Walking in standing up, he couldn't go out on his knees. With his hard liver, Zhang Fan forcefully gnawed down a book that shouldn't be transferred to a doctor to study. Only when you have strength can people respect you, and only when you work hard can people have a heart to support you.
The technical unit is relatively simple. Although some people have bad tempers, but the technology is strong, others will not deliberately target them. If you try another unit that is mainly based on ideology, it will let you be a man with your tail in minutes. In minutes, someone will stand up and teach you how to be a human being!
In winter, in the days of heavy snow, Zhang Fan is out of department, endocrinology transfer, and internal medicine has been transferred to three major departments. The nervousness in his heart, after a night shift, the new Zhang Fanzheng really understands what it means to stir up trouble. , one after another, the fragility of life was vividly displayed in the Department of Cardiology, and I also experienced the hard work of a doctor.
Stuffed in breathing, cough! cough! cough! The thin old man, with a bruised face, spit endlessly, and greedily breathed in the trace of oxygen that entered his lungs. A flu, like a harvester in autumn, harvests old people who cannot survive the cold winter.
Digestion, an internal medicine department that is responsible for the most organs, is also a department that can witness the changes in life in Huaguo. Viral cirrhosis of the liver is slowly transitioning to alcoholic cirrhosis. The hard-working elites from all walks of life ended up in the gastroenterology department because of various inattentions.
The next stop is a special department, icu. The Chinese meaning of icu is Intensive Care Department, which is a department where the cost of nursing care can be equal to the cost of medicine. You can imagine the hard work of doctors and nurses in this department.
In the city hospital, the ICU is connected to the operating room. If there is a major operation or a critical patient is almost always sent here, this is also the most modern department. Although this discipline has only been developed for less than 30 years, the rate of increase is very obvious. The collection of modern advanced equipment combined with the treatment and care of special personnel really has the effect of bringing some special patients back to life, then another relative problem also follows, the cost! This department is also an extremely expensive department.
Once in the department, all kinds of 24-hour monitoring equipment and one-to-one targeted care directly make the cost like running water. A patient spends more than 10,000 yuan a day in the ICU, which is considered a mild symptom in the ICU. patient.
There are not many doctors in the ICU department, and there are not many old doctors, because this department has been established in the hospital for the shortest time, lacks foundation, and many, many technologies cannot be developed.
Director Lin Long, with a very domineering name, is actually a short, middle-aged man in his forties, with a good temper and few words. I often stand in the center of the department and say softly to the doctors and nurses: "Be careful and work hard. This department is the last position of the hospital. If we can't hold it, the patients will have no hope!"
Because of the particularity of patients in the department, doctors do not manage patients alone, but all patients are managed and processed in a unified manner. For example, if you are on duty 24 hours today, then today you are the doctor in charge of all patients.
What does the doctor in charge mean, that is, the medical records or death records of all patients today, discharge and admission belong to you. If a doctor who is unlucky encounters three deaths a day, two or three discharges and two or three admissions, then congratulations to you , I won the lottery, don't think about sleeping during this 24-hour period! If you encounter a critical patient who needs to be rescued again, then you can congratulate me. After 24-hour work, you still need another eight hours.
Labor law, trade unions? No, in a place like a hospital, these organizations are all foreign. I have never heard of them. The biggest responsibility of the trade union is to distribute a pair of durable flat white leather shoes to the nurses on Nurses’ Day, and distribute some oil and dough during the Chinese New Year. Sometimes when doctors and nurses in a hospital get married, the chairman of the labor union represents the hospital to bless the couple! That's all it does. Want overtime pay? It's against you! Want human rights? Love to work or not to fuck, the young graduate students who graduate every year line up and wait for their seats!
Zhang Fan suffered from endocrinology, and the medical office called early on to discuss the next department transfer. The director has to discuss it with Zhang Fan.
Because Zhang Fan's situation is so special, the hospital has never encountered it for many years. A certain department needs to be transferred to another doctor because of lack of staff to make a report. Pulled to surgery. And now ordinary doctors dare not take Zhang Fan.
Zhang Fan lectured on endocrinology for more than two hours, and he directly set up the banner of internal medicine. He was able to lecture for two hours in front of a group of top scholars. One can imagine how high Zhang Fan's level is, so now only Zhang Fan Pick the department, not the department picks Zhang Fan.
Zhang Fan doesn't care which department, he has to transfer, he has to study, it doesn't matter whoever is before and who is behind, he has to go in anyway. The medical department chose for a long time, and finally chose a department that has relatively more transfer doctors.
ICU is really a department that is always under the light. The lights in the ward are always on. There are seven permanent doctors in the department plus the director. More than twenty nurses. One is younger than the other. The nurses in this department really can't do it once they are over 30 years old. It is really not easy for families with children and elderly people to stay up late. Therefore, the nurses in this department are also the most lost. When they reach a certain age and cannot change departments, they can only leave in dismay, as quietly as if they have never been this person!
Although it is said that equal pay is equal work at present, in fact, there is a huge difference between whether there is a staff or not. In the early years, the hospital would release some staff to nurses every year. Now the staff is more and more expensive, and it will not release one to nurses for several years. If things go on like this, the attractiveness of this industry will become less and less. Just like in the United States, almost all the nurses are African and Asian! Or wait for the technology to develop and replace it with robots.
