Walking in while standing and unable to leave on his knees, Zhang Fan leaned on his hard liver and forcefully chewed down a book that should not have been studied by a doctor. Only if you have strength can people respect you, and only if you can work hard can people have a desire to support you.
The technical unit is relatively simple. Although some people have bad tempers, but they are technically strong, others will not deliberately target them. If you try another unit that is mainly based on ideology, you will be able to turn your back on your tail in minutes. In minutes, someone will stand up and teach you how to be a good person!
In the winter, when there was heavy snowfall, Zhang Fan was discharged from the hospital. After completing the endocrinology transfer, he had been transferred to three major internal medicine departments. He was so nervous that after working the night shift, Zhang Fanzheng, a newbie, really understood what it meant to be stirred up by fire and wind. , one after another, the fragility of life is vividly displayed in the Department of Cardiology, and I also realize the hard work of a doctor.
Suffocation in breathing, cough! cough! cough! The lean old man, with a purple face that was suppressed, was spitting endlessly and greedily breathing in the trace of oxygen that entered his lungs. A flu is like a harvester in autumn harvesting old people who cannot survive the cold winter.
Digestion, an internal medicine department responsible for the most organs, is also a department that can witness the changes in life in China. Viral cirrhosis slowly transitions to alcoholic cirrhosis. Elites from all walks of life who strive for success end up in the gastroenterology department because of various carelessness.
The next stop is a rather special department, which means intensive care department in Chinese. This is a department where the cost of nursing care is equal to the cost of medicine. You can imagine the hard work of the doctors and nurses in this department.
In the city hospital, the ICU is connected to the operating room. Major surgeries or critically ill patients will almost always be sent here. This is also the most modern department. Although this discipline has only developed in less than thirty years, the rate of increase is very obvious. Combining modern advanced equipment with dedicated treatment and care can really bring life back to some special patients. Then another problem also arises: cost! This department is also very expensive.
Once entering the department, various 24-hour monitoring equipment and one-on-one targeted care make the expenses just like running water. A patient spends more than 10,000 yuan a day in the ICU, which is considered to have mild symptoms in the ICU. patient.
There are not many doctors in the ICU department, and there are not many experienced doctors, because this department has been established in the hospital for the shortest time. It lacks foundation and cannot develop many technologies.
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. She often stands in the center of the department and whispers to the doctors and nurses: "You must be careful and you must be attentive. This department is the last position of the hospital. If we cannot hold it, there will be no hope for the patients!"
Because of the special nature of patients in the department, doctors do not manage patients individually. All patients are managed and handled in a unified manner. For example, if you are on duty for 24 hours today, then you will be the doctor in charge of all patients today.
What does this doctor in charge mean? It means that the medical records or death records of all patients today, whether they are discharged or admitted, belong to you. A doctor who is unlucky will encounter three deaths, two or three discharges, and two or three admissions in a day, so congratulations to you. , you won the lottery, don’t think about sleeping during these 24 hours! If you encounter a critical patient who needs rescue again, then you can congratulate you. After get off work for 24 hours, you still need to come for another eight hours.
Labor law, unions? No, in a place like a hospital, these organizations are all from abroad. Have you ever heard of it? The biggest responsibility of the union is to give nurses a pair of durable flat white leather shoes on Nurses' Day, some oil and noodles during the Chinese New Year, and also Sometimes when doctors and nurses in the hospital get married, the union chairman goes to bless the couple on behalf of the hospital! That's all it does. Want overtime pay? It's against you! Want human rights? Whether you like to fuck or not, young graduate students who graduate every year are lining up to wait for a spot!
Zhang Fan was diagnosed with endocrinology. The medical office called early to discuss the transfer to another department. As Zhang Fan's status continued to rise, now about small matters such as transferring to another department, the deputy director of the medical office who manages the transferred department The director will have to discuss this with Zhang Fan.
Because Zhang Fan's situation is so special, the hospital has never encountered it in many years. A certain department needs to transfer doctors due to lack of staff to report. At this time, Zhang Fan cannot be sent because Zhang Fan might be dismissed that day. Took him to surgery. And now ordinary doctors don’t dare to treat Zhang Fan.
Zhang Fan lectured on endocrinology for more than two hours, setting a banner for internal medicine directly. He could lecture for two hours in front of a group of academic tycoons. Who can imagine how high Zhang Fan’s level is, so now only Zhang Fan Choose the department, not the department that chooses Zhang Fan.
Zhang Fan didn't care which department he was in. He had to transfer and study. It didn't matter who was in front of him or who was behind him. He had to go in anyway. The medical office took a long time to choose, and finally chose a department with relatively more transfer doctors.
The ICU is really a department that is always under the light. The lights in the ward are always on. There are seven fixed doctors in the department plus the director. More than twenty nurses. Each one is younger than the other. The nurses in this department are really unable to work once they are over thirty years old. It is really not easy to stay up all night with children and elderly people at home. Therefore, the nurses in this department also lose the most. When they reach a certain age and cannot change departments, they can only leave in eclipse, quietly as if this person has never existed!
