The work of internal medicine has begun. In internal medicine, you must first be able to stay calm. What does being able to stay calm mean? It means being able to sit still. Check the ward in the morning, read the reported test orders, modify the doctor's orders, and issue new test orders.
I spend most of the day sitting at the computer typing. From time to time I have to read a book. Discuss with other doctors if necessary. The cardiology department also has an additional treatment method, intervention. Very time and energy consuming.
The intervention of the city hospital really helped support a few women. It developed abruptly despite the pressure of Lao Huang. After Ouyang came to power, he received strong support and hired many new doctors.
Ren Li no longer performs interventional surgery, and a new doctor has taken over. She has been working hard for several years, but she has taken too much radiation and her white blood cells cannot go up. Usually I am behind the lead sheet guiding everyone.
Zhang Fan's instructor, Ye Jing, 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 bedside doctor, and I don’t want to pursue further training. If you have a medical condition, if you can see it, go to the superior doctor if you can't. Anyway, there are superior doctors in the department, so patients who can't be handled can be passed on to others.
However, her advantage is that she is meticulous. As long as she manages the patients, she can usually find no faults. She did whatever the superior doctor said, no matter what. She had no ideas of her own.
She lives a carefree life, unlike other doctors who are busy dogs. He is considered a good person in the department if he doesn't fight or fight. If there is a patient number, just take care of it. If there is no patient number, there is no way to fight.
Her husband's income is pretty good and there is no pressure on the family. She doesn't have to worry about money. It’s better to have more, and it’s better to have less. If you don’t have desires, you’ll be strong. He is considered a hidden person in the department. Don't call her if there is an emergency. She was also happy and at ease.
She currently has seven patients, all of whom are in relatively stable condition. Routine treatment is sufficient and no special care is required. Of course she would be happy to have someone write a case for her.
She left as soon as she got off work, and Zhang Fan still had to write down the course of his illness and paste the test sheets. Sometimes I have to help other doctors, do an electrocardiogram or something.
Today is Ye Jing's 24th hour. During the day, Zhang Fan is very efficient. He has recorded all the disease courses that need to be recorded, pasted all the test orders that need to be pasted, and ordered all the tests that need to be performed.
In the evening after the other doctors got off work, Ye Jing took Zhang Fan to check the wards first. When the other doctors left, those with critical illness had already greeted her.
However, three ward rounds a day is a strict rule. The residents in the internal medicine department are all veteran patients, and they know the treatment procedures very well. Some patients know better than the transfer doctors. There should be one less ward round and you should go to the duty room to see the doctor every minute.
After checking the ward, Ye Jing began to frown. Zhang Fan was not very good at internal medicine, but he could see that several patients were not in good condition.
For patients in the cardiology department, life-threatening matters are dealt with by the minute. If treatment is improper or delayed, the patient may not have a chance.
Moreover, there are many accidents in the cardiology department. A good person suddenly suffered from atrial fibrillation and angina pectoris. He was gone before the doctor arrived at the ward. There are many such things.
Therefore, doctors in Qianxin must have a strong heart and nimble legs and feet. You need to be able to withstand pressure and run fast.
Ye Jing frowned and said, "I can't feel safe again today. This class is not going to be easy." In any case, as a doctor with more than ten years of experience, he still has experience in vision.
Zhang Fan can't do it anymore. He didn't go to the Department of Internal Medicine during his internship. I didn't switch to internal medicine after I got to work, and the system didn't open internal medicine. So I'm a little confused.
"Really! Then I won't sleep." Zhang Fan said innocently.
Ye Jing turned around and said to Zhang Fan with a wry smile: "If it can be solved by not sleeping, it won't be a big problem. I really regret that I chose cardiology when I was young and ignorant. It's really fatal."
"It's too late to regret now." Zhang Fan thought while holding his mouth.
Ye Jingren was still very generous, buying food and water for Zhang Fan. This was all to win over Zhang Fan, so that she would not have to do some things such as writing medical records, pasting test sheets, handling hospitalization and discharge, etc.
