298 Scared, terrifying
The formal career of a doctor began, Zhang Fan did not let go of studying, and when he had time, he read books with Shao Hua, kept practicing spoken English, memorizing words, and taking a walk. Shao Hua and the two old men took care of all the trivial things in the family, and they definitely didn't let the small things at home interfere with Zhang Fan, and even the old couple had a lot less when they were talking on weekdays.
Every week, if Zhang Fan is not busy, he and Shao Hua will call his parents and Jingshu together, and if Zhang Fan has no time, Shao Hua will call to greet him regularly. The days passed slowly like this, plain and bland, like chicken soup that nourishes the stomach, light but nutritious, and the bowl is full of happiness.
It was Zhang Fan's turn to receive the patient number, and the emergency department had already sent two patient numbers the day before yesterday, although it was not Zhang Fan who received the patient number, but this was a special call to Zhang Fan from the emergency department, and the other doctors had nothing to say. One is a non-open clavicle fracture, the other is also a non-open ankle fracture, dehydration and swelling for a day, and after a perfect surgical examination, the operation is scheduled to this day.
Today is Zhang Fan's 24-hour duty, and he must be a member of the team in the department to handle the discharge and admission. Because the outpatient clinic is always coming with a sick number. "Yanan, Brother Xue, which of the two of you stays in the department. ”
"Me!" Xue Feiba had to go to surgery, and the operation on the day he received the patient number was estimated to be one day, and after surviving this day, his legs were not his own.
"Okay, then I'll take Yanan to surgery. Dr. Li, do you want to have surgery or write medical records in the department? Zhang Fan said to the female doctor who transferred to the department, this team is equivalent to a tailor-made for Zhang Fan, the attending of the fish, the female man's hospital.
"Mr. Zhang, I'd better write a medical record. The female doctor said hesitantly, she was not as tall as Wang Yanan, and her body was also very weak, so she didn't plan to do surgery. Zhang Fan originally set the operation and medical records to score seventy-three points, but the result was a bit high, and Lao Xue and Wang Yanan both felt that it was inappropriate, and finally set it at thirty-one medical records. The medical records of discharge, the medical records of admission, the little girl is busy.
"That's okay, you write medical records in the department, this is my meal card, what you want to eat at noon directly swipe my card. Zhang Fan handed his meal card to Xiao Li.
"I have a card for Mr. Zhang, I don't need it. The little girl was a little embarrassed.
"What's yours is yours, you follow us on duty, work for us, we should take care of the food, you're welcome. Zhang Fan handed the card to Wang Yanan, and Wang Yanan couldn't help but stuff the card into the pocket of the girl's white coat. "You're welcome, take it! You don't have a bonus, save a little is a little. Wang Yanan said.
"Thank you!" Xiao Li said with a blushing face.
"Okay! "Zhang Fan is about to enter the operating room, and the two new graduate students have also inquired about Zhang Fan recently, but people are like this, they haven't heard of it, and they don't believe it. Xu Xian and they also have surgery, Xu Xian has already decided, and when the operation is over, they must see Zhang Fan's operation.
In spring, the snow melts and the earth rejuvenates. The state has supported the frontiers, and many large-scale projects have also started. In the early years, most of the orthopedic patients were injured by falls, especially the elderly who accidentally fell and caused fractures, but in recent years, although there have been many fall injuries for the elderly, they have dropped to the third place.
Car accidents are the first to cause fractures, and various car accidents. The second is the accidental fracture caused by the engineering team. Especially in car accidents in the city, although the speed of the car is not fast, it is really going to hit the solid, and a comminuted fracture will not be able to run away.
The three orthopedic departments have their own special operating rooms, but the anesthesiologists and surgical nurses are not fixed. However, the head nurse in the operating room treated Zhang Fan differently, so he was quick to match the table or something.
"Yo, Zhang Fan, I finally came out of internal medicine. I don't invite my eldest sister to dinner. When the head nurse saw Zhang Fan change into his hand clothes and enter the operating room, he greeted Zhang Fan from a distance.
"Hello head nurse, isn't there a lot of surgery, I'm thinking about finding a weekend to invite the sisters in our department to have a meal. Zhang Fan smiled before speaking, although he was wearing a mask, his smiling eyes made the head nurse feel comfortable to look at.
"Why, who did you like in our department, you quietly told the eldest sister that I would definitely help you take it. Saying this, the head nurse deliberately posted it. It's not far away, it's not close, it looks like it's pasted, but it's actually a little close. But the fragrance of the head nurse's body, the white neck, and the collar of the wash gown are peachy, and you can still see it in the loose and vague, as if it is black!
