Great doctor starts with adding points

"Senior brother!" Wu Xie took off his gloves, folded them inside out, and threw them into the yellow trash can, calling Long Yuan.

He knew that Long Yuan was not in a good mood right now, so he continued to explain: "Brother, these joints are relatively easy to reset, not the kind of suspicious additional damage."

Long Yuan took a deep breath, and after calming down, he said, "Tell me the truth, how many patients did you see during the time I went in for the operation?"

Medicine is not a child's play, and the emergency departments of all hospitals do not have assembly lines.

In the hospital, there are only laboratory examinations and auxiliary examinations that are of an assembly line nature, and they are placed on patients, and they are all treated individually.

But when it comes to Wu Xie, good guy——

Queuing up to do manual reset together, are you at a reset party?

Wu Xie felt a little bitter in his heart: "Brother, since you went in, I have treated a total of eleven patients, four of whom had fractures, and among the four patients with fractures, two had open fractures and one had complicated comminuted fractures. Now He was placed in the ward and hospitalized."

"Another patient with a simple fracture, I did reduction and plaster external fixation. He is not a local, so he was temporarily placed in the Department of Traditional Chinese Medicine for hospitalization."

"Among the remaining nine patients, one had a joint dislocation combined with a fracture. After I finished the treatment, I was temporarily placed in the Department of Traditional Chinese Medicine. Among the other eight dislocated patients."

"Four shoulder dislocations, one hip dislocation, one wrist dislocation, elbow dislocation, calcanecuboid joint dislocation and one interphalangeal joint dislocation."

"Among the patients with shoulder joint dislocation, one patient's joint dislocation is very complicated and needs to be strictly diagnosed. Therefore, I suggested that her family members send her to the county hospital for treatment. The other patient had a dislocation of the calcaneal joint. I felt that I could not handle it, so I also suggested transfer. .”

"Other joint dislocation patients have undergone manual reduction."

"But brother, you also know that except for the patient you performed the operation on, there are eleven patients who have only been admitted to the emergency department for an hour, and they came in intermittent time, so I can only make a preliminary diagnosis first. Only after investigating suspicious chest, abdomen and head injuries can we dare to make a diagnosis..."

Wu Xie explained it in detail.

He can't help it, the patients come one after another, they don't arrive in a queue at the same time, he can't check the vital signs of each patient in batches in a short period of time.

That is to say, he must take time to see the next patient in between seeing the last patient, and then the patient goes for an examination. After the examination is completed, he has to evaluate whether it can be reset, and give treatment options and opinions.

At the same time, we also need to receive new emergency patients, so under such circumstances, patients who have been diagnosed and have already figured out the treatment method are temporarily left aside.

First follow the tasks of new patients who don't know whether their lives are in danger or whether they have potential diseases, and move to the front.

It's definitely okay to check for life-threatening first, and then deal with the symptoms.

Such an accumulation, wouldn't it evolve into the current phenomenon of queuing?

After listening to Wu Xie's explanation, Longyuan felt a bit painful. The first-diagnosis responsibility system is the principle of the medical system. In fact, no matter whether it is an emergency patient or any patient, after entering the hospital, you must be responsible to the end. .

Like Wu Xie, it is a bit irresponsible to watch halfway, send the patient away, then continue to watch, and arrange a reset in a unified way.

But the objective situation is that the size of the township hospital is too small, basically the ability to receive patients is really limited.

Because of that fatal patient, everyone in the surgery department jumped on it, and people from the internal medicine department also came. As a result, only Wu Xie stood up in the emergency room, and Guo Lixiang was the only one in the ward to stand up.

It's hard for a clever woman to cook without rice, so what do you do with no one.

"Okay? Now that everything has been dealt with, then the flat film after reset must be evaluated carefully and be responsible to the end." Long Yuan sighed, not to seek responsibility, but just to beat Wu Xie.

Wu Xie nodded first, and then said: "Brother, I asked Dr. Cha, and they said that most of the car accidents were orthopedic patients, and there were no serious internal organ injuries. This is a good thing."

