"Charge for five minutes and output like crazy for eight hours! Let's start working!"
An experienced doctor has to manage many beds. The doctor is responsible for which bed the patient is assigned to. As the backbone of the emergency department, Tong Zheng is responsible for more beds, so he has more patients to manage.
Arriving at the ward, Tong Zheng instantly became the center of attention.
A fashionably dressed middle-aged woman suddenly stopped Tong Zheng and said, "Director Tong, when will my daughter be discharged from the hospital?"
"Bed No. 6?" Tong Zheng glanced at the bed.
Trapped in love, the girl cut her wrists and mutilated herself after a breakup. She was discovered by her parents and her life was hanging by a thread. After several hours of resuscitation at the hospital, she was able to save her life.
"I'll do a check-up later. If there are no special circumstances, I'll go through the discharge procedures in the afternoon! However, after the trauma has been dealt with, the inner injuries will be more difficult to heal. It is recommended that you seek counseling from an experienced psychiatrist."
Inpatients in the emergency department are generally kept for one or two days, and patients with more than three days will be transferred to specialized departments.
Tianhua Hospital is a large hospital with a very short supply of beds. Not only are patients eager to be discharged, doctors also hope to discharge patients as soon as possible, so that beds can be circulated as quickly as possible and more patients can be admitted.
Tong Zheng is different from other attending doctors. He will not be a hands-off shopkeeper. He will follow every patient throughout the process and will not waste the patient's time and money, nor the hospital's medical resources.
Coming to another hospital bed, Tong Zheng nodded towards Zhao Yuan.
Zhao Yuan understood Tong Zheng's intention and stepped forward to examine the patient.
While checking his body, he asked, "How did you sleep yesterday?"
"I didn't sleep well at all. I didn't sleep for more than three hours in total. The wound hurt so much!" The patient was 20 years old and a student at a sports school. When he was drinking at a food stall, he had an argument with a neighbor and his head was opened by a beer bottle.
Got the scoop.
"The anesthetic has worn off and the pain is normal."
"Doctor, will there be any sequelae?"
Zhao Yuan did not answer.
Tong Zheng's suturing skills are very high, using classic interrupted sutures, and he is very particular about the details, so the wound recovery should be very fast.
However, the current situation is not as optimistic as imagined.
Zhao Yuan explained to Tong Zheng truthfully, "The wound is edematous, and more medication will be needed. It will take at least two days before he can be discharged from the hospital!"
The ward instantly became quiet.
The level of child governance is generally recognized.
Zhao Yuan is actually questioning authority?
Zhao Yuan pointed out the key point, "There is no problem with the surgery, the problem lies in the post-operative care."
Tong Zheng frowned, "What's going on?"
The nurse in charge of ward monitoring stood up and said aggrievedly, "This patient was secretly discharged from the hospital last night and didn't come back until around three in the morning."
Tong Zheng was more surprised at this moment.
Zhao Yuan actually judged through his eyesight that something had gone wrong in the care of the patient. As expected, he could not be treated as an ordinary intern.
"You have failed in your duty!" Tong Zheng rarely looks so serious.
After practicing medicine for many years, Tong Zheng has seen various emergencies and said calmly to the patient, "Your life is your own. If you want to be discharged, you can go through the procedures now. However, our hospital has nothing to do with your later recovery!"
Seeing that Tong Zheng was about to give up on himself, the patient was frightened and quickly pleaded, "I'm sorry, Director Tong, last night was a special situation and my girlfriend broke up. It took me half a night to get her over. I will definitely cooperate with your treatment in the future. No.
Cause you trouble."
Tong Zheng didn't really give up on him, but wanted to make him realize the seriousness of the problem.
The method is to treat him coldly, ignore him, and walk to the next hospital bed...
Following Tong Zheng's ward rounds, Zhao Yuan also gained a new understanding of Tianhua Hospital.
Unlike field doctors, emergency surgery is like an assembly line. Patients are like damaged goods, and the attending doctor is responsible for repairing the goods.
As for how to recover after surgery and how to use medication, there will be a standardized process. The attending doctors will input the patient's information into the computer system, and there will be a mature system to track and follow up on each link in the future.
After the ward rounds, a handsome young nurse came to Tong Zheng holding a folder.
"Old Tong, do you expect seven to eight surgeries today?"
Tong Zheng seemed dissatisfied, "It's a bit less!"
For a novice, performing three or four surgeries in one night is already the limit.
But for an experienced expert like Tong Zheng, seven or eight surgeries are just the beginning.
When the nurse's eyes turned to Zhao Yuan, Tong Zheng introduced to Zhao Yuan, "You should focus on getting to know this little fairy - Bai Lu, the goddess nurse in our emergency operating room."
Nurses work at an early age. Bai Lu looks very young, definitely less than thirty years old, but she has worked in the emergency department of Tianhua Hospital for ten years.
