medical simulator

Chapter 420 Wandering in the emergency department

At ten o'clock in the morning, the Affiliated Hospital of Shonan University.

Surgical emergency room in emergency department.

Although Zhou Cheng, who has been discharged from the general hospital for trauma, is still the "general hospital" of the Department of Orthopedics.

Heading here.He is currently stationed in the emergency department. There is no office, no ward, and only one phone call.

It can be said that he is the hub and bridge between the emergency department and the general hospitalization. If he does not want to undergo emergency surgery, he can be directly assigned to other general hospitalizations.

Zhou Cheng is bringing Wang Huan to see and see together.For the interns in the same group as Wang Huan, such as Peng Lingli and others, Zhou Chengcheng couldn't control them anymore, so Huang Zong could only manage them.

In the emergency room, a patient with drooping shoulders!
At this moment, I heard that Zhou Cheng had to wait for the results of the examination before he could be treated for shoulder dislocation.

His expression immediately became a little stiff, and then he was anxious, and stomped his feet: "Doctor, what should I do now?"

"There are still so many days left for the inspection appointment."

While talking, his wife handed over the medical records and checklists!

"No one can join the team."

Everyone makes mistakes sometimes, but it is a good thing to be able to grow.

The girl didn't speak, but just looked at Liu Xiaohe nervously!
Guilt was still written on his face, and it was obvious that there were tears on his face that had not been completely wiped off.

Zhou Cheng looked outside the door and saw another patient came in, so he said very decisively: "I'm very sorry, I really can't help you, the patients in front of the queue came one by one."

Hearing this, Zhou Cheng nodded and shook his head: "Can you feel the emptiness of the hip joint?"

Zhou Cheng and Liu Xiaohe are both doctors and not police officers, so they naturally wouldn't investigate whether their family relationship is harmonious or not, and how they were injured.

But just looking at it, Zhou Cheng frowned tightly, then pointed to a place and said in a low voice: "The trabecular bone here is out of shape, it seems a bit abnormal."

Writing a consent form for surgery is also a kind of understanding of surgery, and whether you can understand the risks of surgery is also a test of one's level.

"It's the risk of resetting routines. If you are a mature graduate student now, you have to learn to comprehend and understand the relevant risks by yourself."

At this time, the girl's eyes were red, and she kept holding the middle-aged man's hand.My mouth kept saying, I'm sorry, I'm sorry.

A group of people who were about to come in walked out when they heard the migrant worker swearing!

Cursing and walking out...

The debt of money is a matter of numbers.

"The word medical ethics has probably been forgotten long ago."

"You also said that it takes so long to make an appointment, and the patients in line ahead of you are slowly making appointments."

"Probably still able to see some."

He raised his head and said, "No, Professor Liu, we are just sorting out the materials at the door."

"Don't worry, I will definitely do my best. Don't worry, if you have any questions later, go to that sister." Zhou Cheng didn't finish his sentence.

"Doctor, can you help me find a way? You are from the hospital, and you must have many acquaintances. I beg you."

"I will never dare to be disobedient again. I will never run around again. I didn't intend to push you on purpose. Dad."

There is no way to connect the simple and honest migrant worker before with the cursing middle-aged man now.

Moreover, there are countless emergency departments like the Affiliated Hospital of Shonan University.

"Dad, I'm sorry."

However, when male doctors and female patients get along alone, there must be nurses or family members by their side!
There is a degree of sexism in this!

The growth of a doctor, whether it is high talent or low talent!
Step-by-step rhythm, that's all you have to do.

"But it won't delay too much time. If you do all the preparations before the operation, I will almost step down."

"The Affiliated Hospital of Shonan University is a well-known hospital, and it is one of the best hospitals in our Hunan Province. Why am I afraid to enter?"

If you don't even want to do it, then the gods can't teach it.

"You just pick the time when you are about to get off work, and go to the door of the NMR room you made an appointment to guard!"

Zhou Cheng glanced at Wang Huan, and Wang Huan took the initiative to push the middle-aged man onto the physical examination bed next to the emergency room and stood side by side.

In fact, writing the consent form for surgery is to let Wang Huan know what contraindications to surgery are and what accompanying injuries may occur. This is similar to what Luo Yun taught him before to learn contraindications to surgery first.

