complement each other
Chapter 1
It's time, I can read a book or surf the Internet. I have to go to work after all, but I am not busy in Shangqing City. "
Ying Lan quickly waved her hands, "It's okay, it's good to see Dr. Xiao every day."
Little thing, Xiao Jianzhi rubbed Ying Lan's hair.
The days are still peaceful, but two people are always different when they are together.
Someone is waiting, someone is cooking, someone is shopping, and someone is talking and laughing and maybe interrupting work.
Xiao Jianzhi never thought that these things would make people happy.
He felt like a dilapidated lamp that had been extinguished for a long time and had fallen into ashes. Someone suddenly came to clean the lamp, oiled it as if it was a treasure, and lit it carefully. Then, the lamp Just light up gently for a while.
"Does Dr. Xiao have any happy events these two days? You seem to be in a good mood."
The surgical director of the same office came in with a report card and saw Xiao Jianzhi looking at the handwritten case on the computer and saying hello. Although Xiao Jianzhi treated people peacefully, he did not take the initiative to approach people. People have a feeling of repelling others thousands of miles away, but in the past two days, Xiao Jianzhi's whole body has a lighthearted feeling, which is obvious.
Xiao Jianzhi looked up from the medical records, was taken aback when he heard the words, and said implicitly, "Probably because it's going to be a holiday."
The hospitals in the county seat are not as busy as the hospitals in Shangqing City, and they are relatively free on weekdays. The winter vacation here can be more than ten days later, and it can be leisurely, sometimes after fifteen. Everyone has worked hard for a year, so naturally Those who want to take a good rest, especially comrades like Xiao Jianzhi who aid Xinjiang, have worked so hard to guide the work, so before and after the Chinese New Year, they are generally really embarrassed to bother others, and they will only invite him for things that cannot be handled.
Thinking about it this way, the director also said yes with a smile. He opened the chair and was about to sit down when he suddenly remembered the report in his hand and said, "Our patient yesterday, the pathology results in the city came out, adenocarcinoma." The director sighed Take a breath.
Yesterday, they treated a 35-year-old patient with intestinal obstruction. He was very young and occupied a space when he was found. However, the county has limited conditions and can do simple pathology, but he is not qualified to diagnose cancer, so he sent it to the city. Today The result is sent back.
Another doctor in the office said, "35 years old, still very young."
"Who said it wasn't?" Several people sighed.
In fact, when it comes to cancer, it is mostly a genetic problem. For children, it is mainly an environmental and genetic problem. However, cancer is getting younger and younger, mainly because of environmental factors.
Xiao Jian had some stomach pains when he got off work. Although he paid attention to health issues and tried to eat three meals a day on time, his stomach was still broken because of work problems. He thought of the 35-year-old rectal cancer patient today. In fact, such a thing It will be staged in the hospital every day. Those who were born with leukemia not long ago, those who were five or six years old without sarcoma, and those who were 19 years old with stomach cancer, are actually cases for Xiao Jianzhi. If this kind of thing happened to him, he would not care of.
He has never been expected by anyone, and he has never been loved by others. Life and death are not a problem for him at all, but now, he doesn't think that way anymore. Maybe he can arrange a medical examination for himself and Ying Lan when he goes back this time. Schedule a physical exam.
"Doctor Xiao? Doctor Xiao!"
Suddenly a voice interrupted Xiao Jianzhi's contemplation, and he realized that he had walked near the rented house.
Xiao Jianzhi looked over following the voice, just in time to see Ying Lan Xu Shi suddenly found Xiao Jianzhi walking over, shaking his hand very excitedly, he also held a lantern in his hand, it was very ordinary, the window was open, he With his back to the light, his eyes were bright and flickering.
Xiao Jianzhi stood under the street lamp, the light snowflakes were shining brightly by the dim street lamp.
He didn't move, just raised his head slightly, just watched quietly, seeing Ying Lan dancing excitedly after seeing him, he suddenly remembered that many years ago, he was waiting for another expert from Jingbei City at the coffee shop he had agreed upon. At that time, the expert's plane was late, he was sitting there, the coffee shop was very quiet, and a song was playing.
Xiao Jianzhi seldom paid attention to the song. It was a bright afternoon, and he overheard it. The low and lazy voice in the record, with a touch of blues, was singing slowly.
For the rest of my life, you will be the wind and snow, you will be the ordinary, you will be the poor, you will be the glory, you will be the gentleness in my heart, and you will be the one who looks at you.
He didn't know what song it was, and he just listened to it casually at the time, and he didn't remember the melody very well, but at this moment, he was thinking, if the rest of his life was you...
If the rest of my life is you.
Xiao Jianzhi felt his heart beating violently.
【Jinjiang, there are fish in the trees】
The author has something to say: Speaking of which, what time do the cuties read the text?
☆、Chapter 80
"The dishes here are actually quite expensive." Ying Lan lowered her head and picked out the dishes.
Xiao Jianzhi pushed the cart, followed him, listened to him, and took a few steps closer, "Huh?" Naturally, Xiao Jianzhi, who doesn't work in the kitchen, doesn't know much about the price of vegetables, and he can't remember them either. Live, not like Ying Lan who can tell where the food is fresh and when it is fresh, where it is cheap, and when the price has increased and dropped, like Ying Lan.
He didn't know much about it, but he thought it was amazing that Ying Lan could remember these trivial and illogical things.
He said, "Eat it no matter how expensive it is, pick what you like."
Ying Lan seemed to have suddenly thought of something important, she looked at Xiao Jian seriously and said, "But Dr. Xiao also works hard to earn money. I caused a lot of trouble for Dr. Xiao, did I also spend a lot of money?"
Xiao Jianzhi felt that Ying Lan's cooking was much cheaper than ordering takeout, and he also saved the money for housekeeping to clean the room every week. At most, it was Ying Lan's tuition, but Ying Lan's grades were good, and she also got a little scholarship , He didn’t eat snacks or buy things on weekdays, and he didn’t spend a lot of money. He rubbed Ying Lan’s head and said, “Don’t worry, it’s okay.”
Ying Lan nodded, and said solemnly, "I'm going to work in the future, so I can pay Dr. Xiao back."
Young people's self-esteem is haunting, and it's good to have goals, but Xiao Jianzhi didn't refute him, saying, "Okay."
"Doctor Xiao is also here to buy vegetables." Lu Xiangzhou from the same hospital also came to do the shopping, and greeted Xiao Jianzhi when he saw him.
Xiao Jianzhi nodded, helped Ying Lan's shoulders, and introduced, "My nephew is close to me, and I picked him up to play during the winter vacation. This is my hospital colleague, Dr. Lu Xiang Zhou Lu."
Ying Lan greeted obediently, "Hello, Doctor Lu."
"Hey, hello." Lu Xiangzhou looked at the two of them, and joked, "Does Dr. Xiao's family look so good-looking? This guy is also very handsome."
Ying Lan lowered her head and smiled in embarrassment, Xiao Jianzhi said, "I'm overwhelmed."
Lu Xiangzhou looked at where the things he wanted to buy were there and said, "Then I'll just buy my own things, don't bother me."
Xiao Jianzhi said "Please", the two of them exchanged polite greetings, and then they separated.
He turned to Ying Lan and said, "The beef and mutton here are good, I can make you steak."
Ying Lan was naturally happy to be able to eat the food made by Dr. Xiao. He said excitedly, "Really? Dr. Xiao can cook steak?"
Xiao Jianzhi nodded subtly. In fact, he learned it after he came, but there is no need to tell Ying Lan about these things.
The group of people who went out to aid Xinjiang will return in February of the year. As the only beneficiary in that battle, Qi Yue will never treat himself badly. Despite the chaos outside, he is taking good care of his body , I gained ten catties after birth, but he was very thin before, but now he is a little stronger.
Zhou Qi never showed up, so Qi Yue naturally tacitly didn't ask any more questions, he had been waiting for Zhou Qi's arrangement.
No matter how ignorant Zhou Xuan is, no matter how much he doesn't care about Zhou Qi, it's his son after all. Zhou Qi naturally treats Qi Yue coldly, but Qi Yue has everything figured out. He took himself out very well in this incident Going out, not only eliminated his enemies, but also gained a good reputation of being kind and filial, these were enough to make Zhou Qi angry.
The Gao family stole 1 tax, evaded 1 tax, killed 1 person, killed 1 family, etc. Qi Yue reported it with his real name and even won a medal for promising youth in Shangqing City. The Gao family was completely overthrown, and the Zhou family did not It may be completely spared. The country has taken back a lot of things, and the scope of the Zhou family has also shrunk by a large circle.
But for revenge, Zhou Kuo naturally would not underestimate Qi Yue, and even admired him a little.
