Modern conveniences, 24-hour supermarkets and restaurants, and always bright street lights at night all reflect the various advantages of a modern country.
Even in rural areas, the construction of a large number of paved roads has made it a thing of the past to be covered in dirt on sunny days and mud on rainy days. The highways extend in all directions, hundreds of kilometers between counties and cities, and the 120 is speeding!
The speed limit on the highway is not limited to this special vehicle. The ambulances subsidized by the state to county and township hospitals are fully equipped and of high quality! Some large ambulances can directly provide a mobile platform for performing some emergency surgeries.
I entered the city hospital directly in about forty minutes, what a speed! As a result, the three men on horseback became motion sick! A man as strong as a mountain vomited! The white milk vomited all over the car, combined with the semi-fermented smell, and the heating in the car was so smoky, the emergency nurse's nose almost twisted!
During the Spring Festival, the land of China is like a train that has suddenly entered the slow lane. The running rhythm suddenly slows down. Supermarkets are closed, restaurants are closed, and the government has sealed the holiday. Every household is immersed in a happy and peaceful festival atmosphere.
On the third day of junior high school, Zhang Fan was on duty 24 hours a day. But there is overtime pay for those on duty these days! And it’s double overtime pay, triple? It’s just talk, but you take it seriously!
In a normal hospital, people come and go. At this time, there were very few patients, and all the doctors went on rotation to rest. The outpatient clinic was stopped and routine surgeries were stopped, but the yellow lights of the emergency department were always shining.
There is a platform in front of the emergency department with a special device for ambulances to send patients. The piercing whine came from far and near. The doctors and nurses in the emergency department were having lunch. When they heard the sound, it was like an assembly call. At the same time, they put down their chopsticks, put on their hats and masks to welcome the arrival. of patients.
I don’t know about other industries, but in this medical industry, a dean and a department director are very important. Yes, the country is vigorously supporting development, but if there are problems with the leader's ideas, then money will be spent every penny, but the effect will be hard to say.
A hospital or a department is inseparable from the joint efforts of department staff, but if the wrong path is chosen, the journey will be long, even if it is not in vain.
The emergency department of a large hospital is directly a treatment center integrating diagnosis and treatment. Some emergency surgeries are handled directly in the emergency department. Under the leadership of a powerful department director, we can directly monopolize some operations in trauma surgery and general surgery.
But the director of the emergency department of the city hospital had a background in pediatrics. At that time, because there was no one in the emergency department, she couldn't compete for the director of pediatrics, and pediatrics was a small general practice, so she was assigned to the emergency department. In internal medicine, there are very few specialized pediatric surgeons.
This is the shortcoming of old-fashioned doctors. They have not developed in an all-round way. Although they are in the emergency department, their thinking still does not break away from pediatrics. The state strongly supports the development of emergency services, but operations are still not carried out in the emergency departments of municipal hospitals. The largest surgical operation that can be performed is suturing. If the wound is too large or too deep, it will be sent directly to the relevant department, and the efficiency of the emergency department will not be fully utilized. high.
The only distinctive diagnosis and treatment is gastric lavage. After drinking pesticides before 1990, you no longer need to go to the hospital. It’s useless! Because the pesticides at that time were all potent pesticides, such as the familiar dichlorvos, you could drink it in three steps after just one sip! There was no time to save him.
In recent years, pesticide control has become slightly better. To be honest, if you drink this kind of pesticide, it will be very uncomfortable to live or die. He was taken to the hospital and had his stomach lavaged.
If it is a pesticide that is weakly acidic or does not react with alkali, it will be very painful. Soapy water! The soapy water used in the hospital is not high-end, it is just the kind of soap that ordinary people use to wash clothes. After it is dissolved, it is poured directly into the stomach, pouring in a large amount, and then inducing vomiting. Strongly inducing vomiting, the gallbladder can even You spit it out. Gastric lavage and enema are as uncomfortable as being tortured.
But there are benefits. People who drink pesticides are usually housewives. If you are rescued once, you will never drink pesticides again. This gastric lavage will make you never want to see soap again in your life!
Ake was sent to the emergency department. The emergency blood test showed no obvious abnormalities because he had already been treated in the county hospital. The diseases, especially abdominal diseases, were very similar. If the laboratory tests did not show typical positive tests, it would be really bad. judge.
A disease, a rare and atypical disease, can be diagnosed by a doctor at a glance. Either the doctor has recently treated similar patients, or he has had it himself! At the very least, this doctor is really great. It usually takes a certain amount of time for a doctor to diagnose and treat a disease.
Relying on symptoms, many diseases have similar symptoms, laboratory tests, such as the current fever, taking antibiotics at home, and injecting antibiotics in lower-level hospitals directly interfere with the course of the disease. If you have no clinical experience, even if you are a postdoctoral fellow, Textbooks and updates cannot diagnose it clearly.
This is the case now for Ake! There is a big call in the emergency department. If the laboratory test is not typical, just call the big call. Anyway, we don’t know which department the disease is from, so we can consult directly!
During the Spring Festival holiday, the big bosses in the department will not be on duty, unless the department is too small and staff cannot be rotated around. The emergency department called for consultation, and all the people who came were young doctors! Moreover, during the three days of the Spring Festival, most of the departments on duty are not experienced doctors. Who said you are young and have no qualifications? Just bear with it.
