Come on, Dr. Wu

Chapter 360 Busy Night Shift

"Children of this age only have a small chance of getting sick, but they are not immune to the disease. We can do further tests. Fortunately, the child's condition is not so irreversible that surgery is possible."

That's right, surgery.

For neuroblastoma, if there is an opportunity for surgery, it should be performed as soon as possible. At that time, the patient's primary lesion is still very localized. After resection, the progression of the disease can be delayed with a high probability, of course, because of the type.

Even if neuroblastoma is removed cleanly, the chance of subsequent recurrence is almost zero, so all treatment methods are aimed at delaying the recurrence of the disease.

Therefore, postoperative adjuvant chemotherapy or other treatment methods are also necessary.

Operation!

Several pediatric doctors looked at each other and were a little hesitant. Although they believed in Wu Xiaofu's technical level, they still felt that further diagnosis was necessary.

"Director Wu, let me discuss it with his family first before deciding."

This is how things work in a hospital. Even when talking to doctors in the same hospital, sometimes you can’t be too direct.

Just like now, Wu Xiaofu also understands the concerns of the director of pediatrics.

After all, this disease is bad news for everyone. There is no gold standard for diagnosis yet. If it is wrong, parents will not let them go so easily.

Therefore, it is necessary to confirm the diagnosis first.

"Okay, if there's any need later, just send me a consultation. I'm leaving."

It's already Thursday, and seeing that another week is about to pass, Jiang Bei and the others are secretly anxious. This week, they have worked very hard, trying their best to complete the tasks assigned by their superiors and mentors every day. Not only that, they are also trying their best to enrich themselves during the little rest time.

To cope with the assessment that will appear on the weekend.

After last week's assessment, they knew that this season's assessment was completely different from the previous ones, and they had to pay more attention. After all, the assessment content was not explained at the beginning, but they were caught off guard, and there was also a case analysis that gave zero points right from the beginning.

Losing their lives once was enough, they would never allow themselves to experience such a thing a second time.

neurosurgery.

Tonight is Fu Yuanhang's night shift. With Fu Yuanhang around, the second-line doctors feel a lot more relaxed. Some small matters are basically left to Fu Yuanhang to handle, such as a patient's dressing falling off or a patient having high blood pressure. These are things that neurosurgery often encounters.

It's just tedious, but not difficult to deal with. After a few days of study, Fu Yuanhang has basically been able to solve them smoothly.

The night shift starts at six o'clock.

At this time, most of the other doctors in the neurosurgery department have not left yet, and some have not returned from surgery. Therefore, during this period of time, if there are patients from various groups coming to him, Fu Yuanhang is not too busy, because each group will handle it on their own.

But things were different starting from around eight or nine o'clock, and doctors from other groups left one after another.

If patients have any problems at this time, they can only come to Fu Yuanhang, the doctor on duty.

Fu Yuanhang slept in the duty room with a small phone in his hand.

Tick ​​bell bell!

When the small phone rang, Fu Yuanhang jumped up subconsciously. To be honest, he was like a spinning top that day and was really tired. Although it was a night shift, he should have been able to rest this afternoon.

But that's just what we say.

It was almost five o'clock when he finished handling admissions and discharges, completing medical records, changing dressings, etc. After eating, it was time for the night shift. Fu Yuanhang was more or less exhausted physically and mentally at this time, but there was no other way; he had to make the night shift perfect.

He dropped another place in last week's assessment, but he made up for it this week.

At around eight or nine o'clock, he thought about lying down for a while. After all, the second half of the night was the peak period. However, he was really overthinking it. The peak period came early.

"Doctor Fu, the dressing on bed nine is soaked."

Patient nine had surgery today. The skull was opened and the dressing was soaked, which means there was severe bleeding. He had to change the dressing for sure. While changing the dressing, we also had to check the condition of the wound to see if there were any ruptured small blood vessels, or if the wound was cracked, or if the sutures were loose.

If it's just simple bleeding, it's easy to solve.

However, changing the dressing on the brain is more troublesome than that in other departments. It takes at least ten minutes to prepare things, change the dressing, and handle medical supplies.

And this was not over yet, the little phone in my pocket rang again.

Fu Yuanhang didn't bother to answer the phone and shouted directly to the outside, "I'm in ward number three, what's going on?"