When Qi Yue was almost recovering from his injuries, Zhou Qi's secretary, Wang Yang, came to Qi Yue's residence with the transfer documents. It was a transfer document of Ren'an Group including Ren'an Pharmaceutical and Ren'an Hospital under Zhou Qi's name. Qi Yue By signing, he really became the complete owner.
Naturally, Qi Yue would not refuse the fat meat sent to his mouth, and sent Wang Yang away.
He slowly got up, picked up the remote control and pressed it, the curtains were pushed open automatically, and the dim room was filled with light.
His villa is located on Mengmeng Mountain in the suburbs of Shangqing City. This mountain is not high, but it is still several hundred meters higher than Shangqing City at sea level. The snow scene of the mountain, under the afterglow of the setting sun, coats the snow white with a layer of warm color, shining golden.
It was rare that it snowed for two full days. I heard that it was as if Zhou Qi picked him up in Hongshan Park many years ago.
Qi Yue looked at his hands, he wondered if Zhou Qi regretted it or not, if he wanted to strangle him to death.
When Ning Yu came in, he saw Qi Yue sitting on the edge of the bed looking out the window, hunched over, like an old man dying of illness, he couldn't help asking, "What are you doing?"
Qi Yue turned her head and glanced at him, then looked out the window and asked, "Is it cold outside?"
Ning Yu walked over and said, "It's not cold when it's snowing, it's quite cold."
"En." Qi Yue pointed to the side, "there's hot water pouring it by yourself."
Ning Yu poured himself a cup of hot water, "I haven't seen anyone else in such a big house. Do you live alone?"
"There are housekeepers and cooks, maybe you didn't see it." Qi Yue sat there with a calm expression, and the old monk fell into meditation for a limited time. mean."
Ning Yu thought for a while and said, "You are like a patient in a hospital. We all know that the ultimate end of human beings is extinction, so why do you need to treat illnesses?"
Qi Yue said, "Do you have the answer?"
Ning Yu said, "I thought about it for myself. I used to be in great pain, but I never thought of committing suicide. It's probably because I'm more happy to be alive. I see patients undergoing surgery every day. Suffering, living is very difficult, but you still have to work hard to live, probably because people not only have a body, but also a soul, love, hatred, anger, and ignorance are endless, if they are all monks, breaking the world, then life and death are naturally not a big deal."
Qi Yue tasted it, and said, "It makes sense, I have already signed the contract, and from now on I am the only one in charge of Ren'an Hospital. I also want to congratulate you on being officially promoted to vice president and executive president."
It was difficult at first, but now that Ning Yu was getting used to it, he suddenly realized that the feeling of holding power was really addictive, he said, "I thought, I'm here to step down?"
Qi Yue jumped out of bed, stepped on the precious carpet with bare feet, "Follow me".
Ning Yu followed him to the study room, took the things Qi Yue took out from the drawer and handed him to read.
Qi Yue said, "The group of people I sent out to aid Xinjiang will soon be back. I have to pave the way for my own people. I have already arranged things. You can see when the time comes."
Ning Yu looked at the information with some surprise. He knew that every industry has good and bad, but he didn't expect that there are so many scum in this hospital. He understood what Qi Yue meant, but he was asked to cooperate with the show.
Although Ning Yu is now the vice president, he has a clinical background and has scientific research tasks, and he still has people under his command, so he still goes to the operating room to conduct operations when he is free.
However, in recent days the operating room has been quite lively, and the operating room has become a gathering place for color topics. The wife of a 50-year-old professor of surgery came to her door to beat a mistress, and this mistress was a certain nurse in the operating room.
The nurse on the stage was satirizing the nurse, saying, "Oh, the head nurse of our nursing meeting this morning can say that we should keep a distance from the surgery department, and have a strict style of work. I won't go with you guys after work today."
The itinerant nurse said, "Have you heard that, a few days ago, the great professor delivered breakfast in person, and everyone in our meeting saw it, you are so considerate."
The equipment nurse snorted coldly, "The world is getting worse, don't feel ashamed but proud."
Shao Hua happened to be in the surgical scissors, and immediately said, "It's not a loss. I heard that the two houses were sold, right? They sold them and went to other cities. Who knows who, no loss, no loss."
The doctor on the stage said, "Who is that? I don't think it looks very good."
Shao Hua said, "Superficial, what people love is the soul! It's not very pretty, it's better than white, it's predictable, and the waves are rough."
Everyone in the operating room laughed.
The itinerant nurse was very old and couldn't get used to it. She said, "You said that old professor has a big belly and his back is not straight. What are you trying to do? You really need to talk about it."
Shao Hua joked, "Close your eyes and just think it's Peng Xiaoyan."
Soon, the documents above were approved, saying that labor discipline should be strictly enforced. In response to the director's call, the medical department also specially formed a strict control team to patrol the hospital.
In fact, most people think that this kind of thing is just a little bit of thunder and rain. Even if they report and criticize a few people, it is a small problem that is not painful.
Some people feel that something is wrong and shrink their hands and feet, while others still go their own way.
Until the police really came to the hospital and arrested Director Zhang Hua of the Department of Anesthesiology and Director Wang Lu of the Emergency Surgery Department, and then the hospital informed the whole hospital to hold a meeting on Monday, and after all non-emergency operations were moved, the director obviously liked this time meeting, so no one asked for leave to offend the dean.
The meeting disclosed the criminal facts of Zhang Hua accepting bribes and reselling narcotic drugs with his wife who is an anesthesia nurse, and Wang Lu, director of emergency surgery, accepting bribes and embezzling public funds with the head nurse of emergency surgery.
It was only at this moment that everyone in the emergency department knew where their bonuses had gone.
Wang Lu, the director of emergency surgery, and the head nurse concealed the specific amount of the bonus in the hospital and deducted it privately. For example, if the emergency surgery bonus is [-] this month, Wang Lu, the head nurse and the others will award [-], and then the bonus will be calculated according to centimeters. Bonus points, the [-] deducted, you six and I four.
What's more, there are so many people in the emergency department, and the bonus in the hospital is not just 500, so in just five years, Wang Lu himself withheld [-] million public funds.
Most of the time, those who work are low-level doctors, and such money will be deducted. The emergency department people who have been kept in the dark for five years are naturally very angry.
Then the one who received the award was Xiao Jianzhi who reported with his real name.
At first, everyone thought that Xiao Jianzhi would be expelled from the power center because he offended the director. Unexpectedly, when he came back, he was promoted and directly became the executive director of the hospital and the director of emergency surgery. Because of Wang Lu's incident, his popularity in the emergency surgery Naturally, it rose again.
Sometimes it is so practical, Xiao Jianzhi became the chief director and the dean, and his two apprentices naturally rose too. Even going to the Academic Affairs Office to handle things is much faster, and the attitude of the other party is also very good.
【Jinjiang, there are fish in the trees】
The author has something to say: it's almost over, the old rules, on the day of the end, three people will be selected from the comments to send a small red envelope, it's not a respect, thank you for your support
☆、Chapter 81
Qi Yue made some arrangements, dismissed several people who were vegetarians, and arranged for his own person to be the first. At that time, there was a bit of panic, but because of the high efficiency and well-prepared arrangements, all parties soon settled down. settle down.
Zhang Hua, the deputy director's scheduling secretary, got off the horse, and Zong Yan proposed another female professor with a sharp personality, Zheng Gao, as the deputy director. This female professor has always enforced the law impartially, because the flattering atmosphere brought about by Zhang Hua has finally come to an end.
Zong Yan made adjustments to the work of the deputy director, canceled the scientific research secretary, and directly served as the scheduling secretary and teaching work, and the other deputy director was responsible for both the scientific research secretary and the administrative secretary. Zong Yan gradually delegated power. A deputy director was actually promoted.
Zong Yan was free, sitting in the office for meetings or taking care of two operations. He did not continue to lead students except Wu Tong. This year, Wu Tong has graduated and researched a satisfactory SCI, so he can stay in the hospital on his own. Zong Yan did not lead any more students in his work, nor did he continue to create new projects. If titles such as doctoral and master supervisors do not lead students and do scientific research, they will be stripped of their qualifications soon.
Zong Yan knew very well in his heart that Ning Yu didn't understand what Zong Yan's arrangement was, and he would not take the initiative to ask questions because of his identity. It's just that not only clinical ability but also scientific research ability are very important in a hospital, and students are the main force. Therefore, hospitals encourage medical staff to be promoted to become lecturers in universities and lead students to lead scientific research.
But with Zong Yan's status, no one dared to ask him why he didn't lead students or do scientific research.
Today, there are expert surgeries and VIP surgeries. The so-called VIP is just someone’s relationship. It can be the leader’s or the hospital’s staff. What is the dispute.
