my passenger is sleepy

Zhang Tianqi listened to Xiao Chen's doctor's order expressionlessly, then gave him a cold look and entered the operating room.Xiao Chen looked at the closed door of the operating room, feeling quite at ease.After Zhang Tianqi was transferred to the orthopedics department, he developed well. It may be that the head of the orthopedics department took him personally after Vice President Liu passed the words.Xiao Chen understood that even if the two of them were sworn enemies, Zhang Tianqi would not be able to make fun of the patient's health. As a doctor, he would definitely work hard to complete the operation.

Thigh fracture, this is not a difficult operation, as long as he can step down smoothly, the probability of recovery is still very high, Xiao Chen left the operating room very relieved.Outside the door, the migrant workers who accompanied the patient had already run over, and one of them was making a phone call with a pile of bills. Xiao Chen listened to it, probably to raise money.He felt a little sour, thinking of what Si Xiaoqi said, "It cost more than 1000 to see a cold and fever".Seeing a doctor is expensive and difficult to see a doctor. Everyone in the whole society is saying this, turning their anger and dissatisfaction to doctors.God knows how many scapegoats doctors have borne for the "social welfare security system", and how long this scapegoat will last.

Xiao Chen gave a wry smile, and Director Wen said that when he said that he was a doctor before, others would look at him with admiration; ", and even a bit of "hate".It is really difficult. Every line has its own difficulties.If you don't stay in it, you really can't understand it. What outsiders see is the glamorous side, and the bitterness and suffering can basically be swallowed by themselves.

While thinking about it, Xiao Chen returned to the emergency room.As soon as he left, there were already a backlog of patients in the waiting area, Dr. Zhao was surrounded by patients and he couldn't see him.

so busy!

This busy job lasted until after three o'clock in the afternoon. Xiao Chen touched his empty stomach and planned to go to the locker. He remembered that Si Xiaoqi gave him a bag of food last time, saying that it could be used as an extra meal. Throw it in the cabinet.As soon as he turned the corner of the corridor, Xiao Chen saw the migrant workers who were huddled in the corner of the corridor discussing something in a low voice in the morning, their faces were anxious, sweat dripped from their foreheads.

When one of them saw Xiao Chen, he hurriedly called "Doctor" and walked over quickly. Xiao Chen smelled a smell of dust and sweat from him, and asked gently, "What's the matter?"

"That... one of our brothers in the morning, the one who broke his leg, do you remember, you treated him."

"Remember," Xiao Chen nodded, "he should have gone to the ward after the surgery."

"How is he?" the man asked eagerly. "At that time, a doctor came out and said, 'The operation is over, go back to the ward', and then asked us to pay the money. We didn't know anything about it."

"If you didn't say anything, there should be no problem. The operation should be successful."

"Really!" The man shouted excitedly, "Then his leg can be kept?"

"It should be." Xiao Chen didn't know the situation in the orthopedics department. It seemed that this patient should be transferred to Zhang Tianqi's ward and he was in charge. It was not easy for Xiao Chen to ask.

"Look," the man rubbed his hands nervously, and said with a humble look, "his old lady called to ask about the situation. We don't know and can't tell the old lady... The old lady is old and crying. Yeah... it's not visiting time either, we can't get into the ward... can you... can you..."

Xiao Chen hesitated for a moment, supposedly it was just a phone call.But as long as Zhang Tianqi is involved in everything, there is somewhat of a suspicion of "seeking trouble for nothing".Think about it too, what do you mean when you call in the afternoon to inquire about the situation after the surgery was done in the morning?Can't believe it?Xiao Chen really didn't want to cause trouble for himself.

"Doctor," the man's eyes were red, his muddy hands were tightly clenched, his nails were subconsciously scratching his palms, and he begged, "Please, we just want to reassure you. My mother is over 70 years old. Cry like that in our hearts..."

Xiao Chen gritted his teeth: "Okay, let me take a look at it for you."

The man was grateful, and his eyes were even redder.

Xiao Chen thought it would be more convenient to make a trip in person than to make a phone call, and he could act accordingly in case of encounter.So he grabbed the medical record casually, bit the bullet and walked to the ward building amidst the thanks of a group of people.The orthopedic ward was quiet, Xiao Chen pushed open the door of the doctor's office, and only Dr. Jin was there.

