There is no need to be too normal to be a doctor.

Chapter 143 Ignorance is the original sin!
The establishment of Shanhe Emergency Center has been in preparation for several years.

After completion, various instruments have been introduced, and it is quite ambitious to build a first-class emergency surgery in the province.

The World Health Organization declared in its latest report: The development of emergency medicine is one of the manifestations of the civilized system of human society.

The development of emergency medicine will also become a powerful protective wall for human health.

In fact, it is true.

With the development of medicine, the current risk factors of many diseases have actually been greatly reduced.

but……

Emergency treatment is very slow.

why?
Because the treatment of emergencies often requires investment and sacrifice, it is not in line with the current profit points of pharmaceutical companies.

In this world, the most rapidly developing medical discipline is actually the most profitable.

For example, diseases such as cerebrovascular disease, heart disease, orthopedics, etc.

But emergency medicine is different!
There is a lot of input, but the output is mediocre.

Some first-aid drugs, epinephrine, etc., are still in use for decades. How slow is the pace of innovation?
Oncology drugs, cardiovascular and cerebrovascular drugs, antihypertensive drugs, antibiotics, blood sugar drugs... I don’t know how many generations of these have been updated.

But the number of rescue drugs seems to be limited.

Even the first aid manuals and guidelines we use today haven’t changed much from a few decades ago.

According to the latest data released by the World Health Organization.

Over the years, even the mortality rate of cancer patients has dropped by more than several percentage points, but emergency medicine does not seem to have developed much.

Even in many developed countries, the number of people dying in emergency rooms is still rising?
……

Shanhe Province, as a long-established province mainly engaged in mining, chemical industry, and heavy industry, actually has many emergency patients every year.

The level of first aid in Shanyang City is actually not up to standard.

Therefore, a few years ago, the province directly approved a lot of money for the improvement and development of emergency medicine.

Even major coal and steel plants have sponsored Shanhe Emergency Center.

no way!
In recent years, major mining bureau hospitals have experienced sluggish development and have actually gone bankrupt one after another.

These hospitals originally had very good development in silicosis, trauma, orthopedics, etc.

However, along with the decline of coal efficiency, the adverse reactions caused are chain-linked.

Therefore, instead of spending a lot of energy and money to continue to develop the Mining Bureau Hospital, it is better to give the money to the government to cooperate in the development of Shanhe Emergency Center Hospital.

Shanhe Emergency Center has been established and is operating smoothly.

However, there is still not enough talent!
Therefore, an order was issued from above to transfer personnel from major hospitals and allow relevant professionals to be transferred to other positions, with salary increases and promotions.

Of course, this is only the talent targeted.

Ordinary employees can be transferred to other positions, but they will not receive much remuneration.

In fact, it has been spread for a long time that major hospitals are recruiting candidates.

Many people are worried that they will be transferred, so they have started to make articles in private.

However, there are also many people like Chen Gong who want to go to a new position. After all...everything is brand new, and you can seek better development after you go there.

If you become a founding father of the hospital, you will be much more stable in the future.

As a result, many tertiary hospitals in Shanyang City, Shanhe Province, began to select personnel.

This process did not last long.

Chen Gong had actually told the leader of the emergency department that she was going to Shanhe Emergency Center Hospital.

Although they are a little reluctant to leave, but... everyone can only feel it is a pity.

After all, Chen Gong's strength and potential are obvious to all.

The days are passing by.

Chen Gong did not go to work these days.

Instead, start each day by putting together something about anatomy knowledge and skill competition.

He has received a mission here, and he also has a promise from Mr. Ma Yanfu.

He needs to be responsible for this competition team.

Of course, Chen Gong also felt a little guilty because he couldn't participate in the competition.

Although it is his freedom whether he wants to participate, but... Chen Gong always feels that he should represent the national team on the international stage, wearing a red flag, listening to the national anthem, and watching the five-star red flag rising.

And, to be honest, why didn't Chen Gong not want to compete with other opponents on the international stage?