"But the problem is that the hospitals in the county are full and there are no more beds. After this kind of patients go to the hospitals in other towns, the doctors there dare not deal with them urgently, so they still have to be sent to the county."

"The county can't send them in, and the number of hospital beds in our department is limited, so I can only do a preliminary treatment. For the follow-up review, I still suggest them to go to the county."

"That's it, it's just the beginning!"

"Ten minutes ago, Dean Chen received a call asking if our hospital could accept a group of patients with simple dislocations and fractures transferred from other towns. There were too many patients at that time, so I refused."

Long Yuan thought to himself, in this Xuan County, the combined patient service volume can't keep up with the orthopedics department of Tongji Hospital, and the number of patients received is too small.

Just these patients, if they are placed in Tongji Hospital, with five departments and more than a hundred people, they may be "eaten" in less than an hour. When it comes to Xuan County, the whole county is too busy, and there is no one left. .

This made Long Yuan feel a sense of restraint, but Wu Xie was able to treat so many patients alone, which reminded him that a senior in trauma surgery is currently a professor.

When he was in the general hospital before, he was the nemesis of the orthopedic emergency department. The peak of one person in one night was to do 30 manual resets, and his skills were quite high.

Now that Wu Xie is able to receive more than a dozen patients within an hour, compared with this technology, he may have to raise Wu Xie's level a little bit!

"Let's go, let's take a look at the reset situation." Long Yuan no longer entangled, but wanted to give Wu Xie the most prudent answer.

In fact, everyone thinks that the review of the re-examination results after reset is just a procedure, but it is not the case. Observing whether the situation after reset is appropriate is the true reflection of evaluating a person's level.

After Wu Xie entered the door again, he sent the resettled people one by one to do the checkup, and they couldn't put plaster or other fixation first.

Before the cast, you can still leave room for change. If you cast it directly, if you reset it again, the previous plaster molding will not match, and it will be useless, wasting the patient's money.

Therefore, the fixation after resetting is best to be re-examined and then re-applied!

The two walked into the consulting room, and the people inside were talking about it.

"Today is a bit more knowledgeable. I used to only hear that when I came to the hospital, I needed a lot of examinations, and then I was hospitalized. I didn't expect to see that what I saw in the short video was reset immediately, and I didn't need injections. Scenes like medical surgery."

"Yes, maybe we are all relatively one-sided, thinking that only old Chinese doctors are doing manual repositioning. We all think that Western medicine is just doing surgery."

"..."

During the discussion, when they saw Wu Xie and Long Yuan coming in, the people near the door greeted Wu Xie: "Doctor Wu, do we need to go for a review?"

"Yes, we have to go for a reexamination first, so that the evaluation results can be more assured." Wu Xie looked sincerely.

But I was thinking in my heart, I can't underestimate the results of the reexamination, the irreversible joint dislocation that Longyuan received before, if there is no reexamination step, and the patient is directly let go, it will be a big trouble.

Re-examination, evaluating the results of re-examination, although important, the process is not complicated.

There are several ways to mainly evaluate the effect after reset.

First, see if the symptoms are relieved.

Second, see if the deformity disappears.

Third, see if the active and passive activities of the joint dislocation are restored after reduction.

The fourth is to see whether the joints on the plain film are in place, whether there is soft tissue entrapment or pseudoreduction, if there is none, it proves that it is a high-quality reduction.

Fifth, it is to see if there are any complications during the reduction process, such as fractures and the like.

Long Yuan watched the film, and Wu Xie was responsible for the physical examination after reset, watching active and passive activities...

Long Yuan's film-reading skills are higher than Wu Xie's. Therefore, Long Yuan can see that the patients after Wu Xie's treatment not only have their deformities disappear, but their mobility has recovered. These four patients have been reset in this batch.

Not a single patient has 'additional syndrome'!

What is 'additional syndrome'? It is a complication that exists with a high probability after reset.