Before Zhang Fan entered the department, he rested for three days, because there were too many things recently. First of all, Wang Yongyong's reexamination would take a lot of time. This Zhang Fan must go for the examination himself. The body of an athlete is too special. This is the first in sports medicine. first-hand information.
It is also necessary to clear up the operations in the surrounding counties. Now that the surgical directors in the urban areas are not competing with Zhang Fan, it is not worthwhile. Zhang Fan has already ruined the market for walking holes. In the past, the acupoints were used to compete for fame, but now the acupoints must be used to compete for Zhang Fan's share. Zhang Fan is young and can perform five or six operations a day when he is resting, but these famous directors can't do it. Fan immediately distributed dividends on the spot, how could the doctors in the county be unhappy
Even if there is a system, you have to rest your tense nerves, otherwise you will really be unbearable and too tired. Non-stop surgery, non-stop study and reading, even a robot has to be powered off and restarted, let alone a physical body.
Three days of holiday plus a weekend, after Zhang Fan finished his work two days ago, he completely slept in. It was the first time in two years that Zhang Fan slept in for more than ten hours.
Shao Hua also rests on weekends, and Shao Hua suggested to go skiing. There are many natural ski resorts in Chasu City, and it is said that they can meet the standards of international competitions with a little repair. The snow here is not man-made in the interior. The snow in the frontier is especially in the mountainous areas. There is no problem in filling a small mountain depression in one winter.
It's boring to go skiing, Shao Hua invited Jia Suyue and Wang Yanan, Zhang Fan took Li Liang, and recently Jia Suyue was in a bad mood, she finally broke up with Le Jie, feeling very depressed, Shao Hua also I want to take her for a walk.
Wang Yanan is currently doing well in the Department of Orthopedics, but the Department of Orthopedics is a department that is born with half physical strength, which makes Wang Yanan a bit overwhelmed. She and Li Liang are not far or close now.
The ski resort was a little far from the city, so Zhang Fan set off with a few people in his car. After getting on the road, a few women started chatting on twitter, which made Jia Suyue, who was already depressed, temporarily forget the pain of losing love.
"Brother, is Boss Ma planning to do something big to the hospital?" Li Liang asked, he knew the relationship between Zhang Fan and Boss Ma very well.
"You have a heart! The hospital is going to fill up some department staff, and then slowly become a regular army. Boss Ma has a big heart." There are some things that Zhang Fan is not easy to tell Li Liang.
"Zhang Fan, when will you be admitted to the department? The practice results are coming out soon. I guess there are many people who want to enter the department of orthopedics, and several graduate students will circle around the director every day. You should pay more attention yourself. Don't wait until the time comes. I can't get in, after all, the departments only have quotas." Wang Yanan said to Zhang Fan.
"Okay, I'll take care of it." Zhang Fan didn't care about this matter at all, but the girl was kind.
The laughter along the way led to the ski resort inside the mountain without knowing it. The ski resort in a small border town is very simple. It is to build an electric hoist to transport tourists on a snowy hillside, and then divide some areas around it. Recruitment Some herdsmen who hid in winter nests served as coaches and employees, and then set up a big tent at the foot of the mountain. Three hundred and one big chicken can make a small fortune in one winter.
This kind of investment is not big, and the income is considerable, and because it is located in a mountainous area, it can escape the supervision of some government units. If this kind of business is small, no one will ever take care of it. As long as it becomes big, various supervision units will supervise it. It's hard to say whether it's bad or bad, but at least this kind of supervision unit can make the facilities of this kind of institution more complete and safer.
Frontier people, as long as they are younger, are almost all skiers. There are too many natural ski resorts, and all kinds of ice skates and sledges are popular in winter. They grew up in Xuewozi since they were young, and they are very good at this kind of sports.
But Zhang Fan couldn't do it. Although he grew up in the Northwest, his hometown didn't have such a heavy snow, and it was his first time skiing. He didn't dare to go up to the top of the mountain like the others and slide down like lightning. Zhang Fan chose the halfway up the mountain and slid slowly.
Looking at the easy and unrestrained exercise, it is different when you start it yourself. From the halfway up the mountain, Zhang Fan fell and rolled down, and then changed the sled and never went to skate again. It is too shameful. Many girls who have just entered elementary school are better at skating than him.
Zhang Fan simply became a photographer and took pictures of several people. Shao Hua saw that Zhang Fan was no longer skiing, so she also changed the sled to accompany Zhang Fan, "You go and play, I have no love for this, so come out after a long time, don't be unhappy because I let you play."
"No, I'm very happy to be by your side." After saying this, Zhang Fan couldn't help but hugged the girl in his arms.
"Let go of me, others have seen it! I hate it!" Shao Hua's face was flushed with cold, Zhang Fan really wanted to take a bite!
There are many people, hundreds of people. There are many masters, and there are many children. Many children slide down the mountain on car tires, screaming happily. Zhang Fan's current level can only play this, but the tires are all small dolls, he can't bear to play!
