Great doctor starts with adding points

Fu Jinjin found a logical loophole, and after continuing with the operation, he raised his head and asked, "Has Dr. Xiong seen you?"

Quickly find the loopholes in the previous questioning process.

Guan Yun thought about it, and Cao Zhiyuan, who could prove it to himself, was on duty today, so he took a closer look: "I haven't seen all of them, there are about twenty, and the rest of the time is too late. Out of trust or exhaustion, Dr. Xiong and leave."

At this point in time, Guan Yun did not dare to talk about his preferences and flattery.

Medicine is no joke.

"If there is no problem after reading most of it, then there is no problem."

"Originally, Dr. Xiong will come to help tomorrow. He has been helping in the State People's Hospital before, and he is old."

"I just heard that Wu Xie was going to do this, so I asked casually. I didn't expect Old Doctor Xiong to come." Fu Jinjin explained to Huang Yaolong and Wu Longshan in this way.

Guan Yun curiously asked the topic hidden deep in his heart: "Master, what is the origin of this old Chinese medicine doctor?"

"Don't inquire about people who can't be controlled by Hubei Province." Fu Jinjin knocked Guan Yun's ulnar styloid process, as if scolding, but it was actually a reply.

Everyone fell silent immediately.

...

Wu Xie who was in the ward did not leave, and at the same time told the trainees Wu Qi and Hong Suowei of Director Qian's group that Zhou Jiangchao could leave.

Similarly, Director Ning's resident trainer also left the department to rest in amazement. Xiao Yunqi was the doctor on duty yesterday and had already gone back to rest. In an instant, only Wu Xie and Cao Zhiyuan on duty were left in the department.

Cao Zhiyuan is very sensible, after Wu Xie finished all the operations, he still prepared an extra dressing bag!

In the absence of the patient, he said: "Brother Xie, change the medicine, so as not to sweat the wound and cause unnecessary trouble."

"Actually, the wound is not that big." Wu Xie honestly unwrapped the wrapped gauze, but sat on the examination bed and stretched out her hand.

Just horizontally above the yellow medical trash can, revealing the innermost layer of the wound layer by layer.

The opening is not big, but there is still a little swelling, and it is more serious than last night.

Wu Xie didn't feel like he was sweating, but in fact there were sweat stains on his palms, which were just soaked in gauze, so he couldn't feel it himself.

Cao Zhiyuan opened a bottle of normal saline and rinsed it, and then began to disinfect with complex iodine: "Fortunately, there is no emulsification, but we must pay special attention."

"This incision is not particularly small. Although it doesn't need to be stitched, but Brother Xie, you can still complete the operation on the spot under such circumstances, that's amazing."

Wu Xie nodded with a smile, and there is no need to be particularly modest at the moment: "It's not bad."

"But it's true that I can't go to the operating room. When you go to the operating room tomorrow, remember to explain to Director Fu."

Cao Zhiyuan heard the words and said: "Brother Xie, there are still many orthopedic surgeons from other hospitals in the operating room. Patients who come to the hospital should be treated in a timely manner. Let's just take care of the rest."

Wu Xie took a closer look, and then asked, "Is Professor Zhou in the operating room?"

Cao Zhiyuan shook his head: "Professor Zhou has applied for the second batch of on-site first aid teams and has gone to the scene."

"Oh!~" Wu Xie nodded.

He is actually a little afraid that there will be some conflicts between Associate Professor Zhou Xiaoning and Chief Physician Fu Jinjin, which will affect him, and he still doesn't know how to choose.

In fact, Wu Xie thought too much about it himself. Under special circumstances, even Zhou Xiaoning would not be ambiguous.

Even in the current situation, in the short term, maybe even within half a month, it will be difficult for the Trauma Surgery Department to accept patients from the Hand Surgery Department, but the hospital's most basic task is to undertake the medical task, not the task of developing disciplines.

After changing the dressing, Wu Xie and Cao Zhiyuan entered the lounge together.

The working hours of the two are not short. It seems that they are only doing ward rounds, writing medical records, and doing manual resets, but they can't bear the heavy patient volume.