"Xiao Zhang, where do you live from? Do you have a partner?" Zhang Fan was writing medical records. She was fine and just gossiping next to her.
"Suxing. I haven't found anyone yet."
"Oh, are you used to coming to the frontier? Then don't you have someone to talk to in college? I see that the newcomers are all in pairs. The last person who came to transfer departments was a young couple who came to our department together."
"It's okay." Zhang Fan was speechless. The woman was too nosy.
"I heard that you have decided to go to a department, the department of surgery. Your surgeons are good, and everything will be fine after the surgery. You look cool every day."
This is too amateurish to say. A top-level surgeon is so cool? He must be the director or retired.
Zhang Fan said helplessly: "It's about the same. I'm also very busy. There are many surgeries, and sometimes I don't even bother to eat."
"What? I saw that your surgical department has dinner almost every day. They also often go to sing. I have seen the surgical department of our hospital several times." Not only did she go to sing and have dinner by herself, but she also talked about others, hey!
"Really? I didn't know it when I first came here." Zhang Fan was really speechless and didn't dare to say more. This woman talks too much.
"You will know after you get admitted. Internal medicine is really not good. There are many things among women. If you wear a beautiful dress, someone will make irresponsible remarks. It is very annoying."
"Oh." Zhang Fan also planned to finish writing the medical records early and read the internal medicine book. Ye Jing kept chattering, and he couldn't calm down and made several typos.
Finally, after twelve o'clock, she went to wash up. Zhang Fan's ears were clear, but there were still three cases of illness that were not recorded.
Ye Jing was sleeping in the doctor's duty room, so Zhang Fan could not go to the duty room to sleep. Moreover, the wards of the internal medicine department were all full, and there was no empty ward to sleep in. She did not tell Zhang Fan to go back.
When Zhang Fan was hesitating what to do, the nurse ran in. "Hurry, the fifth bed is no longer available. Where is Dr. Ye?"
"Duty room."
"You go and shout, quickly."
After saying that, the nurse ran to the ward. There are three nurses on the night shift, and one if the doctor has not transferred to another department.
Zhang Fan hurriedly ran to the door of the duty room and shouted: "Dr. Ye, the fifth bed is gone. 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 know, I know, today is definitely not stable. Go and do the electrocardiogram at the bedside."
When Zhang Fan ran to the ward with the electrocardiogram, Ye Jing had already started to do chest compressions, and said breathlessly: "Come on, I can't press anymore. I'm doing the electrocardiogram."
The chest compression needs to be pressed down five centimeters, 100 times a minute, and the body can't even press it. Rib fractures are the most common complication of chest compressions. How intense.
Zhang Fan quickly took Ye Jing's hand and started chest compressions. "Cardiac, intravenous injection. Maximum dose, fast."
The family members were kicked out and they looked inside through the glass at the door. They saw an old man in bed five, over sixty years old. The old lady was in tears outside. Several children supported the old lady and looked forward to the doctor in the ward.
drop! drop! drop! The bedside monitor began to alarm, and the heartbeat curve began to flatten.
"It's useless. Let's do a final electrocardiogram. Stop rescuing." Ye Jing stopped and said to Zhang Fan.
Slowly exiting the ward, there is nothing to say about the rest. The patient's condition has been disclosed to his family members early on, and he may die at any time.
Just a few minutes after sitting down. The nurse came again and said, "Nine beds!" Then she 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 member of the 23rd bed shouted.
"You go to bed 23 first, and I'll go to bed 9. Do an electrocardiogram first. Keep the drawings." Ye Jing ordered Zhang Fan.
Just as they were rescuing beds 23 and 9, bed 18 was in trouble again. Zhang Fan didn't even have time to do an electrocardiogram, and the person was gone. One night, I was so busy until dawn that I walked four at once.
Before I could take a breath, the death records would be discussed in the morning. Write medical records quickly. Complete the rescue record.
In this way, there was no time to mourn the spring and autumn, Zhang Fan spent the first twenty-four hours in his heart.