Ning Yu's place is expert surgery.A urology expert from Jingbei City came to perform the operation. It is said that only this expert has the highest success rate for this kind of operation. Since it is an expert operation, it usually has to be performed according to the expert's time. The expert did not arrive until ten o'clock in the morning. Ning Yu Yu's front line in the operating room was quickly prepared to anesthetize the patient.
The patient's operation time is not short. In order to measure blood pressure, the left radial artery was punctured to monitor blood pressure before anesthesia. For comfort, he chose to perform central venous puncture after anesthesia.
After inserting the tube at the front line, Ning Yu asked him to put on gloves to prepare the central vein puncture, and he took over to fix the endotracheal tube and position the patient for the puncture. To adjust the breathing parameters of the anesthetic, everything is connected very quickly.
Then I asked an expert to say, "Don't give him salt water for anesthesia, give him Ringer first."
It was the first time I heard that a surgeon asked for this. Ning Yu adjusted the parameters, opened the desflurane tank, looked at who said this, walked to the anesthesia cabinet and took out three tees, connected to He asked, "What's the purpose of infusing Ringer's solution?"
The expert said, "Isn't it better to lose to Ringer?"
Ning Yu said, "That's not very important. We have a lot of preparations after the anesthesia. I'll do the main things first and then I'll make changes for him."
The expert looked at the anesthesia side in the surgical gown, and said, "You should change him first, it's not too late."
I don't like others to point fingers at my work, especially this kind of unreasonable request, Ning Yu frowned slightly, and said, "I do everything one by one. As an anesthetist, you should trust me, I understand the priorities , the most important thing is to connect the patient with anesthesia first."
The operating room became quiet, and the roving nurse hurriedly said, "I didn't take care of the things I prepared for the stage just now, so I'll change them."
Someone broke the deadlock, and Ning Yu naturally wouldn't hold on to it. Anesthesia and surgery are used to friction and bickering every day. He went to the cabinet and took out a bag of colloids, handed it to the itinerant nurse and said, "Central infusion Ringer, peripheral colloids."
Naturally, the outside expert didn't say anything else, but a new postgraduate student from Department of Urology said, "Can you be more polite."
The operating room was quiet again, and Ning Yu hadn't even paid attention to this side. Hearing the words, he looked up.
This time Mahu and Yixian both looked at Ning Yu.
Ning Yu asked uncertainly, "Are you talking about me?"
At this time, a surgeon pulled down the young man who looked like a student, and the young man said young and vigorously, "This is an expert we hired from outside, an expert from Beijing, what do you mean by doing things one by one? Are you busy?"
Ning Yu glanced at the stunned line, and said, "Quickly go through your center."
Yixian came back to his senses and hurriedly lowered his head to pierce his own central vein. Ning Yu then looked at the student and said, "Do you think I'm being rude?"
At this time, the main teachers washed their hands and came in. Hearing this, they hurriedly said, "Mr. Ning, our student may not know you yet, him."
"It doesn't matter whether you know it or not." Ning Yu interrupted him, saying, "From what he said, I can tell that firstly, the anesthesiology department has a low status, so they can do whatever they want? Get up, I will be a teacher. If you respect the teacher, I hope you will treat them equally. Thirdly, the work of the anesthesiology department is determined by the anesthesiology department itself based on its own skills. If there are mistakes, you can bring them up. Without going on, he said, "It's hard work for experts to guide the work. It may be the first time they come here, and they don't know the situation here. Now we can start the disinfection operation."
Just as the urologist was about to speak, the door of the operating room was pushed open, and an anesthesiologist ran in at the door, she glanced at the person who set up the operation, and said anxiously, "Mr. Ning, there are some problems with the 36 patients, the second line hopes you can take a look. "
Ning Yu turned around and asked Ma Hu to call him if he had something to do, then hurried out.
The urologist immediately scolded the student, "You don't have the right to talk so much in this operating room! It's good to protect our experts, but Mr. Ning didn't say anything too much, just look at what you said What did you say! Don't you know that it is our vice president!"
The superior doctor scolded like this, and the deputy director couldn't say anything, sighed, and thought, just don't let the deputy director wear small shoes for them in the future.
With the qualifications of an expert in Jingbei City, his temper will naturally not be too bad. He still said gently, "That's your vice president? He looks very young."
The deputy director wiped his sweat and said, "Yeah, people are actually quite gentle, maybe I'm rushing to talk today."
The expert said, "Hey, some friction at work is for better work, let's start."
Just now in front of so many people, Ma Hu didn't tell the whole truth. When Ning Yu left the operating room, the two of them rushed to the 36 operating room and said, "The second line said that they suspected it was malignant hyperthermia, and they already asked people to take pills." Qu Lin."
Ning Yu was shocked. Malignant hyperthermia (MH) is the only known hereditary disease that can cause perioperative death due to conventional anesthesia.The patient usually has no abnormal manifestations. After exposure to volatile inhaled anesthetics and depolarizing muscle relaxants during general anesthesia, the skeletal muscle contraction occurs, which produces a large amount of energy, resulting in a continuous and rapid increase in body temperature. In the absence of specific therapeutic drugs Under these conditions, general clinical cooling measures are difficult to control the increase in body temperature, which can eventually lead to the death of the patient.
Moreover, the mortality rate is extremely high. At present, there are 45 cases recorded in China, and the mortality rate is as high as 90%. Although this disease is a genetic disease, the specific causative gene is not clear. At present, only the Anesthesiology Department of Jingbei Hexie Hospital A genetic detection method has been established, and a gene mutation in a family with malignant hyperthermia was successfully detected.
And Dantrolene is the only specific drug for treating malignant hyperthermia, but the onset of malignant hyperthermia is rapid, and there is not much chance of reversing it.
【Jinjiang, there are fish in the trees】
The author has something to say: welcome to bookmark the column, ask for support, new article "Major General's Star Mermaid [Interstellar Orc]" ask for favorites
The latest news: Ou Cheng, an all-round international star who combines idolism and strength, crashed this morning on a plane attending the Oscar Awards Ceremony. According to relevant sources, Ou Cheng is likely to win the best actor for the sixth time Award, God is jealous of talents, at the age of 31.
Mermaids have made great contributions to the development of human beings. In order to promote the harmonious development of mermaids and human beings, the α (jiaoji) galaxy promulgated the following laws and regulations to ensure the interests of mermaids, a rare and vulnerable group.
The basic laws and regulations are as follows, and violations will result in a minimum of 20 years of imprisonment or imprisonment:
1. Mermaids are kind and simple in nature. Any individual or group has no choice but to deceive, ridicule, buy or sell mermaids for any reason.
2. Mermaids can enjoy the resources stipulated by the galaxy for free, and no individual or group can blackmail them for any reason.
3. Mermaids are delicate. Individuals and groups are not allowed to cause level 2 damage to mermaids for any reason.
4. Those who combine with mermaids have no choice but to abandon or cheat for any reason.
Colonel Si Lang learned this way and did the same thing, but the mermaid in his family is not the delicate mermaid in his imagination at all, he is a bit pretentious.
The star mermaid said, as a human being with sound limbs, one day, I will have to rely on my tail to survive.
The narcissistic and poisonous tongue, the beauty star in the flourishing age, was attacked by X's overbearing loyal dog and fried hair werewolf.
☆、Chapter 82
Dantrolene is the only specific drug for the treatment of malignant hyperthermia, but the onset of malignant hyperthermia is rapid, and the chances of reversing it are not many.
Ning Yu said, "Call all the rest of you who are free to prepare the ice blanket and ice cap circulation cooling equipment. One is responsible for recording the anesthesia order, the other is responsible for quickly recording the medicine, and the division of labor between the 36 rooms. Care? Call him back, immediately contact the Municipal People's Hospital and other big hospitals, we need to get Dantroline, hurry up!"
Ma Hudao, "I have notified everyone, and the head nurse is here."
When Ning Yu went to the operating room, the operating room was already overcrowded. He said, "Stop the operation first, and everyone who is not related should go out."
Originally the second line in this operating room was Zong Yan, but Zong Yan asked the second line next to him to take care of it. The second line next to him briefly talked to Ning Yu about the patient's condition. He looked at the monitor and the patient's heart beat He had a rapid and severe arrhythmia. He had just added a temperature module, and his body temperature had already reached [-] degrees. He said, "Where's dantrolene? Use it for him quickly."
"Here we come." Nursing Ma ran over with the medicine, and when he entered the operating room, someone was ready to take it and draw it up for the patient. Ning Yu said, "The center is giving medicine, continue to cool down, pressurize the infusion, keep cycle."