"Bed number seventeen needs sleeping pills."

Sleeping pills!
This one is not urgent and can wait, "Okay, let the patient wait, I will prescribe medicine for him after I finish this."

After changing the dressing, Fu Yuanhang went straight to the medical office, where the patient's family was already waiting for him.

"Auntie, I'll prescribe it for you now. Just go back and the nurse will bring the sleeping pills back and give them to you."

Although she is called an old lady, she is actually around 70 years old. The person in the hospital is her husband, who is about the same age. Well, this is the current situation in the hospital. The old man accompanies the old lady, and the old lady accompanies the old man. Fortunately, the old lady has a good hearing and communication is not difficult.

"Okay, thank you, doctor. Remember to prescribe four pills for me."

Four pieces!

Fu Yuanhang was stunned when he heard this, and hurriedly called the old lady, "Auntie, you can't take too many sleeping pills. Four pills will cause problems. You can only take two at most. And if one pill doesn't work, you can take more later."

"That's right, two for the old man and two for me."

Ah!
Fu Yuanhang felt even more helpless when he heard this. "Auntie, I can only prescribe two pills for you. I can't prescribe both for you."

"Then what should I do? I can't sleep without taking medicine."

This!
Fu Yuanhang didn't know how to explain for a moment. Sleeping pills are prescription drugs and are strictly controlled by the pharmacy department. In fact, he had to call to ask for two pills. However, for an old man of such an old age, he needed to take two pills to fall asleep, and there were plenty of them, so he just followed the procedure and asked.

But if you prescribe four tablets, the pharmacy department will not allow it. What are you trying to do? Although these four tablets are not enough to kill someone, it is definitely a wrong dose.

Even if there was nothing wrong with the patient, Fu Yuanhang would definitely be fined. Fining him would be okay, but now Fu Yuanhang is on duty with the second-line doctor and using the second-line number. The fine will be for the second-line doctors, and he may have other responsibilities to bear.

Therefore, Fu Yuanhang absolutely cannot violate the hospital's rules and prescribe this medicine without authorization.

However, what the old lady said was not wrong. If she was not allowed to take medicine, she would not be able to sleep, which would also be a problem. After all, she is so old, and if she doesn't sleep for one night, she will be two patients tomorrow.

I have a headache.

As for asking the old lady to go out to buy medicine, that was even more impossible. It was late at night, and she was afraid that something might happen if she walked a few more steps, let alone buying medicine. Even if she was asked to go to the emergency room to get medicine, it would not work. Fu Yuanhang had no choice but to go to the nurse's station to ask the nurse if there was any spare Valium.

Generally speaking, the nurses' station has backup safety devices to deal with situations like this. Moreover, some nurses have sleep disorders themselves. After all, they work long night shifts and their nerves are weakened. After asking, it turned out that they did have sleep disorders.

Fu Yuanhang gave the old lady a pill, but he couldn't just let it go. He had to see the old lady swallow the pill with his own eyes. Only then would the matter be over. After all, if this pill caused any trouble, Fu Yuanhang would be the first person responsible.

It is better to be prepared. Fu Yuanhang doesn't want to make any more mistakes.

Moreover, Fu Yuanhang also told the old lady to go and get her own medicine during the day, and from now on, the ward could only prescribe medicine for the patients, and her medicine would not be provided.

As a result, the old lady's words before she left almost made Fu Yuanhang become autistic.

"Then from now on, only the old man can eat one. One for each of us, and each of us sleeps for half the night."

This is just the beginning.

Neurosurgery patients have another characteristic, which is that they are noisy.

In the first half of the night, before midnight, it was actually really okay. Fu Yuanhang would basically finish one or a few things and then lie down on the bed, and then he would call again after a minute or a few minutes.

But the second half of the night was different.

"Doctor Fu, something bad has happened. A patient has had his tube removed."

Many neurosurgery patients have impaired consciousness, either due to illness or temporarily unable to recover after surgery. Such patients often need to be restrained with restraints because they cannot adapt to physical discomfort, such as indwelling tubes.

If one is not careful, the tubes on the body may be pulled out. Normally, such patients should be restrained with restraints, but some family members feel sorry for them and release them. However, after the release, if supervision is not in place, such situations may occur.