Although equal pay is currently provided for equal work, the difference between having and not having a staff is really huge. In the early years, hospitals would release some staff to nurses every year. Nowadays, the staff is becoming more and more expensive, and they will not release one to nurses for several years. If things go on like this, this industry will become less and less attractive. Just like in the United States, almost all nursing staff are African Americans and Asians! Or when technology develops, we can use robots instead.
Zhang Fan rested for three days before entering the department because there were too many things going on recently. First of all, Wang Yongyong's review would take a lot of time. Zhang Fan had to do the examination himself. Athletes' bodies are too special. This is the first step in sports medicine. First-hand information.
We also need to clean up the surgeries in surrounding counties. Now the surgical directors in the urban areas are no longer competing with Zhang Fan, so there is no gain. Zhang Fan has already destroyed the market for acupuncture. In the past, acupuncture was based on fame, but now the first thing to do is to beat Zhang Fan's share. Zhang Fan is young and can perform five or six operations a day during his break, but these famous directors cannot, and as soon as the operation is over, Zhang Fan If Fan immediately distributes dividends on the spot, can the doctors in the county be unhappy?
Even if you have a system, you still need to rest your tense nerves, otherwise you will really be unable to bear it and will be too tired. Constant surgeries, constant learning and reading, even a robot needs to be powered off and restarted, let alone a physical body.
After three days of vacation plus a weekend, Zhang Fan took a full nap after finishing some things in the previous two days. For the first time in two years, Zhang Fan slept in for more than ten hours.
Shao Hua also took a break on the weekend, and Shao Hua suggested going skiing. There are many natural ski resorts in Chasu City, and it is said that with a little repair, they can meet the standards of international competitions. The snow here is not man-made from the mainland. The snow on the border is especially in mountainous areas. There is no problem in filling up a small mountain valley in one winter.
It was boring to go skiing because there were so few people. Shao Hua made an appointment with Jia Suyue and Wang Yanan. Zhang Fan took Li Liang with him. Moreover, Jia Suyue was in a bad mood recently. She finally broke up with Le Jie and was in a very depressed mood. Shao Hua also I want to take her to relax.
Wang Yanan is currently doing well in the Department of Orthopedics, but the Department of Orthopedics, a department that is inherently semi-physical, is a bit overwhelming for Wang Yanan. She and Li Liang are not far or close now.
The ski resort was a little far away from the city. Zhang Fan drove a few people and set off. After getting on the road, several women started chatting, which made Jia Suyue, who was originally depressed, temporarily forget about the pain of lovelorn.
"Brother, is Boss Ma planning to make any big move against the hospital?" Li Liang asked, knowing very well the relationship between Zhang Fan and Boss Ma.
"You are thoughtful! The hospital is going to fill some department staff, and then slowly become a regular army. Boss Ma is very caring." There are some things that Zhang Fan can't tell Li Liang.
"Zhang Fan, when will you commit to the department? The results of this practice will be out soon. I guess there are many people who want to enter the orthopedics department, and several graduate students are also hanging around the director every day. You have to pay more attention to yourself before the time comes. I can't get in, after all, there are only so many places in the department." Wang Yanan said to Zhang Fan.
"Okay, I'll take it into consideration." Zhang Fan didn't care about this at all, but the girl meant well.
Laughing and laughing all the way, we unknowingly arrived at the ski resort inside the mountainous area. The ski resort in the small border town is very simple. It is to build an electric winch to transport tourists on a hillside with thick snow, and then divide some areas around it and recruit people. Some herdsmen who spend the winter hiding in their dens serve as coaches and employees, and then set up a large tent at the foot of the mountain. With three hundred and a large chicken, they can make a small fortune in one winter.
This kind of investment is not big, but the income is considerable, and because it is in a mountainous area, it can also 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 gets bigger, there will be various regulatory units to supervise it. Good It's hard to say it's bad, but at least this kind of regulatory unit can make the institutional facilities more complete and safer.
Most of the people from the frontier, as long as they are younger, are skiing masters. There are too many natural ski resorts, and all kinds of skates and sledges are very popular in winter. Having grown up in a snow nest since childhood, they are very good at this kind of sport.
But Zhang Fan couldn't. Although he grew up in the northwest, there wasn't such heavy snow in his hometown. This was his first time skiing. He didn't dare to go to the top of the mountain and slide down like a few others. Zhang Fan chose halfway up the mountain and slid slowly.
It seemed like such an easy and graceful exercise, but it was different when I tried it by myself. Zhang Fan almost fell and rolled down from the middle of the mountain, and then he changed his sled and never went back to sledding. It was so embarrassing. Many little girls who have just entered elementary school can skate better than him.
Zhang Fan simply became a photographer and took pictures of a few people. Shao Hua saw that Zhang Fan stopped sliding, so she changed her sled to accompany Zhang Fan, "You go and play, I have no love for this. After finally getting out, don't be upset because I let you play."
"No, I'm happy to be by your side." As soon as he said this, Zhang Fan couldn't help but hold the girl in his arms.