Apart from these measures, there is not much they can do at the moment. Inherited diseases such as malignant hyperthermia are relatively rare. Some anesthesiologists will probably never see one in their lifetime. This is the second time Ning Yu has seen it today. The first The first one he saw abroad was also not rescued.
The second line said, "I asked about the family history of the patient's genetic disease before the operation. The patient's father had undergone general anesthesia for appendicitis surgery, and there was no accident. The mother had not undergone surgery, and the child was delivered naturally. His mother has heredity."
Ning Yu nodded, and said to the second line, "Go and talk to the family members, and say that they hope that their family members can go to Jingbei City Hexie Hospital for genetic testing, so as to prevent the family members from being unprepared for surgery in the future."
After waiting for about 2 minutes, Ning Yu saw that his body temperature was still rising, and it had reached 46 degrees. He asked, "Is there any dantrolene?"
Ma Hu said, "Teacher Ning, there is only one medicine in our hospital."
The director of the other side's surgery said, "What's the matter with this patient, why is it like this?"
Ning Yu looked a little pale. He looked at the patient's completely disordered data and said, "Malignant high fever, a genetic disease, one in [-]."
This is mainly for diseases of the anesthesia profession. The director of surgery has heard of it, and the attending doctor has heard of it. The little doctor under him has never heard of it. He said in a low voice, "Brother, what is malignant hyperthermia."
The attending doctor held his chin up, asked him to look at the anesthesia monitor, and said, "Look at the body temperature. To put it bluntly, the whole body is burning, and it can't be lowered. I heard that there is Dantroline. There is no way, and even if there is Danqu Lin might not be able to save him either."
The director said, "Why is there only one medicine? Why don't you prepare a few more medicines for such a serious illness?"
Ning Yu said with a bad face, "This kind of medicine is very cheap, so there are few manufacturers producing it, and there are very few patients with malignant hyperthermia. Some anesthesiologists may never see it once in their lifetime, and they are basically not used, so the manufacturers are even less likely to produce it. At present, the domestic hospitals that have this medicine are Jingbei Hexie Hospital, Jingbei People's Hospital, Shangqing City People's Hospital, and our hospital, so most hospitals are not equipped with this medicine. If the patient is in other hospitals, the only option is to die. "
A good patient who was not serious, just like that, the surgical director was also angry, he took off the surgical gown, and said, "How could this happen, this patient has a nephew of the head of the Health Bureau, how can I explain this? "
Ning Yu said, "There is no way, how to explain how to explain, let their family members go for genetic testing, this disease is easy to inherit, so as not to cause accidents in the future."
Zong Yan also rushed back within a few minutes. He was originally called by the hospital to sign some documents, but something happened when he left. Ma Hu said, "Contact, the People's Hospital has a A drone has been sent over."
Ning Yu sighed, Zong Yan looked at the monitor and said, "I'm afraid it's already too late."
Things like malignant hyperthermia are like malignant tumors. Anyone who sees them can do nothing. Zong Yan came back, and Ning Yu left the operating room. He didn't take this matter to heart, but he didn't think about it The family members of the leader are not forgiving, and for some reason, an insider came out of the operating room. The other party took the medicine box of Dantrolene from Mahu, and sued Union Hospital for using expired medicine and failing to do a full checkup, resulting in the death of the patient. claim.
Because of the status of the other party, the media soon got involved and reported widely, and Ren'an Hospital suddenly appeared on the cusp of the storm.
The hospital office occupied a large circle of people. The young Mahu was terrified and cried, "Although I am young, I have been working for a year. I know our rules. Before taking medicine, you must check the name and date of the medicine. I checked, and the dantrolene has not expired, and I was afraid that the medicine would break it, so I grabbed the dantrolene cardboard box next to it and packed it."
The head anesthetist nurse said, "The key is that we can't find the ampoule bottle of dantrolene now, and I don't know how the cardboard box fell into the hands of the family members."
Ning Yu said, "The other party knows so well, it must be someone who understands medicine who is behind the scenes."
Qi Yue listened to everyone talking, he looked at the surgeon, and said, "Why didn't you do a full inspection?"
At that time, the attending doctor was accepting patients, and he explained, "He was accompanied by the leader for the examination. He revealed his identity as soon as he came, so he could only make offerings. He lived in a single room, and he was doing very simple stone surgery, even if it was a routine surgery. This kind of young and middle-aged people has no relevant symptoms. In order not to cause unnecessary expenses due to excessive treatment, brain CT and dynamic electrocardiogram are generally not performed. Who would have thought that patients would have moyamoya disease? We can’t just do urological surgery for all our patients. Let’s also take brain CT, their family is not short of money, but many patients are not so rich.”
Qi Yue raised her legs directly on the table, her posture became more and more arrogant, and she said, "How many doctors and hospitals are planted in my own hands... In the future, the more you are on your own and the more money you have, the more you will give him the checkup." Do enough."
Ning Yu said, "His autopsy report has a large area of cerebral infarction, which may be caused by vicious hyperthermia in the end. This kind of death is inherently complicated, and usually it is caused by multiple organ failure. It is impossible to die because of just one aspect. , Cerebral infarction is not necessarily caused by moyamoya disease."
Qi Yue shook her finger and said, "The court doesn't care about you. They don't study medicine. We are talking about experience and probability. The malignant hyperthermia you mentioned, we said that there are almost no cases that can be cured, and others say that there are almost none, but you all know about the brain department last month. I heard from the director of the brain department that the meningioma was very deep. The location is very special, if it can be removed, it will be famous all over the country, but there is only a [-]% chance of being cured, and the family members have signed to understand the risks, why did the hospital still lose money in the end?"
Qi Yue looked at everyone and said, "It's because the family members insisted, saying, we don't understand the risks, you didn't mention it, you said it could be cured, you tricked us into doing surgery, the brain doctor suggested they give up, and the family members didn't want to give up , I was bitten back at the end, does the judge understand this? People die here, this is the result and the evidence, and this is why suing the hospital can win the case.”
Qi Yue put down her legs, sat upright, folded her hands on the table, leaned forward and said, "So, what you're talking about now is useless. What is useful is to go back and sort out the case carefully, so that you don't miss any problems. Bring it to me."
Everyone left, Qi Yue looked at Ning Yu, and said, "This matter is really being investigated. At that time, you were present, and the medicine happened to be injected in front of your face. With your permission, this matter, you It doesn't look familiar."
Ning Yu was startled, this scene was too familiar, it was many years ago when he was forced to leave.
Qi Yue smiled lightly, and said in relief, "But this time, you are not the main person in charge. If you want to say that the one who signed the anesthesia form is Zong Yan, not you."
Ning Yu was confused, and after hearing Qi Yue's words, he said, "Last time, my name wasn't on the anesthesia bill, and I didn't even get my license to practice medicine, and I didn't even have the qualifications to make decisions, and the one I signed was his." name, but I still took the blame."
A long time ago, he had always believed in Zongyan, but he was betrayed in the end.
【Jinjiang, there are fish in the trees】
☆、Chapter 83
Ning Yu was confused, and after hearing Qi Yue's words, he said, "Last time, my name wasn't on the anesthesia bill, and I didn't even get my license to practice medicine, and I didn't even have the qualifications to make decisions, and the one I signed was his." name, but I still took the blame."
A long time ago, he had always believed in Zongyan, but he was betrayed in the end.
"If he really asks me to go into the water, will you protect me?" Ning Yu pondered for a moment. He didn't know why, probably because he had been hurt once, so he became a little scared and asked with a little hope.
Qi Yue looked at him and felt that Ning Yu's eyes could speak, so he took it for granted, "That's natural, can I let you be bullied like this twice?"
Ning Yu laughed, as warm as Xi, with the spring breeze helping the willows.
Qi Yue looked at it, and for some reason, she was suddenly burned by that smile, thinking, the only friend in her life is probably this person in front of her, this person is stupid and straightforward, she must not let him get hurt again , he thought for a while, hesitated for a moment and said, "I remembered something."
Ning Yu said, "What's the matter?"
Just as Qi Yue was about to open his mouth, there was a knock on the office door. He said "come in" and the door opened in response, looking very urgent.
Ning Yu looked at Zong Yan who came in with some surprise, but Qi Yue looked normal.
Zong Yan said, "I have something, I want to talk to the dean alone." He said, looking at Ning Yu.
Seemingly interested in me, Ning Yu got up, said "Let's talk later" and left without looking at Zong Yan.
Ning Yu closed the door, Qi Yue stretched out his hand to signal Zong Yan to sit down, and he said, "I can probably guess why Director Zong came to see me? Either he came to find someone to top the tank, or he came to replace someone to top the tank, I prefer the latter. "
Zong Yan cut to the chase and nodded, "Indeed."