Therefore, even if he cannot participate, Chen Gong still wants to see how the masters in this world are doing.

then!

During this period, before being transferred, Chen Gong was working in the emergency department of the affiliated hospital.

However, there is not much work on weekdays.

Taking advantage of this period of time, Chen Gong carefully sorted out his books on anatomy.

In less than half a month.

Chen Gong’s anatomy, regional anatomy, neuroanatomy, and other multidisciplinary anatomy knowledge have improved rapidly.

Taking advantage of this time point, Chen Gong also finally completed the first part of "Secret Anatomy Volume".

Compared with the biochemistry secret volume, the first part of the anatomy secret volume mainly focuses on basic anatomy.

It does not include pathological anatomy, but for domestic medical students who do not have a solid foundation, Chen Gong feels that it is almost enough.

After finishing...

Chen Gong suddenly received a message.

Affiliated hospitals hire themselves as attending physicians!
This news is actually quite shocking to many people.

You know, those who entered the hospital with Zhao Xi at that time still have letters of appointment as resident doctors.

But Chen Gong got the appointment letter as the attending physician.

When the news was announced, there was a minor controversy within the hospital.

However, none of the hospital leaders refused, and it could even be said to be unanimously approved.

Of course, this would be inseparable from the help of Gualeshan, Qin Xuehai and others.

The staff in the emergency department were even more surprised by Chen Gong.

Chen Gong, who was on temporary duty, did not start any work, and was directly appointed as the attending doctor.

This is somewhat convincing.

After all, in a hospital, there are requirements for the appointment of every attending physician, deputy director, and chief physician.

It cannot be said that every carrot is a pit, but it is not easy either.

Chen Gong knew very well that all this was the help given to him by Director Qin and others.

Because when you are seconded from a hospital, it is a horizontal secondment. That is to say, the professional title you had in the original hospital will still be the same professional title after you come here.

Chen Gongruo is just a resident doctor and cannot carry out any work in the new unit.

However, the main treatment is different.

Whether it is outpatient service, surgery, or even all kinds of work, Chen Gong can carry out smoothly.

Just like that, after everyone was puzzled for a while.

The list of seconded personnel has been announced!
Chen Gong is on this list. He will report to the third emergency department of the emergency center hospital next Monday.

After the news was announced, many people were dumbfounded.

And Zhao Xi was even more stunned!
To be honest, Zhao Xi was very happy during this period. Chen Gong successfully joined the work and was no longer a student.

The little burden in Zhao Xi's heart naturally disappeared.

I originally thought that after Chen Gong was done with this period of time, we could have dinner and chat together, even if it was just for consultation, we could see each other more often.

but!

Zhao Xi was completely dumbfounded by this sudden secondment list.

She didn't expect that Chen Gong was leaving?
For a moment, Zhao Xi's heart was filled with disappointment.

However, Chen Gong did not know these things.

The frequency of Zhao Xi's chats with Chen Gong has also plummeted in the past few days.

But Chen Gong doesn't have time to think about so many things now.

I will be admitted to the emergency center hospital next Monday.

The current Chen Gong, even though he has a good level of self-awareness and can independently face various clinical emergencies, is still a little more nervous.

……

……

on Monday!

Chen Gong, led by the staff of the medical department, reported to the third emergency department of the emergency center.

Everything here is so clean, there are no honors or banners on the brand new walls.

Most of the medical staff are seconded, so they don't have much experience with this unit.

Everything in the department is new.

Even everyone's face has different expressions.

The director of the third emergency department is a deputy director of Shanhe Cardiovascular and Cerebrovascular Hospital. After coming here, he directly assumed the position of director of the emergency department.

The other person is young, in his early forties, even has a bit of bookishness on his face, and is gentle and modest in his words and deeds.

After seeing Chen Gong, I was a little surprised. After all, Chen Gong was too young.

And after seeing his identity information from Chen Gong's information, Jiao Liming was a little shocked.

