21 The heart is impetuous

After waiting for ten minutes, the 120 ambulance was late.

In the township, it is good to have a 120 ambulance, and many places do not have such rare things at all.

Moreover, the quality of doctors in township hospitals is also slightly worse, and it is difficult to meet the requirement of getting on the bus within 2 minutes of receiving an emergency call.

The ambulance was from the county people's hospital, and the 120 doctors looked very bad and a little impatient.

Chu Zhixi took the paper written by Wu Mian, sent the patient to the car, and said to the emergency doctor, "The patient's condition is relatively special, please send it to the provincial capital." ”

The emergency doctor frowned, which means that Chu Zhixi was a little girl so he didn't swear, but he didn't speak well.

"Who are you, will you see a doctor or will I see a doctor? How can you do that? You say that if you send it to the provincial capital, you will send it to the provincial capital? According to the regulations, you should go back to the county hospital. ”

Chu Zhi Xi Ka Ka eyes, hearing Wu Mian's footsteps coming from behind him, his eyes smiled into a crescent moon.

"The emergency first aid manual, the fifth line on the third page reads, usually the ambulance in the pre-hospital first aid to send the injured patient to the hospital is to send the nearest hospital with treatment conditions. Unless the patient's condition allows it, and the family has special requirements, or the patient is transferred. ”

Wu Mian walked out with his mobile phone slowly, and said as he walked, "Don't move, don't be hippie and smiley, I'm recording a video, you should be serious." ”

"......" 120 emergency doctors were dumbfounded.

"The patient's family has asked to go to the provincial hospital, whether it is sent to you or not, if there are three long and two short, even if it is farting and hiccups or something, you wait to report to the medical department. ”

Speaking of the medical department, plus the previous emergency first aid manual, the 120 emergency doctors were unaware of it, and their momentum was suddenly discouraged.

I wanted to say something cruel to get back to the scene, but I saw Zhang Ping walking out with a rolling pin in her hand and Nie Xuehua with a kitchen knife in her right hand.

Not daring to say more nonsense, he turned pale and turned to get into the car.

"Go up with someone and go to ......," Wu Mian said, glancing at Chu Zhixi.

"Second year of medicine, you go first, I'll call and explain. ”

Wu Mian nodded, and found a person who looked the most sober and pushed the 120 ambulance.

Watching the ambulance drive away, Wu Mian turned around and went back.

"Brother, no problem. Chu Zhixi leaned over to Wu Mian and whispered.

Chu Zhixi didn't say it too carefully, but Wu Mian knew what Chu Zhixi meant, so he nodded, "Didn't you check it, it's okay." ”

"Wu Mian, what's going on?" Zhao Zhe wanted to ask. But Wu Mian didn't want to answer, he just said simply, "Metronidazole can't be eaten more, it's dependent." ”

"Uh......" Zhao Zhe glanced back at Chen Lu.

Chen Lu shook her head slightly, indicating that she didn't know.

"Say it well. Chu Zhixi stabbed Wu Mian behind with his fingers.

Wu Mian was a little helpless and said: "2-methyl-5-nitroimidazole-1-ethanol itself has a certain central inhibition ......"

"What?"

This time, even Chen Lu, the nurse in the operating room, was stunned, and she didn't know what Wu Mian was talking about.

"If it's good, I won't say it well, 2-methyl-5-nitroimidazole-1-ethanol is the name of the drug. Chu Zhixi sat back at the table, looking forward to it, and said softly, completely unable to see the strong momentum that had just commanded the rescue.

"In general, the maximum dose of metronidazole per day is 1.8g, and the limit dose will be used in the treatment of intestinal amebiasis under normal circumstances, which is theoretically no problem and has few side effects. ”

"But according to studies, the average time metronidazole causes encephalopathy is 6...... Brother, how many days have it been?"

