Come on, Dr. Wu
Chapter 145 Director, I have admitted another patient
Chapter 145 Director, I have admitted another patient
Director Han was so angry that he just went out for a while and gave Yao Zi.
What can walk and move.
He felt something was wrong when he heard that. After entering the department, he collapsed directly before he finished asking about the medical history. He didn't dare to rest his feet and sent him to the operating room. How could a patient like this go straight up? Come on, doesn't this increase his workload? According to past practice, he has to stay in the emergency room first.
The work of Shenwai is also intense. This pre-operative process can be done in the emergency department. What does Shenwai have to do?
This time it was better, I was so dumbfounded that I just picked it up.
The most important thing is that if something goes wrong during the consultation process in the emergency department, then one person is responsible for half of it. Now that it is directly taken up, it is all Shenwai's responsibility. Can he not be angry? He wants to see what happened today. As long as it is not Duan Hao who is on duty, he has to explain who is worthy of duty. Otherwise, the rest of the work will be easy to do.
Listening to the voice on the other side of the phone, Zheng Hua finally understood what Wu Xiaofu meant when he said he might have to suffer some grievances.
Co-author: The relationship between the emergency department and various departments is so wild.
However, Wu Xiaofu acted according to the rules. Zheng Hua didn't think there was any problem with Wu Xiaofu's handling. I'm afraid all the departments were spoiled. Thinking of this, Zheng Hua couldn't help but praise Wu Xiaofu, "Niu Bei, I just joined the job. He started to rectify the workplace. As expected of his rich brother.
Anyway, it was just a few words on the phone, and there was a lot of meat. After thinking about it, Zheng Hua just put the phone away and let Director Han do his best.
When the nurse shouted, Director Han responded, "By the way, who are you? I don't remember you in the emergency room? Are you new here?"
"It doesn't hurt either."
……
Director Han also said that he was tired. When listening to the phone, there was no sound at all. He thought he was being sprayed and made him confused. He was also a little satisfied. After such a few minutes of education, the emergency department will be able to do it next time. You don't dare to mess around anymore.
This is clearly being bullied. He is a patient who is a god in the first place. Why can't he be admitted to a higher level? If there is no bed, forget it. Now that there is a bed, he is not allowed to be admitted. Isn't this obviously taking advantage of the emergency room? All the preoperative procedures were done in the emergency department, and the emergency department was allowed to share the responsibility. After the operation was successful, the preoperative expenses were not counted in the emergency department, but were included in the hospitalization. This is equivalent to letting the emergency department work in vain.
He knew that if the emergency procedure was correct, it would be tenable no matter what. Director Han could just talk freely, and nothing else would be of any use.
"Come on, lift your legs, yes, come and resist me."
"Come on, follow my lead."
Wu Xiaofu checked the patient's limbs, chest and abdomen. They were in good condition. The muscle strength and nerve reflexes were normal. There were no fractures, and there was no damage to the thorax and abdomen. It seemed that the damage was only in the head. Looking at the left half of the patient's head, the scalp was large. The area was bruised, the hair had been naturally cleaned up, the small blood vessels were broken, and blood was left along the face, which looked really scary.
In the consulting room.
"Director Han, the operating room is ready for you to go down."
"Director Han, I'm new here in the past two days. Today I'm only on the second line."
"Come on, raise your hands, yes, come and resist me."
At this time, the nurse came over to inform, and Wu Xiaofu nodded.
"Director Han, I'm urging you again."
"Second line! What phone are you answering, second line? You're wasting my spit."
"What about here?"
Wu Xiaofu also smiled when he saw Zheng Hua coming in, "Did you die?"
Skull fractures, scalp lacerations, and most likely no other additional injuries to the brain.
Wu Xiaofu asked Zheng Hua to answer the phone, not that Zheng Hua was scolded for him, but there was just a buffer.
The emergency department procedures are correct. Zheng Hua is not on the front line. It doesn’t matter what he does. It doesn’t matter what he listens to. It’s just a show. But Wu Xiaofu is different. If Director Han said that, he would have to explain it carefully. It's nonsense, but this will not be conducive to the relationship between brothers and departments, so this is the only way to do it.
"Look, what time is this?"
Regardless of whether you are angry or not, this operation still needs to be done, and the patient must be responsible to the end. He is just a bowl of rice.
"It doesn't hurt."
Patients in car accidents must be notified in advance. This means that an ambulance is coming back. This is just to give the doctor a mental preparation. Wu Xiaofu does not care and continues to see the patient.
There was no other way, the surgery was still important, so Director Han hung up the phone and rushed to the operating room.
Of course, it is not certain whether the patient is alive enough to come to the hospital.
The patient was knocked out while riding an electric bicycle. Because he was not wearing a helmet, when he landed, the entire left half of his head hit the ground. According to the driver of the accident, he was lucky. After landing, the car behind him was not covered by insurance. He had to stop, otherwise, someone else might be equally responsible for him.