"Yo, Doctor Xiao, what's the matter?"

"No," Xiao Chen waved the medical record book in his hand, "There is a film, I'll find someone to take a look at it, are you busy, take a look for me."

"Give it to me," Dr. Jin put down the pen in his hand and said, "What's going on, you're so worried?"

Xiao Chen didn't say a word, he really couldn't explain why he couldn't make up his mind after a proper X-ray of radial bone fracture.

"This..." Doctor Jin pointed to the film, "It's broken, it's completely broken."

Xiao Chen smiled awkwardly, and found an excuse and said: "Ah, I haven't been in contact with orthopedics for a long time, and I almost forgot what I learned, find an expert to see that I am at ease... Hey, why are you busy alone? What about the others, is Doctor Zhang on duty today?"

"He just went out, and I don't know where he went." When Dr. Jin said this, the corners of his mouth curled down, showing a look of disdain.Xiao Chen had heard it before, saying that Zhang Tianqi was a bit "self-important" in the department. This is a very difficult word to understand, and if you say it in a different tone, it will be tinged with different colors of praise and criticism.In Anhai Hospital, when people talked about Zhang Tianqi's "very high self-esteem", they meant "Lin Daiyu" - narrow-minded.

A sharper evaluation than self-esteem is "very good at planning for yourself", Xiao Chen thought, Zhang Tianqi is "very good at planning for himself".

Everyone knows that someone above Zhang Tianqi is covering Zhang Tianqi, and they all know that he has a good personal relationship with Liu Yuan, so as long as it's not too much, you can ignore him and not care about him, but this kind of "don't care about it" makes him worse .Therefore, if Guo Hong's poor popularity outside the chest is due to his straightforward personality, then Zhang Tianqi's poor popularity in orthopedics is a matter of character.

Xiao Chen thanked calmly and left the office. When he passed by the nurse's desk, he glanced at the bed sign. The patient was in bed 11, and the ward showed a sign, which should be Zhang Tianqi's bed.

As soon as Xiao Chen walked to the door of the ward, he saw a trainee doctor looking down at the physical sign monitor.Looking at the patient again, his eyes were closed tightly, beads of sweat rolled down his forehead continuously, his fingers with thick knuckles were tightly clutching the bed sheet, his face was already the same as the bed sheet.Because of the severe pain, his whole body was shaking, and even the iron bed frame was rustling.

"What's the matter?" Xiao Chen walked in a few steps and asked.

"It hurts." The doctor said simply.

"Have you contacted the doctor in charge?"

"No." Doctor Jinxiu checked the blood pressure and blood oxygen concentration again, then stood up and said confidently, "But Doctor Zhang told me before that if there is pain and there is no problem with the vital sign data, just take an analgesic."

Xiao Chen stretched out his head to look at the patient, hesitated and asked, "Is there a written doctor's order?"

"No."

"Oral medical orders are not valid, do you know that?"

"I know," the trainee doctor obviously lost his confidence, and he said hesitantly, "but postoperative pain is a normal reaction, and the data is not a big problem."

Xiao Chen leaned over to take a look at the instrument, pointed at the blood oxygen concentration and said, "Is there any problem with this data?"

"Are you close to the boundary? This is within the range given by Doctor Zhang."

Xiao Chen frowned and looked at the patient. This is a young and strong migrant worker. It can be seen that he can endure hardships. It is hard to imagine what kind of "normal postoperative pain" can hurt him like this.The doctor studied and looked at it, then raised his foot and wanted to go out.

"Where are you going?" Xiao Chen asked.

"Give him a painkiller."

"No, you call Doctor Zhang first, I'll go to Doctor Jin to have a look." Xiao Chen glanced at the data on the instrument, then turned around and went into the doctor's office, and told Doctor Jin about the situation.

Dr. Jin frowned, stood up helplessly, and said as he walked out, "Really, I'm at work now, where did Mrs. Zhang go?"

