Doctor Started a Plug-in
Chapter 86
This is Li Baoshan''s attempt!
Qin Yue''s work is scientific research.
If every doctor has to engage in both scientific research and clinical practice, he is fundamentally divided and lack of skills.
He asked Qin Yue to leave the ward. At the same time of the operation, he summarized the operation data and operation methods to improve the scientific research ability of emergency, which Li Baoshan has always wanted to do.
With the progress of the times, scientific research and clinical must be combined!
This drastic measure can be said to be a major reform of the emergency department of the second provincial hospital!
The biggest change in this personnel transfer is Chen Cang, who has become the backbone of emergency treatment.
Wang Yong''s work is intuitive and clear. To put it bluntly, Chen Cang and Wang Qian''s previous work is to write medical records and manage patients
Chen Cang changed and became a superior doctor!
But he became Chen Cang''s subordinate doctor
A handful of bitter tears, Wang Yong sighed.
Even they are not as good as Chen Cang. After all, they used to be good. The superior doctors are at least senior doctors with good level and skills, and they... Write medical records for Chen Cang and do chores. To tell the truth, Wang Yong is really oppressed!
No matter how bad he is, he doesn''t want to be reduced to this point.
Wang Yong is not only afraid of hardship and humiliation, but also afraid of no hope.
How much better can Chen Cang be?
How much can you learn from Chen Cang?
He knows that Chen Cang has some ability and is stronger than himself, but this strength is limited and will not exceed himself too much.
How much can you change yourself with Chen Cang?
Too limited!
But this is life. You have no ability and can only be controlled.
If you want to stay in the second provincial court, you have to obey the arrangement.
At this time, Wang Yong has even shaken his mind to stay in the second provincial hospital. After all, he can''t learn much with Chen Cang. Keeping it is just a waste of youth.
If you can make a contract here, or if you are still a temporary worker this time, Wang Yong decided to leave.
Hey
Who can give up in two or three years?
In fact, Li Baoshan didn''t target anyone. It was just a reasonable arrangement. He made some redistribution according to the expertise of different people. In fact, Chen Cang wanted to use it for special surgery, but with reference to Chen Bingsheng''s words, he also felt that young people still had to see more and experience more before comprehensively considering letting Wang Yong follow Chen Cang.
As a temporary worker, Wang Yong is most suitable to do chores for Chen Cang.
Qin Yue is also quite satisfied with her work!
After all, I only need to do surgery, statistics and write articles in the future. The clinical pressure is much less and the scientific research pressure is increased.
But... Scientific research work, this may be the easiest place for the whole emergency department to make achievements.
Qin Yue is also very satisfied!
The only dissatisfaction is... I have to fight Chen Cang!
Personnel transfer should be completed within three days. Wang Yong is the person with the most emotions and opinions in his heart.
Others have basically improved.
An Yanjun became the person in charge outside the hands of the future, Chen Bingsheng became the person in charge of emergency gastrointestinal surgery, Shi Na became the head of the inpatient, Wang Qian and Chen Cang had the right to prescribe, and Qin Yue became a scientific researcher and surgical staff.
……
……
Chen Cang got busy all of a sudden. He had to collect and deal with patients independently, have to go to surgery and write medical records.
Wang Yong is a little slack. After all, there is a big gap in his heart. The same group of personnel have become their superiors and are unhappy with anyone, not to mention these young guys in their twenties.
Chen Cang doesn''t have time to comfort Wang Yong. The emergency department is not a kindergarten. You are in a mood after crying. I''ll give you a lollipop to comfort you
On Wednesday afternoon, a patient came to the emergency department and gave a blow to this group of young doctors who had just taken office!
It was a fine afternoon in August. As soon as Chen canggang came out of the operating room, he heard a burst of noise outside.
Another patient?
Chen Cang saw a couple stumble in through the glass, followed by a bald fat man more than one meter and sweating.
The man helped the woman. The woman obviously had a vague consciousness and lay limply in the man''s arms. They staggered around like they were drunk.
Seeing this, Tian Xianglan, the nurse station, hurriedly asked the nurse to push the car and helped the woman up. At this time, Wang Yong hurried out and pushed the rescue room together.
Chen Cang is no longer the original little assistant. In this case, he has to deal with patients independently!
Chen Cang said to nurse Xiao Lin, "go to the monitor and measure your blood pressure and heart rate."
After saying that, he put his hand on the woman''s wrist. Suddenly, a cold pulse came. His pulse was weak and his palm was cold.
At this time, the woman''s eyes were closed and her face was pale. The whole person seemed very serious.