More than 30 conversations and signatures, even if someone helps, it will take an hour or two, and Wu Xie's method reset is even more time-consuming.

Wu Xie was a little tired. After going to bed, she sent Tang Yuewei a few good night messages, and then fell asleep.

In fact, manual reset is very tiring and consumes a lot of energy. Whoever does it will know.

After the level of manual reset is increased, it can only save a part of the effort, not completely useless.

When Cao Zhiyuan heard Wu Xie's slight snoring after falling asleep, he became light-footed. At the same time, he sent a message to the nurse on duty at the nurse's station, asking her to call directly instead of knocking on the door loudly. There are others resting.

Time is like water, another night passed.

When Wu Xie got up in a daze, he saw a lot of knowledge points improvement at first glance, but soon concentrated on the supervisor's bed panel.

Unfortunately, three more inpatients came one after another last night.

It is impossible to know whether it was transferred from the scene or just an ordinary car accident injury.

Moreover, after Wu Xie got up and went to the ground, he found that there were other people napping in the laundry clothes on the upper bunk in the lounge!

It was only seven ten in the morning.

It was actually still early, but Wu Xie still struggled to get up and ordered breakfast through the Meituan platform.

People are iron, food is steel, no matter how busy you are, you still need to eat.

After arriving at the ward, Wu Xie discovered that the new emergency patients admitted to the hospital last night were all fresh car accident injuries.

This is probably the norm everywhere.

Don't think that every day is peaceful, but when you go to the hospital, you will find that there will be bloody car accident injuries every moment of every day.

Wu Xie roughly glanced at the diagnosis, which was a simple or not particularly complicated fracture.

In fact, Cao Zhiyuan woke him up last night and it was dealt with, but Cao Zhiyuan chose to pull them into the extra bed temporarily.

never mind!

This is Cao Zhiyuan's right as a resident physician.

He is a resident doctor, so he may not be capable enough, and he will be treated correctly after the superior doctor makes the ward rounds. Don't be rash when you're not sure.

Fractures are also not a very specific emergency.

And yesterday's situation was also special, without the presence of superiors, it could be justified.

After the fracture patients in the department have been cleared away, another critical issue in the emergency department of trauma surgery is post-traumatic infection control.

In the case of emergency, no one will consider the issue of infection, but after emergency, this issue must be carefully considered and considered.

When receiving a large number of patients at one time, the first meeting with the patients should be fast, and the diagnosis should be confirmed quickly.

The second step is to carefully select and treat the severe and life-threatening patients in advance, and then deal with the simple and easy-to-handle mild patients one by one, and send them out of the hospital to free up excess medical resources for emergency treatment. needs.

In the third step, it is intensive cultivation, and the treatment plan for each patient is detailed one by one. This is a particularly time-consuming process and requires the mobilization of a lot of knowledge reserves.

In addition to the experience of anti-infection with antibiotics, Wu Xie also has surgical infectious disease (pharmaceutical school)!

These two skills will be Wu Xie's trump card when he sees patients and thinks about medication plans!

At this time, it is not like yesterday to check for leaks and fill in vacancies, to understand the whole, that is to sieve.

Today is grinding, grinding carefully, grinding, the finer the better, the more thoughtful the better.

Simple surgical medication is simple, anti-infection, pain relief, stomach protection, preventive anticoagulation, every step can be considered, but for Wu Xie, the surgical treatment process is not so simple and formatted.

Wu Xie first dealt with the relevant doctor's orders of the patients he was in charge of one by one, fully considering their postoperative examination results, and those who needed to be repaired should be repaired, and those who needed to be replaced with antibiotics should be recorded in the register. When my son makes rounds, I have more time to ponder.

This will take much more time than yesterday.

Otherwise, there are more than 80 patients, and each patient has to think about it in detail. It takes three minutes or more than four hours for one patient. Would you still go to see the patients outside the department?

But today, it is completely different. The supervisor is editing, that is, there are only 16 beds in the ward, and there are only 10 extra beds including the new patients who arrived yesterday. A total of twenty-six patients.

One day to slowly polish, this time is much more abundant.