"If you're lucky, the doctor will usually work overtime to do it for you."

"Yes, yes, yes, I forgot to say, I had a broken bone when I was a child. I was only five or six years old at that time, and it has been decades. I never told my wife about it."

"I was wrong." She nestled next to her mother, her eyes were red.

This is a family of three, and the injured is a middle-aged fat man aged 60!

Medical resources are really limited.

"I have a history of trauma in the past, so I can rest assured!"

His wife quickly replied: "He usually sits in an office and doesn't exercise much. Occasionally he might have a sprain while walking, but he can still walk."

Zhou Cheng and Liu Xiaohe checked out the film!

Although there are many doctors in the Affiliated Hospital of Shonan University, the number of patients is larger.

His father rushed over and said, "I just accidentally rolled down the stairs, and there are almost seven or eight small steps."

Unless it is the kind of patient who is about to die, that is the absolute priority, and no one can stand it.

Zhou Cheng said: "It doesn't matter, no matter how the injury was, what the reason is, the truth now is that there is an injury and it needs to be treated."

"Aren't you the only one who is in a hurry, and the others are not?"

And they also stepped on the statement that the Eighth Hospital is a bullshit hospital, and clamored to come to the Affiliated Hospital of Shonan University.

Favors have to be paid back, brother, you said you can find them wherever you want?The patient in front let you jump in line?
If you want to find someone, you are also looking for a brother to work overtime. Do you think you just jumped in line casually?

How could there be a queue?
When the supply exceeds the demand, you need to queue up and wait. The hospital is not a supermarket. After you come, you can take it and leave.

Zhou Cheng actually wanted to say that the real emergency department is in the emergency room, and yours can only be regarded as a sub-emergency department, but this will aggravate medical disputes.

If it is not because there are too many patients, there are too many patients in the queue for inspection, and the ratio of the number of doctors to the number of patients is completely unequal!

Zhou Cheng smiled at her when he heard this.

Wang Huan intends to study for Zhou Cheng's master's degree, and now he is in the process of studying with the teacher.

"The right lower extremity is shortened, the right lower extremity hip joint is adducted, flexed deformed, limited in movement, tenderness and throbbing are obvious, and there is longitudinal percussion pain. The emptiness of the hip joint can be palpated." Wang Huan said quite professionally.

Doctors ask colleagues to do examinations by themselves, and usually they are asked to work overtime during their breaks, and they will not choose to make an appointment for MRI appointments and jump in the middle of the queue full of patients.

But I still said one more thing, not to delay his husband's treatment.

Before Zhou Cheng finished speaking, he was interrupted!
"Dad!" Upon hearing Zhou Cheng's words, his daughter burst out in fright.

"Are you still doctors? It's nothing more than a phone call, and you don't want to call."

Said: "If I can't go to work early this month, the construction site will definitely deduct my wages."

Zhou Cheng frowned: "How did you fall?"

It doesn't matter if you don't understand, you can learn it, taste it slowly, check the information, or even copy it, but you have to do it.

People who come to the hospital to see a doctor, who is not helpless?

While talking, Liu Xiaohe entered the Chinese spelling of the patient's name again.

"I've given you a suggestion."

At the door, he deliberately announced it loudly, and said with a painful expression on his face: "The people here are all hard-hearted. Don't go in and look, he doesn't care about people."

"As long as my husband's illness doesn't delay, you can go to your work." The patient's wife is also quite considerate!

Hearing this, Liu Xiaohe immediately turned his head to look at Zhou Cheng, with a little astonishment in his expression!
Said: "Xiao Zhou? Can the fracture decades ago be seen through the film?"

"This is also a kind of learning, you have to ponder it slowly."

"Obviously it's just a matter of prescribing a medicine, and you have to pay a lot of money."

"Isn't this convenient for you to see more carefully later?" The patient, who is still a delicate person, made an excuse for this.

"It's okay, it's okay, it's okay."

The debt of favor is the most difficult to repay.

Zhou Cheng has tasks in the operating room, but this must be clearly explained to the patient's family members to avoid any misunderstandings!
For example, he left the patient here and ignored them, and so on.It's not worth it to report you at that time.

We can discuss it at that time.

