Come on, Dr. Wu

Chapter 339 The newcomer is here
Peng Xia has this kind of personality. He behaves one way in front of people he likes, and behaves another way in front of people he doesn't like.

Well, as for how he behaves in front of people he dislikes, how should I put it? It’s the kind of person who doesn’t want to waste even a minute. So, some people say that sometimes when Peng Xia talks to him, he ignores her, and that’s because of this.

As time goes by, Peng Xia seems to be less and less willing to waste even a little time. That is, when it comes to Wu Xiaofu, Peng Xia can unconditionally obey some time-wasting things, such as taking care of Cheng Shi and Jiang Bei.

After so long, anyone who has seen Wu Xiaofu, or competed with Wu Xiaofu on the same stage and witnessed how powerful Wu Xiaofu is, basically no longer wants to compete with Wu Xiaofu, let alone become someone like Wu Xiaofu, or even more powerful than Wu Xiaofu.

But Peng Xia was different. He was always catching up. Even though Wu Xiaofu's progress was so fast that it made people despair, he never gave up. He just used all his efforts and never gave up. He used all his available time to improve his abilities and techniques.

I don’t seek to surpass Wu Xiaofu, I just seek to get closer to him.

Of the four major punctures, abdominal puncture is probably the simplest one. Jiang Bei is a graduate with a master's degree and a doctorate, so it's not that she doesn't know how to do abdominal puncture. Of course, most people, even if they know how to do it, might tremble in the face of so many people's gazes, especially with Peng Xia giving them the opportunity.

But Jiang Bei was born with a big heart, and her hand tremors did not exist at all. She just started the abdominal puncture step by step.

"Brother? Give me one thousand?"

The patient has severe liver cirrhosis and severe ascites. His entire abdomen is swollen, no smaller than the belly of a pregnant woman in her ten months of pregnancy. So much ascites in the abdomen will greatly affect the patient's health and quality of life. Therefore, patients with liver cirrhosis and ascites need intermittent abdominal drainage.

The patient underwent abdominal puncture this time, on the one hand for abdominal puncture fluid examination, and on the other hand for abdominal drainage.

When asking this question, Jiang Bei actually felt a little ashamed. In fact, they had been here for more than a day and should have a grasp of the conditions of all the patients in the department. This patient was previously taken care of by Peng Xia, so they didn't need to write the medical records or anything like that.

Therefore, there was no mention of this patient in the medical records they wrote overtime yesterday. Therefore, apart from some information they heard during the morning rounds, they did not have a very detailed understanding of the patient's condition.

Therefore, the traffic diversion she proposed now can only be done according to conventional methods.

Routine abdominal drainage generally cannot exceed 1000 ml at a time. Of course, the specific decision should be made based on the actual condition of the patient.

During abdominal puncture and abdominal drainage surgery, the amount of abdominal fluid extracted cannot exceed 1000 ml. This is because if too much is drained, it is likely to cause the pressure in the abdominal cavity to drop, causing the patient to experience uncomfortable symptoms such as nausea, vomiting and abdominal distension, and in severe cases it may even induce hepatic encephalopathy.

The ascites in the patient's abdominal cavity does not increase in one day, but increases slowly over time. During this period of time, the pressure in the patient's abdominal cavity gradually becomes constant. Extracting fluid is actually a process that destroys the constant pressure. Therefore, when extracting fluid, try to minimize the risk.

Whoa, whoa, whoa!
Before Peng Xia could answer, the patient began to cough and his face turned pale.

Jiang Bei and Cheng Shi were also nervous when they saw this situation, because this might be caused by puncture. If the puncture site was wrong, or if there was damage somewhere, it might cause problems with the respiratory system.

Peng Xia looked calm, "Don't worry, just keep pumping the fluid, it's only a thousand."

Jiang Bei felt relieved after hearing what Peng Xia said. After all, if her puncture caused any problems to the patient, she didn't know what she would do.

Continuing to draw the fluid, Jiang Bei was obviously more alert and careful. She did not rush to draw the fluid too quickly, but deliberately slowed down the process. Peng Xia looked at Jiang Bei and nodded.

He had just discovered that Jiang Bei's operation was obviously too hasty. He didn't know if it was because of her temperament or because she was eager to show off. However, this situation was definitely not suitable for this operation, because when drawing fluid, one had to observe the patient's condition while drawing fluid. Once the patient showed any discomfort, stop immediately.

Thinking about it this way, it was just right for the patient to cough twice.