It can be foreseen that the operation in the operating room is coming to an end, Director Ning and Director Qian will also return to the ward, and they may start to lead the team to make ward rounds, so the patients managed by their team should be handled by them.

It's still a matter of choice.

Every director has his own understanding and medication habits. Wu Xie is just a general inpatient. He only needs to manage the patients in his own group well, and give advice to patients in other groups.

It will be difficult to spend time explaining to other chief physicians.

The big deal is infection. Which chief physician has never treated infected patients?

Wu Xie will not create extra problems without authorization, nor will he take all the responsibilities on himself when time is limited.

When manpower is limited, a person's time is limited after all.

After breakfast arrived, Wu Xie polished the rough and detailed plans for fifteen patients.

Instead of continuing, he chose to have breakfast first.

At this moment, the staff in the department was finally ready.

Chief Physician Fu Jinjin, Director Ning, Director Qian, Associate Professor Zhou Xiaoning and others also all arrived in the department, all showing signs of fatigue.

Moreover, when Fu Jinjin saw him walk in for the first time, he asked, "Xiao Wu, is there any special situation in the department?"

"The patients in the ward are all quiet. Nothing special!" Wu Xie didn't know much, only quiet.

Quiet means that there are no emergencies, otherwise it would be impossible to be quiet.

"That's good, you worked hard."

"Originally there were more than 100 patients in the department. After you assigned them, there are only about 70 left. Three extra beds were added yesterday, and there is still room for extra beds in our department!"

"Head nurse, we all have to thank Mr. Zhou! This is the strength that the chief hospitalist should have."

"Very hardcore." Fu Jinjin said.

As for the nursing team represented by the head nurse, one of them said: "Mr. Fu, I want to do a self-reflection here. Dr. Wu came very early yesterday, and he began to perform examinations when he came to the department. I'm still wondering what Dr. Wu is. It's not doing something on purpose."

"Later, I even made complaints about the head nurse. Now that I think about it, I'm still too narrow-minded."

"It seems that the additional blood tests ordered by Dr. Wu are all the ones that he had to do manual reset yesterday and send the patient home. He just did some more biochemical tests for safety."

Upon hearing this, the head nurse said: "Director, last night, the hospital leadership and a representative team from the medical department came to inspect the trauma surgery department. They were shocked to find that the beds in our department were not full. I thought we were fishing for fish."

"But after seeing the medical records related to discharge from the hospital, I left silently, and even asked specifically what was going on."

"Finally, our department is organized and disciplined."

"Ahem!~" Hearing this, Fu Qianjin quickly coughed twice.

"Xiao Bo, there's no need to rely on this aspect all the time when we're in transition, although we know you're very suitable for publicity. So as not to cause complications." Fu Qianjin was more cautious.

There are some special expressions that are only suitable for special occasions.

Xiao Bo is also the head nurse. When she heard the words, she said: "There is discipline in the first place. All departments in our department twist the same rope and tie the same heart. From the director, there is the general hospital in the middle, and down to the intern nurses. Everyone None of them are idle."

Xiao Bo said confidently.

"Let's start the shift. There are more patients. The hard-working doctors on duty and the members of the nursing department on duty should hand over their shifts more meticulously, so that those of us who haven't seen the sun in the operating room for a long time may have a bottom line in our hearts." Fu Qianjin gave an order , so to speak.

The handover is indeed more detailed and cumbersome. After all, there are many patients involved, and it takes more than 40 minutes just to repeat the materials.

After the shift was over, Fu Jinjin said: "The tasks in the ward are indeed very heavy. It is not as easy as our operation below. Everyone has worked hard."

"Especially Xiao Yunqi, the doctor on duty yesterday. Here, we give Xiao a wave of encouraging applause. He can withstand the pressure of so many patients, and he can handle the hospitalization procedures in an orderly manner."

Wu Xie did think that Xiao Yunqi was very good.

With so many patients, he really fed them all into the ward in one day. This requires some ability, otherwise ordinary people may really be beaten up.

After the applause, Fu Qianjin said: "Second point, we want to pay special tribute to two people!"