When Zong Yan really admitted it, Qi Yue was still a little surprised. He probably couldn't believe any feelings in this world. For Ning Yu, he was always
Ying Lan quickly waved her hands, "It's okay, it's good to see Dr. Xiao every day."
Little thing, Xiao Jianzhi rubbed Ying Lan's hair.
The days are still peaceful, but two people are always different when they are together.
Someone is waiting, someone is cooking, someone is shopping, and someone is talking and laughing and maybe interrupting work.
Xiao Jianzhi never thought that these things would make people happy.
He felt like a dilapidated lamp that had been extinguished for a long time and had fallen into ashes. Someone suddenly came to clean the lamp, oiled it as if it was a treasure, and lit it carefully. Then, the lamp Just light up gently for a while.
"Does Dr. Xiao have any happy events these two days? You seem to be in a good mood."
The surgical director of the same office came in with a report card and saw Xiao Jianzhi looking at the handwritten case on the computer and saying hello. Although Xiao Jianzhi treated people peacefully, he did not take the initiative to approach people. People have a feeling of repelling others thousands of miles away, but in the past two days, Xiao Jianzhi's whole body has a lighthearted feeling, which is obvious.
Xiao Jianzhi looked up from the medical records, was taken aback when he heard the words, and said implicitly, "Probably because it's going to be a holiday."
The hospitals in the county seat are not as busy as the hospitals in Shangqing City, and they are relatively free on weekdays. The winter vacation here can be more than ten days later, and it can be leisurely, sometimes after fifteen. Everyone has worked hard for a year, so naturally Those who want to take a good rest, especially comrades like Xiao Jianzhi who aid Xinjiang, have worked so hard to guide the work, so before and after the Chinese New Year, they are generally really embarrassed to bother others, and they will only invite him for things that cannot be handled.
Thinking about it this way, the director also said yes with a smile. He opened the chair and was about to sit down when he suddenly remembered the report in his hand and said, "Our patient yesterday, the pathology results in the city came out, adenocarcinoma." The director sighed Take a breath.
Yesterday, they treated a 35-year-old patient with intestinal obstruction. He was very young and occupied a space when he was found. However, the county has limited conditions and can do simple pathology, but he is not qualified to diagnose cancer, so he sent it to the city. Today The result is sent back.
Another doctor in the office said, "35 years old, still very young."
"Who said it wasn't?" Several people sighed.
In fact, when it comes to cancer, it is mostly a genetic problem. For children, it is mainly an environmental and genetic problem. However, cancer is getting younger and younger, mainly because of environmental factors.
Xiao Jian had some stomach pains when he got off work. Although he paid attention to health issues and tried to eat three meals a day on time, his stomach was still broken because of work problems. He thought of the 35-year-old rectal cancer patient today. In fact, such a thing It will be staged in the hospital every day. Those who were born with leukemia not long ago, those who were five or six years old without sarcoma, and those who were 19 years old with stomach cancer, are actually cases for Xiao Jianzhi. If this kind of thing happened to him, he would not care of.
He has never been expected by anyone, and he has never been loved by others. Life and death are not a problem for him at all, but now, he doesn't think that way anymore. Maybe he can arrange a medical examination for himself and Ying Lan when he goes back this time. Schedule a physical exam.
"Doctor Xiao? Doctor Xiao!"
Suddenly a voice interrupted Xiao Jianzhi's contemplation, and he realized that he had walked near the rented house.
Xiao Jianzhi looked over following the voice, just in time to see Ying Lan Xu Shi suddenly found Xiao Jianzhi walking over, shaking his hand very excitedly, he also held a lantern in his hand, it was very ordinary, the window was open, he With his back to the light, his eyes were bright and flickering.
Xiao Jianzhi stood under the street lamp, the light snowflakes were shining brightly by the dim street lamp.
He didn't move, just raised his head slightly, just watched quietly, seeing Ying Lan dancing excitedly after seeing him, he suddenly remembered that many years ago, he was waiting for another expert from Jingbei City at the coffee shop he had agreed upon. At that time, the expert's plane was late, he was sitting there, the coffee shop was very quiet, and a song was playing.
Xiao Jianzhi seldom paid attention to the song. It was a bright afternoon, and he overheard it. The low and lazy voice in the record, with a touch of blues, was singing slowly.
For the rest of my life, you will be the wind and snow, you will be the ordinary, you will be the poor, you will be the glory, you will be the gentleness in my heart, and you will be the one who looks at you.
He didn't know what song it was, and he just listened to it casually at the time, and he didn't remember the melody very well, but at this moment, he was thinking, if the rest of his life was you...
If the rest of my life is you.
Xiao Jianzhi felt his heart beating violently.
【Jinjiang, there are fish in the trees】
The author has something to say: Speaking of which, what time do the cuties read the text?
☆、Chapter 80
"The dishes here are actually quite expensive." Ying Lan lowered her head and picked out the dishes.
Xiao Jianzhi pushed the cart, followed him, listened to him, and took a few steps closer, "Huh?" Naturally, Xiao Jianzhi, who doesn't work in the kitchen, doesn't know much about the price of vegetables, and he can't remember them either. Live, not like Ying Lan who can tell where the food is fresh and when it is fresh, where it is cheap, and when the price has increased and dropped, like Ying Lan.
He didn't know much about it, but he thought it was amazing that Ying Lan could remember these trivial and illogical things.
He said, "Eat it no matter how expensive it is, pick what you like."
Ying Lan seemed to have suddenly thought of something important, she looked at Xiao Jian seriously and said, "But Dr. Xiao also works hard to earn money. I caused a lot of trouble for Dr. Xiao, did I also spend a lot of money?"
Xiao Jianzhi felt that Ying Lan's cooking was much cheaper than ordering takeout, and he also saved the money for housekeeping to clean the room every week. At most, it was Ying Lan's tuition, but Ying Lan's grades were good, and she also got a little scholarship , He didn’t eat snacks or buy things on weekdays, and he didn’t spend a lot of money. He rubbed Ying Lan’s head and said, “Don’t worry, it’s okay.”
Ying Lan nodded, and said solemnly, "I'm going to work in the future, so I can pay Dr. Xiao back."
Young people's self-esteem is haunting, and it's good to have goals, but Xiao Jianzhi didn't refute him, saying, "Okay."
"Doctor Xiao is also here to buy vegetables." Lu Xiangzhou from the same hospital also came to do the shopping, and greeted Xiao Jianzhi when he saw him.
Xiao Jianzhi nodded, helped Ying Lan's shoulders, and introduced, "My nephew is close to me, and I picked him up to play during the winter vacation. This is my hospital colleague, Dr. Lu Xiang Zhou Lu."
Ying Lan greeted obediently, "Hello, Doctor Lu."
"Hey, hello." Lu Xiangzhou looked at the two of them, and joked, "Does Dr. Xiao's family look so good-looking? This guy is also very handsome."
Ying Lan lowered her head and smiled in embarrassment, Xiao Jianzhi said, "I'm overwhelmed."
Lu Xiangzhou looked at where the things he wanted to buy were there and said, "Then I'll just buy my own things, don't bother me."
Xiao Jianzhi said "Please", the two of them exchanged polite greetings, and then they separated.
He turned to Ying Lan and said, "The beef and mutton here are good, I can make you steak."
Ying Lan was naturally happy to be able to eat the food made by Dr. Xiao. He said excitedly, "Really? Dr. Xiao can cook steak?"
Xiao Jianzhi nodded subtly. In fact, he learned it after he came, but there is no need to tell Ying Lan about these things.
The group of people who went out to aid Xinjiang will return in February of the year. As the only beneficiary in that battle, Qi Yue will never treat himself badly. Despite the chaos outside, he is taking good care of his body , I gained ten catties after birth, but he was very thin before, but now he is a little stronger.
Zhou Qi never showed up, so Qi Yue naturally tacitly didn't ask any more questions, he had been waiting for Zhou Qi's arrangement.
No matter how ignorant Zhou Xuan is, no matter how much he doesn't care about Zhou Qi, it's his son after all. Zhou Qi naturally treats Qi Yue coldly, but Qi Yue has everything figured out. He took himself out very well in this incident Going out, not only eliminated his enemies, but also gained a good reputation of being kind and filial, these were enough to make Zhou Qi angry.
The Gao family stole 1 tax, evaded 1 tax, killed 1 person, killed 1 family, etc. Qi Yue reported it with his real name and even won a medal for promising youth in Shangqing City. The Gao family was completely overthrown, and the Zhou family did not It may be completely spared. The country has taken back a lot of things, and the scope of the Zhou family has also shrunk by a large circle.
But for revenge, Zhou Kuo naturally would not underestimate Qi Yue, and even admired him a little.