Generally speaking, during the reduction, there will be slight tearing of the soft tissue in the joint cavity, bleeding, or signs of edema after impact, etc. This is the easiest for beginners of joint dislocation reduction.

Although these symptoms are harmless, they will recover after rest.

Moreover, these symptoms, such as oozing blood, cannot be seen by orthopedic surgeons with insufficient skill.

But Longyuan did not find out that these novices often made mistakes. It is difficult to prove that Wu Xie not only did a good job of manual reset during the whole diagnosis and treatment process, but also was extremely accurate in evaluating the indications of manual reset.

Suspected additional symptoms, or obvious additional symptoms, are all relative indications for manual reduction. You need to think carefully before choosing whether to perform manual reduction. It is also a relative indication for surgical reduction, which is critical. point.

All this can represent Wu Xie's reset level and basic skills.

Long Yuan didn't find these things, so the thoughts of "doing a big job" that he planned to teach and explain to Wu Xie in his heart were restrained, and he turned into a spectator throughout the whole process.

Although these patients are from other places and have no relatives here, but there are no beds in the ward, they can only find a small hotel or hotel to rest, and cannot stay in the hospital all the time, so Wu Xie dismissed them one by one.

When they left the hospital, they also thanked each other. They all went out alone without the company of their family members.

This is the pity of being injured in other places. Of course, it is also a kind of luck for them to meet Wu Xie.

After Wu Xie watched them leave, Wu Xie walked back again, and after entering the consulting room, he said: "Brother, the pre-operative and post-operative examination films of the previous patients can also be accessed in the film reading system. together?"

Long Yuan stood up now, shrugged his shoulders, stretched his waist, and said angrily: "Okay, stop pretending when you have reached a certain level, do you think I will check your homework?"

Wu Xie replied at that time: "Brother, I didn't mean that."

Long Yuan didn't think he was trying to pretend, did he? I just let you take a look.

"I know that the survey and sampling are not all. If you can do a good job in these few, even if one or two are not so perfect, it is enough. There is no need to pursue absolute perfection in life."

"Only when there is a little spare time can we have the motivation to move forward. This is also the meaning of life."

"Life lies between imperfection and perfection. Only those who suffer more will enjoy greater happiness and be simpler." Long Yuan began to blare——

Well, the long-yuan disease that has been idle has happened again.

"Brother, how is that patient?" Wu Xie was concerned about the patient who had entered the operating room before.

"It should be okay. The operation can be finished when I come out."

"It's a coincidence that the car accident happened this time. There was no patient with such a large injury in the chest and abdomen, and there was no special death." After sighing about life, Long Yuan began to move his joints again, and then said this to Wu Xie.

The leisurely expression on his face seemed to be an afterthought.

Wu Xie took the opportunity to flatter him: "Our hospital is definitely not as good as Master's, and such patients can't be saved."

"Of course such a simple patient is not enough for you, brother."

Long Yuan tilted his head slightly, and looked at Wu Xie carefully: "I think you are slandering me."

"Really not, brother, I really think so. You see. The principle of medicine is to save lives first, and then cure diseases. But in fact, the process of our learning is reversed. We learn to cure diseases first, and then learn to treat diseases." Help."

"I don't dare to save lives at my current level." Wu Xie's attitude was quite honest, but what he said seemed to have read the textbook thoroughly.

In speech and demeanor, it is out of teaching materials and out of teaching materials.

"Hey, this is the first time I've heard someone make such a comparison. It's worthy of being the god of learning in other people's mouth." Long Yuan muttered in a low voice.

"Huh?" Wu Xie was slightly puzzled.

"Forget it, keep waiting. I think there should still be a lot of dislocations or simple fractures. You have to be busy tonight." Long Yuan relaxed slightly, and then said: "I'll go to the lounge to sleep. ah."

Then I walked out of the clinic: "Fuck, I feel like I'm a bit of a bitch. During the hospitalization and attending treatment, I slept too much in the department, and even recognized the bed. Except for my own bed, I can't sleep anywhere else."