Xiao Chen remembered Guo Hong's saying that Zhang Tianqi would leave his post when he was on duty outside the chest, and shook his head secretly, something would happen sooner or later.Dr. Jin first looked at the injured leg, then checked the blood pressure and blood oxygen, he straightened up, and said to the training doctor with a livid face: "Go and call Dr. Zhang, tell him the situation, and ask him to come back quickly. "

The trainee doctor said without daring to breathe, "I called, but no one answered."

"Nonsense!" Dr. Jin slapped the bed frame quite maturely, "How can you not answer the phone!" Then he turned to Xiao Chen and said, "Look, the first-diagnosis responsibility system, he did the operation, and people are divided. In his bed in his ward, he is still on duty all day in the ward today... This afternoon, I haven’t seen him since 01:30.”

"Is there any consultation in other departments?" Xiao Chen worriedly looked at the patient, who couldn't stand the pain anymore, and began to groan softly.

"Where is the consultation?" Dr. Jin said angrily, "I don't know if there is a consultation? Huh, who knows where he went." Turning around and seeing the doctor in training still poking there, he immediately raised his voice and shouted : "Don't stand there, keep calling!"

The intern doctor ran out without touching the ground, and then ran in again: "Doctor Zhang's cell phone is not answered...what should I do?"

"What can we do?" Dr. Jin glared at him, "Doctor Zhang's patient is undergoing surgery again, and he didn't take over the shift, so he gave a verbal doctor's order. Can this be handled casually?"

"Then... analgesia first?"

"Analgesia?" Dr. Jin snorted coldly, "It doesn't hurt anymore, what should I do if the symptoms are not obvious and delay the diagnosis?"

"So... it hurts so much?"

Dr. Jin glanced at the patient, then at Xiao Chen who was standing beside him, and leaned over to check again.He reached out and touched the dorsalis pedis artery of the patient, and looked at the recorded blood pressure and blood oxygen.When he straightened up again, his face was not livid but black.He pointed to the doctor and said, "You, go ahead and call Doctor Zhang. If you can't do it, call the second and third subjects, and call the other subjects. You must find him."

The training doctor also found that something was wrong, and was so frightened that he flew out again without touching his feet.Xiao Chen sighed, it seems that the whole hospital should know about Zhang Tianqi leaving his post.

"Doctor Jin?" Xiao Chen asked, "How?"

"The patient's dorsalis pedis artery is very weak, come and feel it."

Xiao Chen glanced at the monitor, then touched it, hesitated and said, "I haven't been in orthopedics for many years..."

"Pull it down, even if you haven't been in contact with orthopedics for ten years, the dorsalis pedis artery and blood oxygen index, you don't need to think about it to know that it is fascial hypertension!"

"Do you want to cut it?" Xiao Chen asked.

"What do you think?" Doctor Jin asked angrily.

Xiao Chen was startled. Bones, muscles, and deep fascia formed the osteofascial chamber, which was like a passage through which blood vessels and nerves passed.After trauma, especially after orthopedic surgery, blood seepage and tissue edema will lead to increased pressure in the fascial chamber, which is the so-called fascial hypertension.Generally speaking, it is especially common in thigh surgery, and the calf is severely damaged.If it progresses further, the lower leg, which is cut off from blood and oxygen, can die, leading to amputation.The necrosis factor caused by the formation of gangrene is released into the blood, which is life-threatening.

Therefore, the Department of Orthopedics pays special attention to the dorsalis pedis artery, but patients often do not show that the pulsation disappears, but weakens.As for the degree of normal edema and the degree of fascial pressure, it is a matter of opinion.The trainee doctor is a novice with obvious lack of experience. He only pays attention to the instrument data, but cannot accurately grasp the dorsalis pedis artery.Judging from the data on the instrument, it is not wrong to take an analgesic to solve the problem, but if it is fascial pressure, it is a serious medical malpractice.

The trainee doctor was frightened crazy. Zhang Tianqi did not give a written doctor's order before he left, and the oral will is legally invalid. If he really took an injection of analgesic as Zhang Tianqi said...he panicked and didn't wait for the order Then I rushed out to make a phone call.

In fact, the way to treat fascial hypertension is not difficult, that is, decompression, which is very simple and rude.The patient's swollen leg was cut longitudinally from top to bottom, each cut reaching as deep as the ankle's fascia to ensure that the aorta was unobstructed.