When Qi Yue was almost recovering from his injuries, Zhou Qi's secretary, Wang Yang, came to Qi Yue's residence with the transfer documents. It was a transfer document of Ren'an Group including Ren'an Pharmaceutical and Ren'an Hospital under Zhou Qi's name. Qi Yue By signing, he really became the complete owner.
Naturally, Qi Yue would not refuse the fat meat sent to his mouth, and sent Wang Yang away.
He slowly got up, picked up the remote control and pressed it, the curtains were pushed open automatically, and the dim room was filled with light.
His villa is located on Mengmeng Mountain in the suburbs of Shangqing City. This mountain is not high, but it is still several hundred meters higher than Shangqing City at sea level. The snow scene of the mountain, under the afterglow of the setting sun, coats the snow white with a layer of warm color, shining golden.
It was rare that it snowed for two full days. I heard that it was as if Zhou Qi picked him up in Hongshan Park many years ago.
Qi Yue looked at his hands, he wondered if Zhou Qi regretted it or not, if he wanted to strangle him to death.
When Ning Yu came in, he saw Qi Yue sitting on the edge of the bed looking out the window, hunched over, like an old man dying of illness, he couldn't help asking, "What are you doing?"
Qi Yue turned her head and glanced at him, then looked out the window and asked, "Is it cold outside?"
Ning Yu walked over and said, "It's not cold when it's snowing, it's quite cold."
"En." Qi Yue pointed to the side, "there's hot water pouring it by yourself."
Ning Yu poured himself a cup of hot water, "I haven't seen anyone else in such a big house. Do you live alone?"
"There are housekeepers and cooks, maybe you didn't see it." Qi Yue sat there with a calm expression, and the old monk fell into meditation for a limited time. mean."
Ning Yu thought for a while and said, "You are like a patient in a hospital. We all know that the ultimate end of human beings is extinction, so why do you need to treat illnesses?"
Qi Yue said, "Do you have the answer?"
Ning Yu said, "I thought about it for myself. I used to be in great pain, but I never thought of committing suicide. It's probably because I'm more happy to be alive. I see patients undergoing surgery every day. Suffering, living is very difficult, but you still have to work hard to live, probably because people not only have a body, but also a soul, love, hatred, anger, and ignorance are endless, if they are all monks, breaking the world, then life and death are naturally not a big deal."
Qi Yue tasted it, and said, "It makes sense, I have already signed the contract, and from now on I am the only one in charge of Ren'an Hospital. I also want to congratulate you on being officially promoted to vice president and executive president."
It was difficult at first, but now that Ning Yu was getting used to it, he suddenly realized that the feeling of holding power was really addictive, he said, "I thought, I'm here to step down?"
Qi Yue jumped out of bed, stepped on the precious carpet with bare feet, "Follow me".
Ning Yu followed him to the study room, took the things Qi Yue took out from the drawer and handed him to read.
Qi Yue said, "The group of people I sent out to aid Xinjiang will soon be back. I have to pave the way for my own people. I have already arranged things. You can see when the time comes."
Ning Yu looked at the information with some surprise. He knew that every industry has good and bad, but he didn't expect that there are so many scum in this hospital. He understood what Qi Yue meant, but he was asked to cooperate with the show.
Although Ning Yu is now the vice president, he has a clinical background and has scientific research tasks, and he still has people under his command, so he still goes to the operating room to conduct operations when he is free.
However, in recent days the operating room has been quite lively, and the operating room has become a gathering place for color topics. The wife of a 50-year-old professor of surgery came to her door to beat a mistress, and this mistress was a certain nurse in the operating room.
The nurse on the stage was satirizing the nurse, saying, "Oh, the head nurse of our nursing meeting this morning can say that we should keep a distance from the surgery department, and have a strict style of work. I won't go with you guys after work today."
The itinerant nurse said, "Have you heard that, a few days ago, the great professor delivered breakfast in person, and everyone in our meeting saw it, you are so considerate."
The equipment nurse snorted coldly, "The world is getting worse, don't feel ashamed but proud."
Shao Hua happened to be in the surgical scissors, and immediately said, "It's not a loss. I heard that the two houses were sold, right? They sold them and went to other cities. Who knows who, no loss, no loss."
The doctor on the stage said, "Who is that? I don't think it looks very good."
Shao Hua said, "Superficial, what people love is the soul! It's not very pretty, it's better than white, it's predictable, and the waves are rough."
Everyone in the operating room laughed.
The itinerant nurse was very old and couldn't get used to it. She said, "You said that old professor has a big belly and his back is not straight. What are you trying to do? You really need to talk about it."
Shao Hua joked, "Close your eyes and just think it's Peng Xiaoyan."
Soon, the documents above were approved, saying that labor discipline should be strictly enforced. In response to the director's call, the medical department also specially formed a strict control team to patrol the hospital.
In fact, most people think that this kind of thing is just a little bit of thunder and rain. Even if they report and criticize a few people, it is a small problem that is not painful.
Some people feel that something is wrong and shrink their hands and feet, while others still go their own way.
Until the police really came to the hospital and arrested Director Zhang Hua of the Department of Anesthesiology and Director Wang Lu of the Emergency Surgery Department, and then the hospital informed the whole hospital to hold a meeting on Monday, and after all non-emergency operations were moved, the director obviously liked this time meeting, so no one asked for leave to offend the dean.
The meeting disclosed the criminal facts of Zhang Hua accepting bribes and reselling narcotic drugs with his wife who is an anesthesia nurse, and Wang Lu, director of emergency surgery, accepting bribes and embezzling public funds with the head nurse of emergency surgery.
It was only at this moment that everyone in the emergency department knew where their bonuses had gone.
Wang Lu, the director of emergency surgery, and the head nurse concealed the specific amount of the bonus in the hospital and deducted it privately. For example, if the emergency surgery bonus is [-] this month, Wang Lu, the head nurse and the others will award [-], and then the bonus will be calculated according to centimeters. Bonus points, the [-] deducted, you six and I four.
What's more, there are so many people in the emergency department, and the bonus in the hospital is not just 500, so in just five years, Wang Lu himself withheld [-] million public funds.
Most of the time, those who work are low-level doctors, and such money will be deducted. The emergency department people who have been kept in the dark for five years are naturally very angry.
Then the one who received the award was Xiao Jianzhi who reported with his real name.
At first, everyone thought that Xiao Jianzhi would be expelled from the power center because he offended the director. Unexpectedly, when he came back, he was promoted and directly became the executive director of the hospital and the director of emergency surgery. Because of Wang Lu's incident, his popularity in the emergency surgery Naturally, it rose again.
Sometimes it is so practical, Xiao Jianzhi became the chief director and the dean, and his two apprentices naturally rose too. Even going to the Academic Affairs Office to handle things is much faster, and the attitude of the other party is also very good.
【Jinjiang, there are fish in the trees】
The author has something to say: it's almost over, the old rules, on the day of the end, three people will be selected from the comments to send a small red envelope, it's not a respect, thank you for your support
☆、Chapter 81
Qi Yue made some arrangements, dismissed several people who were vegetarians, and arranged for his own person to be the first. At that time, there was a bit of panic, but because of the high efficiency and well-prepared arrangements, all parties soon settled down. settle down.
Zhang Hua, the deputy director's scheduling secretary, got off the horse, and Zong Yan proposed another female professor with a sharp personality, Zheng Gao, as the deputy director. This female professor has always enforced the law impartially, because the flattering atmosphere brought about by Zhang Hua has finally come to an end.
Zong Yan made adjustments to the work of the deputy director, canceled the scientific research secretary, and directly served as the scheduling secretary and teaching work, and the other deputy director was responsible for both the scientific research secretary and the administrative secretary. Zong Yan gradually delegated power. A deputy director was actually promoted.
Zong Yan was free, sitting in the office for meetings or taking care of two operations. He did not continue to lead students except Wu Tong. This year, Wu Tong has graduated and researched a satisfactory SCI, so he can stay in the hospital on his own. Zong Yan did not lead any more students in his work, nor did he continue to create new projects. If titles such as doctoral and master supervisors do not lead students and do scientific research, they will be stripped of their qualifications soon.
Zong Yan knew very well in his heart that Ning Yu didn't understand what Zong Yan's arrangement was, and he would not take the initiative to ask questions because of his identity. It's just that not only clinical ability but also scientific research ability are very important in a hospital, and students are the main force. Therefore, hospitals encourage medical staff to be promoted to become lecturers in universities and lead students to lead scientific research.
But with Zong Yan's status, no one dared to ask him why he didn't lead students or do scientific research.
Today, there are expert surgeries and VIP surgeries. The so-called VIP is just someone’s relationship. It can be the leader’s or the hospital’s staff. What is the dispute.
