics is surgery, and the operating room is both a battlefield and a paradise for learning.

When Yang Yifeng heard this, he was stunned for a moment and said, "Senior Brother Pang, I won't go to the operating room today. I'll just walk around the department first."

"Director Yan also agreed."

Yang Yifeng actually refused and dragged Yan Haihan out directly.

This sound of rejection immediately caused the five people including Zhou Cheng to turn their heads.

Pang Dingkun was a little stunned at the time. After all, the questions he gave Yang Yifeng had almost no way out.

But Yang Yifeng still refused directly.

This TM is a bit out of line.

"That's okay, you might as well get familiar with the environment in the department first." Pang Dingkun could only comfort himself by finding a reason, and then hurried away.

His proactive overtures to Yang Yifeng were immediately stunned by Yang Yifeng's stick.

PS: Please collect it, please recommend it, and please read it!

(End of chapter)


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