The respiratory department and the general surgery department spent a long time looking at her, but they couldn't find anything wrong with her. The physical examination revealed a rash on her body and a fever of 40 degrees, but her pulse and blood pressure were normal. This puts several young doctors in a difficult position. What kind of disease is this? Other inspections for a while could not come up.
what to do? Simple, expand the scope of consultation! ~It’s the Spring Festival anyway, so idle time is idle time. We are so busy, and you doctors in other departments can’t be idle either. Come on, let’s discuss it together! During the time when there are no bosses, the younger generation of the hospital gathers in the emergency department.
Not to mention the high-end medical treatment in China, the control of infectious diseases is quite good. Some young doctors have only seen it in books, but the books only select the most classic and typical cases, and they have never seen real medical records in reality. It cannot be identified or diagnosed. If the diagnosis is not clear, it cannot be treated. Moreover, this disease is said to be very simple, but people are a complex, and there are too many similar diseases. With the current medical level, many diseases cannot be diagnosed clearly, which means symptomatic treatment.
And why is this infectious disease said to be strictly controlled?
Let’s talk about the most virulent infectious disease, cholera! A Class A infectious disease and plague. How dangerous is this disease? It is caused by a special bacterium. This bacterium is too powerful. When ordinary bacteria enter the stomach, they are killed by gastric acid. However, Vibrio cholerae Not afraid.
It directly enters the intestine through the stomach, and then directly causes intestinal spasm, causing the sick person to have severe diarrhea and vomiting. How severe is it? It is very direct, it is projectile vomiting, like a goddess scattering flowers. Squirt, vomit or intestinal stuff! Unlike ordinary vomiting, it is stomach contents.
Diarrhea, severe diarrhea, severe diarrhea that is uncontrollable. It is an exaggeration to say that such patients have a bucket next to the bed for vomiting, and a bucket is also placed under the buttocks! Double barrel! At the end, what comes out is water, which is exactly the same as the water used to wash rice. This is the fluid inside the body!
Put this way, I can't feel its power. It is very powerful. How dehydrated can a cholera patient be in one day? A person weighing 200 kilograms can have diarrhea down to less than 100 kilograms! Crosstalk actor Sun Yueneng turned into Gong Hanlin in one day without vomiting or diarrhea!
Is it scary? What’s even more scary is that there is no effective drug for this disease. To put it simply, even if you go to the hospital, they will only give you fluids, a large amount of fluids quickly, and a competition to see who is stronger in the end. Hopeless. The rest is up to you. Come through and your fortune will be good! If you can't survive it, you'll be cremated directly, and you won't even be able to see your family members for the last time! ~
What’s also scary is that this disease is extremely transmissible. Once a case occurs in an area, the water source must be controlled first. Because this bacterium can quickly contaminate water sources, it is spread through food and drink, and if it is not properly controlled, it will spread to a large area once it is infected, and it will also spread to a large area once it dies. This is the horror of infectious diseases!
The Department of Infectious Diseases is a separate department, but medical knowledge is related. Zhang Fan has a habit. After entering the department, he first reviews the diseases in this department. Regardless of the subjects that are opened in the system, he must review them. This is a The process of reviewing the past and learning the new is a process that cannot be tolerated if he does not take the lead in this kind of effort!
The emergency department expanded the scope of consultations, so of course Zhang Fan had to go. The infectious disease department was the farthest away, and Zhang Fan was also the last to arrive. The young doctors kept talking, but no one could diagnose it.
"Come on, let's have a look, Director Zhang." A new graduate student this year didn't know whether he was praising Zhang Fan or deliberately embarrassing Zhang Fan. Anyway, his tone was unnatural and envious. !
Now Zhang Fan really won't argue with them, because he himself knows that they are not on the same level and there is no point in arguing with them. Not all doctors have this mentality. There are hundreds of people of all kinds, and Zhang Fan has no time to pay attention to them.
"Brother Zhang, let me take a look! The respiratory department doesn't admit him, nor does the digestive department, but this person has a fever like this, and the emergency department can't do anything. If it doesn't work, I'll call the director!" Xiao Li from the emergency department took the medical record. He quickly handed it to Zhang Fan.
Zhang Fan looked at the temperature and the vital signs recorded by the nurse, then opened Ake's clothes, checked for pulse with one hand, and opened Ake's clothes with the other to look at Ake's chest.
In just thirty seconds, Zhang Fan said to Xiao Li: "Report it to the health bureau! This is an infectious disease!" These words made the other doctors take three steps away involuntarily!
"Is it true? Don't talk nonsense. You were diagnosed without a laboratory test? Once this is reported, it will not be a trivial matter. It will involve the hospital." The graduate student just now felt that Zhang Fan ignored him , a little unhappy.
Challenging others' bottom line again and again, Zhang Fan turned to look at him and threw the medical record on his chest, "Rose rash! Relatively slow pulse! High fever! How did you graduate!"
"Do the Feida test! Blood culture! Send it directly to the infectious disease department!" Zhang Fan said nothing more, turning to Xiao Li from the emergency department and said.
"Okay! I'm going to prepare now. Brother Zhang, should you report or should I?"
"You are the first treating doctor. If you don't want to, I will go and report it."
"Look at what you said, isn't it because I'm afraid of taking your credit? I'm not like some people. Come on, I'll go right now!"
"Doctor Zhang, you are amazing!"
"Yes, you can see it at a glance!"
Thousands of people beat the drum. No problem, the graduate student just now was a little embarrassed holding the medical records! Although it’s just one sentence, it’s really quite lethal! There were so many people, he regretted it so much!
.. m.