He was accompanied by his wife and a girl in her 20s, and the middle-aged man was pushed on the bed.

This kind of patient, he had seen in No. [-] Hospital before, was a patient with traumatic arthritis.

"Doctor, you are really good, you can see this?" The patient said to Zhou Cheng outside through the bed curtain.

"See if he is willing to work overtime for you, and you say that you are actually an emergency MRI. The front desk of the appointment made a mistake, and the doctor in the emergency department called you over to ask. I am waiting for treatment here."

Liu Xiaohe is actually just a spectator. Although he is about to be promoted to professor, the distance between general surgery, orthopedics and general surgery is really a bit far.

Then he picked up the checklist and walked out angrily, "No wonder some people say that the doctor is cruel now."

"You have to help me, this pain is unbearable, and I can't go to work."

This scene left Wang Huan dumbfounded!

Searched for his X-ray examination results, and then explained to Zhou Cheng: "The injured person fell from the stairs, and it is still unclear whether it was a sprain or a fall!"

Zhou Cheng could only smile wryly and said, "Where can we find a relationship for you?"

Zhou Cheng also walked this way before!

Then he got up and said to his wife: "Your husband's current diagnosis is preliminarily determined to be a posterior dislocation of the hip joint! He must go to the operating room for manual reduction surgery, you guys."

"If he is more anxious to get off work, there is really no way, and we can't force others to work overtime to do things for us."

"It doesn't matter if you die."

Although she made mistakes, but knowing her mistakes can correct her, there is nothing good about her!

And his daughter also opened her mother's arms, bit her lips, and said seriously to Zhou Cheng: "Doctor Zhou, you must cure my father, please."

Although it's just a phone call, there are so many patients who come to the clinic every day!
It's impossible for anyone to call everyone.Calling for help is to owe a favor, and the debt of favor is ultimately repaid by oneself.

"Doctor, I'm sorry to trouble you, it's hard work."

In the eyes of doctors, everyone is the same patient, which is impossible.

"If the disease is not treated, the checkups are prescribed every day, and I don't know anything except money."

Zhou Cheng and Liu Xiaohe are both used to it!The patients and family members that Zhou Cheng met in the No. [-] Hospital before, that's one thing.

"We respect the objective facts. It's not a serious injury. Going into the operating room is just a manipulation reset. It's not that kind of surgery. You don't need to be so nervous."

"Wait until the doctor inside is just about to go out, take your appointment checklist, and go to intercede with the doctor inside."

The girl wanted to speak so much that she wanted to cry!

"Jump in line?"

Wang Huan already knew how powerful Teacher Zhou Cheng was, so he was very active...

"Brother Liu, this is not a clever thing." Zhou Cheng did not pretend to be profound.

"As for other injuries, it seems that there are no injuries. Just this time, I was really not careful."

Then he said to Zhou Cheng and the others with some embarrassment: "I'm sorry, I let you watch a joke."

"If your own relatives come, are you willing to ask them to wait like this? Aren't you also looking for relationships?"

"Otherwise, the structure of the trabecular bone is disordered, and I have to consider other factors. From the results of the X-ray examination this time, it is only the dislocation of the hip joint." Zhou Cheng said casually.

Zhou Cheng's expression froze at that moment, he shook his head and said apologetically, "Sorry, I can't help you with this."

All parents in the world love their children.

Tell him to lie down carefully, and close the bed curtain, without asking for a companion.

Even the doctors who come here to work, who is not busy?

Liu Xiaohe turned his head slightly, ignoring the patient.

Then he turned his head and walked out, confessing to Wang Huan: "Wang Huan, you print out the template of the preoperative talk with Mr. Liu, and then write all the risks on it. Write it yourself, remember to write it all!"

"What do you think we should do now? My husband is in a bit of pain now. Is there any way to solve it?" She was at a loss, with tears in her eyes.

"Doctor Zhou, I know you are a good person, so please help me and find a way." He still persisted, hoping that Zhou Cheng could give him a call.

Liu Xiaohe smiled and said, "Have you finished the inspection? Why don't you dare to come in!"

"You can't do this? Where is there such a doctor?" The middle-aged man was at a loss.