21-year-old attending physician? !
You haven’t seen one in the whole country, right?

the most important is……

During Chen Gong's college years, only her freshman year was complete. She skipped the fifth year directly during her sophomore year. Before finishing her fifth year, she got a letter of appointment from the First Affiliated Hospital and became the attending physician a few days ago.

These are obviously not the growth experiences of a normal person.

Among the secondment information and opinions, there is a comment from the original hospital director:

"This is a valuable asset of Sunward Medical University, and he is also the youngest honorary alumnus of Sunward Medical University. His talents and abilities are worthy of all our efforts to cultivate."

These words made Jiao Liming dumbfounded.

He never expected that Guan Leshan would give such... such a high evaluation.

Honorary Alumni!

Jiao Liming himself graduated from Shanhe Medical University, and he also attended the [-]th anniversary celebration. Suddenly, he seemed to have clicked.

Correct!
That's Chen Gong.

For a moment, Jiao Liming understood that this young attending doctor was not exaggerating at all.

But why did he come to this hospital?

You know, anyone can see that the establishment of Shanhe Emergency Center Hospital was so hasty that it is not easy to get ahead.

Moreover, emergency treatment is average!
In other hospitals, it is obviously better to achieve good results, have mixed seniority, and even have good promotion paths.

But why does Chen Gong come here?
In the director's office, Jiao Liming reached out and said, "Hello, Dr. Chen!"

"I also graduated from Shanhe Medical University."

"But, I really didn't expect that you would come to us."

"I have a little doubt, why did you come to the hospital?"

Chen Gong said seriously: "I think this is an opportunity!"

When Jiao Liming heard this, he felt a little disappointed. Could it be that Chen Gong thought this was a new hospital and thought there were many springboards here?

This makes Jiao Liming feel a little sorry for coming here because of her dream.

"What opportunity?" Jiao Liming looked at Chen Gong solemnly.

Chen Gong smiled slightly: "I think that for me, I can get sufficient training here."

Jiao Liming heard the sound, nodded and smiled.

Although this answer is not so satisfactory, but... at least it makes sense.

At this time, Jiao Liming suddenly said:
"it is good!"

"Then I'll get straight to the point."

"Chen Gong, I know that you are an honorary alumnus of Shanhe Medical University. Dean Guan Leshan also made it clear about your abilities."

"However, the emergency center hospital is a new hospital, there are not so many experts and professors, and even the team is incomplete."

"Currently, our third emergency department does not have many people."

"There are only nine doctors, including one chief physician, two deputy chief physicians, three attending physicians and three resident physicians."

"I believe you know better than me how crude a team like this is."

"I want you to be the team leader, with an attending physician and a resident physician, to carry out the work."

"We are currently severely understaffed and are still recruiting people one after another. However, there is a huge gap in Shanhe Province and we need a large number of doctors to join."

"I won't hide it from you. There are only a few people like you who are willing to transfer here."

"Many of the people who were transferred here were because their work standards in the original department and hospital were average in all aspects, or... they were not united in the department and did not obey management."

"I guess you should also know the details of these people."

"I know that your age does not represent your ability, so I hope you can shoulder the responsibility of a team leader."

"OK?"

Chen Gong heard this and nodded quickly: "Okay!"

"I can!"

"Thank you, Director Jiao, for your trust."

Chen Gong had no reason to shirk.

For him, this is the opportunity he needs.

Soon, Jiao Liming took Chen Gong to the department.

Seeing the newcomer coming, everyone in the department looked over curiously.

Jiao Liming clapped his hands directly and said:
"Okay, everyone be quiet."

"I would like to introduce a new colleague to you."

"This is Chen Gong, the attending doctor who was transferred from the First Affiliated Hospital of Shanhe Medical University."

"Next, you will be responsible for the work of our three groups, Yang Hui and Wu Xueyu. You two will follow Chen Gong."

"Okay, let us welcome this new member with the warmest applause!"

After the words fell, Jiao Liming took the lead in applauding. Everyone below looked at each other, and then sparse applause started.

But the eyes of everyone looking at Chen Gong were full of curiosity.