The reason why Peng Xia was not worried about the patient's cough was that the patient himself had respiratory diseases. When he was admitted to the hospital, he had symptoms of coughing and sputum. There has been some improvement in the past two days. The patient's condition just now also occurred a few days ago.

As Jiang Bei continued to draw fluid, the patient's breathing became noticeably smoother and he seemed to be much more relaxed.

This is also a benefit of ascites aspiration, because ascites itself is a process that generates pressure for patients. After extracting a part of the ascites, the patient's stress can be reduced and they can relax a lot.

"All right."

Jiang Bei held the thread worth one thousand yuan and quickly finished the operation. Peng Xia nodded again, explained something to the patient, and left with the two of them.

"During the puncture, you should pay more attention to the patient's expression and reaction, and you can also communicate with the patient. For example, this type of patient has a strong endurance due to long-term illness. If you tell them before the operation that they are in pain, they may not take it seriously.

Because the pain they usually feel may be much greater than the pain you experience during puncture and drainage, they think it will pass if they just endure it, so they won't tell you, let alone ask for anything. But you cannot ignore these small reactions, because this may be the beginning of some complications.

You have to always observe their reactions and expressions, and once this happens, you should take the initiative to ask, and then they will tell you. "

Jiang Bei and Cheng Shi quickly agreed. When Jiang Bei was doing the puncture and taking fluid, she was so focused on the patient's cough that she actually forgot about it. But now that Peng Xia reminded her, she remembered it clearly.

This is the benefit of teachers teaching. On the one hand, it is teaching students, and on the other hand, it is also helping students to find and fill in their gaps. Just like the situation just now, if the patient really has something wrong and Jiang Bei and Cheng Shi can't notice it, Peng Xia can take action in time.

Today is Tuesday, and it is also the second day that Jiang Bei and Cheng Shi have entered the department.

Peng Xia was on duty today, and Wu Xiaofu, as Peng Xia's superior physician, was on duty. However, Wu Xiaofu had a surgery scheduled for the day, and during the morning rounds, he had already agreed to take Feng Lingling with him for the surgery.

Jiang Bei and Cheng Shi originally thought they could get a job as assistants, but it turned out that Wu Xiaofu didn't even take them into the operating room. It seemed that yesterday was just their lucky day.
In fact, it was not that Wu Xiaofu did not take them to the surgery, but if he took them, the department would have two less laborers. Feng Lingling would follow him to perform the surgery, Yuna had just finished the night shift and also needed to rest, Deng Yimin had to follow Zhang Xuewen to the outpatient clinic, and Lu Xu and Chen Zhendong had another set of operations to perform.

There are only a few Miao people in total, and there is so much work to do in the ward, so someone must be needed to do it.

If Jiang Bei and Cheng Shi hadn't come, Yuna would have continued working after her night shift, while Feng Lingling would have continued working overtime after surgery, or Peng Xia would have been so tired that she would have worked for them without much effort.

Now that they have someone, Jiang Bei and Cheng Shi will definitely make full use of him.

Anyway, it's just some simple work. I can rest assured if I give it to the two of them and have Peng Xia leading the way.

Writing medical records, issuing medical orders, handling discharges, admissions, changing dressings, or some simple operations, etc.

Although these things are basic and simple, they are trivial. With the current hospitalization rate in District F, it would take two people at least a whole morning to handle them, and in the afternoon, there would be other things waiting for them. It can be seen that District F is really short of people. Before, one person was used to replace several people. People like Jiang Bei and Cheng Shi, who had just started their jobs, wanted to be split into several pieces.

Fortunately, Yu Shifu was quite reliable, and the new medical staff arrived in place very quickly.

Thursday.

The hospital's newly recruited graduate students, regular trainees, interns, and continuing education students have finally completed their pre-job training and joined the departments.

Yu Shifu did not break his promise and directly arranged fifteen doctors and twenty nurses for Area F.

Now Corey's problems can be sorted out.

There are three groups of fifteen doctors, and five in each group is just right. This frees Jiang Bei and Cheng Shi up, but Jiang Bei and Cheng Shi don't feel very good now, because these people are probably here to steal their jobs.

Surgery was difficult before, and it may only be more difficult in the future.

There are fifteen doctors, five of whom are residents in training, five are continuing education students, one is a graduate student, and one is an intern.

That graduate student was a master's student recruited by Duan Hao this year. He could start transferring departments, so Yu Shifu simply placed him here with Wu Xiaofu. For new graduate students like this, the emergency department would generally not be the first choice for transfer.