Of course, Lu Cheng also knew that he must be in a hurry, so he suggested: "Jumping in the queue is definitely not possible! But there is a way but you can try it."

Liu Xiaohe is a doctor from the general surgery department who came to the emergency department, and he is about to be promoted to associate professor.

Zhou Cheng heard the words and did not continue to insist. In fact, the current surgical theory does not support this kind of statement. However, Wang Huan was right. This may be because Wang Huan heard other professors during his internship or during his internship. , with such an understanding.

"Wang Huan, have the results of the physical examination come out? It's enough to focus on the key points." Zhou Cheng asked Wang Huan from a distance to confirm.

Said: "Professors and doctors, my husband has not received his film, and the results of the blood test have not yet come out."

Zhou Chengcheng said to the patient: "It's nothing serious. Later, Dr. Xie will talk to you about the corresponding risks of manual reduction and the purpose of manual reduction."

"I don't want my father to suffer from any illness because of me."

Standing at the door of the consulting room, looking at each other, hesitant to go in.

"This?"

Then the snot and tears flowed down slowly, the mouth was a bit ugly, and he shouted hoarsely at the middle-aged man behind the bed curtain: "Dad, I'm sorry, Dad, I, I'm sorry."

"Has your husband been injured before?" Zhou Cheng asked his wife.

"Sorry, I still have patients coming." Zhou Chengcheng answered the phone while speaking.

Zhou Cheng sighed: "You called the emergency number, but it's not a special emergency. I can't help it."

Wang Huan nodded quickly and said, "Hey, okay, teacher, I will definitely do a good job and check it for you then."

Hearing Liu Xiaohe's words, the middle-aged man called his wife and daughter to push him in.

He looked at Zhou Cheng and Liu Xiaohe with helplessness and nervousness in his eyes.

"Think carefully about whether you need manual therapy. I'll arrange an operating room for you."

"This?" The patient was in a dilemma, but what Zhou Cheng said made sense: "Doctor, I'm really in a hurry. Don't you care about it now? I called the emergency number."

"The right hip joint is very painful, the swelling is severe, there is no skin trauma, and a fracture cannot be ruled out for the time being."

You can feel the emptiness in the shoulder joint, where are you touching the hip joint?You are not endorsing me.

When her mother heard this, she immediately hugged her tightly, patted her on the shoulder and said, "Okay, okay, Mom and Dad know that you didn't mean it. From now on, be obedient."

"We can see the film in the system, but we have to wait for the results of the blood draw. It will take about an hour."

But even here, there are such patients.

"In addition, I still have a minor surgery to do in the operating room, so I have to catch up and do the surgery first."

"Teacher, yes, you can feel the greater tuberosity of the femur moving up. When the greater tubercle moves internally, the plane is higher than the acetabulum positioning line, and the hip joint must be empty." Wang Huan was not afraid at all, and still insisted on himself Views.

Hearing this, the patient's expression changed completely: "Why can't you get in the queue, isn't it because you don't want to help!"

Zhou Cheng smiled casually: "This is not an exam. No one will check it for you. You have to slowly get rid of the thinking of taking exams and exams."

From the previous conversation, it is natural to hear that this girl was rather rebellious. She wanted to run out or something, but her father caught up with her, and instead pushed her father down and got injured.

"After trauma, the trabecular bone structure will be disordered, not as smooth as the trabecular bone structure of normal bone, which can only be seen through careful reading of the film."

There is a saying here, that is, when a female doctor and a male doctor conduct physical examinations alone, there is no clear regulation that they need to be accompanied by someone to monitor them.

"Could it be faster? Can you make a phone call for me, please?" The man still looked at Zhou Cheng eagerly and kept bending over.

The expression is also quite difficult to look at!

"The person who really checks your level is every patient you meet, every physical examination you do, and every operation you do. If you do it carefully, you will naturally develop self-confidence from your heart."

"You should get used to the days when no one will be your full-time nanny as a teacher." Zhou Cheng walked out quite chicly after finishing speaking.

He has to learn to let go and leave some things to the subordinate doctors to do!
This is also what he wants to learn from his superiors and teachers, and to be a superior and teacher.

Zhou Cheng's pace at the moment is quite a leisurely stroll. This is the pace of growth, and so is his mentality.

(End of this chapter)