The system takes me for surgery
Chapter 305: The Bottom Hospital
Later, the woman told the truth, she just sprayed the insecticide on her mouth a few times.
Only then did Liang Yi realize that the smell the woman had just gotten into the ambulance was the smell of pesticides.
But her husband did not default on the fees, and made up all the fees that should be paid.
As for whether the woman knew how much her husband spent, Liang Yi and Zhong Yubo didn't know all about it.
But it can be regarded as a white lie to let the woman leave the hospital safely.
Xie Tianmu, the director of the emergency department, who had been keeping a straight face, suddenly showed an ugly smile, looked at Liang Liangyi's badge and said, "Comrade Xiaoliang, although the patient and family members have no objections this time, if you meet again next time When it comes to this kind of thing, you still have to consult your superior doctor or report it to me directly, you can’t make your own opinions, can you bring this bad habit of your low-level hospital to the higher-level hospital to understand?”
Although the director talked about grass-roots hospitals and higher-level hospitals, Liang Yi felt a little uncomfortable.But can understand what he said.He nodded and said, "Okay, Director."
The director beckoned Zhong Yubo over and said, "Little Zhong, you have to work harder recently, otherwise your performance last month will not be very good."
Zhong Yubo nodded and said, "There is nothing to do if there is no patient."
Apparently the director was very dissatisfied with Zhong Yubo's response, shook his head, and said in displeasure: "Everyone has patients, why don't you have any patients? You should be more active in conducting business, do you understand?"
How embarrassing it is for a doctor to be told that he is not active in his business, and his face turns red when it is finally broadcast.
He nodded and said, "I'll try my best."
"If you can't improve your business, then you can only become an ambulance doctor."
Obviously this sentence is not a joke, it is a warning, if a bed doctor becomes a simple ambulance doctor, it is equivalent to being exiled to a barren land in ancient times, and he will definitely not be able to hold his head in front of the hospital colleagues up,
There is too little room for a simple ambulance doctor to improve, which is very unfavorable for a young doctor to improve his own skills.
After hearing the director's words, Zhong Yubo frowned, dear, it seemed that two big stones were placed on his head, and he was a little out of breath.
After the director left.
When Zhong Yubo went to see the patients in the 21st bed, he said to Liang Yi: "You see, the director has a problem with me today. It's not that I don't want to accept this patient. There are still many problems in this department."
Liang Yi nodded. He didn't understand the specific situation, so he didn't dare to speak easily.
"You see, there are about a dozen doctors in our department, divided into three groups. Director Li is mainly responsible for relatively large and complicated emergency operations, and I basically handle the rest, but your senior sister Tan has a weird temper. She doesn't like to accept Patients, if she messes with her like this, the overall patients cannot be measured, so the director will blame me." Zhong Yubo said.
Tan Aizhu's temper is indeed a bit weird. When Liang Yi first came to the emergency department on the first day, he saw Tan Aizhu quarreling with Director Li in this group. The reason was that the patient was about to be discharged, and Director Li said something.In the future, if the patient wants to leave the hospital early, tell him, because she has to adjust the medicine for the patient, and she will be angry.
In fact, this kind of situation is very common in clinical practice. It is not a big deal to remind each other that it can be avoided in future work. Maybe everyone has different ways of communicating and handling things.
Liang Yi said: "Brother Zhong, if you need an assistant for an emergency operation, please tell me, and I will be your assistant."
Zhong Yubo nodded and said, "Director Li is over there looking at brain CT, you go and learn from him."
"Okay." Liang Yi saw Director Li Zhengping sitting at the computer desk in the nurse's station, looking through the medical records of his group.
Director Li Zhengping has a round face and small eyes. When he smiles, there is only a slit in his eyes. If he wears a mask, he still looks handsome. As for taking off the mask, he looks better with it on.
He will come to work tomorrow 10 minutes early, make a cup of hot tea, put it in front of the computer desk in the nurse station, and then take out the abnormal results of various auxiliary examinations of the patients recorded on A4 paper, and write them in red pen. detailed.
Moreover, his handwriting is written in facial expressions, honest and honest. Liang Yi likes it very much. Every time he takes a candid photo with his mobile phone, firstly, he thinks it looks good, and secondly, with this patient's data, it is like a miracle to write the medical history. .