"I think the smell in the hospital is right or wrong. I slept very well in the lounge."

Long Yuan mockingly explained that Wu Xie didn't laugh, but felt distressed and apologetic.

Because of him, Professor Duan Hong asked for fewer people, and the consequence of his own collapse was that Senior Brother Long Yuan not only had to do his part well, but also had to bear his own part of it. This was the price of breaking the rules.

For teacher Duan Hong, it is also the path he chooses, and he has to walk it on his knees.

...

County Hospital, Emergency Department.

Cao Guanqun said, "What? Hospitals with integrated traditional Chinese and Western medicine can still receive patients?"

"Really, Director Deng, this is not a joke. I remember that there were more than a dozen patients sent there before, and they only had a dozen beds." The person named Director Deng is a health worker in the county The leadership of the committee, in addition to the county magistrate in charge of the accident rescue work.

Director Deng is responsible for the overall coordination and arrangement of patient turnover. In fact, Director Deng knows the service capabilities of different hospitals in the county.

"Dean Cao, how could I lie to you about this matter? I also just received a lot of calls for help from the township hospital, so I tentatively called Chen Xianhe, the Chinese and Western Medicine Hospital. He said so." Deng Qiong back slightly displeased.

"Dean Cao, can your side work? If so, I will ask the hospital of traditional Chinese medicine. Now time is very urgent. The sooner we can clear up this group of injured passengers, the better. some rest."

How can such a thing be a joke? What the hell do you think I am doing, just joking with you when I have nothing to do?

"No, no, Director Deng, I'm just surprised."

"Well, we have a group of mildly ill patients here, and we can't wait, but the orthopedics department is really short of manpower. Thirty or forty patients rushed in all of a sudden, and there are many open fractures. Everyone was sent to the operating room, and it was still choking."

"The operation is scheduled until tomorrow morning. If the Chinese and Western Medicine Hospital can arrange it, I will send a group of patients there?"

"Director Deng, you also know that the patients we see should be the patients who have undergone surgery first." Cao Guanqun hurriedly replied.

"Okay, you choose a group of mild patients to send there, don't want too many, they used to be the town hospital, and their capacity is relatively limited, so don't make any mistakes!" Deng Qiong warned, and hung up the phone.

This time, since no one died at the scene, it is best for everyone to be properly disposed of as soon as possible in the end.

He has always been confident about the level of restoration in Shazhen. Before that, he was supported by the old Chinese doctor Xiong, so he could safely and boldly deliver it. Now it seems that Shazhen’s joint dislocation and bruise patients’ ability to deal with patients is also very good. nice.

...

Cao Guanqun then found Lin Peiyuan, the director of trauma surgery, who was sweating profusely.

All the operating rooms in the hospital are fully open, and all the attending doctors go to an operating room alone. He runs back and forth between different operating rooms, performing some key operations, and strives to treat all patients with open fractures and patients in a timely manner. Patients with possible vascular injury were disposed of.

There is no vascular surgery in the hospital, and the orthopedics department is the vascular surgery department. This time, the car accident was caused by orthopedics patients. Both he and Director Li had big heads.

Moreover, there are still a group of patients with joint dislocation in the emergency department, and no one can solve it now.

Emergency treatment first and slow treatment later, this is the medical principle, but I am afraid that the patient will be impatient and make trouble at that time!

Cao Guanqun told Lin Peiyuan about this, and Lin Peiyuan, who was putting on the external fixation bracket, was taken aback.

Turn around and say, "What are you talking about? (What?)"

"Integrated Chinese and Western Medicine Hospital, they still have empty beds. Didn't they accept more than a dozen patients? How can they still accept them?" Lin Peiyuan was drunk!

The Hospital of Integrated Traditional Chinese and Western Medicine has one department, fifteen beds, one operating room, and so many patients, how can they handle it?

"This is indeed the case. Director Deng Qiong of the Health Commission called to coordinate and said that if the dislocated patients on our side cannot be resolved in time, they can be sent there."