Ning Yu's place is expert surgery.A urology expert from Jingbei City came to perform the operation. It is said that only this expert has the highest success rate for this kind of operation. Since it is an expert operation, it usually has to be performed according to the expert's time. The expert did not arrive until ten o'clock in the morning. Ning Yu Yu's front line in the operating room was quickly prepared to anesthetize the patient.
The patient's operation time is not short. In order to measure blood pressure, the left radial artery was punctured to monitor blood pressure before anesthesia. For comfort, he chose to perform central venous puncture after anesthesia.
After inserting the tube at the front line, Ning Yu asked him to put on gloves to prepare the central vein puncture, and he took over to fix the endotracheal tube and position the patient for the puncture. To adjust the breathing parameters of the anesthetic, everything is connected very quickly.
Then I asked an expert to say, "Don't give him salt water for anesthesia, give him Ringer first."
It was the first time I heard that a surgeon asked for this. Ning Yu adjusted the parameters, opened the desflurane tank, looked at who said this, walked to the anesthesia cabinet and took out three tees, connected to He asked, "What's the purpose of infusing Ringer's solution?"
The expert said, "Isn't it better to lose to Ringer?"
Ning Yu said, "That's not very important. We have a lot of preparations after the anesthesia. I'll do the main things first and then I'll make changes for him."
The expert looked at the anesthesia side in the surgical gown, and said, "You should change him first, it's not too late."
I don't like others to point fingers at my work, especially this kind of unreasonable request, Ning Yu frowned slightly, and said, "I do everything one by one. As an anesthetist, you should trust me, I understand the priorities , the most important thing is to connect the patient with anesthesia first."
The operating room became quiet, and the roving nurse hurriedly said, "I didn't take care of the things I prepared for the stage just now, so I'll change them."
Someone broke the deadlock, and Ning Yu naturally wouldn't hold on to it. Anesthesia and surgery are used to friction and bickering every day. He went to the cabinet and took out a bag of colloids, handed it to the itinerant nurse and said, "Central infusion Ringer, peripheral colloids."
Naturally, the outside expert didn't say anything else, but a new postgraduate student from Department of Urology said, "Can you be more polite."
The operating room was quiet again, and Ning Yu hadn't even paid attention to this side. Hearing the words, he looked up.
This time Mahu and Yixian both looked at Ning Yu.
Ning Yu asked uncertainly, "Are you talking about me?"
At this time, a surgeon pulled down the young man who looked like a student, and the young man said young and vigorously, "This is an expert we hired from outside, an expert from Beijing, what do you mean by doing things one by one? Are you busy?"
Ning Yu glanced at the stunned line, and said, "Quickly go through your center."
Yixian came back to his senses and hurriedly lowered his head to pierce his own central vein. Ning Yu then looked at the student and said, "Do you think I'm being rude?"
At this time, the main teachers washed their hands and came in. Hearing this, they hurriedly said, "Mr. Ning, our student may not know you yet, him."
"It doesn't matter whether you know it or not." Ning Yu interrupted him, saying, "From what he said, I can tell that firstly, the anesthesiology department has a low status, so they can do whatever they want? Get up, I will be a teacher. If you respect the teacher, I hope you will treat them equally. Thirdly, the work of the anesthesiology department is determined by the anesthesiology department itself based on its own skills. If there are mistakes, you can bring them up. Without going on, he said, "It's hard work for experts to guide the work. It may be the first time they come here, and they don't know the situation here. Now we can start the disinfection operation."
Just as the urologist was about to speak, the door of the operating room was pushed open, and an anesthesiologist ran in at the door, she glanced at the person who set up the operation, and said anxiously, "Mr. Ning, there are some problems with the 36 patients, the second line hopes you can take a look. "
Ning Yu turned around and asked Ma Hu to call him if he had something to do, then hurried out.
The urologist immediately scolded the student, "You don't have the right to talk so much in this operating room! It's good to protect our experts, but Mr. Ning didn't say anything too much, just look at what you said What did you say! Don't you know that it is our vice president!"
The superior doctor scolded like this, and the deputy director couldn't say anything, sighed, and thought, just don't let the deputy director wear small shoes for them in the future.
With the qualifications of an expert in Jingbei City, his temper will naturally not be too bad. He still said gently, "That's your vice president? He looks very young."
The deputy director wiped his sweat and said, "Yeah, people are actually quite gentle, maybe I'm rushing to talk today."
The expert said, "Hey, some friction at work is for better work, let's start."
Just now in front of so many people, Ma Hu didn't tell the whole truth. When Ning Yu left the operating room, the two of them rushed to the 36 operating room and said, "The second line said that they suspected it was malignant hyperthermia, and they already asked people to take pills." Qu Lin."
Ning Yu was shocked. Malignant hyperthermia (MH) is the only known hereditary disease that can cause perioperative death due to conventional anesthesia.The patient usually has no abnormal manifestations. After exposure to volatile inhaled anesthetics and depolarizing muscle relaxants during general anesthesia, the skeletal muscle contraction occurs, which produces a large amount of energy, resulting in a continuous and rapid increase in body temperature. In the absence of specific therapeutic drugs Under these conditions, general clinical cooling measures are difficult to control the increase in body temperature, which can eventually lead to the death of the patient.
Moreover, the mortality rate is extremely high. At present, there are 45 cases recorded in China, and the mortality rate is as high as 90%. Although this disease is a genetic disease, the specific causative gene is not clear. At present, only the Anesthesiology Department of Jingbei Hexie Hospital A genetic detection method has been established, and a gene mutation in a family with malignant hyperthermia was successfully detected.
And Dantrolene is the only specific drug for treating malignant hyperthermia, but the onset of malignant hyperthermia is rapid, and there is not much chance of reversing it.
【Jinjiang, there are fish in the trees】
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The latest news: Ou Cheng, an all-round international star who combines idolism and strength, crashed this morning on a plane attending the Oscar Awards Ceremony. According to relevant sources, Ou Cheng is likely to win the best actor for the sixth time Award, God is jealous of talents, at the age of 31.
Mermaids have made great contributions to the development of human beings. In order to promote the harmonious development of mermaids and human beings, the α (jiaoji) galaxy promulgated the following laws and regulations to ensure the interests of mermaids, a rare and vulnerable group.
The basic laws and regulations are as follows, and violations will result in a minimum of 20 years of imprisonment or imprisonment:
1. Mermaids are kind and simple in nature. Any individual or group has no choice but to deceive, ridicule, buy or sell mermaids for any reason.
2. Mermaids can enjoy the resources stipulated by the galaxy for free, and no individual or group can blackmail them for any reason.
3. Mermaids are delicate. Individuals and groups are not allowed to cause level 2 damage to mermaids for any reason.
4. Those who combine with mermaids have no choice but to abandon or cheat for any reason.
Colonel Si Lang learned this way and did the same thing, but the mermaid in his family is not the delicate mermaid in his imagination at all, he is a bit pretentious.
The star mermaid said, as a human being with sound limbs, one day, I will have to rely on my tail to survive.
The narcissistic and poisonous tongue, the beauty star in the flourishing age, was attacked by X's overbearing loyal dog and fried hair werewolf.
☆、Chapter 82
Dantrolene is the only specific drug for the treatment of malignant hyperthermia, but the onset of malignant hyperthermia is rapid, and the chances of reversing it are not many.
Ning Yu said, "Call all the rest of you who are free to prepare the ice blanket and ice cap circulation cooling equipment. One is responsible for recording the anesthesia order, the other is responsible for quickly recording the medicine, and the division of labor between the 36 rooms. Care? Call him back, immediately contact the Municipal People's Hospital and other big hospitals, we need to get Dantroline, hurry up!"
Ma Hudao, "I have notified everyone, and the head nurse is here."
When Ning Yu went to the operating room, the operating room was already overcrowded. He said, "Stop the operation first, and everyone who is not related should go out."
Originally the second line in this operating room was Zong Yan, but Zong Yan asked the second line next to him to take care of it. The second line next to him briefly talked to Ning Yu about the patient's condition. He looked at the monitor and the patient's heart beat He had a rapid and severe arrhythmia. He had just added a temperature module, and his body temperature had already reached [-] degrees. He said, "Where's dantrolene? Use it for him quickly."
"Here we come." Nursing Ma ran over with the medicine, and when he entered the operating room, someone was ready to take it and draw it up for the patient. Ning Yu said, "The center is giving medicine, continue to cool down, pressurize the infusion, keep cycle."
Apart from these measures, there is not much they can do at the moment. Inherited diseases such as malignant hyperthermia are relatively rare. Some anesthesiologists will probably never see one in their lifetime. This is the second time Ning Yu has seen it today. The first The first one he saw abroad was also not rescued.