"68 days. ”

"Uh-huh, drug dependence occurs on average 68 days, and the average daily dose is 1480mg. ”

"Metronidazole can penetrate the blood-brain barrier...... Forget it, Lao Zhao, you don't study medicine either, it's pointless to listen to so much, just know that metronidazole can't eat more. Wu Mian said.

"Wu Mian, this thing is not a poisonous anesthetic, how can it still be addicted?" Zhao Zhe was full of doubts, and then asked.

"This involves the content of pathophysiology and pharmacology, or I recommend a few books, if you can memorize it, I will accept you as a graduate student?" Wu Mian obviously didn't bother to explain, and quipped.

"Don't make a fuss, are you sure?"

Wu Mian was too lazy to answer, many of the questions asked by non-professional people like Zhao Zhe had to be answered from scratch, and if he really wanted to explain the mechanism of action of metronidazole, how to pass through the blood-brain barrier, and how to act on the nerve center, I am afraid that it would take a long time.

It's okay for a long time, the key is that Zhao Zhe doesn't understand.

"Lao Zhao, you should remember that you can't eat more metronidazole, by the way, because metronidazole irritates the gastric mucosa, so it's best to eat it after meals. Wu Mian came to a conclusion cleanly, "Da Lu, I saw the doctor at the county people's hospital just now, and I felt that he was so impatient." ”

"Alas, don't mention it. Chen Lu sighed.

"I don't want to go to the referral, I guess the goods are eating, and I look forward to going back quickly, don't get cold. Which hospital is not a hospital, why do you have to go to the provincial capital, that's what it means. Wu Mian said.

The small details in this are clear, but the person is not a patient's attitude, but very negative. Coupled with Chen Lu's sigh, Wu Mian felt something strange.

"Maybe, if the people's hospital is going to be restructured, the doctors on that side may not have a career establishment in the future, and they are all worried. Chen Lu said.

The hospital was restructured, no wonder, Wu Mian sighed.

"A few years ago, a hospital in Dibei Province was acquired by Southern Capital, and I had a classmate there. Chen Lu said, "He couldn't survive anymore, but later the system was restructured, and the director took 4 doctors under him to do 2,000 interventional surgeries a year." ”

"Well, I know the hospital you're talking about. Last year, 2,123 units were made, and the year before that 1,878 units were made, and the growth was very rapid. ”

"It is said that it is particularly profitable, but I don't know why, at the end of the year, when the management inspected, they called the police, and there were employees skimming tomatoes and eggs. ”

"Tomatoes beat lo mein, and two eggs in a purse for breakfast. Wu Mian said.

When he met his classmates, Wu Mian had a little more of the atmosphere that a young man should have.

"There are thriving hospitals that have been restructured, but most of them are half-dead, for example, mining hospitals and so on, and doctors who have become doctors go to the south to find work. Now the south is digging people to dig fiercely, but all the doctors who can pick up the operation and have a good job title have gone to the south. ”

"Hmm. Wu Mian nodded, this is an objective fact.

"The most outrageous is the director of thoracic surgery at the county people's hospital, he met an academician at a meeting, was appreciated by the academician, and directly resigned and went to a hospital in Modu that was only open to Americans. ”

"It's good, I pay for overtime. Wu Mian said.

"Yes, he was on duty during the Chinese New Year, and he arrived home in the second year of junior high school. I heard from the nurse at the People's Hospital that he Chinese New Year's Eve on one shift...... Wu Mian, guess how much?"

"6-80,000 RMB. ”

"Ah, how do you know?" Chen Lu was really surprised this time.

For a night shift, the night shift fee in the TCM hospital is 20 yuan. As for overtime, there is no money at all, it is all dedication, generating electricity for love.

This is not the case with American-funded hospitals, Wu Mian has worked at Massachusetts General Hospital for a period of time and knows how much money he can make.

As long as it's not too dark on the side of the magic capital.

"Alas, I was on duty in my thirties, had 6 caesarean sections, didn't sleep all night, and gave 200 yuan, not counting overtime, only the red envelope for the New Year. This man is really incomparable. ”