The medical records of the internal medicine department can demonstrate a doctor's treatment level. The analysis of the disease and the ideas for medication can all be reflected in the medical records, which is a good treatment file. Zhang Fan's basic knowledge of internal medicine is average. He just wanted to take the liver exam after work. Now that he has a lot of medical records to study, he will definitely not let it go.
For one hour, two hours, and three hours, Zhang Fan sat in front of the computer without getting up once. Zhu Qianqian went to the bathroom and poured water for Zhang Fan twice.
"Doctor Zhang, don't be in a hurry. Anyway, it's best if you can finish the revision tonight. If you can't finish the revision, you can do it tomorrow. You drink some coffee. My husband bought it specially. It tastes good."
Zhu Qianqian was so happy that Zhang Fan was so capable of suffering, and even more capable than her. She really had hit the jackpot. Zhang Fan was very helpful, and Zhu Qianqian was also very generous. She was very busy making coffee, pouring water, and washing fruits.
Zhang Fan didn't feel bored at all. He began to carefully study and compare the medical records, and analyzed a lot of knowledge and experience. In the cardiology department before, his teaching staff did not accumulate so many medical records and did not have the opportunity to analyze them like this.
The teaching in my heart is of the Buddhist type. I don’t care about the patient’s condition if I can, and I want to rest early if I can. Zhu Qianqian from the respiratory department is really good at it.
"Dr. Zhu, why isn't this patient on respiratory stimulants?" Zhang Fan asked, pointing to a patient's medical record.
"Well, I also asked the director at that time, and the director said that the patient's lung function has declined, and using respiratory stimulants will aggravate carbon dioxide retention."
"Oh. So that's it."
"You don't know, the director of our department is too strict. Medical records like mine are considered good in other departments, but your surgical medical records are all pasted and copied. We are not good at it. We can't write any insights and don't give them to them. Alas ~! It took me a lot of time."
Zhang Fan broke out in a cold sweat, "You are too thick-skinned. There are many typos in the medical records. You also dislike the strictness of the director. No matter how simple the surgical records are, the operation records are typed out word by word. If you were at the starting point, you would be like this You can be scolded to death!" Zhang Fan didn't know what to say.
But Zhu Qianqian worked really hard. She had the most patients in a ward, twice as many as the doctor with the fewest. A doctor can only take care of eight patients at most, and no matter how much energy he has, it will not be enough. Fortunately, the director of the respiratory department was strict and conducted detailed ward rounds, otherwise Zhu Qianqian's attitude of admitting patients would definitely cause problems.
It was hard for the director to say anything to her. What could a doctor who worked hard to take care of his patients say? She can't help but be admitted to the hospital. Zhu Qianqian is like a doraemon, one snack at a time and one at a time.
The respiratory department is highly contagious, so she washes her hands all the time. Zhang Fan doesn't like snacks very much. He is obsessed with reading the medical records and doesn't want to get up and wash his hands. He just eats like a rat like Zhu Qianqian. It is very simple to just modify the medical records. There are templates anyway, but you have to study them carefully. Zhang Fan felt annoyed when he heard this. No wonder I don’t have dinner at night. I eat snacks one after another. How can I be hungry?
No way, if it weren't for Zhu Qianqian's advice, Zhang Fan would have decided to sit at the door. "Dr. Zhang, you don't need to be too careful about this, just take a look and correct it. It's all the same routine, just a few drugs. Just take a look and correct the typos, and correct the points deducted!"
She modified three medical records, but Zhang Fan didn't finish modifying any of them. If it weren't for the fact that Zhang Fan didn't leave the computer from beginning to end, she would have thought that Zhang Fan was just doing his job.
"It's okay. I'm transferring to the Department of Internal Medicine. Dr. Zhu's medical records are just for me to study." Zhang Fan ignored her. It would be meaningless to just revise without studying. It's not like revising medical records for the sake of revising medical records. There was no gain at all. Staying up late Does it make sense to sit here?
Although Zhu Qianqian has a lot to do, she is really not slow with her hands. She can use the keyboard very quickly and hardly uses the mouse and various shortcut keys for pasting, copying, modifying, and line wrapping.
"You can use shortcut keys faster. This is what I have learned from many years of experience. Using shortcut keys can save three minutes compared with using the mouse to download one medical record. If you want to save thirty medical records, you will save a lot of time. Change it as soon as possible." It’s over, you can rest early.”
Zhu Qianqian really did her best, "Are you a typist or a physician?" Zhang Fan thought in confusion.
"Doctor Zhu, Thirty-three is suffering from severe suffocation. I rang the bell. I checked and found that the oxygen saturation was a bit low." The nurse came into the doctor's duty room and called Zhu Qianqian.
"I'm going to take a look. It may be that phlegm is blocking the airway. You can continue to change the medical records." Zhu Qianqian stood up and said with a stethoscope.
Zhang Fan is not here to correct her medical records, but to transfer to another department to study. It is impossible not to go and check if there is a sudden illness. "It's okay, I'll go and check too." As he spoke, he stood up with the stethoscope. , Zhu Qianqian curled her lips.
Thirty-three beds, male, over 70 years old, smoker for over 50 years. I have chronic obstructive pulmonary disease, pulmonary heart disease, hypertension, and hyperlipidemia. This time I went to the hospital because I caught a cold and had an infection.
"This Dr. Chen is not responsible at all. He doesn't prescribe any ambroxol to clear up so much phlegm. He has to suction the phlegm in the middle of the night. It's really troublesome!" Zhu Qianqian kept talking non-stop.
The voice was not loud, but the old man heard it and slapped the bed angrily, his face turned red under the mask, "Old man, don't be angry, I will tell the director tomorrow and ask the director to deal with Dr. Chen." Zhu Qianqian was also very thief, One word calmed the old man down. The family members also looked dissatisfied, but what could be done? The old man was so depressed that he did not dare to speak to the doctor for fear of provoking the doctor. If she delayed, the old man would suffer even more.
After suctioning and atomizing sputum, the old man felt a little better and could sleep for a while while lying down. "Tomorrow you and the head nurse will get a thick mask like the one I am wearing. Your mask is not good enough. The respiratory department is particularly susceptible to infection. Don't let it get you infected." After handling the patient numbers, Zhu Qianqian said to Zhang Fan.
"Okay, I'll go get it tomorrow." Zhang Fan responded, thought for a moment and then asked: "Why didn't the doctor in charge give oxygen to this patient? Why did you order low-flow oxygen inhalation as soon as you took over?"
"It's useless. The old man with chronic obstructive pulmonary disease is of no use without positive pressure oxygen. The next oxygen inhalation will also have a psychological effect on him. If you don't give him some measures and treatment for a disease like his, he will cause you trouble all night. . Giving him some oxygen can also comfort him." Zhu Qianqian said proudly.
One night, neither of them slept a wink. Zhang Fan was systematic and energetic. Zhu Qianqian had a son who drank foreign milk powder and was also energetic. More than 30 medical records were completed by dawn.
"Ouch! I'm really exhausted. I can't straighten my waist. Doctor Zhang, after the ward rounds are over, I'll treat you to a steamed bun. I've been busy all night, but I've never eaten steamed buns outside. , the vendor selling buns at the entrance of the hospital, after wiping his nose with his hands, he grabbed the buns, I saw it several times!"
"Hey! I'm really convinced." Zhang Fan, who stayed up all night without breaking down, almost made Zhu Qianqian collapse. Because there is a stall selling buns at the entrance of the hospital, Zhang Fan buys buns there almost every day!
"No. Thank you Dr. Zhu."