There was no other way, so Fu Yuanhang rushed to the ward again. The patient's family members tried hard to persuade the patient not to make a fuss. Of course, there was almost no effect. After all, the patient had impaired consciousness and could not understand what they said at all.

"Put on the restraints and re-tie them."

The nurse called Fu Yuanhang over, mainly to determine whether the patient would suffer other injuries, to determine the patient's current condition and whether he was in danger, and then to re-apply the restraint belt, which also required medical advice.

Tick ​​bell bell!

Before Fu Yuanhang could write a doctor's order, the phone rang again.

"Doctor Fu, the patient in bed 37 has a low heart rate."

what!
The condition of the patient in bed 37 appeared in Fu Yuanhang's mind. The basic ethics of the night shift is to grasp the conditions of all patients in the hospital so as to be able to judge the patient's condition as soon as the patient develops any problem.

This is a patient who underwent brain tumor surgery. It has been three days and the patient has woken up and is recovering well. How could such a condition suddenly occur?

Fu Yuanhang rushed over while calling the second-line doctor.

This kind of situation is basically a critical illness that he is not able to handle at all, and may require emergency treatment.

In fact, this is indeed the case. When we arrived at the ward, we saw that the patients' pupils had begun to dilate.

Fu Yuanhang started the rescue immediately, and the second-line doctor also arrived quickly. After all, he was experienced, and he immediately started a series of medication and rescue.

For a moment, all kinds of noises rang out in the entire ward.

The sound of machines, people's roars, the voice of doctors giving medical advice, the crying of family members, etc., all come together to make people feel upset and panic at the same time.

Rescue is never an easy task.

The entire rescue process lasted for two or three hours, but as the line on the monitor straightened, these two or three hours of efforts ended in failure.

Fu Yuanhang was also in a bad mood at this time. Although it was not the first time he saw a patient die, the situation this time was different. After all, it was in his own class. Fu Yuanhang always had a feeling that the death of this patient might be related to him.

After all, if he could have discovered something wrong with the patient in advance, perhaps the patient could have been saved.

"Okay, this is the characteristic of our department. The possibility of this patient having this condition after surgery is already quite high. We have explained this to the family before. No one wants to see such a result, but we can only accept it and continue working."

The second-line doctor gave Fu Yuanhang some advice and then started to work. A death occurring during the night shift basically meant that he would not be able to sleep that night.

Supplementing medical instructions, supplementing death records, improving medical records, supplementing rescue records, etc., all of these need to be done at night, because after six hours, these will be sealed. If they move them again after six hours, it will be considered tampering with medical records.

If the patient's family sues them, they will lose the case.

So, every second counts.

While Fu Yuanhang was helping the second-line doctors with these tasks, there were many small things that accumulated during the two or three hours of the rescue process, and Fu Yuanhang had to find time to deal with them.

At a certain moment, Fu Yuanhang began to feel dizzy, his limbs weak, as if his body had been hollowed out.

But there is no choice but to force myself to work.

In the second half of the night, he was destined not to be able to get close to the bed again. Until the director came at 7:30, Fu Yuanhang was still busy.

The two dark circles are really obvious.

"Xiao Fu, how is it? Is the intensity of the night shift in neurosurgery all right?"

The person who spoke was Lin Dongping. Fu Yuanhang was startled when he saw that it was Lin Dongping. He was a little sleepy at first, but now he was also startled.

"so far so good."

It must be okay. Fu Yuanhang has been here for so many days, and he knows that not only he has this level of skill, but all neurosurgeons have basically this level of skill. If he can't say it's okay, he will have to give up this profession.

"That's fine, you keep busy."

Fu Yuanhang was relieved when he watched Lin Dongping leave. The most heartwarming moment of the day for Fu Yuanhang was probably when Chao Yuan brought breakfast and let Fu Yuanhang eat first while he worked for Fu Yuanhang.

Dear!

brothers!

At this moment, this is how Fu Yuanhang felt in his heart.

Of course, it's not just Fu Yuanhang who has a hard time working the night shift. Each subject has its own characteristics. Perhaps Fu Yuanhang is the busiest among the people working the night shift, but the others are not much better off.

Take Chao Yuan for example. He was on night shift on Tuesday and he hardly slept that night.

(End of this chapter)