The second line said, "I asked about the family history of the patient's genetic disease before the operation. The patient's father had undergone general anesthesia for appendicitis surgery, and there was no accident. The mother had not undergone surgery, and the child was delivered naturally. His mother has heredity."
Ning Yu nodded, and said to the second line, "Go and talk to the family members, and say that they hope that their family members can go to Jingbei City Hexie Hospital for genetic testing, so as to prevent the family members from being unprepared for surgery in the future."
After waiting for about 2 minutes, Ning Yu saw that his body temperature was still rising, and it had reached 46 degrees. He asked, "Is there any dantrolene?"
Ma Hu said, "Teacher Ning, there is only one medicine in our hospital."
The director of the other side's surgery said, "What's the matter with this patient, why is it like this?"
Ning Yu looked a little pale. He looked at the patient's completely disordered data and said, "Malignant high fever, a genetic disease, one in [-]."
This is mainly for diseases of the anesthesia profession. The director of surgery has heard of it, and the attending doctor has heard of it. The little doctor under him has never heard of it. He said in a low voice, "Brother, what is malignant hyperthermia."
The attending doctor held his chin up, asked him to look at the anesthesia monitor, and said, "Look at the body temperature. To put it bluntly, the whole body is burning, and it can't be lowered. I heard that there is Dantroline. There is no way, and even if there is Danqu Lin might not be able to save him either."
The director said, "Why is there only one medicine? Why don't you prepare a few more medicines for such a serious illness?"
Ning Yu said with a bad face, "This kind of medicine is very cheap, so there are few manufacturers producing it, and there are very few patients with malignant hyperthermia. Some anesthesiologists may never see it once in their lifetime, and they are basically not used, so the manufacturers are even less likely to produce it. At present, the domestic hospitals that have this medicine are Jingbei Hexie Hospital, Jingbei People's Hospital, Shangqing City People's Hospital, and our hospital, so most hospitals are not equipped with this medicine. If the patient is in other hospitals, the only option is to die. "
A good patient who was not serious, just like that, the surgical director was also angry, he took off the surgical gown, and said, "How could this happen, this patient has a nephew of the head of the Health Bureau, how can I explain this? "
Ning Yu said, "There is no way, how to explain how to explain, let their family members go for genetic testing, this disease is easy to inherit, so as not to cause accidents in the future."
Zong Yan also rushed back within a few minutes. He was originally called by the hospital to sign some documents, but something happened when he left. Ma Hu said, "Contact, the People's Hospital has a A drone has been sent over."
Ning Yu sighed, Zong Yan looked at the monitor and said, "I'm afraid it's already too late."
Things like malignant hyperthermia are like malignant tumors. Anyone who sees them can do nothing. Zong Yan came back, and Ning Yu left the operating room. He didn't take this matter to heart, but he didn't think about it The family members of the leader are not forgiving, and for some reason, an insider came out of the operating room. The other party took the medicine box of Dantrolene from Mahu, and sued Union Hospital for using expired medicine and failing to do a full checkup, resulting in the death of the patient. claim.
Because of the status of the other party, the media soon got involved and reported widely, and Ren'an Hospital suddenly appeared on the cusp of the storm.
The hospital office occupied a large circle of people. The young Mahu was terrified and cried, "Although I am young, I have been working for a year. I know our rules. Before taking medicine, you must check the name and date of the medicine. I checked, and the dantrolene has not expired, and I was afraid that the medicine would break it, so I grabbed the dantrolene cardboard box next to it and packed it."
The head anesthetist nurse said, "The key is that we can't find the ampoule bottle of dantrolene now, and I don't know how the cardboard box fell into the hands of the family members."
Ning Yu said, "The other party knows so well, it must be someone who understands medicine who is behind the scenes."
Qi Yue listened to everyone talking, he looked at the surgeon, and said, "Why didn't you do a full inspection?"
At that time, the attending doctor was accepting patients, and he explained, "He was accompanied by the leader for the examination. He revealed his identity as soon as he came, so he could only make offerings. He lived in a single room, and he was doing very simple stone surgery, even if it was a routine surgery. This kind of young and middle-aged people has no relevant symptoms. In order not to cause unnecessary expenses due to excessive treatment, brain CT and dynamic electrocardiogram are generally not performed. Who would have thought that patients would have moyamoya disease? We can’t just do urological surgery for all our patients. Let’s also take brain CT, their family is not short of money, but many patients are not so rich.”
Qi Yue raised her legs directly on the table, her posture became more and more arrogant, and she said, "How many doctors and hospitals are planted in my own hands... In the future, the more you are on your own and the more money you have, the more you will give him the checkup." Do enough."
Ning Yu said, "His autopsy report has a large area of cerebral infarction, which may be caused by vicious hyperthermia in the end. This kind of death is inherently complicated, and usually it is caused by multiple organ failure. It is impossible to die because of just one aspect. , Cerebral infarction is not necessarily caused by moyamoya disease."
Qi Yue shook her finger and said, "The court doesn't care about you. They don't study medicine. We are talking about experience and probability. The malignant hyperthermia you mentioned, we said that there are almost no cases that can be cured, and others say that there are almost none, but you all know about the brain department last month. I heard from the director of the brain department that the meningioma was very deep. The location is very special, if it can be removed, it will be famous all over the country, but there is only a [-]% chance of being cured, and the family members have signed to understand the risks, why did the hospital still lose money in the end?"
Qi Yue looked at everyone and said, "It's because the family members insisted, saying, we don't understand the risks, you didn't mention it, you said it could be cured, you tricked us into doing surgery, the brain doctor suggested they give up, and the family members didn't want to give up , I was bitten back at the end, does the judge understand this? People die here, this is the result and the evidence, and this is why suing the hospital can win the case.”
Qi Yue put down her legs, sat upright, folded her hands on the table, leaned forward and said, "So, what you're talking about now is useless. What is useful is to go back and sort out the case carefully, so that you don't miss any problems. Bring it to me."
Everyone left, Qi Yue looked at Ning Yu, and said, "This matter is really being investigated. At that time, you were present, and the medicine happened to be injected in front of your face. With your permission, this matter, you It doesn't look familiar."
Ning Yu was startled, this scene was too familiar, it was many years ago when he was forced to leave.
Qi Yue smiled lightly, and said in relief, "But this time, you are not the main person in charge. If you want to say that the one who signed the anesthesia form is Zong Yan, not you."
Ning Yu was confused, and after hearing Qi Yue's words, he said, "Last time, my name wasn't on the anesthesia bill, and I didn't even get my license to practice medicine, and I didn't even have the qualifications to make decisions, and the one I signed was his." name, but I still took the blame."
A long time ago, he had always believed in Zongyan, but he was betrayed in the end.
【Jinjiang, there are fish in the trees】
☆、Chapter 83
Ning Yu was confused, and after hearing Qi Yue's words, he said, "Last time, my name wasn't on the anesthesia bill, and I didn't even get my license to practice medicine, and I didn't even have the qualifications to make decisions, and the one I signed was his." name, but I still took the blame."
A long time ago, he had always believed in Zongyan, but he was betrayed in the end.
"If he really asks me to go into the water, will you protect me?" Ning Yu pondered for a moment. He didn't know why, probably because he had been hurt once, so he became a little scared and asked with a little hope.
Qi Yue looked at him and felt that Ning Yu's eyes could speak, so he took it for granted, "That's natural, can I let you be bullied like this twice?"
Ning Yu laughed, as warm as Xi, with the spring breeze helping the willows.
Qi Yue looked at it, and for some reason, she was suddenly burned by that smile, thinking, the only friend in her life is probably this person in front of her, this person is stupid and straightforward, she must not let him get hurt again , he thought for a while, hesitated for a moment and said, "I remembered something."
Ning Yu said, "What's the matter?"
Just as Qi Yue was about to open his mouth, there was a knock on the office door. He said "come in" and the door opened in response, looking very urgent.
Ning Yu looked at Zong Yan who came in with some surprise, but Qi Yue looked normal.
Zong Yan said, "I have something, I want to talk to the dean alone." He said, looking at Ning Yu.
Seemingly interested in me, Ning Yu got up, said "Let's talk later" and left without looking at Zong Yan.
Ning Yu closed the door, Qi Yue stretched out his hand to signal Zong Yan to sit down, and he said, "I can probably guess why Director Zong came to see me? Either he came to find someone to top the tank, or he came to replace someone to top the tank, I prefer the latter. "
Zong Yan cut to the chase and nodded, "Indeed."
When Zong Yan really admitted it, Qi Yue was still a little surprised. He probably couldn't believe any feelings in this world. For Ning Yu, he was always
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