The work of internal medicine has begun. First of all, internal medicine must be able to calm down. What does it mean to be calm is to be able to sit still. Check the wards in the morning, read the test reports, revise the doctor's orders, and prescribe new test orders.
I spend most of the day sitting at the computer typing. From time to time, I have to flip through the book. Discuss with other doctors if necessary. The Department of Cardiology also has an additional treatment method, intervention. Very time and energy consuming.
The intervention of the city hospital really supported the women. Under the pressure of Lao Huang, he developed abruptly. After Ouyang came to power, he received strong support and recruited many new doctors.
Ren Li stopped doing interventions, and a new doctor had already taken over. She worked hard for a few years, and she ate too much radiation, and her white blood cells couldn't go up. I usually guide everyone behind the lead board.
Ye Jing, Zhang Fan's mentor, would never intervene. Radiation is harmful. Although there is protection, it is still harmful. She directly rejected the director's proposal.
I just want to be an ordinary bed doctor, and I don't want to go for further studies. If you have a sick number, if you can see it, if you can't see it, you can go to the superior doctor. Anyway, there are superior doctors in the department, and it's over if the patients who can't be handled are passed on to others.
However, her advantage is that she is meticulous. As long as she manages the patients, she usually can't find the fault. What the superior doctor said, what she did, was out of line at all, and had no idea of her own.
She also lives happily, unlike other dogs with busy doctors. Those who don't fight or grab are considered good people in the department. If there is a sick number, it will be managed, and if there is no sick number, there is no way to fight.
Her husband's income is not bad, and there is no pressure at home. She doesn't have to think about money or money. It's better to have more, and it's better to have less. It is considered a hidden person in the department. Don't call her when there is an emergency. She is also happy with herself.
She currently has seven patients, all of whom are in stable condition. Routine treatment is enough, and no special care is required. Of course she would be happy to have someone to write the case for her.
After work, she left, and Zhang Fan had to write the medical history and paste the test report. Sometimes I have to help other doctors, do an electrocardiogram or something.
Today is Ye Jing's twenty-four hours. During the day, Zhang Fan is very agile. He has recorded the course of the disease that should be recorded, pasted the test sheets that should be pasted, and prescribed the inspections that need to be performed.
In the evening, after the other doctors got off work, Ye Jing took Zhang Fan to make a ward round first. When the other doctors left, they had already greeted her if there were critical patients.
But three ward rounds a day is a dead rule. All the patients in the internal medicine department are old patients, and they are very clear about the treatment procedures, and some patients know better than the transferred doctors. It is necessary to save one round of ward rounds and run to the duty room to find a doctor every minute.
After the ward check, Ye Jing began to frown. Zhang Fan's internal medicine is not very strong, but he also saw that several patients are not in good condition.
The number of patients in the Department of Cardiology is terribly recorded by the minute. If a treatment is improper or delayed, the patient may not have a chance.
Moreover, there were many accidents in the cardiology department. A person who was fine at first suddenly had atrial fibrillation and sudden angina pectoris. Before the doctor arrived at the ward, he was gone. There are many such things.
Therefore, a doctor with a dry heart must have a strong heart and sharp legs. Be able to resist pressure and run fast.
Ye Jing frowned and said, "I can't be stable again today, this class is not easy." Anyway, an old doctor of more than ten years still has some vision experience.
Zhang Fan couldn't do it anymore, he didn't go to the internal medicine department during his internship. I didn't turn to internal medicine after going to work, and the system didn't turn on internal medicine. So I'm at a loss.
"Really! Then don't sleep." Zhang Fan said innocently.
Ye Jing turned her head and smiled bitterly and said to Zhang Fan: "If it can be solved without sleeping, then it's not a big problem. I really regret it. I was naive and ignorant back then, so I chose cardiology. It's really terrible."
"It's too late to regret it now." Zhang Fan held his mouth and thought.
Ye Jing was still generous, buying food and water for Zhang Fan. This is all to win over Zhang Fan, and she won't have to do some things such as writing medical records, pasting up laboratory reports, and dealing with hospitalization and discharge.