"Doctor Wu, car accident patient."
"one."
Wu Xiaofu stood up, put on surgical examination gloves, and took a look.
The driver who caused the accident was probably frightened by the patient's appearance.
Zheng Hua rolled his eyes immediately and finally remembered to ask him who he was.
"Got it, come right now."
He shook his head and said, "Where are you? They are all brothers in the department, so we must have a good relationship, but brothers also have to settle accounts, so these battles of wits and courage must have happened from time to time, you You’ll get used to it from now on.”
His eyesight is normal, his consciousness is clear, and his answers are fluent. It is most likely just a trauma. Of course, delayed damage cannot be ruled out. For more details, we still need to take a film to see.
Not long after, nurses and family members pushed the patient in with blood on his head.
Zheng Hua grinned, "I guess Director Han said he was tired. Brother Fu, I never confessed to you from the beginning to the end. But has our emergency work always been so difficult?"
"Okay, I know."
Although the emergency clinics are open by call, they are only for mild cases. For example, after a car accident, if it looks more serious, you have to jump in line when it is time to jump in line.
"Does it hurt here?"
Blood pressure, heart rate, electrocardiogram, etc. were all taken in the ambulance. It was a little faster and a little longer, which is normal.
Whoever encounters this kind of thing and can keep his heartbeat and blood pressure stable is definitely a god.
"Cranial CT scan, blood draw, and thrombin test."
clap clap clap!
Zheng Hua quickly opened the film. Although this kid had fat hands, he was still very agile in his movements.
Now that everything was fine except for the brain, Wu Xiaofu continued to give him a full set of examinations without wasting money or medical resources. He secretly praised himself for being so good. After all, these car accident patients were all covered by insurance. , it’s time to check. After this complete set of inspections, he can collect a lot just counting the inspection fees and bonuses.
However, it is really unnecessary, not because I want to save money for insurance, but because I don’t want to increase the workload of colleagues in the imaging department and waste medical resources.
These machines in the First Affiliated Hospital are overloaded almost every day, and sooner or later they have to be used.
Blood is drawn to see if the patient is drunk and whether the inflammatory index is high, and thrombin is drawn to see if the patient has a stress reaction in the digestive tract. This is very common. Some people clearly have no injury to the digestive tract, but due to a sudden When stimulated and the gastrointestinal tract is excessively spasmed, some stress reactions will occur. Ulcers, bleeding, and erosion are possible.
Especially if the pancreas were to have a big attack, Wu Xiaofu might have to leave it here, so for the sake of safety, no one can rest assured if he checks it.
The patient left, and Wu Xiaofu couldn't help but shook his head.
The helmet still needs to be worn. If the patient wears the helmet, the head may not be injured at all.
When the CT scan came out, Wu Xiaofu also smiled. It was just a skull fracture. Isn't this still a disease outside of the gods?
"Hey, Shingai? This is the emergency department."
Neurosurgery, the young man who answered the phone couldn't help but feel his heart tremble when he heard Wu Xiaofu's voice. Here he comes, here he comes again, it's him again.
Because he admitted that patient, he was given a lecture by Director Han just now. He didn't even have a chance to undergo surgery and could only stay in the ward. Now, it was good that Wu Xiaofu's voice appeared again, and he still complained a little about Wu Xiaofu.
But Wu Xiaofu is a teacher. He has just come here, so even if he complains, he can only swallow it in his heart. Ranking based on seniority is still very serious in the hospital. He has just come here, and he doesn't want to give people the impression of being unruly and disrespectful to his seniors.
"Psychiatric surgery."
what!
Wu Xiaofu was even happier. He was an acquaintance. Wu Xiaofu thought that since he had admitted a patient, Director Han would definitely not let him continue to answer the phone. But now it's good that he is still in the ward.
Little did he know that in Director Han's understanding, he had already been taught a lesson, and he had to remember everything, so he would definitely not dare to accept it again.
"It's you, that's easy to say, with a fractured skull."
"No."
"Don't rush to accept it. I've asked for a consultation. You can take a look and decide whether to accept it or not."
Ah!
On the other side of the phone, I was also confused for a while. Don't you want to accept it? While he was relieved, he was also a little embarrassed. Why was he so unstable? They didn't tell him what the situation was. So he couldn't calm down and said he wouldn't give up. He wouldn't let the emergency department laugh. He just wanted to It feels like I only answered two calls today, but the whole working day was dark.
After hanging up the phone and looking around, Corey was the only one left. Director Han went to do the operation and said he had something to do, so he called Director Xiong. Director Xiong was preparing for the class, but he couldn't let Director Xiong come, so he went to have a meeting. Get a diagnosis.
Forget it, let him take a look first. If he can't figure it out, he can ask Director Xiong to come.
