Lin Gao Qiming

Chapter 2827 Ward Round

"You're right." Ding Ding couldn't help but feel a little frustrated.

"My personal opinion is that you need to cooperate with various departments, but you still have to rely on the resources of your own unit..." He waved his hand, indicating not to interrupt him, "I know, you want to say it again You are just a writer and have no resources. In fact, your resources are not small. You have our mouthpiece, how can you say you have no resources? "

"That's what I say, but the power to decide the propaganda policy is not in my hands." Ding Ding also said honestly and politely, "Everyone criticizes me as Goebbels, but in fact I am not the propaganda minister. What reports should I publish continuously? No one can make the decision, everything has to be decided at a meeting of the Senate..."

"You can't say that." Ma Qianzhu habitually extended his tone, "Newspapers and magazines, these are gold mines. You have to explore their potential value. I think many departments and institutions also hope that their work can be understood by everyone. Discovered and understood…”

If one were to select the most respected elder among elders, Shi Niaoren would definitely be in a second-tier position. Feudal superstitious titles such as miracle doctor, medicine king, and medical fairy could no longer describe his status. According to his ambition, the prefixes of all treatments in the "Australian Medicine" textbooks can be replaced with his name. Of course, this is impossible. At least half of the naming rights must be given to other veterans who feed the animals.

At this time, it was Shi Niaoren's weekly time, which was also the time for ward rounds in the inpatient department of Bairen General Hospital. Since this system was established, the elders who feed the animals have secretly called it "the time when the elders come to court."

Dr. Shi did not realize at first that his grand rounds had such significance. Later, the health department and Bairen General Hospital expanded day by day, and the number of medical staff increased day by day. With the intentional or unintentional involvement of many naturalized medical staff, this kind of ward rounds became more and more ritualistic.

The ward round every Monday morning begins as usual with Zhang Ziyi, Director of the Nursing Department and Chief Nurse of Lingao General Hospital, shouting: "Dean Shi's ward round!"

Following this shout, all the wards immediately fell into a sense of silent tension. The head nurses of each ward, the nurses on duty, and the doctors in the inpatient department immediately arranged their appearance, separated on the left and right, and stood in the corridor in an orderly manner according to education, seniority, and hierarchy.

As the elevator door on the fifth floor of the inpatient department slowly opened - in order to meet the requirements for patient transfer, the newly built inpatient department building of Bairen General Hospital is also equipped with an elevator. Shi Niaoren's not tall figure appeared at the top of the corridor. Fu Qiliang and other senior doctors immediately gathered around and greeted him affectionately or familiarly: "Good morning, Dean!" In the hospital, everyone still prefers to use the title of Dean rather than Minister. After all, this title seems more warm and has the meaning of "one of our own".

When the time came, Niao Ren exchanged greetings with the veteran doctors and began his rounds along the corridor. Dozens of naturalized doctors and a larger number of female nurses standing tremblingly on both sides of the corridor bowed together to welcome the veteran doctor into the ward. This kind of scene always reminded Shi Niaoren of the emperor's journey in the costume movies, and he never tired of it.

In fact, he just casually looked at the wards during rounds. As far as his profession is concerned, Shi Niaoren is not very authoritative in general hospital departments such as surgery and internal medicine, because his specialty is "infectious diseases", but he was the oldest at the time, and he had the University of Pennsylvania (Penn) above his head. Lehrman's medical doctorate degree was also really good, and he was able to convince the public to take the position of health department boss.

Of course, under the training of high-intensity work over the years, Dr. Shi's clinical experience has also skyrocketed. However, due to objective material conditions, many diseases cannot yet be treated. This made him somewhat regretful, but in the field of infectious diseases, Dr. Shi had become much more professional. If his mentor had traveled through time, he would most likely feel inferior.

The key department for today's ward rounds is the "War Injury Ward". Originally, there was no such a subject in the health clinic. It was not until the mainland strategy was launched and the number of wounded increased sharply that this subject was added at the strong suggestion of the veteran doctors on the front line.

The war casualty department of Bairen General Hospital is not large in scale, because the largest and most professional counterpart hospital under this system is located in the Army General Hospital in Ma Niao. Bairen is mainly research-oriented. The role is played by Fu Qiliang, who has returned from the front line.

Today in the doctor's classroom on duty, Fu Qiliang was about to give a lecture to the doctors who were trained. This is also a great invention of the Senate Health System. After all, the training time of their own trained doctors is too short, and there are too many gaps, so they can only take this path of "learning while working".

Although Dean Shi was not very interested in this department, he still had to come to the scene in person out of the responsibility of the dean.

The classroom was full of people, each one holding their breath.