Because Chen Gong doesn't look like the age he should be for an attending physician, right?
It's too young!

Although there are relatively young-looking people in life, but... Chen Gong really doesn't look like that!
Soon, Jiao Liming called Yang Hui and Wu Xueyu over.

"Doctor Chen, hello!"

"Hello, Team Leader Chen."

The two of them greeted Chen Gong respectively.

Chen Gong smiled slightly: "Hello."

At this time, Jiao Liming got up and left after settling down.

There are still many things to deal with in the department.

As for Chen Gong, as the person in charge of the third group, although no formal work has been arranged yet, it also means that many things need to be done.

However, two days later, Chen Gong was surprised to find...

This place is completely different from what I expected!
Chen Gong originally thought that the emergency center hospital must be extremely busy with many patients, and most of them were emergencies.

but……

Facts have proved that I think too much.

Is there anyone here?
There are also!

But it has nothing to do with Duo.

Many patients even treat this place as a small clinic, and come for simple things like ordinary trauma treatment, bandaging and debridement.

Occasionally, a few come in, and they still have fever and gastroenteritis.

These diseases can be easily dealt with.

but……

This is not what Chen Gong wants.

So, Chen Gong found Yang Hui and Wu Xueyu and couldn't help but ask.

"This...why is the level of our emergency department not as good as...the emergency department of those second-level hospitals?"

Hearing Chen Gong's words, Yang Hui sneered and couldn't help but say: "Team Leader Chen, you are from the First Affiliated Hospital, but... you really don't know much about our place!" "The hospital has been established for more than a month. , but... doesn’t have any fame at all.”

"In fact, just this month, many patients have died in the first emergency department!"

"It's not that it can't be done, but... it's too hasty!"

"The reserve of medical personnel has not even come up."

"In fact, many patients feel that the standard here is too low and they won't come here at all!"

"Team Leader Chen, you are so young. You should be good at your original hospital. You are already attending the hospital. What are you doing here?"

"To put it bluntly, do you think the doctors here are so good?"

"I offended the director and was transferred here."

"Xiao Wu is just a white carrot. He was kicked over to make way for the director's student."

"Do you know what outsiders think of us?"

"Although they don't say it, people from big hospitals say that our place is a garbage dump and specialize in recycling bad doctors."

When Chen Gong heard this, his expression suddenly changed.

He didn't expect... it would be like this.

Wu Xueyu also stood aside with a blushing face and said nothing.

He was originally admitted to the General Surgery Department of the Provincial People's Hospital last year, but it turned out that the director's student just graduated, and there was no shortage of people in the department. This is not... how good it is now. He was transferred, and the place was vacant. .

After hearing these words, Chen Gong couldn't help but fell silent.

He now understands that the medical resources in Shanhe Province are limited, and many people are not willing to come to the emergency room at all.

If there is little money and many things to do in the emergency room, who would want to come?
At this moment, suddenly the nurse walked in.

"A patient is here. Whose shift is today?"

Chen Gong heard the sound and walked out quickly: "Mine!"

While talking, Chen Gong quickly got up and went to the emergency clinic.

After entering, I saw an old lady walking in hurriedly with a child over two years old in her arms.

"Doctor, look what's wrong with my child?" the old lady said anxiously.

Chen Gong heard the sound and quickly asked: "What's going on?"

"Did the child react?"

The old lady said anxiously: "Around ten o'clock this morning, the child was fine, but suddenly started vomiting!"

"Puked up all the food I ate in the morning!"

"Besides, I also have diarrhea."

"I didn't pay attention at first, thinking the child just ate the wrong thing."

"But, after more than an hour, I pulled it four or five times in a row, and even... some blood came out."

"There was also a little bit of blood in the spit."

"Doctor, please."

The old lady looked very anxious, and the child in her arms was even more dying. His face was pale, lying in the old man's arms, his breathing was weak, and he had no strength to speak.

Seeing this, Chen Gong quickly asked: "What did you eat?"

