Regional hospitals, whether they are tertiary hospitals or not, almost all do basic work. When it comes to research, it's just a cloud. I'm busy going to clinics, writing medical records, and doing surgeries all day long, so I don't have time to do research. Besides, the conditions of grassroots hospitals are limited. The hospital only provides spiritual support for personal research and does not even think about the rest.
Lao Hu has some insights into amoebic enteropathy and has published several papers. However, due to limited conditions, the number of patients cannot increase, so he can only figure it out on his own. However, his papers are often cited by others. He was also very proud of this.
This is also the tragedy of China's medical community. As long as you can't get into a hospital at the provincial level or above, you will be a skilled worker from now on, doing the same thing day after day, year after year. Without innovation, you can't innovate.
It’s okay to study something and produce results. If you fail, boundless ridicule will surge in and won’t stop until you are overwhelmed. Once you get used to being a skilled worker, you will be safe and sound. Talk about you and no one will laugh at you. Therefore, the most successful civilian doctors are elites who can withstand pressure and despise ridicule.
The weather is slowly getting hotter, and the spring in Chasu City is very short. It often spends time in rain and snow. Sometimes, one day suddenly, you will find peach blossoms blooming. Zhang Fan goes to work in the morning. As long as he doesn't work overtime the night before, he will get up more than an hour early to go for a run.
Although there is systematic support, it is also important to exercise yourself. How can a doctor treat others if he is not healthy himself? I ran around the hospital twice, worked up a sweat, took a shower, and felt very energetic for the day.
Ethnic minorities make up the majority in Chasu City. If you want to have soy milk or fried dough sticks for breakfast, you have to go to a development zone far away. There are many Han people there, and the breakfasts around the hospital are either mutton buns, beef buns, milk tea and ghee, which have a slightly high fat content.
Zhang Fan bought a small rice cooker and cooked some porridge before going for a run. It would be fine when he got home. He could eat some flower rolls and pickles and it was very comfortable. Eating meat in the morning is really hard to overcome. Zhang Fan usually goes to work half an hour early to read a book or something.
As soon as I entered the hospital gate in the morning, I found a middle-aged woman, clutching her left chest and falling down. She was also holding a child, about five or six years old, who cried loudly: "Mom! Mom!" Although she still had half an hour before going to work, she was lucky enough to fall in the hospital.
Zhang Fan ran to her side in two steps. At the same time, two nurses also noticed the situation and hurried over.
Zhang Fan took a look and felt something was wrong. Trismus leaked a lot of fluid and was painful. Touch your chest with your left hand. Zhang Fan reached out to touch the carotid artery while shouting, "Wake up, wake up, comrade!"
"Quick! Come and help me lay down, you go to the cardiology department and call someone." Zhang Fan touched the carotid artery and found that the woman's pulse could no longer be felt, so he said to the nurse. After laying the patient down, Zhang Fan quickly cleaned the residue in her mouth to keep her breathing smooth. The preliminary judgment was that he had suffered a cardiac arrest. The rescue time window for cardiac arrest was very short, and there was no time to wait for someone.
The two nurses are students who come to the hospital for internship. One went to call someone, but the other was already at a loss. Zhang Fan knelt down and started chest compressions. Please give her mouth-to-mouth breathing.
"I can't!" the little nurse said fearfully.
"Oh my God." Zhang Fan did artificial respiration without caring about the saliva and foam at the corner of the patient's mouth. The child next to me was crying so hard that he was out of breath. "Comfort the child." He was already very nervous, but the child was crying so much that it made people more irritated.
"Please take care of the child." Zhang Fan took the time to say. If effective circulation is not achieved within 4 to 5 minutes, irreversible damage will be left to the brain of the patient suffering from cardiac arrest. If the time is longer, there will be no chance. Daily exercise and the support of the system made Zhang Fan's power output very even.
More and more people came over, and a few doctors also came. Seeing this situation, they immediately stepped forward to help Zhang Fan rescue him. This patient was really lucky, and Zhang Fan's rescue was effective. After a round of chest compressions, the pulse fluctuates.
The doctor in my heart also came running with a first aid kit. When a more professional doctor arrived, Zhang Fan gave way. The child was tired of crying and lay in the nurse's arms, looking pitifully at his mother lying on the ground.
"Quickly, send him to the emergency room. He's suffering from ventricular fibrillation. He might even stop suddenly. Come and help." After everyone helped carry the stretcher to the emergency department, the doctor in his heart took the patient away.
Zhang Fan's pants have turned into mud pants. It's too late to go back and change it now. I found a faucet and washed my mouth first. I didn't care about the emergency situation. I didn't have any gauze or anything, so I blew it mouth to mouth.
It was about to get off work at noon, and the phone call in her heart came, "Zhang Fan, were you the one who rescued the patient this morning? Did you do the artificial respiration?" Ren Li called the Department of Gastroenterology.
The tone was stern, and Zhang Fan's heart skipped a beat. It couldn't have been an accident. "It was me. I bumped into it at work in the morning and fell in front of me. When I touched it, the carotid artery had disappeared, and I didn't have time to send it to the emergency department. And I asked a trainee nurse to notify the cardiology department at that time. And rescued It was effective in the ventricle, and carotid pulses appeared within three minutes.”
For this kind of thing, the situation at the time must be explained clearly. If the rescue is successful, that's what you should do. If it fails or there are sequelae, the hospital has to ask. If the family members are unreasonable, it will be very troublesome, but as a doctor, no matter how troublesome it is, you have to take action.
"Let's not talk about this for now. Come here first, hurry up." Ren Li urged.
"What do you mean?" Zhang Fan was puzzled. There was nothing I could do, so I hurried upstairs to the cardiology department.
"Director, are you looking for me?"
"Is there any damage to your mouth or lips?"
"HIV?" Zhang Fan understood instantly.
"No, it's an HBV (hepatitis B) strongly positive patient." Ren Li looked at Zhang Fan and said.
"It doesn't seem to be broken." Zhang Fan couldn't help but touch his lips and said. After saying that, he ignored Ren Li and ran away. In the bathroom, Zhang Fan opened his mouth to see if his skin and mucous membranes were damaged.
Fortunately, it wasn't broken. Half an hour later, Zhang Fan came out with a swollen mouth.
Zhang Fan's appearance made all the doctors sympathize with him, and no one laughed at him, "I have already reported it to the hospital's infection control office. You can go get a blood draw and inject hepatitis B immune globulin if necessary. We have also just received the test." I will notify you and the hospital admissions office as soon as possible." Ren Li said.
"Is that person okay?" Zhang Fan's mouth was not broken, and he was vaccinated on time, so he was not particularly worried. I had already come to the cardiology department, so I asked casually, otherwise I would have been worried about it.
"The rescue was timely and he is now hospitalized for observation. Zhang Fan, you are the one!" As she spoke, Ren Li gave Zhang Fan a thumbs up.
"That's good, I'm going to draw blood first." It's not Zhang Fan's arrogance, it's a matter of professional ethics. If he doesn't know the outcome of the patients he's dealing with, he'll always be thinking about it.
The person from the hospital's education office met Zhang Fan in the elevator. Several people escorted Zhang Fan to the laboratory as if they were kidnapping him. The results came out quickly, and Zhang Fan was not bad luck either, HbsAg (+). With antibodies, there is no need for further treatment.
The director of the hospital's Inspection Office patted Zhang Fan on the shoulder, "Young man, good job. Your legs are not weak. I'm going with a few people, just because I'm afraid you'll be too scared to leave." Although it was a joke, there was something in the joke. Unfortunately, outsiders can’t understand it.