At this moment, the running hoist stopped with a "bang!", and many people standing on it fell down. They wore a lot of winter clothes, and they were wearing sleds, so they couldn't get up for a while. Time cries and cries.
The slope is not small, and the width of the winch is not large, so it is difficult to rescue if you want to rescue, and a woman in the machine room next to the winch ran out crying: "Help! Help! Bayin was beaten by electricity." It's time! Come on!"
Bayin was a temporary electrician for this venue. Because he had not received professional training, he was shocked by electric shock due to improper operation. Zhang Fan hurried to the machine room when he heard that. Some young people in the crowd on the winch had already got up slowly. , Helping up the people around him one after another.
"Where is the power supply? Where is the main power supply? Shut off the power!" Zhang Fan shouted while running.
There are quite a few patients who suffer from electric shocks every year. For this kind of rescue, the power supply should be cut off at the first time, or the rescued person should be separated from the electric field with an insulating object.
This electric shock injury is particularly complicated. The degree of injury is closely related to the level of voltage, type of current, current intensity, frequency, duration of electric shock, path of current passage, and environmental meteorological conditions. The low-frequency alternating current in general households is particularly likely to cause ventricular fibrillation, which is extremely harmful, so it is necessary to manage the power supply well.
Every year, the power system organizes professional personnel to conduct regular emergency training for the personnel inside the system. After years of accumulation, the power system has finally surpassed the hospital in terms of electric shock first aid. Because in the hospital, only the emergency department and other related departments can provide professional, rapid and correct rescue.
This rescue does not only refer to the rescue of the human body, but also a targeted rescue according to the environment. Therefore, especially after someone is shocked by electric shock, if it is not sure whether there is still electricity, personnel without formal training should refrain from rashly Help!
Zhang Fan shouted while running, and the person in charge of the ski resort in the distance also shouted loudly: "The power has been cut off! The power has been cut off!"
Zhang Fan ran towards the computer room, and Shao Hua followed Zhang Fan closely. She was worried about Zhang Fan. Although she didn't understand this first aid, how could an undergraduate student not know the danger of electric leakage? Zhang Fan had already run away, unable to hold him back. People are selfish after all! It is understandable to subconsciously protect your sweetheart.
But Zhang Fan's profession can't make him shrink back. If Zhang Fan is not a doctor today, he doesn't have to go to the rescue, which is definitely justified. But as a doctor, the patient is in danger and needs professional first aid. If you don't stand up at this time, then you really don't deserve the title of doctor.
Yes, there is a lot of criticism against doctors in society now, but this is a small part after all. Doctors are still respected after all, and we cannot deny the majority of people because of some people.
Zhang Fan tried his best to run. Running on the snow was really troublesome. One foot was deep and the other was shallow. The distance was only 200 meters. Zhang Fan fell down several times and couldn't care anymore. He had already seen the woman grabbing the electrician. crying.
The branches pierced his hands, and the snow got into his boots. Zhang Fan ran to the patient's side in a panic, out of breath, and said to the woman, "Quick! Put him down!"
"Huh!" The woman was still sad and didn't respond.
"Relax! I want to rescue him, I'm a doctor."
"Oh! Doctor, doctor, save him quickly!" The woman cried out as she looked at Zhang Fan pitifully with tears in her eyes after the man had been put down.
"Shut up!" Zhang Fan was so anxious that he had no time to explain to her.
Li Liang and Wang Yanan in the distance saw Zhang Fan running towards the computer room, and they also rushed to help. After all, Li Liang was a man, and he left Wang Yanan behind in a short time. Saving people was just buying lost time, so how could he care about other things.
This kind of first aid must place the patient on a flat ground or equipment, because the range of cardiopulmonary resuscitation is particularly large, with a fluctuation of about five centimeters up and down. This kind of rescue often breaks the ribs, and the patient is not placed flat. An accidental rib pierced into the lung, which made the critically ill patient worse.
"Call quickly." Zhang Fan knelt beside the patient and shouted to Shao Hua who was running from a distance while doing cardiopulmonary compressions.
Zhang Fan's tone was very hasty, even Shao Hua was nervous, this is a lover, bonded by love, although Shao Hua didn't understand how dangerous this patient was, she could hear the anxiety in Zhang Fan's tone.
"No signal!" Shao Hua shouted to Zhang Fan with a crying sound.
"I'll go!" Zhang Fan broke down.
This person got an electric shock in his right hand, and his right hand has turned black, especially the middle finger of his right hand has been carbonized. In this place, he can only do simple cardiopulmonary resuscitation. Safety regulations are no child's play!
"How is it?" Li Liang overtook Shao Hua and ran to Zhang Fan's side, he was also out of breath.
"CPR first, thirty to one, I press first, and then we switch!" Zhang Fan pressed quickly.
Cardiopulmonary resuscitation is really a very labor-intensive activity. It is necessary to maintain speed and depth, and a certain frequency. Generally, young people cannot do this kind of thing. Young people usually go up in a hurry ,! ! ! Three times, no energy.
Therefore, formal training is still necessary. If regular CPR training is given to some young people every year, it should be able to save a lot of people who should have hope to live.