"Xiao Zhang, where is your home? Have you found someone yet?" Zhang Fan was writing his medical records, and she was just gossiping beside her when she was fine.
"It's Su Sheng. There is no date yet."
"Oh, is it a habit to come to the frontier? Then you didn't have a partner in college. I think the newcomers are all in pairs. The last time they came to transfer departments, it was a young couple who came to our department together."
"It's okay." Zhang Fan was speechless, talking too much about women.
"I heard that you have appointed a department, the department of surgery. Your surgeon is good, and you will be fine after the operation. You are chic every day."
This is too unprofessional, a third-level surgeon is chic? That is the director or retired.
Zhang Fan said helplessly: "It's almost the same. I'm also very busy. There are many operations, and sometimes I just care about food and leisure."
"What, I see that your surgeons have dinner almost every day. You often go to sing, and I have seen it several times. The surgeons of our hospital." Not to mention that she went to sing and eat by herself, but also others, hey!
"Really, I didn't know when I first came here." Zhang Fan was really speechless, and didn't dare to say any more, this woman talked too much to death.
"You'll know when you get a major. Internal medicine is really bad. There are a lot of things in the women's circle. You wear a beautiful dress, and some people make irresponsible remarks. It's very annoying."
"Oh." Zhang Fan planned to finish writing the medical records early and read the internal medicine book, but Ye Jing kept rambling on, he couldn't calm down, and made several typos.
Finally, after twelve o'clock, she went to wash up. Zhang Fan's ears are cleared, and there are still three medical records that have not been recorded.
Ye Jing slept in the doctor's duty room, so Zhang Fan couldn't go to sleep in the duty room. Moreover, the wards of the internal medicine department were all full, and she couldn't find an empty ward to sleep in. She didn't tell Zhang Fan to go back.
When Zhang Fan was hesitating what to do, the nurse ran in. "Hurry up, five beds are dead. Where's Dr. Ye?"
"Duty room."
"Go and shout, hurry up."
After speaking, the nurse ran to the ward. There are three nurses on the night shift, and one doctor if he is not transferred.
Zhang Fan hurried to the door of the duty room and shouted, "Doctor Ye, the fifth bed is dying, the nurse is here to call."
bang! With a sound, something fell to the ground, Ye Jing came out with disheveled hair, and said while running: "I knew it, I knew it, today is definitely not safe. Go and push the electrocardiogram beside the bed."
When Zhang Fan ran to the ward with the electrocardiogram, Ye Jing had already started chest compressions, and said out of breath, "Come on, I can't press anymore. I'll do the electrocardiogram."
The chest needs to be pressed five centimeters down, 100 times a minute, and the body can't press it. Rib fractures are the most common complication of chest compressions. How strong it is.
Zhang Fan quickly took Ye Jing and started chest compressions. "Stimulus, static push. Maximum dose, fast."
The family members were kicked out, and looked inside through the glass at the door. Bed Wu was an old man in his sixties. The old lady was already in tears outside, and several children supported the old man, looking forward to the doctor in the ward.
drop! drop! drop! The bedside monitor started to alarm, and the heartbeat curve began to flatten.
"It's useless. Let's take a final ECG. Stop the rescue." Ye Jing stopped and said to Zhang Fan.
Slowly exiting the ward, there is nothing to say about the rest, the situation of the sick number has been explained to the family members early, and death may occur at any time.
Just sat down for a few minutes. The nurse came again, "Nine beds!" Then turned around and ran away. Zhang Fan pushed the electrocardiogram machine and followed Ye Jing.
"Nurse! Nurse! Come quickly. My mother seems to be dying. Hurry up." The family members of the 23rd bed shouted.
"You go to bed 23 first, I'll go to bed 9. Take an electrocardiogram first. Keep the blueprint." Ye Jing instructed Zhang Fan.
Just as they were rescuing beds 23 and 9, something happened to bed 18 again. Zhang Fan didn't even have time to do an EKG, so he was gone. One night, I was busy until dawn, and walked four at a time.
Before we catch our breath, we will discuss the death record in the morning. Write your medical records quickly. Complete rescue records.
So it was too late to feel sad, Zhang Fan spent the first twenty-four hours in his heart.