"In their case, simple fractures and joint dislocations are all solved by manipulative reduction. We will control the quality of follow-up examinations and follow-up consultations." Cao Guanqun said so, looking at Lin Peiyuan with still flickering eyes.

He didn't say it clearly, but he still remembered clearly that Lin Peiyuan once sent away a graduate student introduced from Tongji Hospital, and the letter was signed by Cao Guanqun.

The reason why Xuanxian Hospital of Integrative Chinese and Western Medicine can do so well now is partly related to this person.

When Tongji Hospital wanted to modify the counterpart support unit before, he felt uncomfortable. This time, the speed of receiving patients in a second-level hospital seemed to be faster than that of the People's Hospital, which made him feel a little bitter. ah.

These are all honors and political achievements. If Wu Xie hadn't left, these should all belong to the People's Hospital!

Therefore, Cao Guanqun still felt that Lin Peiyuan was a little too impatient and not mature enough.

"That's all right, Dean Cao, I'll arrange for someone to go out immediately and suggest that some mild patients go to the hospital of traditional Chinese and Western medicine. I don't know if they can agree." Lin Peiyuan was shocked for a few seconds, and his mood and tone slowed down. Slow down and stabilized.

"Okay, you make the arrangements, and I'll take over. In this tough battle, your orthopedic department performed extremely well." The thing has already happened, and it is impossible to turn back.

Cao Guanqun didn't take the opportunity to hit him either, but just continued to bury the seed in his heart.

...

In the hospital of traditional Chinese medicine, Gui Zhongshuo's mouth twitched after receiving a call from his director!

Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, he has a deep memory.

Lin Peiyuan's words were outrageously professional, and they were the last words he wanted to hear this year.

Unexpectedly, their hospital has always been publicizing and focusing on the reset advantage, but now their own hospital failed to win it, but was taken away by the surgeon of Xuan County Hospital of Integrated Traditional Chinese and Western Medicine.

At the same time, Liu Nonghua, the deputy director of the department next to him, suggested: "Director Gui, if this is the case, why not send the two patients in the department as well."

"After these two patients are reset, they will be!"

"are you crazy?"

"The failure of manual reduction is a sign of surgical adaptation. At this moment, you send this patient to another hospital. Liu Nonghua, can you think of something reliable in your heart?"

"If the reset is not successful, the reset is not successful. Even if the Xuan County Hospital of Traditional Chinese and Western Medicine digs a hole for us, you have to admit that you know it!" Gui Zhongshuo began to curse.

What is this Liu Nonghua thinking? A patient was transferred from Xuan County Hospital of Traditional Chinese and Western Medicine. He intentionally harmed our hospital. You must be suffering from persecution paranoia. Find the reason from the technical level.

Although, after each major accident, the region will count and track the diagnosis and treatment of patients after turnover, such as the rate of surgery and the failure rate of conservative treatment.

But whether these data are excellent or not is definitely not obtained by means.

"Director Gui, that's not what I meant!" Liu Nonghua's eyes flickered.

"If you don't even dare to face up to and face your shortcomings, then there are no advantages."

"Go, go to the operating room and continue the operation. Transfer the three patients who have not had time to deal with it. For the other patients, please explain patiently. Some dislocations cannot be treated by manual reset." Followed Liu Nonghua and walked out.

He didn't trust Liu Nonghua to make arrangements, and he personally selected those people who could be transferred, and then rushed to the operating room.

...

In Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, Wu Xie left the emergency room and returned to the ward. He told Wang Huanglong, who was on duty in the emergency department, that he would be sent directly to the ward as soon as there were patients, and that he had to rest for a while.

There is an operation in the operating room, but he is the doctor on duty, so it is a pity that he cannot leave the ward to participate!

However, as soon as Wu Xie arrived at the doctor's office in the hospital, he saw a person walking in at some point in the doctor's office, a girl in a long skirt instead of a white coat, staring at the doctor's office seriously. Look at the medical records.

If Wu Xie hadn't glanced into the office, he probably would have gone straight into the lounge.