At this time, the man who helped the woman in pulled the fat man''s arm and shouted, "you can''t go! We''ll have dinner in your house. You can''t go. I''ll call the police!"
The man is thin and not tall. He looks honest and makes people feel weak at a glance.
The fat man touched his sweat and said, "where am I going? I''ll go to the bathroom. It''s all coming to the hospital. Let me go first!"
The little man held the fat man''s arm in a loud voice: "no! No, I can''t let you go!"
Chen Cang came out at this time and asked the man, "who is the family?"
The little man pulled the fat man over: "I am!"
Chen Cang nodded without thinking too much and asked about the basic situation.
The thin man was pitiful and had tears in his eyes: "my wife didn''t faint at the beginning. After eating at his house yesterday, she began to vomit and vomited endlessly. Then she was a little vague and unresponsive. It was his restaurant! I didn''t expect to faint today..."
The thin man couldn''t stop emphasizing the matter after eating in his house, and combined with all the performance, all the clues seemed to be moving closer to the direction of food poisoning.
Chen Cang frowned and thought about the reason. At this time, Wang Yong also came over. When he saw the patient, he immediately stared at Chen Cang and couldn''t help winking at him.
Chen Cang is busy thinking about the patient''s condition at this time. Where can he take care of Wang Yong.
Generally speaking, in case of coma, we should first consider several aspects, the first is intracranial lesions, the second is metabolic encephalopathy, and the third is toxic encephalopathy.
Check it first!
The woman was not old, only about twenty or thirty. Chen Cang asked, "does she usually have any disease?"
The man shook his head: "no! It''s just that after eating at his house, he went home to sleep and got up like this!"
At this time, the monitoring data has come out, HR: 120min, BP: 9655mmhg, SpO2: 99% (medium flow oxygen inhalation), RP: 32 times and minutes.
The patient is still unconscious. Chen Cang keeps thinking about the reasons. His heart rate is a little fast. Is there hypertension?
Before Chen Cang could say it, the man stressed: "my wife is usually well. She is not ill. She can eat and drink. It''s like this after having a meal in his restaurant!"
Chen Cang knew: "Xiao Lin, check blood sugar urgently, blood routine, liver and kidney function, blood glucose, serum ions... By the way, lactic acid and blood gas analysis. Also, inhale oxygen to the patient and add a bottle of balance liquid!"
After that, Chen Cang said to Wang Yong, "please help me to open the doctor''s order just now, add an urgent brain CT, eliminate cerebrovascular diseases, and I''ll check my body."
Before Chen Cang''s voice fell, Wang Yong winked at Chen Cang, took Chen Cang''s arm and went out of the door.
"This man is a blackmailer! I''ve seen him several times. The couple are habitual criminals who come to touch porcelain and blackmail!" Wang Yong reminded.
"They came once a few days ago. Lao Chen showed them."
Chen Cang was stunned!
There are always these blackmail patients in the emergency department. They are often met. It can be said that they are all kinds, regardless of men, women, old and young, but the purpose is very simple!
Blackmail money.
Chen Cang met a mother and daughter. The mother pretended to be ill and the little one pretended to be filial. The two matched perfectly. They often went to the small clinic for infusion, and then had convulsions and unclear consciousness. They were sent to the emergency department urgently. When they came, they neither took blood nor treated. The daughter was responsible for negotiating with the doctor in the small clinic. Once the money came, the mother''s disease would recover and disappear. Maybe the next time they saw it, The other party will nod and smile with you. Chen Cang doesn''t want to provoke you, but he won''t cooperate. Generally speaking, he doesn''t want to annoy his upper body. After all, he saw a doctor who went out and was beaten into the emergency room because he ordered it. This time, he was a patient.
But
Chen Cang felt that the woman was really ill!
Thinking of this, Chen Cang urged: "go to the doctor''s order and check it."
Wang Yong stared: "brother, don''t you understand what I mean? He came to blackmail money, you..."
Chen Cang stared at Wang Yong and said, "you''re a doctor, not Holmes. Go and see what the patient''s signs are? I suspect it''s hyperosmolar non ketotic hyperglycemic coma."
As soon as Wang Yong heard this, he immediately gave a cut, snorted unconvinced, turned and left, muttering that the dog bit LV Dongbin and didn''t know the good people.
Chen Cang sighed and shook his head. At this time, he suddenly heard noise inside.
PS: I''m finally finished. The update time will resume at 0:00 and 12:00 every day. There are too many old hands during this time. The update time is unstable, which brings a lot of inconvenience to everyone. I hope it can be understood. Thank you.