Li Zhengping was seriously looking at the CT images on the computer. When he saw Liang Yi coming, he raised his head and glanced at him. Because he was seeing a woman who drank pesticides, he had a little impression of him, so he asked a few words, saying : "Did you do surgery before?"
Liang Yi nodded and said, "Other departments also have rotations, most of them in the surgical system."
"Then I should see some brain CT." Li Zhengping said.
"I can understand a little bit." Liang Yi said modestly.
Seeing Liang Yi and Director Li watching brain CT, several other training doctors and interns also gathered around.
Li Zhengping said: "Since everyone has come here, I will tell you the basics of cranial CT scans. Of course, I only know how to wash clothes. The doctors in the CT room are more professional than us."
When he was giving a lecture, he saw a few doctors playing with their mobile phones. He said, "You may not be in this major, but since you are in the emergency department, you should be at ease as soon as you come. You will encounter them in any department of the emergency department. A skill close by may be useful in first aid."
This is true. Liang Yi has encountered patients with cardiac arrest in the rehabilitation department. Thanks to timely cardiopulmonary resuscitation, the patient was pulled back from the gate of hell.
Everyone turned their mobile phones to silent, Li Zhengping looked at it, nodded, moved the mouse in his hand, the cursor moved back and forth on the brain CT, and said: "Through a normal brain CT plain scan, you can see these contents, such as the skull. The condition of the bones, as well as the condition of the brain sulcus and brain pool.”
He clicked with the mouse and said: "This is the brain gyrus, the gray matter and white matter of the brain. You can also see the size of the ventricle. You should pay attention to its shape, position and displacement. Finally, you need to look at the midline structure. This position It is very important, if suspicious abnormalities are found, enhanced imaging is required, which can observe the conditions of brain parenchyma and blood vessels."
After explaining the basic points, Li Zhengping reminded everyone: "I have said it once and you may not be able to remember it. The key is to learn more, watch more and review more."
All the young doctors nodded.
Liang Yi also nodded, but his attention was a little distracted. He seemed to see a small suspicious high-density shadow at the position of the middle cerebral artery.
Only then did Liang Yi realize that the smell the woman had just gotten into the ambulance was the smell of pesticides.
But her husband did not default on the fees, and made up all the fees that should be paid.
As for whether the woman knew how much her husband spent, Liang Yi and Zhong Yubo didn't know all about it.
But it can be regarded as a white lie to let the woman leave the hospital safely.
Xie Tianmu, the director of the emergency department, who had been keeping a straight face, suddenly showed an ugly smile, looked at Liang Liangyi's badge and said, "Comrade Xiaoliang, although the patient and family members have no objections this time, if you meet again next time When it comes to this kind of thing, you still have to consult your superior doctor or report it to me directly, you can’t make your own opinions, can you bring this bad habit of your low-level hospital to the higher-level hospital to understand?”
Although the director talked about grass-roots hospitals and higher-level hospitals, Liang Yi felt a little uncomfortable.But can understand what he said.He nodded and said, "Okay, Director."
The director beckoned Zhong Yubo over and said, "Little Zhong, you have to work harder recently, otherwise your performance last month will not be very good."
Zhong Yubo nodded and said, "There is nothing to do if there is no patient."
Apparently the director was very dissatisfied with Zhong Yubo's response, shook his head, and said in displeasure: "Everyone has patients, why don't you have any patients? You should be more active in conducting business, do you understand?"
How embarrassing it is for a doctor to be told that he is not active in his business, and his face turns red when it is finally broadcast.
He nodded and said, "I'll try my best."
"If you can't improve your business, then you can only become an ambulance doctor."
Obviously this sentence is not a joke, it is a warning, if a bed doctor becomes a simple ambulance doctor, it is equivalent to being exiled to a barren land in ancient times, and he will definitely not be able to hold his head in front of the hospital colleagues up,
There is too little room for a simple ambulance doctor to improve, which is very unfavorable for a young doctor to improve his own skills.
After hearing the director's words, Zhong Yubo frowned, dear, it seemed that two big stones were placed on his head, and he was a little out of breath.
After the director left.