After seeing this beautiful figure, Wu Xie took a few steps back, rubbed his hands with the hand sanitizer at the door of the office, and walked in: "Old classmate, when did you come to the hospital?"

Tang Yuewei just glanced at Wu Xie from the corner of her eye: "While you were in the emergency room!"

"The alarm was loud outside, and I couldn't sleep, so I just wanted to come and see the elective surgery patients on Monday." As a professional anesthesiologist, preoperative anesthesia visits are very important.

Tang Yuewei thought so seriously.

"Well, two surgeries were arranged on Monday, but they were both simple fractures. I looked at it before, and it seemed nothing special." Wu Xie rubbed his hands, then looked around, and asked, "What is there in our town?" Your milk tea shop is open late, why don't you have a drink together?"

"Don't drink at night, it's easy to gain weight." Tang Yuewei sat upright and said, but the mouse had already been put down with his right hand.

"That's okay, I'll call the canteen across the street to bring over two bottles of water." Wu Xie started sending messages on WeChat after speaking.

Tang Yuewei's eyelids twitched subtly, feeling a little disappointed.

With tangled eyes, he secretly said in his heart that the Wu Xie in front of him is slightly different from the previous Wu Xie. He doesn't understand the girl's mind that much, and he hasn't worked hard.

No matter if there is no milk tea to drink, Tang Yuewei changed the subject and asked: "You are on duty today, and you have seen many patients? I just saw that there is still a queue at the bottom. Did an accident happen?"

"Minor car accident, I heard that the orthopedics department is fully responsible?" Wu Xie replied jokingly while editing the information.

"The orthopedics department is fully responsible?" Tang Yuewei didn't react immediately, and didn't catch Wu Xie's stalk.

"Oh, it's basically bruises, which are managed by our orthopedics department. Most of them are simple fractures and dislocations. There are very few patients with open injuries."

"This is good, but it's a lot of work." After Wu Xie finished speaking, he put down his phone and started to move his wrist, elbow and shoulder joints.

It seems simple to do manual reduction, but every patient has to continue to exert force. The muscles are in a state of continuous contraction for a long time, and they will be very tired. Because of the need for continuous force, aerobic energy cannot be supplied enough, and a lot of energy is supplied by anaerobic sugar. Fermentation, there is still a large amount of lactic acid accumulation at this moment.

"It's pretty good, but it scares your senior brother." Tang Yuewei smiled softly, covered her mouth slightly, and told Wu Xie when she came to the hospital.

Wu Xie put her hands on her hips at this moment, and said with a little pride: "There is no way, there are only so few empty beds in the department, and I am always afraid that the next emergency patient will be in danger and have to be hospitalized or undergo surgery."

"Based on this principle, we can only leave them in the outpatient clinic as the end point." Wu Xie smiled, then twisted her waist twice, sat down in front of Tang Yuewei, and looked at her calmly for a few seconds Finally, he turned his attention back to the computer.

"Let me create a template first. A few patients came in today, and there is no time to create a template for the major medical records." Wu Xie explained that he is a little busy now, and it's not that he doesn't want to chat with you.

"It's been built. Dr. Guo from your department built all the templates before entering the operating room, and he also wrote a major medical record." Tang Yuewei knew that the first medical record is the major medical record. If it is done, there is not even a template.

That is the fifth-level medical record. The fifth-level medical record is not a good thing, and it will be held accountable.

Wu Xie confirmed it again: "That's good, I can relax for a while."

"I'm sorry, old classmate, I should have walked around with you today, but I'm on duty today, and there are a lot of things to do, so I didn't have time to send a message to ask."

Tang Yuewei looked Wu Xie up and down: "You are indeed busy enough."

"Oh, by the way, for the emergency surgery just performed, Dr. Guo's fluid rehydration volume was not enough, and the fluid rehydration speed was not enough. Now the heart rate is a bit fast, you may have to call the nurse to speed up the fluid rehydration." Tang Yuewei explain.