But Dr. Jin didn't speak, just froze beside the hospital bed.

"Doctor Jin?" Xiao Chen couldn't help urging.

Dr. Jin gritted his teeth and looked at the patient, but he still didn’t move. After carrying it for a few minutes, the doctor in training rushed in again: “I didn’t find it. .”

"Administration building?" Doctor Jin was a little strange.

Xiao Chen pondered for a while, and said, "You can call Vice President Liu's office and ask."

Doctor Jin cast a tacit glance at him, some things are "secrets" known all over the world, and they will never be exposed easily when no stake is involved.

After a while, the doctor came back and said, "Dean Liu went to the bureau for a meeting today, and he won't be here all day."

"Yeah?" Xiao Chen and Doctor Jin looked at each other, so where did this man go?

Xiao Chen couldn't care less about Zhang Tianqi's whereabouts, the focus now was on what to do with the patient in front of him.Dr. Jin gritted his teeth and said, "Notify the director and file the doctor's order. I... come."

This is a matter of taking risks, Xiao Chen couldn't help but followed: "Can I help you?"

"You, just be a witness for me," Dr. Jin clicked his tongue, "or else Dr. Zhang will come back, hum, his temper is not troublesome enough." Then he shouted towards the door of the ward: "Nurse!"

After a while, the director of the orthopedics department was called over, the bedside disinfection had been completed, and the nurses were also ready for the bedside incision.The director of the Orthopedics Department is surnamed Feng, and he has good skills and a better temper. He usually "persuades Zhang Tianqi" this "thorny head" with gentle words, but everyone knows that it is not good to hinder Vice President Liu's face. Too much pursuit of what.

Director Feng's expression changed as soon as he touched it with his hand: "Cut it quickly!"

After a few cuts, the whole leg was cut longitudinally, and a large amount of blood gushed out instantly. Layers of gauze were lightly covered and soaked immediately, and the whole hospital bed was covered with blood.However, the patient's pain was quickly relieved, and various vital signs quickly returned to normal ranges.

Dr. Jin said to the trainee doctor while taking off the gloves: "You can stop the bleeding and change the dressing, but the bandage must be loose to ensure blood circulation."

The advanced doctor's face was pale, and he kept nodding, but Xiao Chen seriously suspected that he hadn't listened to anything.

Director Feng looked at his watch and said to Xiao Chen: "Xiao Xiao, you should be off work now, thank you for helping me for so long."

Xiao Chen left very cleverly.

Returning to the emergency building, Xiao Chen was surrounded by those migrant workers as soon as he showed up. Xiao Chen made a gesture to signal everyone not to panic: "It's okay, it's fine, and it's recovering."

Those people let out a long breath, and thanked Xiao Chen one after another. Xiao Chen thought, you can rest assured, my troubles have just begun.

◇◇◇

"What's the trouble?" Si Xiaoqi asked after listening to Xiao Chen's story of what happened while cooking in the kitchen, stopping the shovel in his hand.

"This kind of thing... Although the accident did not really happen, there is no doubt that Zhang Tianqi's negligence of duty and off-duty work hours almost caused a major medical liability accident. Usually this kind of thing is a 'family scandal', and internal departments Just report and criticize, deduct a little bonus, and that's it. But if this matter is placed on Zhang Tianqi, I'm afraid it won't be the case."

"What can I do?" Si Xiaoqi simply turned off the range hood and listened carefully to Xiao Chen's words.

Xiao Chen looked at Si Xiaoqi's appearance, suddenly stopped talking, just looked at Si Xiaoqi, the corners of his mouth slowly curled up.

"What... are you laughing at?" Si Xiaoqi was inexplicably laughed at, and felt a little cold in the back of his chest.

"You're listening to me."

"Nonsense, when did I stop listening to you?" Si Xiaoqi narrowed his eyes, "My standard 'wife slave' always listens to my wife's words as an imperial edict, so I almost kneel down to accept it."