Thinking of this, I went straight to the emergency room.
"Brother Fu, won't you let Shenwai take over?"
He shook his head and said, "It must be done by the Shenwai. We don't treat skull fractures. What's more, we don't know if there is a concussion or something. We have to check it out from the Shenwai. However, this patient doesn't want to force it." Extrameningeal hemorrhage is basically not life-threatening, so there is no need to rush. You can just leave it for a consultation before taking it away.
The most important thing is, do you think Shenwai will accept it directly now? "
Shaking his head, Zheng Hua's head was the same as that of a rattle, so why should he accept it? It would be nice to take a look.
"Isn't that right? I have to let the gods take a look. What we are saying is the truth. There is no moisture at all. I said it was just a skull fracture and the condition is stable. They definitely don't believe it. Now I have a look. Hey , it was found that it was really a skull fracture and the condition was stable. Looking at it this way, it seemed how sincere I was. If I let them admit patients in the future, they would have to give me face.
In fact, we didn’t lie about the one above. He can walk and move. Who would have thought that he would be like that after going to Shenwai. "
ah! That's it!
Zheng Hua suddenly discovered that this emergency department is really not just about treating patients, but also treating people.
The knowledge was so great that Zheng Hua originally thought that Wu Xiaofu was technically advanced, but now he discovered that not only his skills had reached the director level, but also his awareness and ability to deal with problems were both high and not low.
"Who called for the external consultation?"
The young man from Shenwai arrived soon. Wu Xiaofu and Zheng Hua were eating rice. When they looked at the visitor, they saw that the young man was quite energetic.
"Zheng Hua, take him to see the patient first."
This is when Ying Tao discovered that the person on the front line of the emergency department today was actually a young man. Is he as big as him? He was still very familiar with Wu Xiaofu's voice. He originally thought it was just that the voice was young, but he didn't expect the person to be so young.
Ying Tao didn't watch the show, but he didn't know Wu Xiaofu's origins. At this moment, he just felt that he was very hopeless. He was obviously a resident doctor. What kind of teacher was he? Why didn't he dare to say a few words to him on the phone?
"Let's go, man."
When the mood came up, Ying Tao was not angry with Zheng Hua.
Zheng Hua has a good temper and doesn't care about anything. He brought Ying Tao to the ward. Ying Tao was also admitted in Zheng Hua's group. The young man had just joined the job and was very attentive. After a physical examination and an examination, he found that he was really an innocent person. The patient's skull was fractured, and the patient's condition was, as Wu Xiaofu said, really good.
Ying Tao also breathed a sigh of relief. As long as he wasn't a difficult patient, it's another matter whether he accepts it or not. At least he didn't have to invite Director Xiong to come over.
Leave the ward.
"Zheng Hua, who is your superior doctor? He doesn't look much older than us."
Ying Tao and Zheng Hua both came in the same batch and did the entrance training together, so naturally they knew each other. Now that they saw that Wu Xiaofu didn't lie to him, they felt a little relieved and asked.
Zheng Hua raised his eyebrows when he heard this.
"Wu Xiaofu, Brother Fu, haven't you heard? We were able to enter the First Affiliated Hospital this time, but it's all thanks to Brother Fu and the others. In the program "Medical Road Offer", Brother Fu was the first to stay in the hospital. Why is he older than us? How much, they are not as good as us at all, but don’t look down on Brother Fu just because he is young.
Brother Fu also took me to perform a liver cancer resection yesterday. This skill is inferior to that of the attending doctor. Otherwise, why do you think Brother Fu would become a resident doctor and start working the long shift? "
ha! He is that Wu Xiaofu!
Ying Tao's heart was agitated. After listening to Zheng Hua's words, Ying Tao felt depressed and conflicted. It was too early to complain. He was really a benefactor. After all, without Wu Xiaofu, there might not have been so many of them entering the First Affiliated Hospital. quota.
When he came to the clinic again, Ying Tao was a little nervous.
"Brother Fu, I saw the patient and it is true that he has a skull fracture and is in good condition."
Wu Xiaofu glanced at Zheng Hua, what did this guy say? He was brainwashed and this was for Ying Tao, so polite!
But that's not important. "Just take a look. Corey has a bed. Just take it."
Ah!
Ying Tao was a little hesitant. Director Han wouldn't let him admit patients.
"No bed?"
"Have."
When he first entered the clinic, the young man was not used to lying. When he replied, Wu Xiaofu nodded, "As long as there is a bed, that's fine. I'll order it. I'll let the patient come up to you later."
Ah!
Ying Tao was a little confused. Did he agree?
Until he walked out of the emergency department, Ying Tao was a little confused. Why did he accept another one?
After the patient was collected, Director Han happened to come back.
Facing Director Han's gaze, Ying Tao's heart couldn't help but beat fast.
"Director, I have admitted another patient."
"What?"
(End of this chapter)
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