"Let's take a look at this case." Fu Qiliang changed a transparent film on the slide projector. This slide projector was produced by the optical equipment factory itself to replace the projector that could not be produced in-house. The structure of this thing is very simple. It is essentially a big light bulb and a set of lenses. The biggest advantage is that the consumables can be produced by oneself.

The cases and photos are developed on the glass slides using photography. As for the text and images, it is even simpler. They can be directly drawn by hand. A well-made set of slides can last ten or twenty years.

"Injury No. 11, a 17-year-old male, was shot in the chest. The shrapnel entered from above the sternum, causing a penetrating injury to the neck. He was rushed to a field hospital for treatment after emergency hemostasis. X-rays cannot be taken under field conditions. This is his surgery. According to the inspection results, please tell me how to judge the condition of the injured person and how to treat and care for him? "

After a while of whispers, some of the naturalized doctors began to raise their hands to speak.

"The carotid artery was not injured, otherwise we would not have been able to survive in the field hospital..." "Because there was no suffocation, the trachea should not be injured..."

"The criterion is whether there is blood spraying out when breathing..."

"I will also cough violently..."

"Clean the area and remove foreign matter to avoid blocking the respiratory tract..."

Fu Qiliang felt both gratified and depressed. What was gratifying was that the planned training of civilian doctors still had a certain effect. Especially after experiencing several battlefield rescues, the treatment plan he was given was very similar. At a glance, he knew that he had encountered similar situations. of injury. What’s depressing is that most people still know this but don’t know why. They can’t think about the tissues here and the possible injuries from an anatomical perspective, and then put forward troubleshooting ideas in a structured way.

Fu Qiliang shook his head slightly and had to start from the basics. He moved the human anatomy wall chart to the middle of the blackboard, picked up a pointer and tapped on the blackboard: "Who can tell me what organs are in this part?".

There were whispers for a while. Fu Qiliang was driven crazy by Guihuamin doctors' fear of speaking. Sometimes they knew the answer but didn't dare come out to answer the question, but they always liked to communicate in private. Under Fu Qiliang's encouraging gaze and his face getting darker and darker, someone finally raised his hand: "Vessels, trachea and esophagus."

"Very good." Fu Qiliang encouraged appropriately, "Theoretically, if a shrapnel passes through, these three organs may be injured. We need to judge them in order of importance. As we have just said, blood vessel damage can cause massive bleeding. Tracheal injury can cause suffocation. This case happened to be the third type of esophageal injury, so the injured was able to walk on the road for two days and was evacuated from Guilin. Now that the injury has been determined, can anyone tell me the treatment plan?

"Double-layer inverted suture..." This time someone quickly raised their hand to answer.

"A drainage tube should be placed if possible..."

"Injuries on the battlefield are usually not just simple cuts, but may need to be expanded and repaired..."

"Clean up foreign objects under the skin, pay attention to shrapnel, soil, residual tissue, first-aid gauze and other foreign objects that can easily enter the wound..."

Fu Qiliang nodded. As long as the theoretical part is solved, the rich clinical experience of some naturalized doctors who have been on the battlefield will come into play. This kind of clinical experience is very valuable, and "introducing the new with the old" largely relies on this group of doctors who know what is happening but don't know why.

"In this case, the injured patient arrived in Zhaoqing and underwent esophageal suture surgery as soon as possible. Now, what kind of nursing work should be done after the operation?" Fu Qiliang turned his attention to the nurses again.

"Change dressings in time, pay attention to changes in body temperature, and pay attention to the detection of postoperative infections..."

"You should be fasting..."

The nurse girls are much bolder than the doctors. The work of caring for patients every day has made their personalities much more aggressive. In addition, the appearance of the elder Fu Qiliang is also pretty good, second only to Dr. Hippo who went to Sanya. Doctor Hippo’s main wife is a nurse like them, so...

Fu Qiliang smiled and expressed his gratitude to the nurses for their answers and scorching eyes.

"After esophageal injury, once esophageal leakage occurs, strongly irritated gastric contents, oral secretions containing bacteria, and food will quickly enter the mediastinum through the breach, causing severe mediastinal infection, and because the mediastinum is loose The connective tissue, coupled with the negative pressure and the pulsation of the heart and blood vessels, can easily cause inflammation to spread rapidly, and even erode and penetrate the pleura into the chest... In short, the consequences are very serious. Therefore, such injured people should remain in a sitting position, without eating or drinking. , Reduce the risk of esophageal leakage.”

"The wounded man did not survive in the end. Although he had taken sulfonamide anti-inflammatory drugs, he died of severe purulent mediastinitis. I did not have time to do an autopsy to find out the cause, but through questioning, it was basically determined that the main reason was The infection caused by the wounded man's diet on the hospital ship had already caused mediastinitis before the operation. Unfortunately, this young man survived the Ming army's artillery fire, but died on the grass rations. I want everyone to remember this lesson. live."