Xiao Chen didn't speak, but he felt very warm in his heart.Since that day, Si Xiaoqi tried not to work overtime as much as possible, as long as he had dinner at home, he would come back to cook.When he talked about things in the hospital, he would listen carefully no matter whether he could understand or not.Xiao Chen remembered that one night, he wanted to have a good chat with Si Xiaoqi, but the man was snoring like thunder. Compared with the two, Xiao Chen couldn't be more satisfied with his current life.

This is what he wants.

"Let me continue," Xiao Chen ignored Si Xiaoqi's words, and continued: "Zhang Tianqi is not very popular, the boy climbs too fast and has a bad work attitude. Well settled then."

"Hey, why do I feel that you have a feeling of gloating?" Si Xiaoqi said with a shovel knocking on the edge of the pot.

"It's not a matter of gloating, but I also think that his accident will happen sooner or later. Guo Hong said that he will leave his post... Doctor Jin asked the trainee doctor to call almost every department in the hospital. It is estimated that by tomorrow, Even those on vacation know about it.”

"Well, then you are in trouble." Si Xiaoqi nodded, reached out and turned on the range hood again.

Xiao Chen silently watched Si Xiaoqi cooking, the smile on the corner of his mouth became more and more obvious: "You are not worried at all if I trouble you."

"What am I worried about?" Si Xiaoqi shook the frying pan vigorously, and the broccoli in the pan was thrown up, drew a beautiful arc in the air, and then fell back down. Like orchids, no matter how high they are thrown, they are safe, because they can always fall back into the pot in the end.

Si Xiaoqi went on to say: "This matter is clearly his Zhang Tianqi's fault, and in addition, some people in their department have disliked him, and wicked people will be punished by wicked people. This matter has nothing to do with my Mimi."

"Why doesn't it matter?" Xiao Chen said, "If I didn't intervene to prevent the use of analgesics, this matter could be pushed to the trainee doctor."

"The patient will have to amputate if he doesn't die, right?" Si Xiaoqi said, "You are saving lives. Speaking of which, if it weren't for you, they would be in serious trouble with orthopedics."

"That's why I'm in trouble," Xiao Chen sighed. "First of all, Zhang Tianqi won't let me go. Secondly, Director Feng will probably be very upset that I'm here. After all, family ugliness should not be publicized. Finally... Doctor Jin yelled around the world. I'm a witness... Do you think I'm troublesome?"

"It's not troublesome." Si Xiaoqi turned off the gas stove and range hood, and the kitchen immediately became quiet. He handed Xiao Chen the plate with the vegetables, filled two bowls of rice and walked to the dining table, while Walking away, he said, "What's the trouble? Why don't we just wait for the result of the infighting?"

"What if I need to come forward?" Xiao Chen opened the dining chair and sat down.

"According to my opinion, I can't do it. It has nothing to do with you, so why bother yourself." Si Xiaoqi took a piece of hairtail fish to Xiao Chen, took a look at Xiao Chen's face, and said, "But I know You will definitely show up."

"Why?" Xiao Chen poked at the rice in the bowl and asked.

"Because you can't stand an unreliable person like Zhang Tianqi mixing in the team of doctors."

"Why don't you say that I want to take the opportunity to break Zhang Tianqi and let him get away?"

"If you wanted to fight him, you would have fought him a long time ago, and you would not have gone to the emergency room back then." Si Xiaoqi sneered, "I don't know you yet? Everything is troublesome, if it wasn't for him You don't even bother to look up at him when you're in such a hurry. Besides, even if you don't show up for this matter, according to Zhang Tianqi's behavior, he will seek your bad luck, and you can't hide from it. "

"Yes," Xiao Chen sighed, "I demolished his platform today."

"Will he tell you about us... about us? Just like he threatened you before. "

"Yes," Xiao Chen took a bite of the hairtail, and thought it tasted good, so he concentrated on eating it.Si Xiaoqi waited for a while and saw that Xiao Chen didn't speak, so he couldn't help asking: "What should he do if he wants to speak out?"

"Then what can we do?" Xiao Chen put down a row of gnawed fish bones and said, "Explain to the little nurses who admire me one by one, and comfort their traumatized little hearts-you have to say How much trouble?"

Si Xiaoqi looked at Xiao Chen's nonchalant smile, and suddenly smiled: "It's really fucking troublesome."