"Hehe, really no, I have a girlfriend!" Zhang Fan took a step back slightly without being noticed, really, I can't parry! In the face of such a young woman with high emotional intelligence, Zhang Fan had to retreat, otherwise, he would definitely make the head nurse laugh to death!
"I'm not married, and I can get divorced if I get married, really, the little girl in our department, that person is not good, take advantage of not getting married, pick more, otherwise you will regret it." ”
"Zhang Fan!" Wang Yanan came out of the female doctor's changing room and went to their special operating room, but Zhang Fan hadn't come yet, and when he opened the induction door, Zhang Fan and the head nurse were gossiping, so he shouted loudly. This rescued Zhang Fan.
"Head nurse, I'm going to surgery. Zhang Fan leaned against the wall and prepared to leave.
"Hehe, go ahead, your little apprentice is jealous!" Before leaving, the head nurse said like a cat!
"Hehe!" Zhang Fan didn't dare to make a stubble.
After entering the operating room, Wang Yanan glared at Zhang Fan and said, "You don't mix with her, otherwise I will definitely go to sue Shao Hua." ”
"What, what, hurry up and wash your hands. Zhang Fan doesn't care at all, how to say this, the little girl still doesn't understand, but Zhang Fan knows very well, the head nurse is absolutely not interesting, it is an alternative way to get along.
"Hmph, you think she's enthusiastic about you, she's like that for a slightly more powerful doctor, I've seen her several times. Wang Yanan whispered, because the anesthesiologists and nurses were already in place. Wang Yanan has really improved now, if he had said it out loud before.
"it, go wash your hands, or I'll go." Zhang Fan couldn't explain to her, this girl's realm was not up to it. Although she is one year younger than Zhang Fan, Zhang Fan is definitely almost forty years old in his heart!
Wash your hands, disinfect them, lay out sheets, and cover them with towels. When you enter the operating room, you are particular about everything you do, and there are rules. Speak loudly, the first is afraid of disturbing others, and the louder the second sound, the easier it is for the droplets in the mouth to come out and contaminate the surgical area.
Wash your hands, you must wash to the elbow joint, after washing, keep your hands and arms flat and keep them in the air, and you must ensure a sterile posture. And the doctor's hand, the requirements are also high, what your ring, watch, can't bring, if there is a break, then a good operation can not be used!
The sheet is generally three layers, the thickness of the three layers of cloth is estimated to be four centimeters, and the three layers of special thick cloth directly cover the human body from head to toe, and only the area to be operated on the operating table is leaked out, and other places can not be seen.
The surgery began, and the first clavicle was fractured. Simple, too simple, now Zhang Fan, this kind of operation is not difficult for him, but even if there is no difficulty, Zhang Fan is very cautious, regardless of the size of the operation, he must treat everyone equally. Otherwise, something will happen sooner or later.
Wang Yanan wanted to do it, but when he saw that it was broken, he didn't ask to be the main knife. "Here, you touch it. This collarbone is curved, and if you look at this broken part, this is the thinnest part of the collarbone. When you put on the steel plate, you must have the steel plate orthopedic. Otherwise, the steel plate will not fit, and a few months after the patient is discharged from the hospital, the steel plate will either be broken or the bone will not be connected. ”
Zhang Fan kept saying while giving the focus to Wang Yanan. The first Wang Yanan is very dedicated, and even a teacher will like this kind of doctor, and forget her gender. Second, Zhang Fan and Shao Hua can go so smoothly, thanks to this girl, Zhang Fan once said that he must help her gain a foothold in orthopedics. Third, this girl has actually treated Zhang Fan as a master. This is a drink and a peck, Wang Yanan is also kind to Zhang Fan!
After more than half an hour, the anesthesia belt woke up, and the first operation was over.
Itinerant nurses and surgical nurses hurriedly packed up the instruments and the various sheets that were still on the ground. And then put it all in the cleaning tunnel, where there are cleaners who specialize in cleaning up post-operative belongings, and they are waiting in the cleaning tunnel. Take the blood-stained sheet away from the cleanroom.
Ten minutes later, the anesthesiologist said: "Wash your hands!" Wang Yanan continued to wash his hands and disinfect.
In the outpatient clinic, the patients continued, and the car accidents came one after another, all of which were open fractures. The worker who was injured on the construction site suffered a fracture in his foot, which was also an open fracture, and another open fracture came when he was about to leave work.