"One is Associate Professor Zhou Xiaoning, and the other is Doctor Wu Xie. Both of them are comrades who went directly to the rescue site and participated in the on-site rescue team."

"The situation at the scene is critical and dangerous. According to the report of the general dispatch, more than ten medical staff were injured at the scene. The risk factor is still extremely high."

"Furthermore, on-site first aid is very difficult and the task is arduous. Only a person with extraordinary strength like Professor Zhou can undertake such a heavy and complicated task."

"Professor Zhou, thank you for your hard work." Fu Qianjin stood up and bowed slightly.

Zhou Xiaoning, on the other hand, heard the words and swept around Wu Xie.

Finally, he said: "Boss Fu, your praise made me feel a little bit on pins and needles. You don't know what happened to me when I was giving first aid at the scene."

"With gold and jade in front, people will be under a lot of pressure later on."

"People heard that I am the orthopedic department of Minda Hospital, so they have to treat me as Dr. Wu. Dr. Xiao Wu is the winner of the special prize, and I am not one, so it is a bit difficult."

Zhou Xiaoning only said that it was difficult, but did not say that she couldn't do it, which contained a lot of information.

"Dr. Wu and Professor Zhou are relatively all-rounders, and you have sufficient reserves of ability, so you can use them urgently."

"I won't repeat the words of praise and thanks. The patients and tasks in each group are very heavy. Let's start the ward rounds. After the ward rounds, we will go to rest and prepare for the daily reception work and patients waiting for surgery. digestion." After Fu Jinjin said this, he ended the shift.

But after the shift was over, on the way to lead the team to the ward rounds, Fu Qianjin said: "Professor Zhou, as soon as you left yesterday, the pressure here suddenly doubled, as if we had lost our backbone."

"Professor Zhou has worked really hard, why don't you go back and rest for a while?"

"Everyone in the department should rest today."

Zhou Xiaoning said: "It's all here, let's walk around, it doesn't matter."

Then Zhou Xiaoning continued to lead the topic to Wu Xie: "Xiao Wu, did you really do all those emergency artery ruptures yesterday to stop the bleeding?"

"The casualty rate remains at 0?"

Wu Xie's eyelids flickered when he heard this, and he nodded slightly.

Zhou Xiaoning immediately gave Wu Xie a thumbs up: "Niuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu"

Fu Jin hurriedly asked what was going on.

Then, Zhou Xiaoning told what she probably heard during the first aid at the scene. After listening, everyone looked at Wu Xie as if they were listening to a story.

He is not a surgeon, so he may not know how difficult Wu Xie's operation is.

But after understanding a little bit, I feel that Wu Xie is simply a freak.

But it is true that now is not the right time to brag, so Fu Jinjin led people into the ward.

Only then did Wu Xie slowly find out his exclusive general inpatient notebook, and at the beginning of the ward rounds, he took the initiative to say: "Director Fu, I didn't go to the operating room because my hand was injured. I just spent more time in my free time. Do what you can."

"I have a good understanding of the basic situation of the patient. You and Professor Zhou will review it later!~"

Fu Jinjin immediately stood on tiptoe and looked at Wu Xie's notebook. Seeing the writing and drawing on it, he joked, "Professor Zhou, Director Huang, why don't we go, Xiao Wu has already usurped the throne."

"I think it will work!" Associate Professor Zhou Xiaoning touched her nose, feeling very frustrated.

In any case, Wu Xie's basic preparations are too abundant now, such careful preparations, what will happen to them, senior doctors?

Of course, this must be a joke.

However, after Wu Xie went to the bedside of the first patient and Guan Yun explained the basic situation, Wu Xie started to babble a lot: "Director Fu, Professor Zhou, this patient has a large open wound. After emergency debridement."

"It belongs to the first batch of debridement patients. The operation was performed the night before yesterday, and blood was drawn for reexamination yesterday."

"Just now, Guan Yun also reported the general blood drawing situation. My suggestion is that the patient's current white blood cell count is not high, and the proportion of neutrophils is slightly high. big."

"So we can downgrade the antibiotics and just give cephalosporin for follow-up preventive anti-infection, instead of using the current piperacillin-sulbactam."

