MTL - Since 1981 Health School-Chapter 82 no way to differentiate
Chapter 82 There is no way to treat differently
"What if it is gastrointestinal bleeding?"
"Then you should adopt a position with your head high and your feet low, so that the blood flows to the abdominal cavity, support the lower back stably, and avoid hugging the chest and abdomen, so as not to aggravate the bleeding."
Director Zhu asked questions quickly, and Chen Qi answered them quickly. This question and answer seemed simple, but it tested a student not only for solid theoretical knowledge, but also for adapting clinical thinking.
Laymen look at the doorway, and experts look at the level. The other directors and attendings present all nodded secretly.
Director Zhu took a deep look at Chen Qi, then glanced at the three university interns with dissatisfaction, and pulled a wave of hatred for Chen Qi.
The family members of the patient are not stupid. Hearing that the doctor seems to be paying attention to the students, he knows that his condition is not too serious, so he is relieved and asks cautiously:
"Doctor, can my husband drink crucian carp soup? Can I send it out?"
People in Vietnam and China will have many taboos when they are sick, which is the legendary "fat", such as mutton, fish, seafood, shrimp, crab, big goose and so on.
So usually after seeing a doctor, I will specifically ask what foods I can’t eat, for fear that eating them will affect the condition.
Crucian carp tofu soup is usually given to mothers who have just given birth to a baby. It is good for breastfeeding, but Director Zhu is not very clear about whether it can be eaten by patients with ruptured spleen.
It doesn’t matter if the teacher is not clear, let’s test the students.
Director Zhu pinned his hopes on a few college students: "Come on, three of you classmates, can you drink crucian carp soup?"
Ai Kelong hurriedly said: "You can drink it. Crucian carp soup is nutritious, and surgical patients should strengthen their nutrition."
Zhang Jun shook his head again and again: "You can't drink it, this is hair."
Director Zhu asked: "Why hair? What is the pathophysiology?"
Zhang Jun was at a loss for words again, and pulled Lu Yuehua next to him as if asking for help.
Lu Yuehua shook his head directly: "Director, I don't know about this issue, but I will definitely check the information after get off work."
Suddenly a voice came from behind:
"There is no need to check the information. Patients with fish soup surgery should eat less fish soup, and it is best not to eat it, because fish contains arachidonic acid, which will be converted into prostaglandins in the human body, which in turn affects platelet aggregation and incision healing."
Zhang Jun and Ai Kelong turned their heads at the same time, in addition to surprise, there was also a kind of fear in their eyes.
People who can be admitted to university have absolutely no problem with their IQ. No matter how low their EQ is, the two of them can tell that this technical secondary school intern's strength is far better than they thought. It seems that they have to pay attention to it in the future.
Lu Yuehua also turned his head, looked at the technical secondary school student who was being bullied by his classmates yesterday and nodded: "I don't know if your answer is correct, I will check the information when I get back."
Chen Qi shrugged and said nothing.
Director Zhu had an imperceptible smile on the corner of his mouth, and he replied to the patient's family:
"Have you heard, this little doctor Chen has already answered you."
The family quickly smiled and thanked: "After this explanation, I know, anyway, I can't drink it. If it works, then I won't drink it. Fortunately, I asked, thank you, Dr. Chen."
There are 40 beds in total in the surgery department. If you switch to a physician to check, you won’t be able to stop until noon.
But the surgeon’s ward rounds are too simple. Usually, he enters the ward and asks: "Bed X, how do you feel today?"
Patient: "It's okay, okay."
"Success, tell us if you feel uncomfortable, and leave."
Yes, just a few words, and it’s over.
If it weren’t for teaching rounds today, Director Zhu would ask some questions from time to time, otherwise the rounds of 40 beds would not take more than half an hour.
After all the patients had walked around, Director Zhu was the first to leave. A surgeon, there are a lot of operations waiting for him.
As soon as Director Zhu left, Director Jin Peilin became the boss. Director Jin ordered Lu Yuehua, the intern doctor he was teaching: "Come on, follow me for surgery."
After a while, Zhang Jun and Ai Kelong also followed their teachers to the operating room.
There are only a few junior doctors left in the department, and two interns, Chen Qi and Lan Lijuan.
Lan Lijuan felt a little unbalanced again at this time, "Squad Leader Chen, how come they can go on stage and perform surgery on the first day of registration, but we have to stay in the ward?"
Chen Qi is very familiar with the unspoken rules of the workplace in this kind of hospital, and he is very calm in his heart:
"Don't worry, I went to the university affiliated hospital as an intern when I was in school, and then I practiced for half a year. I must have been in the operating room, so I can be an assistant on stage as soon as I come here. We don't know anything, so we can only stay in the hospital. Do small labor in the ward."
Lan Lijuan was still dissatisfied: "What do you mean we don't understand? I think you understand better than their college students just now."
Chen Qi sighed: "Oh, it's gold that always shines."
Dr. Yi next to him burst out laughing:
"Okay, don't sigh, you two big golds. Isn't it like this in practice? There are a lot of things today. You should go with me to learn how to change the medicine first. After changing the medicine, you need to take the course record. I will teach it several times. In the future, these tasks You did it all."
Chen Qi said to Lan Lijuan with a bitter face:
"See, changing the medicine, writing the medical records, these are the routine operations of the interns, hurry up and work hard, these tasks alone are enough for us to work from morning to night."
Lan Lijuan doesn't take it seriously, as long as she can start working, she is full of motivation:
"Okay, Mr. Yi, you can arrange it. We have learned in school changing the medicine and writing the course record, so there is no problem."
Chen Qi raised his hand at this time: "Mr. Yi, I don't need to learn how to change the dressing. Why don't you take classmate Lan Lijuan to learn how to change the dressing, and leave the rest of the beds to me, which can improve efficiency."
Yi Zewen agreed without even thinking about it: "Sure, the dressing changing tools are all in the operating room. If you have any doubts, just call me."
Chen Qi walked into the operating room, searched for a long time but couldn't find sterile gloves, so he stretched out his head and asked, "Head nurse, why are there no sterile gloves?"
The head nurse Wang Xiaoyan also stuck out her head from the infusion room:
"You child, this is not an operating room, what kind of sterile gloves do you use? Gloves are so expensive, just wash your hands clean."
For Chen Qi, who was accustomed to the strict aseptic operation in his previous life, he felt a little uncomfortable all of a sudden, don't use gloves? bare hands? He is not afraid of patients being cross-infected, but he is afraid that he will be infected by some strange disease from some patients.
But there is no way, the conditions of the hospital in 1982 were so simple, he even saw dirt on the outside of a few bends that had not been cleaned.
This was in the hospital in his previous life, and he was discovered by the people in the hospital’s Infection Department, who had to tear the doctors and nurses alive.
Just like that, Chen Qi took two curved plates, some sterile gauze, sterile cotton balls, camera, scissors and other tools, and started his hard-working internship career.
I was busy until noon, bent over for a long time, almost broke my waist.
(end of this chapter)