When Zhong Yubo went to see the patients in the 21st bed, he said to Liang Yi: "You see, the director has a problem with me today. It's not that I don't want to accept this patient. There are still many problems in this department."
Liang Yi nodded. He didn't understand the specific situation, so he didn't dare to speak easily.
"You see, there are about a dozen doctors in our department, divided into three groups. Director Li is mainly responsible for relatively large and complicated emergency operations, and I basically handle the rest, but your senior sister Tan has a weird temper. She doesn't like to accept Patients, if she messes with her like this, the overall patients cannot be measured, so the director will blame me." Zhong Yubo said.
Tan Aizhu's temper is indeed a bit weird. When Liang Yi first came to the emergency department on the first day, he saw Tan Aizhu quarreling with Director Li in this group. The reason was that the patient was about to be discharged, and Director Li said something.In the future, if the patient wants to leave the hospital early, tell him, because she has to adjust the medicine for the patient, and she will be angry.
In fact, this kind of situation is very common in clinical practice. It is not a big deal to remind each other that it can be avoided in future work. Maybe everyone has different ways of communicating and handling things.
Liang Yi said: "Brother Zhong, if you need an assistant for an emergency operation, please tell me, and I will be your assistant."
Zhong Yubo nodded and said, "Director Li is over there looking at brain CT, you go and learn from him."
"Okay." Liang Yi saw Director Li Zhengping sitting at the computer desk in the nurse's station, looking through the medical records of his group.
Director Li Zhengping has a round face and small eyes. When he smiles, there is only a slit in his eyes. If he wears a mask, he still looks handsome. As for taking off the mask, he looks better with it on.
He will come to work tomorrow 10 minutes early, make a cup of hot tea, put it in front of the computer desk in the nurse station, and then take out the abnormal results of various auxiliary examinations of the patients recorded on A4 paper, and write them in red pen. detailed.
Moreover, his handwriting is written in facial expressions, honest and honest. Liang Yi likes it very much. Every time he takes a candid photo with his mobile phone, firstly, he thinks it looks good, and secondly, with this patient's data, it is like a miracle to write the medical history. .
Li Zhengping was seriously looking at the CT images on the computer. When he saw Liang Yi coming, he raised his head and glanced at him. Because he was seeing a woman who drank pesticides, he had a little impression of him, so he asked a few words, saying : "Did you do surgery before?"
Liang Yi nodded and said, "Other departments also have rotations, most of them in the surgical system."
"Then I should see some brain CT." Li Zhengping said.
"I can understand a little bit." Liang Yi said modestly.
Seeing Liang Yi and Director Li watching brain CT, several other training doctors and interns also gathered around.
Li Zhengping said: "Since everyone has come here, I will tell you the basics of cranial CT scans. Of course, I only know how to wash clothes. The doctors in the CT room are more professional than us."
When he was giving a lecture, he saw a few doctors playing with their mobile phones. He said, "You may not be in this major, but since you are in the emergency department, you should be at ease as soon as you come. You will encounter them in any department of the emergency department. A skill close by may be useful in first aid."
This is true. Liang Yi has encountered patients with cardiac arrest in the rehabilitation department. Thanks to timely cardiopulmonary resuscitation, the patient was pulled back from the gate of hell.
Everyone turned their mobile phones to silent, Li Zhengping looked at it, nodded, moved the mouse in his hand, the cursor moved back and forth on the brain CT, and said: "Through a normal brain CT plain scan, you can see these contents, such as the skull. The condition of the bones, as well as the condition of the brain sulcus and brain pool.”
He clicked with the mouse and said: "This is the brain gyrus, the gray matter and white matter of the brain. You can also see the size of the ventricle. You should pay attention to its shape, position and displacement. Finally, you need to look at the midline structure. This position It is very important, if suspicious abnormalities are found, enhanced imaging is required, which can observe the conditions of brain parenchyma and blood vessels."
After explaining the basic points, Li Zhengping reminded everyone: "I have said it once and you may not be able to remember it. The key is to learn more, watch more and review more."
All the young doctors nodded.
Liang Yi also nodded, but his attention was a little distracted. He seemed to see a small suspicious high-density shadow at the position of the middle cerebral artery.
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