She actually came here to help. After all, Wu Xie ran up and down, and there was always something she couldn't take care of. Where she came was for the preoperative anesthesia inspection, just to see if the emergency doctor's orders here were handled properly.

During the period when the professional master’s degree of anesthesiologists was incorporated into the regular training, they are very familiar with emergency rescue and ICU-related businesses. It can be said that every anesthesiologist must be a good doctor in the ICU and emergency department in order to prepare for emergencies. Patient escort.

"Yeah, let me check the vital signs."

"The high pressure is 99, the heart rate is 113, and the blood oxygen is 97%. It's because the circulating blood volume is not enough! I'll go out for a while."

"Thank you, Tang Yuewei." Wu Xie took the opportunity to change the address of his old classmate.

"Anything." Tang Yuewei would not say that she was here to help, but she knew that she might have to take the initiative a little bit now, after all, this big boy has a familiar shadow.

When Wu Xie went to talk to Xu Rong about adding another set of intravenous medicines to the intravenous access, Xu Rong's face was very dark, and he said angrily, "Do you want to connect so many tubes?"

"I have intravenous access, and I still need intravenous drip?"

"Yes. It is necessary, otherwise, we will have to pay attention to her heart rate tonight." Wu Xie explained patiently.

The reason why the postoperative inspection is important is to carefully analyze the patient's vital signs. This patient was close to shock when he was admitted to the hospital, which was caused by massive arterial hemorrhage.

In addition to replenishing crystals and colloids, he also had to ask the blood bank if there was any blood, and he had to bring some blood to keep the heart rate down. Otherwise, the high heart rate was not good for the patient, and he was worried.

"All right, I'll go." Xu Rong's tone and state were not very good.

Wu Xie heard the anger in Xu Rong's heart and grinned.

"Thank you old classmate."

Xu Rong didn't reply, the mask covered her expression, and with her back to Wu Xie, she just started to prepare something for the intravenous injection, and Wu Xie could only turn around and leave...

After Wu Xie left, Xu Rong's movements slowed down a little, then she tilted her head slightly and pursed her lips.

Sighed softly.

She just saw Wu Xie's old classmate again, and even for a moment, she understood Wu Xie's choice...

After Wu Xie went back, he chatted with Tang Yuewei, asked about Tang Yuewei's parents, and then continued to check the latest vital signs of today's newly admitted patients.

Emergency patients must be checked many times to avoid misdiagnosis and accidents.

"My parents sent me back, and I'm too lazy to open another room. They will go back at noon tomorrow." Tang Yuewei explained to Wu Xie.

Hearing this, Wu Xie paused for a moment before clicking the mouse: "Why don't you ask your uncle and aunt to have dinner together tomorrow? I'll be off duty tomorrow and take you to another restaurant."

Tang Yuewei tilted her head slightly, and was about to look at Wu Xie's expression and eyes when Wu Xie's phone rang.

Wu Xie quickly connected, and then walked out of the office: "The emergency patient was transferred from the township health center next door. He should be dislocated. I'll go see him..."

Tang Yuewei replied hello, and after carefully looking at the preoperative examination of the patient who was going to undergo surgery on Monday, Tang Yuewei packed her small notebook, put it in her handbag, and walked towards the dormitory.

I have to go back.

When they arrived at the emergency department, Wu Xie called her to stop her and asked her to get a bottle of water, and then hurried to the consulting room. In Ouch, but from the tone of voice, it can be heard that it is very comfortable.

Tang Yuewei smiled, and said softly: "Although the memory is lost, but the aptitude is still there, and you can still ascend to the top again..."

It was more than an hour before Wu Xie stopped busy.

And after treating the eight or nine patients who were transferred one after another, Wu Xie's forehead was covered with fine sweat.

Then, after completing the reset of the last patient and sending him for an examination, a family member who was the same age as Wu Xie opened a bottle of Oriental Leaf tea and handed it over: "Doctor, you have worked hard."

"Because of habitual thinking, I may have treated you badly before, so I apologize." The drink he handed over was just bought by himself.