"The approximate antimicrobial spectrum of piperacillin is mainly against..."

"Choosing ceftazidime can cover part of the antibacterial spectrum..."

"Then, according to the results of his liver and kidney function tests, it can be found that there is slight renal insufficiency, which may be transient. Consider applying for a consultation with the nephrology department."

"Think about it again..." Wu Xie didn't want to pretend to be aggressive, but to save time and be more meticulous, so he also gave the reason first.

Finally waited for Wu Xie to finish the corresponding treatment within four minutes.

Fu Jin said: "Or I'd better go!"

"Professor Zhou, what do you think?"

Zhou Xiaoning breathed a long sigh of relief: "Xiao Wu has always been a more meticulous and cautious person, and the plans he introduced probably do not need to be revised."

"It's just that Xiao Wu called it within his power, which I didn't expect."

During the whole process, Huang Yaolong didn't speak, but in fact, his mood gradually became peaceful, and he let go of some things.

Originally, as a latecomer, Wu Xie came to the group as the chief inpatient, had his own supervisor's bed, and did things that he didn't do, which made Huang Yaolong feel very embarrassed.

Brother, you have to know that Senior Brother Zhou came here to support me, not to pretend to be a bully for you. If you do this, it will make me very embarrassed.

However, this accident let Huang Yaolong know that Wu Xie's qualifications and talents were too good to be human.

Outstanding ability, neither arrogance nor impetuosity, everything is reported, consulted, well-behaved and able to complete things to the best.

Such a person doesn't add to the burden, and he himself feels that he can't make it through.

Now, Wu Xie's knowledge reserve is so deep, and even he would feel that some of the things he said were beyond the cognitive level, which proves that Wu Xie's theoretical level is also profound.

Theory is definitely not a useless thing, it's just that some people misunderstood the theory and regarded it as the bible!

Wu Xie smiled when he heard the words: "Director Fu, I'd feel more at ease if you and Mr. Zhou are both by my side to make sure."

In terms of anti-infection, Wu Xie had already let Director Fu and Associate Professor Zhou Xiaoning know his level. He proposed a plan after Professor Qi Qiaowen had an infection in hand surgery last time.

This time it was just a repeat performance.

Of course, telling the reason is to prove that he is justified and well-founded, not just to make the superior feel more at ease.

Fu Jinjin and Zhou Xiaoning are both tired and need to rest.

Even if the director gets a lot of money, it doesn't mean they have to donate their lives to the department. Everyone's life is worthy of respect. This is Wu Xie's consistent principle.

"Have you remembered everything clearly?" Fu Qianjin didn't waste time. Ask Guan Yun.

Guan Yun shook his head after nodding.

Then he simply opened Wu Xie's notebook and started copying.

Fu Jinjin didn't criticize Guan Yun either. Wu Xie's knowledge reserve had already surpassed the average person's level, and he had a hard time listening, let alone Guan Yun?

"Xiao Wu, your strength is a little too big, so what you say is a little too modest."

"Well, everyone is quite tired, so you can just take it with you for the rounds. If we have anything to add, we'll just say a few words, and let's pass if we don't. Finish the rounds early and go back to rest earlier."

"You can make arrangements for tomorrow's elective surgery."

After Fu Jinjin finished speaking, he also said to the patient in the next bed: "Patients, you have all seen it, it's not that we want to be lazy, it's that this young man is really outstanding."

"Doctor Wu will conduct ward rounds, we can rest assured!" The patients and their families in the 2-bed and 3-bed patients all said in unison.

How could any patient in the department not know the scene where Wu Xie did the assembly line reset yesterday?

The fact that Jin Yu is in the front proves that Wu Xie's abilities are absolutely indistinguishable, no matter in which aspect.

Wu Xie was no longer modest, so she led the people down. Of course, after each patient's treatment plan was explained in detail, he would ask for instructions.

Fu Jin gives face, Wu Xie can't use face as a capital of pride, and only by clarifying his own position can he safely and safely obtain more, longer, and more assured rights to manage patients.

The more you learn, the faster you grow.

One cannot forget one's roots.