He is 1.7 meters tall, with long legs and thin waist. He lives up to his name, with fair skin and pink cheeks, but his face is cold and he doesn't like to smile.
It is a professional habit for nurses not to smile, especially beautiful nurses. If they are kind and gentle to patients, it is easy for patients to misunderstand them.
It often happens in hospitals that when a patient is seriously ill, he falls in love with the nurse because of the nurse's attentive care, and then gets what he wants, and eventually causes trouble in the hospital.
Bai Lu was also well informed. Before Tong Zheng introduced him, he said, "He is the intern who just came to report today, Zhao Yuan?"
Tong Zheng's eyes narrowed and he joked, "You look handsome, don't you? Wipe the corners of your mouth quickly, your lipstick is all stained by saliva."
Bai Lu rolled her eyes angrily, "It has nothing to do with Shuai, I mainly heard that he has something good."
Something?
Zhao Yuan couldn't help but smile bitterly, "This comment is refreshing."
Bai Lu shrugged and raised her eyebrows, "Director Xie's exact words, if you are not satisfied, go to him to settle the score."
Tong Zheng patted Zhao Yuan on the shoulder and pretended to whisper, "You can ignore Lao Xie and me. But, Bai Xiaohu, please don't offend me. Will your surgery go well in the future?"
, it depends on her mood."
Zhao Yuan looked at Bai Lu again.
Bai Lu rolled her eyes and waved her hands quickly, "Don't hold me up too high, I'm afraid I'll fall to death."
After finishing speaking, she glanced at the watch on her wrist and said, "An ambulance will be arriving in the lobby soon. You have to make pre-operative preparations."
"what's the situation?"
"Suspected acute appendicitis! The patient is in severe pain, and the family agrees to undergo resection."
Tong Zheng thought for a while and asked Zhao Yuan, "Do you want to practice your skills?"
Unexpectedly, the opportunity came so quickly. Of course, Zhao Yuan would not refuse, "Okay!"
This is Zhao Yuan’s first day at work!
Bai Lu looked surprised and confirmed with Tong Zheng, "Are you sure you want the intern to perform appendicitis surgery independently?"
Generally speaking, interns will not be able to independently perform appendicitis surgery under the supervision of their supervising doctor before graduation.
Tong Zheng's old face smiled like a wrinkled walnut:
"Hey, don't judge a hero based on his age. I started doing surgeries independently when I was twenty years old. Moreover, this guy is better than me. He is also a thief who can pretend to be a pig and eat the tiger."
Zhao Yuan was speechless.
Are you praising yourself or scolding yourself?
…
With a rattle, the surgical flatbed left the ambulance, and the sound of wheels crushing the floor tiles broke the silence of the hall.
Zhao Yuan came to the door in advance to wait, waited for the surgical flatbed to land, and quickly moved with it.
At the same time, Zhao Yuan asked Dr. Sun who was in the car, trying to understand the patient's condition.
"How is the patient?"
Dr. Sun is a resident doctor in emergency surgery. He just became a full-time doctor last year. Today it is his turn to be on duty in the 120 emergency department.
At this moment, he looked excited. The director of a small surgery like appendicitis would definitely look down on it. The opportunity was rare, and it was also a very good opportunity for him to independently complete the removal of appendicitis.
He quickly replied, "The patient's surname is Ye. She is a 22-year-old female. She started to feel uncomfortable around 10 o'clock last night. She originally thought it was menstrual pain and took painkillers. At around 1 o'clock in the morning, the pain became unbearable. Her family called 120 and called 120 in the car.
I had a physical examination and found obvious pain in the right lower abdomen with recurring throbbing pain. The initial diagnosis was acute appendicitis."
Although he didn't have time to examine the patient, judging from Zhao Yuan's experience, I'm afraid it's not that simple.
Entering the operating room, the curtains were drawn, and the patient lay on the sterile mat, covering his abdomen and crying out in pain.
Zhao Yuan stepped forward and began to examine the patient.
At this time, Dr. Sun had learned from Bai Lu that the operation would be handed over to Zhao Yuan, but he had no chance of doing the operation, and he was extremely depressed.
However, he did not leave and stayed in the operating room shamelessly, taking chances.
Zhao Yuan is an intern. It is his first day at work today. There is a high possibility that something will happen. He will have the opportunity to serve as a substitute.
Zhao Yuan first used his fingers to percuss the patient's painful area, and then moved to other areas. With in-depth inspection, his face became more solemn.
About two minutes later, Zhao Yuan stopped and reported to Tong Zheng with a serious expression:
"It is recommended to perform an abdominal color ultrasound examination. The patient may not have appendicitis but cholecystitis."
"It's nonsense. How could it be cholecystitis? You can't tell the location of the gallbladder and the appendix, so you dare to talk nonsense here?"
The diagnosis result was questioned by the intern...
Dr. Sun, who was always regarded by his colleagues as having a very good temper, felt as if his tail had been stepped on, and he became furious!