Because the emergency department is the kind of department that is used as is, there is no room for trial and error and no time for growth.

Those who have just entered the department have not learned many skills and make all kinds of mistakes after entering the emergency department.

Therefore, you should first focus on internal medicine or surgery to grow and learn some skills. Then when you enter the emergency department, you will not be completely clueless and will be able to handle any tasks assigned to you.

Otherwise, do you think Duan Hao would agree to let Wu Xiaofu use his graduate students? Brothers should settle accounts clearly.

Wu Xiaofu is no longer the same person who just entered the department and needs to be pampered and cared for. Duan Hao has already begun to think about letting Wu Xiaofu repay his kindness. Your senior brother loved you so much before, you can't just not think about giving something back.

Don't ask for too much. Just ask the doctors in your department to get a few over to use. If other departments are unwilling to accept the emergency department's patients, you can accept more of them.

Anyway, the emergency department has a plan, so you have to take care of it.

In fact, among the fifteen doctors, the most useful ones are the five interns. The five interns are all attending physicians. They all have good abilities. Maybe they are not as good as other attending physicians in the department, but they have absolutely no problem with daily work such as being on duty, admitting patients and performing surgery.

Then there are five interns. They have just entered the hospital and will spend three years in regular training. After pre-job training, they should be prepared to work like slaves, so the hardest and most tiring work in the department can be given to them.

Unlike trainees who spend money to learn skills, the department needs to take their thoughts and emotions into consideration. Whether the trainees can graduate, succeed in the training, and learn some skills are all controlled by the department. It is equivalent to handing over their lifeblood to the First Affiliated Hospital from the moment of the training.

You can control him however you want.

Of course, the reality is certainly not so cruel, but in a department, no one is willing to do those trivial and troublesome tasks, so I'm afraid they will have to be left to them later.

Moreover, among these trainees, some are not just graduates from undergraduate programs or are undergoing regular training for master's programs. Some of them have been working for several years and need regular training to be promoted to professional titles. These people who have work experience basically have certificates, and you can actually use them in the same way as those trainees, and even better.

That graduate student was our own, with training as the main focus and work as a secondary responsibility. Later on, he was basically personally led by Wu Xiaofu or doctors from other departments, and finally there were four interns.

The First Affiliated Hospital is a teaching hospital and is responsible for teaching tasks. These four interns are all fifth-year interns from Tunghai Medical University. Basically, they are preparing for postgraduate entrance examinations, so don't expect them to do too much work for you.

They basically slack off at work, or don't come at all and find a place to study directly.

Even if you want him to do it, maybe someone will call Wu Xiaofu in the next few days, saying that it is because of their relationship, and ask you to lighten the internship tasks to give them more time to study.

Doctors in the hospital all say that a good internship will help with postgraduate entrance exams, but the fact is, the fact is, for every extra day you work in the hospital, you have less time to study, and you have less hope of succeeding in the postgraduate entrance exams.

They are all clinical medicine students of Tunghai Medical University. Except for those who want to change their major, the rest have to take the postgraduate entrance examination.

So, don't expect these people to work.

In fact, there were only ten people who were brought in to do the work.

When allocating interns to the three groups, they must also be distinguished so that no group has too many or too few interns.

Wu Xiaofu didn't accept all of them. He only accepted one in further study, one in regular training, the graduate student and two interns.

Having Jiang Bei and Cheng Shi is actually enough.

Jiang Bei and Cheng Shi have had an extremely fulfilling past two days. They had endless medical records to write, endless dressings to change, endless patients to see, and so much more to do. It's a little better now that there are people sharing the work. Since these people have just arrived, these old hands can actually act as half-teachers and teach them the procedures, which gives them a sense of accomplishment.

Just looking at You Zhiyi beside them, the two of them felt a sense of crisis.

The eldest brother's junior fellow, a top student who is studying for both undergraduate and master's degrees at Tunghai Medical University, was chosen by Wu Xiaofu to follow him when he arrived. He is taken with him wherever he goes. This shows that he is trying to steal their favor, so we must be careful.

Especially since this boy has the face of a harmless, well-behaved little boy. He has been here for less than half a day, but all the female doctors and nurses in the department like him very much.

An extremely dangerous guy.

Cheng Shi and Jiang Bei looked at each other. At this moment, they formed a united front and faced the outside world together.

(End of this chapter)