The old lady shook her head: "It's the same as usual!"

"The child didn't eat this morning. He was hungry around nine o'clock, so I cooked apple porridge for him."

"That's it, nothing to eat!"

"This apple is also fresh. I just bought it this morning."

"I usually drink this apple porridge."

"This is nothing at all?"

"I vomited all of a sudden!"

"Doctor, what's the matter?"

Chen Gong frowned slightly when he heard the sound: "Let the child lie down, and I will check the belly."

After saying that, Chen Gong didn't hesitate, and took the initiative to get up and hold the child on the treatment bed. Then he curled up the other person's legs, put his hands on them and pressed them gently.

After the diagnosis, Chen Gong frowned slightly. If it was gastroenteritis, there would be a reaction in the abdomen.

but……

After this inspection, the little boy basically didn't have much reaction.

"Let's draw blood first!"

"There's no way to diagnose what's going on?"

"The child didn't eat anything else, right?"

Chen Gong asked.

When the old lady heard this, she quickly shook her head: "No!"

"I can promise!"

"I have been watching the child today."

"But from beginning to end, nothing happened."

"Doctor, the child...will there be nothing wrong?"

The old lady heard the sound and asked quickly.

Chen Gong shook his head: "Old man, I don't dare to talk nonsense now, because there are many diseases that can induce vomiting, diarrhea, and blood."

"In this case, my suggestion is to check a blood routine first and then do the routine."

The old lady took a deep breath, stood up quickly, and took the child to draw blood.

Chen Gong sat on the chair and frowned slightly.

To be honest, such patients are quite rare.

His first reaction was caused by food.

Is this... I don't know if it's food or something else?

The child has not had such symptoms before, which is very special.

Soon!
The old lady came back with her child and sat anxiously on a chair outside the emergency room, waiting patiently.

After a while, suddenly a smart and fashionable woman walked over in a hurry.

"Mom, what's wrong with the child?"

The woman asked anxiously, her eyes full of blame.

"Ouch, baby, what's wrong with you?"

"It's okay!"

The woman held the child and touched her head distressedly.

At this time, a man ran in, sweating profusely, and picked up the child.

"Mom, is the child okay?"

The old lady was a little anxious. She came to see her son and grandson in the past few days. It could be said that she was very cautious, for fear of making mistakes.

Now this mother-in-law and daughter-in-law are different from before.

In the past, the mother-in-law was difficult to take care of, but now the mother-in-law is afraid of angering her daughter-in-law.

Hey!
The old lady is from the village. She takes care of the children very carefully on weekdays, for fear of something happening or making a mistake.

Sitting here at this time, he was like a child who made a mistake, not daring to say anything, and his eyes were full of nervousness.

When the man saw this, although he was anxious, he still relaxed his tone: "Mom, it's okay!"

"What happened to the child?"

The old lady then said: "This morning, the child ate that fruit porridge, and as a result... he started to have vomiting and diarrhea in the morning, and there was blood!"

"I'll bring the kids over right now."

The woman frowned and glared at the man: "Really!"

"Oh, okay, why was everything fine before!"

"I've been here for a few days with my child, and I've either bumped into him or become like this."

"Also, if you are sick, who will come to this hospital?"

"Don't even look at this place?"

"What if something goes wrong?"

After the old lady heard this, her face turned ugly, she opened her mouth and hesitated, and couldn't help but say:
"It's very close here. I'm not... thinking of coming here to see what's going on?"

"The doctor has ordered a blood draw."

"Maybe it'll be okay."

At this moment!
Soon, Chen Gong was sitting in the office, listening to the woman's words, and couldn't help but look a little more complicated in his eyes.

After refreshing it several times, he saw the results coming out.

Chen Gong quickly looked at it.

The more he looked, the more Chen Gong frowned.

Apart from a little bit of anemia, there seems to be no other possibility.

but……

The child's situation, shouldn't it be?

Chen Gong stood up and said to the old lady:

"The test results are in."

"I have a question I want to ask."

The old lady got up and walked in quickly.