This surgery, what is open, what is non-open, in fact, is also simple, open is wound, bone leakage, this kind of trauma, must be operated as soon as possible, the more it drags on to lead to osteomyelitis, the greater the chance of infection.
If the swelling is severe, the doctor will be dumbfounded and the skin will not be sutured together! This is also the reason why some people have broken bones and are admitted to the hospital for three or four days or even a week before they are operated on, this is not because the doctor wants to wait for you to ask for a red envelope, but because they can't do it at this time!
Two surgeries, three surgeries, and four surgeries, Wang Yanan couldn't hold on. It's been a whole day, and the girl really can't bear it, and her back hurts and her legs hurt. After the fourth operation, Wang Yanan's waist was a little rickety. But the patients continued, and the emergency department had already called, and a femur fracture surgery patient number was sent immediately.
"Go down, go, Xue Fei shouted. Zhang Fan said.
"It's okay, I can still hold on. Zhang Fan can insist, and she thinks she can insist.
"Obedient, surgery is not practiced in a day. Go for it!"
"But why don't you go down. ”
"I'm a year older than you. Go quickly and be obedient. "Zhang Fan definitely won't say that I'm a man, otherwise this girl might not go down.
"Well, I'm going down. ”
In the department, it's already off work. "Why don't you leave?" Xue Fei ate a boxed lunch, looked at his phone, and said to Xu Xian, who had already gotten off work and hadn't left.
"Well, I'm not in a hurry, and the medical records are still unfinished. "When Xu Xian had surgery, Zhang Fan and they also had surgery, and Xu Xian wanted to give a doctor's order and explain his condition, so he didn't look at Zhang Fan's surgery, but he was unwilling, and there were many surgical patients today, he was waiting, waiting for Zhang Fan to ask for help, and then he was ready to go up and compare with Zhang Fan.
This is the common problem of Xueba, unconvincing. That's right, if you want to progress, you must have an unconvincing attitude and spirit. At this time, the nurse station of the first orthopedic department has the appearance of getting off work. There are many sick numbers, the nurses on the day shift are still working overtime, and the nurses on the night shift have already come to take over.
The head nurse didn't leave, there were too many newly admitted patients, and she had to stare at it for a while, otherwise it would be easy for something to happen. "The liquid in the eight beds is gone, the bell is ringing!" Miao Juan stood at the nurses' station and shouted to the nurses, "Head nurse, there are still two sets of beds, this group is antibiotics, you can help me change it, I can't be busy." ”
"You little hooves know how to instruct me!" Although his mouth was chattering, he was not slow to help change the dressing.
"Oh! I said Xue Fei, you Zhang Fan is really a lucky cat, he has so many sick numbers on duty. After the head nurse changed the medicine, she saw Xue Fei eating leisurely and looking at his mobile phone. I said a word at the door of the office.
"Didn't you eat, didn't eat, let's eat together. ”
"We are all leftovers, so I was called, there is no sincerity at all, we are so busy that the nurses have not eaten, go buy a KFC." ”
When Xue Fei was about to make an excuse, Wang Yanan dragged his lead-filled legs into the department. "You go to the operating room, there's another broken femur. ”
"Hey, what kind of day is this!" Xue Fei said, got up and went to the operating room, it would be a little shameless to not go up at this time. Xiao Li, who transferred to another department, was in pain and happy.
When other departments are transferred, how can you pay for writing medical records, this is work. But after going to the first orthopedic department, not to mention the money, she also took care of the food, but the medical records were a bit too much, and she never got up much from morning to night. But when I think about it, I have earned more than a hundred yuan today, and I am also happy.
Xu Xian looked at Wang Yanan and didn't speak. "Five surgeries, even if you are as strong as a cow, you shouldn't be able to stand it!"
Rush hour, car accident. The ambulance whined and pulled in two more broken bones. It was almost eleven o'clock in the evening. Zhang Fan still had another operation. Xu Xian kept waiting, but Wang Yanan ate a little food, slept for a while, and went to the operating room. just didn't wait for Zhang Fan to come down.
Xu Xian looked at his watch, it was almost one o'clock in the morning. From nine o'clock in the morning to now. Zhang Fan has been undergoing surgery, and Xu Xian's face is blue. Regardless of the level of surgery, in terms of physical aspect, he is no longer Zhang Fan's opponent. Surgery, especially orthopedics, is semi-physical work!
Xiao Li, who writes medical records, is not happy at this time, only pain remains!
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