"Let me go, others have seen it! I hate it!" Shao Hua's face turned red from the cold, and Zhang Fan really wanted to take a bite!
There were many people, hundreds of people. There were a lot of experts, and there were also a lot of children. Many children slid down the mountain on car tires and screamed loudly with joy. Zhang Fan can only play this at his current level, but the tire skaters are all little kids, so he can't bear to play!
At this time, the operating hoist stopped with a "bang!" and many people standing on it were knocked down. They wore a lot of clothes in winter, and they were wearing sleds. They couldn't get up for a while. Time cries everywhere.
The slope is not small, and the width of the hoist is not large. It is difficult to rescue even if you want to rescue. Moreover, a woman ran out from the machine room next to the hoist, crying: "Help! Help! Bayin was electrocuted." It’s over! Someone is coming quickly!”
Bayin was a temporary electrician at this site. Because he had not received professional training, he was electrocuted due to improper operation. Zhang Fan hurried to the machine room as soon as he heard this. Some young people among the people on the winch had slowly stood up. , one after another helped up the people around him.
"Where is the power supply? Where is the main power supply? Cut off the power quickly!" Zhang Fan shouted as he ran.
Many patients receive electric shocks every year. In this kind of rescue, the power supply should be cut off as soon as possible, or the rescued person should be separated from the electric field with insulating objects. Otherwise, the person may not be saved and may be shocked himself.
This electric shock injury is particularly complex. The degree of injury is closely related to the level of voltage, type of current, intensity of current, frequency, length of time of electric shock, path of current passage, and environmental meteorological conditions. The low-frequency alternating current in ordinary households is particularly likely to cause ventricular fibrillation and is extremely harmful, so the power supply must be managed well.
Every year, the power system organizes professional personnel to conduct regular emergency training for personnel within the system. After years of accumulation, the power system has finally surpassed the hospital in 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 the targeted rescue according to the environment and location. Therefore, especially after someone is shocked, if it is not certain whether there is still electricity, personnel without formal training must not rush to it. Help!
Zhang Fan ran and shouted. In the distance, the person in charge of the ski resort, who might be in charge, shouted again: "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 first aid, how could an undergraduate not know the dangers of electric leakage? Zhang Fan had already run away and couldn't hold him back. People are selfish after all! There is nothing wrong with subconsciously protecting your sweetheart.
But Zhang Fan's profession cannot make him shrink back. If Zhang Fan were not a doctor today, he would not have to go to the rescue, and it would definitely be okay. But as a doctor, if 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 only a small part after all. Doctors are still respected after all, and we cannot deny the majority of people just because of some people.
Zhang Fan ran hard. Running on the snow was really difficult. One foot was deep and the other was shallow. In the short distance of 200 meters, Zhang Fan fell several times and couldn't care anymore. He had already seen the woman grabbing the electrician. Was crying.
Branches pricked his hands, and snow got into his boots. Zhang Fan ran to the patient's side in a state of embarrassment and rolled around. He breathlessly said to the woman: "Quick! Put him down quickly!"
"Yeah!" The woman was still sad and didn't react.
"Calm down! I want to save him, I'm a doctor."
"Oh! Doctor, doctor, please save him!" The woman who put the man down looked at Zhang Fan with tears in her eyes and cried out pitifully.
"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 quickly chased after him to help. After all, Li Liang was a man, and he left Wang Yanan behind in a short time. The purpose of saving people was to gain the lost time, so he couldn't care about anything else.
In this kind of first aid, the patient must be placed on a flat ground or equipment, because the amplitude of cardiopulmonary resuscitation is particularly large, with an ups and downs of about five centimeters. This kind of rescue often breaks the ribs, and the patient is not placed flat. A rib accidentally pierced his lungs, and the patient who was already in critical condition became even worse.
"Hurry up and call." Zhang Fan knelt beside the patient and performed external cardiac compressions, while shouting to Shao Hua who was running from a distance.
Zhang Fan's tone was very urgent, and even Shao Hua was extremely nervous. This is a lover, connected 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 cried out to Zhang Fan.
"I'm going!" Zhang Fan collapsed.
This man's right hand was electrocuted. It has turned black, especially the middle finger of his right hand, which has become carbonized. He can only perform simple cardiopulmonary resuscitation in this place. It's really a shame that the sky is not responding, and the earth is not working. The country has formulated Safety regulations are no child’s play!
"How is it?" Li Liang surpassed Shao Hua and ran to Zhang Fan. He was also panting.
"CPR first, thirty to one, I'll press first, and then we'll switch!" Zhang Fan pressed quickly.
Cardiopulmonary resuscitation is really a very physically demanding activity. You have to maintain speed, depth, and a certain frequency. Ordinary young people can't do this kind of thing. Young people usually rush up. , 歘!歘!歘! Three times, no more energy.
Therefore, formal training is still necessary. If some young people are given regular cardiopulmonary resuscitation training every year, it should be possible to save many, many people who should have hope to survive.