"Thank you!" Wu Xie didn't refuse, took the drink and took a sip.

Jokingly said: "I just blame my brother for being too handsome. I don't look like a mature and stable doctor, right?"

"Damn it!" These words made the young man who gave him the drink roll his eyes.

But such a down-to-earth and unobtrusive answer narrowed the distance between the two, and looked Wu Xie seriously: "Brother is also quite coquettish. But I like this character."

"I almost had you as one of my roommates who had plastic surgery."

"Just kidding, brother, it's too late, otherwise it's easy to fall asleep. After sister-in-law comes, you should put on a plaster cast, so you can find a place to rest." Wu Xie replied solemnly.

"Thank you, doctor, you should also rest early." He clasped his fists slightly.

Another half an hour later, Wu Xie read all the reexamination results of all the patients, and put plaster casts on them one by one, and put a forearm sling on them, and sent the patients away one after another.

I also know that this group of car accident patients will probably not come to Shazhen again. Even if there is an emergency, it will be a 'wild' emergency patient, and I have to go to have a good rest.

In one and a half hours, eleven patients were received and treated, two were admitted to the hospital, and the other nine were treated with manipulation.

It was also exhausting enough, after the early morning of the next day.

Wu Xie walked upstairs with a few bottles of drainage and two bottles of mineral water. When passing by the nurse's station, she saw Xu Rong resting there on her stomach, so she gently put down a bottle of Wahaha, Xu Rong's favorite. Throw the drinks and water into the office and line them up one by one. If someone comes to the department later, they can drink directly.

He had to go back to the living room to rest for a while.

But when he was about to leave the office, Wu Xie suddenly froze.

He took a serious look at his panel.

"Supervisor beds: 5! (Knowledge point gain: 5 points/day)"

"Patient in charge: 5. (Knowledge point gain: 14 points/day)"

Today all the beds are full. After Lu Junyin's wife's cousin Xing Fang left, the knowledge point gain of the full patients dropped from 18 points to 13 points, and most of the new patients were one to two points.

It was just 13:00.

But now, +1 suddenly flashed!

What does this mean, it means that there is a patient whose condition is deteriorating, maybe it was 1 o'clock, now it becomes 2 o'clock, it used to be 2 o'clock, now it may be 3 o'clock.

And there is a high probability that it may be one of the patients I have just admitted to the hospital.

13 beds and 15 beds!

Most of the patients Wu Xie took care of were infected patients. Most of the patients hospitalized today were not infected patients, so try to avoid them as much as possible. There is really no way, and the ones that were admitted in the end could only be moved to their own beds.

Under such stimulation, Wu Xie didn't have the mood to go to sleep, so she rushed directly to bed 13-15.

Beds 13-15 are women's wards, and Zhang Chunmei was the first to live in, but Zhang Chunmei's condition has improved in the past two days, and the gain of knowledge points has dropped to 1 point, which should be nothing special.

Bed 13 was an aunt. When a car accident happened, she put her foot on the front seat, braked suddenly and rolled over. She suffered a comminuted fracture of the ankle joint, which was a closed fracture, so she was also turned down.

In bed 15, there is a 30-year-old young woman with no official family members. She was sent by her uninjured best friend who was traveling with her. Now her best friend is taking a nap.

It was also a fracture, but before her fracture, she considered a simple fracture of the ischium. Her follow-up treatment was to lie down and recuperate, which was nothing special. Wu Xie remembered that after her hospitalization procedures were completed, the gain of her knowledge point was just plus one.

After Wu Xie came in, he explained: "Auntie, sister, you also saw just now that there are too many patients below, so the physical examinations I did for you before were all simple physical examinations, and now the patients below have all gone back, but Your condition is a bit complicated, so according to the regulations, I'm here to give you another more systematic examination for peace of mind."

"Are you interrupting your rest?"

Once again, he quickly gave the two of them a physical examination.

Then I found that the lower abdomen of these 15 beds was a bit stiff...