"Doctor, how's it going?"

"Is the child okay?"

At this time, it seemed that the child's condition had indeed improved a lot.

After coming to the hospital, there was no diarrhea or vomiting.

There seemed to be no other symptoms.

Moreover, after the child's mother came back, the child's mental health also began to improve.

Chen Gong couldn't help but say: "The child's blood routine does not have many abnormalities except for a little anemia."

"but……"

"I think the situation may not be that simple."

"I have a question to ask."

"Does the child eat this fruit porridge often?"

The old man frowned: "I don't know much about it. The grandma used to take care of the children."

The young woman looked at Chen Gong with a special sense of superiority in her eyes.

"I'm a nutritionist."

"My child's fruit porridge is made by me on a regular basis."

"It is beneficial to promote children's intestinal peristalsis and aid digestion."

"Is it possible that you think it's the fruit porridge?"

Chen Gong nodded: "That's right!"

"Very likely!"

The woman just laughed.

"What do you know!"

"I am a nutritionist, how can I not know this?"

"My child has been healthy since he was a child, and his diet is completely based on science."

"Even the stoves at home are not made of aluminum..."

……

The woman talked a lot.

Chen Gong's eyes suddenly lit up.

Yup!

Iron poisoning!
After iron poisoning, 30 minutes to 2 hours after accidentally ingesting iron, local necrosis and bleeding will occur due to the stimulating effect of iron on the gastrointestinal mucosa, leading to hemorrhagic gastroenteritis, with clinical manifestations of nausea, vomiting, abdominal pain, diarrhea, and hematemesis. Bloody stool.

This is entirely possible.

Moreover, don’t think that iron poisoning is a rare thing.

Not uncommon.

Although, most of them are caused by eating too much ferrous sulfate.

Young infants may suffer severe poisoning or even death from oral administration of 40 mg to 1.5 g of ferrous sulfate;
Older children have been poisoned to death by accidentally taking 10 to 15 sugar-coated ferrous pills (0.3g per pill).

Again... Iron poisoning has also been caused by eating acidic fruits cooked in iron pots.

Severe poisoning can occur with an overdose of injected iron preparations.

Therefore, iron poisoning is never a rare occurrence in clinical practice.

It's just that...the parents at home don't pay much attention to it.

Chen Gong said to God: "Is the pot used to cook porridge for the children an iron pot?"

The old lady nodded: "That's right."

"It's an iron pot."

The woman frowned: "What does it have to do with the iron pot?"

Chen Gong took a deep breath and said solemnly:

"The situation may be more serious than you think."

"I suggest you review it now."

"Get an abdominal X-ray, and then do some tests related to serum iron and iron binding."

"Get a diagnosis, don't delay."

Hearing this, the woman looked at the child. He was bouncing around and seemed much better.

I couldn't help but roll my eyes at Chen Gong:
"What do you know?"

"When you come, you know how to do the check-up."

"Your hospital is so poor!"

"Let's go, it's okay, let's go home."

"Son, is the apple grandma gave you bad?"

When the old man heard the sound, he sighed deeply and shook his head.

Seeing this, the man felt helpless.

When Chen Gong saw this, he quickly said: "Aren't you out of danger now?"

"Now after a child becomes ill, there is an asymptomatic period of 2 to 6 hours, not because the child is cured!

It’s because the superficial appearance is better!
Because iron accumulates in mitochondria and various organs at this time, no induced conditions have occurred. "

"If you really delay the situation, it may cause serious adverse reactions in the future!"

Chen Gong shouted, but the old lady was the only one who heard it.

But can he be the master?

When Chen Gong saw this, he was speechless.

"You will pay for your ignorance."

"The child is innocent!"

The woman snorted coldly: "You will be reported because of your low level and bad attitude!"

"Humph!"

As the woman spoke, she took the child and left the hospital.

When Chen Gong saw this, he was dumbfounded.

Yang Hui and Wu Xinyu stood nearby and shrugged helplessly.

……

……

(End of this chapter)